• 과학교육연구지
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• 제47권2호
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• pp.167-179
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• 2023

이 연구는 1920년대 통신학교인 조선통신중학관에서 발행한 『중학강의록』과 『문교의 조선』, 『신지식』 및 신문 기사 등을 분석하여 당시 이루어진 통신교육에서 과학교육 상황을 살펴보았다. 통신교육 교재로 활용된 자료의 화학강의 내용의 분석과 검정시험 문제와의 비교 등으로 학교 밖과학교육의 실효성을 조사하였다. 통신교육은 학교 내 교육을 받지 못하는 1920년대의 높은 교육열의 소통 창구이었고, 상급학교 진학을 시도하기 위해 검정시험을 봐야 하는 이들에게는 매우 유용한 교육 방법이었다. 화학강의 내용이 검정시험 문제와 유사성이 높아서 학습자들은 통신교육을 상당히 선호했을 것이고 학습력도 높았을 것이다. 그러므로 조선어로 발행된 『중학강의록』은 당시 과학교육 상황에서 매우 의미 있는 자료로 활용되었다고 볼 수 있다.

• 의학교육논단
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• 제25권2호
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• pp.109-113
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• 2023

An educational outcome cohort has been established at Keimyung University School of Medicine to help make educational policy decisions and improve educational programs based on data. The purpose of the educational outcome cohort is to support educational policy decisions for achieving graduation outcomes smoothly and to accomplish the intended human resources development of the university through objective analyses and regular monitoring, providing continuous feedback. The data collected for the educational outcome cohort include the student identifications of freshmen, entrance exam scores, premedical and medical school grades, titles and forms of student academic research, the results of psychological testing, scholarship recipient lists, volunteer clubs, and so forth. The data are collected using an information utilization agreement approved by the Institutional Review Board, and the collected data are encrypted and stored on a dedicated computer for enhanced personal information security. Proposals to access and utilize the educational outcome cohort data must be discussed and approved by the Educational Outcome Cohort Committee, which decides on the scope and method of utilization. The collected and managed educational outcome cohort data have been used to develop comparative programs to improve students' competency and to support admission policy decisions through an analysis of the characteristics and performance of medical school students. The establishment and utilization of the educational outcome cohort will play an important role in determining the School of Medicine's educational policies and suggesting new directions for educational policies in the future.

• 대한중풍순환신경학회지
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• 제15권1호
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• pp.90-96
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• 2014

Drooling causes inconvenience and develops complications, therefore it can be very stressful to patients and caregivers. Drooling caused by neurological disabilities appears to be the consequence of dysfunction in the coordination of the swallowing mechanism. However, there is no explanation about drooling by brain injury in oriental medicine literature. This is the case report about a stroke patient with drooling improved by electro-acupuncture therapy. The patient already applied scopolamine patch, and improved drooling before admission. However, caregiver concerned about side effects, so we stopped using scopolamine patch and applied electro-acupuncture for drooling treatment. The patient was treated by 4 acupuncture points on either side of Yeomcheon(CV 23), and Jichang(ST 4), Hyeopgeo(ST 6) with mixed low frequency electro stimulation. Although we stopped using scopolamine patch, drooling maintained improved state without a change, futhermore after 16 days later, drooling had disappeared until the patient discharged. This result showed electro-acupuncture is useful method to improve drooling caused by brain injury.

• 문화기술의 융합
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• 제9권3호
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• pp.145-151
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• 2023

본 연구는 간호학과 신입생을 대상으로 간호학 전공에 대한 인식을 파악함으로써 간호학 전공 교육과정 개발 및 신입생 유치에 대한 입시전략의 기초자료를 제공하고자 시도되었다. 본 연구의 참여자는 2021년 1학기에 개설된 신입생 필수 교양인 자기 탐색을 이수한 간호학과 신입생 중 연구 참여에 동의한 40명을 대상으로 하였다. 자료수집은 15주 수업 후 참여자들이 작성한 학습일지였으며, 자료 분석은 Heieh와 Shannon이 제시한 전통적 내용분석 방법을 적용하였다. 연구 결과 '간호학 전공 입문 동기', '간호학 전공의 가치', '간호학 전공의 걸림돌'의 3개의 주제가 도출되었다. 따라서 대학 및 학과는 중·고등학교와 연계한 체험형 학과 견학프로그램을 개발 및 진행하는 입시전략을강화해야겠으며, 기초학습 능력이 부족한 학생들을 대상으로 한 교과 및 비교과 프로그램을 제공하여 전공과목 수강에 어려움을 해결해 줘야겠다.

