• 디지털융복합연구
• /
• 제12권11호
• /
• pp.515-530
• /
• 2014

본 연구의 목적은 평생교육의 참여 동기가 평생교육 이용자의 태도변화에 미치는 영향을 실증적으로 살펴보는데 있다. 평생교육의 참여 동기는 소비자행동 중심의 외면적 동기와 자아활동 중심의 내면적 동기로 구분한 후, 외면적 관점은 실용적, 오락적, 관계적 이용 동기로, 내면적 관점은 자아실현, 자아존재, 자아참여 이용 동기로 구분하였다. 평생교육 참여자의 태도변화는 통제된 열등의식 해소, 유보된 욕망 충족, 자발적 재사회화로 구분하여 측정하였다. 연구 결과, 평생교육에 대한 실용적 동기는 자아실현적 동기와, 오락적 동기는 자아존재적 동기와, 관계적 동기는 자아참여적 동기와 높은 관련성이 있는 것으로 조사되었다. 평생교육 참여자의 통제된 열등의식 해소에는 이용동기 중 실용적 이용 동기와 자아실현적 이용 동기가, 평생교육 참여자의 유보된 욕망 충족에는 이용동기 중 오락적 이용 동기와 자아존재적 이용동기가, 평생교육 참여자의 자발적 재사회화에는 이용동기 중 관계적 이용동기와 자아참여적 이용동기가 상대적으로 더 큰 영향을 미치는 것으로 조사되었다.

• Clinical Endoscopy
• /
• 제56권5호
• /
• pp.594-603
• /
• 2023

Background/Aims: The necessity for pharyngeal anesthesia during upper gastrointestinal endoscopy is controversial. This study aimed to compare the observation ability with and without pharyngeal anesthesia under midazolam sedation. Methods: This prospective, single-blinded, randomized study included 500 patients who underwent transoral upper gastrointestinal endoscopy under intravenous midazolam sedation. Patients were randomly allocated to pharyngeal anesthesia: PA+ or PA- groups (250 patients/group). The endoscopists obtained 10 images of the oropharynx and hypopharynx. The primary outcome was the non-inferiority of the PA- group in terms of the pharyngeal observation success rate. Results: The pharyngeal observation success rates in the pharyngeal anesthesia with and without (PA+ and PA-) groups were 84.0% and 72.0%, respectively. The PA- group was inferior (p=0.707, non-inferiority) to the PA+ group in terms of observable parts (8.33 vs. 8.86, p=0.006), time (67.2 vs. 58.2 seconds, p=0.001), and pain (1.21±2.37 vs. 0.68±1.78, p=0.004, 0-10 point visual analog scale). Suitable quality images of the posterior wall of the oropharynx, vocal fold, and pyriform sinus were inferior in the PA- group. Subgroup analysis showed a higher sedation level (Ramsay score ≥5) with almost no differences in the pharyngeal observation success rate between the groups. Conclusions: Non-pharyngeal anesthesia showed no non-inferiority in pharyngeal observation ability. Pharyngeal anesthesia may improve pharyngeal observation ability in the hypopharynx and reduce pain. However, deeper anesthesia may reduce this difference.

• 한국전산유체공학회:학술대회논문집
• /
• 한국전산유체공학회 2001년도 추계 학술대회논문집
• /
• pp.51-57
• /
• 2001

The eddy viscosity turbulence models were applied to predict the flows through a cascade, and the prediction performances of turbulence models were assessed by comparing with the experimental results for a controlled diffusion(CD) compressor blade. The original $\kappa-\omega$ turbulence model and $\kappa-\omega$ shear stress transport(SST) turbulence model were used as two-equation turbulence model which were enhanced for a low Reynolds number flow and the Baldwin-Lomax turbulence model was used as algebraic turbulence model. Farve averaged Wavier-Stokes equations in a two-dimensional, curvilinear coordinate system were solved by an implicit, cell-centered finite-volume computer code. The turbulence quantities are obtained by lagging when the men flow equations have been updated. The numerical analysis was made to the flows of CD compressor blade in a cascade at three different incidence angles (40. 43.4. 46 degrees). We found the reversion in the prediction performance of original $\kappa-\omega$ turbulence model and $\kappa-\omega$ SST turbulence model when the incidence angie increased. And the algebraic Baldwin-Lomax turbulence model showed inferiority to two-equation turbulence models.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제42권
• /
• pp.40.1-40.5
• /
• 2020

