• Phonetics and Speech Sciences
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• v.10 no.1
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• pp.75-81
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• 2018

Diplophonia is generally defined as the perception of more than one fundamental frequency component in a voice. Its perceptual aspect has traditionally been used to evaluate diplophonia because the perceptions can be easily evaluated, but there are limitations in the validity of the reliability of the intra- and inter-raters, examination situation, and variation of voice sample. Therefore, the purpose of this study is to confirm the reliability and accuracy of auditory perceptual evaluation by comparing non-invasive indirect assessment methods (sound waveform and EGG analysis), and to identify their usefulness with diplophonia. A total of 28 diplophonic voices and 39 non-periodic voices were assessed. Three raters assessed the diplophonia by performing an auditory perception evaluation and identifying the quasi-periodic perturbations of the acoustic waveform and EGG. Among the three discrimination methods, intra- and inter-rater reliability, sensitivity, specificity, accuracy, positive likelihood ratio, and negative likelihood ratio were examined, and the McNemar test was performed to compare the discriminant agreement. The accuracy of the auditory perceptual evaluation (86.57%) was not significantly different from that of sound waveform acoustic (88.06%), but it was significantly different from that of EGG (83.33%). The reading time (6.02 s) for the auditory perceptual evaluation was significantly different from that for sound waveform analysis (30.15 s) and EGG analysis (16.41 s). In the discrimination of diplophonia, auditory perceptual evaluation has sufficient reliability and accuracy as compared to sound waveform and EGG. Since immediate feedback is possible, auditory perceptual evaluation is more convenient. Therefore, it can continue to be used as a tool to discriminate diplophonia in clinical practice.

• Journal of The Korean Society of Clinical Toxicology
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• v.15 no.1
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• pp.31-39
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• 2017

Purpose: Despite the clinical and socio-economic impact of acute poisoned patients, many of the treatments are not standardized in Korea. Moreover, no formal training that is specifically focused on clinical toxicology exists. Rather, training and education are conducted case by case in various institutions. This study was conducted to develop a standardized simulation-based clinical toxicology training curriculum for healthcare providers. This program will focus on specific assessment and treatment of critical toxicology patients, specifically those who have been poisoned with organophosphate. Methods: The study was performed using a pre- and post-design to determine the effects of implementation of this program. The study was conducted at eight different urban teaching hospitals in a simulated room in the clinical area. The study was targeted to 19 groups composed of emergency residents and nurses. Simulation-based learning was conducted for each group. Results: All 19 groups achieved the minimum passing score of 75%. Implementation of the program led to improved performance rates for overall management and cooperative moods competency (p<0.01). Inter-rater agreement between the two evaluators was excellent. In general, the participants thought the program was realistic and were able to recognize and improve the competencies needed to care for organophosphate poisoned patients. Conclusion: Simulation-based learning is an effective educational strategy that can be applied to improving and understanding proper care for rare but critical patients. This program was effective at improving team performance and cooperative moods when managing an organophosphate poisoned patient in the Emergency Department.

• The Korean Journal of Applied Statistics
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• v.29 no.7
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• pp.1257-1270
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• 2016

This study deals with the prediction of the total number of movie audiences as a measure for the box office. Prediction is performed by classification techniques of data mining such as decision tree, multilayer perceptron(MLP) neural network model, multinomial logit model, and support vector machine over time such as before movie release, release day, after release one week, and after release two weeks. Predictors used are: online word-of-mouth(OWOM) variables such as the portal movie rating, the number of the portal movie rater, and blog; in addition, other variables include showing the inherent properties of the film (such as nationality, grade, release month, release season, directors, actors, distributors, the number of audiences, and screens). When using 10-fold cross validation technique, the accuracy of the neural network model showed more than 90 % higher predictability before movie release. In addition, it can be seen that the accuracy of the prediction increases by adding estimates of the final OWOM variables as predictors.

• Journal of Acupuncture Research
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• v.26 no.2
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• pp.189-199
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• 2009

Objectives : Despite the substantial amount of newspaper coverage related to complementary and alternative medicine on the internet in recent years, little is know about the quality of the health information. To evaluate health information of the newspaper articles on moxibustion available in Korea through Korean language search engines and Web sites. Methods : We searched 454 news stories about moxibustion between 1 January 2006 and 31 December 2008. Among them, 34 internet news coverage related to health information on moxibustion were selected and rated against eight categories by two individuals. Results : The inter-rater reliability of the two reviewers was assessed as 0.69, indicating a moderately high level of agreement. The overall rating score for 34 articles was 35.7${\pm}$17.2 for the statement criteria and 12.9${\pm}$17.0 for the satisfaction criteria. Overall, although they might be improving recently, the scores remain generally low. There was a statistically significant difference in the score of the newspaper coverage according to the type of evidence sources, including anecdotes. Conclusions : There is substantial variability in news reporting practices about moxibustion. It is urgently needed to enhance the information related to CAM including moxibustion through the news media in Korea.