• 한국임상수의학회지
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• 제40권3호
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• pp.215-220
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• 2023

A 3-month-old Korean native cattle (Hanwoo) calf with difficulty taking normal posture and an inability to rise was referred for a definite diagnosis and active treatment, including surgery. The calf had a history of an accident in which both hind limbs were trapped in a barn structure. After admission, a "rabbit leg" posture was observed, a typical sign of gastrocnemius muscle rupture, and both digits were knuckled downward like they were trying to grip the ground. This was considered to be a result of the superficial digital flexor not rupturing but only the gastrocnemius muscle rupturing. Physical examination revealed laceration of the metatarsus and firmness behind both stifle joints which were presumed to be the sites of gastrocnemius muscle rupture. Skeletal abnormalities, including fractures, were ruled out by radiography. Based on these findings, the patient was diagnosed with bilateral gastrocnemius muscle rupture, and surgery was performed to reconnect the head of the ruptured muscle. Because the rupture occurred perpendicular to the muscle direction, the locking loop technique, a method of suturing severed tendons, was used to reduce the tension. After surgery, the cast was used to prevent further injuries and promote voluntary rehabilitation. Follow-up was completed, with the calf showing normal posture and gait 112 days after surgery. This is the first case report in the Republic of Korea describing the successful diagnosis and treatment of bilateral gastrocnemius muscle rupture in a calf.

• 우울조울병
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• 제9권2호
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• pp.126-132
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• 2011

Background and Objectives : This study aims to identify sociodemographic and disease-related variables which predicts continuity of outpatient treatment after discharge among bipolar patients. Materials and Method : The medical records of patients who discharged with the diagnosis of bipolar disorder from Department of Psychiatry, St. Mary's hospital from 2005 to 2009 were reviewed. Data on sociodemographic and disease-related variables were analyzed. Results : It showed older age, higher rate of male and higher rate of being married in 1-year follow-up group than in non-follow-up group. And it showed longer duration of index hospitalization, higher rate of previous psychiatric outpatient treatment within 3 months before index hospitalization, higher rate of involuntary admission in 1-year follow-up group than in non-follow-up group. The univariate logistic regression analysis revealed that older age, being male, previous psychiatric treatment and longer duration of index hospitalization were significantly related to an increased likelihood of 1-year follow-up visits. Conclusion : Age, sex, history of previous psychiatric treatment, and duration of hospitalization seems to have influence on continuity of outpatient treatment after discharge.

• 중환자간호학회지
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• 제16권3호
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• pp.11-23
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• 2023

Purpose : This study investigates the experiences of patients in intensive care units (ICUs), and the factors influencing these experiences. Method : We used a cross-sectional survey design to analyze previously collected cohort data from 891 patients who spent over 24 hours in 19 ICUs across four university hospitals in Busan, South Korea between June 2019 and July 2020. Within a week of ICU discharge, participants completed the Korean version of the Intensive Care Experience Questionnaire, covering four areas: "awareness of surroundings," "frightening experiences," "satisfaction with care," and "recall of experiences." We used multiple linear regression to identify factors associated with the ICU experience. Results : Low income (𝛽 = -.08, p = .016), unplanned hospitalization (𝛽 = -.09, p = .006), sedation (𝛽 = -.16, p < .001), and delirium (𝛽 = -.15, p < .001) reduce patients' awareness of their surroundings. Frightening experiences are associated with being female (𝛽 = -.07, p = .027), experiencing delirium(𝛽= -.15, p<.001), and longer stays in the ICU (𝛽= -.14, p <.001). Using sedatives decreases satisfaction with care (𝛽 = -.08, p = .048). Living alone (𝛽 = -.08, p = .013) and using painkillers (𝛽 = -.08, p = .020) reduces recall of experiences. Conclusion : Negative ICU experiences are significantly associated with being female, living alone, lower income, unplanned admission, using sedatives and painkillers, delirium, and longer stays in the ICU. Thus, improving ICU experiences requires interventions that address modifiable factors, such as delirium, medication, and length of ICU stays.

• 대한물리치료과학회지
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• 제31권1호
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• pp.98-109
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• 2024

Background: The purpose of this study is to investigate changes in physical and cognitive function according to the level of independence in performing activities of daily living in stroke patients. Design: Retrospective study. Method: This study is a retrospective study analyzing medical records. This study utilized data collected from 123 stroke patients at admission in a local rehabilitation hospital between 2019 and 2022. Stroke patients were classified into 5 groups based on the scores of the Korean Modified Barthel index (K-MBI) evaluated at the time of hospitalization at a rehabilitation hospital, and investigated the change in physical (spasticity (modified Ashworth scale), muscle strength (manual muscle test), gait ability (functional ambulation category), upper extremity function (manual function test), and balance function (berg balance scale)) and cognitive function (Korean mini mental status examination) according to the level of independence in performing activities of daily living. Result:: As a results, significant differences were observed in the physical (muscle strength, gait ability, upper extremity and balance functions) and cognitive functions of stroke patients according to the level of independence in performing activities of daily living (p<0.05). However, there was no significant difference in upper and lower extremities spasticity. Conclusions: Through the results of this study, we found that the physical (muscle strength, gait ability, upper extremity and balance functions) and cognitive function were influenced by the level of independence in performing activities of daily living in stroke patients.

