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Validation of the Short Form Bobath Memorial Hospital Fall Risk Assessment Scale at a Specialized Geriatric Hospital in Korea (단축형 노인 낙상위험 사정도구의 타당도)

  • Sohng, Kyeong-Yae;Park, Mi Hwa;Chaung, Seung Kyo;Park, Hye Ja
    • Journal of Korean Public Health Nursing
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    • v.28 no.3
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    • pp.495-508
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    • 2014
  • Purpose: This study was conducted in order to evaluate the reliability, validity, sensitivity, and specificity of the Short Form of Bobath Memorial Hospital Fall Risk Assessment Scale (BMFRAS-SF). Methods: A validation study was conducted on 207 elderly patients aged over 65 who were admitted to Bobath Memorial Hospital. Fall risk scores of BMFRAS, composed of eight subscales (age, fall history, physical activity, consciousness level, communication, fall risk factors, underlying disease, and medications) were assessed from the electronic medical record. BMFRAS-SF was derived from eight subscales of the BMFRAS representing the significance between fallers and non-fallers (fall history, physical activity, fall risk factors, underlying disease, and medications). Internal consistency reliability and interrater reliability were assessed by Cronbach's alpha and kappa coefficient. Validity was assessed by Spearman correlation analysis, factor analysis. Sensitivity, specificity, positive predictive and negative predictive values, and a receiver-operating characteristic curve (ROC) were generated. Results: Fallers had significantly higher risk scores than non-fallers in fall history, physical activity, fall risk factors, underlying disease, and medication scales. The BMFRAS-SF demonstrated acceptable Cronbach's alpha (.706) and kappa coefficients of .95. The BMFRAS-SF subscales showed good convergent validity and construct validity. The BMFRAS-SF presented good sensitivity(86.7%), specificity(67.9%), positive predictive value(42.9%) and good negative predictive value(94.8%) at a cut-off score of 5. Areas under the ROC curves were .860 for the BMFRAS and .861 for the BMFRAS-SF. Conclusion: The BMFRAS-SF was proved to be reliable and valid. It could be used for time-saving assessment and evaluation of the high risks for falls in clinical practice settings.

Degradation of PAHs in Aqueous Solution by UV Energy and Ultrasonic Irradiation (액상 PAHs의 자외선에너지와 초음파를 이용한 분해)

  • Kwon Sung-Hyun;Kim Jong-Hyang;Cho Dae-Chul
    • Journal of Environmental Science International
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    • v.15 no.7
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    • pp.669-676
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    • 2006
  • PAHs are major pollutants that are widely distributed in soil and groundwater environment, so that may be regarded as carcinogens. We investigated the degradation kinetics of PAH in aqueous solution when low pressure UV energy and ultrasonic irradiation were applied. Phenanthrene and pyrene were used as model compounds. The degrees of degradation of these compounds with time were analyzed with a GC/MSD (SIM-mode). UV photolysis experiments showed that phenanthrene was reduced by 90 -67% at initial concentrations of 1 ppm to 8ppm whilst it decreased to 50% at 10 ppm. Under the same conditions pyrene was degraded up to about 75% at lower initial concentrations but the reduction efficiency dropped to a level of 34 to 29% at the higher concentrations above 8 ppm. The reaction orders for phenanthrene and pyrene were found to be zero-th and ca. -0.4th order, respectively, thus implying that the reported assumption of pseudo 1st order reaction for some PAHs would be no longer valid. PAH degradation was roughly proportional to the intensity of UV (number of lamps), exhibiting maximum 92.5% of the degradation efficiency. The solution pH was lowered to 4.4 from 6.4 during the experiments partially because the carbons decomposed by the energy reacted with oxygen radicals to produce carbon dioxides. Ultrasonic irradiation on phenanthrene solutions gave relatively poor results which matched to 50 to 70% of degradation efficiency even at 2 ppm of initial concentration. Phenanthrene was found to be degraded more efficiently than pyrene for the two energy sources. Ultrasound also followed the same reaction kinetics as UV energy on PAH degradation.

