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Development of Parent Guidelines for Parent-Performed Developmental Screening Tests

  • Sung Sil Rah;Soon-Beom Hong;Ju Young Yoon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.34 no.2
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    • pp.141-149
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    • 2023
  • Objectives: Most developmental screening tests have been built as parent-performed questionnaires. However, they often do not guide parents on how to answer the questionnaire. This study aimed to develop easily applicable parent guidelines. Methods: We implemented the Delphi procedure with 20 panelists. The development of the initial questionnaire was based on the results of two surveys of parents and experts provided by a policy research report that investigated the item adequacy of the Korean Developmental Screening Test. Round one included 33 items comprising all possible measurements in six categories that were identified as difficult to understand or confusing. Round two merged and modified some items and included 32 items. We defined consensus as a median agreement value of one or less and convergence and stability values of 0.5 or less. The subjective usefulness of the parent guidelines was examined based on their previous test experiences. Results: Consensus was reached after the second round, reflecting the items with the highest level of accuracy in each category. Of the 167 parents who participated in the survey, 113 (67.7%) affirmed the usefulness of the guidelines, while 10 (6.0%) answered that they were not useful. Items that recommended a different scoring strategy in answering the questionnaire from their previous measurements were found to be more useful by the parents. Conclusion: The parent guidelines, composed of five bullet points, drew on the consensus of the experts. Further studies are required to assess whether these guidelines improve the accuracy of screening tests in clinical settings.

Psychiatric Analysis about Transsexuals (성주체성장애 환자의 정신의학적 분석)

  • Kim, Seok Kwun;Kim, Myung Hoon;Kwon, Yong Seok;Cha, Byung Hoon;Lee, Keun Cheol;Choi, Byung Moo;Son, Ho Sung
    • Archives of Plastic Surgery
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    • v.34 no.6
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    • pp.705-712
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    • 2007
  • Purpose: Transsexualism is considered to be the extreme end of the spectrum of gender identity disorders characterized by, among other things, a pursuit of sex reassignment surgery (SRS). We evaluated psychologic status, health-related quality of life in female-to-male (FTM), male-to-female (MTF) transgender individuals. Methods: We used the Minnesota Multiphasic Personality Inventory, Beck Anxiety Inventory, Beck Depression Inventory, Moudsley obsessive-compulsive Inventory, SCL-90-R, Short-Form 36-Question Health Survey version 2 (SF-36v2). We enrolled 40 transsexual participants. Results: Analysis of quality of life health concepts demonstrated statistically significant (p<0.01) diminished quality of life among the transsexual participants as compared to the Korea male and female population. FTM transgender participants reported more higher hostile, phobic than MTF transgenders. Overall, in all psychologic status examination, Transgender individuals are within normal population boundary. On all category, result is improved post-operatively. Conclusion: Transgender participants reported mental status within normal boundary. SRS improved their quality of life and mental stability.

Inventory Development according to Aquatic Environment Fitness and Classification Characteristics of Plants for Urban Water Space (수환경 적응도에 따른 식물 목록 구축 및 도시 수 공간에 적용 가능한 식물 분류특성)

  • Li, Lan;Kwon, Hyo Jin;Kim, Hyeong Guk;Park, Mi Ok;Koo, Bonhak;Choi, Il Ki
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.16 no.2
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    • pp.93-104
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    • 2013
  • The purpose of this study was to develop a list of plants that adapted to the aquatic environment in urban areas based on the list of plants surveyed through literature review and field surveys, and to classify the types of vegetation according to the five categories of plant distributions set by the U.S. Fish and Wildlife Service (1988) in the aspect of the adaptability of plants to the aquatic environment. Results of the classification by category according to the adaptability to the aquatic environment for the plant species surveyed through literature review and field surveys showed that there are 45 species of OBL, 96 species of FACW, 66 species of FAC, and 94 species of FACU, totaling 650 species. In addition, a total of 50 species excluding exotic species, endangered species, and naturally introduced plants are proposed as appropriate plants for the urban aquatic environment that will be artificially constructed. The results of the study can be utilized as the basic information for maintaining diversity and stability of the ecosystem during the restoration of water ecology; they can serve as useful data for the development of an optimum vegetation model when planting in water spaces in the future and preparing proper planting plans for each space. In addition, it is believed that the information will be useful in wetland identification and evaluation by observing plant species that appear only in wetlands.

