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한국부인의 보건지식, 태도 및 실천에 영향을 미치는 제요인분석 (An Analysis of Determinants of Health Knowledge, Attitude and Practice of Housewives in Korea)

  • 남철현
    • 보건교육건강증진학회지
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    • 제2권1호
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    • pp.3-50
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    • 1984
  • The levels of health knowledge, attitude and practice of housewives considerably effect to the health of households, communities and the nation. This study was designed to grasp the levels of health knowledge, attitude and practice of houswives and analyse the various factors effecting to health in order to provide health education services as well as materials for effective formulation and implementation of health policy to improve the health of the nation. This study has been conducted through interviews by trained surveyers for 4,281 housewives selected from 4,500 households throughout the country for 40 days during July 11-August 20, 1983. The results of survey were analysed by stepwise multiple regression and path analysis are summarized as follows; 1. Based on the measurement instrument applied to this study, the levels of health knowledge, attitude and practice of housewives were extremely low with 54.5 points out of 100 points in full. Higher level with 72 points and above was approximately 21 percent and lower level with 39 points and below was approx. 24 percent. The middle level was approx. 55 percent. In order to implement health programs successively, health education should be more strengthened and to improve the level of health knowledge, attitude and practice (KAP) of the nation, political consideration as a part of spiritual reformation must be concentrated on health. 2. The level of health knowledge indicated the highest points with 57.3 the level of attitude was the second with 55.0 points and the practice level was the lowest with 50.0 point. Therefore, planning and implementation of health education program must be based on the persuasion and motivation that health knowledge turn into practice. 3. Housewives who had higher level of health knowledge, showed their practice level was relatively lower and those who had middle or low level of it practice level was the reverse. 4. Correlations among health knowledge, attitude and practice (KAP) were generally higher and statistically significant at 0.1 percent level. Correlation between total health KAP level and health knowledge was the highest with r=.8092. 5. Health KAP levels showed significant differences according to the age, number of children, marital status, self-assessed health status and concern on health of the housewives interviewed (p<0.001) 6. Health KAP levels also showed significant differences according to the education level, economic status, employment before marriage and grown-up area of the housewives interviewed. (p<0.001) 7. Heath KAP levels showed significant differences according to health insurance benificiary and the existence of patients in the family. (p<0.001). 8. Health KAP levels showed significant differences according to distance to government organizations, schools, distance to health facilities, telephone possession rate, television possession rate, newspaper reading rate and activities of Ban meeting and Women's club. (p<0.001) 9. Health KAP levels showed significant differences according to electric mass communication media such as television, radio and village broadcasting etc. and printed media such as newspaper, magazine and booklets etc., IEC variables such as individual consultation and husband-wife communication, however, there was no significance with group training. 10. Health KAP of the housewives showed close correlation with personal characteristics variables, i.e., education level (r=.5302), age (r=-.3694) grown-up area (r=.3357) and employment before marriage. In general, correlation of health knowledge level was higher than the levels of attitude or practice. In case of health concern and health insurance, correlation of practice level was higher than health knowledge level. 11. Health KAP levels showed higher correlation with community environmental characteristics, Ban meeting and activity of Women's club, however, no correlation with New-village movement. 12. Among IEC variables, husband-wife communication showed the highest correlation with health KAP levels and printed media, electric mas communication media and health consultation in order. Therefore, encouragement of husband-wife communication and development of training program for men should be included in health education program. 13. Mass media such as electric mass com. and printed media were effective for knowledge transmission and husband-wife communication and individual consultation were effective for health practice. Group training was significant for knowledge transmission, however, but not significant for attitude formation or turning to health practice. To improve health KAP levels, health knowledge should be transmitted via mass media and health consultation with health professionals and field health workers should be strengthened. 14. Correlation of health KAP levels showed that knowledge level was generally higher than that of practice and recognized that knowledge was not linked with attitude or practice. 15. The twenty-five variables effecting health KAP levels of housewives had 41 per cent explanation variances among which education level had great contribution (β=.2309) and electric mass com. media (β=.1778), husband-wife communication (β=.1482), printed media, grown-up area, and distance to government organizations in order. Variances explained (R²) of health KAP were 31%, 15%, and 30% respectively. 16. Principal variables contributed to health KAP were education level (β=.12320, β=.1465), electric mass comm. media (β=.1762, β=.1839), printed media, (β=.1383, β=.1420) husband-wife communication (β=.1004, β=.1067), grown-up area and distance to government organizations, in order. Since education level contributes greatly to health KAP of the housewives, health education including curriculum development in primary, middle and high schools must be emphasized and health science must be selected as one of the basic liberal arts subject in universities. 17. Variences explained of IEC variables to health KAP were 19% in total, 14% in knowledge, 9% in attitude, and 10% in health practice. Contributions of IEC variables to health KAP levels were printed media (β=.3882), electric mass comm media (β=.3165), husb-band wife com. (β=.2095,) and consultation on health (β=.0841) in order, however, group training showed negative effect (β=-.0402). National fund must be invested for the development of Health Program through mass media such as TV and radio etc. and for printed materials such as newspaper, magazines, phamplet etc. needed for transmission of health knowledge. 18. Variables contributed to health KAP levels through IEC variables with indirect effects were education level (Ind E=0.0410), health concern (Ind E=.0161), newspaper reading rate (Ind E=.0137), TV possession rate and activity of Ban meeting in order, however, health facility showed negative effect (Ind E=-.0232) and other variables showed direct effect but not indirect effect. 19. Among the variables effecting health KAP level, education level showed the highest in total effect (TE=.2693) then IEC (TE=.1972), grown-up city (TE=.1237), newspaper reading rate (TE=.1020), distance to government organization (TE=.095) in order. 20. Variables indicating indirect effects to health KAP levels were; at knowledge level with R²=30%, education level (Ind E=.0344), newspaper reading rate (Ind E=.0112), TV possession rate (Ind E=.0689), activity of Ban meeting (Ind E=.0079) in order and at attitude level with R²=13%, education level (Ind E=. 0338), activity of Ban meeting (Ind E=.0079), and at practice level with R²=29%. education level (Ind E=.0268), health facility (Ind E=.0830) and concern on health (Ind E=.0105). 21. Total effect to health KAP levels and IEC by variable characteristics, personal characteristics variables indicated larger than community characteristics variables. 22. Multiple Correlation Coefficient (MCC) expressed by the Personal Characteristic Variable was .5049 and explained approximately 25% of variances. MCC expressed by total Community environment variable was .4283 and explained approx. 18% of variances. MCC expressed by IEC Variables was .4380 and explained approx. 19% of variances. The most important variable effected to health KAP levels was personal characteristic and then IEC variable, Community Environment variable in order. When the IEC effected with personal characteristic or community characteristic, the MCC or the variances were relatively higher than effecting alone. Therefore it was identified that the IEC was one of the important intermediate variable.