A Case Study of Chronic Anal Fissure Treated With Chijasi-tang and Counseling (8년 동안 진행된 만성치열(Chronic anal fissure) 환자에게 치자시탕과 상담요법을 사용하여 호전된 치험 1례)

  • Lee, Soong-in;Cho, Min-seok;Lee, Sung-jun;Jeong, Jong-kil
    • Herbal Formula Science
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    • v.23 no.1
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    • pp.161-169
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    • 2015
  • Objectives : This study is aimed to report the outcomes of the treatment of a patient with chronic anal fissure during a 8-year period. Methods : Basic patient’s data was analyzed as a CARE guideline. And related psychological state was measured with BAI, STAI-X-II test. Results : The treatment is based on Shanghanlun and the patient reported better outcomes. The main symptoms of the patient were chronic constipation, blood in the stool. The main clinical findings were that the patient’s symptoms got worse during the examination period because of the anxiety of the exam. And loss of appetite and digestive disorders are due to Jue-Yin-Bing(厥陰病) and the clue of bleeding can be found in article 375 in Shanghanlun. The main diagnoses was chronic anal fissure and main interventions were Chijasi-tang according to article 375 in Shanghanlun and counseling on anxiety. As a results bleeding has stopped after taking herbal medicine and constipation has been treated at the same time. After 6 months, the patient performed BAI, STAI-X-II test and scores got lowered indicating decreasing anxiety level. Conclusion : Chijasi-tang with counseling achieved valid positive results to the patient with chronic anal fissure.

A Study of Factors Affecting Intention to Use of Using Technology-based Self-services for Smart Airport (스마트 공항 추진을 위한 기술기반셀프서비스의 사용의도에 영향을 미치는 요인에 관한 연구)

  • Bae, Ji Hyun;Park, Jihye;Lee, Hanna;Choi, Jeongil
    • Journal of Korean Society for Quality Management
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    • v.47 no.4
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    • pp.795-806
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    • 2019
  • Purpose: The purpose of this study was to propose useful suggestions by analyzing the causal relationship between technology-based self-service for smart airport and intention to use. Methods: The data was collected by using the structured questionnaires. The proposed research model is tested using 231 valid questionnaires by R.3.2.1 plspm package. Results: The results of this study are as follows; the effecting factors of technology based self service for introducing smart airport, it was found that the effects of personal innovativeness and enjoyment and responsiveness, social impact were significant for acceptance and personal innovativeness was not significant on perceived usefulness. This study suggests significant factors on the implementation of smart airports and technology-based self-service. It also introduced new technologies in the future by looking at various characteristic factors that affect the intention of using technology-based self-service to promote smart airports. Conclusion: Airports and aviation industries need to have easy access to the airport's technology-based self-services to build a successful smart airport and create an environment that can be used appropriately at the time the customer wants. Also when customers use technology-based self-service devices, they should consider to maximize the positive emotions (emotional values such as pleasure or fun) that customers feel.

Degradation Phenomena of Wooden Pillars in the Main Hall of the Fengguo Monastery, Yixian, Liaoning, China - Scientific Investigation with XRD, IC, and FTIR Analysis -

  • Zhou, Yishan;Matsui, Toshiya;Liu, Cheng;Wang, Fei
    • Journal of Conservation Science
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    • v.36 no.1
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    • pp.15-27
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    • 2020
  • The Main Hall of the Fengguo monastery in Yixian county, Liaoning province, China, is the best preserved and largest wooden Buddhist structure, typical of the Liao dynasty style, in China. However, some degradation to the timber frame of the Main Hall has been noted, and this is causing concern in terms of the long-term preservation of the structure. In this study, wooden pillars showing the degradation phenomena of whitening, for areas in contact with the stone floor, and extensive surface damage at higher locations(mostly above 1 m) have been examined. Samples taken from wooden pillar surfaces were analyzed using X-ray powder diffraction, Fourier-transform infrared spectroscopy(FTIR), ion chromatography, and pH measurements. With respect to the whitening phenomenon, we found inorganic calcium precipitates and oxalate ions, along with higher pH values. These symptoms indicated that chemical changes were taking place in response to alkaline conditions, suggesting that alkaline mixtures with calcium content in the foundations may be responsible. Regarding the upper surface-damaged areas, no valid evidence for chemical degradation was found using FTIR analysis, while damaged areas exhibited the presence of more bat guano-related materials than which were apparent in undamaged areas. The occurrence of this surface-damaged phenomenon has therefore been attributed to physical damage caused by bat activity over long periods of time.

