• 한국임상수의학회지
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• 제27권2호
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• pp.175-178
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• 2010

5년령의 수컷 코커스파니엘견이 갑작스런 발작증상으로 내원하였다. 내원당시 중등도의 탈수, 과다유연이 관찰되었고, 의식이 소실된 상태였다. 신체검사상 상복부에서 복강내 종괴가 촉진되었고, 실험실 검사에서 저혈당증과 간효소 수치의 상승이 관찰되었다. 진단으로는 병력, 임상증상, 신체검사, 신경검사, 기본적 실험실 검사와 방사선 검사 및 세포검사가 이용되었다. 특히 원발성 간 선암종이 의심되어 혈청 중 alpha-fetoprotein (AFP)을 측정하였다. 혈청 중 AFP 수치는 특이적으로 정상견에 비해 매우 높은 수준이었다(1513.5 ng/ml). 이 환축은 원발성 간 선암종이 의심이 되었으며 이로 인한 저혈당으로 발작증상을 관리하기 위해 포도당투여를 포함한 약물치료가 시작되었다. 하지만, 보호자의 요청에 의해 안락사가 실시되었고 부검 후 조직 검사를 통하여 원발성 간 선암종으로 확진되었다. 결론적으로 본증례의 경우 개에서 원발성 간암의 진단에 혈청 중 AFP 측정이 진단에 유용할 수 있음을 보여주는 증례다.

• 보건교육건강증진학회지
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• 제21권2호
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• pp.187-198
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• 2004

The purpose of this study was to investigate knowledge, attitudes and the ability of women toward breast self-examination and to identify factors that may influence the ability of breast examination. The subjects for this study were 105 women in a community health center located in Busan. Data was collected during the period from September I to 20, 2002 by means of a structured questionnaire. The data was analyzed using the SPSS WIN 10.0 program and included descriptive statistics, Pearson correlation coefficient and stepwise multiple regression. The results of study are as follows： 1. The mean knowledge score for the total sample was 9.62 and the mean attitude score was 62.95. The mean self- practice score was 5.79. 2. Women's knowledge about breast self-examination was significantly related to attitudes and the ability of women toward breast self-examination (p＜0.05). 3. The ability of women toward breast self-examination was significantly related to attitudes about breast self-examination (p＜0.05). 4. According to the results of stepwise multiple regression analysis, factors affecting women's ability of breast self-examination were practice of breast self-examination and level of education and explained 19.7％ of variance. From the results of this study it can be said that women need to be taught proper breast self-examination so that they can become more proficient in detecting breast abnormalities.

• Environmental Analysis Health and Toxicology
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• 제31권
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• pp.7.1-7.6
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• 2016

Objectives The aim of this study is to evaluate radiation exposure resulting from the comprehensive health examinations of selected university hospital programs and to present basic data for research and management strategies on the health effects of medical radiation exposure. Methods Radiation-based diagnostic studies of the comprehensive health examination programs of ten university hospitals in Seoul, Korea, as introduced in their websites, were analyzed. The medical radiation studies of the programs were reviewed by radiologists. Only the effective doses of the basic studies were included in the analysis. The optional studies of the programs were excluded. Results Among the 190 comprehensive health examination programs, 132 programs (69.5%) included computed tomography studies, with an average of 1.4 scans. The average effective dose of radiation by program was 3.62 mSv for an intensive program for specific diseases; 11.12 mSv for an intensive program for cancer; 18.14 mSv for a premium program; and 24.08 mSv for an overnight program. A higher cost of a programs was linked to a higher effective dose (r=0.812). The effective doses of the examination programs for the same purposes differed by as much as 2.1 times by hospital. Inclusion of positron emission tomography-computed tomography was the most critical factor in determining the level of effective dose. Conclusions It was found that radiation exposure dose from comprehensive health exam programs targeted for an asymptomatic, healthy public reached between 3.6 and 24 times the annual dose limit for the general public. Relevant management policies at the national level should be provided to minimize medical radiation exposure.

• Journal of Preventive Medicine and Public Health
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• 제15권1호
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• pp.115-123
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• 1982

The systematic school dental health programmes have been recognized as one of the most effective national dental health measures. This study was conducted to estimate the number of dentists required for the systematic school dental programmes in Korea applying the methodology recommended by WHO. Information necessary for the study was obtained by a mass oral examination to the 1241 primary and middle school students in Kang Wha area. First and 6th grade students from primary school and 3rd year students from middle school were specifically selected for the examination. The results are summarized below: 1) For the Type I program recommended by WHO, 1.8 dentists per 10,000 primary school children were estimated to be necessary. For the Type II program 2.5 dentists, Type III program 2.0 dentists, Type IV program 3.6 dentists per 10,000 primary school children were estimated to be necessary. In order to extend the systematic school dental programmes to the middle students, 2.0 dentists for the Type I program and 2.4 dentists for the Type II program 2.2 dentists for the Type III program, 3.6 dentists for the Type IV program per 10,000 students were estimated to be necessary. 2) If we assume that prophylaxis are done by hygienist, for the Type I program 1.3 dentists and 0.5 hygienist, for the Type II program 1.8 dentists and 0.7 hygienist, for the Type III program 1.3 dentists and 0.7 hygienist, for the Type III program 2.2 dentists and 1.4 hygienists per 10,000 primary school students were estimated to be necessary. In order to extend this program to the middle school, 1.4 dentists and 0.6 hygienist for the Type I program, 1.6 dentists and 0.8 hygienist for the Type II program, 1.4 dentists and 0.8 hygienist for the Type III program, 2.2 dentists and 1.4 hygienist for the Type IV program per 10.000 students were estimated to be necessary.

