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Development of measurement scale for Korean scaling fear-1.1 (한국형 스케일링두려움 측정도구 개발(KSF-1.1))

  • Cho, Myung-Sook;Yi, Seung-Ju
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.4
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    • pp.675-684
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    • 2012
  • Objectives : The purpose of this study was to develop an instrument for Korean Scaling Fear (KSF)-1.1 in scaling patients. Methods : 402 sample size for scaling patients was studied in Daegu city in July and August of 2011. Mean and standard deviation was calculated in 3 dimensions(FWS: fear while scaling, DDH: distrust on dental hygienist, FAS: fear after scaling). Results : Age of 402 subjects was 36.5 years. In analyzing reliability for item-level, a range of correlation coefficient(${\alpha}$) on item-internal consistency(FWS, DDH, and FAS) was 0.58~0.88(${\alpha}$=0.90), 0.40~0.71(${\alpha}$=0.82), and 0.54~0.63(${\alpha}$=0.82), respectively. Floor(%) and ceiling(%) value on 3 dimensions were also 9.2% and 4.0%, 12.4% and 0.5%, and 17.7% and 1.2%, respectively, therefore, we found statistically high reliability for those(p<0.001). With explanatory factor analysis, this study could generate 3 dimensions(factor 1, eigenvalue 5.41, proportion 0.49; factor 2, eigenvalue 1.50, proportion 0.14; factor 3, eigenvalue 1.04, proportion 0.09) and 11 sub-scales. Also confirmatory factor analysis results showed that the KSF1.1 model was fitted very well in analysis of model fit($x^2$=112.94, df=41, p=0.000; goodness of fit index=0.95; adjusted goodness of fit index=0.92; root mean square residual=0.057). Conclusions : In conclusion, The findings of this study showed that developed reliable and valid instrument for measuring the KSF1.1 in the scaling patients.

A Study on the Design of Relocatable Wall System for Office Environment (사무환경을 위한 조립형 벽체 시스템 디자인에 관한 연구)

  • 류호창
    • Archives of design research
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    • v.16 no.1
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    • pp.251-260
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    • 2003
  • The fact that office environment is a principal factor affecting work efficiency is widely accepted. Under such a circumstance, developing relocatable office wall systems is highly required. Psychological, physiological, and economical factors, along with physical factors, should be considered to develope a office wall system. More specifically, competitive price, relocatable efficiency, structural stability, fast installation, health and safety, and aesthetic satisfaction are typical determinants. The evaluation results of newly developed wall system are as below: 1) Panel structural system added with the merits of frame structural system can be studied to accomplish minimal disruption to workplace and better finish details. 2) To cover up the existing interior defects such as uneven floor and ceiling, flexible solutions must be studied especially when panel structural system is accepted. 3) More consideration must be given to finish materials, section details, sound blocking and absorbtion to enhance the satisfaction level.

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An Aanalysis of Predictive Factors of Medical Service Overuse for Inpatients Applied Out-of-Pocket Maximum in Long-Term Care Hospitals in South Korea (본인부담상한제 적용 요양병원 환자의 의료이용가수요 예측요인 분석)

  • Lim, Seungji;Shin, Hannah
    • Health Policy and Management
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    • v.30 no.1
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    • pp.72-81
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    • 2020
  • Background: The out-of-pocket maximum is one of the distinctive healthcare systems which sets a ceiling on co-payment in order to reduce the burden of households from the unpredictable medical expenditure. However, this leads to an increase in the demand for healthcare services especially in long-term care hospitals (LTCHs) in Korea. Methods: This study analyzed the influence factor of medical service overuse of 165,592 inpatients in LTCHs which out-of-pocket maximum is applied, by utilizing data from the National Health Insurance Service (2016). Based on Anderson Model, the medical service overuse, as a dependent variable, was defined as long-stay admission more than 180 days at the LTCHs. Independent variable was comprised of predisposing factors (gender, age), enabling factors (income level, types of out-of-pocket maximum) and need factors (illness level, patient use of tertiary hospital). Results: The most powerful factor of medical service overuse in LTCHs was availability of pre-payment for the out-of-maximum (odds ratio [OR], 191.66; p<0.001). This tendency was found in high income level status (p<0.001). Furthermore, mild inpatients (OR, 1.50; p<0.001) which had no experience with the tertiary hospitals (OR, 2.06; p<0.001) were more relevant to the medical service overuse in LTCHs, compared to the severe inpatients. Conclusion: It is suggested that a separate standard of out-of pocket maximum with regards to LTCHs is required to secure the beneficial functions of long-term hospitals and prevent unnecessary financial leakage to achieve sustainable and financially sound National Health Insurance.