An Analysis of User Satisfaction on a Case of D Children's Library Website (어린이도서관 웹사이트 이용자 만족도 분석: D 어린이도서관 사례중심으로)

  • Bae, Youngmi;Kim, Heesop
    • Journal of the Korean Society for information Management
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    • v.30 no.2
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    • pp.7-33
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    • 2013
  • The purpose of this study is to analyze the user satisfaction, royalty and compliant of a children's library Website. To achieve the aim of this study a modified Kim and Park's model of the user satisfaction index which consists of information quality, service quality, and system quality dimension is adopted. A total of 130 valid responses to the questionnaire were analysed using SPSS 18. It is found that the higher the user satisfaction gives the higher the royalty and the lower the compliant. For the contents quality dimension, the items of Usability, Accuracy, Easy of understand, Reliability and Up-to-date; for the service quality dimension, the items of Interface design, Reliability, Responsiveness, and Empathy; for the system quality dimension, the items of Response time, Interactive, Easy to access, and Easy to use show a significant relationships to the users' satisfaction.

A Study on the Quality of Mobile Web Service for Environment Landscape Architecture - Focus on Korean Professional Portal Site, Lafent - (환경조경 이동통신용 웹의 서비스 품질 연구 - 전문포털사이트 라펜트를 중심으로 -)

  • Choi, Ja-Ho;Oh, Jeong-Hak
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.23 no.2
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    • pp.17-31
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    • 2020
  • In the field of environmental landscape architecture, the internet medium is used as an effective communication tool not only in the private level but also in the policy level. Recently, the active utilization of mobile web service is emphasized as the time changes, but there is not much improvement or advance in services due to lack of relevant studies. Therefore, this study is intended to provide basic data needed for improvement and advance by researching the quality of mobile web service among multichannel services provided in environmental landscape architecture related internet media. The model for measuring service quality is SERVQUAL, which was verified in the study of Choi(2015), Choi and Koo(2016), and the final valid samples are total 230. First, the subjects were analyzed as the representative media that are possible to acquire comprehensive knowledge related to environmental landscape architecture. Second, the highest importance level in each subsection was 'protection and security maintenance of customer information' followed by 'Reliability about accurate information supply'. Regarding performance level, 'Reliability about accurate information supply' and 'professional knowledge to communicate with users' are highly evaluated. Third, regarding Importance-Performance Analysis(IPA), the first priority management should is 'Tangibles', and the next are 'Responsibility' and 'Empathy'. The ones for maintenance of the status quo are 'Reliability' and 'Assurance', and there is none for effort reduction. Meanwhile, regarding the importance of each factor and difference in the quality of PC web service and mobile web service studied before, the biggest difference is in 'Tangibles', followed by 'Assurance', 'Empathy', 'Responsibility' and 'Reliability'. It is suggested that the revitalization of Landscape information science(LB1106) presented in the National Science&Technology Standard Classification System is needed. In the future, it is necessary to research the change trend on users' response through continuous evaluation of improved mobile web service.

Challenges in fibromyalgia diagnosis: from meaning of symptoms to fibromyalgia labeling