Background: Hyaluronic acid (HA) is well known to exert an anti-inflammatory effect during oral wound healing and is commonly applied after tooth extraction. However, no double-blind randomized controlled study comparing two hyaluronate mouthwash products has been conducted so far. The aim of this study was to comparatively analyze the efficacy of Mucobarrier^® and Aloclair^® in terms of clinical symptoms. Results: A total of 112 patients were randomly assigned to assess the degree of discomfort, pain reduction, redness, burning sensation, and swelling between two groups on the day of surgery and 7 days later in a double blind test, with a total 56 Aloclair patients and 56 Mucobarrier patients. There was no statistically significant difference in the overall discomfort, degree of pain reduction, redness, burning sensation, and swelling between the Mucobarrier and Aloclair groups. Conclusion: The local application of hyaluronic acid mouth wash after wisdom tooth extraction is beneficial in reducing overall discomfort and pain reduction, and the clinical utility of Mucobarrier^® is no different from Aloclair^®. Trial registration: Institutional Review Board of Yonsei University College of Dentistry, 2-2018-0036. Registered 10 September 2018-prospectively registered, https://eirb.yuhs.ac/

• Journal of Preventive Medicine and Public Health
• /
• 제37권4호
• /
• pp.381-389
• /
• 2004

Objective : To compare the efficacy between SKI306X and Diclofenac by using generalized estimating equations (GEE) methodology in the analysis of correlated bivariate binary outcome data in Osteoarthritis (OA) diseases. Methods : A randomized, double-blind, active comparator-controlled, non-inferiority clinical trial was conducted at 5 institutions in Korea with the random assignment of 248 patients aged 35 to 75 years old with OA of the knee and clinical evidence of OA. Patients were enrolled in this study if they had at least moderate pain in the affected knee joint and a score larger than 35mm as assessed by VAS (Visual Analog Scale). The main exposure variable was treatment (SKI 306X vs. Diclofenac) and other covariates were age, sex, BMI, baseline VAS, center, operation history (Yes/No), NSAIDS (Y/N), acupuncture (Y/N), herbal medicine (Y/N), past history of musculoskeletal disease (Y/N), and previous therapy related with OA (Y/N). The main study outcome was the change of VAS pain scores from baseline to the 2nd and 4th weeks after treatment. Pain scores were obtained as baseline, 2nd and 4th weeks after treatment. We applied GEE approach with empirical covariance matrix and independent(or exchangeable) working correlation matrix to evaluate the relation of several risk factors to the change of VAS pain scores with correlated binary bivariate outcomes. Results : While baseline VAS, age, and acupuncture variables had protective effects for reducing the OA pain, its treatment (Joins/Diclofenac) was not statistically significant through GEE methodology (ITT:aOR=1.37, 95% CI=(0.8200, 2.26), PP:aOR=1.47, 95% CI=(0.73, 2.95)). The goodness-of-fit statistic for GEE (6.55, p=0.68) was computed to assess the adequacy of the fitted final model. Conclusions : Both ANCOVA and GEE methods yielded non statistical significance in the evaluation of non-inferiority of the efficacy between SKI306X and Diclofenac. While VAS outcome for each visit was applied in GEE, only VAS outcome for the fourth visit was applied in ANCOVA. So the GEE methodology is more accurate for the analysis of correlated outcomes.

• The Korean Journal of Pain
• /
• 제37권3호
• /
• pp.264-274
• /
• 2024

Background: Radiofrequency ablation is an effective treatment modality in the symptomatic treatment of knee osteoarthritis. Our aim was to compare the efficacy of radiofrequency ablation of the superomedial and inferomedial genicular nerves (2 branches) with the superolateral, superomedial, and inferomedial genicular nerves (3 branches) and to show whether the 2-branch procedure is inferior to the 3-branch procedure. Methods: This study is a prospective, randomized, single-blind clinical study. Eligible participants were randomized into 2 groups: group A, which applied the procedure to the superomedial and inferomedial genicular nerves, and group B, which applied it to the superomedial, superolateral and inferomedial genicular nerves. Pain was evaluated with the numerical rating scale, quality of life with the Short Form-36 (SF-36), and disability with the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index before, and at 1 and 3 months after the procedure. Results: A total of 41 patients were included. There were no differences between the groups except for the SF-36 physical health sub-score at baseline. A significant improvement was seen in the numeric rating scale (NRS) score, SF-36 sub-scores, WOMAC Index total, as well as pain and physical function scores in both groups, though no significant difference was detected between the groups during follow-up. Conclusions: Although we were unable to establish the noninferiority of conventional radiofrequency ablation (CRFA) applied to 2 branches to CRFA applied to 3 branches, in this trial, significant and similar improvement was observed in NRS, WOMAC total, pain, and physical function and SF-36 scores in both groups.

