• Title/Summary/Keyword: Item factor

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Traditional Korean Medicine for Skin Toxic Side Effects from Afatinib in a Non-Small Cell Lung Cancer Patient: A Case Report (Afatinib 복약 후 발생한 비소세포성 폐암환자의 피부독성 부작용에 대한 한방치료 1례)

  • Shim, So-hyun;Seo, Hee-jeong;Choi, Jin-yong;Bae, Go-eun;Seo, Hyung-bum;Kim, So-yeon;Han, Chang-woo;Park, Seong-ha;Yun, Young-ju;Lee, In;Kwon, Jung-nam;Hong, Jin-woo;Choi, Jun-yong
    • The Journal of Internal Korean Medicine
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    • v.39 no.5
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    • pp.973-983
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    • 2018
  • Objectives: We report a case of traditional Korean medicine (TKM) treatment for skin side effects after taking afatinib (Giotrif$^{(R)}$). Methods: A 62-year-old female who was diagnosed with non-small cell lung cancer stage 4 (T4N2M1b) and was on treatment with afatinib (29.56 mg/day for 4 months) complained of skin toxicity as a side effect. For 16 admission days, the patient was treated with acupuncture, moxibustion, and herbal medicine (oral decoction and external ointment). Results: Improvement of skin toxicity was measured by a numeric rating scale. In addition, Quality of life (QOL) was measured using EORTC Quality of Life Questionnaire, Core 30 (EORTC QLQ-C30) and EORTC Quality of Life Questionnaire, 13-item lung cancer-specific module (EORTC QLQ-LC13) Developed by the European Organization for Research and Treatment of Cancer (EORTC). Tumor size and carcinoembryonic antigen (CEA) were also examined during follow up. Conclusions: After a combined TKM treatment, skin toxicity symptoms and quality of life scales were significantly improved with no side effects. The tumor size was not changed on computed tomography during follow-up period. CEA levels were decreased.

Analysis of Important Factors for Sustainable Fishing Village Development (지속가능한 어촌마을 개발을 위한 중요 요소 분석)

  • Lee, Chan;Park, Ji-Hoon;Kang, Hyun-Kyung
    • Journal of Korean Society of Rural Planning
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    • v.26 no.1
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    • pp.23-38
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    • 2020
  • This study is aimed at the deduction of the important priority factors by setting the comprehensive rate in each of the economy, sociability and environmental areas for the sustainable development of fishing villages. As the research methods, review of domestic and overseas literature and Delphi questionnaire survey on experts, and hierarchical structure analysis were executed. Accordingly, this study is aimed at providing the basic data at the time of establishing plans by assessing the level of importance and priorities for each item through the deduction of the elements necessary for the fishing village plan. Key results of the study are as follows. First, as the results of review of domestic and overseas literature related to sustainability indices of fishing villages, a total of 50 items in the areas of economy, sociability and environment were deduced. Second, validity for each area was confirmed through Delphi questionnaire survey on experts. Third, as the results of factor analysis conducted on the basis of the hierarchical structure analysis for detailed items for each sector, 3 factors in the economic area, 2 factors in the social area and 3 factors in environment area were deduced. Fourth, as the results of the relative importance of the higher tiers, economic sector (0.528) displayed results that are more than 2 times higher than the social (0.261) and environmental (0.212) sectors. Establishment of foundation for independent competition (0.105), balanced development of small fishing village (0.086) and population engaged in economic activities in comparison to the fishing village population (0.077) were analyzed as the most important detailed items. Based on these results, experts pointed out that the economic sector is most important for the sustainable development of fishing village and, in detail, priority must be placed on the balanced development on the basis if the extent of independence of the fishing villages, and emphasized activation of residents engaged in economic activities in fishing villages in order to support them. That is, in order to increase the level of independence of the fishing villages, it was determined that there is a dire needs for expansion of diversified specialized businesses and infrastructural facilities through agreement by the residents capable of economic activities, and means of activating fishing villages through securing of budget at the local autonomous government level to provide support for the residents.

Relationship of Participation in Jazz Dance to Body Image and Mental Healt (재즈댄스 참가와 신체상 및 정신건강과의 관계)

