Background: Equating is a statistical procedure used to create a common measurement scale across two instruments. Item-level information should be taken into consideration so that scores can communicate interchangeably across the instruments. Objects: To investigate a common measurement scale across two health-related quality of life questionnaires (HRQOL) applied to various cancer survivors who underwent palliative care in healthcare institutions. Methods: A total of 139 cancer survivors who underwent palliative care were recruited from two rehabilitation hospitals and an oriental medicine hospital. Participants consisted of various cancer survivors who presented to the sites for palliative care. They were asked to fill out Korean versions of the World Health Organization Quality of Life (WHOQOL-BREF) and EuroQOL-5 dimension (EQ-5D) questionnaires following the palliative care. For the item level comparison, the Rasch rating scale model was used to investigate how participants regarded individual test items of two instruments in relation to item difficulty calibrations. Results: All items except the three items fit the Rasch model. One item (anxiety/depression) of the EQ-5D and two items (dependence on medical aids and negative feelings) of the WHOQOL-BREF are misfit. The WHOQOL-BREF targets the survivors well, while the EQ-5D is able to target the survivors with lower HRQOL levels with some ceiling effects. By inspecting the item difficulty calibrations of the two instruments, five items of the WHOQOL-BREF are selected as common items in relation to the EQ-5D. These five items are considered compatible with each other. Differential item functioning (DIF) analysis reveals that the healthcare item of the WHOQOL-BREF vs the self-care item of the EQ-5D exhibits significant DIF. Conclusion: Findings suggest that one paired item should be taken into consideration when equating the WHOQOL-BREF and the EQ-5D applied to cancer survivors who underwent palliative care.
Journal of The Korean Society of Integrative Medicine
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v.11
no.1
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pp.1-12
/
2023
Purpose : This study examined the relationship between oral health management behavior and subjective health perception by using a tool that measures health-related quality of life named EQ-5D. The findings are expected to provide fundamental data for developing diverse programs, including health- and oral-health-related educational media, to ultimately enhance people's health-related quality of life. Methods : Adults over the age of 20 were extracted from the raw materials of the 8th national health and nutrition examination survey conducted in 2019. Among them, 4034 were finally chosen as the study subjects after checking the response distribution of relevant questions and excluding inadequate samples. Variables included general characteristics, health management behavior, oral health management behavior, subjective health perception, and EQ-5D level. Cross-tabulation test, independent t-test, one-way analysis of variance, and linear regression analysis were conducted using SPSS 25.0. Results : EQ-5D, which measures the level of health-related quality of life, was high when the subjects had a medical check-up experience, no experience of unsatisfactory medical service, and did not get an influenza vaccination (p<.001). The quality of life was higher when the subjects received dental inspections, did not require treatment, and used oral care goods (p<.005). Health-related quality of life was also higher when the subjective health level and subjective oral health level were high. Conclusion : Results indicate that subjective health, oral health perception level, and quality of life together were high when people had a regular check-up, did not neglect treatment, and used oral care goods. Considering the findings of this study, check-up programs that are customized for each age group are necessary. Health-related quality of life could be enhanced through the provision of diverse medical services and active efforts to prevent any medical blind spot.
Objective: The purpose of this case study is to report the hydrocele of the canal of Nuck and the effectiveness of Korean medicine in post-surgery improvement of symptoms. Method: A patient who was diagnosed with hydrocele of the Nuck canal and had symptoms after Lichtenstein's operation was treated using Korean medicine, including acupuncture, herbal medicine, and moxibustion, every day. The evaluation was performed using the Numeral Rating Scale (NRS), the 5-level EQ-5D version (EQ-5D-5L), the EQ visual analogue scale (EQ-VAS), and the World Health Organization Quality of Life-Brief (WHOQOL-BREF). Results: After treatment, changes were observed in NRS (from 8 to 2-3) and EQ-VAS (from 60 to 85), whereas there was no difference in EQ-5D-5L (both 6). There was an overall improvement in the domains of WHOQOL-BREF and subjective symptoms. Conclusion: This study suggests that Korean medicine may improve symptoms after surgery of hydrocele of the canal of Nuck and can be evaluated using an overall QoL questionnaire.
Previous studies have investigated the effect of empathy on relations. However, there have been few studies that found the effect of empathy on subjective well-being. This study aimed to investigate relations between empathy and subjective well-being. It was hypothesized that empathy had effects on subjective well-being in the mediation of self-esteem. Heo, J.H. and Lee, C.J. (2010) investigated the psychometric properties of EQ. However they did not do confirmatory analysis. So confirmatory analysis needs to be done in this study. Data was collected from 421 College student (male 192, female 225), and analyzed by SEM and path analysis. Results revealed that 3 factors model of EQ was proper, and EQ had effects on subjective well-being in the mediation of self-esteem. This suggested that empathy be a very important factor in our culture, and fulfillment of cultural task enhance self-esteem, which improve subjectve well-being. And cultural features should be considered in the study of empathy.
