• Title/Summary/Keyword: longitudinal studies

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Effects of Simulated Interdisciplinary Communication Training for Nursing Students on Self-confidence in Communication, Communication Behavior and Technical Skill Performance (학제간 의사소통을 포함한 시뮬레이션 교육이 간호대학생의 의사소통 자신감, 의사소통 행위, 기술적 술기 수행에 미치는 효과)

  • Nam, Kyoung A;Kim, Eun Jung;Ko, Eun Jeong
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.4
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    • pp.409-418
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    • 2017
  • Purpose: Ineffective communication between healthcare professionals leads to medical errors and puts patients at risk of harm. The aim of this study was to examine the effects of interdisciplinary communication training in simulated settings on self-confidence in communication, observed communication behavior, and technical skill performances of nursing students. Methods: A repeated measures design with one group was conducted. Data was collected from 92 nursing students through a self-administered questionnaire and an observed behavior checklist. Data analysis was performed using descriptive statistics, a paired t-test, the Wilcoxon signed rank test, the Friedmann test, a Repeated Measures ANOVA, and the Spearman correlation coefficient. Results: Self-confidence in communication, observed Identification-Situation-Background-Assessment-Recommendation-Read Back communication behavior, and technical skill performances of nursing students were significantly improved. In observed communication behavior, the performance of Assessment and Read Back communication significantly improved. However, communication of Background, Assessment, and Recommendation did not improve to a satisfactory level. Observed communication behavior was not correlated with the overall technical skill performance. Conclusion: These results indicate that interdisciplinary communication training in simulated settings was effective in improving nursing students' confidence and communication skills with physicians. Longitudinal studies with larger samples are recommended in order to verify the effects of interdisciplinary communication training on clinical outcomes as well as communication competence.

The Relationship between Serum Cholesterol and Impulsiveness in the Division of the Republic of Korean Army (군부대 내 부적응 병사에서 충동성과 혈청 지질과의 상관성)

  • Kim, Seul Ki;Kang, Suk-Hoon;Lim, Myung Ho;Choi, Jong hyuk;Lee, Byung yong
    • Anxiety and mood
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    • v.8 no.2
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    • pp.120-126
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    • 2012
  • Objective : Previous studies reported a correlation between the low serum cholesterol level and impulsive behaviors. In this study, we investigate an association between the serum lipid levels and psychological parameters in maladaptive soldiers in the Korean Army. Methods : A total of ninety-six maladaptive subjects and thirty-six normal controls in the Korean army were evaluated with the Korean version of Barratt Impulsiveness Scale (K-BIS), Korean version of Beck Suicidal Ideation Scale (K- BSIS), Korean version of Beck Depression Inventory (K-BDI) and Korean version of Beck Anxiety Inventory (K-BAI). Serum total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL) and high density lipoprotein (HDL) level were measured by overnight fasting blood sampling. Results : There were no significant differences between the groups in demographic characteristics. Serum total cholesterol levels (t=-2.209, p=0.032), triglyceride levels (t=-4.593, p<0.001), and LDL levels (t=-3.753, p=0.001) of maladaptive subjects were significantly lower than those of normal controls, and maladaptive subjects had higher K-BIS scores than normal controls (t=7.542, p<0.001). Negative correlation was found between LDL levels and non-planning impulsiveness in the maladaptive subjects (r=-0.253, p=0.013). LDL levels (${\beta}=-0.258$, p=0.008) and K-BDI scores (${\beta}=0.266$, p=0.043) emerged as significant predictors for non-planning impulsiveness. Conclusion : These results suggested that LDL level was associated with non-planning impulsiveness. These findings suggested that serum cholesterol levels might be available as a biological marker of impulsiveness. However, more large samples, longitudinal biological study and psychiatric evaluations should be needed to develop a preventive intervention for maladaptive male conscripts in the Korean army.

Tolerance Analysis of Focus-adjustable Head-mounted Displays

  • Choi, Hojong;Ryu, Jae Myung;Kim, Jin Ha
    • Current Optics and Photonics
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    • v.1 no.5
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    • pp.474-490
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    • 2017
  • Since the recent slowdown in the smartphone market, studies for wearable devices are briskly being carried out to find new markets, such as virtual reality devices. In this paper, a head-mounted display (HMD) which provides expanded virtual images before human eyes by enlarging images of a small display was designed, and the tolerance analysis method for a focus-adjustable HMD based on afocal optical systems was studied. There are two types of HMDs: a see-through type that allows the user to view the surroundings, and a see-close type where the user can only view the display screen; the former is used in this study. While designing the system, we allowed a lens within the system to be shifted to adjust its focus from +1 to -4 D (diopters). The yield of the designed systems was calculated by taking the worst-case scenario of a uniform distribution into account. Additionally, a longitudinal aberration was used rather than MTF for the tolerance analysis with respect to system performance. The sensitivity of the designed system was calculated by assigning a certain tolerance, and the focus lens shift was calculated to adjust the image surface variations resulting from the tolerance. The smaller the tolerance, the more expensive the unit price of the products. Very small tolerances may even be impossible to fabricate. Considering this, the appropriate tolerance was assigned; the maximum shift of the focus lens in which the image surface can be adjusted was obtained to find the changes in aberration and a good yield.

