• Title/Summary/Keyword: CHIEF 방법

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Predictors of Participation Restriction in Community-dwelling Persons With Spinal Cord Injury (지역사회 거주 척수장애인의 참여 제약에 영향을 미치는 예측요인)

  • Kim, Yeon-Ju;Park, Ji-Hyuk;Kim, Jung-Ran;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.7 no.4
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    • pp.19-30
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    • 2018
  • Objective: The purpose of this study was to suggest predictors of participation restriction in community-dwelling Spinal Cord Injury (SCI) based on environmental, functional, injury-related, psychosocial, and sociodemographic factors. Methods: The participants were 82 community-dwelling SCI adults over the age of 18. They were all included in the American Spinal Injury Association's (ASIA) Levels A, B, and C. This study surveyed participants' participation using the CHART-K-SF, environmental factors using the CHIEF-25 Korean version, and functional factors using the SCIM III. Further, pain and distress were surveyed using Zung's Self-rating Pain and the PAD, self-esteem was assessed using the RSES, and self-efficacy using the GSS. Finally, information concerning injury levels, post-injury period, causes of injury-related factors, and sociodemographic factors such as gender, age, marriage, education level, and residence information were collected. The collected data were analyzed using SPSS Version 21.0 Results: Participants' risk factors were environmental and functional. The Nagelkerke's $R^2$ was.737. The OddsRatio(OR) of environmental factors(referent,0-1) was 40.346. Moreover, the OR of the $1^{st}$ quartile functional factor(referent,4thquartile) was 236. 621, and that of the$2^{nd}$ quartile was 21.174. In addition, the occupational predictors included the "policies" subscales in the CHART-K-SF, "physical/structural" in the CHIEF-25, and "mobility" in the SCIM III. Further, the predictors of "physical independence" were "services/assistance" in CHIEF-25, and "respiration and sphincter management' on the SCIM III. Additionally, "mobility" was predicted by "physical/structural" on the CHIEF-25 and "mobility" on the SCIM III. Conclusions: This study multidimensionally confirmed predictors of participation restriction. Through these facts, we investigated occupational therapists' roles in community setting. Therefore, this study's results will provide useful information for occupational therapy services, for which the goal is SCI participation improvement within the community.

DIASTEMA CLOSURE TREATMENT DECISION FOR AN ADOLESCENT PATIENT WITH CEREBRAL PALSY (뇌성마비인 청소년의 치간이개 치료법 결정 : 증례보고)

  • Lee, Koeun;Lee, Jae-Ho;Kang, Chung-Min
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.11 no.1
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    • pp.1-4
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    • 2015
  • Diastema is thought to be a problem related to aesthetics, pronunciation, or malocclusion. Due to its extent and patient conditions, orthodontic treatment, prosthodontic treatment, and conservative direct resin restoration are the treatment options for diastema closure. Additional factors need to be considered when deciding on the most appropriate treatment of diastema, particularly for patients with cerebral palsy. A 13-year-old girl visited the Department of Pediatric Dentistry at Yonsei University Dental Hospital with a chief complaint of the large gap between her upper front teeth. After clinical and radiographic examinations, midline diastema of 4.5 mm, protrusive maxilla incisors, congenital missing teeth, retained primary teeth, etc. were identified. Prosthodontic treatment with intentional root canal treatment was not appropriate because of the patient's age. Dental spaces can be closed effectively via orthodontic appliances. However, additional prosthodontic and restorative intervention is unavoidable, which incurs significant costs and requires more time. Instead of orthodontic and prosthodontic treatment, direct resin restoration can address the chief complaint; these restorations are reversible, less harmful to other oral structure and teeth, relatively easy to apply, less expensive than other treatments, and require shorter office visits. Midline diastema can be treated in several ways. For diastema closure in patients with cerebral palsy, conservative resin restorations are a short, simple, and appropriate treatment compared with orthodontic or prosthodontic treatments.

