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Application of Rasch Analysis to the Modified Oswestry Low Back Pain Disability Questionnaire for Work-Related Low Back Pain Patients (수정된 오스웨스트리 허리기능 장애 설문지의 라쉬분석: 산업장에서의 업무관련 요통환자를 대상으로)

  • Park, So-Yeon;Oh, Jae-Seop;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.15 no.3
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    • pp.26-34
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    • 2008
  • The purposes of this study were to assess and modify the original classification categories of the modified Oswestry Low Back Pain Disability Questionnaire (ODQ) and to determine the unidimensionality of the modified ODQ applying Rasch Analysis. The data were obtained from 108 work-related low back pain patients by physical therapists. Construct validity of the scale using the Rasch model required the structure of the rating scale to be modified from 6 response levels to 4 response levels. Eight items from the modified ODQ fit the Rasch model. The items, "pain intensity" and "social life" showed misfit statistics. In general, the order of item difficulty of the remaining 8 items showed a logical item difficulty hierarchy with the "changing degree of pain" item being the most difficult and the "walk" item being the easiest. The results showed that further study is needed to expand the construct of ODQ including additional higher-level items related to work activities. This study may be useful for establishing a standard method to assess the functionality of low back pain patients.

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Factorial Validity of the Korean Version of the Illness Intrusive Rating Scale among Psychiatric Outpatients Mainly Diagnosed with Anxiety or Depressive Disorders (불안 및 우울장애를 주요 진단으로 하는 정신건강의학과 외래환자 대상 한국판 질병침습도 평가척도의 요인 타당도 연구)

  • Cho, Yubin;Kim, Daeho;Kim, Eunkyung;Jo, Hwa Yeon;Yun, Mirim;Lee, Hoseon
    • Korean Journal of Psychosomatic Medicine
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    • v.27 no.2
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    • pp.77-84
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    • 2019
  • Objectives : The Illness Intrusiveness Rating Scale (IIRS) is a well-validated self-report instrument for assessing negative impact of chronic illness and/or adverse effects of its treatment on everyday life domains. Although extensive literature probed its psychometric properties in medical illness, little attention was paid for its validity for psychiatric population. This study aimed to test factorial structure of the Korean Version of the IIRS (IIRS-K) in a consecutive sample of psychiatric outpatients. Methods : Data set of 307 first-visit patients of psychiatric clinic at Guri Hanyang univ. Hospital were used. Exploratory and confirmatory factor analysis, internal consistency were tested in IIRS-K. We also checked Spearman's correlation analysis between IIRS-K, Zung's self-report anxiety scale and Zung's self-report depression scale. Results : 76.9% of the patients were with anxiety disorder and depressive disorder. The principal component factor analysis of the IIRS-K extracted three-factor structure accounted for 63.2% of total variance that was contextually similar to the original English version. This three-factor solution showed the best fit when tested confirmatory factor analysis compared to the original IIRS, two-factor model of IIRS-K suggested from medical outpatients, and one-factor solution. The IIRS-K also showed good internal consistency (Cronbach's α=0.90) and good convergent validity with anxiety and depression scales. Conclusions : The IIRS-K showed the three-factor structure that was similar but not identical to original version. Overall, this study proved factorial validity of the IIRS-K and it can be used for Korean clinical population.

A neural network model for recognizing facial expressions based on perceptual hierarchy of facial feature points (얼굴 특징점의 지각적 위계구조에 기초한 표정인식 신경망 모형)

