• The Korean Journal of Pain
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• 제31권3호
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• pp.147-154
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• 2018

Fibromyalgia (FM) is a contested illness with ill-defined boundaries. There is no clearly defined cut-point that separates FM from non-FM. Diagnosis of FM has been faced with several challenges that occur, including patients' health care-seeking behavior, symptoms recognition, and FM labeling by physicians. This review focuses on important but less visible factors that have a profound influence on under- or over-diagnosis of FM. FM shows different phenotypes and disease expression in patients and even in one patient over time. Psychosocial and cultural factors seem to be a contemporary ferment in FM which play a major role in physician diagnosis even more than having severe symptom levels in FM patients. Although the FM criteria are the only current methods which can be used for classification of FM patients in surveys, research, and clinical settings, there are several key pieces missing in the fibromyalgia diagnostic puzzle, such as invalidation, psychosocial factors, and heterogeneous disease expression. Regarding the complex nature of FM, as well as the arbitrary and illusory constructs of the existing FM criteria, FM diagnosis frequently fails to provide a clinical diagnosis fit to reality. A physicians' judgment, obtained in real communicative environments with patients, beyond the existing constructional scores, seems the only reliable way for more valid diagnoses. It plays a pivotal role in the meaning and conceptualization of symptoms and psychosocial factors, making diagnoses and labeling of FM. It is better to see FM as a whole, not as a medical specialty or constructional scores.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7409-7414
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• 2013

Background: Delay in diagnosis of breast cancer is associated with a poorer survival and a pivotal contribution to this delayed diagnosis comes from patient delay in presenting at a clinic. Reasons involved must be evaluated in order to decrease this reducible delay. Objectives: i) To evaluate the reasons for patient delay in diagnosis of breast cancer; ii) to investigate any association with other variables. Materials and Methods: A 6 month cross sectional study (from July 2012 to Dec 2012), was carried out in Surgical and Oncology Units of Civil Hospital, Karachi. A total of 100 females diagnosed with breast cancer of any histological type were interviewed after informed consent and relevant data were collected. Due ethical clearance was obtained. Results: Mean age was $47.5{\pm}12.1$ years with a range from 25-77 years. Mean duration of delay was $5.13{\pm}4.8$ months, from shortest 1 month to longest 36 months. Duration of delay was observed to be no delay (<1 month) in 28%, short delay (1-3 months) in 30% and long delay (>3 months) in 42% of patients. Considering the symptoms as "harmless" (39%) was the most frequent reason of delay followed by "temporary" (20%) and the "use of traditional methods" (12%). Most common reason for later approaches was an increase in the size of the lump (41%). Statistically significant association (p-value <0.05) of longer patient delay was obtained with being single, being illiterate, painless breast lump as the first symptom, negative family history of breast cancer and vague attribution of the symptoms. Conclusions: Significant delay in approach to health care facility was observed in our study due to variable reasons given by women. Sufficient awareness regarding breast cancer, its symptoms and favorable effects of a timely diagnosis on prognosis must be imparted to our general population.

• 한국콘텐츠학회논문지
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• 제14권7호
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• pp.367-375
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• 2014

본 연구의 목적은 투석전 만성신장병 환자에게 적용할 타당성 있고 신뢰도 있는 자가관리 도구를 개발하는 것이다. 일개 병원의 143명의 만성신장병 환자에게 설문 조사를 실시하였다. 문헌고찰을 통해 자가관리 영역과 문항을 구성하고, 탐색적 요인분석을 통해 평가하고 신뢰도를 분석하였다. 5개의 요인이 도출되었고, 각각은 치료지시이행과 파트너십, 식이이행, 문제해결, 건강행위, 정신사회적 건강추구로 명명하였다. 5개의 요인은 총 변량의 51.1%를 설명했다. 각 요인은 신뢰도가 0.64-0.79여서 신뢰할 만했다. 개발된 자가관리 도구는 만성신장병 환자에게는 스스로 관리할 수 있는 지침이 되고, 건강관리 전문가들에게는 환자의 관리상태를 평가하고 중재 프로그램을 개발하는 데 유용하게 사용될 수 있다.

