• 기본간호학회지
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• 제24권3호
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• pp.167-180
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• 2017

Purpose: The aim of this study was to synthesize the best available evidence for active warming interventions during cesarean section. Methods: A database search was done for randomized controlled trials utilizing active warming interventions. Maternal temperature, shivering and neonatal temperature were evaluated as outcome variables. Data were analyzed using Cochrane Review Manager software Version 5.3. Results: Thirteen studies including 1306 patients were reviewed. The degree of lowering of maternal temperature decreased in the warmed fluids (MD 0.51; p=.004) and warming mattress interventions (MD 0.22; p<.001) compared with control groups. Incidence of shivering was also lower in the active warming group (OR 0.55; p=.003). There was no statistically significant difference in maternal temperature with a forced air warming intervention (MD 0.64; p=.15) or in neonatal temperature (MD 0.12; p=.26). Conclusion: Findings show that with warmed fluids and warming mattresses applied during cesarean sections maternal temperature decline was reduced and also the incidence of shivering declined, but no significant effect was observed for forced air warming interventions. These findings provide a basis for developing a warming guideline for women having a cesarean section and will help to improve the quality of care for cesarean section patients.

• 한국콘텐츠학회논문지
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• 제14권11호
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• pp.328-336
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• 2014

본 연구는 2013년 12월 현재 요양병원에 입원생활 중인 노인들 중 환자평가표의 평가구분에서 계속입원중인 환자 평가를 받은 3개월 이상 입원중인 노인들을 대상으로 실질적으로 부양 및 요양간병 시 집중적으로 관심을 가져야 하는 일상생활활동이 무엇인지를 파악해 보고자 하였다. 연구결과, 일상생활사에 관한 의사결정을 할 수 있는 인식기술 상태와 일상생활활동수행능력들 간의 인과관계를 로지스틱 함수를 이용하여 추정한 결과, 일상생활사 의사결정 인식기술 상태가 심하게 손상된 경우에는 노인들에게 실질적으로 부양 및 요양간병 시 '식사하기' 활동과 '옮겨 앉기' 활동에 집중적으로 관심을 가져야 한다는 것을 확인하였다. 또한 '식사하기' 활동과 '옮겨 앉기' 활동 외의 활동들은 일상생활사에 관한 의사결정을 할 수 있는 인식기술 상태보다는 노화나 질병으로 인한 신체적 기능이 떨어져서 나타난 결과로 유추해 볼 필요성이 있을 것이다. 따라서 이 경우에는 부양이나 요양간병 시 도움을 받는 노인들의 인격이나 수치심 등 자존감을 고려하여 수발자들은 행동과 언어에 각별히 신경을 써야 할 것이다.

• 한방안이비인후피부과학회지
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• 제23권3호
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• pp.138-153
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• 2010

Purposes : The object of present study is to detect the Effects of Snail Secretion Filtrate and Hyaluronic acid on the skin barrier's recovery of the Atopic dermatitis. Methods : A total of 20 patients who visited Semyung Hanny Oriental Medical Center from september 1st, 2009 to August 31th, 2010 were included in this study. In this study, they were treated with Snail Secretion Filtrate(experimental group) and Hyaluronic acid(control group). For 4 weeks gross examination, hematological examination and instrumentation through skin-ANBT equipment were made before and after the experiments to see how well the products for experimental group act against those for control group in recovering the damaged skin barriers by Atopic dermatitis. Results : 1. In the primary endpoint, SCORAD Index showed a statistically significant decline in both the control group and the experimental group. However, the experimental group showed greater statistical significance than the control group. 2. In the secondary endpoint index of skin hydration, both the control group and the experimental group did not show a statistically significant increase. However, the degree of skin hydration in the experimental group is greater than in the control group. 3. In global assessment of efficacy, it was higher in the experimental group than in the control group for both the subjects and the researchers. 4. To evaluate the safety of the products for the human body, hematological examination and hematological biochemical examination were conducted; both the control group and the experimental group showed no abnormal level. Therefore, the safety of the products, if used for so long a time, proved to be safe for the human body. 5. Product satisfaction was higher in the experimental group than in the control group. Conclusions : According to above experiments, Snail Secretion Filtrate was effective on the Atopic dermatitis.