The present study was carried out to develop the better measures for safety of open heart surgery under extracorporeal circulation (ECC) with Heart-Lung-Machine by preventing changes in the concentrations of serum electrolytes during and after ECC. For this purpose, the cocentrations of serum electrolytes were measured before, during, and after ECC in 21 patients with congenital and acquired heart diseases who received open heart surger, - under ECC using Heart-Lung-Machine. Also considered was the development of safety measured by which changes in serum electrolyte concentrations were prevented during and after open heart surgery under ECC. The mean values for serum sodium levels were observed to be ; $13.14{\pm}0.47$mEq./L. for the samples obtained before ECC. $139.59{\pm}0.68$mEq./L. for the samples obtained 10 minutes after ECC and $138.0{\pm}0.68$mEq./L. for the samples obt"ined 24 hours after ECC. These results indicate that serum sodium concentrations were \\'ithin normal range during and until 24 hours after ECC. 2) The concentrations of serum chloride were found to be $105.38{\pm}0.70$105.38$\pm$0. 70 mEq./L. for the samples collected before ECC, $105.07{\pm}1.01$mEq./L. for the Simples collected 24 minutes aiter ECC and $101.95{\pm}1.09$mEq./L. for the samples collectect 24 hours afte ECC. As was tile case with serum sodium levels, no significant changes were observed in serum chloride levels during and 24 hours after ECC. 3)With proper provisions of potassium chloride solution during ECC, the concentrations of serum potassium were found to be $4.22{\pm}0.06$mEq./L. for the samples removed before EeC, $4.06{\pm}0.14$mEq./L. for the samples removed 10 minutes after ECC and $4.39{\pm}0.07$ mEq./L. for the samples removed 24 hours after ECC. 4)The concentrations of serum calcium were also maintained within normal during and after ECC; $9.15{\pm}0.14$mg/dl for the serum collected before ECC, $8.36{\pm}0.21$mg/dI for the serum collected 10 minutes after ECC and $8.47{\pm}0.14$mg/dl 21 hours after ECC. The maintenance of serum calcium level within normal throughout ECC was achieved by parenteral administrations of calcium gluconate as frequent as required. 5) As were the cases with serum potassium and calcium, the concentrations of plasma bicarbonate was regulated within normal range during and after ECC, only when sodium bicarbonate solution was admini"tered parenterally as it was required; $23.7{\pm}0.50$mEq./L. for the serum collected before ECC. $22.33{\pm}1.09$mEq.lL. for the serum collected 10 minutes after ECC and $25.3{\pm}0.96$mEq./L. for the serum collected 24 hours after ECC. The above results indicate tha t during and after ECC serum sodium and chloride levels remined unchanged without any provision of normal saline, while serum potassium, calcium, and bicarbonate concentrations were kept within normal limits only when these ealectrolytes were administered through parenteral routes. With these results it can be concluded that serum potassium, calcium, and bicarbonate levels should be determined as often as possible during and after ECC and that in order to maintain serum electrolyte levels within normal these electrolytes in the forms of potassium chloride, calcium gluconate, and sodium bicarbonate shou'd be given parenterally as they were found to be required.
Palladium present in colloidal-type plated spent catalyst solution that is used in electroless plating process has not been recovered but discharged as wastewater so far. Recyclig of paladium in colloidal-type plated spent catalyst solution is achieved with this study. This study presents the estimation of resource consumption and GHG emissions during the recycling and disposal of palladium in the plated spent catalyst solution using life cycle assessment. The reduction of resources and GHG are also estimated. Based on the palladium amount of 1 kg during disposal, the GHG emission amount was estimated to be 9.67E+03 kgCO2eq., and the amount of resource consumption was 3.94E+01 kgSb-eq. However, GHG emission was 1.96E+03 kgCO2eq., and the amount of resource consumption was 1.54E+01 kgSb-eq. during recycling. Considering the major substances affecting GHG emissions and amount of resource consumption, CO2 was found to significantly affect GHG emissions, accounting for 91.42% in disposal and 98.37% in recycling. The major substance affecting the amount of resource consumption was hard coal, which accounted for 40.63% in disposal and 60.73% in recycling. Upon recycling 1 kg palladium, 8,967.17 kgCO2eq. of greenhouse gas emission was reduced, while the resource consumption was reduced to 10.10 kg Sb-eq. In addition, the direct palladium resource reduction rate due to palladium recycling was 50%.