• 대한간호학회지
• /
• 제4권2호
• /
• pp.131-143
• /
• 1974

Antenatal care is zoomed toward3 assisting the Individual to achieve safe and wholesome state of health during pregnancy. Nature of fear is assumed to be rooted to complex interaction between past experiences, human relationship and present state of health, however. specific relationship between fear and the variables have not yet been ascertained. This study is designed to investigate the nature of fear of pregnancy, and the correlation between fear and the personal and environmental variables such as personal characteristics past experiences. and psycho-social factors. During the period from October 23 to November 5, 215 pregnant and 104 non-pregnant women of similar chronological are group residing in Seoul were interviewed according to check-list by random General anxiety test, general personality test and test for fear of pregnancy, family according to specific variables such as past experiences of Pregnancy and childbirth, structure of family, family relationship and month of pregnancy was done to the group of pregnant women. To non-pregnant group, general anxiety test was performed to compare with pregnant group. Results of the study are as follows; 1. Hypothesis 1; Degree of general anxiety will be higher e pregnant women compared to that of non-pregnant women. There is no significant difference between the general anxiety of pregnant women and that of non-pregnant women. Therefore, hypothesis I is rejected. 2. Hypothesis 2: Fear of pregnancy and general anxiety will be correlated with personality factors. Through test for fear of pregnancy and general anxiety, a meager contra-correlation between fear and only two personal factors (R and E factor) is revealed but there is no significant correlation between fear and other personal factors (A.S. and T factor). Degree of fear of pregnancy tends to b: higher in the group with low personality factors; responsibility and emotional stability expect the correlation between ascendancy, sociability, and confidence-inferiority. non-significant. Through general anxiety test, level of general anxiety tends to be higher in the group. with low personality factors; responsibility. emotional stability, and confidence except ascendency and sociability, non-significant. Hypothesis 2 is partially supported. 3. Hypothesis 3; General anxiety and fear of pregnancy will be correlated with the past experience-ol pregnancy, and child-birth experience. Though general anxiety test and test for fear of pregnancy, non-significant difference is revealed by P〉.05 level Hypothesis 3 is rejected. 4. Hypothesis 4: General anxiety and fear of pregnancy will be correlated with the month at pregnancy will be correlated with the month of pregnancy. Through tests of general anxiety and fear, significant correlation is revealed degree of fear by-P〈.05 level (CR=1.98) and level of general anxiety by P〈.005 level (CR=3. 11) is higher in the earlier stage of pregnancy. Hypothesis 4 is supported. 5. Hypothesis 5, 6, 7; General anxiety and fear of pregnancy will be correlated with socio-economic status, family structure, and family relationship. Through general anxiety test and tear of pregnancy test, non-significant is revealed by P〉.05 level. Hypothesis 3.6.7 are rejected. Conclusion and recommendation Level of general: anxiety and degree of fear of pregnancy is shown not to be correlated with variables of past experiencers of pregnancy and child-birth. and family factors except the month of - pregnancy. Personal characteristics are shown to be partially contra-correlated meagerly with genera anxiety and fear of pregnancy. This study revealed contrasted results, in regard to presence of correlation between general anxiety and fear of pregnancy to other thesis. In this context. further studies under controlled environment is recommended.

• Asia Marketing Journal
• /
• 제12권4호
• /
• pp.79-111
• /
• 2011

정보통신기술의 발달로 인해 도래한 디지털 경제는 인터넷 비즈니스라는 새로운 사업영역을 창출하였다. 인터넷 비즈니스는 다른 사업과 달리 매우 유동적인 시장점유율 변동이 나타나는 비즈니스 영역으로, 기업들은 시장 내의 경쟁 환경 및 경쟁 구조를 정확히 이해하여야만 불안정한 인터넷 시장 환경에 효과적으로 대처해 나갈 수 있게 되었다. 이에, 본 연구는 한국 인터넷 비즈니스내의 인터넷 사이트 간 경쟁을 각 사업 분야 별 시장점유율에 기초하여 실증분석 하였다. 이를 통해 인터넷 사이트들의 점유율 변동 추이를 살펴보고, 시장 선도 사이트들의 시장 지배력과 개별 시장의 경쟁 구도 등을 살펴보았다. 이러한 연구결과는 각 기업의 인터넷 사이트 담당자에게는 해당 시장의 경쟁양상과 경쟁구조를 파악할 수 있는 기회를 제공하고, 인터넷 분야로 새롭게 진출하려는 기업의 마케터들에게는 자사의 사업 진출 방향에 대한 기초자료로 활용될 수 있을 것이다.