• 한방재활의학과학회지
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• 제26권4호
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• pp.57-65
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• 2016

Objectives Our goal was to review literatures on tool-based manipulation for musculoskeletal diseases with emphasis on guasha and IASTM (Instrument Assisted Soft Tissue Manipulation) by searching foreign and domestic controlled trials. Methods We found literatures published up to August 2016 in electronic databases (OASIS, KoreaMed, KMbase, NDSL, RISS, KISS, MEDLINE/PubMed, EMBASE, Cochrane Central Register of Controlled Trials) without any limitations on language. Results 17 studies were included in the review. 13 out of 17 articles were published within this decade. VAS was the main evaluation tool for most of the articles (14 out of 17). 10 studies showed statistically significant difference between the experimental group and the control group. In terms of materials used for treatment, 6 out of 17 studies used stainless steel. Considering anatomical locations for treatment, trunk area was treated the most, accounting for 7 out of 17 studies. Conclusions Our results show that recently, research on tool-based manipulation treatments for musculoskeletal diseases are actively being performed. Diseases of the vertebral column were the main target for tool-based manipulation treatments, and stainless steel was the most popular and safe material used. Further research should be performed for more accurate data.

• 농촌지도와개발
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• 제8권1호
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• pp.25-40
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• 2001

The purposes of the study were to identify satisfaction and achievement of learning by female learner's characteristics, and to suggest measures to improve quality of education in internet education programs. In order to determine the educational effectiveness associated with the characteristics of learners, this study attempted to employ two way approaches by observing the degree of achievement for learning, which represents an instructor-oriented approach, and the degree of satisfaction for education, which represents a learner-oriented approach to enhance the quality of internet education for female learners. As an approach to evaluate the educational effectiveness, the degree of achievement in learning(Tyler's classical approach), and the degree of satisfaction for education (Scriven's consumer-oriented evaluation model) were utilized. A survey form was developed by the researcher after reviewing the various tools originated from Boshier, Cross, Gagne and Choi, and distributed to a panel of judges that examined the content validity of the instrument. The sample for the study consisted of 160 female learners from three universities in Seoul and capital area, and the survey form was used to collect data for this study. The SPSS WIN program was used in analyzing the data and a series of statistical tests were conducted including frequency, percentile, t-test, ANOVA, correlation, multiple regression, and factor analysis. The statistical significance level was 0.05. The following conclusion were drawn from this study of female internet education. First, it was evident that female internet learners tend to utilize information from internet, and this can be interpreted as participants' positive attitude, and voluntary participation. Second, educational facilities and services should be improved in the future, because the level of satisfaction was low in these areas compared to curriculum and educational methodology. Third, the participating factors influenced by the level of satisfaction for education of learner characteristics were the 'formation of inter-personal relationship and willingness to change' and the 'needs for education on internet', thus appeared that both social and educational needs influenced the level of satisfaction for education. Fourth, the degree of achievement in learning was higher in the order of 1) attitude 2) function 3) knowledge, thus, attitude change was the most important in achievement of learning. Fifth, the individual background that influenced the level of achievement in learning were age and educational experience. As for the individual level of achievement for learning, the younger and more educated group were more satisfied.

• 동아시아식생활학회지
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• 제20권2호
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• pp.328-339
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• 2010