The Clinical Study on a Case of Acute Myelogenous Leukemia (급성 골수성 백혈병 10세 환아의 한방적 처치에 대한 증례보고)

  • Ha, Kwang-Su;Song, In-Sun;Shin, Ji-Na;Lee, Jeong-Lim
    • The Journal of Pediatrics of Korean Medicine
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    • v.18 no.2
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    • pp.49-59
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    • 2004
  • Objective : The purpose of this study is to demonstrate the therapeutic effect of oriental treatment on Acute Myelogenous Leukemia. Methods : The patient was treated by Acupuncture, Indirect Moxibustion, Herb Medicine (Seogakjihwangtang-gamibang), and had significant improvement in the Acute Myelogenous Leukemia. Results : 1. Acute Leukemia is one of the most common malignant neoplasm of pediatrics, and is chracterised by anemia, infections, bleeding, debility, paleness, fever, anorexia, lymphoadenia, hepatomegaly, splenomegaly, etc. 2. The management of Acute Myelogenous Leukemia consists of the challenge of optimizing chance for prolonged remission and cure, while minimizing the toxicity to the patients. Therefore oriental medical treatment may be useful for this. 3. We experienced a case of the 10-year-old male patient with Acute Myelogenous Leukemia, after oriental medical treatment his chief symptoms(anemia, bleeding, purpura, debility, paleness, fever, anorexia, insomnia, etc)and general condition were improved. Conclusion : A 10-year-old male patient with Acute Myelogenous Leukemia, after oriental medical treatment his chief symptoms and general condition were improved. This oriental medical treatment may be possible or effective in Acute Myelogenous Leukemia. The more clinical study about oriental medical treatment on Acute Myelogenous Leukemia will be needed.

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Current trends in orthodontic patients in Seoul National University Dental Hospital (서울대학교 치과병원 교정과에 내원한 부정교합 환자의 최근 경향)

  • Im, Dong-Hyuk;Kim, Tae-Woo;Nahm, Dong-Seok;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.33 no.1 s.96
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    • pp.63-72
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    • 2003
  • Over the Past decades, the number of Patients seeking orthodontic treatment has increased markedly with socioeconomic development and change of recognition on appearance. The purpose of this study was to provide an epidemiologic data base related to the orthodontic treatment need. We could take an adequate information regarding the characteristics of orthodontic patients, and the changing trends about treatment mordality. Distrubution and treands were Investigated in 676 patients who had been examined and diagnosed at Department of orthodontics, Dental Hospital, Seoul National University from January to June in 1992 and 2002. 1. Sex distribution of patients changed from 1:2.1 to 1:1.5 (male female). 2. In 2002, are distribution had shown $7\~12$ year-old group being the largest$(32.0\%)$ and percentage of $19\~24,\;13\~18,\;over\;25,\;4\~6,\;0\~3$ year-old group were $24.0\%,\;21.6\%,\;14.2\%,\;5.8\%,\;2.4\%$ respctively. Compared with data in 1992, the number of adult patients highly increased. 3. With regard to Angle classification, each percentage of Class I, Class II div 1, Class II div 2, and Class III malocclusion were $25.0\%,\;20.9\%,\;3.4\%,\;and\;48.1\%$ respectively in 2002. 4. Geographic distribution showed that most of the patients visited $(37.0\%)$ lived in northeast of Seoul in 2002. 5. Mandibular prognathism showed the highest percentage in chief complaints. The percentages of crowding and facial asymmetry were $14.2\%\;and\;11.8\%$ in 2002. Patients with facial asymmetry increased significantly. 6. Percentages of patients treated with fixed appliance and orthognathic surgery were $38.0\%\;and\;25.0\%$ in 2002. Patients needed to observe the growth pattern comprised $13.0\%$ with increasing trends. The use of chin cap reduced and the percentage of ortognathic surgery and growth observation increased significantly.

A Computer-Aided Statistical Approach to Strategic Information Systems Planning (정보시스템 전략적 계획을 위한 컴퓨터지원 통계적 접근방법)

  • Kim, Jin-Su;Hwang, Cheol-Eon
    • Asia pacific journal of information systems
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    • v.4 no.2
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    • pp.188-213
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    • 1994
  • Strategic information systems planning (SISP) remains a critical issue of many organizations and also the top IS concern of chief executives. Therefore, researchers have investigated SISP practices and tried to improve a methodology. Among the various issues of SISP, systematically determining subject database groupings and fully automating the processes are important aspects. This study presents an alternate methodology using a statistical technique, a variable clustering approach, and systematic rules for determining database groupings, which can be fully automated. This methodology provides a strong theoritical justification as well as systematic and simple criteria for database groupings, enhanced interpretability of the output, and would be easy to include in CASE software application.