A Study on Urbanization Efficiency analysis of China's 31 provinces and cities (중국 31개 성 및 직할시의 도시화 효율성 분석에 관한 연구)

  • Zhou, Yi Xi;Jeon, Jun-Woo;Kim, Hyung-Ho
    • Journal of Digital Convergence
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    • v.17 no.12
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    • pp.147-157
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    • 2019
  • The purpose of this study is to analyze the efficiency of urbanization in 31 provinces and cities in China, including both desirable and non-expected outputs produced during the urbanization process. Efficiency was analyzed by applying the SBM-DEA model using the urbanization calculation data of 2017 in 31 provinces and cities in China. The results show that the urbanization efficiency of eastern region is the highest, followed by central region and northeast region, and the urbanization efficiency of western region is the lowest. This study is meaningful in that it analyzes the efficiency of urbanization in 31 provinces and cities in China and suggests the direction of continuous urbanization policy. This study is limited in that it does not reflect the past trend only by conducting cross-sectional analysis for one year in 2017, and it is necessary to comprehensively evaluate urbanization efficiency by conducting additional longitudinal area analysis in the future.

Estimating Adolescent's Changes in Overt Aggression : Tests of Effects of Ecological Factors on Individual Differences in the Changes (다층모형을 적용한 청소년의 외현적 공격성 변화 추정 : 변화에 있어서의 개인차에 대한 생태학적 요인 검증)

  • Kim, Dong-Ki;Hong, Se-Hee
    • Survey Research
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    • v.8 no.2
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    • pp.21-42
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    • 2007
  • In the present study, we studied the change patterns of adolescents' overt aggression during the middle school 2nd to the high school 1st grades and the effects of ecological factors on the change. For the research goals, we applied multi-level models to the Korean Youth Panel data. Results showed that adolescents' overt aggression decreased significantly during the period. Gender(males recoded as 1) and self-control had negative effects on the initial status(middle school 2nd grade) while the number of delinquency peers had a positive effect. On the other hand, gender and self-control showed positive effects on the change rate. The major strengths of the research are the study of various ecological factors and the longitudinal design. Few studies of adolescents' aggression have incorporated these methodological and substantive characteristics.

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Labor Force Withdrawal And Entry (Surrounding First Birth of Married Women) (출산을 전후한 시기 여성의 노동시장 이탈과 진입 (미국 기혼여성의 경우))

  • 장지연
    • Korea journal of population studies
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    • v.20 no.2
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    • pp.5-42
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    • 1997
  • This study contributes to understanding women's labor market behavior by focusing on a particular set of labor force transitions - labor force withdrawal and entry during the period surrounding the first birth of a child. In particular, this study provides a dynamic analyses, using longitudinal data and event history analysis, to conceptualize labor force behaviors in a straightforward way. The main research question addresses which factors increase or decrease the hazard rates of leaving and entering the labor market. This study used piecewise Gompertz model, following the guide of the non-parametric analysis on the hazard rates, which allowed relatively detailed description on the distribution of timing of leave and entry to the labor market as parameters of interest. The results show that preferences and structural variables, as well as economic considerations, are very important factors to explain the labor market behavior of women in the period surrounding childbirth.

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Mechanical performances of concrete beams with hybrid usage of steel and FRP tension reinforcement

  • Bui, Linh V.H.;Stitmannaithum, Boonchai;Ueda, Tamon
    • Computers and Concrete
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    • v.20 no.4
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    • pp.391-407
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    • 2017
  • Fiber reinforced polymer (FRP) bars have been recently used to reinforce concrete members in flexure due to their high tensile strength and especially in corrosive environments to improve the durability of concrete structures. However, FRPs have a low modulus of elasticity and a linear elastic behavior up to rupture, thus reinforced concrete (RC) components with such materials would exhibit a less ductility in comparison with steel reinforcement at the similar members. There were several studies showed the behavior of concrete beams with the hybrid combination of steel and FRP longitudinal reinforcement by adopting the experimental and numerical programs. The current study presents a numerical and analytical investigation based on the data of previous researches. Three-dimensional (3D) finite element (FE) models of beams by using ANSYS are built and investigated. In addition, this study also discusses on the design methods for hybrid FRP-steel beams in terms of ultimate moment capacity, load-deflection response, crack width, and ductility. The effects of the reinforcement ratio, concrete compressive strength, arrangement of reinforcement, and the length of FRP bars on the mechanical performance of hybrid beams are considered as a parametric study by means of FE method. The results obtained from this study are compared and verified with the experimental and numerical data of the literature. This study provides insight into the mechanical performances of hybrid FRP-steel RC beams, builds the reliable FE models which can be used to predict the structural behavior of hybrid RC beams, offers a rational design method together with an useful database to evaluate the ductility for concrete beams with the combination of FRP and steel reinforcement, and motivates the further development in the future research by applying parametric study.

