• Korean journal of medical education
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• 제30권4호
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• pp.347-357
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• 2018

Purpose: The purpose of this study was to apply alternative standard setting methods for the Korean Medical Licensing Examination (KMLE), a criterion-referenced written examination, and to compare them to the conventional cut score used on the KMLE. Methods: The process and results of criterion-referenced standard settings (i.e., the modified-Angoff and bookmark methods) were evaluated. The ratio of passing and failing examinees determined using these alternative standard setting methods was compared to the results of the conventional criteria. Additionally, the external, internal and procedural evaluation of these methods were reviewed. Results: The modified-Angoff method yielded the highest cut score, followed sequentially by the conventional method and the bookmark method. The classification agreement between the modified-Angoff and bookmark methods was 0.720 measured by Cohen's ${\kappa}$ coefficient. The intra-panelist classification consistency of modified-Angoff method was higher than bookmark method. However, the inter-panelist classification consistency was vice versa. The standard setting panelists' survey results showed that the procedures of both methods were satisfactory, but panelists had more confidence in the results of the modified-Angoff method. Conclusion: The modified-Angoff method showed results that were more similar to those of the conventional method. Both new methods showed very high concordance with the conventional method, as well as with each other. The modified-Angoff method was considered feasible for adoption on the KMLE. The standard setting panelists responded positively to the modified-Angoff method in terms of its practical applicability, despite certain advantages of the bookmark method.

• 대한한방소아과학회지
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• 제29권3호
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• pp.1-11
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• 2015

Objectives : The purpose of this study is to analyze the trends in foreign clinical trials for pediatric asthma in complementary and alternative medicine (CAM). Methods : We reviewed 31 randomized controlled trials (RCT) for pediatric asthma treatment in CAM published from 2005 to 2015 in PubMed and analyzed their treatments, compounds of herbal medicines, acupoints, methods of assessment, and treatment results. Results : The treatments used in the studies were herbal medicines, acupuncture, acupoint application, breathing training, supplement, normocaloric diet, yoga, massage therapy, and art therapy. The frequently used herbs were Asari Herba Cum Radix (細辛). Ephedrae Herba (麻黃), Astragali Radix. The most common acupoints were Feishu (肺兪, BL13). The methods of assessment in pediatric asthma were symptom scale, questionnaire of Quality of Life, lung function test, laboratory studies, and medication usage. In 28 out of 31 studies, treatment group gets better than non-treated group. Conclusions : This study shows that CAM is effective in treating pediatric asthma. More clinical studies using objective outcome measures are needed to prove its efficacy clearly.

• 한국농촌건축학회논문집
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• 제14권1호
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• pp.45-56
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• 2012

This study focuses on design of supplementary evaluation indicator system geared towards comprehensive rearrangement projects in seats of township and town offices. In the first phase, it tries to reveal major problems and issues related to evaluation of the existing small town promotion projects. In terms of analytical tools, this study depends on the Delphi and AHP techniques. In specific, after three rounds of the Delphi methods, it extracts a series of alternative evaluation indicators derived from the AHP methods. It covers 5 major evaluation criteria, under which 18 independent items are hierarchically interconnected. It expects that these alternative evaluation indicators would contribute to selecting appropriate small town promotion projects. Next, applying these evaluation indicators, we examine couples of comprehensive rearrangement projects in seats of township and town offices. From the comparative contexts, we believe that the proposed alternative evaluation criteria would improve the general satisfaction level of key stakeholders in deciding the priority order of the small town promotion projects.

• 대한예방한의학회지
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• 제17권3호
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• pp.63-73
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• 2013

Objectives : The aim of the study was to investigate major satisfaction, career choices and perceived career barriers in college students majoring in alternative medicine. Methods : A total of 315 college students majoring in alternative medicine in 5 universities in K city and J province completed survey questionnaires. Results : The highest proportions of students (38.4%) chose alternative medicine major because of their aptitude and interest. Students (59.0%) were satisfied in general with their majors. Regarding career direction after graduation, the highest proportions 1st of and 2nd year students answered that they haven't decided yet (33.7%). In addition, they wanted to get a job in hospitals (24.6%) and have more education (21.9%). The highest proportions of 3rd and 4th year students wanted to get a job in hospitals (31.3%) and 27.3% of them wanted to have more education. The most important criterion for choosing a career was a career aptitude (38.7%) followed by professionalism, vision, pay, and social status in both groups. Regarding perceived career barriers, the highest proportions of 1st and 2nd year students (31.6%) answered the lack of social recognition about alternative medicine while the highest proportions of 3rd and 4th year students (55.5%) answered the lack of national certifications (P<0.001). Conclusions : In general, students majoring in alternative medicine were satisfied with their majors. They wanted to get a job at a hospital and have more education. They thought that the lack of social recognition and national certification of alternative medicine would be career barriers.

• 한국유기농업학회지
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• 제2권1호
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• pp.16-23
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• 1993

The traditional farming method has very long history in the process of agricultural development. The application of chemical fertilizers production became most popular to increase quantities of agricultural production. The United States of America is one of largest countries in the world. There are at present 50 States and farming conditions are very different from each individual States. There are increasing trend of agricultural production by applying chemical fertilizers as well as sprays during last 50 years(1940-90). The disadvantages of conventional farming method were to destroy nature and human life. There were some other kinds of disadvantages such as nitriated contamination in drinking water both for human being and animals. The alternative farming method is one of new farming method reducing and/of non-application of chemical fertilizers and sprays in agricultural production. There is less economic research on alternative farming system about $5.444 economic advatages in organic farms comparing commercial farms at the same area. There are advantage of higher unit price level in orgnic products, decreasing chemical costs as well as effect of crop combinations. It is certainly necessary to have more empirical research on economic and management of alternative farming method in the United States of America. However, if there is economic advantage in alternative farming methods, the future development possibility of alternative farming method can be very bright in vear future. There might be more advantages such as soil conservation, better quality of agricultural products, better health conditions of farmer's and consumer's as well as keeping healthy environment of rural and urban areas.

