• 제목/요약/키워드: Collection 6

검색결과 2,676건 처리시간 0.03초

산모가 인지한 분만지지자별 분만경험분석 (Analysis Pregnant Women's Perceived Delivery Experiences According to Delivery Supporters)

  • 신기수
    • 여성건강간호학회지
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    • 제2권1호
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    • pp.5-24
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    • 1996
  • The Delivery Process can be viewed as one of the developmental crisis that forces the majority of women. During the labor and delivery process the women may face a variety of problems and pain with all its subjectivity. This developmental crisis may lead a pregnant women to have a negative experience in delivery. For nurses, to help to pregnant women check with the crisis and perceived support and to positive experience. This study intended to analyze the pregnant women's delivery experience according to supporter during labor. The subjects for this study were 45 pregnant women who had normal delivery without complications, within 37 to 42 weeks of pregnancy. Data Collection was done from April 24th to May 20th 1995 by two instruments, a support measurement scale and a delivery experience measurement scale which were consisted it 18-items scale developed by researcher. The data was analyzed by SPPS program using descriptive statistic Kruskal-Wallis one way analysis and Spearman Correlation Coefficient. The result of this study are as follows. 1. Support distribution by support contents is shown is order of holding the hands (97.8%), help to urination(86.7%), bed arrangement(57.8%), massaging the arms and legs(55.6%), changes in posture(44.4%), teaching how to produce power(44.4%), while emotional support is disclosed in order of sympathy(97.8%), encouragement(82.2%), hearing the needs(60.0%), However, information support was as low as less than 33.3%. 2. The extent of delivery experience a Pregnant woman perceives is revealed in order of a sense of comfortableness(44%), satisfaction(43.2%), reduction of fear(43.2%), familiarity (42.8%), self-confidence (42.5%), decrease of laborpain(39.9%). 3. The extent of delivery support a pregnant woman perceives reveals that physical support($x^2$=22.4452, P=.000) and information support($x^2$=7.5187, P=.0233) Show a significant difference among the mothers group, the mothers-in-law group, the husbands group, but to significant difference was found in emotional support among them. 4. The extent of delivery experience a pregnant woman perceives represents a significant difference in order of the mothers group, the mothers in-law group, and the husbands group($x^2$=13.4255, P=.0012). 5. A positive correlation was manifested between the extent of support and delivery experience a pregnant woman perceives(r=.8643, P=.000). This information can be utilized as data to further the understanding delivery experience according to supporter. In Consequence, it is recommended that the range of family support limited to husband should be expended including mother and mother-in-law.

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신생아의 수면/활동 양상에 관한 연구 (A Study on the Sleep/Activity pattern in New Born Baby)

  • 이영은;이화자;김영혜;백경선;정향미;박혜선
    • 부모자녀건강학회지
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    • 제3권1호
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    • pp.60-72
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    • 2000
  • Studies are needed to determine the standard norms for sleep/activity patterns in new born baby and there have been no established reports of discrepancy of sleep/activity patterns in new born baby among various races. The purpose of this study is to determine whether the NCASA(Nursing Child Assessment Sleep Activity Record) would be suitable to evaluate and to provide the basic resources for a Korean model of sleep/activity patterns during the new born baby, and to provide a basis for nursing intervention for mothers of new born baby. The subjects of this study were 38 normal new born baby who visited the postpartum care center and two general hospitals located in pusan from January 1 to April 28, 2000. They all agreed to participate in this study. The method of data collection was through convenient sampling. Data were collected through questionnaires including demographic data, birth hi story, and general informations concerning the infant, mother and family. The instrument of this study was the NCASA translated by the Korean parent Child Health Academic Association. The collected data were analysed by mean. standard deviation, frequency, and percentage by use of SPSS/PC. The conclusions obtained from this study are summarized as follows: 1. The mean amount of daytime sleep was 10.23 hours. The mean amount of nighttime sleep was 5.53 hours. The mean amount of total daily sleep was 15.77 hours. The mean of the longest sleep period was 4.49 hours. The mean regularity of daytime sleep was 49.69%. The mean regularity of nighttime sleep was 66.98%. The mean regularity of total daily sleep was 55.81%. The mean frequency of nighttime wakenings was 3.09 times. 2. The mean amount of daytime awake periods was 6.12 hours. The mean amount of nighttime awake periods was 2.11 hours. The mean amount of daily total awake periods was 8.23 hours. The mean of the longest awake periods was 3.76 hours. 3. The mean frequency of daytime feeding was 5.71 times. The mean frequency of nighttime feeding was 2.65 times. The mean frequency of total daily feeding was 8.36 times. The mean frequency regularity of feeding was 62.50%. 4. The mean amount of a mother's day time was 16.36 hours. The mean amount of a mother's night time was 7.64 hours. In conclusion, The new born baby slept more during the daytime compare than nighttime and more active during the daytime. On the other hand. although nighttime sleeping the length of the mother was normal, but sleep was interrupted by the infant over 3 times on average. Therefore this research study will contribute to nursing practice and nursing research by its implication through postnatal educational nursing programs at hospital and nursing intervention programs that would help individual caring of early infant mothers at home.

