• Title/Summary/Keyword: 의식상태

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신용카드의 경쟁정책에 대한 소고

  • 이보우
    • Journal of Korea Fair Competition Federation
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    • no.89
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    • pp.12-15
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    • 2003
  • 신용카드산업에 대한 경쟁정책은, 변형된 과점상태의 시장이라는 특성이 심도 있게 고려되었으면 하는 바람이다. 신용카드시장의 pricing이 상대적 비탄력성 등으로 인해 야기하는 담합의 문제는 엄격하고 객관적인 정황증거가 필요함은 물론이다. 과점시장의 가격일치는 의식적 병행행위(conscious parallelism)로 생성된 경우가 일반적이며, 이러한 단순한 행위에 대하여는 합의를 추정할 만한 정황증거가 없는 한 위법이 아니라는 견해가 일반적으로 받아들여지고 있기에 그러하다.

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고삼투압성 혼수의 치료 및 예방

  • 김상진
    • The Monthly Diabetes
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    • s.136
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    • pp.38-39
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    • 2001
  • 고삼투압성 혼수를 예방하기 위해서는 아무리 심하지 않은 당뇨병 환자라도 규칙적으로 혈당검사를 하면서 당뇨를 관리하여야 하며, 의식이 없거나 혼탁한 상태로 병원이나 수용시설에 수용되어 있는 환자, 혹은 거동이 불편한 노인일 경우는 꼭 당뇨병에 대한 검진을 시행해야 하며, 감염 증상이 있을 때는 빨리 치료해야 하고 독감예방접종을 하는 것이 필요하다.

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Awake OPCAB: Initial Experience (의식 있는 상태에서 경막외 마취를 이용한 심박동하 관상동맥우회술: 초기 경험)

  • Son Kuk-Hui;Cho Kwang-Ree;Kim Ki-Bong
    • Journal of Chest Surgery
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    • v.39 no.8 s.265
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    • pp.598-603
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    • 2006
  • Background: High thoracic epidural anesthesia allows awake coronary artery bypass grafting, avoiding the drawbacks of mechanical ventilation and general anesthesia. Materian and Method: From April, 2005 to September, 2005, 12 patients were underwent awake coronary artery bypass grafting using high thoracic epidural anesthesia. There were 1 female and 11 male patients, with a mean age of $66{\pm}6$ years. Off pump coronary artery. bypass grafting was performed through a median sternotomy using arterial grafts. Result: There were no mortality. Pneumothorax was developed during surgery in 8 patients. Five patients required secondary intubation because of pneumothorax (n=3), bowel herniation (n=1), and hemothorax after chest tube insertion (n=1). Postoperative coronary angiography was performed before discharge in all patients and all the grafts were patent. Conclusion: Our intial experience demonstrated the feasibility of awake off-pump coronary artery bypass grafting. Further study is required to define the indications, advantages and limitations of this strategy.

Clinical esxperiences of Carotid Endarterectomy for Carotid Stenosis (경동맥 내막 절제술을 이용한 경동맥 협착증 치료에 대한 임상적 고찰)

  • 최인석;박주철;정경천;장대일
    • Journal of Chest Surgery
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    • v.32 no.12
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    • pp.1087-1092
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    • 1999
  • 배경 :경동맥 내막 절제술의 목적은 뇌졸중 예방에 있다. 경동맥 내막 절제술시 경동맥 혈류를 차단하였을 때 뇌허혈 상태를 초래하는지 가 가장 중요한 문제이다. 경동맥 혈류 역류압은 뇌내 측부혈류 상태를 반영하므로 경동맥 혈류 차단시 역류압과 뇌파검사 소견에 딸라 shunt 삽입여부 기준을 알아보려고 하였다 대상 및 방법 : 1996년 2월부터 1999년 3월까지 경동맥 내막 절제술을 시행받은 16명을 대상으로 하였다 남자가 14명있고 여자가 2명이었으며 평균연령은 66.35$\pm$6.53이었다 수술부위 경동맥 협착은 평균 73.8$\pm$12.33%였고 반대측 경동맥 협착은 평균 60.99$\pm$23.03%였다. 수술중 모든 환자에서 뇌파감시를 하였으며 경동맥 혈류압을 측정하여 40 mmHg 이하이거나 수술반대측 경동맥 완전폐색이 있는 경우 shunt를 삽입하였다 결과 : 술후 1례에서 사망이 있었는데 이 환자는 전, 중 뇌내동맥 영역에 큰 뇌경색이 있으며 동측에 심한 경동맥 협착이 있고 의식은 기면 상태여서 바로 응급수술을 하였다 수술시경동맥 혈류 역류압은 35mmHg 여서 shunt를 사용하였다 술후 1일째 의식이 혼수상태로 나빠져 뇌 단층촬영한 결과 뇌경색 부위에 출혈이 발생하여 사망하였다. 수술 직후 모든 환자에서 뇌허혈에 따른 합병증 및 사망은 없었고 1례에서 수술후 1일째 수술부위 반대편에 적은 뇌경색이 발생하였다 평균 21.5$\pm$11.85개우러의 외래 추적 검사에서 뇌졸중 재발이 없었다. 결론 : 뇌졸중이환후 경동맥 내막 절제술은 최소 4-6주 이상 안정화 시킨 다음 수술하는 것이 좋다고 생각된다 경동맥 내막 절제술은 뇌졸중 예방에 효과적인 치료방법이며 경동맥 혈류역류압이 40mmHg 이하일 경우 shunt를 설치하여 수술하는 것이 안전하다고 사료된다.

