• 제목/요약/키워드: 01A72

검색결과 1,184건 처리시간 0.029초

학령기 아동의 스트레스와 대응전략에 관한 연구 (A Study of Stress and Coping Strategies in School-Age Children)

  • 신희선
    • 대한간호학회지
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    • 제26권4호
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    • pp.808-819
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    • 1996
  • The purpose of this study was to examine the stressors and coping strategies of school -age children and to explore the relationship between stressful life events and health symptoms and the effects of coping and trait anxiety which is theoretically considered to mediate the relationship between stress and health symptom. The study subjects consisted of 639 elementary school children in the fourth to sixth grade living in Seoul. Of the 639 subjects, 348 were boys and 291 were girls. The mean age was 11.35 (SD=.86). The Feel Bad Scale(FBS), Schoolager's Coping Strategy Inventory(SCSI), Spielberger's Trait Anxiety Scale for Children(STAIC), and Health Symptom Questionnaire (HSQ) were adapted for this study. A pilot study was undertaken to ascertain the reliability and validity of the instruments. The Cronbach alphas of FBS, SCSI, STAIC and HSQ were from .81 to .92. The Researcher and a research assistant visited the school and data were collected in the class using the questionnaire method after an explanation of the purpose and procedures was given to the children. Data collection was done during the period between Nov.25 to Dec.19, 1995. Using the SAS statistical program, percentages, t-test, ANOVA, correlation analysis, and multiple regression were used for data analysis. The result are as follows : 1. The mean score for the FBS was 204.79(range : 48-472) and there was a significant difference according to grade. The most severe stressors perceived by children were parental divorce and death or illness of family members. The most frequently experienced stressful life events were conflict with siblings and being home alone. 2. The mean score for the SCSI was 57.36(range : 9-118) and there was a significant difference according to grade. The most frequently used, and perceived as helpful, coping strategies were distraction and cognitive activities. 3. The mean score for the HSQ were 20.7(range : 0-81) and there were significant differences according to grade and sex. The percentage of the children answering that they perceived their health state as not good was 3.9%. 4. The mean score for the STAIC was 33.76 and there were significant differences according to grade and sex. 5. There was a significant relationship between stressful life events and health symptoms ( r=.53, p<.01). Also, Stressful life events were postively related with coping strategies(r=.39, p<.01). Trait anxiety was highly correlated with health symptoms(r=.72, p<.01). 6. To examine the multivariate effects of the variables to health symptoms, multiple regression was performed. Stressful life events, coping, trait anxiety, and health concerns were identified as significant variables. Explanation of the health symptoms by these variables was 56.78%. The study revealed that stressful life events correlated with health symptoms in school-age children and coping and trait anxiety had mediating effects on this relationship. The implication for nursing is that there is a need to develop supportive interventions for high risk population to decrease health problems due to stress. Also, it is recommended that a study be conducted to explore protective factors for the prevention of health problems in children.

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통증 평가도구 개발을 위한 기초조사 (A Preliminary Study for Development of a Pain Questionnaire)

  • 이충휘
    • The Journal of Korean Physical Therapy
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    • 제1권1호
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    • pp.63-72
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    • 1989
  • The present study was designed to investigate the general characteristics of pain patients and to analyze the properties of Korean pain expression terms as a preliminary step in the development of a pain questionnaire. Questionnaires were administered to 73 adult patients (53 males, 20 females) with knee, ankle, neck, low back, and shoulder pain. The mean duration of pain was 16.2 months (SE=3.3). The results were as fellows : 1. The data show that there are over 30 words in the Korean language to describe the varieties of pain experience even within this small sample. 2, There was low significant relationship between present pain intensity using visual analogue scale and the selected numbers of pain words from the pain questionnaire (p<.01). 3. In order to separate basic factors, a principal component analysis with varimax rotation was performed. The principal component analysis produced 8 factors. The proportion of variance explained by these factors was $71.0\%$. The first factor accounting $26.8\%$ of the variance was labeled 'cruelty and fear related pain' ; second 'pain produced from deep tissue' : third 'skin-punctuating related pain' ; and fourth 'miscellaneous and complicated pain'. Results of this study might be utilitzed in developing a pain questionnaire for pain patients.