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${\beta}$-TCP를 이용한 상악동 점막거상술 (SINUS AUGMENTATION WITH ${\beta}$-TCP)

  • 황경균;송승일;김상우;이성훈;김영면;심광섭
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제30권5호
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    • pp.428-433
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    • 2004
  • Sinus floor augmentation has been proven an effective treatment procedure to increase bone volume in the posterior edentulous maxilla. Autogenous bone considered to be the best material for reconstructive bone surgery and has been successfully used as a graft material to augment posterior maxilla. However, the collection of autogenous bone required extra risks for morbidity and complaints. So, various bone graft materials included ${\beta}$-tricalcium phosphate(${\beta}$-TCP) has been introduced for replacing the autogenous bone. The objective of this clinical study was to determine the predictability of endosseous implant placed in a maxillary sinus with ${\beta}$-TCP grafting. We performed sinus elevation with ${\beta}$-TCP to install the implant in the 10 maxillary cases. The prosthetic procedure was performed 6-9 months after. The implant-prosthetics was checked about 1 year. We checked the implant and measured the maximum bite force to evaluate the function of the implant. There was not observed the specific problem and complication in dental implant and maxillary sinus in the grafted materials. The maximum bite force was 558N in case of natural tooth, 365N in implant without grafting, 318N in implant with ${\beta}$-TCP grafting. There was no significant difference between with and without sinus grafting on maximum bite force(p>0.05). As though the long term check-up is needed, the grafting of ${\beta}$-TCP as a osteoconductive materials can expand the volume and induce dense new bone formation in maxillary sinus. So, this short-term results support that ${\beta}$-TCP can be a suitable material for sinus augmentation.

비도서자료의 매체표시에 관한 연구 (A Study on the Medium Designator In Non-book Materials)

  • 남태우
    • 한국문헌정보학회지
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    • 제15권
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    • pp.119-140
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    • 1988
  • This paper is the study on the Medium Designator in Non-book materials. Main contents of this study were as follows; 1. The medium designator serves to indicate the class of material to which an item belongs. This is used to give an 'early warning' ;to the catalogue user. 2. This medium designator may be further divided into two elements ; a general material designation (GMD), for example video-recording, and a specific material designation (SMD), for example, videodisc. 3. GMD: In cataloging, a term indicating the broad class of material to which a bibliographic item belongs, such as 'motion picture', and SMD : In descriptive cataloging, a term indicating the special class of material (usually the class of physical object) to which a biblographic item belongs, such as videocassette. 4. Locating the medium designator after the title proper was not prescribed until ISBD(G) and AACR2. In pre-ISBD(G) codes, the ,early, warning type of medium designator was placed after all title information. But in AACR2, the medium designator is placed after the title proper, but before parellel title and other title information. 5. In Terminology, Two separate lists of designations are given in AACR2, l.1C1, one for British and one for North American use. The British list contains fewer terms, and uses generic categories to group together some of the North American list. 6. The problem of where to place the medium designator might be circumvented by using some kind of early alerting device other than a formal element of biblliographic description. Various alternatives have been suggested. A more popular device is the provision of symbols or 'media code' which are part of the call number and indicate the porticular medium type. 'Colour-coding' the use of used by some libraries but is now longly discouraged. 7. According to Frost. The medium designatorhas been generally reeognized as serving three functions; 1) as a statement of the nature or basic format of the item cataloged and thus as a meant of informing the user as to the type of material at hand; 2) as a description of the physical charaetistics of medium and as a means of alerting the user to equipment needed to make use of the item. 3) as a device to distinguish different physical formats which share the same title. 8. AACR2 raises some problems which decision makers have neet had to face preriously It provides a GMD for every item in the collection including books and it makes the application of any or all GMD's optional.