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일부 직업인들의 근골격계 자각증상과 강증진생활양식간의 연관성에 관한 연구 (A Study on the Relationship between Musculoskeletal Symptoms and Health Promoting Life Style among Some Workers)

  • 강홍구;이은경;전선영;김상덕;정재열;이영길;장두섭;송용선;이기남
    • 대한예방한의학회지
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    • 제5권2호
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    • pp.40-68
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    • 2001
  • In this study, grade of subjective symptom appealed by laborer of Jeollabuk-do was evaluated using questionary regarding factor made effect on musculoskeletal disease and in addition, studied relationship with health promotion life style of them. Based on the result, relationship of general characteristics of musculoskeletal subjective symptom and life-style of the subjects was concluded as below. 1. General characteristics of study subjects were as following. Ratio of male was higher as 57.7% of male and 42.2% female and age distribution was 5.1% of 20s, 34.99% of 30s, 36.3% of 40s and 23.7% of 50s and therefore, $30{\sim}40$ aged groups showed highest ratio. Most subjects (74.9%) was married status and in case of education level, high-school graduate and dropout (23.3%) and over-college graduate (46.8%) showed highest distribution. $1{\sim}2$ Mil. KRW (29.5%) and $2{\sim}2.99$ Mil. KRW (21.2%) is the main income distribution and however there was high ratio of non-reply (29.0%). In case of employment period, $10{\sim}14$ years (15.3%) and over 15 years (29.6%) showed highest ratio and there were many non-reply (39.4%) and in addition, 67.6% replied as own house and 14.3% as lease on deposit base in question of residence type. 2. Subjects showed high ratio of subjective symptom appeal of 62.79% and many cases (50.23%) appealed 1 or 2 symptoms. Symptom by body region was 29.8% (waist), 27% (shoulder), 21.2% (knee), 15.5% (neck), 9.5% (ankle), 8.1% (wrist) and 5.0% (elbow) in order. In case of relationship with general characteristics, female comparing with male, non-residence of own house, subjects with lower education level and employment period of $10{\sim}14$ years showed higher appeal rate and kind of symptoms than others. Therefore, it was concluded that rate of musculoskeletal symptom appeal have close relationship with gender, level of living, education level, age and employment period. 3. In case of severe pain of upper body except waist and ankle, it was appealed in both or right side and it means that upper body pain is originated from right side and right region pain is transited to both region pain. In addition, there was 39.41% of non-reply to existence of right-left region pain and therefore, it was evaluated that, in may cases, there was no awareness of their own symptom condition even on subjective symptom. 4. Degree of pain was, as pain over middle level, evaluated as 2.79 on full mark of 4.0 and in order of waist (2.97), ankle (2.83), knee (2.82), wrist (2.82), neck (2.79), shoulder (2.70) and elbow (2.62). In addition, 71.97% appealed $2{\sim}3$ cases for the latest 1 week. Owing to subjective symptom, 54.95% drop into hospital or pharmacy, 10.32% made temporary retirement or absence, 7.99% transferred into more comfortable duty and $39.4{\sim}54%$ experienced one or more managing mentioned above. 5. Fulfillment of health promotion life style of subjects was evaluated on full mark of 4.0 and total score was 2.63. Average mark of each area was personal relationship (3.05), self-realization (2.92), stress management (2.63), health control (2.48), physical exercise (2.19) and nutrition management (2.19) and personal relationship was highest and physical exercise and nutrition management were lowest. As general characteristics influencing health promotion life style, gender, residence style and employment period showed significant difference. Male showed higher mark than female and showed higher mark in order of own house, others, lease on deposit base, monthly rent. Subjects with longer employment period showed higher mark with significant difference. 6. Accounting of factor influencing each area of health promotion life style, self-realization showed significance in marriage status, income, residence style and education level and health control in age, residence style and employment period. Physical exercise showed significant difference in gender, age, residence style and employment period and nutrition in gender, age, residence style and employment period. Stress management showed significant difference in residence style and employment period and however not in personal relationship. 7. Health promotion life style relating with existence and kind of pain showed significant difference in all area except personal relationship area. In absence of pain, there was statistically significant high score in all area even in total health promotion life style and all area. Accounting of kind of pain, cases of $1{\sim}2$ kinds of pain and $5{\sim}6$ kinds of pain showed relatively high score and it was lower than mark of subject stated absence of pain. 8. Subjects appeal symptom were classified by symptom region and difference of total and each areas were evaluated. General area (p=0.002), self-realization (p=0.012), health management (p=0.023), physical exercise (p=0.028), nutrition management (p=0.028) and stress control (p=0.001) showed statistically significant difference and not in personal relationship area. Especially, elbow, shoulder and neck area marked high and group appealed pain of knee, arm and elbow, foot and ankle marked low. Based on those results, subjective symptom should be accounted seriously in diagnosis of occupational musculoskeletal disease of laborer and among subjective symptom, general characteristics of gender, age, condition of living, education level and employment period make effect. Generally subject appeal symptom marked lower than subject without symptom appeal and it means that life management of subject appealing musculoskeletal pain make important role in management and treatment of occupational musculoskeletal disease.