  • Choi, Sung-Ae
    • The Journal of the Korea Contents Association
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    • v.8 no.8
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    • pp.196-205
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    • 2008
  • The purpose of this study was to examine the relationship of participation in jazz dance to body image and mental health in an attempt to make a contribution to the spread of jazz dance. The subjects in this study were 183 people who were selected by purposive sampling from a population of Seoul and Gyeonggi province residents who were at the Western age of 18 and up. The selected people took general education courses at colleges, attended cultural centers or fitness clubs, or learned dance for all. One instrument used in this study to assess their body image was Jourard and Secord(1954)'s Body Cathexis Scale, which was modified into six factors and 39 items. The other was Kim Gwang-il, et. al.(1978)'s 46-item inventory, which translated Rickles and Rock(l976)'s SCL-90 with 90 items to suit Korean circumstances. That inventory was modified into 31 items and four factors. For data handling, factor analysis, reliability analysis, regression analysis and path analysis were utilized. The findings of the study were as follows: 1. The extent of jazz dance participation had an impact on their body image. Those who performed jazz dance more frequency had a better image about their health and the lower part of the body. 2. The level of jazz dance participation exerted an influence on their mental health. A longer participation term led to more interpersonal sensitivity, and a higher participation frequency was followed by more somatization. 3. Concerning the causal relationship of participation in jazz dance to body image and mental health, the participation frequency affected health, the image of the lower part of the body and somatization in the firsthand manner, and the image of the lower part of the body had a firsthand impact on interpersonal sensitivity, hostility, anxiety and depression. Accordingly, the image of the lower part of the body played a crucial role as a parameter in the relationship between the jazz dance participation frequency and mental health.

Development of Measurement Scale for School Police's Job Performance (학교보안관의 직무수행 척도 개발)

  • Kim, Kyong-Sik;Kim, Eun-Jung
    • The Journal of the Korea Contents Association
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    • v.12 no.7
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    • pp.394-405
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    • 2012
  • This study is aimed at developing a tool to measuring school police's job performance, and verifying its credibility and validity. This study collected the sample to 250 subjects using a significance collection method to parents of elementary schools school police work. But excluding dishonestly responding data, this used total 210 people for the final analysis. This study executed experts' meeting, exploratory and confirmatory factor analysis, and item analysis to verify reliability, and verification of internal consistency and reliability. This study extracted and confirmed 7 factors for specialization, attitude, program, prevention activity of school violence, effect, basic duty, teaching for school time and home time, and correlation with related people. Through the above research approach and procedure, this study arrived at the following conclusion. First, validity to school police's job performance and measurement tool to job performance is very high. That is, school police's job performance was explored and confirmed through correlation with specialization, attitude, program, prevention activity of school violence, effect, basic job, teaching for school time and home time, and related people, and of them, explanation of attitude is the highest. Second, reliability to the measurement scale for school police's job performance is very high. That is, school police's job performance has high correlation between items, sub-factors, and total scores, and reliability of internal consistency, Cronbach's ${\alpha}$ value, is over .708. Putting them together, measurement scale for school police's job performance is a questionnaire sheet with very high level of validity and reliability.

A Study on the Relationship between Self-esteem, Self-efficacy and Clinical Practice Performance, Academic Achievement, Decision Making of Major Field in Clinical Practice (간호학생의 자아존중감 및 자기효능감과 임상실습수행, 학업성취, 전공실습결정과의 관계)

  • Kim, Young-Sook;Kim, Myung-Soon;Cho, Won-Sun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.8 no.1
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    • pp.51-60
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    • 2002
  • The purpose of this study was to identify the relationship between self-esteem, self- efficacy and clinical practice performance, academic achievement, decision making of major field in clinical practice . The study subjects consisted with 244 students from G. junior nursing college that will adapt a new majoring program of clinical nursing practice funded by Ministry of human and resources development. Data were analyzed using descriptive statistics, and t-test, Pearson correlation, and multiple regression. The results of this study were summarized as follows: 1. The students were relatively performed well in clinical practice setting (total M :3.78). The item of student's personal relationship between patients, patient's family, and professional staff showed high score (M=3.96). However students did not feel comfortable to communicate with patients, patient's family and professional staffs in clinical setting(mean=3.56). 2. Students who had experiences of temporal absence from school showed significant difference in the variable of academic achievement and decision making of major field in clinical practice Students who entered to nursing school with self-motive revealed statistically significant difference in the variable of clinical practice performance, academic achievement, self-esteem, self-efficacy, and decision making of major field in clinical practice. 3. There was a significant correlation between self-esteem and clinical practice performance, (r=.512, p<.000). And the relation between self-esteem and decision making of major field in clinical practice was significantly correlated(r=.377, p<.000). Self-efficacy and clinical practice performance(r=.567, p<.000), and decision making of major field in clinical practice (r=.441, p<.000) showed significant correlations. Also relation between academic achievement and self-esteem reveled a significant correlation(r=.129, p<.05) but correlation between self-efficacy and academic achievement was not significant. 4. Correlation between clinical practice performance and decision making of major field in clinical practice also identified a significant relation(r=.498, p<.000). 5. Self-esteem and self-efficacy variables predicted clinical practice performance and explained 37.7% of clinical practice performance. 6. Aptitude and personal interests(m=4.07) reveled important factor affecting to select majoring area in clinical practice, and advice from parents reflected low percentage on selecting places(m=2.42). In conclusion, the variables of self-esteem and self-efficacy showed significant correlations with the variables of student's clinical practice performance, academic achievement, and decision making of major field in clinical practice. Thus it is recommended that student's affective domain of self-esteem and self-efficacy should be developed by nursing intervention before clinical nursing education.