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암질병에 따른 암환자의 불편감과 고통에 관한 연구 (A Study on the Symptom Distress and Suffering of Five Major Cancer Patients)

  • 권미형;김분한
    • 종양간호연구
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    • 제3권2호
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    • pp.145-154
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    • 2003
  • Purpose: The study was to furnish basic raw materials that evaluate the efficacy of meatal care according to the form and the relative importance of symptom distress which most of cancer sufferers have been experienced. For that, an investigation of five diverse major cancer symptom distress made a comparison between symptom distress and degree of suffering. Method: Study subjects were 138 inpatients with stomach cancer, lung cancer, hepatocellular carcinoma(HCC), large intestine cancer and breast cancer, except those in the terminal-stage, in 'H' university hospital in Seoul and 'K' center in Ilsan gathered from November 20, 2002 to February 20, 2003. To measure the correlation between feeling of discomfort and agony caused by cancer, 5 point scale (from zero to four), stood on the basis of Symptom Distress Scale (SDS, Rodes & Watson, 1987), was used for this study and the Cronbach's coefficient alpha was 0.95. Accumulated data was analyzed with SPSS 10.0 for window, also used by ANOVA and Duncan's Multiple Range Test. Pearson's Correlation Analysis. Results: 1. Symptom distress of cancer patients was noted and defined in their severity-fatigue, anorexia, pain, depression, dyspepsia, changing appearance and nausea. The degree of symptom distress was fatigue, dyspepsia, depression, anorexia, pain, changing appearance and the degree of suffering was nausea, pain, anorexia, dyspepsia, vomiting, breathing difficulty, changing appearance and fatigue. 2. Examining the difference of degree of symptom distress in each cancer cases, it takes the precedence of them. First, in case of stomach cancer, depression, pain, vomiting and nausea were shown in sequence. In case of lung cancer depression, pain, sleeping problem, anxiety, changing appearance, inattentiveness and vomiting were showed in sequence, depression, changing appearance, sleeping problem, pain in case of HCC, depression, pain in case of large intestine cancer and lastly in case of breast cancer changing appearance, depression, pain and anxiety were shown in sequence. The category of the degree of symptom distress that has a signifiant difference was anorexia, activity discomfort, fatigue, constipation or diarrhea, breathing difficulty, dyspepsia, caughing, fever or chillness, scotoma and urinary disorder. Verifying the highest degree of symptom distress in each cancer cases, anorexia was 1.94(F=4.00, p<.01) in stomach cancer, activity discomfort was 0.97(F=3.08, p<.01) in lung cancer and HCC, fatigue was 2.32(F=4.64, p<.01) in HCC, constipation or diarrhea was 1.83(F=22.31, p<.001) in large intestine cancer, breathing difficulty was 1.83(F=4.00, p<.01) in lung cancer, dyspepsia was 2.69(F=9.98, p<.001) in stomach cancer, coughing was 1.53(F=20.49, p<.001) in lung cancer, fever or chillness was 1.23(F=6.88, p<.001) in lung cancer, scotoma was 1.20(F=3.02, p<.05) in lung cancer and urinary disorder was 1.54(F=11.56, p<.001) in HCC. 3. Examining the difference degree of suffering on cancer cases, the result was as follows; depression of lung cancer was 1.17(F=3.76, p<.01), anorexia of stomach cancer was 1.61(F=3.89, p<.01), constipation or diarrhea of large intestine cancer was 1.42(F=10.43, p<.001), changing appearance of breast cancer was 1.65(F=5.43, p<.001), breathing difficulty of lung cancer was 2.27(F=18.57, p<.001), dyspepsia of stomach cancer was 1.97(F=13.56, p<.001), coughing of lung cancer was 1.70(F=22.07, p<.001), fever or chillness of lung cancer was 1.13(F=4.41, p<.01), scotoma of lung cancer was 0.87(F=3.34, p<.05), anxiety of lung cancer was 0.87(F=4.50, p<.001) and urinary disorder of HCC was 1.43(F=16.71, p<.001). 4. In consequence, comparing between symptom distress and degree of suffering on cancer patients undergoing chemotherapy, lung cancer patients showed the highest feeling of discomfort following stomach cancer, HCC, breast cancer and large intestine cancer(F=2.88, p<.05). On those undergoing radiotherapy, lung cancer, HCC, breast cancer, large intestine cancer was in sequence(F=3.78, p<.05) and those resisting radiotherapy, lung cancer, HCC, stomach cancer, large intestine cancer and breast cancer was in sequence(F=2.72, p<.05). 5. Correlation between symptom distress and degree of suffering on cancer patients was generally significant. Conclusion: this study not only defines a significant correlation between symptom distress and degree of suffering but also proffers basic data to evaluate the efficient meatal care depending upon diverse spectrums of symptom distress and degree of suffering.