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Efficient Firing Using CO2 Analyzer in Single Ceramic Kilns Part I. Development of Ceramic Glazes (도자기용 단가마에서 CO2분석기를 사용한 효율적 소성방법 연구 I. 도자기 유약개발에 관한 연구)

  • Han, Sang-Mok
    • Journal of Industrial Technology
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    • v.3
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    • pp.65-68
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    • 1983
  • There are chief concerns every ceramist must keep in mind when firing a single kiln : Being able to read and control the kilns temperature as the firing progresses and as the kiln cools after firing. Controlling the atmosphere of the kiln in order to create desired glaze and clay body effects. Getting the most efficient use from the fuel-the most heat possible from the least fuel possible. The more exactly, author can control these factors with some result.

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The Principles and Practices of Immunocytochemical method in Light Microscopic Level (광학 현미경적 수준에서의 면역조직화학적 방법의 원리 및 실제)

  • Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.3 no.1
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    • pp.229-250
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    • 1991
  • The study was carried out to investigate and review the principles and practices of immunocytochemical method in light microscopic level. The results were as follows. 1. Immunocytochemistry is the method to search out the intracellular position of the specific meterials using antigen -antibody reaction. 2. The chief items in immunocytochemistry are antigen, antibody and chromogen. 3. The identifical fixation is cardiac perfusion fixation. 4. The tissue slides must be prepared by vibratomy. 5. All stainings are carried out with free floating staining method. 6. There are polyclonal and monoclonal antibodies used in immunocytochemistry.

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A quantification study of blood test results for dyspnea patients (호흡곤란 환자에 대한 혈액검사 결과들의 수량화 연구)

  • Park, Cheol-Yong
    • Journal of the Korean Data and Information Science Society
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    • v.22 no.3
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    • pp.477-485
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    • 2011
  • Park et. al (2010) proposed a statistical model for determining the admission or discharge of 668 patients with a chief complaint of dyspnea by the number of 11 blood tests belonging to the corresponding discharge intervals. Since this method does not take into consideration the importance of each blood test result, its performance might not be optimally good. In this study, we employ a quantification method to evaluate the importance of those blood test results, and then provide a new statistical mode that takes the importance into consideration. The results show that the performance of this new model is a little better than that of the model by Park et. al (2010).

Process-based e-Catalog Data Quality Management (프로세스 기반의 전자카탈로그 데이터 품질관리)

  • Kim, Sun-Ho;Lee, Chang-Soo;Lee, Je-Hyun
    • The Journal of Society for e-Business Studies
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    • v.14 no.3
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    • pp.39-57
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    • 2009
  • As electronic commerce becomes more common and the data volume of e-catalog increases, a systematic approach to data quality management is being required. Upon the necessity, we propose a process-based framework for e-catalog data quality management. This is the methodology for data management and improvement activities continuously performed to satisfy the expectation of industry to e-catalog systems. In the framework, contents for quality management consist of data, quality management items, and quality management processes. These are again subdivided according to organization levels, i.e, user, data administrator, and chief information officer.

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Impact on Internalization of Management Strategy in Public Organization (경영전략 내재화가 공공기관의 발전에 미치는 영향)

  • Lee, Hyang-Soo;Lee, Seong-Hoon
    • Journal of Digital Convergence
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    • v.14 no.5
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    • pp.1-10
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    • 2016
  • New systems and management strategies have been successfully settled in order to be linked to enhancing organizational performance internalization process. The most successful methods for internalization are training and communication strategies. However, the organization must be supported by trust and cooperation cultures for successful education and communication. In this study, we measured the degree of internalization of organized vision, and core values. And then, a successful convergence business strategy internalization plan was presented. Strengthening training plan, communication strategies and management strategies must be internalized in parallel with seeking a change of organizational culture. First, iterative learning is very effective in order to strengthen education and management strategies through talking frequently. Second, chief executive officer should pay attention to communication with employees for the internalization. Finally, in order to change the organizational culture, organizational leaders will establish strategic plan to build open and collaborative culture among colleagues and quantitative and qualitative expansion of the human network.