• 재활복지
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• 제22권4호
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• pp.43-58
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• 2018

영양 섭취와 일상생활 삶의 질에 영향을 미치는 삼킴장애는 신경장애 환자뿐만 아니라 정상 노년층에게서도 적지 않게 나타난다. 본 연구에서는 노인의 삼킴 문제를 조기 선별하여 진단 검사로 연결될 수 있도록 도움을 주기 위한 기초연구로서, 주관적 삼킴장애 평가도구인 삼킴곤란척도(Swallowing Disturbance Questionnaire, SDQ)를 한국인의 정서와 문화에 맞게 번안하여 신뢰도와 타당도를 검증하고, 뇌졸중 환자 105명을 대상으로 하여 그 유용성을 검증하였다. 연구 결과, 한국판 SDQ의 문항내적 일관성 신뢰도는 .601, 검사-재검사 신뢰도는 .97, 공인타당도는 .956이었고, 절단점 8점을 기준으로 민감도가 46.8%, 특이도가 81.6%인 것으로 나타났다. 객관적 삼킴장애 검사인 비디오투시조영검사와 한국판 SDQ 검사 상 관찰된 삼킴곤란 유무와의 비교 결과, 음성예측도(negative predictive value, NPV)는 81%, 양성예측도(positive predictive value, PPV)는 53%로 나타났다. 한국판 SDQ는 뇌졸중 환자들의 삼킴장애 유무를 변별하는데 유용한 검사도구로 활용될 수 있을 것으로 기대되며, 재활전문가에 의한 임상평가가 이루어지기 전에 대상자가 보이는 삼킴곤란을 미리 선별하여 진단검사를 의뢰하거나, 삼킴문제가 없는 뇌졸중 환자를 정확하게 선별하여 잉여적인 추가 검사 노출을 배제하는 차원에서 그 임상적 의의가 크다고 볼 수 있다.

• 한국과학교육학회지
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• 제17권1호
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• pp.65-73
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• 1997

The purpose of this study is to develop a valid and reliable instrument, applicable to high school Earth Science class experiment. In advance of developing items, I was selected 14 inquiry process skills and specified evaluative objectives for each of them to develop scales and criteria for them. I developed 28 evaluation items for 5 experiment subjects among those of high school Earth Science class. The first field trial was performed a sample of 5 high school students, and the second one using a sample of 25 high school students. The results are as follows. (1) The content validity and reliability(Cronbach $\alpha$) of the developed items were 82.7% and .86, respectively, the developed instrument in this study is considered valid and reliable. (2) The average difficulty index was .69 and the discrimination index was .30. (3) Answer sheets based on the reported results were rated 5 teachers and Inter-rater Reliabilitiy and Inter-rater Consistency were analyzed, its indices were .80 and .76, respectively. (4) The developed items show a low coefficient of .45 with TESIS, a set of paper-and-pencil test items developed by Lee, Hang-Ro(1991). That the experiment assessment is solely subject to the rater's viewpoint has been one of the major problems raised concerning the matter. This research, however, shows that a set of more specified scales and criteria for the evaluation will make it more valid, reliable and efficient.

• Asian Pacific Journal of Cancer Prevention
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• 제14권1호
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• pp.463-468
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• 2013

Background: Body image dissatisfaction among breast cancer survivors has been associated with psychological stress resultant from breast cancer and resultant surgery. This study aimed to examine the psychometric properties of the Malay Version of the Breast-Impact of Treatment Scale (MVBITS) and to investigate the associations of retained factors with the Hospital Anxiety and Depression Scale (HADS) and the Rosenberg Self-Esteem Scale (RSES). Materials and Methods: The MVBITS was 'forward-backward' translated from English to Malay and then administered to 70 female breast cancer patients who came to the Oncology Clinic of University Malaya Medical Centre, Kuala Lumpur, Malaysia to undergo chemotherapy. Principal component analysis (PCA) with varimax rotation was performed to explore the factor structure of the MVBITS. Associations of retained factors were estimated with reference to Spearman correlation coefficients. Results: The internal consistency reliability of MVBITS was good (Cronbach's alpha 0.945) and showed temporal stability over a 3-week period. Principal component analysis suggested two factors termed as 'Intrusion' and 'Avoidance' domains. These factors explained 70.3% of the variance. Factor 1 comprised the effects of breast cancer treatment on the emotion and thought, while Factor 2 informed attempts to limit exposure of the body to self or others. The Factor 1 of MVBITS was positively correlated with total, depression and anxiety sub-scores of HADS. Factor 2 was positively correlated with total and anxiety sub-scores of HADS. MVBITS was also positively correlated with the RSES scores. Conclusions: The results showed that the Malay Version of Breast-Impact of Treatment Scale possesses satisfactory psychometric properties suggesting that this instrument is appropriate for assessment of body change stress among female breast cancer patients in Malaysia.