• 보건교육건강증진학회지
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• 제33권3호
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• pp.37-48
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• 2016

Objectives: The purpose of the study was to find determinants for participation in the National health screening program participation according to sex in Korean. Methods: Data for 5,355 from the Korea National Health and Nutrition Examination Survey VI was included. Impact factors were analyzed by sex using logistic regression. Results: The participation in men rates(65.6%) higher than women(60.6%). In the case of men, those who have higher age (OR=0.33, 95% CI 0.21-0.52), higher income(OR=0.72, 95% CI 0.54-0.97), higher education (OR=0.54, 95% CI 0.36-0.81), occupation(OR=1.80, 95% CI 1.38-2.36), spouse(OR=1.95, 95% CI 1.45-2.62) were shown to have health examination more frequently. In the case of women, those who live in more developed city(OR=1.42, 95% CI 1.1-1.76), have higher age(OR=0.17, 95% CI 0.11-0.26), higher income(OR=0.17, 95% CI 0.11-0.26), higher education(OR=0.68, CI 0.46-0.99), occupation(OR=1.54, CI 1.32-1.80) and health insurance(OR=2.68, 95% CI 1.17-6-15) were shown to have health examination more frequently insurance were shown to have health examination more frequently. Conclusions: As a result, for both, age, income, education and occupation influenced health examination rate. Additionally, for men, marital status and for women, residence and the type of their health insurance was influenced. Individualized intervention is needed to increase participation rate.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2008년도 추계학술대회 논문집
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• pp.1285-1293
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• 2008

Locking sheet is to display the contents of interlocking equipment for safe train drive in stations. It is being used as a basic information for interlocking equipment and for route control condition and the discussion for train operation between related parties. In spite of importance of this, there was no other way except depending on the work by hands from each stage(drawing, examination, discussion, approval) due to non-existing any tool. It is written it takes 30days from drawing to approval by procedures. However, it is required over the days in real time due to argument of each party. Furthermore on drawing of locking sheet, special conditions applied in accordance with situations of each station occasionally are different depending on the person in charge. Therefore, it is urgent to make up Logic Tree to accept special conditions of all stations. Automation Program for Drawing and Examination of Locking Sheet is to improve inefficient interlocking operation which was operated by hands in accordance with custom as automated system. The target of this program is to minimize the processing time and potential errors by personal work and set up standards for Logic Tree of special condition.

• 가정과삶의질연구
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• 제35권1호
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• pp.83-105
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• 2017

The purpose of this study is to strengthen the professional competence of novice play therapists through training, and to develop a CCPT internship program that encourages them to participate by experiencing play therapy education and cases. The five novice play therapists who participated in this study were currently getting their master's degrees in child psychotherapy. The novice play therapists's CCPT Internship program conducts 20 hours of education and practices, 24 hours of group supervision, 16 sessions of play therapy. The results of the research were as follows. First, the novice play therapist's CCPT internship program gave the play therapists positive effects on the development level. Second, the novice play therapist's CCPT internship program had a positive effect on the therapists' performance ability on play therapy. Third, the change of psychological and emotional reactions of play therapists through self-examination was different depending on the stage in the play therapy.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제4권6호
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• pp.7-15
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• 1998

As the national income has improved and people's concern with health has improved, it becomes essential to operate the health examination center in a general hospitals. Furthermore, medical consuming pattern has significantly changed, and requires diverse health check services. This study aims to represent the standards for architectural planning of the health examination center in a general hospital according to domestic situations. The present conditions and space programs of 5 general hospitals were investigated and analyzed for this purpose. This study also aims to suggest the unit area of each examination room and the method to decide the number of each examination room in the health examination Center.

• Asian Pacific Journal of Cancer Prevention
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• 제13권12호
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• pp.6159-6161
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• 2012

This cross-sectional and descriptive study was aimed to evaluate women breast self-examination (BSE) practice and effects of a planned educational programme for breast cancer and BSE. The samples of the study consisted 266 women. The study data were collected by a questionnaire in six months periods as two times in a month in which the periods were defined and announced to all women. After that all the women were informed about BSE. The statue of performing BSE of women (n=146) was evaluated. They were interviewed on phone after 6 months. The collected data were analyzed by using statistical SPSS program. The average age of women was $35.68{\pm}7.54$. It is also determined that (61.3%) had no knowledge about BSE, (87.6%) had examined clinical breast examination (CBE) in a year and half of them (50.8%) never practiced BSE, (29.0%) had BSE regularly every month. Concerning the status of BSE practice before the education and after the education significant difference is found statistically (p<0.00). The significance of this study is that it is to give education about breast cancer and BSE for raising awareness among women.

• 대한간호학회지
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• 제35권5호
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• pp.810-816
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• 2005

Purpose: This study was to test the effectiveness of Web-based multimedia contents for Physical Examination and Health Assessment on learning achievement. Method: Multimedia contents based on Jung's teaching and learning structure model were used to enhance learning achievement. Learning achievement was measured by the knowledge of Physical Examination and Health Assessment. The participants of this study were students in a BSN and RN-BSN program in a university located in Seoul. 59 students in the experimental group received lectures using web-based multimedia contents and 75 students in the control group received regular lectures. Results: The mean score of the degree of educational achievement in the experimental group(mean=31.09) was significantly higher than in the control group(mean=25.55)(t=-3.883, p=.000). Conclusion: These web-based multimedia contents were found to maximizethe effectiveness of the teaching process when used as a teaching aid, and yet kept the strength of a face to face teaching learning method. This program is recommended as part of a main text, vital teaching aid or cyber lecture materials in nursing schools and in health care educational institutions.