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Characteristics of Sawdust and Cocopeat Beddings, and Their Usefulness According to the Fan and Pen Location for Rearing Hanwoo Cattle

  • Ahn, Gyu Chul;Jang, Sun Sik;Lee, Kang Yeon;Kwak, Wan Sup;Oh, Young Kyun;Park, Keun Kyu
    • Asian-Australasian Journal of Animal Sciences
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    • 제29권3호
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    • pp.444-454
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    • 2016
  • This study was designed to examine the characteristics of sawdust and cocopeat bedding materials, including physicochemical properties (Exp. I) and on-farm trial (Exp. II). In Exp. I, the proportion of particle size was in the order of sawdust>cocopeat India>cocopeat Vietnam (p<0.05), and cocopeat contained higher proportion of small particles ($250{\mu}m$+below $250{\mu}m$) than sawdust, causing a dust production problem. Bulk density was cocopeat India>cocopeat Vietnam>sawdust (p<0.05), thus cocopeat treatments showed 4.4 times higher bedding cost than sawdust. The water absorption rates were 702.0% in cocopeat India, 678.3% in cocopeat Vietnam, and 444.0% in sawdust, showing cocopeat had approximately 1.5 times higher water absorption rate than sawdust. Moisture evaporation rates after 12 h of air blowing (2.00 m/s) were higher (p<0.05) in cocopeat Vietnam (80.4%) than sawdust (71.2%) and cocopeat India (72.8%). In vitro ammonia emissions were higher (p<0.05) in sawdust ($2.71mg/m^2/h$) than cocopeat India ($1.59mg/m^2/h$) and Vietnam ($1.22mg/m^2/h$), and total ammonia emissions were higher (p<0.05) in sawdust ($37.02mg/m^2$) than cocopeat India ($22.51mg/m^2$) and Vietnam ($13.60mg/m^2$). In Exp. II, an on-farm trial was conducted with 48 Hanwoo cattle in 16 pens using the same bedding materials as in Exp. I, with fan (blowing 2.00 m/s) and no fan treatments, and feed bunk side (FB) and water supply side (WS) within a pen (4.5 m, $width{\times}9.0m$, length). Beddings were replaced with fresh bedding materials when moisture concentrations were over 65%. No interactions among treatments were detected for moisture concentration and increment rates, and ammonia concentrations, but a significant effect was observed (p<0.01) for each of the treatments. Both concentrations and increment rate of moisture were higher (p<0.01) in the beddings without fan than with fan. Moisture concentrations and increment rate within a pen were also higher (p<0.01) in FB than WS. Thus, the whole no-fan-FB and sawdust-fan-FB were replaced with fresh bedding material between 4 to 5 experimental weeks. The ammonia concentrations and pH of beddings were not significantly different among treatments. Therefore, using cocopeat bedding with a blowing fan can extend twice the bedding utilization period, and WS within a pen showed twice the bedding-life compared to FB. Despite the outstanding characteristics of cocopeat compared with sawdust, using cocopeat as an alternative for sawdust bedding is not recommended for cattle management, considering it has 4.4 times higher bedding cost and a dust production problem.

