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Reliability and Validity of The Korean Version Scale of Impact of Weight on Quality of Life in $Kids^{(C)}$ (한국어 버전 청소년의 체중 관련 삶의 질 측정도구의 신뢰도와 타당도 검증)

  • Kim, Jeoung-Hyun;Chun, Sungsoo;Choi, Han-Sik
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.3
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    • pp.105-125
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    • 2014
  • Background: The purpose of this study was to evaluate reliability and validity of a 27-item Korean Version of the Impact of Weight on Quality of Life in adolescents ($IWQOL-Kids^{(C)}$: Korean Version). Methods: This instrument was administered to 872 adolescents (mean z-BMI: 2.61, mean $age{\pm}SD$: $13.9{\pm}1.2$, male: 51.9%). Reliability was tested by internal consistency method and item analysis, validity test was performed by index of content validity, exploratory factor analysis, confirmatory factor analysis and concurrent validity. Sensitivity was tested by ANOVA and t-test. Analyses were performed using SPSS and Amos 18.0. Results: By an exploratory factor analysis, 4 factors were extracted; 'Body esteem' consisted of 9 items with 35.9% of variance (social life: 6 items, 10.23%, physical comfort: 6 items, 8.21%, family relations: 6 items, 7.0%). Four factors explained 61.34% of total variance. Internal consistency coefficients ranged from .766 to .929 for scales on 27 items and equal to .920 for total score for both the 26-item and 27-item tools. A confirmatory factor analysis was conducted for the convergent validity and discriminant validity. The standardized factor loadings to test the convergent validity showed more than .5(C.R<1.965) on all paths after deletion of item PC1 (avoid stairs). The average variances extracted were more than .50 and the construct reliabilities were more than .70. The average variances extracted were stronger than the squares of correlation coefficient of inter-latent variables. Conclusions: These results support that the $IWQOL-Kids^{(C)}$: Korean Version with a 26-item is a reliable and valid tool in Korean obese adolescents.

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Evaluation of Climatological Mean Surface Winds over Korean Waters Simulated by CORDEX-EA Regional Climate Models (CORDEX-EA 지역기후모형이 모사한 한반도 주변해 기후평균 표층 바람 평가)

  • Choi, Wonkeun;Shin, Ho-Jeong;Jang, Chan Joo
    • Atmosphere
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    • v.29 no.2
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    • pp.115-129
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    • 2019
  • Surface winds over the ocean influence not only the climate change through air-sea interactions but the coastal erosion through the changes in wave height and direction. Thus, demands on a reliable projection of future changes in surface winds have been increasing in various fields. For the future projections, climate models have been widely used and, as a priori, their simulations of surface wind are required to be evaluated. In this study, we evaluate the climatological mean surface winds over the Korean Waters simulated by five regional climate models participating in Coordinated Regional Climate Downscaling Experiment (CORDEX) for East Asia (EA), an international regional climate model inter-comparison project. Compared with the ERA-interim reanalysis data, the CORDEX-EA models, except for HadGEM3-RA, produce stronger wind both in summer and winter. The HadGEM3-RA underestimates the wind speed and inadequately simulate the spatial distribution especially in summer. This summer wind error appears to be coincident with mean sea-level pressure in the North Pacific. For wind direction, all of the CORDEX-EA models simulate the well-known seasonal reversal of surface wind similar to the ERA-interim. Our results suggest that especially in summer, large-scale atmospheric circulation, downscaled by regional models with spectral nudging, significantly affect the regional surface wind on its pattern and strength.