A Study on the Improvement of Architectural Acoustic Performance in the Large Gymnasium (대형(大形) 실내체육관(室內體育館)의 건축음향성능(建築音響性能) 개선(改選)에 관(關)한 연구(硏究))

  • Yun, Jae-Hyun;Kim, Jae-Soo
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2008.04a
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    • pp.421-426
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    • 2008
  • In case of the large-scaled indoor gymnasium that has been constructed in the local area, there are many instances for the use as multipurpose space where the public performances are possible such as leisure activity, lecture, assembling activity, drama, concert and so on for the resident together with the purpose of sporting facility. In order for utilization to the maximum of the function of such indoor gymnasium, the acoustic capabilities concerned with Definition of both Voice and Music are simultaneously required. However, in case of the large-scaled athletic facility, since it was designed with high ceiling-height in view of its characteristics, it forms a Sound Focus and then the sound is concentrating to the specific part, and because the vibration of sound is too loud due to its broad volume, the acoustic defects such as many Echoes are arising. On such viewpoint, based on the drawing of the indoor gymnasium that is scheduled to be built at B County, Chonbuk Province, this Study has proposed such indoor gymnasium equipped with the optimized acoustic condition passing through Acoustic Simulation Phase. As the result of Acoustic Simulation, we could design the indoor gymnasium that equipped with really satisfying acoustic performance 'after' reformation compared with 'before' reformation, and it is considering that such material could be utilized as the fundamental material that brings a curtailment effect of the construction cost and also enables us to improve the acoustic performance, at the stage of planning and designing for the similar sporting facility in the future.

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Housing Conditions of the Elderly Living Alone in Gunsan City (군산시 독거노인의 거주환경실태)

  • Rhee, Ji-Sook;Kang, Young-Sook;Ryou, Ok-Soon
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2008.04a
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    • pp.323-327
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    • 2008
  • The population of the elderly and elderly living alone goes on increasing. Most elderly does not want to move into another place out of their present living environment. So it is essential to know their living conditions for the quality of living, especially the aged living alone out of their children' care. Unfortunately there is scarcely any house designed for the aged, especially elderly living alone until now. So this study investigated the living environment of the elderly living alone in gunsan city. The ratio of the female aged living alone is about 3 times than the male but the male population is increasing. Most of them are troubled with more than a disease and use aids and feel the necessity of the others' help. The ratio of the absolute poverty among the elderly living alone is about 30%. The majority of them are almost 65-84 years old with living detached house. Most of them own their house. They living in detached house are of a mind to remodel bath/toilet first of all and they living in apartment or row houses have a intention of remodeling an air conditioner and paper walls and ceiling and flooring of all things in house. As the bath and restroom have been pointed as a dangerous space for elderly, the elderly living alone pointed out them as to be remodeled. It seemed the air conditioner in house do not work well in view of their poor economic condition. For the elderly It is needed economic and institutional supports of private organization or government.

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How Different are Learner Speech and Loanword Phonology?