• Tuberculosis and Respiratory Diseases
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• 제44권3호
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• pp.621-628
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• 1997

연구배경 : 흉막의 염증성 변화가 생기면 흉막의 혈관 및 임파관의 투과성의 증가로 인한 혈장단백질의 유입으로 인해 흉막 비후와 격막의 형성으로 인하여 소방이 형성된다. 이러한 소방이 형성된 흉막질환에 있어 흉막강내 섬유소용해 치료의 하나로 유로키나제 치료가 효과적인 것으로 보고되고 있으나, 이에 대한 치료효과 예측을 위한 지표에 대한 연구는 미미한 실정이다. 이에 저자들은 소방이 형성된 흉막질환에서 일반적으로 시행되는 생화학적 지표들과 초음파검사상의 격막의 정도를 이용하여 유로카나제 치료효과에 대한 예측인자에 대해 알아보고자 하였다. 방 법 : 1993년 4월부터 1996년 4월까지 인하병원에서 소방이 형성된 흉막삼출액 소견을 보인 35명의 환자를 대상으로 흉부 초음파검사와 흉막삼출액에 대한 생화학적 검사를 시행하였고, 1개의 경피적 도관을 삽입하여 배액량이 100ml/day 이하로 감소되면 유로키나제를 주입하였고 배액량이 50ml/day 이하로 측정되면 유로키나제 주입을 중단하였다. 흉부단순촬영 추적검사에서 50% 이상의 폐실질의 확장을 보이면 치료효과군으로, 50% 미만의 확장을 보이면 치료실패군으로 분류하여, 각군들에 대한 초기 흉막 삼출액의 당, 단백질, LDH, ADA, pH, 백혈구 수와 초음파 상의 격막 정도를 무에코형, 선상 격막형, 벌집형으로 구분하여 비교하였다. 결 과 : 1) 대상환자 35명중 치료효과군은 27명 (77.1%)이었고, 치료실패군은 8명(22.9%)였으며, 성과 연령에 있어서의 차이는 없었다. 2) 치료효과군과 치료실패군 사이의 증상발현 기간에 있어서 치료실패군에서 유의하게 길었으며, 유로키나제 주입치료 기간중의 배액량도 적음을 알 수 있었다. 치료효과군에서 $89.7{\pm}35.9mg/dl$, 치료실패군에서 $41.2{\pm}47.1mg/dl$로 치료실패군에서 의미있게 낮은 결과를 보였으며, LDH는 치료효과군에서 $878.7{\pm}654.3IU/L$, 치료실패군에서 $2711.1{\pm}973.1IU/L$로 치료실패군에서 의미있게 높은 결과를 보였고(P<0.05), 단백질, pH, ADA, 백혈구수에 있어서는 의미있는 차이가 없었다. 결 론 : 이상의 결과로 소방이 형성된 흉막질환에서 경피적 도관 삽입을 통한 유로키나제 주입치료의 효과를 판정할 수 있는 지표로 증상발현 기간이 길수록, 흉막삼출액의 당이 낮을수록, LDH 의 수치가 높을수록, 초음파 검사상 격막의 정도가 심할수록 치료가 어려운 것을 나타내는 예측인자임을 추정할수 있었다.

• 한국항행학회논문지
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• 제7권2호
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• pp.149-155
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• 2003

본 논문에서는 무선랜 기술을 활용한 초고속 무선인터넷 서비스에서 사용자 단말의 최대 성능을 얻기 위해 효과적으로 AP를 선택하고 연결을 설정하는 방식에 관한 것이다. IEEE 802.11에 기반한 공중 무선랜 환경에서 AP의 탐색과정을 수동형과 능동형으로 분류하고, 본 논문에서는 수동형 AP탐색 과정은 무선랜 접속장치(AP:Access Points) MAC계층에서 단말에 미디어 접근정보를 방송으로 알려주는 비콘(Beacon)프레임을 이용하고, 능동형 AP 탐색과정에서는 AP의 조사응답(Probe Response) 메시지 프레임을 이용하여 무선랜 단말에게 현재 AP에 연결(association)되어 있는 단말 갯수와 처리중인 트래픽량을 알려주는 방식을 제안한다. 단말에서는 RSSI, AP에 연결된 단말의 갯수와 처리하는 트래픽량의 정보를 종합적으로 검토하여 효율면에서 가장 유리한 AP를 선택하여 연결을 설정하면 다수의 사용자가 동시에 사용하는 핫스팟 환경에서도 최대성능을 얻을 수 있으며, 사업자입장에서는 사용자의 분산으로 자원과 망관리 효율면에서 상당한 효과가 있다.