The influence of different scan resolutions on the detection of proximal caries lesions

  • Ferreira, Liana Matos;Queiroz, Polyane Mazucatto;Santaella, Gustavo Machado;Wenzel, Ann;Groppo, Francisco Carlos;Haiter-Neto, Francisco
    • Imaging Science in Dentistry
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    • v.49 no.2
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    • pp.97-102
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    • 2019
  • Purpose: This study was conducted to evaluate the effect of different spatial resolutions of a photostimulable phosphor plate (PSP) radiography system on the detection of proximal caries lesions. Materials and Methods: Forty-five extracted human permanent teeth were radiographed using a PSP system (VistaScan Perio Plus) and scanned at the 4 resolutions (10 lp/mm, 20 lp/mm, 25 lp/mm, and 40 lp/mm) available in the system. Three independent examiners scored the images for the presence and absence of proximal caries lesions using a 5-point scale. The presence or absence of caries was confirmed by histological sections of the examined teeth (defined as the gold standard). Intra- and inter-observer reproducibility was calculated by the weighted kappa test. One-way analysis of variance with the post hoc Tukey test was used to compare the area under the receiver operating characteristic curve for the classifications made with each resolution. Results: For the detection of enamel lesions, the spatial resolution of 10 lp/mm was significantly superior to the other resolutions. However, the spatial resolution did not affect the detection of caries lesions in dentin (P>0.05). Conclusion: Spatial resolution may influence the accuracy of the detection of incipient caries lesions in radiographs with PSP plates. Images with low spatial resolution seem to be more appropriate for this purpose.

Seismic vulnerability macrozonation map of SMRFs located in Tehran via reliability framework

  • Amini, Ali;Kia, Mehdi;Bayat, Mahmoud
    • Structural Engineering and Mechanics
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    • v.78 no.3
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    • pp.351-368
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    • 2021
  • This paper, by applying a reliability-based framework, develops seismic vulnerability macrozonation maps for Tehran, the capital and one of the most earthquake-vulnerable city of Iran. Seismic performance assessment of 3-, 4- and 5-story steel moment resisting frames (SMRFs), designed according to ASCE/SEI 41-17 and Iranian Code of Practice for Seismic Resistant Design of Buildings (2800 Standard), is investigated in terms of overall maximum inter-story drift ratio (MIDR) and unit repair cost ratio which is hereafter known as "damage ratio". To this end, Tehran city is first meshed into a network of 66 points to numerically locate low- to mid-rise SMRFs. Active faults around Tehran are next modeled explicitly. Two different combination of faults, based on available seismological data, are then developed to explore the impact of choosing a proper seismic scenario. In addition, soil effect is exclusively addressed. After building analytical models, reliability methods in combination with structure-specific probabilistic models are applied to predict demand and damage ratio of structures in a cost-effective paradigm. Due to capability of proposed methodology incorporating both aleatory and epistemic uncertainties explicitly, this framework which is centered on the regional demand and damage ratio estimation via structure-specific characteristics can efficiently pave the way for decision makers to find the most vulnerable area in a regional scale. This technical basis can also be adapted to any other structures which the demand and/or damage ratio prediction models are developed.

Effects of Combined Cervical Stabilization and Stretching Exercises on Craniovertebral Angle, Respiration, Disability, and Range of Motion in Office Workers with Forward Head Posture : A Randomized Control Trial

  • Kim, Kyung;Kang, Na-Yeon
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.3
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    • pp.13-25
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    • 2022
  • Purpose : The purpose of this study was to investigate the effects of combined cervical stabilization exercise (CSE) and stretching exercise (SE) on office workers with forward head posture (FHP). Methods : A total of 32 office workers with forward head posture were randomly assigned to experimental (n=16) and control (n=16) groups. The experimental group underwent combined CSE and SE, and the control group underwent cervical self-myofascial release and SE. Both groups performed exercises for 40 min per day, thrice per week for a total of 6 weeks. Craniovertebral angle (CVA), respiration, disability, and joint range of motion (ROM) before and 6 weeks after intervention were measured and compared. Results : There was no significant between-group difference in the general characteristics (p>.05). The intra-group comparison showed significant differences in the visual analog scale (VAS) and neck disability index (NDI) of both groups post-intervention (p<.05). CVA and forced expiratory volume in 1 seconds (FEV1) were significantly improved post-intervention in the experimental group only (p<.05). In the experimental group, all ROM variables were significantly improved post-intervention. In contrast, in the control group, all ROM variables improved significantly post-intervention, except for extension (p<.05). The inter-group comparison showed significant differences in NDI, left lateral flexion, right lateral flexion, and left rotation between the two groups (p<.05). Conclusion : The combination of CSE and SE, which stabilizes the cervical spine, had positive effects on cranial rotation angle, respiration, disability, and joint ROM in office workers with forward head posture. Therefore, the combination of the two exercises may be an effective option to reduce symptoms and prevent postural problems in office workers with FHP.

