• Title/Summary/Keyword: 스트레스

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MESIODENS EXTRACTION OF A PATIENT WITH ROBINOW SYNDROME UNDER GENERAL ANESTHESIA (로비노 증후군(Robinow syndrome) 환자의 전신마취 하 과잉치 발치)

  • Park, Sung-Hee;Shin, Teo-Jeon;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Lee, Sang-Hoon;Kim, Chong-Chul;Jang, Ki-Taeg
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.12 no.1
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    • pp.1-5
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    • 2016
  • Robinow syndrome is skeletal dysplasia with both autosomal dominant and recessive inheritance patterns. It is characterized by short-limbed dwarfism, abnormalities in the head and face, as well as vertebral segmentation. A 2-year-7-month old boy with Robinow syndrome had visited Seoul National University Dental Hospital, for the evaluation of tooth palatal eruption on maxilla. He had micrognathia, delayed tooth eruption, cleft lip with bifid uvula. He also had an erupted mesiodens on the palatal side of maxillary primary incisors, which was tuberculated and 8mm in major diameter. The patient was scheduled for mesiodens extraction under general anesthesia. He was a young child with delayed development, so general anesthesia was inevitable. General anesthesia was induced and maintained with inhalation agent, Sevoflurane. There were no postoperative complications related to anesthesia and dental treatment. Robinow syndrome patients have craniofacial dysmorphism and eruption disorders. Therefore, he requires regular check-ups as well as dental managements.

Suggestion, Design, and Evaluation of a New Modified Double Tee Slabs (새로운 개량 더블티 슬래브의 제안, 설계 및 평가)

  • Yu, Sung-Yong
    • Journal of the Korea Concrete Institute
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    • v.20 no.6
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    • pp.809-820
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    • 2008
  • A new modified full scale double tee slabs with the length of nib plate - 1,500 mm were suggested, designed, and experimentally evaluated up to the loading of flexural failure. This slabs were composed of the tee section which was same to original PCI double tee and the plate section which was modified in a new shape, and the prestressing force was applied at the bottom of tee section only. This specimens were made from the domestic precast factory. The safety and serviceability of the modified nib plate with the dapped ends were evaluated up to the ultimate flexural strength of tee section. As the experimental loading increased, the flexural crackings developed first in the bottom of the slab and they changed to the increased flexural shear and inclined shear crackings in the nib and dapped portion of the double tees. The suggested modified double tee slabs failed in ductile above the design loading with many evenly distributed flexural crackings. The thickness of nib plate - 250 mm does not show any cracking under the service loading and show several minor flexural cracking up to the ultimate state of tee portion. The proposed specimens were satisfied with the strength and ductility requirements in the design code provisions in the tests. Additional experimental tests are required to reduce the depth and tensile reinforcement of nib plate concrete for the practical use of this system effectively.

A Study on Architecture of Test Program based UML (UML 기반 점검 프로그램 설계 방법에 관한 연구)

  • Kim, ByoungYong;Jang, JungSu;Ban, ChangBong;Lee, HyoJong;Yang, SeungYul
    • Journal of the Institute of Electronics and Information Engineers
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    • v.49 no.10
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    • pp.217-230
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    • 2012
  • This paper propose interacting test programming methods between test equipment and hardware unit to verify function and performance of the hardware unit under test. Proposed test program can minimizes the risk of failures when the unit is mounted on the aircraft by testing and verifying the unit under the worst stress condition. Also, Object oriented design using UML make it easy to apply in other equipments. Test program consists of architecture package and hardware package. Architecture package is in a role for system management, log analysis, message receiving and message analysis. Messages that are used by system management define messages for testing and defined messages is sent and received to test equipment through Ethernet. Hardware package is in a role for hardware management that is needed to be tested and is related to a system. Hardware to be tested is divided into internal test and transmission test. Internal test inspects hardware itself and reports the test results to the test equipment. Transmission test inspects communication device by sending or receiving data. All kinds of test is done in the worst condition of the test unit executing in parallel. Each device is tested at least 482 times and at most 15,003 times about one hour. Test program is utilized in hardware reliability test like as environmental test or EMI test.