• 디지털콘텐츠학회 논문지
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• 제18권6호
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• pp.1067-1078
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• 2017

기존의 중국 유학생의 대학생활에 대한 연구는 한국에 재학 중인 중국유학생을 대상으로 설문 조사를 하였지만, 중국 유학생들은 한국 대학에 대하여 소속감과 대학에 대한 선입견을 가지고 있어서 객관성이 심히 우려된다. 이에 본 논문은 중국의 일반인을 대상으로 설문조사를 실시하여 유학생 유치와 관련한 매체탐색을 수행하였다. 외국인 유학생 모두가 한국어에 능숙한 것은 아니다. 심지어 한국어 교육원에서 1년 이상의 교육을 이수하거나 한국어능력시험(TOPIK) 고급을 합격한 학생들조차, 일상생활에서 말하기와 학위를 취득하기에 어려움을 겪고 있었다. 본 연구결과에 의하면, 국내 대학들은 외국학생 유치를 위해서, 한국어능력이 부족한 외국인 유학생이 한국에서의 문화적응과 정보습득이 능숙하게 할 때까지, 그들의 모국어로 유학생활에 필요한 학업정보나 일상정보를 얻을 수 있도록 다국어가 지원되는 콘텐츠 서비스를 준비하는 것이 바람직하다.

• 보건행정학회지
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• 제15권1호
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• pp.78-96
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• 2005

The purpose of this empirical study is to investigate whether costs are 'sticky' -that is, whether costs increase more when revenues rises than they decrease when revenues falls by an equivalent amount by using the financial data fromf korean general hospital Financial data used in this study were obtained from the Database of Korean Health Industry Development Institute and analyzed using multiple regression model in dummy variables. The main results of this study are as follows: First, we found, for 69 Korean general hospitals for 3 years(2000~2002), that total hospital costs, hospital labor costs, hospital administrative costs were sticky, these costs provided strong support for the sticky costs hypothesis 1, but hospital material costs were shown to be proportional to sales revenues. Second, this results provided strong support for the hypotheses that the' degree of stickiness was lower in sales revenues declining that were preceded by revenue-declining periods (hypothesis 2-1), and that stickiness was less pronounced in a second successive year of revenue decline(hypothesis 2-2). Third, this results provided strong support for the hypothesis(hypothesis 3) that stickiness was greater hospitals that employ relatively more people to support their sales revenues(hypothesis 4) that stickiness was greater for hospital that used relatively more assets to support their sales revenues. After all, a managerial implication of this study was that sticky cost, for the general hospital, could be recognized and controlled.

• Asian Pacific Journal of Cancer Prevention
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• 제14권11호
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• pp.6267-6271
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• 2013

