• Title/Summary/Keyword: measurement tool and analysis methods

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Reliability of Quantifying Maximal Mouth Opening and Lateral Mandibular Shift in Individuals With and Without Temporomandibular Disorder Using Three-dimensional Ultrasound-based Motion Analysis

  • Oh, Jae-seop;Kim, Si-hyun;Kyung, Moon-su;Park, Kyue-nam
    • Physical Therapy Korea
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    • v.26 no.3
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    • pp.99-105
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    • 2019
  • Background: Although magnetic resonance imaging is accurate, it is expensive to measure the movement of temporomandibular joint. The three-dimensional (3D) motion analysis system is an inexpensive measurement tool. Objects: This study examined the reliability of quantifying the mouth opening and lateral mandibular shift and differences between individuals with and without temporomandibular disorder (TMD) using the hygienic method of surface markers on the skin with 3D ultrasound-based motion analysis. Methods: This study included 24 subjects (12 with and 12 without TMD). Temporomandibular joint motion during mouth opening was recorded using two surface markers with 3D ultrasound-based motion analysis. An intraclass correlation coefficient [ICC (3,k)] was used to confirm the intrarater reliability of quantifying kinematic temporomandibular joint motion, and an independent t-test was used to evaluate differences in maximal mouth opening and lateral mandibular shift between the two groups. Results: Assessment of mouth opening and lateral mandibular shift showed excellent test-retest reliability with low standard error of measurement. The lateral mandibular shift and opening-lateral mandibular shift ratio were significantly increased in the TMD group during maximum mouth opening (p<.05). However, no significant difference in maximal mouth opening was observed between the groups with and without TMD (p>.05). Conclusion: This hygienic and simple surface marker method can be used to quantify the mouth opening and lateral mandibular shift at the end-range of mouth opening. The TMD group showed an increased lateral mandibular shift movement at the end-range of mouth opening. The lateral mandibular shift movement can be regarded as a symptom in the diagnosis and treatment of TMD.

Analysis of Factors Affecting Family Function (일부지역 주민의 가족기능과 관련요인 분석연구)

  • 정영숙
    • Journal of Korean Academy of Nursing
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    • v.20 no.1
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    • pp.5-15
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    • 1990
  • The purpose of this study was to identify the degree of family function and to determine factors influencing family function. The subjects for this study were 451 adults and high school students among the general population from J city. Data were collected by questionnaire from Sept. 1 to Nov. 30, 1989. The measurement tool was the Family Function Questionnaire(APGAR) developed by Smilkstein. Data were analysed by statistical methods including Mean, S.D. t-test and ANOVA. The following results were obtained : 1. The mean Family APGAR score was 5.70$\pm$0.11, in a range from 0-10. 2. Scores from 0 to 6, which fall into the dysfunctional family range, were recorded for 266 families(59.6%) 3. Significant variables among general characterisics influencing family function were age, sex, marital status, educational levels. monthly income and occupation(p<.001). 4. Significant variables among family characteristics influencing family function were family life cycle (p<.01), utilization of family resources(p<.01) and family atmosphere( p<.001).

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Determination of the Forming Limit Strain of Sheet Metals by the Time-dependent Method (시간의존법에 의한 금속판재 성형한계변형률의 결정)

  • Kim, S.G.;Oh, T.H.;Kim, J.D.;Kim, H.J.
    • Transactions of Materials Processing
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    • v.24 no.5
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    • pp.361-367
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    • 2015
  • The forming limit diagram (FLD) is the most commonly used tool for evaluating of sheet metal formability in the manufacturing field as well as the finite element analysis (FEA)-based design process. Determination of the forming limits is considerably influenced by testing/measuring machines, techniques and conditions. These influences may cause a large scatter in FLD from laboratory to laboratory. Scatter is especially true when the ‘position-dependent method’, as is specified in most national and international standards, is used. In the current study a new ‘time-dependent method’ is proposed, which is to determine the forming limit strains more accurately and reasonably when producing a FLD from experimental data. This method is based on continual strain measurement during the test. The results are compared to those from the existing standardized methods.

Psychometric Properties of Korean Version of Modified Leeds Sleep Evaluation Questionnaire (KMLSEQ)

  • Kim, Inja;Choi, Heejung;Kim, Beomjong
    • The Korean Journal of Rehabilitation Nursing
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    • v.17 no.1
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    • pp.10-17
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    • 2014
  • Purpose: The Leeds Sleep Evaluation Questionnaire (LSEQ) translated into Korean was modified to easily apply and reduce respondents' confusion and was evaluated for psychometric properties and discriminant ability. Methods: A total of 960 Korean adults aged 45 years and older participated in this cross-sectional survey. To test reliability, validity and discriminant ability, Cronbach's alpha, correlation analysis, confirmatory factor analysis, simple regression analysis and receiver operating characteristics (ROC) curve analysis were used. Results: Item-total correlations ranged between 62~.85 and Cronbach's alpha was .95. Area under ROC was .86 (95% CI: .83~.90) and the optimal cutoff score was identified as ${\leq}$ 66 (sensitivity, .77; specificity, .84; positive/negative predictive values, .49/.95). Using this cutoff score, the prevalence of insomnia in the study sample was 25.8% and tended to be more common in female and older groups. Conclusion: The data supported the psychometric properties of Korean Modified Leeds Sleep Evaluation Questionnaire (KMLSEQ) as an acceptable sleep measurement. In addition, KMLSEQ is likely to be a useful screening tool for insomnia.

