• 한국가정과교육학회지
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• 제22권3호
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• pp.129-145
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• 2010

서울지역 고등학생을 대상으로 인터넷 쇼핑몰에서의 패션제품 구매행동, 구매후기에 대한 인식, 구매후기의 이용과 작성 및 그에 따른 인식, 의복관여도에 따른 구매후기에 대한 인식 및 구매 후 불만경험과 대응행동을 살펴보았다. 서울지역의 6개 고등학교 508명의 학생들을 대상으로 설문조사를 실시하였고 자료분석은 SPSS 17.0을 이용하여 평균, 표준편차, 빈도, t-test, 일원분산분석을 하였으며 사후검정으로는 Duncan's Multiple Test를 실시하였다. 인터넷 쇼핑몰에서 패션제품 구매이유는 저렴한 가격과 다양성 및 편리성 때문이였고 구매하지 않는 이유는 대부분 화면과 실제의 상품 차이 때문이었다. 학생들은 구매후기를 믿을만하고 유용하다고 인식하였다. 구매후가 내용의 방향과 개수에 대해서는 영향을 받았지만 최신성에 대해서는 영향 받지 않는 것으로 나타났다. 구매후기를 이용하는 학생이 이용하지 않는 학생보다 유용성, 신뢰도, 영향력 모두 높게 인식하였고, 구매후기를 작성하는 학생들이 작성하지 않는 학생들보다 구매후기의 유용성과 신뢰도, 구매후기의 개수에 따른 영향력을 높게 인식하였다. 의복관여도에 따라서는 고관여의 학생들이 중관여와 저관여의 학생들에 비해 구매후기를 유용하다고 인식하였다. 인터넷 쇼핑몰을 통해 패션제품을 구매 후 불만을 경험한 학생들은 불평행동으로 공행동과 무행동을 주로 하는 것으로 나타났다.

• 생물정신의학
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• 제20권2호
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• pp.45-53
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• 2013

Objectives Non-major depression with fewer symptoms than required for a Diagnostic and Statistical Manual of Mental Disorders-4th edition diagnosis of major depressive disorder (MDD) has consistently been found to be associated with functional impairment. In this study, we aim to estimate the cognitive impairment and the quality of life in elderly patients with subsyndromal depression (SSD) compared with non-depressive elderly (NDE). Methods The Korean version of Mini International Neuropsychiatric Interview was administered to 194 outpatients with depression and 108 normal controls. SSD is defined as having five or more current depressive symptoms with core depressive symptoms (depressive mood or loss of interest or pleasure) during more than half a day and more than seven days over two weeks. Depression was evaluated by the Korean form of Geriatric Depression Scale of a 15-item short version. Global cognition was assessed by Mini-Mental State Examination in the Korean version of CERAD assessment packet (MMSE-KC). Subjective cognitive impairment was assessed by the Subjective Memory Complaint Questionnaire. Quality of life was evaluated by the Korean Version of Short-Form 36-Item Health Survey. Results The mean score of the MMSE-KC in the SSD group was lower than that in the NDE group with adjustment for age, gender, and education [F = 4.270, p = 0.04, analysis of covariance (ANCOVA)]. If we defined those having Z-score of MMSE-KC < -1.5 as a high risk group of cognitive impairment, the odds ratio for the high risk group of cognitive impairment was 1.86 [95% confidence intervals (CI) 1.04-3.34] in SSD and 7.57 (95% CI 3.50-16.40) in MDD compared to NDE. The scores of physical component summary (F = 9.274, p = 0.003, ANCOVA) and mental component summary (F = 53.166, p < 0.001, ANCOVA) in the SSD group were lower than those in the NDE group with adjustment for age, gender, and education. Conclusions The subjects with SSD, as well as those with MDD, showed impairment of global cognition and also experienced low quality of life in both physical and mental aspects, compared to the NDE group.

• 대한두경부종양학회지
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• 제9권1호
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• pp.16-24
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• 1993