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A Study of the Development of Green Camp Evaluation Index based on the CIPP Model (CIPP 모형을 활용한 그린캠프 평가지표 연구)

  • Park, Chan Hee
    • The Journal of the Korea Contents Association
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    • v.20 no.3
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    • pp.491-505
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    • 2020
  • The purpose of this study is to develop an evaluation index that can assess the Army training program of Green Camp. The result of the evaluation index phased-developed with the CIPP model is summarized below. First, the literature review with documents relevant to program evaluation, Green Camp field research, and expert discussions were used to select factors considered for evaluation and develop a preliminary evaluation area and item for the four areas within the CIPP evaluation model. Second, an initial survey targeting Green Camp and soldiers in the Capital Defense Command examined the preliminary reliability·validity, and the Focused Group discussions were used to supplement the evaluation index. Third, secondary surveys were conducted in four battalions in Gangwon-do and third surveys targeted officers from twelve different corps and personnels related to the Green Camp which verified descriptive statistics analysis, exploratory factor analysis, and correlation analysis in version SPSS 24. Fourth, with the validation verification procedure, 16 evaluation area and 36 evaluation index was confirmed. Fifth, the 36 evaluation index developed was subdivided into 57 indexes and the Delphi method was applied through the policy expert to formulate 43 generalized indexes. The significance of this phased research approach was considered for the institutionalization of the usage of scientific evaluation(index) and development in policy process.

Development and Validation of a Scale for Diagnosing the Core Competency of University Students: M University Case Study (대학생 핵심역량 진단도구의 개발과 타당화 연구 : M대학교를 중심으로)

  • Lee, Mira;Kim, Nooree
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.24 no.5
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    • pp.576-582
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    • 2018
  • At present, universities in Korea are trying to raise the competency of university students by preparing them with abilities and attitudes required in society, and many universities are carrying out "core competency based education." Therefore, there is a need to evaluate the core competencies of students and verify educational performance. M University, which trains students in specialized marine topics, also conducts core competency based education, reflecting the specificity of the university. The purpose of this study was to develop and validate a tool to measure the core competencies of M University students. First, preliminary questions were developed based on a literature review. Second, item analysis and exploratory factor analysis were conducted. As a result, six factors were identified. Finally, a total of 50 items were extracted from the final test, and validity was confirmed. The scale developed on the basis of this study can not only diagnose the core competency of students overall but also connect programs by diagnosing individual core competencies. It will be possible to use these results as basic data for honing the differentiated talents of universities specialized in maritime and ocean-related topics.

Measurement and Analysis of Pediatric Patient Exposure Dose Using Glass dosimeter and a PC-Based Monte Carlo Program (Glass dosimeter와 PCXMC Program을 이용한 소아피폭선량 측정 및 분석)

  • Kim, Young-Eun;Lee, Jeong-Hwa;Hong, Sun-Suk;Lee, Kwan-Seob
    • Korean Journal of Digital Imaging in Medicine
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    • v.14 no.2
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    • pp.9-14
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    • 2012
  • Exposed dose of young child should be managed necessarily. Young child is more sensitive than adult of a Radioactivity, especially, and lives longer than adult. Must reduce exposed dose which follows The ALARA(As Low As Reasonably Achievable)rule is recommended by ICRP(International Commission on Radiological Protection)within diagnostic useful range. Therefore, We have to prepare Pediatric DRL(Diagnostic Reference Level) in Korea as soon as possible. Consequently, in this study, wish to estimate organ dose and effective dose using PCXMC Program(a PC-Based Monte Carlo Program), and measure ESD(Entrance surface dose)and organ dose using Glass dosimeter, and then compare with DRL which follows EC(European Commission)and NRPB(National Radiological Protection Board). Using glass dosimeter and PCXMC programs conforming to the International Committee for Radioactivity Prevention(ICRP)-103 tissue weighting factor based on the item before the organs contained in the Chest, Skull, Pelvis, Abdomen in the organ doses and effective dose and dose measurements were evaluated convenience. In a straightforward way to RANDO phantom inserted glass dosimeter(GD352M)by using the hospital pediatric protocol, and in a indirect way was PCXMC the program through a virtual simulation of organ doses and effective dose were calculated. The ESD in Chest PA is 0.076mGy which is slightly higher than the DRL of NRPB(UK) is 0.07mGy, and is lower than the DRL of EC(Europe) which is 0.1mGy. The ESD in Chest Lateral is 0.130mGy which is lower than the DRL of EC(Europe) is 0.2mGy. The ESD in Skull PA is 0.423mGy which is 40 percent lower than the DRL of NRPB(UK) is 1.1mGy and is 28 percent lower than the DRL of EC(Europe) is 1.5mGy. The ESD in Skull Lateral is 0.478mGy which is half than the DRL of NRPB(UK) is 0.8mGy, is 40 percent lower than the DRL of EC(Europe) is 1mGy. The ESD in Pelvis AP is 0.293mGy which is half than the DRL of NRPB(UK) is 0.60mGy, is 30 percent lower than the DRL of EC(Europe)is 0.9mGy. Finally, the ESD in Abdomen AP is 0.223mGy which is half than the DRL of NRPB(UK) is 0.5mGy, and is 20 percent lower than the DRL of EC is 1.0mGy. The six kind of diagnostic radiological examination is generally lower than the DRL of NRPB(UK)and EC(Europe) except for Chest PA. Shouldn't overlook the age, body, other factors. Radiological technician must realize organ dose, effective dose, ESD when examining young child in hospital. That's why young child is more sensitive than adult of a Radioactivity.