A Study on Koream Concepts of Relaxation (한국인의 이완(Relaxation) 개념에 관한 연구)

  • Park, Jeong-Sook
    • The Korean Nurse
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    • v.31 no.2
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    • pp.70-85
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    • 1992
  • Relaxation technique is an independent nursing intervention used in various stressful situations. The concept of relaxation must be explored for the meaning given by the people in their traditional thought and philosophy. Korean relaxation technique, wanting to become culturally acceptable and effective, is learning to recognize and develop Korean concepts, experiences, and musics of relaxation. This study was aimed at discovering Korean concepts, experiences and musics of relaxation and contributing the development of the relaxation technique for Korean people. The subjects were 59 mursing students, 39 hospitalized patients, 61 housewives, 21 rural residents and 16 researchers. Data were collected from September 4th to October 24th, 1991 by interviews or questionaires. The data analysis was done by qualitative research method, and validity assured by conformation of the concept and category by 2nursing scientists who had written a Master's thesis on the relaxation technique. The results of the study were summerized as follows; 1. The meaning of the relaxation concept; From 298 statements, 107 concepts were extracted and then 5 categories "Physical domain", "Psychological domain", "Complex domain", "Situation", and "environment" were organized. 'Don't have discomforts, 'don't have muscle tension', 'don't have energy(him in Korean)', 'don't have activities' subcategories were included in "Physical domain". 'Don't have anxiey', 'feel good', 'emotional stability', 'don't have wordly thoughts', 'feel one's brain muddled', 'loss of desire' subcategories were included in "physical domain" 'Comfort body and mind', 'don't have tension of body and mind', 'be sagged' 'liveliness of thoughts' subcategories were included in "Complex domain". 'Rest', 'sleep', 'others' subcategories were included in "Situation domain". And 'quite environment' & 'comfortable environment' subcategories were included in "Environmental domain". 2. The experiences of the relaxation; From 151 statements, 59 experiences were extracted. And then 9 categories-at rest after physical activities, after problem solving, fancy, bathing in the bed, situation, rest, particular time, others-were organized. 3. The musics of the relaxation; From 229 statements, 108 musics were extracted. and the 9 categories- Western classical music, semi classical music, Korean song, Korean popular classical music, song, western popular sonhg, hymn, characteristics of music, others - were organized. In conclusion, There are some differences between Korean concepts, experiences and musics of relasation and western concepts, experiences and musics of relaxation.

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Effect of Kinesiology Taping on Hyolaryngeal Complex Movement in Stroke Patient with Dysphagia

  • Hong, Junyong;Oh, Donghwan;Park, Jisu;Jung, Youngjin
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.2
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    • pp.2052-2059
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    • 2020
  • Background: Kinesiology taping (KT) is a method that helps immediately increase muscle activation, strength and joint stability by being attached to various skeletal muscles and structures of the body. Objectives: To investigate the effect of KT applied below the hyolaryngeal complex on the movement of the hyolaryngeal complex during swallowing in patients with dysphagia after stroke. Design: One-group, pre-post design. Methods: Twenty individuals with dysphagia after stroke participated in this study. KT was applied to the sternum and both clavicles from the hyolaryngeal complex. We analyzed the motion of the hyolaryngeal complex during swallowing with and placebo KT and KT using the Image-J software with videofluoroscopic swallowing study. In addition, a 0-to-10 numerical rating self-report scale was used to check the required effort and resistance felt during swallowing. Results: KT condition showed that the anterior and superior movement of the hyoid bone during swallowing was significantly lower than placebo KT (P<.05, all). Also, KT condition showed that the anterior and superior movement of the larynx during swallowing was significantly lower than placebo KT (P<.05, all). In result of statistical comparison between KT group and placebo KT group, the KT group showed significantly higher self-report scale score than the placebo KT group in terms of two category; the required effort and resistance felt (P<.05, all). Conclusion: This study demonstrated that KT applied below the hyolaryngeal complex inhibits the anterior and superior movement of hyoid bone and larynx during swallowing of patients with dysphagia after stroke.