During 7 years, from Jan. 1986 to Dec. 1992, authors studied 208 cases of the surgically managed thyroid nodules at the Department of General Surgery, Han Kang Sacred Heart Hospital and obtained the following results. 1) Among the total 208 cases, male to female ratio was 1:11.2 in benign thyroid diseases and 1:9 in malignant thyroid diseases. The benign disease was prevalent between second and forth decade comparing with malignant disease between third and fifth decade. 2) The most common duration of illness was 3 months(26.0%). 3) Palpable neck mass was the most common chief complaint(100%). Palpitation. fatigue, and sweating were common complaints in patient with benign disease, and fatigue, palpitation, and sweating in malignant disease in decreasing order of frequency. 4) 55.8 % of lesions were in right lobe, 33.2% in left lobe, 5.8% in diffuse type, 4.8% in bilateral lobes, and 0.5% in isthmus. 5) The most common size of nodule was between 2.0cm and 3.9cm in diameter, which consisted of 55.1% of benign disease and 48.0% of malignant disease. 6) 86.5% of thyroid function test showed euthyroidism, 10.1% hyperthyroidism, and 3.4% hypothyroidism. 7) Thyroid scanning of 176 patients revealed cold nodules in 92.5% of benign diseases and in 92.9% of malignant diseases. 8) The most common benign disease was adenomatous hyperplasia(62.7%), and the most common malignant disease was papillary adenocarcinoma(80.0%). 9) Fine needle aspiration cytology was performed in 91 cases, and it showed 69.0% of sensitivity, 90.3% of specificity, and 83.5% of accuracy. 10) Frozen biopsy was performed in 109 cases. and it showed 93.9% of sensitivity, 100.0% of specificity, and 98.2% of accuracy. 11) The most commonly performed operation was unilateral lobectomy(including unilateral lobectomy with isthmectomy)(79.1%) in benign disease. and total thyroidectomy(62.0%) in malignant disease. 12) Postoperative complication showed 5 cases of wound infection (2.4%), 3 cases of transient hypoparathyroidism(1.4%), 3 cases of transient hoarseness(1.4%), 2 cases of postoperative bleeding(1.0%), 1 case of permanent hypoparathyroidism(0.5%), 1 case of permanent hoarseness(0.5%), and 1 case of postoperative pneumonia (0.5%).

• 지역사회간호학회지
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• 제7권2호
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• pp.183-202
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• 1996

This study was designed out to develop a home health care service for nurses working in community care services. This study investigates actual conditions at welfare institutions related to health needs the demands of clients, and the state of home health care services we hope that this study will improve upon the current service system. In Korea home health care services are still developing and only new becoming a part of the health care supply system. The data was collected by recording the client home nursing assessments modified to the situation of UTMB home health agency. In this study 107 clients were selected for home care who needed care for physical and mental deficits. The study lasted from March to November of 1995 at one of the welfare service institutions in Chunchon city. The results show that those who most frequently needed care services were over 50 years old with a health deficit of 80.3%, followed by sex as women who needed care at 59.8%. 50.5% of the clients had very little education. 99.1% of the clients live with their family, and a medical diagnostic analysis reveals that 73.9% of the 5 year period of illnesses were the following : 38.8% - muscular -skeleton system disorder, 24.4% - hypertension and stroke, 25.7% sole disease of arthritis. For behavioral conditions 43.3% of the patients were without care services, 56.6% of the patients were taking treatment that 73.5% of those were taking medication. The most main complaint of patients were 22.4% of pain in the extremities, next were 16.8% of a limitation of body activities, 15.0% was lumbo-sacralgia. According to the investigator who was a senior student nurse, the following suggestions were made: 32.7% for curative medical services, 29.9% for physical exercise, 19.6% for emotional support. Consultation nursing services consisted of 67.2% for physical therapy, 11.2% for the maintaining healing, 9.4% for counseling. The patients at home, required assistance most frequently for muscular-skeleton problems under the category of physical systems (33.3%). But, on the other hand, 49.5% of the patients required care givers at home, 28.2% had a knowledge deficit, 21.0% had malnutrition, 18.4% had bad impaired communication. The character of health problems were devided into chronic disease(67.0%), accidents(I3.1%), and general disease(15.9%). 86% of the disabled client had an impairment of the physical system. Eating (86.9%) , Toileting(77.6%), and personal care showed much the same of ADL condition, the level and range of achievement of mobility, the most frequently self performed was 81.3% only in a room size area, and 40.2% were completely dependent when going out. Although there were a large number of home care services in th community at these welfare institutions, many clients needed a variety of curative services. As policy changes have gathered momentum, responsibility for the development of a more suitable program was demanded by the clients from the community.