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Pneumonia Severity Index에 따른 원외획득폐렴 환자의 치료 현황 및 성과 (Current Treatment and Clinical Outcomes of Community Acquired Pneumonia According to Pneumonia Severity Index)

  • 박현희;지은희;이영숙
    • 한국임상약학회지
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    • 제21권2호
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    • pp.170-181
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    • 2011
  • Purpose: There is considerable variability in rates of hospitalization for patients with community-acquired pneumonia (CAP) in part because of physicians' uncertainty in assessing the severity of illness at presentation. The purpose of the study was to examine the current treatment patterns and factors influencing the Pneumonia Severity Index (PSI) and clinical outcomes in the patient with CAP. Method: The retrospective data collection of the patients with CAP was conducted and the data were reviewed. The collected data included demographic, clinical, laboratory and microbiological medical information. All patients were stratified into three risk groups according to PSI: low risk (PSI score I-II), moderate risk (III) and high risk (IV-V) groups. The examined treatment patterns were the appropriateness of admissions, category of antibiotics used. The prognostic factors associated with PSI and clinical outcomes were examined. Results: One hundred and six patients' medical data were reviewed. The overall appropriateness of admissions was low presenting many of patients were admitted or intensely treated in the hospital despite of lower risk of prognosis and treated with intravenous antibiotics instead of oral fluoroquinolones. Primary pneumonia pathogens were Klebsiella pneumoniae (27%) and Streptococcus pneumoniae (21.6%). Mean LOS was 8.5 days and was significantly longer (10.0days) (p<0.001) in high risk group. The patients with age >65 (p<0.001), diabetes mellitus (p<0.001), mental alteration (p<0.001), and/or $PaO_2$ <60 mmHg (p<0.001) had a tendency to have higher PSI. The prognostic factors associated with longer LOS were age >65 years (p=0.008), mental status alteration (p<0.001), dyspnea (p=0.002) and PSI score (p=0.001). The prognostic factors associated with mortality were congestive heart failure (p=0.038), systolic blood pressure <90 mmHg (p=0.002) and arterial pH <7.35 (p=0.013). Conclusion: Most of patients were found to over-utilize medical service according to appropriateness of admissions. The elderly, mentally altered patients with low $PaO_2$ had higher PSI score with increased risk of LOS. The mortality could be increased in the patient with disease state of congestive heart failure, high blood pressure, and/or acidosis.

영유아의 사고유형 실태조사와 안전교육 효과 분석 (The Patterns of Accidental Injury in Young Children and Effect of Safety Education on Their Mothers Performance of Preventive Measures)

  • 송인자;한정석
    • 한국보건간호학회지
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    • 제12권1호
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    • pp.55-74
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    • 1998
  • In the past most major accidents resulted in death, but today there is a dramatic increase in the number of people who survive such accidents but who are left with permanent injury. Particularly, children who are inquisitive about their surroundings but immature in their ability to assess danger, are more vulnerable to accidents and their causes as well as to determine attitudes towards prevention. The main objective of the study was to assess the effectiveness of using an accident prevention manual for accident for accident prevention education. The study was a quasi-experimental study using a questionnaire format. The subjects of the study were 393 mothers of children attending six day care centers in Seoul. Data collection was done between May 1 and June 15, 1997. The tools used for the study were a questionnaire developed the researchers and a manual for accident prevention. The collected data were analyzed using SPSS. The results of the study are as follows: 1. Types of accidents included stabbing, bums, falls from heights, choking, falls on slippery surfaces, traffic accidents, drowning, poisoning, and electrical shock in that order of frequency. 2. The main causes of accidents in children were from cosmetics and household medications. 3. The most frequent locations of accidents in the home were the bathroom, kitchen, and stairways in that order. 4. For $90.4\%$ of children safety seats were not used when the ridding in a car. 5. In examining the parents' accident prevention practices, it was found that many parents used only . one electrical outlet for many appliances, tending to overload the electricity lines and that they were not practically concerned bout the flammability of children's pajamas, indicating a less than positive attitude towards fire prevention. 6. The parents had not provided their children with any instruction on accident prevention or on what to do after an accident had occurred. 7. After the use of pamphlet in an accident prevention education program, it was found that there was a statistically significant difference in the degree to which children carried out safety measures (t=14.96, p=.000) and in their safety habits (t=-1.67, p<.1) indicating an effectiveness in this method of education. The results of this study showed that there are many things in a child's environment that can cause accidents and that the possibility of an accident occurring is high. So nurses looking after children should be aware of the need for safety education to prevent accidents in the home and plan to provide appropriate educational material to help parents with this education.