Effects of ultra-thin microcurrent patch application on pain and mobility in patients with chronic low back pain (초박형 미세전류패치 적용이 만성 허리통증 환자의 통증과 허리 가동성에 미치는 영향)

  • Tae Yeon, Hwang;Jae Cheol, Park
    • Journal of Korean Physical Therapy Science
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    • v.29 no.4
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    • pp.86-95
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    • 2022
  • Background: The purpose of this study is to investigate the effect of ultra-thin microcurrent patch application on pain, tenderness, trunk flexion, and trunk extension in patients with back pain. Design: pretest-posttest design: single blind. Methods: Thirty men and women diagnosed with chronic back pain were classified into 15 microcurrent application groups and 15 placebo groups. Changes in pain were observed on a visual analog scale, tenderness was observed with a digital tenderness meter, and changes in trunk flexion and trunk extension angles were evaluated with a posture analyzer. The paired t-test was used to see the changes within each group before and one week after the experiment, and the independent t-test was used to see the change in the difference between the groups, and the significance level was 0.05. Results: In both the experimental group and the control group, there was a significant difference in pain within and between groups(p<0.05). In the experimental group, there were significant differences in the intra- and inter-group changes in the erector spinae muscle tenderness and low back pain disorder index(p<0.05). In the experimental group, there was a significant difference in the change in trunk flexion and extension within the group(p<0.05). Conclusion: In this study, it was confirmed that the application of ultra-thin microcurrent was effective for pain, tenderness, and movement of back extension in patients with low back pain. It is expected that it will be used as a basic data for microcurrent therapy and as a treatment method for improving the function of patients with back pain in the future.

Development and validation of a novel screening instrument to prioritize the orthodontic referral of developing malocclusion in children: The index for interceptive orthodontics referral

  • Saraswathy Devi Sinniah;Annapurny Venkiteswaran;Najiyatu Nazihah Zakaria
    • The korean journal of orthodontics
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    • v.53 no.2
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    • pp.116-124
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    • 2023
  • Objective: The absence of a guideline to refer to developing malocclusions appropriately, may be a contributing factor to the inadequacy of timely interceptive orthodontics provision. This study aimed to develop and validate a new orthodontic grading and referral index to be used by dental frontliners to prioritize the orthodontic referral of developing malocclusion in children based on its severity. Methods: A cross-sectional study involving clinical assessment with 413 schoolchildren aged between 8.1 and 11.9 years was conducted in 2018. All the presenting malocclusion was listed and graded based on a few dental guidelines to produce the draft index. The validity and reliability of the draft index were tested using twenty study models. Face and content validation was carried out using the content validation index and Modified Kappa Statistics. Results: Fourteen dental and occlusal anomalies were identified as components of malocclusion and three grades of referral (monitor, standard, urgent) were included in the final index. The scale-level content validity index average value of 0.86 and 0.87 was obtained for content and face validation, respectively. There was moderate to excellent agreement in the Modified Kappa Statistics for both validations. Excellent inter- and intra-assessor agreement was obtained. The new index displayed valid and reliable scores. Conclusions: The Index for Interceptive Orthodontics Referral was developed and validated for the dental frontliners to identify and prioritize the developing malocclusion in children based on its severity and refer for orthodontic consultation to increase the possibility for interceptive orthodontics.