Sensory Test for the Development of Aquarobic Wear Design for Middle-Aged Women (중년기 여성의 아쿠아로빅 웨어 디자인 개발을 위한 착의 평가)

  • Kim, Misun;Na, Mihyang;Kim, Seongsuk;Park, Youngmi
    • Journal of the Korean Society of Clothing and Textiles
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    • v.46 no.3
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    • pp.424-435
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    • 2022
  • Aesthetic impression, structural stability, functionality during exercise, freedom of movement and physiological suitability should be considered when developing aquarobic wear for middle-aged women. We conducted a visual evaluation of the commercial aquarobic wear of the five brands (ARENA, TURN, RALLY, RENOMA and ELLE) with the highest market share and selected three items: one-piece type (OPT); two-piece type (TPT) and whole-body type (WBT). These are the most worn types of aquarobic wear for each brand. The G4 showed the best results in appearance evaluation of the shoulder strap width, front neckline, armhole line, side hip line and short pants length in the OPT category. The TPT had better ratings as the shoulder strap was located in the center of the shoulder, and the front and the back necklines were not too deep. The five items of WBT clothing received similar ratings for each element, so it is considered that the advantages are evenly distributed. No single design was a clear favorite. Based on the above results, continuous research on the development of aquarobic wear that is more suitable and preferable for middle-aged women should be conducted.

Classification of the Damaged Areas in the DMZ (Demilitarized zone) by Location Environments (입지 환경 인자를 이용한 DMZ 남측 철책선 주변 훼손지 유형화)

  • Bak, Gi-Ppeum;Kim, Sang-Jun;Lee, Ah-Young;Kim, Dong-Hak;Yu, Seung-Bong
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.24 no.2
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    • pp.71-84
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    • 2021
  • Restoration of DMZ has come up with the discussion on the peaceful use of the DMZ and the conservation plan of the army. In this study, we aim to identify soil characteristics of 108 sites to figure out environmental conditions around the iron fence of DMZ where vegetation has been removed repeatedly. Based on the soil characteristics and climate variables, hierarchy clustering was performed to categorize sites. As a result, we categorized 108 sites into 4 types: middle elevation region, lowland, East coast lowland, other areas. Group of 'other area' is only high in nutrient and clay proportion. Others are in igneous rock and metamorphic rocks with a high proportion of sand and lower nutrients than the optimum range of growth in Korean forest soil. The middle elevation region has a high altitude, low temperature. The east coast lowland has a high temperature in January and low precipitation. The lowland has a low altitude and high temperature. This category provides the environmental condition around the DMZ fence and can be used to select plants for restoration. The restoration project around the DMZ iron fence should satisfy the security of military plans, which means that functional restoration is prior to ecological restoration such as vegetation management under a power line. Additionally, improvement of soil quality and surface stability through restoration projects is required to enhance the resilience of the ecosystem in DMZ.

A Delphi Study for Developing a Person-centered Dementia Care Online Education Program in Long-term Care Facilities (장기요양시설 인간중심 치매케어 온라인 교육 프로그램 개발을 위한 델파이 조사연구)

  • Kim, Da Eun;SaGong, Hae;Yoon, Ju Young
    • Research in Community and Public Health Nursing
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    • v.30 no.3
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    • pp.295-306
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    • 2019
  • Purpose: There has been a growing recognition that person-centered care enhances the quality of life of nursing home residents with dementia. This study was conducted to develop a person-centered dementia care online education program for direct care staff in long-term care facilities. Methods: Delphi method with expert group was used to validate contents. We developed 61 draft items based on literature review. Twenty experts participated in consecutive three round surveys including 5-point Likert scale questions and open-ended questions. Based on experts' opinions, the content validity ratio for content validity and the coefficient of variation for stability were calculated. Results: Three-round Delphi surveys and additional feedback from the expert panel established a consensus of core contents: 1) dementia (7 categories), 2) person-centered care (6 categories), 3) communication (8 categories), and 4) behavioral and psychological symptoms of dementia (6 categories). Specific sub-categories in each category were differentiated according to the job qualifications (65 sub-categories for registered nurses, 64 sub-categories for nursing aids, and 41 sub-categories for personal care workers). Conclusion: This delphi study identified person-centered dementia education curricula, in which the person-centered approach should be a key policy priority in Korean long-term care system. Now it is urgently needed to develop education programs utilizing online platforms that enable efficient and continuous learning for long-term care staff, which can contribute to behavior changes in the person-centered dementia care approach and improvement of care quality in long-term care facilities.