실시간 중합효소연쇄반응 방법을 이용한 새로운 치아우식 활성 검사법의 유효성 (Validity of the New Caries Activity Test using Real-Time Polymerase Chain Reaction)

  • 권도윤;김희진;남옥형;김미선;최성철;김광철;이효설
    • 대한소아치과학회지
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    • 제45권3호
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    • pp.354-362
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    • 2018
  • Periogen은 실시간 PCR 방법을 이용한 우식활성 검사법으로, 치아우식 유발균에 대한 정량적인 분석을 통해 개개인의 치아우식 위험도를 평가한다. 이 연구는 소아에서 Periogen과 치아우식 경험 지수(dmft, dmft indices)와의 상관성을 평가하고, 기존의 치아우식 위험 검사법인 Cariview, 치아우식 평가 도구(Caries Assessment Tool)와 비교할 목적으로 시행되었다. 만 6세 미만 83명의 소아를 대상으로 실험이 진행되었다. 시진을 통해 치아우식 경험 지수(dmft, dmft indices)가 기록되었으며, 간단한 설문 조사를 통해 CAT 평가 시행되었다. Periogen, Cariview는 제조사의 지시에 따라 치아우식 위험도 평가 시행되었다. 그 결과 Periogen, Cariview 그리고 CAT는 dmfts index와 상관계수가 각각 0.38, 0.56, 0.66을 보여 모두 중등도의 상관관계를 보였다(p < 0.01). Periogen, Cariview 그리고 CAT의 민감도와 특이도 분석의 경우, 민감도는 각각 43%, 76%, 95%를 보였으며, 특이도는 각각 80%, 72%, 74%를 보였다. ROC 곡선의 곡선하면적(AUC)는 각각 0.69, 0.81, 0.85를 보였다. Periogen의 경우 다른 기존의 두 가지 검사법에 비해 치아우식 위험도 평가에 있어 더 낮은 유효성을 보였다. 따라서 임상적으로 사용되기 위해서는 더 나은 유효성을 위한 개량이 필요할 것으로 보인다.

아시아 성인 연조직 측모의 비교분석 (SOFT TISSUE PROFILES OF YOUNG ORIENTAL ADULTS)

  • 정규림;박영국
    • 대한치과교정학회지
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    • 제27권6호
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    • pp.881-889
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    • 1997
  • 이 연구는 정상 교합과 양호한 안모를 가진 169명의 남자와 174명의 여자 아시아 각국 인을 대상으로 연조직 측모의 특징을 비교 분석하기 위하여 시행되었다. 100명의 한국인, 100명의 중국인, 72명의 월남인 및 71명의 일본인으로부터 촬영된 측모두부방사선사진 상에서 9개의 계측점을 설정하고 전산 입력한 뒤 6 개의 연조직 계측 항목에 대한 측정을 시행한 후 통계 처리하였다. 분산 분적에서 중국인의 총 측모(GI'-Pr-Pg')는 한국인이나 월남인에서 보다 적은 돌출도를 보였다(P<0.01). 중국인의 안면평면측모(GI'-Sn'-Pg') 역시 월남인 보다 적은 돌출각을 나타내었다(P<0.01). 홀더웨이의 하순각(Pg'-LS:N-B)은 월남인에서 가장 컸고 다음으로 중국인, 한국인, 일본인의 순으로 크게 나타났다. 월남인의 상순은 중국인에서보다 리???츠의 심미적 기준선에 더 많이 근접하였고 한국인과 일본인에서의 상순은 기준선보다 후방에 위치하였다. 한국인과 일본인의 하순은 심미적 기준선에 근접한 반면 중국인과 월남인의 하순은 기준선 보다 2 mm 전방에 위치하였다. 한국인과 월남인의 비순각은 중국인과 일본인에서 보다 큰 것으로 나타났다. 남녀 간의 성차는 기본적으로 코의 높이에서 상이하였고 이로 인하여 여자에서의 총 측모각과 비순각이 남자보다 크게 나타났다(P<0.001). 이러한 결과는 아시아 각국인 들의 연조직 측모에 대하여 단일 표준치에 의한 분석 평가가 적절하지 않으며 각 인종별 표준치 설정의 필요성을 시사한다.