• 한국보건간호학회지
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• 제31권2호
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• pp.296-310
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• 2017

Purpose: The aim of this study was to develop and test the validity and reliability of the Korean version of the Pre-Menstrual Coping Measure (PMCM-K). Methods: Translation of the PMCM-K was validated using forward-backward translation methods. The study was conducted as a cross-sectional survey from March 7 to April 30, 2016 and the data from a total of 362 young adult women were used for the final analysis. The content validity, construct validity and criterion-related validity were evaluated. The internal consistency was calculated to assess the reliability. Results: The PMCM-K consisted of five factors: premenstrual coping regarding avoiding harm, awareness and acceptance of premenstrual change, self-care, communicating, and adjusting energy, which all explained 62.0% of the total variance in PMCM-K. The total score of the PMCM-K showed a positive correlation with the shortened premenstrual assessment form (r=.50). The Cronbach's alpha reliability coefficient was .94 for the overall instrument and .77-.93 for five factors. Conclusion: PMCM-K provides a valid and reliable scale for quantifying the ways of coping specific to a negative premenstrual change for Korean young adult women. The PMCM-K will play an important role as a way to gain a sense of agency in coping with premenstrual changes.

• 한국직업건강간호학회지
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• 제16권1호
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• pp.48-57
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• 2007

Purpose: To develop the stress coping behavior measurement scale(SCBMS) for the workers in manufacturing industry. Methods: Developing of SCBMS was based on job stress and psycho-social health status. Job stress and psycho-social health status were estimated by using the Karasek's job content questionnaire (JCQ) and the general health questionnaire (GHQ-28), and the general characteristics for subjects were estimated by self-reported questionnaire and interview. Result: The subjects were 456 male workers who had never been occupationally exposed to hazardous chemical and other materials, was mean age 31.27 years and mean work duration was 4.81 years. As a result of factor analysis for developed stress coping questionnaire, four factors were extracted such as inactive, active, health and emotional behavior from 15 question items of stress coping questionnaire. Fifteen items passed for item internal consistency (100% success rate) and item discriminant validity (100% success rate). Cronbach's alpha coefficient for each factor ranged from 0.56 to 0.77. The active behavior correlated positively with job demand of JCQ (r=0.12, p<0.05), but total GHQ-28 was negatively correlation (r=-0.24, p<0.01), respectively. Conclusion: These results demonstrated the reliability and validity of SCBMS. Thus, the results may prove to be a useful assessment tool in evaluating stress coping behavior.

• 터널과지하공간
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• 제11권2호
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• pp.156-166
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• 2001

균열암반에서의 지하수유동 모사를 위한 추계적 연속테 모델링 기법이 개발되었다. 추계적연속체 모델은 균열수의 제한을 가지는 개별균열연결망 모델의 단점을 극복할 수 있다. 뿐만 아니라 개별균열연결망 모델에서 가능한 확률론적 해석과 전도성이 큰 균열을 통한 지하수 유동을 근접하게 모사할 수 있는 장점을 가진다. 추계적연속체 모델은 개별균열연결망 모델에 근거하여 생성된다. 개별균열연결망 모델은 일정크기의 소블록으로 나누어지며 각 소블록 투수계수의 확률밀도함수와 베리오그램 함수로부터 추계적연속체 모델에서의 투수계수의 공간적 분포를 정의할 수 있다. 이 연구에서 추계적연속체 모델과 개별균열연결망 모델의 적합성을 보여 주기 위하여 수치실험을 통하여 지하수 유동 이동시간을 계산하고 상호 비교하였다. 그리고 추계적연속체 모델은 방사성폐기물 처분장의 확률론적 안전성 펑가를 위해 필요한 지하수 유동속도의 확률분포를 제공할 수 있는 모델임을 제시할 수 있었다.