이 연구의 목적은 패스트 푸드 산업에서 '서비스의 질'(Service Quality)을 측정할 수 있는 신뢰도 높은 측정 스케일을 개발하는 것이다. 선행 연구들은 SERVQUAL, SERVPERF, DINESERV 등의 스케일들을 개발해왔다. 하지만, 이론적 배경과 문헌고찰을 통해서, 이러한 선행 스케일들은 패스트 푸드 산업의 특성과는 적합하지 않다는 주장이 제시되었다. 따라서, 본 연구는 Cronin & Taylor(1992)의 이론적 배경을 바탕으로, '서비스의 질'은 소비자들의 태도이고, 이러한 점에서 그 회사에 대한 거시적 평가라는 부분에 초점을 맞추어, SERVPERF 아이템들을 initial pool로 선택하여 패스트 푸드 산업에 실무적으로 쓰일 수 있는 새로운 스케일을 개발하였다. 6단계에 걸친 체계적인 스케일 개발 과정들을 거쳐서 13개로 구성된 새로운 측정 스케일이 개발되었고, 3가지 하위 요인들(Responsiveness, Tangibles, and Reliability) 이 도출되었다. 패스트 푸드 레스토랑에 가는 빈도가 높은 소비자 그룹과의 심층 인터뷰를 통해서 기존의 SERVPERF 아이템들이 수정/보완되었다. 이렇게 수정/보완된 아이템들을 통계적으로 재평가하기 위해서 112명의 대학생 샘플로부터 얻어진 데이터를 이용하여 탐색적 요인 분석이 시행되었고, 아이템들이 통계적으로 재평가되었다. 마지막으로, 179명으로 구성된 패스트 푸드 레스토랑 소비자 그룹 데이터를 이용하여 확인적 요인 분석이 실시되어 convergent validity, discriminant validity, and internal consistency가 검증되었다. 새로 개발된 스케일은 이론적/통계적으로 유의하며, 신뢰도가 높다는 것이 확인되었다. 이를 바탕으로 실무적/이론적 시사점이 논의 되었다.

• 한국전문물리치료학회지
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• 제21권3호
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• pp.45-54
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• 2014

Fall is one of the most intimidating health conditions in elders. Comprehensive assessment is necessary to understand the individual and environmental aspects of the falls such as balancing abilities, depression, and quality of life. The purpose of this study was to compare the balancing ability, depression, and quality of life between elderly fallers and elderly non-fallers. Thirty-two community-dwelling elders (fifteen males and seventeen females between 65 and 83 years old), who have experienced fall on walking during last twelve months, were involved in the elderly fallers group. And twenty-four males and twenty-two females between 65 and 83 years old of community-dwelling elders, who have no experienced fall on walking during last twelve months, were involved in the elderly non-fallers group. Berg balance scale (BBS), timed up and go test (TUG), and functional reach test (FRT), were used to evaluate the ability of the physical balance. 'Beck depression scale in Korean' questionnaire was used to assess the depression. 'Korean version of World Health Organization Quality of Life Assessment Instrument-Bref' questionnaire was used to assess the quality of life. The results were as follows: 1) Balancing abilities measured by the BBS, TUG in the elderly fallers group were meaningfully lower than that of the elderly non-fallers group (p<.05), whereas no significant difference in the FRT was found (p>.05). 2) Depression level in the elderly fallers group was significantly higher than that of the elderly non-fallers group (p<.05). 3) Quality of life in the elderly fallers group was significantly lower than that of the elderly non-fallers group, excluding environment domain (p<.05). Therefore, in order for clinical evaluation of the community-dwelling elders those with reduced balancing ability, it is necessary to evaluate and understand the fall experience, depression, and quality of life.

• 한국직업건강간호학회지
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• 제10권2호
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• pp.142-152
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• 2001

This study examined all the papers published in the Journal of Occupational Health Nursing from 1991 to May 2000 based on an objective frame of evaluation. The purpose of study is to prospect the trend of occupational nursing research and to provide an optimal direction for future occupational nursing service. The results of total 94 studies were analyzed as follows. 1. The number of papers published in 1991-1992, 1993-1995, 1996-1997 was not significantly increased. However, the number of papers were obviously increased after 1998. 2. In the design of research, survey studies were definitely dominant. But, they are gradually decreasing and experimental studies are increasing. 3. In the fields of research, health problems, health risk factors and health awareness were higher than others. Occupational health nurse's task and job satisfaction were main areas of research until the middle of 1990's. However, after then, not only health problem, risk factor and awareness of health but also health promotion and preventive health behavior are increasing in the research areas. 4. The collaborative researches have gradually increased and the type of author has been varied. The number of researches completed by funds was undertaking only 3 among the total 94. 5. In the research analysis, except for case studies and literature studies, the research subjects have been shifted from the occupational health nurses to the industrial workers, and more diversified. The sample size has been enlarged and the major place of the study is industry. The questionnaire was used in many studies as instrument for data collection and measurement. But, complementary methods of diverse instruments have been increased. The method of data analysis has obviously showed some changes moving from descriptive statistics to inferential and advanced statistics. 6. The ways of nursing intervention have prominently diversified in experimental studies. The contents of case studies were mainly focused on the health management programs and activities in industry. The research concepts and the contents of literature study were also changed progressively in various way. Based on the above findings, conclusions are extended to the following discussion: Since the Korean Academic Society of Occupational Health Nursing was instituted in 1990, the researches of occupational health nursing have shown an acute methodological development in both quantity and quality. However, they were considered still in the lack of research verifying the effects of nursing intervention program. Also, the development of nursing intervention and nursing theory lacked. Therefore, more empirical researches are strongly needed to utilize the field of occupational health nursing in Korea Researchers are also encouraged to exert more efforts to get research funds.

