• 한국직업건강간호학회지
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• 제10권1호
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• pp.24-40
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• 2001

This study is to observe the effectiveness of the applied model and to present the improvement plan and directions for development for the case management practical model suitable for the actual condition of Korea Labor Welfare Co. and needs of the industrial injury patients. The concrete purpose of this study is: First, observe the difference of stressor experience and experience degree between the experimental group and the comparative group. Second, observe the difference of stress of the experimental group and the comparative group. Third, find out how the stress affects the support degree and satisfaction degree. Fourth, present the improvement plan of case management model, which can promote the psychosocial rehabilitation of the industrial injury patient based on the research results. The outline of the main research results identified in this study is as follows. The stressors the industrial injury patients perceived are health problems, family matters, the problems concerning hospital recuperation (hospital staff and environmental problems), economical problems, problems of coming back to society, problems with companies, problems with Korea labour Welfare Co. and other problems. And the experience of stressor was prominently lower in experimental group than comparative group in the whole problem, health problem, problems with Korea Labour-Welfare Co. and other problems. The stressor experience degree was conspicuously lower in experimental group in the whole problem experience degree, health problem experience degree, problem with Korea Labour Co. experience degree and other problem experience degree. Besides whether or not the case management is applied is having a prominent affect on the primary factor affecting the stressor experience degree, therefore the patients applied with case management has less stressor than the patient who didn't. The difference of degree of tension experienced by the stressor in both groups, the degree of stress, was not conspicuous in statistics so it shows that the application of case management in this research has not affected the degree of tension. The field which had been the most help was emotional support in help level the experimental group perceived through applying case management about industrial accident patients and recuperation, compensation problem, medical treatment problem, family matters has been helpful in this order. The help level of the whole problem was in higher level than the middle value. The stress factor which affects the case management problem settlement is the whole body of stress. The satisfaction level of help through applying case management was highest in emotional support and family matters, recuperation problem, company problem, compensation problem, and medical treatment problem was the next highest. The satisfaction level of the whole problem was higher than the middle value. The stress factor affecting the satisfaction level of help is the whole body of stress. Therefore to reduce the stress level of industrial accident patients and for them to come back to local societies, we need to reinforce the continuance and responsibility of case management model, increase staff, reinforce the role of counsel and medical treatment, intervene in the patient's plan of leaving the hospital, develop social support system and the need to establish After Care Center.

• 한국신경인지재활치료학회지
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• 제10권2호
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• pp.19-26
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• 2018

목적: 본 거북목 교정용 의자는 사람의 엉덩이와 정강이를 지지하여 사람의 자세를 교정하는 의자로서, 정강이를 경사상으로 지지하는 정강이 지지대와 정강이가 정강이 지지대에 경사 상으로 지지되었을 때 사람의 엉덩이를 경사 상으로 지지하는 엉덩이 지지대와 정강이 지지대와 엉덩이 지지대가 각각 결합되어 지지되는 메인프레임과 엉덩이 지지대 상부에 결합되며 엉덩이의 형상에 상응하여 유동적으로 함입되는 유동시트를 포함하며, 유동시트에 엉덩이가 균등하게 함입되도록 함으로써 불안정한 엉덩이 지지면을 제공하여, 지속적으로 자세에 대한 자극을 주어 사람이 자세를 인지함에 따라 교정되도록 고안된 자세 교정용 의자이다. 결과: 자세 교정용 의자에 사람이 착석하게 되면, 정강이와 엉덩이가 경사 상으로 지지되고 이에 따라 허리가 펴지게 되는데, 허리의 펴짐에 따라 어깨가 뒤로 젖혀지면서 가슴이 펴지고 목이 몸의 중앙에 위치하게 되어 사람의 자세를 교정할 수 있다. 불균형한 자세는 의자에 착석한 사람에게 자세 불량에 따른 불편함을 초래하고, 불편함을 해소하기 위해 자세 교정용 의자에 착석한 사람은 엉덩이의 균형을 잡기 위해 지속적이고 반복적으로 자세를 교정하여 신체의 밸런스를 유지하게 된다. 이러한 과정에서 사람의 좌우 방향의 자세를 교정함으로써 궁극적으로 자세 교정의 효과를 높일 수 있게 된다. 결론: 향후, 본 교정용 의자를 사용한 거북목 자세를 가진 사람에 있어서 지속적인 자세교정에 대한 집단연구가 필요하다.