Objective: To determine clinical efficacy, safety and prognostic factors of pemetrexed plus platinum as first-line treatment in patients with advanced non-small cell lung cancer (NSCLC). Materials and Methods: Clinical characteristics, short-term efficacy, survival and adverse reactions of 47 advanced non-squamous NSCLC patients who had received pemetrexed plus platinum as first-line treatment in Shanghai Pulmonary Hospital from January 2009 to June 2011 were retrospectively analyzed. The Chi-squared test was applied to statistically analyze the overall response rate (ORR), disease control rate (DCR) and toxicity reactions in both groups, while survival data wereanalyzed by Kaplan-Meier and logrank methods, and the COX proportional hazards model was adopted for a series of multi-factor analyses. Results: Only two patients were lost to follow-up. The ORR, DCR, medium progression-free survival time (PFS) and medium overall survival (OS) were 31.9%, 74.5%, 5 months and 15.2 months, while 1- and 2-year survival rates were 63.8% (30/47) and 19.2% (9/47), respectively. Single-factor analysis showed that tumor pathological patterns and efficacy were in association with medium PFS (P<0.05), whereas tumor pathological patterns, smoking history and efficacy were closely connected with medium OS (P<0.05). Multi-factor analyses demonstrated that pathological patterns and efficacy were independent factors influencing OS (P<0.05). The rate of toxicity reactions in degree III/IV was low, including hematologic toxicity marked by decline in white blood cell count and decrease in the platelet count (PLT), and non-hematologic toxicity manifested by gastrointestinal reactions, such as nausea and vomiting. Conclusions: Pemetrexed plus platinum as first-line treatment has excellent efficacy and slight adverse reactions with favorable drug-tolerance in patients with advanced non-squamous NSCLC.

• 동서간호학연구지
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• 제10권1호
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• pp.95-105
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• 2004

This study was conducted to confirm the degree of self care and problems in patients with ostomy. The subjects were 80 patients with ostomy who were visiting to OPD in K University Medical Center and were members in the Ostomy Association of Korea. Data were collected from August, 2004 to September. The research tools were a self care measure for ostomy patient developed by Park (1996) and a problem measure for ostomy patient developed by Lee (1996). Data were analyzed by t-test, ANOVA, and Pearson's correlation. The results were as following: 1. Male (65.8%) and female (34.2%) had the ostomy in the most. Age was the most 61 years old and over. 68.5% of the subjects had managed the ostomy by themselves. 2. The mean score of self care in ostomy was 3.57 score. Hygiene of skin care around ostomy in the behavior of self care was the highest as mean 4.47 score. 3. The problems were as following: 1) expense 2) a decline on Activity of Daily Living 3) discomfort in travel 4) worry about ostomy 5) trouble of workplace 4. In the relationship between self care and religion there was significant difference in religion(t= 2.727, P=.008). 5. The relationship between self care and problem with ostomy was found to have statistically significant negative correlation(r= -.237, P=.041).

• 대한교통학회지
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• 제28권5호
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• pp.17-29
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• 2010

본 연구는 도로교통사고 비용의 추계에 있어 미국, 일본, 영국 등 일부선진국에서 추계항목에 포함된 고용주 비용(미국의 고용주 비용, 일본의 사업주체의 비용, 영국의 인간적 비용)의 도입 필요성을 검토하고, 이를 저감시키기 위한 대책마련을 진행하였다. 이를 위해, 교통사고 발생 시 상대적으로 관심권 밖에 위치한 교통사고 가해자의 PTSD (Posttraumatic Stress Disorder) 심각성과 현황을 파악하고, 개인별 특성이 반영된 PTSD 심각도 수준별 대책을 마련하였다. 그 결과를 정리하면, 첫째, 교통사고 가해자를 대상으로 추정만 해 오던 교통사고 PTSD 현황과 심각성을 설문조사를 통해 파악할 수 있었다. 둘째, PTSD 특성별 유 무에 따른 판별분석모형을 구축하였는바, 판별식의 변수로는 '사고로 인한 불면증', '사고 상황 또는 유사 상황에서 운전 중 심리적 위축'이 변수로 선정되었다. 셋째, PTSD의 심각도를 추정할 수 있는 순서형 프로빗 모형 구축 결과, 주요변수는 '최대피해자 심각도', '사고 상황 악몽', '불면증 경험', '운전 중 위축', '성별', '주요 운전 지역'으로 나타났으며, 실제 추정치가 실제 응답치에 근접함을 확인할 수 있었다. 넷째, 성별, 지역별 특성이 반영된 PTSD 심각도별로 선호하는 치료방법을 제시할 수 있었다. 이렇게 분석된 결과를 통해 교통사고 가해자의 사회 업무 복귀를 앞당기고 작업능률의 저하와 같은 피해를 최소한으로 저감 시킬 수 있는 방법을 제시할 수 있었으며, 이는 결국 이들 운전자들이 몸담고 있는 직장의 고용주에게 발생할 수 있는 직 간접적인 피해를 최소한으로 줄일 수 있을 것이라 사료된다.