  • 반세범;정찬섭
    • Korean Journal of Cognitive Science
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    • v.12 no.1_2
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    • pp.77-89
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    • 2001
  • Applying perceptual hierarchy of facial feature points, a neural network model for recognizing facial expressions was designed. Input data were convolution values of 150 facial expression pictures by Gabor-filters of 5 different sizes and 8 different orientations for each of 39 mesh points defined by MPEG-4 SNHC (Synthetic/Natural Hybrid Coding). A set of multiple regression analyses was performed with the rating value of the affective states for each facial expression and the Gabor-filtered values of 39 feature points. The results show that the pleasure-displeasure dimension of affective states is mainly related to the feature points around the mouth and the eyebrows, while a arousal-sleep dimension is closely related to the feature points around eyes. For the filter sizes. the affective states were found to be mostly related to the low spatial frequency. and for the filter orientations. the oblique orientations. An optimized neural network model was designed on the basis of these results by reducing original 1560(39x5x8) input elements to 400(25x2x8) The optimized model could predict human affective rating values. up to the correlation value of 0.886 for the pleasure-displeasure, and 0.631 for the arousal-sleep. Mapping the results of the optimized model to the six basic emotional categories (happy, sad, fear, angry, surprised, disgusted) fit 74% of human responses. Results of this study imply that, using human principles of recognizing facial expressions, a system for recognizing facial expressions can be optimized even with a a relatively little amount of information.

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Reactive and Proactive Aggression, the Validation of the Reactive-Proactive Questionnaire (RPQ): Focusing on ESEM and Rasch (반응적 공격성과 주도적 공격성, Reactive-Proactive Questionnaire(RPQ) 타당화 연구: ESEM과 Rasch를 중심으로)

  • Seonyoung Park;Jonghan Sea
    • Korean Journal of Culture and Social Issue
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    • v.30 no.2
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    • pp.159-192
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    • 2024
  • The purpose of this study is to validate the Reactive-Proactive Aggression Questionnaire (RPQ), a tool for measuring reactive-proactive aggression, in the context of South Korea. A thorough translation was conducted in collaboration with the original author. An exploratory factor analysis (EFA), exploratory structural equation modeling (ESEM), rating scale model (Rasch), differential item functioning (DIF), and convergent validity were performed on a sample of 510 South Korean individuals. The results revealed a two-factor structure of reactive and proactive aggression after removing one item showing dual loading. Rating scale analysis based on the Rasch model indicated the appropriateness of the 3-point Likert scale, with all items meeting fit criteria. Although the separation index and separation reliability of proactive aggression was marginally lower, the overall discrimination between participants and items was satisfactory. Examination of participant-item distribution indicated a suitable alignment between reactive aggression and participant ability levels, whereas proactive aggression exhibited slightly elevated item difficulty. Furthermore, three items were found to function differently based on gender. A moderate but statistically significant positive correlation was found between the Barratt Impulsiveness Scale-11-R (Korean version) and RPQ from the results of the convergent validity evaluation. Overall, this study employed rigorous statistical methods to validate the suitability of the RPQ for use in Korea, taking cultural nuances into account, and introduced the concepts of reactive and proactive aggression to the Korean general population.

A Study of the Foundation Garment Manufacturing for the Well-Balanced Somatotype - With middle-aged womenhood - (체형(體型) 균형화(均衡化)를 위한 파운데이션 가먼트 제작(製作)에 관한 연구(硏究) - 장년층(長年層) 여성(女性)을 중심으로 -)

  • Choi, Mee Sung;Kim, Ok Jin
    • Journal of the Korean Society of Clothing and Textiles
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    • v.17 no.2
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    • pp.247-264
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    • 1993
  • This study deals with the manufacturing of the foundation garments for the well-balanced somatotype of the Korean middle-aged womenhood. In order to get hold of the different somatotypes, a survey of a total of 134 middle-aged women in Kwangju area, ranging in their age from 45 through 59 was made. The statistical methods used for the analysis of the basic data were the Pearson's correlation coefficient, Anova, Cluster analysis and Stepwise. Emphasis of the try-on test was placed on (1) the comparison of anthropometric data before and after trying on the foundation garments, (2) sensory evaluation, (3) a rating on fit and performance, (4) the comparison by means of photograph. The conclusions obtained are as follows : 1) The 134 women sampled and measured were classified into the five groups of somatotype : the 52 women (34%) belong to Cluster 1 ; the 22 women(14.5%) belong in Cluster 2 ; the 12 women(7.9%) belong in Cluster 3 ; the 15 women(9.9%) belong in Cluster 4 ; the 33 women(27.7%) belong to Cluster 5. 2) As for the characteristics of the foundation garment design, the V-shaped neckline and chest dart was used. The adjust point is right above the perineum point. The foundation garment length is as far as trochanteric point. The materials used are cotton/polyurethane, lace, 100%cotton. The materials used for corrections were the sponge pad for the chest, and non-woven fabric pad for the back, shoulder and the hip. 3) The comparison of the anthropometric data of the subject when dressed in foundation garments showed a significant difference in bust point height, in bust point length and in nipple-ta-nipple breadth, which proves the foundation garments to be effective in correcting such part as the chest, the hip and the abdomen. 4) As considered in terms of the sensory evaluation, the item except for the shoulder and the armhole coincided with each other in the mean value and in the composite reliability coefficient, which also proves the foundation garments to be effective. 5) Subjects were satisfactory on fit, performance, design, of the foundation garment, and their changed appearance. 6) In the case of the comparison through the photographs, the silhouettes of all the five women subjects were found effectively to be balanced.