• 한국콘텐츠학회논문지
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• 제16권3호
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• pp.102-115
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• 2016

본 연구는 중학생 청소년의 학대피해경험이 자아탄력성에 미치는 영향과 사회적 지지의 조절효과를 살펴보았다. 이를 위하여 부산시내 중학생 1, 2, 3학년 568명을 대상으로 조사하여 분석하였다. 먼저 청소년의 피학대경험은 자아탄력성에 영향을 미치는 것으로 나타났다. 구체적으로 학년이 낮을수록 그리고 학대피해 경험이 없을수록 자아탄력성은 증가하였다. 두 번째, 청소년의 피학대경험이 자아탄력성에 미치는 영향에서 사회적 지지는 조절효과를 가는 것으로 나타났다. 이상의 결과를 중심으로 학대피해 청소년의 부정적 경험에도 불구하고 자신의 환경과 상황을 이겨낼 수 있는 힘이라고 할 수 있는 자아탄력성을 높이기 위하여 가정, 학교, 지역사회와 국가의 사회적 지지 방안을 제언하였다.

• The Korean Journal of Pain
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• 제33권2호
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• pp.183-191
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• 2020

Background: Opioids can present intolerable adverse side-effects to patients who use these analgesics to mitigate chronic pain. In this retrospective analysis, cooled radiofrequency (CRF) denervation was evaluated to provide pain and disability relief and reduce opioid use in patients with sacroiliac joint (SIJ) derived low back pain (LBP). Methods: Twenty-seven patients with pain from SIJ refractory to conservative treatments, and taking opioids chronically (> 3 mo), were included. Numeric rating scale (NRS) and Oswestry disability index (ODI) scores were collected at 1, 6, and 12 months post-procedure. Opioid use between baseline and each follow-up visit was compared for the entire group and for those who experienced successful (pain reduction ≥ 50% of baseline value) or unsuccessful CRF denervation. Results: Severe initial mean pain (NRS score: 7.7 ± 1.0) and disability (ODI score: 50.1 ± 9.0), and median opioid use (morphine equivalent daily dose: 40 ± 37 mg) were significantly reduced up to 12 months post-intervention. CRF denervation was successful in 44.4% of the patients at 12 months. Regardless of procedure success, patients demonstrated similar opioid reductions and changes in opioid use at 12 months. Two patients (7.4%) experienced neuritis following CRF denervation. Conclusions: CRF denervation of the SIJ can safely elicit pain and disability relief, and reduce opioid use, regardless of intervention success. Future studies may support CRF denervation as a dependable therapy to alleviate opioid use in patients with SIJ-derived LBP and show that opioid use measurements can be a surrogate indicator of pain.

• 한국조경학회지
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• 제28권1호
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• pp.37-47
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• 2000

This research focused on the improved alternatives of the ordinance which practically control the open space in-situ, public open space and landscape construction related to city landscape for the healthy physical and mental life of the city dwellers. The contents of the study are as follows: 1. The special law of Landscape Architecture should be legislated. 2. The portion of landscaping should be changed by up-grading in the Ordinance of Landscape area and planting and the terms of landscape Facilities should include the ecological aspects in it's contents in the law. 3. The administration of local governments should actively lead and support the dwellers to make the roof gardens and the window gardens in the building area of cities or commercial districts which have relatively low rate of green space. 4. Any new construction and restoration of the buildings with preservation of the natural environment and creation of public open space should be given incentive and Set-back space in aesthetic area should have appropriate planting area and facilities in it. 5. Organizing professional landscape evaluation committee and composing evaluation standards are very important because of the contemporary proposition of the establishment of the establishment of ecological space and conservation of urban natural space. Because of the characteristics of Landscape Architecture, the Provisions of landscape Architecture Design and landscape architecture supervision of the specialist should be legislated and the Landscape Architectural Organization should be established within the Government.

• 한국문헌정보학회지
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• 제46권3호
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• pp.233-250
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• 2012

MEDLIS 원문제공 서비스의 발전과 현황 그리고 문제점을 파악하여 개선방안을 제시하기 위하여 이용분석을 수행하였다. 2001년부터 2011년까지 축적된 트랜잭션 데이터를 분석한 결과, 이용량의 지속적 감소, 기관유형별 불균형한 기여도, 기간호에 대한 높은 의존성, 주제별 이용격차, 비교적 낮은 성공률, 다양한 실패요인이 식별되었다. 연구결과에 기초하여, 서비스 품질향상을 위한 종합목록데이터베이스의 유지 관리, 효과적 검색을 위한 기술적 지원, 기간호 공동보존 대책, 그리고 이용활성화를 위한 교육과 홍보 및 회원 확대 등을 제언하였다.