• 한국산림과학회지
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• 제98권5호
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• pp.548-557
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• 2009

For centuries, forests have been a key component of rural livelihood. They are important both socially and economically in Nepal. Firewood and fodder are the basic forest products that are extracted daily or weekly basis in most of the rural areas in Nepal. In this study, a field survey of 100 households was conducted to examine the degree of forest dependency and forest resource availability, households' livelihood strategy and their relationship with forest dependency in Chitwan, Nepal. A household' response indexes were constructed, Gini coefficient, Head Count Poverty Index (HCI) and Poverty Gap Index (PGI) were calculated and one way ANOVA test was also performed for data analysis. Data revealed that 82/81% of all households were constantly used forest for firewood and fodder collection respectively while 42% of households were used forest or forest fringe for grazing. The Forest Product Availability Indexes (FPAI) showed a sharp decline of forest resources from 0.781 to 0.308 for a 20-yr time horizon while timber wood was noticeably lowered than the other products. Yet, about 33% of households were below the poverty threshold line with 0.0945 PGI. Income distribution among the household showed a lower Gini coefficient 0.25 than 0.37 of landholdings size. However, mean income was significantly varies with F-statistics=246.348 at P=0.05 between income groups (rich, medium and poor). The extraction of firewood, fodder and other forest products were significantly different between the income group with F-statistics=16.480, 19.930, 29.956 at P=0.05 respectively. Similarly, landholdings size and education were also significantly different between the income groups with F-statistics=4.333, 5.981 at P=0.05 respectively. These findings suggested that income status of households was the major indicator of forest dependency while poor and medium groups were highly dependent on the forests for firewood, fodder and other products. Forest dependency still remains high and the availability of forest products that can be extracted from the remaining forestlands is decreasing. The high dependency of households on forest coupled with other socioeconomic attributes like education, poverty, small landholders and so on were possibly caused the forest degradation in Chitwan.Therefore, policy must be directed towards the poor livelihood supporting agenda that may enhance the financial conditions of rural households while it could reduce the degree of forest dependency inspired with other income generating activities in due course.

• 해양환경안전학회지
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• 제20권1호
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• pp.42-48
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• 2014

멀미는 구토 증상뿐만 아니라 현기증, 두통, 졸음, 피로감, 무기력증 등을 동반하여 선박운항자의 신체리듬과 판단능력을 저하시켜 해양사고로 이어질 수 있다. 이 연구는 승선경험이 없는 조타실 근무자(실습항해사)와 기관실 근무자(실습기관사)를 대상으로 뱃멀미 민감성에 대하여 조사하였다. 선박의 X, Y, Z축 방향에 대한 선체운동을 측정할 수 있는 선체운동계측장비(motion sensor)를 이용하여 선체의 운동을 계측하였고, 설문을 통해 조타실과 기관실 근무자의 멀미에 대한 증상 정도(VIR, VSR)를 산출하였다. 이 연구를 통해 동일한 상황에서 조타실 근무자와 기관실 근무자간에 느끼는 멀미 정도에 차이가 있다는 것을 알 수 있었으며, 멀미는 선체 움직임의 크기뿐만 아니라 움직임의 주기와도 높은 연관성이 있다는 것을 확인할 수 있었다. 또한 X축과 Y축 방향 선체운동보다 Z축 방향의 선체운동이 멀미와 상관관계가 높았다. Z축 이외 X축과 Y축에 대한 연구가 진행된다면 조타실과 기관실 근무자의 안전과 선박의 거주성 및 승선감 향상에 크게 기여할 수 있을 것으로 기대된다.