• Steel and Composite Structures
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• 제20권5호
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• pp.1133-1153
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• 2016

In this article, an additive performance ratio method using structural analysis of both 2D and 3D is introduced to mitigate the complexity of work evaluating structural performances of numerous steel outrigger alternatives in multi-story buildings, especially high-rise buildings. The combined structural analysis process enables to be the design of economic, safe, and as constructional demanding structures by exploiting the advantages of steel, namely: excellent energy dissipation and ductility. First the approach decides the alternative of numerous steel outriggers by a simple 2D analysis module and then the alternative is evaluated by 3D analysis module. Initial structural analyses of outrigger types are carried out through MIDAS Gen 2D modeling, approximately, and then the results appeal structural performance and lead to decide some alternative of outrigger types. ETABS 3D modeling is used with respect to realization and evaluation of exact structural behaviors. The approach reduces computational burden in compared to existing concepts such as full 3D analysis methods. The combined 2D and 3D tools are verified by cycle and displacement tests including comprehensive nonlinear dynamic simulations. The advantages and limitations of the Additive Performance Ratio Approach are highlighted in a case study on a high rise steel-composite building, which targets at designing the optimized alternative to the existing original outrigger for lateral load resisting system.

• Natural Product Sciences
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• 제12권4호
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• pp.226-231
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• 2006

Artemisia vulgaris, one of the most religious plants in Nepal, is used in the treatment of various ailments. In this study, antioxidative activity of essential oil from A. vulgaris was evaluated, using different in vitro methods and antimicrobial activity by disc diffusion method against skin disease microorganisms such as Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus pyogenes, Candida albicans and Propionibacterium acnes. The essential oil exhibited a concentration-dependent antioxidant activity. It showed strong metal chelating activity with low reducing and antioxidant power. However, gradual increase in radical scavenging activity was obtained with increasing concentration and reaction time. It also possessed a broad spectrum of antimicrobial activity and notable susceptibility was observed against S. pyogenes and P. acnes.

• 가정과삶의질연구
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• 제21권2호
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• pp.75-85
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• 2003

The purpose of this study was to investigate the attitudes toward divorce of young men and women. The data were collected by questionnaire from 425 respondents who resided in Sunchon. Statistical methods for the data analysis were frequencies, one-way ANOVA, t-test. The data analysis revealed that the young men and women accepted divorce as an alternative to unhappy marriage and there were significant gender differences in the attitudes toward divorce. Women accepted divorce more positively as an alternative than men in every conditions. Men accepted divorce remarkably as an alternative to unfaithful debauchery of spouse, but women accepted divorce extremely well as an alternative to wrongdoing of spouse. Most of young men and women were worried about children, but not a few of them did not perceived themselves as child rearer. This results showed that divorce will be increased and perceived differently by gender. The young men and women who had lower conservative familism, who were younger, and who had higher education responded more positively about divorce.

• 수산해양교육연구
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• 제26권6호
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• pp.1442-1450
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• 2014

The aim of this study is to develop a model for the alternative selection in port privatization using Brainstorming, the ISM and AHP methods. For this, 30 detailed attributing factors were identified by both previous studies and port users, Also, 13 attributing evaluation factors were identified by a group of port experts using the brainstorming method. These were made into a model of hierarchical structure with 3 levels, taking 1 goal factor, 5 evaluation factors and 7 alternative factors using the ISM method. The collected date of questionnaires through the AHP method were analyzed with a group of port experts for an empirical analysis. The result of the hierarchical level 2 shows that profitability is the most important factor, followed by public interest, management professionality, service quality and financial soundness. The analysis results of hierarchical level 3 shows that commercialization is the most important factor.

• 한국간호교육학회지
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• 제10권1호
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• pp.149-160
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• 2004

The primary purpose of this study was to describe psychological aspects of menopausal women who have experiences on alternative therapies, such as pomegranate tree fluid, life pack, evening primerose, zacro syrup, zacro pill, multi-vitamin, oriental medicine instead of estrogen. In order to have insights on the participants behaviors, this qualitative research was conducted. The participants in this study were six women who have been taking at least one of the alternative therapies to relieve the menopausal symptom. Data had been collected from November 2002 to May 2003. The interview questions were about motivations to seek the alternative therapy, menopausal symptoms, feelings or positive effects after the treatment. The interviews were recorded and transcribed into written documents. The method described by Giorgi was utilized for data analysis. The study results were as follows : 1. The participants sought the alternative therapy based on their own information or by friends' recommendations. The motivations of taking the therapy were to live younger and healthier by reliving menopausal symptoms including somatic symptoms, such as irregular menstruation, flushing sense, cold sweating, insomnia, dull headache, vagina dryness, cystitis after sexual intercourse, joint pain, nervousness, depression, skin dryness, and suppression of activity. 2. The participants expressed that they became more active and felt better with disappearing menopausal symptoms after about 2 to 3 weeks treatment. 3. The participants did not want to accept the fact that they had menopause, which caused avoidance of having medical diagnosis and medical treatment. They also did not want to let their spouses know about their symptoms. 4. The major reason of taking the alternative therapy was to avoid the side effects of estrogen therapy in spite of high costs of the alternative way. 5. The participants suggested that menopausal women needed to be educated about physical and psychological symptoms of menopause. They also needed to be informed about how to manage it. In conclusion, accurate information about foods and drugs utilized for the alternative therapy was needed. Medically proved methods to recognize positive effects and side effects were also necessary. These goals could be achieved by continuous medical observations and further research.