Background: The progressive digitalization of contemporary life, coupled with prolonged sedentary behavior, has contributed to the widespread occurrence of forward head posture (FHP) in the general population. Among the various exercise interventions aimed at correcting FHP, stretching exercises and proprioceptive training have garnered significant attention. Objectives: To investigate the effects of stretching exercises and proprioceptive training on craniovertebral angle (CVA), an indicator of forward head posture (FHP), and on the muscle tone of the suboccipital muscles. Design: Randomized controlled trial. Methods: Thirty participants were randomly assigned to either the stretching exercise group (n=15) or the proprioceptive training group (n=15), and each group underwent intervention three times per week for six weeks. CVA and muscle tone of the suboccipital muscles were measured before and after the six-week intervention, and the results were statistically analyzed for comparison. Results: Both groups showed a significant increase in CVA after the intervention (P<.05), with no significant difference between the groups. The muscle tone of the suboccipital muscles did not show statistically significant changes either within or between the groups. Conclusion: Six weeks of stretching exercise and proprioceptive training both resulted in a significant increase in CVA, demonstrating that both interventions are effective in improving FHP. However, neither intervention produced significant changes in the muscle tone of the suboccipital muscles.

Purpose This study aimed to develop and evaluate a simulation-based autotransfusion device training program to enhance the clinical performance, performance confidence, and educational satisfaction of post-anesthesia care unit (PACU) nurses. Methods: A single-group pretestposttest study was conducted with 30 PACU nurses. The program, based on the ADDIE model, included orientation, simulation training, and debriefing. Data were collected using validated tools before and after the program and analyzed using the Wilcoxon signed-rank test. Results: Clinical performance improved from a median of 30.00 to 43.00 (Z =−4.78, p < .001). Performance confidence increased from 31.00 to 47.50 (Z =−4.71, p < .001), while educational satisfaction rose from 26.00 to 40.00 (Z =−4.73, p < .001). Conclusions: The simulation-based program effectively enhanced the clinical performance, performance confidence, and education satisfaction of PACU nurses. These findings underscore the value of simulation-based training for enhancing nurses’ competence in using complex, high-risk medical devices.

This study examines a digital training model for the professional development of French language educators, focusing on module-based collaborative learning. It explores the theoretical foundations of teacher development, the concept and practice of digital training, and the educational implications of modular learning design. The case study analyzes a digital training program jointly operated by FEI and CNED in July 2020, which involved over 24,000 educators from 162 countries. Comprising eight modules, the program integrated digital content, real-time forums, and collaborative projects. Based on participant experiences, this study identifies key characteristics of digital training and essential factors for enhancing teacher competencies. Findings suggest that digital training fosters teachers’ digital skills and practical application while yielding positive outcomes in gamification strategies and sustainable online training models. However, challenges such as technological accessibility gaps, imbalances in program design, and cultural differences persist. To address these, the study proposes adopting a hybrid education model, strengthening practice-oriented module design, and expanding collaborative learning strategies to support an effective and sustainable training framework in the digital era.

Purpose: This study aimed to develop and evaluate a simulation-based nursing education program for respiratory emergencies in critically ill, extremely low birth weight infants (ELBWIs). Methods: A single-arm quasi-experimental study was conducted with 32 neonatal intensive care unit (NICU) nurses. The program was developed systematically using the ADDIE model, incorporating needs assessment, real-case scenario development, and pilot testing. Data were collected before and after the intervention and were analyzed using paired and independent t-tests, as well as a one-way analysis of variance (ANOVA) with Scheffé post-hoc tests. Results: The results showed statistically significant improvements in participants’ problemsolving ability (t = -3.49, p = .001), clinical performance confidence (t = -4.64, p < .001), and overall clinical performance competency (t = -13.79, p < .001) following the training. The clinical relevance and feasibility of the program were supported by pilot testing and positive evaluations of the practicality and educational usefulness of the simulation scenarios. Conclusion: These findings suggest that the simulation-based program was effective in enhancing NICU nurses’ clinical competence in managing respiratory emergencies in ELBWIs and can be used as a practical alternative to traditional on-the-job training.