A Study for the Appropriateness of the Different Reference Points in the Analysis of Working Posture

  • Kim, Day-Sung;Kim, Chol-Hong
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.5
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    • pp.637-644
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    • 2011
  • Objective & Background: When applying various evaluation tools that analyze work posture risk through observation, accurate measurement of body flexion angle is very important. Method: This study investigated differences and appropriateness of 5 different existing reference points commonly used in the analysis of the work posture. Twenty five ergonomist and trained professionals were participated in this study. A Same flexion angle was utilized for the evaluation of risk assessment of musculoskeletal disorders using five different reference points to investigate the degree of difference between them. To investigate how different the observers' preferred flexion angle measuring methods were compared to the ISO 11226 Reference Posture, a virtual body model was constructed using the Poser 6.0 program. Six types of body flexion postures were constructed, and since neck flexion differs according to body angle, five types of neck flexion postures were constructed with the trunk bending $20^{\circ}$ forward, making up a total of 30 virtual flexion postures. Results: Results showed that the observers used personally preferred reference points instead of reference points recommend in the evaluation tools. Also the results revealed the their seems to be 6 types of flexion angle for the trunk and 11 types of measurement methods for the neck flexion angle in the form of personally preferred reference points. The results showed that a mean difference of $14^{\circ}$($4{\sim}23^{\circ}$) occurred in the trunk, and a mean difference of $20^{\circ}$($-8{\sim}51^{\circ}$) occurred in the neck. To increase accuracy when using the 5 evaluation tools in combination, the ISO 11226 standards, observers' preferred flexion posture standards, and common flexion posture standards of the evaluation tools were compared with the reference points of the 5 evaluation tools. Results showed considerable variance in angle difference for each evaluation tool. Conclusion: According to the results of this study, considering the angle difference between the flexion angle reference points of the evaluation tool and the reference points selected by the observers, it is concluded that instead of personally preferred reference points, the standardized reference points to enhance the accuracy and the objectivity. Application: The result of this study can be used as reference guide to develop the standardized reference point in the future.

Development of scale of long-term employment intention for dental hygienist (치과위생사의 근속의사에 관한 측정도구 개발)

  • Yang, Jeong-A;Lim, Soon-Ryun;Cho, Young-Sik
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.6
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    • pp.1025-1035
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    • 2017
  • Objectives: The purpose of this study is to develop a survey instrument to assess intention to stay for dental hygienists based on validity and reliability. Methods: A survey was conducted targeting 317 dental hygienists in dental clinics. The data was used for the analysis of the study, using PASW Statistics 20.0 and IBM SPSS AMOS 18.0. Results: The preliminary instrument includes 44 item. 22 items were excluded by variable analysis. 17 final items was selected by exploratory factor analysis (EFA). The confirmatory factor analysis (CFA) was composed of four elements, 'organization fit', 'interpersonal relationship', 'identity', and 'job connectivity'. Conclusions: The validity and reliability of measurement tool for dental hygienist's intention to stay was proved. It could be used to help dental hygienist's long-term employment.

The Influence of Stress and Parent-Child Relationship on Elementary School Students' School Adjustment (초등학생의 스트레스와 부모자녀관계가 학교생활적응에 미치는 영향)

  • Choi, Hye Seon
    • The Journal of Korean Society for School & Community Health Education
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    • v.16 no.1
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    • pp.27-38
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    • 2015
  • Objectives: The purpose of this study is to develop programs that help students adjust to school and provide basic data for the students who have difficulty adjusting to school by analyzing the influence of elementary school students' stress and their relationship with parents on school adjustment. Methods: The study surveyed fourth graders in 3 elementary schools in G district. The researcher used convenience sampling to select the 3 elementary schools. The combined 158 students were selected for the analysis, and the survey was conducted for a month in September 2011. The stress monitoring tool used in the 5th year of Korean Youth Panel Survey was mobilized to measure levels of stress among the participants. To measure the parent-child relationship, the Korean Parent-Child Relationships Scale was used. For the measurement of school adjustment, a tool designed to identify the school adjustment of elementary school students was used. The SPSS 21 software and a two-sided test under the significance level of ${\alpha}=0.05$ were used to analyze data. The regression analysis was also used to identify the relative influence of the stress and parent-child relationship on children's adjustment to school. Results: The regression analysis has found the following: the higher peer stress (B=-0.175) and parental strictness (B=-0.159) grow, the lower the level of school adjustment gets; the higher the level of intimacy between parent and child gets, the higher the level of school adjustment grows; and intimacy between parent and child (${\beta}=0.400$) has the largest influence on the child's school adjustment. Conclusions: For elementary school students to be well adjusted to school, their stress and relationships with their parents should be managed. In particular, using the programs that can reduce stress from peers and increase parent-child intimacy will be effective in helping students adjust to school.