• 한국산학기술학회논문지
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• 제13권9호
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• pp.4025-4035
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• 2012

본 연구는 소규모 제조업 사업장 근로자들의 근골격계질환 자각증상 호소율을 알아보고, 인구사회학적 특성, 건강관련행위 특성, 직업관련 특성 및 직무스트레스 요인과의 관련성을 검토하고자 시도하였다. 연구대상은 50인 미만의 소규모 제조업 사업장 62개소를 임의로 선정하여, 이들 사업장에 근무하고 있는 생산직 남성 근로자 856명으로 하였다. 조사는 2011년 10월 1일부터 11월 30일까지의 기간 동안에 조사대상 사업장에서 건강검진업무를 수행하는 의사와 간호사에 의해 자기기입식 설문조사(self-administered questionnaire)를 통해 이루어졌다. 연구결과, 조사대상자의 근골격계질환 자각증상 호소율은 82.0%이었으며, 로지스틱회귀분석 결과 근골격계질환 자각증상의 관련요인으로는 결혼상태, 비만도(BMI), 주관적인 건강상태, 음주여부, 직급, 근무경력, 질병으로 인한 결근여부, 외래진료여부가 유의한 관련성이 있는 요인으로 나타났다. 이상과 같은 결과를 볼 때, 50인 미만 제조업 근로자들의 근골격계질환 자각증상 호소율은 일반 대기업이나 중소기업보다 훨씬 높은 호소율을 보였으며, 인구사회학적 특성, 건강관련행위 특성, 직업관련 특성 및 직무스트레스 등의 여러 요인과 관련성이 있는 것으로 나타났다.

• 한국학교보건학회지
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• 제15권2호
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• pp.183-191
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• 2002

This study is aimed at offering basic data about prevention of Hepatitis B virus and infection control to dental hygiene students who will work mostly at dental offices which are characteristically exposed to a high risk of HBV infection. For this study, surveyed were 188 sophomores and juniors of the dental hygiene department who volunteered to undergo the tests of HBsAg and HBsAb. The examination of the blood collected from the samples and analysis of their perception about hygiene resulted in following conclusion: Positive HBsAg Four was found in 4 testees(2.1%) while 118(62.8%) revealed positive HBsAb. Juniors showed higher positive rate in HBsAg whereas sophomores had higher positive rate in HBsAb. But such difference has statistically no significance. Generally, students seemed to pay little attention to HBV, judging from the survey of their perception about the present state of HBsAg and HBsAb(p>0.05), conduct of infection(p<0.05), completion of 3 requested vaccinations(p>0.05), and formation of antibody(p>0.05). With regard to the infection routes of HBV, most students(92.4%) replied "through blood", which is statistically insignificant, though. Next ratio goes to the reply "through contaminated injectors". This reply came more from sophomores than from juniors, a difference which is statistically significant(p<0.05). The lowest rate of possible infection(29.2%) was thought to be "through breast-feeding of a positive mother"(p<0.05). In general, it turned out that sophomores had more knowledge about the infection routes of HBV than juniors. In terms of clinical history among family members, 6(3.1%) reported that some of their family members are currently suffering from a liver complaint, 3(1.6%) replied their family members were once afflicted, and 4(2.1%) said their members died of hepatitis. Except 10(4.7%), all the surveyees replied that their states of health are better than normal. Generally, sophomores are healthier than juniors except for the very health case, a difference which is statistically of no value.

• 대한한의학회지
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• 제41권3호
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• pp.221-246
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• 2020

Objectives: Shoulder pain is the third most common musculoskeletal complaint that necessitates physician consultation and significantly diminishes patients' quality of life. In this review, we analyzed clinical studies that investigated the use of Korean Medicine for the treatment of shoulder pain. Methods: We searched the online Korean databases, such as KMBase, DBpia, NDSL, RISS, KISS, and OASIS for clinical studies that report the use of Korean Medicine for shoulder pain. We analyzed the included studies with regard to study design, interventions, evaluations, and results. Results: We analyzed data from the following 29 studies: 14 clinical trials (which included 9 randomized controlled trials) and 15 observational studies (which included 11 case reports). In this review, we observed that post-stroke shoulder pain was the most common cause of shoulder pain, which was reported in 13 out of 29 studies (44.8%), although in actual clinical practice, patients are more likely to present with primary shoulder pain. Most included studies (72.4%) reported manual acupuncture as the most common intervention for shoulder pain. More than 50% of the studies used range of motion (58.6%) and the numeric rating scale (51.7%) to evaluate shoulder function and pain, respectively. Although the result was not statistically significant in all included studies, most studies concluded that Korean Medicine could be considered an effective treatment option in patients with shoulder pain. Conclusions: Based on analysis of studies included in this review, Korean Medicine can be considered useful clinical treatment for shoulder pain.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제26권5호
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• pp.497-506
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• 2000