This study was attempted to solve the problem that the current training is not consistent with the actual working environment of the fishing vessel, even though the advanced fire extinguishing training for international fishing vessels is mandatory. As a result of the survey, the lack of timely use of fire extinguishing equipment and the difficulty of organizing the fire extinguishing organization were found, and the main problems were analyzed as low understanding of fixed fire extinguishing facilities, low awareness of fire-related laws and regulations, and inefficiency of fire extinguishing training. It was found that the current Seafarers Act does not clearly define the roles and responsibilities of advanced fire extinguishers, and lacks specific standards for designated educational institutions, so there is a problem that the accuracy and reliability of the training contents with the STCW-F Convention and STCW Convention are inconsistent. In addition, it has been confirmed that the fire extinguishing organization, internal communication, and fire extinguishing training in ships, as stipulated in international agreements, are not properly reflected in the domestic curriculum. In particular, the current training consists of general contents that do not take into account the characteristics of fishing vessels, so there is a lack of practical emergency response fire extinguishing training manuals. Therefore, this study proposes the development of customized training content for fishing vessels considering the special working environment and risk factors of fishing vessels based on international agreements, and emphasizes the need for policy support, such as strengthening participation of fishing vessels in education and training, and establishing a legal basis for the operation of emergency fire extinguishing organizations.

Background: Balance disorder is a prevalent clinical manifestation following stroke, often causing considerable discomfort and gait disability. Various water-based therapeutic approaches have been developed to address balance and gait disorder. Objects: The purpose of this study was to investigate the effects of water-based gait training using auditory stimulation on balance and gait abilities in stroke patients. Methods: All subjects were randomly divided into three groups: water-based gait training using auditory stimulation group (WAG) (n = 24), water-based gait training group (WG) (n = 24), and control group (n = 22). Subjects in WAG and WG underwent water-based gait training for 30 minutes, 3 times a week for 6 weeks. All Subjects were assessed for muscle strength, balance, gait, motor function, and activity of daily living pre- and post-intervention. Results: Results showed that all outcome measures significantly improved post-intervention (p < 0.05). Additionally, WAG was found to significantly improve in Medical Research Council (MRC), Berg Balance Scale (BBS), and Timed Up and Go (TUG) test compared to WG, and WG showed significant differences compared to the control group in MRC and Fugl-Meyer Assessment (FMA) (p < 0.05). WAG exhibited significant differences in all areas except Modified Bathel Index (MBI) in the between-group comparison with the control group (p < 0.05). Conclusion: These results suggest that water-based gait training using auditory stimulation may be effective strategy to improve muscle strength, balance and gait ability for with stroke.

본 연구는 불규칙한 파도 환경에서 선박의 횡동요 운동 특성을 토대로 내항성능 및 횡동요 주기 변화를 분석하여 실해역 운항 안전성을 평가하였다. 총톤수 3,000톤급과 9,000톤급 실습선을 대상으로 다양한 전진 속도, 파랑과의 만남각 및 유의파고 조건에서 선체 운동응답을 수치계산하였다. 불규칙파 중 선수사파 또는 선미사파 방향으로 운항하면 횡동요 운동진폭을 감소시킬수 있으며, 선미사파 (30도) 방향에서의 고속 운항은 횡동요 평균주기가 길어지기 때문에 속도를 10노트 이하로 감속하거나 선수사파 방향으로 침로를 변경하 여 운항하는 것이 안전성을 높이는 방법인 것으로 검토되었다. 본 연구는 실해역 조건에서의 내항성능을 종합적으로 평가하였으며, 안전 한 선박 운항 계획 및 실행에 활용될 수 있을 것으로 기대된다.

Background: Prolonged use of computers and mobile devices has contributed to postural abnormalities such as Rounded Shoulder Posture (RSP), which is characterized by muscle imbalances that can lead to pain and functional limitations. Correcting these imbalances through targeted stretching and strengthening exercises was expected to help improve postural alignment and muscle function. Objectives: This study aimed to investigate the effects of a six-week integrated exercise program targeting the pectoralis minor (PM), upper trapezius (UT), and lower trapezius (LT) on postural alignment and muscle activation in female adults with RSP. Design: Single-group pre-post test study. Methods: Eighteen female university students (aged 20–22 years) with RSP participated in a six-week intervention consisting of PM stretching, UT stretching, and LT strengthening exercises. RSP severity was assessed using acromion-to-ground distance, PM length was measured with a caliper, and surface electromyography (sEMG) was used to evaluate UT and LT muscle activity. Normality was verified using the Shapiro-Wilk test, and paired t-tests were conducted for statistical analysis (α=0.05). Results: After the intervention, significant improvements were observed in all measured variables. Acromion-to-ground distance decreased (P<0.001), PM length increased (P<0.001), UT activation decreased (P<0.01), and LT activation increased (P<0.01). Conclusion: The six-week integrated exercise program effectively improved postural alignment and muscle activation in women with RSP by addressing muscle shortening, overactivity, and weakness. These findings suggest that combined stretching and strengthening exercises can serve as a practical and effective approach for RSP correction. Future studies with longer durations and diverse populations are recommended to further validate these results and enhance clinical applicability.