Development of Nursing Clinical Judgment Scale (간호사의 임상판단 측정도구 개발)

  • Kwon, Shi Nae;Park, Hyojung
    • Journal of Korean Academy of Nursing
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    • v.53 no.6
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    • pp.652-665
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    • 2023
  • Purpose: This study aimed to develop a nursing clinical judgment scale (NCJS) and verify its validity and reliability in assessing the clinical judgment of nurses. Methods: A preliminary instrument of the NCJS comprising 38 items was first developed from attributes and indicators derived from a literature review and an in-depth/focus interview with 12 clinical nurses. The preliminary tool was finalized after 7 experts conducted a content validity test based on a data from a preliminary survey of 30 hospital nurses in Korea. Data were collected from 443 ward, intensive care unit, emergency room nurses who voluntarily participated in the survey through offline and online for the verification of the construct validity and reliability of the scale. Results: The final scale comprised 23 items scored on a 5-point Likert scale. Six factors - integrated data analysis, evaluation and reflection on interventions, evidence on interventions, collaboration among health professionals, patient-centered nursing, and collaboration among nurse colleagues - accounted for 64.9% of the total variance. Confirmatory factor analysis supported the fit of the measurement model, comprising six factors (root mean square error of approximation = .07, standardized root mean square residual = .04, comparative fit index = .90). Cronbach's α for all the items was .92. Conclusion: The NCJS is a valid and reliable tool that fully reflects the characteristics of clinical practice, and it can be used effectively to evaluate the clinical judgment of Korean nurses. Future research should reflect the variables influencing clinical judgment and develop an action plan to improve it.

Concept Analysis of Post Intensive Care Syndrome (집중치료 후 증후군에 관한 개념분석)

  • Kang, Ji yeon;Won, Youn Hui
    • Journal of Korean Critical Care Nursing
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    • v.8 no.2
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    • pp.55-65
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    • 2015
  • Purpose: The purpose of this study was to identify the attributes, antecedents, and consequences of post-intensive care syndrome. Methods: The study was conducted in accordance with Walker and Avant's conceptual analysis process. We searched the Medline, ProQuest, Google scholar, NANET (Korean National Assembly Library), and RISS (Korean Education and Research Information Service) databases resulting in 29 studies for in-depth review. Results: The attributes of post-intensive care syndrome include (1) new or worsening impairment persisting after discharge, (2) physical impairment, (3) psychological impairment, (4) cognitive impairment, and (5) symptom experience. The antecedents of the concept include a critical condition that requires intensive care, stressful events, immobility, sedation, delirium, insomnia, frailty, and invasive procedures. The consequences of post-intensive care syndrome are increased dependency in activities of daily life, decreased social interaction, delayed return to previous occupation, decreased quality of life, familial post-intensive care syndrome, and readmission/death. Conclusion: The concept of post-intensive care syndrome has multifaceted and integrative features. Further research needs to be conducted to develop a measurement tool that reflects the attributes of the concept and to develop multidisciplinary interventions to prevent post-intensive care syndrome.

Nursing students' rights in clinical practice in South Korea: a hybrid concept-analysis study

  • Sunghee Park;Mi-Young Choi
    • Child Health Nursing Research
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    • v.29 no.4
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    • pp.260-270
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    • 2023
  • Purpose: This study aimed to derive a conceptual definition and attributes for nursing students' rights in clinical practice in South Korea. Methods: This concept-analysis study was conducted at a nursing school in South Korea. The participants were recruited using purposive sampling. The inclusion criteria were being a fourth-year nursing student and having two or more semesters of practical experience. The hybrid model used in this study had three stages. First, 12 studies were reviewed during the theoretical stage. Second, 10 in-depth interviews were conducted during the fieldwork stage. Third, in the analytical stage, the concept of nursing students' rights related to clinical practice was defined and the attributes were derived. Results: The analysis established five attributes of nursing students' rights: the right to learn, the right to be protected from infections and accidents, the right to be cared for and supported, the right to be respected, and the right to be recognized as a member of a nursing team. A key theme that emerged from this study was having the right to learn in a safe and supportive environment. Conclusion: It is necessary to develop a measurement tool based on the above five attributes and to verify its effectiveness.