• 한국콘텐츠학회논문지
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• 제13권11호
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• pp.306-312
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• 2013

이 연구는 치과감염에 대한 의료소비자들의 인식도를 파악하고자 대구지역 치과병원(3곳)에 내원하는 환자를 대상으로 설문조사하여 회수한 213부를 분석 하였다. 그 결과 가장 중요하게 생각하는 감염관리는 '기구소독'이 64.3%로 많았고, 연령에서 유의한 차이가 있었다(P<0.01). 감염관리 책임여부에 대해서는 72.3%가 '치과의사, 직원'의 책임이라고 답하였고 학력에서 유의하였다(P<0.001). 청결위생중요도에서는 70.0%가 '매우중요하다'고 답하였고, 성별(P<0.05)과 연령(P<0.01)에서 유의하게 나타났다. 치과 감염관리에 관한 정보습득 경험이 있는 사람이 없는 사람보다 손 씻기(P<0.001), 타액 흡입기 교체(P<0.001), 양치컵 교체(P<0.01)여부를 더 유심이 관찰하고, 보안경 착용여부도 더 중요하게 생각하는 것으로 조사되었다(P<0.01). 이상의 연구결과로 치과 의료기관은 보건복지부에서 고지하는 감염관리 평가를 잘 인지하고 일반 의료소비자들의 눈높이에 맞는 감염관리를 실천한다면 병원의 신뢰도는 물론 환자만족도까지 높일 수 있는 바탕이 될 것이라 생각된다.

• Archives of Plastic Surgery
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• 제42권5호
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• pp.572-579
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• 2015

Background Facial rejuvenation can be achieved using a variety of techniques. Since minimally invasive procedures for face lifting have become popular because of their convenience and short operating time, numerous minimally invasive surgical procedures have been developed. In this study, a nonabsorbable polypropylene mesh is introduced as a new face lifting instrument, with the nasolabial fold as the main target area. In this paper, we report the efficacy and safety of a polypropylene mesh in midface rejuvenation. Methods Thirty-three subjects with moderate-to-severe nasolabial folds were enrolled from two medical institutions for a noncomparative single-sample study. A mesh was inserted above the superficial muscular aponeurotic system layer, reaching the nasolabial folds through a temporal scalp incision. After 3 weeks, the temporal end of the mesh was pulled to provide a lifting effect. Then, the mesh was fixed to the deep temporal fascia using nonabsorbable sutures. To evaluate efficacy, we compared the scores on the Wrinkle Severity Rating Scale and a visual analog scale for patient satisfaction between the baseline and 7 weeks postoperatively. In addition, we evaluated safety based on the incidence of adverse events. Results The treatment was deemed effective at improving wrinkles in 23 of 28 cases, and patient satisfaction improved significantly during the study period. There were seven cases of skin or subcutaneous tissue complications, including edema and erythema, but there were no suspected serious adverse events. Conclusions Face lifting using a nonabsorbable mesh can improve nasolabial folds without serious adverse effects. Thus, this technique is safe and effective for midface rejuvenation.