본 연구는 해외 단기 연수 프로그램에 참여한 간호대학생들의 연수 경 험과 그들이 인식하는 교육적 효과를 탐색하고, 이를 바탕으로 해외 단 기 연수 프로그램이 나아가야 할 방향을 조명하는 데 목적이 있다. 이를 위해 해외 단기 연수에 참여한 간호대학생들을 대상으로 포커스 그룹 인 터뷰와 개별 인터뷰를 병행하였다. 포커스 그룹 인터뷰는 4명의 학생으 로 구성된 그룹을 대상으로 진행되었으며, 모든 인터뷰는 반구조화된 질 문을 기반으로 진행되었으며, 참여자들의 자유로운 발화를 유도하여 그 들의 경험을 심층적으로 탐색하였다. 연구 결과, 총 6개의 주제와 17개 의 의미가 도출되었다. 학생들은 해외에서의 전공 연수에 대한 기대감과 계획적인 준비 과정을 통해 더 넓은 세상을 바라보게 되었으나, 영어 실 력 부족으로 인해 원활한 의사소통에 어려움을 겪으며 아쉬움을 느꼈다. 또한, 한국에서의 바쁜 학업과 비교하여 자유롭고 여유로운 현지 학생들 의 생활 방식에 부러움을 느끼고, 다양한 문화 체험을 통해 오랜만에 여 유를 즐길 수 있었다. 이번 연수를 통해 학생들은 자신의 새로운 가능성 을 발견하고, 더 나은 세상을 향해 나아가고자 하는 열망이 강하게 형성 되었으며, 이는 삶에 대한 태도의 변화를 유발하고 새로운 목표 설정으 로 이어졌다. 또한, 현지인들의 친절함과 순수함을 경험하면서 문화적 차 이를 이해하고 수용하는 태도를 함양하는 계기가 되었다. 본 연구 결과 를 종합해 볼 때, 해외 단기 연수 프로그램은 학생들에게 긍정적인 변화 를 유도하는 중요한 경험으로 작용하며, 열망, 동기부여, 자신감 향상 등 의 측면에서 긍정적인 영향을 미치는 것으로 나타났다.

The Safe Korea Training is a national-level training program that has been conducted since 2005 to create a safe Korea by preventing various disasters and minimizing the damage in the event of a disaster, and it has contributed a lot to the safety of Korea. However, there are still some problems that need to be solved, and one of the most urgent problems is that the Safe Korea Training is focused on efficient response measures in the event of a disaster, and the evaluation of the Training is limited to the evaluation of the training organization, which does not meet the main purpose of the Safe Korea drill to prevent various disasters. Therefore, in order to achieve the purpose of preventing various disasters, it is necessary to share the results and evaluations of the drill with other relevant public institutions other than the Ministry of the Interior and Safety in order to prevent various risk factors recognized during the drill in advance, and to establish a network that can lead to legislation so that the problems recognized during the drill are not repeated. By doing so, it is hoped that the Safe Korea Training will fulfill its purpose and lead to a truly safe Korea.

본 논문은 선교사들이 직면한 정서적·영적 도전과 탈진 문제를 해결하기 위해 렉시오 디비나(Lectio Divina)와 심리학적 도구를 융합 한 통합적 영성훈련 모델을 제안한다. 렉시오 디비나는 하나님의 임재 를 경험하며 관상 단계로 나아갈 수 있는 강력한 영성훈련 방법이다. 그러나 묵상과 기도 단계에서 떠오르는 부정적 감정과 왜곡된 신념은 영적 여정을 어렵게 만들기도 한다. 본 연구는 심리학적 접근을 영성훈 련의 마중물로 활용하여, 렉시오 디비나의 훈련 효과를 극대화할 방안 을 모색한다. 신경 논리 수준(Neurological Levels)은 환경, 행동, 능력, 신념과 가치, 정체성, 영성의 여섯 층위를 체계적으로 분석하여 개인의 문제를 탐구하고, 심상기법(Imagery Therapy)은 부정적 심상 을 치유적이고 긍정적인 심상으로 전환함으로써 정서적 안정과 영적 성숙을 도모한다. 렉시오 디비나와 심리학적 도구를 융합한 영성훈련 모델은 선교사들의 내적 치유를 돕고, 하나님의 은혜 안에서 지속 가능한 사역과 공동체적 사명을 감당할 수 있도록 지원할 뿐만 아니라, 앞으로도 심리학적 접근과 영성훈련이 융합된 다양한 선교사 멤버케어 프로그램 개발에 기여하는 토대가 되길 바란다.