  • Kim, Jong-Mi
    • Phonetics and Speech Sciences
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    • v.1 no.3
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    • pp.3-18
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    • 2009
  • Do loanword properties emerge in the acquisition of a foreign language and if so, how? Classic studies in adult language learning assumed loanword properties that range from near-ceiling to near-chance level of appearance depending on speech proficiency. The present research argues that such variations reflect different phonological types, rather than speech proficiency. To investigate the difference between learner speech and loanword phonology, the current research analyzes the speech data from five different proficiency levels of 92 Korean speakers who read 19 pairs of English words and sentences that contained loanwords. The experimental method is primarily an acoustical one, by which the phonological cause in the loanwords (e.g., the insertion of [$\Box$] at the end of the word stamp) would be attested to appear in learner speech, in comparison with native speech from 11 English speakers and 11 Korean speakers. The data investigated for the research are of segment deletion, insertion, substitution, and alternation in both learner speech and the native speech. The results indicate that learner speech does not present the loanword properties in many cases, but depends on the types of phonological causes. The relatively easy acquisition of target pronunciation is evidenced in the cases of segment deletion, insertion, substitution, and alternation, except when the loanword property involves the successful command of the target phonology such as the de-aspiration of [p] in apple. Such a case of difficult learning draws a sharp distinction from the cases of easy learning in the development of learner speech, particularly beyond the intermediate level of proficiency. Overall, learner speech departs from loanword phonology and develops toward the native speech value, depending on phonological contrasts in the native and foreign languages.

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A Study on the Stability of the Single-Layer Latticed Dome during Erection Using the Step-Up Method (Step-Up 공법에 의한 단층래티스돔의 시공시 안정성 연구)

  • Koo, Choong-Mo;Jung, Hwan-Mok;Kim, Cheol-Hwan
    • Journal of Korean Association for Spatial Structures
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    • v.12 no.4
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    • pp.109-118
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    • 2012
  • The large-space single-layer lattice dome is relatively simpler in terms of the arrangement of the various framework members and of the design of the junction than the multi-layered lattice dome, can reduce the numbers and quantity of the framework members, and has the merit of exposing the beauty of the framework as it stands. The single-layer lattice dome, however, requires a stability investigation of the whole structure itself, along with an analysis of the stress of the framework members, because an unstable phenomenon called "buckling" occurs when its weight reaches critical levels. Many researchers have systematically conducted researches on the stability evaluation of the single-layer lattice dome. No construction case of a single-layer lattice dome with a 300-m-long span, however, has yet been reported anywhere in the world. The large-space dome structure is difficult to erect due to the gigantic span and higher ceiling compared with other common buildings, and its construction cost is generally huge. The method of erecting a structure causes major differences in the construction cost and period. Therefore, many researchers have been conducting various researches on the method of erecting such structure. The step-up method developed by these authors can reduce the construction cost and period to a great extent compared with the other general methods, but the application of this method inevitably requires the development of system supports in the center section as well as pre-existing supports in the boundary sections. In this research, the safety during the construction of a single-layer lattice dome with 300-m-long span using pre-existing materials was examined in the aspect of structural strength, and the basic data required for manufacturing the supports in the application of the step-up method developed by these authors during the erection of the roof structure were obtained.

Effects of Passive Scapular Alignment on Electromyographic Activity of Trapezius in People With Shortness of Pectoralis Minor Muscle (수동적 어깨뼈 정렬이 작은가슴근 단축된 사람의 등세모근 근활성도에 미치는 영향)