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비소세포성 폐암의 방사선 치료 성적 (Short-Term Results of Non-Small Cell Lung Cancer with Curative Radiotherapy)

  • 안성자;박승진;정웅기;나병식
    • Radiation Oncology Journal
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    • 제8권2호
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    • pp.213-218
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    • 1990
  • 1985년 8월부터 1988년 10월까지 전남대학교병원 치료방사선과에서 근치목적의 방사선치료를 받은 비소세포성 폐암환자 102명에 대하여 후향적 분석을 시행하였다. 대상환자들에 대한 추적조사기간은 1개월에서 37개월이었고 중간값은 15개월이었다. 전체환자군의 1년 및 2년 생존율은 각각 $28\%,\;5\%$였으며 임상적 병기별로 보면 II, IIIA, IIIB기 환자군의 평균생존기간은 각각 10개월, 6개월, 9개월이었고 2년 생존율은 각각 $12.5\%,\;12.5\%,\;12.1\%,\;0\%$였다. 방사선치료후 치료실패가 확인된 32명에 대하여 분석을 하여보면 국소실패군이 $28\%$(9명)였으며 원격실패군이 $72\%$ (23명)로 폐암환자의 사망의 대부분은 전신적인 원격전이에 의함을 알 수 있었다. 치료당시의 전신적 건강상태를 생존율에 유의한 영향을 주었으나(p<0.01), 방사선 치료선량에 따른 생존율의 유의한 차이는 보이지 않았다(p>0.05).

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Box-Behnken법을 이용한 E. coli 소독에서 전기-UV-초음파 복합 공정의 최적화 (Optimization of Electro-UV-Ultrasonic Complex Process for E. coli Disinfection using Box-Behnken Experiment)

  • 김동석;박영식
    • 대한환경공학회지
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    • 제33권3호
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    • pp.149-156
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    • 2011
  • 수중에서 E. coli 소독을 위한 전기-UV-초음파 복합 공정에 대해 실험계획법과 반응표면분석법(RSM)을 적용하였다. 2차반응표면 모형식을 추정할 수 있는 Box-Behnken법을 이용하여 전기-UV-초음파 복합 공정의 소독 반응에서 전기분해($X_1$), UV ($X_2$), 및 초음파 공정($X_3$)의 전력을 독립변수로 선정하여 수학적으로 모형화하였다. 소독 후 잔류 E. coli 수와 독립변수 사이의 실험에서 독립변수에 대해 다음의 모형식이 얻어졌다. 잔류 E. coli number (Ln CFU) = 23.69 - 3.75 Electrolysis - 0.67 UV - 0.26 Ultrasonic - 0.16 Electrolysis UV + 0.05 Electrolysis Ultrasonic + 0.27 $Electrolysis^2$ + 0.14 $UV^2$ - 0.01 $Ultrasonic^2$). 예측된 모형식은 실험 자료와 잘 일치하였다($R^2$ = 0.983). 2차원 등고선도와 3차원 반응표면도가 잔류 E. coli 수에 대한 최적 범위를 구하기 위하여 사용되었다. Design-Expert 소프트웨어의 '수치 최적화'를 이용하여 잔류 E. coli 수에 대한 최적 값을 찾은 결과 1.47 Ln CFU/L이었고, 최적 조건은 전기분해 6.94 W, UV 6.72 W 및 초음파 공정 14.23 W로 나타났다. 본 연구는 반응표면분석법이 복합 소독 공정에서 잔류 E. coli 수를 최소화하고 운전 조건을 최적화하기 위한 적절한 방법 중의 하나라는 것을 보여주었다.