• Nutrition Research and Practice
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• 제4권1호
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• pp.36-42
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• 2010

A cross-sectional survey was used to investigate the rates of overweight and obesity (BMI$\geq$25), and eating attitudes among college students. Data were collected at a large southeastern university. Adolescents (ages 18-25) self-reported weight and height (to calculate BMI), and, in addition to demographic information, completed the eating attitudes (EAT 26) scale to assess dieting tendencies. Significance of the mean BMI differences between gender and ethnic background were assessed by one-way analysis of variance (one-way ANOVA). Chi-square was used to determine whether the rate of those with BMI$\geq$25 between gender and ethnic background was statistically significant. While 52.7% of the students' BMI were within the normal weight category, 15.2% were underweight, 21.3% were overweight, and 10.8% were obese. The rate of BMI$\geq$25 differed by gender and ethnicity, with males and African Americans having higher rates. About 12 % of the participants reported disturbed eating behavior, which is lower than previously reported. Even so, results support the generally held belief that disturbed eating attitudes and unhealthy dieting are common among college students, especially among females. At the same time, disturbed eating attitudes are not just the domain of young female students; about 10% of college males reported disturbed eating attitudes. Findings of this study call for obesity prevention/intervention and lifestyle modification outreach programs among college students. Weight status and unhealthy eating behaviors of college. students should be a concern to health care professionals. While obese young adults will likely remain obese throughout their adult life, excessive dieting among students, which is linked to eating disorders and other health hazards, does not provide healthy and adequate alternatives for maintaining a normal BMI. Implications for obesity prevention programs are discussed.

• 한국조경학회지
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• 제35권3호
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• pp.1-12
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• 2007

This study aims to examine the existing conditions of elderly housing facilities and to understand the characteristics and types of outdoor living environments utilized by the elderly. To achieve this, this study relied on two methods: a descriptive method of researching publications and related scholastic writings, and an empirical study that included a survey of present conditions and interviews with the elderly and their nursing care providers. Additionally, evaluation of usage patterns and physical traces were carried out in twelve cases. First, the study showed that all of the facilities, which are fixed in particular areas, had difficulty providing spatial diversity that met the needs of residences. This means that these areas lack flexibility. Activity programs were, however, carried out in a lively manner in well-equipped spaces. Second, an evaluation of outdoor living environments showed that basic facilities were more than adequate, in general. Consideration of resident's physical strength and taste, however, was evaluated as low, indicating that facilities and spaces should be considered to reflect the ages, physical capacity, diverse tastes and hobbies of the elderly, as well. Third, examining the usage patterns of outdoor living activities of residents, the purposes of using outdoor spaces of elderly housing facilities were mainly 'to take a walk' and 'to engage in simple physical exercise' and the walkway, simple sports facilities, and building entrances were highly utilized. The importance of outdoor living environments values was a mean of 4.07 and satisfaction was 4.17. This indicates that residents thought that outdoor living environments are very important and currently satisfied with them.

• 대한간호
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• 제34권3호
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• pp.69-84
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• 1995

The purpose of this study was to identify caregivers of the elderly, the pattern of the caregivers' caring behaviors, and the cultural principles of patterns of caring behaviors practiced in a Korean minority community, Yanbian. To clarify these, an ethnographic approach was used. The fieldwork for this study was conducted from Aug. 24, 1993 to May 20, 1994. The informants were 16 natives, age 60 or more, who were members of a large family of three generations. The results of the study are as follows. The caregivers for the elderly were family, kinship and community groups. Family caregivers for the elderly were spouses, sons, daughters-in-law, grandchildren, sons of former wives, sons of former husbands, adopted sons. daughters and sons-in-law. The elderly had caregivers who were part of the kinship group. Three community groups provided care for the elderly. The three community groups were Dokbozo. a formal large organization for the elderly. the same age group as an informal small meeting for the elderly, and other community younger groups. The findings of this study indicated that family caregivers, especially spouses and sons, are the significant others of the elderly, and comminuty groups are better caring groups than kinship relatives. This study identified forty-three different kind of caring behaviors. They were divided into fifteen behavior patterns. These patterns integrated into five categories : soo-bal(¼?¹ß), protecting, respect, support, jung(?×). For physical comfort, soo-bal and protecting were conducted. For the comfort of mind, respect. support, and jung were conducted. The comfort of mind are better than physical comfort for the elderly. Cultural principles of caring behaviors were group membership, reciprocity, and harmony. But there was no hierarchy priciple. And these three principles provide best caring together at the same time. This study provides significant data for nursing research, theory and practice.