  • Choi, Ji-Young;Jang, Jun-Hyeok;Oh, Jae-Seop
    • Physical Therapy Korea
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    • v.19 no.2
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    • pp.12-19
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    • 2012
  • The purpose of this study was to assess the influence of scapular alignment on the electromyographic (EMG) activity of the trapezius in people with a short pectoralis minor muscle. For the study, we recruited 15 volunteers who had positive results for short on a pectoralis minor muscle length test. We measured the EMG activity of the upper, middle and lower trapezius muscles. The participants lifted their dominant arm to ear level with the thumb up toward the ceiling in the prone position on a table with the shoulder at a flexion angle of 180 degrees and a horizontal abduction angle of 120 degrees. Scapula was manually aligned by an experienced physical therapist prior to arm lift for the scapular alignment condition. A paired t-test was used to compare the effects of scapular alignment on the EMG activity of the trapezius muscles. The EMG activity of the lower trapezius muscle was significantly increased during the test with the scapular alignment compared to that without scapular alignment (p<.05), while the upper trapezius and middle trapezius exhibited no significant difference between the two conditions (p>.05). The findings of this study suggest that a scapular alignment may alter the recruitment of the lower trapezius muscle during arm lifting in the prone position in people with a short pectoralis minor muscle.

Construct Validity of a Korean Version of the WHOQOL-BREF and EQ-5D Questionnaire Applied on Various Cancer Survivors Undergoing Palliative Rehabilitation Programs

  • Choi, Bong-sam
    • Physical Therapy Korea
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    • v.27 no.3
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    • pp.212-219
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    • 2020
  • Background: Although the original version of the health-related quality of life (HRQOL) questionnaires are found to be acceptable, the cross-culturally adapted versions may not be comparable to their original version. Objects: To examine dimensionality and construct validity of two Korean versions of the brief version of the World Health Organization Quality of Life (WHOQOL-BREF) and EuroQOL-5 dimension (EQ-5D) questionnaires. Methods: A total of 77 cancer survivors undergoing palliative rehabilitation programs from two rehabilitation institutes was recruited from April 16, 2018 to June 26, 2019. The WHOQOL-BREF and the EQ-5D were filled out by the various cancer survivors following a particular session of rehabilitation programs. The scores were analyzed with Winsteps Rasch analysis computer program using the rating scale model. Rasch fit statistics were used to determine the dimensionality and the item difficulty calibrations of WHOQOL-BREF and EQ-5D. Results: All items except two, negative feeling, need treatment function and pain prevent activity (mean square [MnSq] = 2.42, 1.82 and 2.51, respectively), were found to be acceptable, while two items of the EQ-5D, anxiety/depression and self-care, were misfit (infit MnSq = 1.65 and 0.38, respectively). Item difficulty calibrations of WHOQOL-BREF match person ability measures (i.e., HRQOL) fairly well. However, the person ability distribution showed obvious ceiling effects for EQ-5D. All items of EQ-5D were appeared to be less challenged in comparison with those of WHOQOL-BREF. Conclusion: Item-level analysis using the Rasch model supports the quality of culturally adapted items used to measure the HRQOL one exception; that is, whether or not to include misfit items as part of the HRQOL measurements. Additionally, cancer survivors undergoing palliative rehabilitation programs appear to have more of a tendency to view the EQ-5D items as being more challenging than the WHOQOL-BREF.

Development of a Fall Detection System Using Fish-eye Lens Camera (어안 렌즈 카메라 영상을 이용한 기절동작 인식)

  • So, In-Mi;Han, Dae-Kyung;Kang, Sun-Kyung;Kim, Young-Un;Jong, Sung-tae
    • Journal of the Korea Society of Computer and Information
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    • v.13 no.4
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    • pp.97-103
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    • 2008
  • This study is to present a fainting motion recognizing method by using fish-eye lens images to sense emergency situations. The camera with fish-eye lens located at the center of the ceiling of the living room sends images, and then the foreground pixels are extracted by means of the adaptive background modeling method based on the Gaussian complex model, which is followed by tracing of outer points in the foreground pixel area and the elliptical mapping. During the elliptical tracing, the fish-eye lens images are converted to fluoroscope images. the size and location changes, and moving speed information are extracted to judge whether the movement, pause, and motion are similar to fainting motion. The results show that compared to using fish-eye lens image, extraction of the size and location changes. and moving speed by means of the conversed fluoroscope images has good recognition rates.

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