• Korean Journal of Child Studies
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• v.34 no.1
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• pp.141-159
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• 2013

This study was conducted in order to develop an observation scale for analyzing the responses of child and therapist in child-centered play therapy in terms of item discrimination, validity, and reliability. The observation scale was developed on the basis of child-centered play therapy literature, the author's experience of child-centered play therapy, the observation of video tapes of play therapy session, and discussions with child-centered play therapy experts. The participants in this study were 54 children aged from 4 to 9 years old who have emotional and behavioral problems, and 7 therapists who consult with the children. The reliability of factors, as measured by inter-rater reliability and Cronbach's', ranged from .72 to .77. The results of factor analysis identified 2 factors and 21 items associated with the reponses of the children, and 2 factors and 19 items associated with the responses of the therapists. The significant factors identified were as follows; (1) the child's response style; (2) the child's response content (adaptability, initiation, structuring, flexibility); (3) the therapist's response style, and (4) the therapist's response content (facilitative response, structuring, nonfacilitative response). In conclusion, these results demonstrated that the observation scale provides a valid and reliable means of analyzing the responses of child and therapist in child-centered play therapy.

• Journal of Embryo Transfer
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• v.14 no.1
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• pp.31-37
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• 1999

The objective of this study was to optimize the selection of sperm sources, optimal culture systems and vitrification method depends on sperm sources. The oocytes were inseminated with either KPN 105, 114, 191, SNU 101, 102, 103 or epididymis and then embryos inseminated were cultured in oviductal cell co-culture or HECM-6 as defined me dium. The blastocysts produced were pooled according to sperm sources as KPN, SNU or epididymis and then vitrified by OPP vitrification method. The results obtained were as follows: 1. The cleavage(86.2 or 84.7%) and development rates to blastocyst (30.6 or 32.0%) were not significantly different between oviductal cell co-culture or HECM-6 culture systems(P<0.05). 2. To determine the optimal sperm sources for using IVF in this system, cleavage rates in KPN 191 and SNU 101 (74.2, 55.8%) were significantly lower rather than those in KPN 105, 114, SNU 102, 103 or epididymis (86.7, 85.1, 89.8, 85.5 or 81.2%), but development rates to blastocyst in KPN 114, SNU 103 or epididymis sperm (30.0, 33.0 or 28.6%) were significantly higher rater than those in KPN 105, 191, SNU 101, 102(21.4, 15.4, 14.9 or 25.4%), respectively (P<0.05). 3. The blastocysts produced were pooled according to sperm sources as KPN, SNU or epididymis and then vitrified by OPP vitrification method. The survival rates were not significantly different among sperm sources (89.6%: 43/48 ; 90.1%: 46/51 ; 83.3% : 20/24). These results obtained indicate that the defined medium, HECM-6, could be use to produce of IVP bovine embryos. Since the frozen semen must be required to maintain of unvariation data in IVP embryo production system, KPN 114 and SNU 103 produced in our laboratory were useful for this purpose. The blastocysts produced by different sperm sources as KPN, SNU or epididymis were vitrified by OPP vitrification method and survived very high rates. The OPP vitrification method could be susceptibility to use of IVP bovine blastocyst embryos.

• Health Policy and Management
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• v.1 no.1
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• pp.95-108
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• 1991