A Model for Post-Traumatic Stress and Burnout in Firefighters (소방대원의 출동충격스트레스와 소진에 관한 구조모형)

  • Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.5 no.1
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    • pp.147-164
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    • 2001
  • The purpose of this study was to examine the hypothetical model designed to explain the post-traumatic stress and burnout in firefighters. Six exogenous variables such as career, control, impact mobilization frequency, life event, work burden, social support, and four endogenous variables, eg., mobilization impact, coping, post-traumatic stress, burnout were considered for the study. The target population for the distribution of the questionnaire was 428 firefighters in Daejeon, Chungnam Province, Seoul and Kyonggi Province. The data was collected about five weeks, July 12-August 25, 1999. The survey instrument was 8 control items by Seo(1995), 10 life event items by Brugha and Cragg(1990), 20 work burden items by Choi(2000), 12 social support items by Park(1985), post-traumatic stress of 17 items by Foa et al.(1998) and 45 items by Kang(1997). The reliability of the survey instrument and the cronbach's alpha was .62 - .93 level. SAS PC Program and LISREL 8.12a program were used for descriptive statistics and linear structural relationship(LISREL) modeling. Based on the data collected, the following results were obtained. 1. The overall fit of the hypothetical model to the data was good (${\chi}^2=54.65$ [df=17, p=0.000007], RMSEA=0.07, standardized RMR=0.03, GFI=0.98, AGFI=0.91, NFI=0.90, NNFI=0.75). 2. After considering statistical significance and theoretical meaningfulness of paths of the model, a modified model was sought. Compared to the hypothetical model, the modified model has become parsimonious and had a better fit to the data(${\chi}^2=55.90$ [df=20, p=0.0003], RMSEA=0.06, standardized RMR=0.03, GFI=0.98, AGFI=0.93, NFI=0.90, NNFI=0.80). 3. The results of statistical testing of hypotheses were as follows: (1) Work burden, career had a significantly direct effect on mobilization impact. These variables explained 9% of the total variance of mobilization impact. (2) Control, social support, work burden, mobilization impact had a significantly direct effect on coping. These variables explained 15% of the total variance of coping. (3) Control, work burden, social support, coping had a significantly direct effect on post-traumatic stress. These variables explained 49% of the total variance of post-traumatic stress. (4) Coping, post-traumatic stress had a significantly direct effect on burnout. These variables explained 60% of the total variance of burnout.

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A Study on Job Stress, Fatigue and Job Satisfaction of 119 Emergency Medical Technician (119구급대원의 업무스트레스와 피로 및 직무만족도에 관한 연구)

  • Park, Dae-Sung
    • The Korean Journal of Emergency Medical Services
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    • v.8 no.1
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    • pp.71-86
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    • 2004
  • This study selected emergency medical technicians at 24 fire police boxes in Jeonnam in order to examine the relationship between job stress, fatigue and job satisfaction of 119 emergency medical technicians. Data were collected from Apr. 10 to May 9, 2004, questionnaires were mailed and returned by mail. Total 109 questionnaires were distributed and 89 questionnaires were collected and 80 except 9 omitting answers and showing inappropriate answers were used for final analysis. The results of this study are as follows. A. The total mean of areas composing job stress in the degree of job stress of 119 emergency medical technicians was over the average as 2.54 (SD .44) of 4 full marks. According to the degree of job stress by each area, the highest area of job stress was crisis situation (2.98), followed by role conflict as professional job (2.58), social factors (2.57), involvement in organization (2.55). To the contrary, the areas of the lowest job stress were professional knowledge and technique (2.35), psychological burden of medical limitation (2.38), conflicts in personal relationship and services (2.45) and improper treatment (2.53). B. The degree of fatigue of 119 emergency medical technicians by areas was over mean as 2.09(SD .49) of 4 full scores and physical fatigue was highest (2.18), followed by mental fatigue (2.11) and neurosensory fatigue (1.99). C. The degree of job satisfaction of 119 emergency medical technicians was 2.71 of 5 full scores and working condition area (3.70) showed the highest job satisfaction, followed by requirement of organization (2.85) and the lowest job satisfaction area was job itself (2.18), followed by desire for job (2.49). D. According to differences in demographical characteristics of 119 emergency medical technicians, there was no variable of statistical difference at job stress and job satisfaction in significance level .05, but fatigue showed statistical difference at final education (F=2.393, p=.046). E. According to differences related to job characteristics of 119 emergency medical technicians, job stress showed statistical differences at motif of current services (F=4.935, p=.003), fatigue showed those at health conditions (F=2.732, p=.008), job satisfaction at overtime (F=3.038, p.034) and the greatest reason of having job (F=3.217, p=.017), F. As a result of analyzing correlations between job stress. fatigue and job satisfaction of the subject, job stress showed positive correlations (r=.411, p=.000) with fatigue and negative correlation (r=-.267, p=.008) with job satisfaction. Fatigue showed negative correlation (r=-.287, p=.005) with job satisfaction. Therefore, the hypothesis of this study. "There will be relationship between degree of stress, fatigue and job satisfaction of subjects." was supported.