• The Korean Journal of Physiology
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• 제4권2호
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• pp.19-24
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• 1970

Since the discovery of the muscle spindle by Hassall (1831), an intensive studies of its anatomical and physiological characteristics had been undertaken. Recent morphological studies of Boyd (1962) demonstrated that the muscle spindles have two different intrafusal muscle fibers, nuclear bag and nuclear chain fiber, and these intrafusal fibers are under independent motor innervation by ${\gamma}_1$ and ${\gamma}_2$ motor neurone. Neurophysiological studies of Hunt and Kuffler (1951) showed regulatory effect of ${\gamma}$ motor neurone upon the excitability of the spindle afferents. Harvey and Mathews (1961) observed the dynamic and static characteristics of the two different spindle afferents, the primary and secondary ending. Furthermore, Mathews (1962) postulated the functional existance of two kind of ${\gamma}$ motor neurones, namely, the dynamic and static fusimotor fiber. Recent report of Kim and Partridge(1969) pointed out that the descending vestibular signals had increased the slope of the length-tension relationship in stretch reflex; Kim (1967) demonstrated that the descending vestibular impulses act upon the stretch reflex loop through the ${\gamma}$ motor pathway. These experimental evidences from the morphological and neurophysiological studies on the muscle spindles support the concept that the stretch reflex action of the skeletal muscle operates as a negative feedback control system. The author had discussed the way by which the f system participates in the control of stretch relfex feed back system. that was taken for a prototype of posture and movement.

• 한국주거학회논문집
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• 제26권1호
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• pp.91-98
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• 2015

The purposes of this study are to analyze the problems of the elderly using kitchens by ergonomic work evaluation methods, and to make suggestions for planning and remodeling of the kitchens for the elderly. The work evaluation methods which used in this study were direct-observing methods, which contained the process of 2 or 3 times each visiting to four different houses where elderly people live. For direct-observing methods, analyzing with movement observations and observation methods with photos and videos were used. Characteristics of subject elderly people and problems of their kitchens were analyzed by static measurements, interviews, pictures, and videos. The data, which are recorded movements of the preparing meal of the elderly were analyzed by playing it back repeatedly. As results, physical characteristics of the elderly was the most important consideration; a participant with the arthritical knee was limping at the kitchen entrance due to the difference of the floor level, and a user with a bent back was working on the floor or place an elbow on the worktable to support her body. Those results made a conclusion about the common problems of the kitchens, and suggested the check list which has to be considered when designing the elderly using kitchen.

• 기본간호학회지
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• 제24권1호
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• pp.18-29
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• 2017

Purpose: The purpose of this study was to develop an algorithm for nursing care after percutaneous coronary intervention in order to improve patients' safety and prevent complications, because percutaneous coronary intervention is becoming a common treatment for coronary artery diseases. Methods: By reviewing related literatures and interviewing nurses, items and paths that were to be used in the algorithm for nursing care after percutaneous coronary intervention were drawn up and a draft algorithm was developed. The final algorithm was determined based on the results of the evaluation performed after clinical application. Results: According to the outcome after allowing nurses to apply the revised algorithm with 11 patients, suitability on items composing the algorithm were highly rated whereas promptness was lowly rated. Although the patients (n=11) to whom the algorithm was applied complained of less back pain (p=.001) and discomfort (p=.026) compared to the patients (n=17) to whom the algorithm was not applied, no significant difference in bleeding complication was found. Conclusion: The findings in the study support the clinical utilization of the algorithm for nursing care after percutaneous coronary intervention as the use of this algorithm reduced back pain and discomfort without increasing bleeding complications at the femoral puncture site.

• 수산해양교육연구
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• 제20권3호
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• pp.442-451
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• 2008

The purpose of this study is to analyze the impacts of the rapid rise in oil prices on fisheries economy. Even though fishery oils are tax exemption items, such increase in oil prices put a great amount of pressure on Korean fishing operations. Because basically the recent oil shock is externally given, Korean fisheries themselves have little capacity to cope with the disruption of economic environments. The research results turned out that Korean fisheries are extremely vulnerable(or fragile) to external shocks. In this regard, government support issues of oil costs are in the center of debate. It is widely recognized that direct/indirect government financial supports or subsidies would result in economic inefficiency in expense of equity. However, there are second best theories which may justify government intervention into the markets. This second best theory is translated into the constitutional law that instructs the government to protect and promote the primary industries including fisheries, agriculture, and midium/small-scale enterprises. It is apparent that the constitutional law would provide the government with a variety of policy instruments such as more active buy-back programs, tax exemptions and technological development to deal with fisheries economic hardship due to the external pressure such as high oil prices and international fishery orders.