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Consciousness and behavior of married-teachers to support their aged parents (기혼교사의 노부모부양의식과 부양행동)

  • Choi, Jeong-Hye
    • Journal of Korean Home Economics Education Association
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    • v.19 no.2
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    • pp.171-184
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    • 2007
  • This research focused on the consciousness and behavior of married-teachers to support their aged-parents. The subject of this study was 239 married-teachers, in the Gyeongnam area, Korea, living with at least one of their old-parents. Statistical analysis was carried out using SPSS/WIN programs including frequencies, t-test, one-way ANOVA, correlation analysis and stepwise regression. The major findings in this study are as follows; 1) Degree of consciousness in supporting married-teachers' aged parents was 3.98 on a scale of 0-5.0. The significant variables affecting the results were sex, living-distance, and familism. 2) Degree of behavior in supporting married-teachers' aged parents was 3.07 on a scale of 0-4.0. The significant variables affecting the results were number of child, living-distance, economic level of aged parents, and self-esteem. 3) There was a close relationship between the consciousness and behavior of married-teachers to support their aged-parents. 4) Stepwise regression analysis showed that the most effective variable of the married-teachers' behavior for supporting aged-parents was supporting consciousness.

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Comparisons of the Awareness of Domestic and Foreign Users for Illegal Downloading of Movie Content (영상 컨텐츠 불법복제에 관한 국내외 의식 수준 비교 연구)

  • Rhee, Hae-Kyung;Kim, Hee-Wan
    • Journal of Digital Convergence
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    • v.10 no.9
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    • pp.297-309
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    • 2012
  • The MPAA(Motion Picture Association of America) warned about serious problems of piracy due to nearly a quarter of all Internet traffic around the globe was related to Internet piracy. Thus, strong legal action is enforced for piracy over nationally through strengthen the copyright law. We in this paper conducted a survey to see whether netizens prefer to download just for the matter of their convenience. Our study becomes a motivation to consider about seriousness of piracy by comparing between Korea and foreign cases. To our surprise, the survey reveals that Korean netizens conspicuously aware of their downloading behaviors outpaces Canadian netizens. Canada lacks the basic protections for the digital environment and is a safe haven for Internet pirates.

Comparison of Health Behaviour and Medical Utilization between Citizen & Soldier Study (일반 성인 남성과 직업군인의 보건의식 행태 및 의료이용 현황 비교분석)

  • Yang, Dong-Hoen;Lee, Moo-Sik;Hong, Jee-Young;Bae, Seok-Han;Jang, Min-Young
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.326-330
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    • 2009
  • 본 연구는 일반 성인남성과 직업군인의 건강형태 및 의료이용에 대해서 2005년도 국민건강 영양조사의 자료를 질병관리본부로부터 획득하여 분석하였고 그 결과를 보면 전체조사 대상자는 8,384명으로 21세~55세의 일반성인남성과 직업군인만을 선정하였으며, 직업군인은 76명, 일반 성인 남자는 8,308명이었다. 보건의식 행태 분포에서 보면 현재 흡연상태는 일반인에 비해 직업군인이 높고, 주관적 체격인식은 일반인의 경우 비만 또는 매우 비만이라 인지하는 비율이 직업군인에 비하여 높게 나타났지만, 실제로 지난 1년간 체중조절 여부는 일반인이 오히려 직업군인에 비해 높게 나타났다. 또한 직업군인의 보건의식 행태는 평균 연령(p<0.05)에서 통계적으로 유의한 차이가 있는 것으로 나타났다. 월간 침상와병일수는 직업군인이 상대적으로 높았으나 월간 결석, 결근일수는 오히려 낮게 나타났다. 더불어 월간 결석, 결근일수(p<0.05)는 통계적으로 유의한 차이를 나타났다. 연간 입원이용율은 일반인이 높았으며, 평균 재원일수, 건당 평균 입원기간은 일반인에 비해 직업군인이 길었다. 2주간 외래 이용율은 일반인이 17.2%, 직업군인이 21.6%로 직업 군인의 외래이용이 많았고, 평균 외래이용 횟수에서도 일반인이 1.92, 직업군인이 2.44로 직업군인이 많았다. 이용한 보건의료기관의 종류에서는 일반인은 의원급이, 직업군인은 병원급의 외래이용이 많았고 2주간 약국 이용율은 직업군인이 16.2%로 일반인 22.0% 에 비하여 낮았다. 연간 사고 및 중독 발생자율은 직업군인이 9.5로 일반인 7.9에 비하여 높게 나타 났으며, 사고 및 중독 발생횟수에서는 일반인이 직업군인에 비하여 높았다. 의도성별 분포(p<0.05), 주치료기관(p<0.05)은 통계적으로 유의한 차이가 나타났다. 본 연구를 통해 일반적 특성, 보건의식행태, 건강수준의 분석 및 일반적 특성을 보정한 상태에서 일반 성인남성과 직업군인의 보건의식 행태와 의료이용 분포를 비교 분석한 것으로 향후 직업군인의 건강 증진을 위한 효과적인 교육과 정책수립에 필요한 기초자료가 될 수 있을 것으로 기대해 본다.