The World Health Organization and its member states, in 1978, declared that primary health care is a key to attain the goal of Health for All by the goal of Health for All by the yeas 2000. As a member state of WHO, the Republic of Korea has participated in the declaration of ALMA-ATA and committed to put national efforts for devedoping and implementing primary health care approach with the spirit and content of this Declaration. Since 1978, to translate the spirit of the Declaration into realization, Korean goverment has developed a new category of health manpower such as Community Health Practitioners serving people living in remote rural areas and Village Health Workers serving voluntarily their own village, strengthened the function of Health Centers and Health Subcenters through their reorientation and improved the infrastructure by their new construction or renovation. While primary health care is viewed as an essential health care in Korea, there are some circles who follow a narrow definition in referring to the health care at the periphey of a health system, which is erroneous. Considering the PHC is accepted as the best alternative approach to health care to solve problems that modern health systems are facing, we propose the followings as desirable health policy directions that modern health systems are facing, we propose the followings as desirable health policy directions which might translate the persopective into action at the national level after reviewing past and current PHC approach in Korea : 1. To improve the equity through the reduction of gaps between those who have access to health care and those who have not. 2. To reinforce multisectoral approach and intersectoral coordination through the re- establishment of the National Health Council or establishment of equivalent organization at the central level. 3. To stengthen community participation through lacal people's empowerment by leadership training, changing planning process from the top-down approach to bottom-up and giving the priority to human resources rater than technology, 4. To reinforce the Ministries of Health and Social Affairs through upgrading its role and function to Coordinate Ministries which involve human welfare policies, and creating a Division which is in charge of PHC in the Ministry.

• Journal of the Korean Society of Physical Medicine
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• v.5 no.4
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• pp.655-666
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• 2010

Purpose : The examine the reliability and validity of the modified Emory Functional Ambulation Profile(mEFAP) for assessing gait function in chronic stroke patients. Methods : A total of 45 stroke patients, who had a stroke more than 6 months, participated in the study. Reliability was determined by Intra-class Correlation Coefficient($ICC_{3,1}$), including Bland and Altman method (Standard Error of Measurement: SEM, Small Real Differences: SRD). Validity was examined by correlating results to the gait ability(mEFAP, Modified Motor Assessment Scale-Gait(MMAS-G), Scandinavian Stroke Scale-Gait(SSS-G), Functional Ambulation Category(FAC), 10m Waking Test(10m WT)), and Fugl Meyer-Lower/Extremity(FM-L/E), Berg Balance Scale(BBS). Results : Inter-rater reliability for the total mEFAP was High($ICC_{2,1}$=.998), and absolute reliability were excellent (SEM: 1.75, SRD: 4.85). Subjects without assistance factor performed better on all tests than did subjects who had stroke. There were significant correlations between the mEFAP and MMAS-G, SSS-G, FAC(r=-.66~-.79), 10 m WT(r=-.86), and FM-L/E, BBS(r=-.72~-.78), indicating good validity. Increased times on the mEFAP correlated with poor performance on the gait ability, motor function of lower extremity, BBS and slow gait speeds on the 10 m WT in stroke patients. Conclusion : The mEFAP can be administered easily and comprehensively. It is a reliable gait assessment tool for patients with stroke and correlated with known of function, the mEFAP may be a clinically useful measure of ambulation.

• Korean Journal of Agricultural and Forest Meteorology
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• v.7 no.3
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• pp.220-226
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• 2005

We investigated the effect of $O_3$ on the photosynthetic characteristics of oriental plane (Platanus orientalis L.) that is used as a side tree or ornamental tree in Korea. Two-year-old oriental plane seedlings were transplanted to pots and transferred into a closed $O_3$ chamber, Photosynthetic pigment content and photosynthetic characteristics of leaves were measured every three weeks during 100 ppb $O_3$ fumigation. There was no visible foliar injury by $O_3$ exposure and the content of photosynthetic pigments did not show significant differences between control and $O_3$-treated seedlings. But photosynthetic rate, stomatal conductance, and water use efficiency in leaves of $O_3$-treated seedlings were reduced after six weeks of ozone fumigation. In addition, reduction of carboxylation efficiency and photochemical efficiency was observed in leaves of $O_3$-treated seedlings after three weeks and six weeks. In accordance with our results, carboxylation efficiency, the most sensitive parameter to $O_3$ stress, was considered to be a suitable indicator of $O_3$ sensitivity.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.16 no.11
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• pp.1084-1094
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• 1991

Upon introducing satellite communication system to korea, one of the important problems to copy with is the effect from the probable intentional interference i. e. jamming. In this paper, we have considered the M any PSK signal and the soft limiter type, which contains hard limiter, nonhnear satellite transponder in environments of uplink tone or noise jamming plus Gaussian noise and downlink Gaussian noise. Using the derived error rate equation, we have evaluated numerically the error performance of BPSK and QPSK system, and shown in figures in terms of upink and downink earner to jamming rater(CJR) and limiting level. From the results we have known that tone jamming effect on the error performance in BPSK and QPSK signals in nonlinear satelhie shnnel become less with increasing the uplink CNR and with decreasing the liniting level. And in a tone jamming, the limiting level affects hardly on the error performance of both BPSK and QPSK signals. When limiting leveri is zero, BPSK and QPSK signals show the best error rate performance.