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The Posttraumatic Stress Research Trends of Korean and Foreign Firefighters (국내외 소방대원의 외상 후 스트레스 연구경향)

  • Baek, Mi-Lye
    • The Korean Journal of Emergency Medical Services
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    • v.13 no.2
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    • pp.61-72
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    • 2009
  • Purpose : This study aimed to analyze the posttraumatic stress research trends in Korean and foreign firefighters. Method : Total 63 published international articles were searched by Pub Med internet site and total 17 published Korean articles were searched by Korean Medical Database internet site using 'PTSD in firefighters'. These articles were analyzed by published time, domains of journal, research designs, key words and research subjects. Result : 1) By the published time, there were 29 disaster-related researches(46.0%) and 34 job-related researches(54.0%) among 63 international articles. However, there were 16 disaster-related researches(94.1%) and 1 job-related research (5.9%) of Korean 17 articles. 2) By the international research domain, 9 researches(14.3%) were published in The Journal of Nervous and Mental Disease. Among domestic research domain, there were 9 researches(52.9%) consisting of 6 master's degrees and 3 doctor degrees. In major analysis of Korean domain, the highest portion is 4 psychology researches. (23.5%) 3) In the term of the international research design, quantitative research methods were highly used in both 23 disaster-related researches (36.5%) and 30 job-related researches(47.5%). In domestic research, quantitative research methods were mostly used in 14 job-related researches(82.3%) and Q methodology was only used in 1 disaster-related research(5.9%). 4) Looking on the research content trends according to the key words, 9 researches (31.0%) done on posttraumatic stress and coping had the most research and was followed up by posttraumatic stress symptom. Among these researches, key words for PTSD(Posttraumatic Stress Disorder) and PTS(Posttraumatic Stress) were mostly used. Moreover, there was 1 domestic study done on verifying the trends of Posttraumatic Stress in disaster-related research with PTS as the key word. In job-related research, the relationship between the Posttraumatic Stress and other factors had the most with ten studies (62.5%). Among these researches, key words for 5 PTSD(31.3%) were mostly used. 5) According to the international research subjects, the Posttrau consist the most subjects with 16 cases each for disaster and job related stress ; however, domestic research had 16 studies(94.1%) only using firefighters and 1 (5.9%) with their families as subjects. Conclusion : Although the studies of Posttraumatic Stress on Korean firefighters had started later than those on Foreign firefighters, first used for crucial topics show research development in various fields of study and should be tested for studies like those done in abroad regarding multiple topics and methods.

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Secondary Traumatic Stress(STS) and related factors of Emergency Medical Technicians (응급구조사의 이차 외상성 스트레스 정도와 관련요인)

  • Choi, Hee-Jeong;Park, Jeong-Mi;Suh, Soon-Rim
    • The Korean Journal of Emergency Medical Services
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    • v.13 no.2
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    • pp.5-15
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    • 2009
  • Purpose : This study was to examine the secondary traumatic stress(STS) and related factors of emergency medical technicians. Methods : This study was conducted among 190 emergency medical technicians, over the age of 25, with the 1st or 2nd grade qualification, who serve at fire stations in U and P city of Korea. The collected data for this study was analyzed using SPSS 12.0. Result : The average character type of A-type personality technicians was 43.25 points and the average of B-type personality technicians was 37.82 points. It suggested that the former was higher than the latter. State anxiety did not show statistically significant difference between A-Type group and B-Type group with the score of 48.51 for A-Type and 47.91 for B-Type. Physical symptoms showed statistically significant difference between the two groups with the higher score of 28.45 for A-type group than that of 28.13 for B-Type group. The level of STS related to the volunteers' job characteristics was found to be low when the volunteers were satisfied with their job and didn't want to transfer to another division. Those on duty who had slept more than seven hours that day had the highest points. The number of points was highest when the frequency for the onset of trauma was between 20~30 times. Furthermore it was found that for most technicians, 71.05%, the period of symptoms lasted for a few weeks at most, and this was where the STS was the lowest, whereas on the other hand the highest STS occurred when the symptoms lasted for a period of up to six months. The findings showed significant correlations with a relation of r=.24 between STS and level of anxiety and r=.45 between STS and physical symptoms. However, no significant correlation was found between the level of anxiety and physical symptoms. Conclusion : The more emergency medical technicians are exposed to accidents, the more serious the STS are. Those with an A-type personality are especially prone to have higher STS. The higher the STS level is, the higher the level of physical states and anxiety is.