• 한국전문물리치료학회지
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• 제16권2호
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• pp.24-30
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• 2009

The purpose of this study was to determine the reliability and validity of the fear-avoidance beliefs questionnaire (FABQ) in assessing Korean patients with low back pain. We performed translation and cross-cultural adaptation of the questionnaire and enrolled 52 patients (18 males and 34 females) with low back pain. The subjects completed a standardized self-administered questionnaire that included the FABQ assessment along with evaluations for the visual analogue scale (VAS), Oswestry disability index (ODI), self-rating anxiety scale (SAS), and Beck depression inventory-Korean version (K-BDI). The reliability of the obtained data was determined by evaluating the internal consistency on the basis of the intraclass correlation coefficient (ICC) and the Cronbach's alpha values, while the validity of the data was examined by correlating the FABQ scores to the VAS, ODI, SAS, and K-BDI scores. The translated versions of the FABQ showed good test-retest reliability: ICC (3, 1)=.90 (FABQ for physical activity) and .97 (FABQ for work) these values were statistically significant (p<.01). The Cronbach's alpha value for FABQ was .90 (p<.01). FABQ moderately correlated with pain, disability, anxiety, and depression (p<.01). The results of this study indicate that the Korean version of the FABQ is a reliable and valid instrument for measuring fear-avoidance beliefs in Korean patients with low back pain.

• 한방재활의학과학회지
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• 제29권4호
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• pp.73-79
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• 2019

Objectives The purpose of this study is to provide Korean version of mild traumatic brain injury assessment tool. Methods The original version of acute concussion evaluation (ACE) was translated into Korean, and it was then back-translated into English without any prior knowledge of ACE. Finally, the pre-final version of Korean version of acute concussion evaluation (K-ACE) was derived. 49 Korean patients who had been diagnosed with mild traumatic brain injury participated in the study and completed K-ACE. Overall, 44 data were used to analyze findings. Validity of the study was assessed based on Concurrent validity. Reliability was also evaluated using Cronbach's ${\alpha}$ and the intraclass correlation coefficient. Results The Cronbach's ${\alpha}$ value for each item presented a proper level of internal consistency with results of 0.711 to 0.893 in two evaluations, respectively. The intraclass correlation coefficient of the retest reliability was marked as 0.892 (95% CI 0.840~0.933). Concurrent validity demonstrated positive correlations between K-ACE and Korean version of postconcussional syndrome questionnaire. Conclusions The K-ACE is concluded as a valid and reliable tool for measuring mild traumatic brain injury and post-concussion symptoms. Upon completion of the follow-up study, the K-ACE will be well-utilized by both clinicians and researchers.

• Nutrition Research and Practice
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• 제5권4호
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• pp.308-312
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• 2011

This was a prospective cohort study of 976 infants from birth to 12 months of age. Infants were fed breast milk, goat infant formula, cow infant formula, or a combination of formula and breast milk during the first 4 months of age. Data on type of milk feeding and infant growth (weight and height) were collected at birth and at 4, 8, and 12 months during routine clinical assessment. The number and consistency of bowel motions per day were recorded based on observational data supplied by the mothers. Infants fed breast milk or goat or cow infant formula during the first 4 months displayed similar growth outcomes. More of the infants fed cow infant formula had fewer and more well-formed bowel motions compared with breast-fed infants. The stool characteristics of infants fed goat formula resembled those of infants fed breast milk.

• 대한불안의학회지
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• 제13권2호
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• pp.123-131
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• 2017

Objective : The PTSD Checklist (PCL) is a self-report screen for posttraumatic stress disorder (PTSD) that can be scored for both diagnostic assessment and symptom severity measurement. The most recent revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) contains a number of changes to the definition of PTSD, and the aim of this study was to assess the psychometric properties of the Korean version of the PCL for the DSM-5 (PCL-5-K). Methods : The participants were 204 Korean veterans of the Vietnam War who completed the PCL-5-K, the Mini Mental Status Examination (MMSE), PTSD module of Structured Clinical Interview for DSM-5, Research Version (SCID5-RV PTSD module), Korean version of Impact of Event Scale-Revised (IES-R-K) and Combat Exposure Scale (CES-K). Results : The PCL-5-K demonstrated good internal consistency (${\alpha}=0.972$) and test-retest reliability (r=0.96); the suggested cut-off score for PTSD diagnosis was ${\geq}37$ with 0.88 sensitivity and 0.96 specificity. The PCL-5-K scale correlated highly with the IES-R-K and CES-K. Factor analysis identified only one factor. Conclusion : Among elderly Korean veterans of the Vietnam War, the PCL-5-K demonstrated similar psychometric qualities to those of both the original PCL and subsequent versions. It is expected that the PCL-5-K will be a useful PTSD screening tool.