This study attempted to solve the problem that the current education does not match the actual working environment of the fishing vessel despite the mandatory lifeboat training of international fishing vessel. The survey analyzed the difficulties of using life rafts and communication facilities and found that the main problems were the launch of life rafts, lack of communication equipment proficiency, and absence of emergency training scenarios. Due to the lack of standards for designated educational institutions, the current Seafarers Act has been discovered to be a problem that the accuracy and reliability of education are not consistent with the international fishing vessel agreement and the merchant vessel agreement. Additionally, the training for retreat and emergency response as stipulated by international agreements were not properly reflected in the domestic curriculum. In particular, the current training consists of general contents without considering the characteristics of the fishing crew, and there was a lack of practical emergency response training manuals. Therefore, based on international agreements, this study proposes the development of customized training contents for fishing vessel that takes into account the special working environment and risk factors of them. In addition, it emphasizes the need for policy support, such as strengthening participation of fishing boats in education and training and establishing a legal basis for the operation of emergency life raft organizations.

Occupational therapy aims to restore patients’ functional abilities through rehabilitation, with dressing activities being a critical component in activities of daily living assessments. Clothing is essential for physical protection, psychological stability, and promoting social participation. Despite the significance of dressing activities, research on training apparel incorporating occupational therapy principles remains limited. As a preliminary step in developing apparel for dressing activity training, this study aims to identify essential design elements that facilitate in daily living training and hold potential in occupational therapy. A comprehensive literature review and case analysis were conducted to identify essential clothing design components. The research results are as follows. The design features a pattern with a front-center opening, generous armholes, and ease allowances, along with modular components that enable variable collar and pocket configurations. A designated weight pocket is seamlessly integrated without restricting movement. Fabric selections emphasize human safety, comfort, stability, and durability, providing a soft texture and a broad range of color options within the modular design. Additional details include detachable collar and pocket elements, while trims and accessories are executed with buttons or zippers for closure and utilize Velcro, buckles, buttons, or drawstrings for size adjustments, all available in a variety of colors and sizes. This study highlights the need for modular, userfriendly training apparel that support occupational therapy goals. The findings provide fundamental insights into dressing activity training wear, serving as a foundational resource for future research and clinical applications.

Background: In patients with low back pain (LBP), weakened core muscles and impaired proprioception contribute to decreased spinal stability and LBP recurrence. Objectives: To investigate the effects of abdominal bracing exercises (BE) and kinetic link training (BEKLT) on pain, balance, and proprioception in LBP patients. Design: Randomized controlled trial. Methods: Sixteen adults with LBP were randomly assigned to a BE group or a BEKLT group. Both groups completed a four-week intervention (three sessions per week). Pain was assessed using the visual analog scale (VAS), proprioception with the lumbar reposition sense test, and balance with the BT4 system. Results: Both groups showed significant reductions in VAS and proprioception error (P<.05), with no inter-group differences. In dynamic balance (limits of stability), the BE group improved in rearward, left, and right angles, while the BEKLT group improved in forward, rearward, and left angles (P<.05). A significant difference was observed in the forward leaning angle between groups (P<.05). For static balance, both groups showed significant reductions in trace length and C90 area (P<.05), with no inter-group differences. Conclusion: The findings suggest that both BE and BEKLT are effective interventions for reducing pain and improving proprioception and balance in LBP, with BEKLT providing additional benefits for dynamic balance.

Background: Stroke patients commonly experience functional declines in balance and gait due to decreased muscle strength and coordination issues caused by brain damage. Through repetitive training, robot-assisted gait training (RAGT) can aid in promoting neuroplasticity in stroke patients and help them acquire effective gait patterns. Additionally, convalescent rehabilitation hospitals help to ensure rapid recovery through intensive rehabilitation training. Objects: This study investigated the effects of RAGT frequency on gait and balance recovery in stroke patients in convalescent rehabilitation hospitals, providing data to optimize rehabilitation efficiency, enhance functional recovery, and support the development of personalized strategies to ensure safer and more rapid returns to daily life. Methods: This study compared the frequency of RAGT by analyzing a group receiving two units of RAGT per day for 5 days per week with a group receiving two units of RAGT per week as part of a comprehensive rehabilitation program, totaling 16 units daily, in a convalescent rehabilitation hospital. Results: In the 10-minute walking test, statistical significance was observed both within and between groups, whereas the Functional Ambulation Category, Fugl-Meyer Assessment–lower extremities, Berg Balance Scale, and timed up-and-go tests showed significance only within groups. Conclusion: End-effector RAGT and traditional gait training significantly improve gait ability, balance, and lower limb function in stroke patients.