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The influencing factor of Consciousness of Biomedical Ethics, Moral Sensitivity and Critical Thinking Disposition on the Code of Nurses Ethics of Nursing Student (간호학생의 생명의료윤리의식, 도덕적 민감성 및 비판적 사고성향이 간호사윤리강령 인식에 미치는 영향요인)

  • Jeong, Gye-Seon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.11
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    • pp.544-555
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    • 2017
  • This study was conducted to identify the factors influencing consciousness of biomedical ethics, moral sensitivity and critical thinking disposition with respect to the Code of Ethics of nurses among nursing students. A descriptive correlation research design was used for this study. The subjects were 299 nursing students in two large cities from 1 June to 31 July 2015. Collected data were analyzed using a t-test, ANOVA, Scheffe's test and stepwise multiple regression by the SPSS 22.0 program. The results revealed that female subjects comprised 86.65% of the subjects and the mean age was 21.67 years. Awareness of the Code of Ethics for nurses was positively correlated with the consciousness of biomedical ethics(p<0.001), moral sensitivity(p<0.001), and critical thinking disposition(p<0.001). However, there were negative correlations between grade(p=0.017), marital state(p=0.012), and the possibility of increasing ethical problems according to the development of bioscience(p=0.012). Significant influencing factors of the awareness of the Code of Ethics for nurses included grade(p=0.013), marital state(p=0.030), consciousness of biomedical ethics(p=0.017), moral sensitivity(p<0.001), and critical thinking disposition(p=0.001), with apower of explanation of 26.3%. The results of this study show that the consciousness of biomedical ethics, moral sensitivity and critical thinking disposition are factors influencing the code of ethics for nurses among nursing students.

Effects of Old Age Preparation of Baby Boomers Give Dependents Awareness of Parent (베이비부머의 노후준비가 부모부양 의식에 미치는 영향)

  • Park, Keun-Soo;Kim, Tae-Il
    • The Journal of the Korea Contents Association
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    • v.16 no.2
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    • pp.467-479
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    • 2016
  • The purpose of this study is to check effects on the awareness of parents supporting in their self retirement preparation of the baby boomer generations who have faced relatively bad situation in this era considering the reality of great changes brought in the parents supporting spirit which was regarded as family and individual responsibility due to the rapid industrialization and urbanization. In the result of this study, some points such as religious, living status and monthly average earning show meaningful result and also all of the colligation in the retirement preparation standard concerning economic living life, health life, leisure time, family life, dwelling life and leisure life shows most significance probability of .001(*p<0.05) and retirement preparation standard relative to economic life indicates significance probability of .005(*p<0.05). Eventually this result shows that the higher people have retirement standard, the higher parents supporting sprit they have. So I would like to suggest some policy advices on the basis of this study. First stable supporting policy on their dwelling life should be assisted by differential methods, secondly social programs aid for leisure life through social activities like volunteer work are required, further more national based policy supports for youngsters are considered in order to reduce economic daily life on their economic activities.

Influence of Awareness about Marriage and Childbirth on Pre-parent's Role of the Nursing students (간호대학생의 결혼의식과 출산의식이 예비부모역할에 미치는 영향)

  • Jo, Eun-Joo;An, Eun-Seon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.11
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    • pp.208-217
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    • 2017
  • This study was conducted to identify the influence of awareness regarding marriage and childbirth on pre-parent's role of the nursing students. The subject were 202 nursing students in B city. Data were collected from May 11 to 15, 2015 and analyzed by t-test, ANOVA, Scheffe's test, Pearson correlation coefficients and stepwise multiple regression. Significant differences were found in pre-parent's role based on economic status, ideal number of children, and desired number of children. Pre-parent's role was negatively correlated with romantic views regarding marriage and passive views on marriage. In addition, there was a positive correlation between pre-parent's role and the attitudes towards childbirth support by the nation and corporations. Meaningful variables that influenced pre-parent's role were ideal number of children, economic status and passive views on marriage. Total explanation power was 26.9% and attitudes towards childbirth as well as toward support by the nation and corporations was the most influential factor. To enhance pre-parent's role of nursing students, it is necessary to provide childbirth support by the nation and corporations in the form of financial assistance and childcare facilities, as well as to develop educational programs describing the pre-parent's role.