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Public Sector Workers' Mental Health in Argentina: Comparative Psychometrics of the Perceived Stress Scale

  • Miranda, Agustin Ramiro;Scotta, Ana Veronica;Mendez, Ana Lucia;Serra, Silvana Valeria;Soria, Elio Andres
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.6
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    • pp.429-438
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    • 2020
  • Objectives: Given that Argentinian public-sector workers are highly exposed to stressful conditions, and that the psychometric properties of the widely used Perceived Stress Scale (PSS) should be evaluated in different settings, this work aimed to compare the psychometric properties of the Latin American Spanish PSS-10 and PSS-4 and to identify the optimal scale for stress assessment. Methods: A sample of 535 participants was randomly divided into 2 groups to evaluate dimensionality by exploratory and confirmatory factor analyses. The reliability of both scales was also evaluated. Convergent validity was estimated using the Executive Complaints Questionnaire, the average variance extracted, and the composite reliability. Discriminant validity was based on the correlation with the Utrecht Work Engagement Scale and the phi-square correlation between the components. Results: The factor analyses supported bidimensionality of the PSS-10 (stress and coping), which showed a better fit than the PSS-4. Moreover, the reliability of the PSS-10 was higher, whereas the PSS-4 did not achieve adequate values of internal consistency. The PSS-10 was also correlated significantly with all validation scales, and presented proper internal convergent and divergent validity. Conclusions: The PSS-10 is a reliable and structurally valid instrument to measure perceived stress and coping in a Latin American Spanish-speaking population with high work demands, and the findings of this study expand our knowledge on the geographical and sociocultural applicability of the PSS.

Early complications and performance of 327 heat-pressed lithium disilicate crowns up to five years

  • Huettig, Fabian;Gehrke, Ulf Peter
    • The Journal of Advanced Prosthodontics
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    • v.8 no.3
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    • pp.194-200
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    • 2016
  • PURPOSE. The prospective follow-up aimed to assess the performance of lithium disilicate crowns and clinical reasons of adverse events compromising survival and quality. MATERIALS AND METHODS. 58 patients were treated with 375 heat-pressed monolithic crowns, which were bonded with resin cement. Annual recalls up to five years included a complete dental examination as well as quality assessment using CDA-criteria. Any need for clinical intervention led to higher complication rate and any failure compromised the survival rate. Kaplan-Meier-method was applied to all crowns and a dataset containing one randomly selected crown from each patient. RESULTS. Due to drop-outs, 45 patients (31 females, 14 males) with the average age of 43 years (range = 17-73) who had 327 crowns (176 anterior, 151 posterior; 203 upper jaw, 124 lower jaw) were observed and evaluated for between 4 and 51 months (median = 28). Observation revealed 4 chippings, 3 losses of retention, 3 fractures, 3 secondary caries, 1 endodontic problem, and 1 tooth fracture. Four crowns had to be removed. Survival and complication rate was estimated 98.2% and 5.4% at 24 months, and 96.8% and 7.1% at 48 months. The complication rate was significantly higher for root canal treated teeth (12%, P<.01) at 24 months. At the last observation, over 90% of all crowns showed excellent ratings (CDA-rating Alfa) for color, marginal fit, and caries. CONCLUSION. Heat pressed lithium disilicate crowns showed an excellent performance. Besides a careful luting, dentists should be aware of patients' biological prerequisites (grade of caries, oral hygiene) to reach full success with these crowns.