Roles of Neutrophil/Lymphocyte and Platelet/Lymphocyte Ratios in the Early Diagnosis of Malignant Ovarian Masses

  • Yildirim, Mem Arjen;Seckin, Kerem Doga;Togrul, Cihan;Baser, Eralp;Karsli, Mehmet Fatih;Gungor, Tayfun;Gulerman, Hacer Cavidan
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권16호
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    • pp.6881-6885
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    • 2014
  • Background: The present study aimed to investigate the utility and importance of the various parameters of complete blood count panel for benign-malignant differentiation of adnexal masses. Materials and Methods: This retrospective study involved 316 patients with documented benign and 253 patients with malignant adnexal masses who underwent primary surgical treatment at a tertiary referral center. Prior to the study, all benign and malignant cases were compared within their own groups and then the benign and malignant cases were compared to each other. For all cases, cut-off, sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated for the neutrophil lymphocyte ratio (NLR), platelet lymphocyte ratio (PLR), neutrophil, lymphocyte, platelet and CA-125 parameters, and the results were compared in regards to the groups. Results: NLR, PLR, neutrophil, CA-125, and platelet values were higher in the malignant compared to the benign cases (p<0.01). The lymphocyte value was lower in the malignant cases (p<0.01). No significant differences were found for basophils and eosinophils (p > 0.05). For CA-125, the sensitivity, specificity, PPV and NPV for all cases were 78%, 62%, 62% and 78%, respectively. For NLR, they were 65.6%, 72.1%, 65.3%, and 72.3%, and for PLR, 48%, 81%, 67%, and 66%. Additionally, the sensitivity and specificity were 55% and 77% for CA-125, 66% and 58% for NLR, and 61% and 58% for PLR in early malignant cases. Conclusions: NLR and PLR appear to be useful methods that can be applied together with CA-125 due to the relatively high sensitivity values for the malign-benign differentiation of ovarian masses. Although the specificity of these parameters is lower than CA-125, especially in cases with early malignant ovarian pathology, their sensitivity being higher is promising for the early diagnosis of ovarian cancer. It can be used to detect ovarian malignancies in the early stages, and it will increase the treatment options and improve survival rates.

백합나무(Liriodendron tulipifera L.) 체세포배(體細胞胚) 발생(發生)에 미치는 모수(母樹) 및 암배양(暗培養) 효과(效果) (Effect of Mother Trees and Dark Culture Condition Affecting on Somatic Embryogenesis of Liriodendron tulipifera L.)

  • 손석규;문흥규;김용욱;김지아
    • 한국산림과학회지
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    • 제94권1호통권158호
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    • pp.39-44
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    • 2005
  • 5본의 백합나무 모수로부터 미숙종자 배양을 통한 체세포 배발생을 시험하였다. 두 가지 배지(MS 및 B5)에 2,4-D 및 TDZ의 농도별 조합처리로 캘러스 및 배발생 조직 유도를 시험하고 체세포배 유도, 발달 및 재분화에 미치는 명 암배양의 효과를 조사하였다. 캘러스 및 배발생 조직의 유도는 두 배지간 유의적인 차이가 없었으나 MS + 2,4-D 1.0 mg/L, TDZ 0.01 mg/L, 3% sucrose 조건에서 양호하게 나타났다. 캘러스 유도는 모수 몇 명 암배양에 따른 차이가 없었으나 배발생 조직의 유도는 암배양이 주효하여 명배양보다 약 2배의 효과가 있었고 모수간 55~72%까지 차이를 나타냈다. 체세포배 유도 및 정상적인 체세포배의 발달에 있어서도 모수의 영향을 받으며, 암배양이 필수적인 것으로 나타났고, 해부학적인 관찰을 통해 확인할 수 있었다. 본 실험 결과는 백합나무 체세포배 유도에 있어 모수의 선택과 암배양이 중요한 요인임을 시사해 준다.