Analysis of streamflow prediction performance by various deep learning schemes

  • Le, Xuan-Hien;Lee, Giha
    • Proceedings of the Korea Water Resources Association Conference
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    • 2021.06a
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    • pp.131-131
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    • 2021
  • Deep learning models, especially those based on long short-term memory (LSTM), have presented their superiority in addressing time series data issues recently. This study aims to comprehensively evaluate the performance of deep learning models that belong to the supervised learning category in streamflow prediction. Therefore, six deep learning models-standard LSTM, standard gated recurrent unit (GRU), stacked LSTM, bidirectional LSTM (BiLSTM), feed-forward neural network (FFNN), and convolutional neural network (CNN) models-were of interest in this study. The Red River system, one of the largest river basins in Vietnam, was adopted as a case study. In addition, deep learning models were designed to forecast flowrate for one- and two-day ahead at Son Tay hydrological station on the Red River using a series of observed flowrate data at seven hydrological stations on three major river branches of the Red River system-Thao River, Da River, and Lo River-as the input data for training, validation, and testing. The comparison results have indicated that the four LSTM-based models exhibit significantly better performance and maintain stability than the FFNN and CNN models. Moreover, LSTM-based models may reach impressive predictions even in the presence of upstream reservoirs and dams. In the case of the stacked LSTM and BiLSTM models, the complexity of these models is not accompanied by performance improvement because their respective performance is not higher than the two standard models (LSTM and GRU). As a result, we realized that in the context of hydrological forecasting problems, simple architectural models such as LSTM and GRU (with one hidden layer) are sufficient to produce highly reliable forecasts while minimizing computation time because of the sequential data nature.

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Relationship Between Gait Symmetry and Functional Balance, Walking Performance in Subjects with Stroke (뇌졸중 환자의 보행 대칭성과 기능적 균형 및 보행과의 상관관계 연구)

  • Kim, Joong-Hwi
    • The Journal of Korean Physical Therapy
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    • v.26 no.1
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    • pp.1-8
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    • 2014
  • Purpose: The aim of the present study was to understand the relationship between gait symmetry and functional balance, walking performance in stroke patients and to makes recommendation regarding the most suitable measure for standardization of expression of spatiotemporal gait symmetry. Methods: 45 subjects with stroke (31 men, 14 women, $57.3{\pm}10.3$ years old) participated in this study. Gait symmetry was calculated by equations of symmetry ratio (SR) and symmetry criterion (SC) for stance time, swing time, single leg support time (SLST), step length, and stride length. Spatiotemporal parameters were measured respectively by walkway system ($GAITRite^{TM}$ system). Limit of stability (LOS) by using forceplate (Balance Performance Monitor) during voluntary weight displacement and Berg Balance Scale (BBS) were measured as functional balance and Timed Up and Go test (TUG) and Functional Ambulation Category (FAC) were assessed as functional walking. Results: SR in stance time and swing time was correlation with BBS, TUG and FAC (p<0.05). SR in SLST only with BBS (p<0.01), SR in step length only with FAC (p<0.05). SC in stance time was correlation with BBS and TUG (p<0.05). SC in swing time and SLST with BBS, TUG and FAC (p<0.01), SC in step length with TUG and FAC (p<0.01), SC in stride length with BBS and FAC (p<0.01). Conclusion: Gait symmetry in spatiotemporal gait parameters provides meaningful information about functional balance and walking performance in stroke subjects. Our analysis may support the recommendations of the symmetry criterion as equation for standardization of gait symmetry.