Prevalence and Risk Factors of Dementia in the Community Elderly (지역사회 노인 치매 유병율과 위험인자)

  • Park, Nam-Hee;Lee, Youn-Mee;E, Lu-Rie
    • Research in Community and Public Health Nursing
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    • v.19 no.1
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    • pp.36-45
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    • 2008
  • Purpose: This study was to estimate the prevalence of dementia in order to estimate the associations of dementia with its risk factors in the community elderly. Methods: The multistage random cluster sampling method was used to select the subjects. The response rate was 94.3%. For the 1st stage screening survey, the Korean-version Mini-Mental State Examination (K-MMSE) and the Bathel Index of activities of daily living (ADL) and instrumental activities of daily living (IADL) were used as primary screening tools. At the 2nd stage. diagnoses were confirmed according to the Clinical Dementia Rating Scale (CBR) and Computer Tomogram (CT). Results: Age-sex adjusted prevalence (%) [95% CI] of dementia was 6.25% [4.47-7.83] (male 4.21% [2.40-6.02]; female 8.28% [5.71-10.85]). Four statistically significant risk factors of the dementia were identified: age 70-74 (OR=1.367), age 75-79 (OR=1.712), age 80-84 (OR=2.465), age 85 over (OR=7.363) illiteracy (OR=3.827); unconsciousness after head injury (OR=3.383), and no exercise (OR=2.188). Hosmer and Lemeshow goodness-of-fit index of dementia risk model was E (legit of dementia)= -4.337+$0.312^*Age(70{\sim}74)+0.538^*Age(75{\sim}79)+0.902^*Age(80{\sim}84)+1.996^*Age$(85over)+$1.342^*$Illiteracy+$1.219^*$Unconsciousness after head trauma+$0.783^*$No exercise. We confirmed that the overall prevalence of dementia in adults aged 65 and older was 94.3%. The risk factors of dementia were explained by age, illiteracy unconsciousness after head trauma and no exercise. Conclusion: These data have been used to estimate the incidence of dementia in elderly community population and to manage the possible role of risk factors as predictors of dementia.

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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.

A Study on the Development of T-Shirt Pattern using Circular Knit - For Women in Early Twenties - (환편 니트 직물의 티셔츠 패턴 개발에 관한 연구 - 20대 초반 성인 여성을 중심으로 -)

  • Park, Kyeong-Soon;Park, Sun-Kyung
    • The Research Journal of the Costume Culture
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    • v.19 no.4
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    • pp.674-696
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    • 2011
  • Recent change in consumption patterns, casual clothing market share is growing. Awareness about the quality of the product for a variety of consumer needs are becoming. Accordingly, stretch material items that satisfy modern production and consumption is increasing. Among them, circular knit and woven fabrics with different characteristics have. However, this requires a consideration of the pattern graphics, this study is not getting enough. The purpose of this study is to develop a T-shirt using circular knit pattern for women in early twenties. Through the research of literature and a survey on T-shirt patterns of ready-to-wear manufactures and training for the pattern 4 T-shirt patterns were selected. Eight women in early twenties who fit the bodily standard were selected for the test. Subjects who were tested by wearing a T-shirt made of 30's cotton circular knit. Drafting method of T-shirt pattern which were closed to the optimum value three, derived from the five point rating scale outfit test were selected and the differences between the values of the selected drafting methods and the optimum three were verified. Passed by the test of 2 times and the final research T-shirt pattern was developed through adjusting from the optimum value three. The form which is whole is a silhouette closely in the body and drafting method the elasticity and drapery considered the quality of the circular knit where the characteristic is excellent.