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Educational Contents of 'Understanding of self as an adolescent' Unit to Build Adolescent Empowerment(I): comparison of Home Economics Textbooks of Korea and the U.S. (청소년의 임파워먼트 형성에 초점을 둔 '청소년의 이해' 단원의 한·미 교과서 교육내용 검토(제1보))

  • Suh, Min-Ji;Lee, Soo-Hee;Sohn, Sang-Hee
    • Journal of Korean Home Economics Education Association
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    • v.27 no.3
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    • pp.99-119
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    • 2015
  • The purpose of this study is to examine the educational contents of home economics textbooks that solely focus on forming adolescent empowerment. For this, an in-depth content analysis was conducted on the home economics textbooks in Korea and the U.S. The main results of this study are summarized as follows: First, the 23 content elements, which are designed to build adolescent empowerment, were ascertained: nine intrapersonal empowerment elements such as the self-identity, nine interpersonal empowerment elements such as the communication, and five social empowerment elements such as the leadership. Second, based on the content elements selected from above, the textbooks in Korea were observed to deal with 58% of the 23 content elements, while those in the U.S. discussed 90% of the 23 content elements. Korean textbooks primarily focused on helping students understand major concepts, whereas the U.S. textbooks focused primarily on helping students make connections between major concepts and their life. Lastly, both countries put the least amount of weight on social empowerment content elements(Korea: 37%, U.S.: 70%).

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The School Life Satisfaction of Middle School Students according to Self-Directed Learning Capability and Emotion Regulation Strategy (중학생의 자기주도학습능력과 정서조절전략에 따른 학교생활만족도)

  • Park, Jeong-Hyun;Jang, Yoon-Ok;Jeong, Seo-Leen
    • Journal of Korean Home Economics Education Association
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    • v.28 no.2
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    • pp.21-39
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    • 2016
  • The purpose of this study was to investigate the differences in the school life satisfaction of middle school students according to self-directed learning capability and emotion regulation strategy. The subject of this study were 499 middle school students in Daegu. In order to analyze the data, two way ANOVA were employed for analysis and $Scheff{\acute{e}}$ test for post-hoc analysis. The main finding of this study were as follows; First, there were significant differences in the school life satisfaction of middle school students according to self-directed learning capability and behavioral emotion regulation strategy. Second, there were significant differences in the school life satisfaction of middle school students by cognitive emotion regulation strategy. But there were no significant differences in the school life satisfaction according to self-directed learning capability and cognitive emotion regulation strategy. Third, there were significant differences in the school life satisfaction of middle school students according to negative avoidant and emotion regulation strategy. However there were no significant differences in the school life satisfaction according to self-directed learning capability and negative avoidant emotion regulation strategy.

Middle School Student's Educational Interest and Perception of Usefulness on the Contents of the Unit of 'Understanding of Adolescents' in Technology.Home Economics Textbook (중학교 기술${\cdot}$가정 교과의 '청소년의 이해' 단원 내용에 대한 학생의 흥미도와 유용성 인식)

  • Lee, Seul-Bi;Lee, Yon-Suk
    • Journal of Korean Home Economics Education Association
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    • v.23 no.1
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    • pp.53-71
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    • 2011
  • The purposes of this study are to examine the middle school student's educational interest and perception of usefulness on the content of the unit of 'Understanding of Adolescents' in Technology Home Economics textbook and analyze the relationships between educational interest and perception of usefulness and factors affecting them. The sample of this study is 521 middle school students living in Seoul, Inchoon, and Kyanggi province. The data are collected using structured questionnaires and analyzed by the descriptive statistics, t-test and One-way ANOVA. The results of this study are as follows. (1) The middle school students perceive that 'Stress Management' in Technology Home Economics textbook is the content of the highest educational interest and usefulness. (2) The factors affecting the degree of educational interest on contents of Technology Home Economics textbook are sex, residence area, age of mother, education level of parents, and level of Home Economics subject matter. (3) The perception of usefulness on the contents of Technology Home Economics textbook is differed by sex, residence area, age and education level of mother, and preference level of Home Economics subject matter. (4) There are strong positive relationships between educational interest and perception of usefulness on the contents of Technology Home Economics textbook. (5) Several recommendations for teaching-learning strategies to enhance the students' educational interest and perception of usefeulness on the contents of Technology Home Economics textbooks and future studies are suggested based on the results.

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