• 한국콘텐츠학회논문지
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• 제18권10호
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• pp.175-182
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• 2018

본 연구는 2016년 지역사회건강조사 원시자료를 이용하여 만 25~54세 연령의 104,811명의 경제활동 인구를 대상으로 구강검진수검 여부와 관련된 요인들의 영향 정도를 확인하고자 하였다. Multiple logistic regression analysis를 시행하여 구강검진 수검률에 영향을 미치는 일반적 특성, 사회경제적 지리적 특성, 구강건강관리행태 요인을 파악하였다. 연령 및 교육수준이 높을수록, 치석제거를 경험한 경우, 주관적 구강건강수준이 매우 좋은 경우, 필요치과진료 수진자에서 구강검진 수검률이 높게 나타났다. 소득분위가 높을수록 구강검진 수검률이 낮게 확인되었다. 경제활동 인구의 연령, 결혼여부, 교육수준, 지역, 소득수준, 직업, 치석제거 경험 여부, 필요치과진료 미수진 여부 등이 구강검진 수검 여부에 있어 유의한 영향이 있음이 나타났다. 구강검진에 대한 접근성 향상을 위한 효율적인 구강검진사업에 실증적 근거를 마련하고자 한다.

• 한국도서관정보학회지
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• 제44권3호
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• pp.125-152
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• 2013

본 연구는 근거이론 방법을 적용하여 임신부들이 경험하는 정보추구의 독특함을 총체적으로 반영한 정보추구의 실체이론을 개발하였다. 이론적 표집에 의하여 산전진료에 참여하고 있는 16명의 임신부를 대상으로 심층적인 면담을 수행하였다. 자료 분석은 근거이론 절차에 따라 자료수집과 자료 분석을 동시에 수행하였고, 지속적인 비교분석을 하였다. 임신기의 정보추구의 맥락, 구조, 과정의 분석 결과, 임신부의 정보추구 경험을 통합하는 핵심범주는 '임신에 대한 자아통제감 향상하기'로 도출하였다. 즉, 임신의 과정동안 임신부들의 의도적이고 일상적인 정보추구행위는 합맥락적이고 합리적으로 임신상황에 대처해 나갈 수 있는 능력을 향상해 나가는 과정이라는 것이다. '임신에 대한 자아통제감 향상하기'의 경험 유형은 '필사적 추구형', '적극적 추구형', '무관심 추구형', '체념적 추구형'으로 나타났다. 또한, 본 연구결과의 특징 및 선행 정보추구 모형과의 비교 및 임신부들을 위한 정보서비스 개발을 논하였다.

• 접착 및 계면
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• 제10권1호
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• pp.11-16
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• 2009

본 연구에서는 주름 개선 효과가 있는 것으로 알려진 rosmarinic acid를 함유하는 마이크로캡슐을 제조하였다. 벽재 물질로는 키토산을 사용하였고, 글루타르알데히드를 가교제로 사용하였으며, W/O 형태의 유화법으로 마이크로캡슐을 제조하였다. 유화제로는 span80을 사용하였으며, 가교가 시행되는 bath상의 물질은 mineral oil을 사용하였다. 제조된 키토산 마이크로캡슐은 완벽한 구의 형태로 평균 $0.5{\sim}0.9{\mu}m$ 크기를 보였으며, 교반속도와 유화제의 농도에 따른 캡슐의 크기 및 형태 변화 그리고 함유 효율을 관찰하였다. 마이크로캡슐의 방출특성을 실험하기 위하여 가교제와 유화제의 양을 변화시키면서 방출 속도를 측정하였다.

• 터널과지하공간
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• 제21권2호
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• pp.128-137
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• 2011

수직 시추공에 대한 일반적인 수압파쇄시험으로부터 구해지는 균열폐쇄압력은 암반의 최소수평주응력을 직접 나타내기 때문에 현지암반의 응력분포양상을 해석하는데 있어서 매우 중요한 요소이다. 그러나 수압파쇄균열의 거동과 현지암반의 응력분포양상의 관계로 인하여 대부분의 경우 이 균열폐쇄압력은 수압파쇄 압력이력곡선 상에서 애매모호한 값으로 나타난다. 본 연구에서는 수압파쇄시험으로부터 균열폐쇄압력을 산정하기 위하여 여러 연구자들에 의해 제안된 기법들의 특성을 비교해 보고자 수치해석을 실시하였다. 즉, 유체의 가압에 의한 암반 내 균열의 발생이라는 수압파쇄의 특성을 모사하기 위하여 H-M couple 해석을 적용하였으며, 또한 수치해석 모델의 형상학적 특성에 따른 균열의 전파양상을 검토하기 위해 4가지 서로 다른 형태의 요소망을 구축하여 해석을 실시하였다. 각각의 요소망에 대한 수치해석 결과, 그래픽 방법이 통계적 방법에 비해 상대적으로 낮은 수준의 균열폐쇄압력을 보였으며, 따라서 시험공 주변에서의 응력 이상대의 존재 및 복잡한 메커니즘을 수반하는 수압파쇄균열의 발생양상을 감안할 때 수압파쇄시험에 의한 균열폐쇄압력의 산정시 특별한 주의가 요구된다.