This study is comprised of data obtained from the files of 346 patients with temporomandibular disorders. All patients were diagnosed, treated and followed in the Department of Dentistry at the Inha university hospital, Incheon, Korea. The patients had treated with medications, physical therapy, occlusal splint and arthrocentesis. The study data were obtained from the medical records and telephone interviews that were conducted by research assistants. The results were as follows 1. The patient's main complaint was pain(77%), and mouth opening limitation was 17%. 2. An analysis of the medical records of the 346 patients disclosed that 82% were improved and 17% had no improvement when they were dismissed. 1% of the patients had become worse during therapy. 3. A success rate of 82% was achieved when medication assisted physical therapy was included. In the current status at the telephone interview, 270 patients(89%) reported that they were doing well with 56% describing themselves as asymtomatic and 32% experiencing only minor residual or recurrent symptoms. 11% regarded themselves as unimproved and worse. 4. In the current status of the unsuccessfully treated patients by medications and physical therapy, 64% of patients were doing well(3% as asymptomatic and 56% as only minor residual or recurrent symptom). But 36% of patients was reported as unimproved and worse. 5. TMJ has a remarkable adaptive potential and TMJ disorder has a natural history of spontaneous fluctuations and favorable prognosis during the subsequent natural course. 6. In the treatment of the temporomandibular disorders, there is a treatment ladder, starting with the simplest and least expensive treatment, that is ascended until resolution of the patient's symptoms occur. These findings suggest that conservative reversible therapies are both sufficient and appropriate for management of temporomandibular disorder in most patients. Major alterations of mandibular position or dentoalveolar relationships do not appear to be necessary for obtaining either short term or long term success and therefore they can be generally regards as inappropriate treatment for this disorder. The fact that physical therapy is non-invasive and does not appear to be fraught with irreversible changes, makes it a very applicable vehicle in the area of clinical TMJ disorder management.

• 대한토목학회논문집
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• 제31권1D호
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• pp.51-63
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• 2011

현재 유료도로인 창원터널은 출 퇴근 시간대에 지 정체 현상이 상습적으로 일어나 교통혼잡비용을 가중시키고, 이용차량들의 불만이 날로 증대되고 있는 실정이며, 무료화에 위한 많은 민원들이 요구되어 왔으나, 유료도로인 창원터널의 조기 무료화 도입이 민원의 해소는 가능하나 제2창원터널의 개통없이는 용량 초과에 따른 지체가 더욱더 가중될 것으로 보여 근본적인 해결방안이 될 수 없음이 기정사실화 되고 있다. 따라서 본 논문에서는 용량 초과된 터널구간의 지정체가 더욱 더 심화되지 않도록 교통시설 개선과 교통수요 관리 등으로 개선 방안을 제시하는 것이 바람직하며, 유료도로의 조기 무료화는 대안별 시뮬레이션 분석 및 교통혼잡비용 추정 결과에 따른 객관적인 분석을 통해 이루어져야 하며, 건설소요 상환금을 조기 해결하고 유지 관리를 위한 최소한의 경비 확보가 우선시되어야 하므로 통행료에 따른 수익자 부담의 원칙을 준수하는 것이 불특정다수의 피해를 최소화할 수 있어 유료도로의 조기 무료화에 따른 실익을 신중하게 추진하는 것에 그 목적이 있다.

• 한국산학기술학회논문지
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• 제21권10호
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• pp.55-63
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• 2020

도로교통 소음은 주요 민원의 대상이 되고 있다. 다공성 포장은 도로교통 소음에 효과적인 방안으로 제안되었지만 정량적인 평가의 부족으로 인해 많이 적용되지는 않았다. 본 연구에서는 단층 다공성 포장과 복층 다공성 포장의 소음저감 성능을 평가하였다. 소음은 CPX 방법으로 측정되었으며, 주행 속도는 50km/h부터 80km/h까지 10km/h마다 측정하였다. 분석을 통해 복층 다공성 포장과 단층 다공성 포장의 소음 수준은 통계적으로 유의한 차이를 나타내었다. 도로포장 소음수준은 포장 유형에 관계없이 주행 속도에 비례했으며, 주행 속도는 두 포장의 소음 차이에 통계적으로 유의한 영향을 미치지 않는 것으로 나타났다. 복층 다공성 포장은 단층 다공성 포장에 비해 평균 6.6dB (A), 95% 신뢰수준에서 6.3dB(A) 감소하는 것으로 나타났다. 도로교통 소음을 5dB(A) 저감한다는 것은 교통량을 1/3로 줄이거나 차량의 속도를 1/2로 낮추는 것에 상당한다. 감각적으로도 3dB(A)의 차이에서 변화의 인지가 가능하고 5dB(A)의 차이에서는 명확한 변화인지가 가능하다. 일반포장에 비해 3dB(A)의 교통소음을 저감하는 단층 다공성 포장보다도 6dB(A) 이상을 추가로 저감하는 복층 다공성 포장은 교통소음 저감에 매우 효과적인 공법이다.