A Comparative Analysis of Time in Elementary Mathematics Textbooks (시각과 시간에 대한 우리나라 초등학교 수학 교과서 분석)

  • Nam, Jihyun;Chang, Hyewon
    • School Mathematics
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    • v.19 no.3
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    • pp.513-531
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    • 2017
  • This study aims to analyze and compare Korean mathematics textbooks on time and to induce its educational implications. Concretely, the mathematics textbooks from the 1st to the 2009 national revised curriculum were selected for the longitudinal analysis. In each textbook, the contents such as clock reading, units of time, and calculation of elapsed time among various contents about time were chosen. The learning elements and their teaching sequence, the teaching method (the introducing ways of each concept and principle), and the didactical representations are set as an analysis framework. The results of analysis revealed many characteristics and differences in ways of dealing contents about time. Based on these results, we suggested several implications for writing the unit of time in elementary mathematics textbooks and teaching about time in classrooms.

A Study on Effect Analysis and Design Optimization of Tire and ABS Logic for Vehicle Braking Performance Improvement (차량 제동성능 개선을 위한 타이어 인자 분석 및 최적설계에 대한 연구)

  • Ki, Won Yong;Lee, Gwang Woo;Heo, Seung Jin;Kang, Dae Oh;Kim, Ki Woon
    • Transactions of the Korean Society of Automotive Engineers
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    • v.24 no.5
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    • pp.581-587
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    • 2016
  • Braking is a basic and an important safety feature for all vehicles, and the final braking performance of a vehicle is determined by the vehicle's ABS performance and tire performance. However, the combination of excellent ABS and tires will not always ensure good braking performance. This is due to the fact that tire performance has non-linearity and uncertainty in predicting the repeated increase and decrease of wheel slip when activating the ABS, thus increasing the uncertainty of tire performance prediction. Furthermore, existing studies predicted braking performance after using an ABS that used a wheel slip control as a controller, which was different from an actual vehicle's ABS that controlled angular acceleration, therefore causing a decrease in the prediction accuracy of the braking performance. This paper reverse-designed the ABS that controlled angular acceleration based on the information on brake pressure, etc., which were obtained from vehicle tests, and established a braking performance prediction analysis model by combining a multi-body dynamics(MBD) vehicle model and a magic formula(MF) tire model. The established analysis model was verified after comparing it with the results of the braking tests of an actual vehicle. Using this analysis model, this study analyzed the braking effect by vehicle factor, and finally designed a tire that had optimized braking performance. As a result of this study, it was possible to design the MF tire model whose braking performance improved by 9.2 %.

The Effects of Computer Game Exposure on Musculoskeletal Pathological Symptoms in Adolescents

  • Chae, Woen-Sik;Jung, Jae-Hu
    • Korean Journal of Applied Biomechanics
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    • v.28 no.1
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    • pp.55-60
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    • 2018
  • Objective: This study aimed to analyze the effects of computer game exposure on pathological musculoskeletal symptoms in adolescents. Method: This study included 10 male junior high school students who used computers less than 3 times a week for 1 hr per day. The subjects were asked to play computer games for 4 hr. Magnetic resonance imaging of the hand and wrist, from the distal radius and ulnar head to the distal phalanges, and radiography of the cervical vertebrae were performed before and after playing computer games. For each dependent variable, a paired t-test was performed to identify significant changes before and after a 4-hr active computer game (p<.05). Results: The horizontal diameters of the flexor tendons in the index and middle fingers were significantly reduced after playing computer games. The horizontal diameters of the flexor tendons of other fingers did not show any significant differences, but there was a tendency toward a decrease after playing computer games. There was no significant change in the cervical lordosis angle before and after playing computer games. However, the cervical lordosis angle was relatively decreased. Conclusion: The results of this study showed that computer game exposure had direct and indirect effects on morphological changes of flexor tendons. In addition, playing computer games for long periods of time can have a negative effect on normal functioning of the musculoskeletal system, with the possible development of abnormalities. However, computer game exposure in adolescents cannot be decisively identified as a factor causing pathological symptoms, based on the results of this study alone. Thus, longterm longitudinal studies on the overall musculoskeletal system are necessary.