The Immediate Effect of Functional Massage on Pain, Range of Motion, Balance Ability and Gait Speed in Patients with Total Hip Replacement (기능적 마사지가 엉덩관절 전치환술 환자의 통증, 관절가동범위, 균형능력, 보행속도에 미치는 즉각적인 영향)

  • Park, Si-hyun;Jeong, Eui-young
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.1
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    • pp.9-17
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    • 2022
  • Background: Functional massage is a therapeutic massage that incorporates joint motion in non-end-range to reduce pain and improve range of motion (ROM) in patients. This study was aimed at investigating the immediate effect of functional massage on pain, range of motion, balance ability and, gait speed of patients having undergone total hip replacement. Methods: Twenty patients were treated by one participating orthopedic manual physical therapist and randomly assigned to the control group (n=10) or the experimental group (n=10). To treat patients of each group, functional massage and range of motion exercises were used. The experimental group received a functional massage and the control group received range of motion exercise for minutes for one session. The visual analog scale was used for pain assessment. Balance ability was measured using a timed up and go test and a one-leg standing test for patients. The 10-meter walk test was used for the measurement of gait speed assessment of patients. Results: Significant improvements were observed in terms of balance ability (p<.05), gait speed (p<.05), and ROM (p<.05) after functional massage. There was no significant inter-group difference (p>.05). Conclusion: Application of the functional massage showed that statistically significant improvements in ROM, gait speed, and balance ability after a single treatment session. This technique may be a useful treatment in patients having undergone total hip replacement.

Countermeasures and Uses of Origin Cumulative Criteria in the Mega-FTA : Focused on SMEs' Overseas Expansion (Mega-FTA 시대에 원산지 누적기준의 활용과 대책 - 중소기업의 해외진출을 중심으로 -)

  • Lim, Mok-Sam;Lim, Sung-Chul
    • Korea Trade Review
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    • v.41 no.5
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    • pp.89-111
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    • 2016
  • The Mega-FTA is intended for emerging economies, including developed economies, to expand economies of scale in a single market. The Bilateral FTA shall take into account the relevant industries and the inter-country related industries to adjust the origin standard and preferential tariff rates. Therefore, certain competitive industries can expect foreign investment and re-investment in the domestic market as well as expansion of the market in the region. However, the mega-FTA should expand the size of the economy under the same preferential tax rates for many Partner countries. The Mega-FTA can maximize the effectiveness of the agreement by making use of the competitive advantages of the participating countries. In the mega-FTA, Cumulative Criteria should be appropriately used as a supplemental standard of origin. The Cumulative Criteria is an important FTA utilization factor that determines the success of the mega-FTA. Using FTA, Korea should export locally produced materials using cheaper labor force in FTA partner country. In addition, in order to prepare the Mega-FTA, which allows full cumulation, it is necessary to encourage the overseas transfer of low-cost structure materials processing industry so that the material suppliers can be transferred to the area where production cost is lower and raw material supply is easier.

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Analysis and Modeling of Hosting Process in International Sports Events (국제스포츠이벤트의 유치 프로세스 분석 및 모델링)

  • Kim, Joo-Hak;Cho, Sun-mi
    • 한국체육학회지인문사회과학편
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    • v.55 no.1
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    • pp.441-455
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    • 2016
  • International sports events is one of the core products in the sports industry. The increasing number of nations are bidding to host the international sports event such as Olympics Game because of expecting to development of a city or nation. Hosting a international sports events are inter-connected and affected by system of socials, politics, cultures and economics. As the scale of the international sports events became larger, sports events process importance is growing. The purpose of this study was build a model of the sports event process in the attract steps. By analyzing event process in the attract steps, the core processes(1. Search, 2. Applications, 3. Practice, 4. Follow-up management) was set and stakeholders and function were analyzed. The modeling was used as IDEF method.