This study aimed to develop and apply guidelines for calculating greenhouse gas emissions to activate the contribution of the Korea Institute of Geoscience and Mineral Resources (KIGAM) for institutional-level research activities. In addition, we intended to improve awareness by identifying greenhouse gas emissions from KIGAM's basic research and development (R&D) activities in fiscal 2022. Herein, the research plan and budget contents of individual projects were analyzed, whilst the boundaries and scopes of greenhouse gas emissions were determined, with 22 cases being derived as either direct, indirect, or other sources of emissions. Subsequently, research activity emissions were calculated by emission source. The greenhouse gas emissions of KIGAM's 2022 basic project R&D activities were 2,041.506 tCO2eq, of which direct emissions were 793.235 tCO2eq (38.86%), indirect emissions comprised 305.647 tCO2eq (14.97%), whilst other emissions were 942.624 tCO2eq (46.18%). In particular, greenhouse gas emissions per 100 million won in the KIGAM's basic projects for fiscal 2022 (a total of 96.661 billion won) was calculated as 2.11 tCO2eq, whilst greenhouse gas emissions per participating researcher (was 4.800 tCO2eq. Such calculations should be carried out annually rather than once and accumulated for at least 5 years. Accordingly, it will be possible to standardize specific matters that influence emissions according to differences in research field characteristics and methods, thus guiding greenhouse gas emission reduction management in the future and evaluating the contributions of Environmental, Social and Governance (ESG) management to the environmental sector.
Design chart solution and table solution were proposed by Choi et al. (2019a), which conducted a parametric numerical study for the bored PHC piles socketed into weathered rocks through sandy soil layers. Based on the Choi et al. (2019a), the new prediction formulae for mobilized capacity components such as total capacity, total skin friction and skin friction of sand at the settlement of 5% pile diameter were proposed in this study. The proposed prediction formulae (EQ-G1) considers pile diameter, relative embedment length and ${\bar{N}}$ (i.e, corrected N) value and their verification results are as follows. The SRF calculated from the new proposed design method was 71~94%, which are greatly improved compared with results by the existing design method. The design efficiency of bearing capacity was in the range of reasonable design except 4 cases, and the design efficiency of the PHC pile was evaluated as 85%. Therefore, it is possible that allowable compressive load (Pall) of PHC pile can be utilized in the resonable design by means of the new proposed method using EQ-G1 equations. And the other new proposed equations of EQ-G2-3 can be utilized approximately in calculation of axial compressive bearing capacity components for prebored PHC pile.
Objectives. The Study of Small Area Variation(SAV) is most interesting issue in the health care researches. Most studies of SAV have been concluded the existences of variation on the basis of the magnitude of variation without statistical testing. But it is difficult to explain the existence of variation with this way because variation indicies are easily influenced by several parameters and also their distribution are skewed. So, it needs for the study to investigate the distribution of these indices and develop the statistical testing model. Methods. This study was planned to analyze on the distribution of variation indices such as Extremal Quotient(EQ), Coefficient of Variation(CV), Systematic Component of Variation(SCV) and compare the statistical power among indicies. The simulations was performed on the basis of several assumptions and compared to the empirical data. Results. Main findings can be summarized as follows. 1. If other conditions are constant, the more number of regions, the larger 95 percentile of EQ. But under same situation, 95 percentile of CV and SCV were slightly decreased. 2. If the size of regional population or utilization rate were increased, 95 percentile of all statistics were decreased. Also in the cases of small population size and low utilization rate, 95 percentiles of EQ showed various change contrast to the little change of CV. 3. If the difference at the size of regional population were increased, 95 percentiles of EQ and SCV were increased contrast to the little different of CV. 4. If the utilization rate were increased, 95 percentiles of all indicies were increased. But under the same difference of utilization rate, the power of CV and SCV were increased comparing to no change of the power of EQ. 5. Usually the power of EQ were lower than that of CV or SCV and it is similar between CV and SCV. Conclusions. Therefore, we suggest that in selecting the variation indicies at the SAV, CV or SCV are superior than EQ in terms of significance level and power.
Recently, the reduction of greenhouse gases(GHG) for climate change is the most important international issue. In order to control efficiency GHG emission rate reduction, it is essential to establish GHG emission inventory preferentially. The emission of ships that are emitting its $CO_2$ in international waters is becoming chief among the issues which country is put under an obligation. In the IMO reports, shipping is estimate to emit 1,046million tonnes of $CO_2$, which corresponds to 3.3% of global emission during 2007. International shipping is estimated to have emitted 870 million tonnes, about 2.7% of global emission of $CO_2$ in 2007. In this study, the general information of GHG emission, based on fuel consumption statistic, Tier 1, and the emission inventory is calculated to break down in to domestic and international emission. The GHG emission from ships in Korea was total 31,646 Gg $CO_2$-eq in 2009, which is included fishing, Korea flag coastal ship, Korea flag ocean going ship and foreign flag ships. And domestic emission and international emission was 5,398Gg $CO_2$-eq, 7,630Gg $CO_2$-eq and foreign flag ship was 18,618Gg $CO_2$-eq respectively.
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