  • Bidari, Ali;Parsa, Banafsheh Ghavidel;Ghalehbaghi, Babak
    • The Korean Journal of Pain
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    • v.31 no.3
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    • pp.147-154
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    • 2018
  • Fibromyalgia (FM) is a contested illness with ill-defined boundaries. There is no clearly defined cut-point that separates FM from non-FM. Diagnosis of FM has been faced with several challenges that occur, including patients' health care-seeking behavior, symptoms recognition, and FM labeling by physicians. This review focuses on important but less visible factors that have a profound influence on under- or over-diagnosis of FM. FM shows different phenotypes and disease expression in patients and even in one patient over time. Psychosocial and cultural factors seem to be a contemporary ferment in FM which play a major role in physician diagnosis even more than having severe symptom levels in FM patients. Although the FM criteria are the only current methods which can be used for classification of FM patients in surveys, research, and clinical settings, there are several key pieces missing in the fibromyalgia diagnostic puzzle, such as invalidation, psychosocial factors, and heterogeneous disease expression. Regarding the complex nature of FM, as well as the arbitrary and illusory constructs of the existing FM criteria, FM diagnosis frequently fails to provide a clinical diagnosis fit to reality. A physicians' judgment, obtained in real communicative environments with patients, beyond the existing constructional scores, seems the only reliable way for more valid diagnoses. It plays a pivotal role in the meaning and conceptualization of symptoms and psychosocial factors, making diagnoses and labeling of FM. It is better to see FM as a whole, not as a medical specialty or constructional scores.

The Importance of Food Open Challenge Test in Atopic Dermatitis: The Comparison of Allergy History, Skin-Prick Test, and Specific IgE Detection

  • Noh, Geun-Woong;Ji, Eun-Jung;Park, Jung-Nan;Kim, Kyung-Hee;Do, Min-Hee;Lee, Eung-Kyung;Lee, Sang-Sun
    • Nutritional Sciences
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    • v.2 no.2
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    • pp.119-124
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    • 1999
  • Food allergies play an important role in Atopic Dermatitis (AD). Dietary manipulation is essential in the management of AD. However, there has been a paucity of data reporting the prevalence of food allergies in AD patients in Korea. In this study, the Food Open Challenge Tests (FOCT) were conducted to investigate food allergies in AD patients. The skin-prick test and the detection of specific IgE, as well as allergy history of patient were used to detect food allergies in all AD patients. Elimination diet was conducted for two weeks prior to FOCTs. The prevalence of food allergies by FOCT is as follows: milk (67.3%); chicken (64.2%); pork (62.8%); eggs (61.0%); beef(55.4%) ; wheat (52.0%) and soybean (45.2%). Allergenic food items in Korean AD patients were different from people in other foreign countries. The seven major foods those tested positively by FOCTs were completely eliminated from the replaced diets for two weeks, and were subsequently reintroduced one at a time. Results from FOCTs were not comparable with allergy history or skin-prick tests or specific IgE detection. The sensitivity and specificity of skin-prick tests and specific IgE detection were lower than FOCTs. Allergy history, skin-prick tests, and specific IgE detection are useful for the identification of food allergen but its clinical significance differed according to food items. Therefore, we conclude that even though a 10-day delay was necessary after food challenge, FOCT is a useful and valid method to confirm food allergies and may be essential for the effective control of food allergies for treatment of AD.

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Ground State Computation of Interacting Fermion Systems by using Advanced Stochastic Diagonalization (진보된 혼돈 대각화 방법을 이용한 상호작용하는 페르미온 계의 기저상태 계산)

  • Ahn, Sul-Ah;Cho, Myoung Won
    • Proceedings of the Korea Contents Association Conference
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    • 2007.11a
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    • pp.209-211
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    • 2007
  • The computational time of Stocahstic Diagonalization (SD) calculation for 2-dimensional interacting fermion systems is reduced by using several methods including symmetry operations. First, each lattice is subdivided into spin-up and spin-down lattices separately, thus allowing a bi-partite lattice. A valid basis state is then obtained from stacking up an up-spin configuration on top of a down-spin configuration. As a consequence, the memory space to be used in saving the trial basis state reduces significantly. Secondly, the matrix elements of a Hamiltonianin are reconrded in a look-up table when making basis state set. Thus the repeated calculation of the matrix elements of the Hamiltonian are avoided during SD process. Thirdly, by applying symmetry operations to the basis state set the original basis state is transformed to a new basis state whose elements are the eigenvectors of the symmetry operations. The ground state wavefunction is constructed from the elements of symmetric - bonding state - basis state set. As a result, the total number of basis states involved in SD calculation is reduced upto 50 percentage by using symmetry operations.

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