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The Effect of Gamisungmagalguntang(加味升麻葛根湯) on Chronic Urticaria Identified as "Wind Heat" Pattern (풍열형(風熱型) 만성 두드러기에 대한 가미승마갈근탕(加味升麻葛根湯)의 치료효과)

  • Hong, Eu-Gene;Kim, Bong-Hyun;Shin, Jun-Hyuk;Nam, Hae-Jeong;Kim, Kyu-Seok
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.26 no.4
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    • pp.60-69
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    • 2013
  • Objective : This case series study was designed to assess the effect of Gamisungmagalguntang for chronic urticaria identified as "Wind-Heat" pattern by retrospective methods. Methods : We treated 19 patients for chronic urticaria with Gamisungmagalguntang(加味升麻葛根湯), who visited to care chronic urticaria at the department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine at Kyunghee University Korean Medical Center from 1st January 2013 to 31st August 2013. We analyzed information and body conditions of 19 patients. And by using Urticaria Activicy Score(UAS), frequency and number of wheals, itch severity and total score on a 4-point(0-3) scale were assessed in 19 patients. The change of each criterion and total scores between baseline and follow up were analyzed using paired t-test and Wilcoxon test(p<0.05). Results : 1. UAS improvement was statistically significant(p<0.001). Effects of symptom improvement were excellent(31.58%) that means symptom remission and good(42.10%) that means symptom improved over 50%. 2. Heat sensitivity as suspected provocation factor could be a marker for the Wind-Heat pattern urticaria. 3. Among the Wind-Heat pattern urticaria patients, normal digestion(52.63%) and no thirst(78.95%) were higher than abnormal conditions. Whereas about sweat item, abnormal conditions(57.89%) were higher than normal. That means abnormal sweat conditions could be a marker for a defense qi(衛氣) dysfunction of the Wind-Heat pattern urticaria. Conclusions : Our findings suggest that Gamisungmagalguntang could be effective on the Wind-Heat pattern urticaria.

Risk Perception of the Firefighters Responsible for Nuclear Power Plants: Construct Validity (원자력발전소 화재에 대한 관할 지역 소방관의 위험인식: 측정도구의 개발과 타당화)

  • Choi, HaeYoun;Lee, SangKyu;Choi, Jong-An
    • Fire Science and Engineering
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    • v.33 no.5
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    • pp.94-102
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    • 2019
  • As the importance of first responses for fire accidents has grown in the safety management of nuclear power plants, a systematic approach to measure firefighters' psychological states and competence is needed. The current study investigated the construct of the risk perception of the firefighters working near nuclear power plant sites, and then developed and validated a new scale to measure firefighters' risk perception regarding nuclear power plant accidents. The scale items were developed on the basis of literature review and interviews with the firefighters working near nuclear power plant sites. In order to validate the new scale, we recruited 180 firefighters from five fire stations in the vicinity of the nuclear power plants in Jeonnam Province, Gyeongbuk Province, and Busan. The results of exploratory factor analyses revealed that the scale consisted of five factors: "manual" reflecting a lack of response guidelines and manuals for fire incidents and radioactive material release; "fear" reflecting a fear of fire incidents in the nuclear power plants and their catastrophic consequences; "resource" reflecting a lack of protective equipment and manpower for responding to fire incidents in the nuclear power plants; "trust" reflecting trust and cooperation with the counterpart institutions for firefighting in the nuclear power plants; and "knowledge" reflecting the knowledge of radioactivity and firefighting in the nuclear power plants. Further analyses provided statistical evidence supporting for the 15-item scale's internal consistency and construct validity. Finally, We discussed the implication and limitations of the current research.