• Journal of Hospice and Palliative Care
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• 제19권2호
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• pp.109-118
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• 2016

목적: 본 연구는 일련의 연구들을 통해 제안된 한국형 사전의료의향서(K-AD)에 대해 일반인 등에 대한 수용성과 문서 자체의 신뢰도를 평가하고자 수행되었다. 방법: 연구 대상자는 3개 지역으로부터 편의 추출한 20세 이상 성인 181명이었다. 이들 모두에게 K-AD를 작성하게 한 후 시각상사척도 상으로 복잡성, 난이도, 필요성, 만족도, 추천도의 5개 측면을 평가하도록 하였고, 이중 117명의 중년과 노인 집단을 대상으로는 2주 후 다시 K-AD를 작성토록 하여 검사-재검사를 통한 문서자체의 신뢰도를 검증하였다. 결과: K-AD에 대한 전반적 및 5개 측면에서의 수용도는 100점 만점에 70점 이상으로 '중상' 정도의 수용성을 보였다. 검사-재검사 결과 kappa값은 0.592~0.950로 일치도는 moderate 이상인 것으로 나타났다. 덧붙여 K-AD 작성 결과 우리나라 성인의 임종기 의료와 관련한 가치관으로는 고통 없이 편안하게 임종을 맞는 것이 가장 많이 보고되었고 가치관, 의료 지시, 대리인 지정 모두에서 젊은 성인, 중년, 노인 집단별로 유의한 차이를 보였다. 결론: 본 연구 결과 K-AD는 가용한 문서로 평가되었다. 따라서 앞으로 더 다양한 집단을 대상으로 K-AD를 검증할 필요성이 있고 본 문서의 정착과 확산을 위한 연구와 노력이 요구된다.

• 한국측량학회지
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• 제24권5호
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• pp.433-441
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• 2006

최근 전자기술의 발달로 대상물에 접촉하지 않고, 장비에서 발사된 레이저가 측정대상물에 직접 반사되어 거리를 측정 가능하게 하였다. 더욱이 3차원위치를 결정할 수 있는 무 프리즘 토털스테이션이 등장하여 도로, 공항, 항만 등의 토목분야 뿐 아니라 구조물변위, 계측 등의 건축분야에 그 활용이 증대되고 있다. 따라서 본 연구에서는 무 프리즘 토털스테이션의 정확도를 평가하기 위하여 관측거리에 따른 재료 및 반사각도별로 관측하여 정확도를 분석하였고, 그 활용성을 위하여 지형측량에 적용하였다. 연구한 결과는 무 프리즘 토털스테이션은 반사각도가 $90^{\circ}$일 때는 재료와 상관없이 매우 양호한 값으로 분석되었다, 점차적으로 반사각도가 예각으로 증가할 때 RMSE는 높아지는 양상이 보였다. 그리고 관측거리에 따른 재료 및 반사각도별로 회귀분석 한 결과, 관측거리와 반사각도는 상관성이 있는 것으로 판단되며, 재료와는 상관성이 없는 것으로 분석되었다. 일반적인 지형측량에 있어서 무프리즘 토털스테이션을 적절히 활용한다면, 교통의 흐름이 많은 곳의 도로, 경사각이 높은 암벽의 절리면, 기타 위험지역에서 측량자의 안전과 신속한 측량작업을 제공할 것으로 판단된다.

• 한국진공학회지
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• 제16권4호
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• pp.244-249
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• 2007

분동식압력계는 정밀한 압력 측정의 기준 장비로 널리 사용되고 있다. 그것은 분동압력계가 견고하고 정확하며 이동이 간편하고 압력의 정의를 물리적으로 구현할 수 있기 때문이다. 기본적으로 분동식압력계는 분동과 피스톤/실린더 장치로 구성되며 실린더 안에 직경이 꼭 맞는 피스톤이 수직으로 삽입된 구조를 갖고 있다. 측정하려는 압력은 피스톤 아래에 작용하여 윗방향 힘을 발생시키고 피스톤 위에 얹혀 있는 분동에 의해 발생하는 아랫방향 힘과 평형을 이루게 된다. 이때 피스톤 자체의 하중은 항상 작용하므로 분동식압력계는 보통 10 kPa이상의 압력 범위에서 주로 사용된다. 기존의 방식은 피스톤 아래의 높은 압력을 기준으로 사용하지만 본 방식은 피스톤 주위의 낮은 압력을 기준압력으로 사용하여 보다 더 낮은 압력의 측정이 가능하다. 본 논문에서는 이를 효율적으로 구현한 새로운 장치를 소개하고 실제로 1.33 kPa, 13.3 kPa 두 측정범위를 갖는 정밀한 저진공 게이지(MKS, CDG)를 교정, 평가한 결과에 대해서 기술하였다.