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일부 지역사회 저소득층 주민을 대상으로 한 가정간호사업의 효과에 관한 연구 (A Study on Effectiveness of the Home Care Services for the Low Income Inhabitants)

  • 이군자;김명순;양영희
    • 한국보건간호학회지
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    • 제6권2호
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    • pp.70-107
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    • 1992
  • This study was intended to assess the need of home nursing care and analyze the effect of home nursing care, and find out the problems during the performance of home nursing care for the chronic patients among the low-income people in urban area. Data collection by interview was carried out from Nov. 1991 to Jul. 1992. The main results were as follows; 1) Total subjects for the need assessment of home nursing care were 123 households wi th 488 persons in a urban poor area. Over half of households $(57.7\%)$ was teenage family. The overall living conditions were poor and the average monthly income was 580 thousands won. $74.8\%$ of subjects was covered by medical care insurance and only $4.7\%$ was covered by public assistance. The morbidity rate was $8.2\%$ among 488 subjects and $27.5\%$ of them was not treated at all, $30\%$ was treated in utilizing pharmacies or local clinics. 2) The subjects of home nursing care were 46 with Hypertension or DM who agreeded the participation of study among registered patients at a public health center in Incheon. Home visiting was performed at intervals per one month for one year. Most of them were the elder(mean age=61 years) and long term patients(7.8 years continued). Home nursing care was effective. That is, blood pressure(including systolic and diastolic pressure) was significantly reduced (t(n=22)=2.31, P=.031, t(n=24)=4.16, P=.000 respectively) and knowledge of disease(t(N=46)=-7.63, P=.000), attitude of disease (t(N =46) = -4.92, P=.000), and self-care(t(N =46) = -4.89, P= .000) were significantly improved through home nursing care. But there was no difference in blood sugar for diabetics between the beginning and the end of visits. At the beginning of visit for home nursing care, sex$(\beta=-0414,\;t=-3.012)$ and nursing need({3=.310, t=2.164) were influencing self-care, and duration of disease$(\beta=.297,\;t=2.106)$ and nursing need $(\beta=.385, t=20417)$ were influencing blood pressure, blood sugar level. Namely, the subjects who were male and had higher nursing need showed better self-care and the longer duration of disease and the higher nursing need were relationship with the better blood pressure and blood sugar level. At the end of visit for home nursing care after one year, the blood pressure and blood sugar level was influenced by age $(\beta.320,\;t= 2.242)$, duration of disease ($(\beta.352,\;t= 2.395)$ and nursing need $(\beta=.350,\;t=2.623)$ and self-care had no influencing factor. The higher age and the longer duration of disease and the higher nursing need were relationship with the better blood pressure and blood sugar level. 3) The problems that were found out during the performance of home nursing care were the absent of useful protocols for services and the clear evaluation base, and the difficulty of teaching elders who were the major part of our subjects.

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한방클리닉에 내원(來院)한 감기환자에 대한 조사연구 (A Study on Common Cold Patients utilizated of Korean Medical Clinic)

  • 홍윤정;채덕원;박형순;금경수;이시형
    • 대한한의정보학회지
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    • 제19권1호
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    • pp.1-34
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    • 2013
  • Objectives : A common cold is a viral disease. There exists only allopathy for it depending on symptoms because of no cure. Korean medicine has taken a serious view of common cold patients with digestive problems as well as patients of the common cold. Accordingly, this study is aimed at finding out the traits of patients with digestive problems among common cold patients. Methods : A survey was conducted with 62 cold patients who got medical treatment in Korean medicine clinics located in small cities and towns including metropolitan cities. The SPSS for Windows( 19.0 Version) was used for statistical analysis. Results : Depending on which clinic common cold patients decided to go to, there was a significant difference in the number of sick days. The group of patients who decided to go straight to oriental medicine clinics had fewer sick days. Only 9.7% of the group of patients who got treatment in Koean medicine clinics had more than 6 sick days. The group of common cold patients with digestive problems had more sick days than the group with no digestive problems, which showed that there was a significant correlation between digestive problems and sick days. When it came to digestive problems depending which clinic common cold patients decided to go to, there was no significant value because of little data collection. However, while 41.9% of the group who went to hospital at first and then to Koean medicine clinic had digestive problems, 24.2% of the group who directly went to Koean medicine clinic had digestive problems. On the whole, 66.1% of the entire common cold patients were shown to have digestive problems. Conclusion : There are relatively many patients with digestive problems among common cold patients, and there is a significant correlation between digestive problems and sick days on common cold.

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Ad Hoc Network에서 라우팅 성능 향상을 위한 이웃 노드 정보를 이용한 적응성 경로 구성 전송 방식 (Adaptive Query Flooding using Neighbor Information for Routing Performance Enhancement in Ad Hoc Networks)

  • 이학후;강상욱;안순신
    • 한국정보과학회논문지:정보통신
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    • 제31권6호
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    • pp.673-684
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    • 2004
  • 무선 이동통신이 실생활에 널리 보편화되면서, 무선 이동 기술은 휴대 무선 통신 장비에 대한 폭발적인 수요와 한께 통신 영역에서 중요한 역할을 담당할 것으로 보인다. 무선 이동통신 기술 중 특히 기존의 통신 인프라의 도움없이 임시적으로 무선 이동 노드들끼리 네트워크론 구성하는 mobile ad hoc network (MANET)이 최근에 주목을 받고 있다. 더욱이, ad hoc network의 특성을 고려할 때 효율적인 라우팅 프로토콜의 설계가 중요하다고 할 수 있다. 최근에는, 라우팅 프로토콜 중에서 on-demand 프로토콜이 낮은 라우팅 부하로 주목을 받고_ 있다. 그러나, on-demand 프로토콜은 경로 구성을 위해 경로 구성 패킷(query packet)을 broadcasting 하는 방식, 즉 flooding 방식, 을 사용하여 많은 수의 경로 구성 패킷을 발생시키는 문제점이 있다. 이러한 flooding 방식은 매우 비효율적이며 또한 broadcast storm문제를 발생시킨다. 본 논문에서는 broadcast storm 문제를 해결하기 위해 Dynamic Adaptation Query flooding Using Neighbor Topology(NT-DAQ) 방식을 제안판다. 경로 구성 과정에서, 각 이동 노드들은 이웃 노드들의 정보를 기초로 하여 경로 구성에 참여 여부를 결정하게 된다. 이러한 제안 방식은 경로 구성 패킷의 수를 최소화하여 네트워크 성능을 향상 시진 수 있으며, 또한 시험을 통해 제안한 방식의 효율성을 입증하였다.

화협옹주묘 출토 화장분의 재현연구 (Experimental Reproduction of Cosmetic Powders Excavated from the Tomb of Princess Hwahyup)

  • 이민혜;이한형;정용재;이채훈;백운기;김효윤
    • 보존과학회지
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    • 제36권3호
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    • pp.187-196
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    • 2020
  • 본 연구에서는 조선시대 화협옹주묘 출토 화장품에 대한 선행 연구의 분석결과와 문헌상의 화장품 제법에 대한 기록을 바탕으로 조선시대 화장분 일부를 재현하고 과학적 분석 및 성능 평가를 수행하였다. 연구 대상 출토 화장분은 탄산납과 활석으로 이루어진 백색분과 주사로 이루어진 적색분이다. 재현 백색분은 탄산납의 원료로 염기성탄산납인 연백을 이용하였으며, 열화 후 출토 백색분과 유사한 결정구조로 변화되었다. 주사, 명반, 노른자를 이용하여 재현한 적색분은 열화 후에도 출토품의 결정구조와는 차이를 보였으며, 출토 적색분은 순수한 주사로 제조되었거나 유기물 부패에 의해 현재의 결정구조를 갖게 된 것으로 추정하였다. 재현 화장분의 기능성을 평가한 결과, 발색력은 현대 화장품의 기준에는 미치지 못하였으나 재현 백색분의 발림성과 흡유능은 배합비율에 따라 일부 시료에서 현대 화장품과 유사한 수준으로 평가되었다.