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연속적 마이크로파 Full Scale 건조장치를 이용한 하수슬러지 케익의 최적 건조조건 연구 (A Study on the optimum drying condition of sewage sludge cake using continuous microwave full scale dryer)

  • 하상안;정왕석
    • 유기물자원화
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    • 제16권2호
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    • pp.47-56
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    • 2008
  • 본 연구는 하수슬러지 케이크를 사용하여 연속적인 마이크로파 건조기를 적용한 재활용 방안을 제시하는데 목적이 있다. 연구에 적용된 시료는 P시 N하수처리장에서 발생되는 탈수슬러지 케이크를 사용하였다. 기초실험 장치에 적용된 마이크로파 주파수는 2450MHz와 전력사용량은 1~4kW로 사용하였다. 연속적 마이크로파 건조기는 주파수 2450MHz와 전력량은 1~6kW의 범위내에서 조절하여 사용하였고, 마이크로파의 가열은 유전가열방식이고, 수분감량은 초기수분이 78~80%의 고함수율이라도 짧은 시간 안에 수분이 0.2%~2%(wt)까지 감소되어 졌다. 슬러지에 함유하고 있는 수분이 증발되는 과정에서 마이크로파 거동의 변화에 미치는 주요 매개 변수로는 제공되는 운전시간, 슬러지내 수분함량, 전력량, 슬러지 고형물량에 따른 결과로서 이에 대한 조사가 이루어졌다. 마이크로파 전력량이 4kW의 일정한 조건에서 유입되는 부하량이 3kg/min인 경우 한계건조 도달하는 시간이 60분대에, 6kg/min의 부하량 조건에서 120분대에 나타났다. 연속적인 실험장치에서 컨베이어속도는 2.5cm/min, 공급량이 6kg/min일 때 전력량의 변화에 따라 4kW일 때 한계함수율에 도달하는 시간은 120min과 6kW의 전력량인 경우 110 min에 나타남으로서 전력량에 대비하여 한계함수율에 도달하는 시간의 관계에서 4kW가 경제적임이 나타났다. 장치에 공급되는 부하량이 6 kg/min과 마이크로파 전력량이 4kW의 조건에서 컨베이어 건조장치내 공급된 슬러지 단위면적당 두께별 건조효율을 실험한 결과는 건조장치 단위면적당 두께가 2cm인 경우가 1cm와 3 cm인 경우가 한계건조에 도달하는 증발시간이 짧게 나타났다.

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서비스 종업원의 표면행위가 반생산적 과업행동에 미치는 효과에 관한 연구: 감정소모의 매개효과를 중심으로 (The Effects of Service Employee's Surface Acting on Counterproductive Work Behavior: The Mediating Roles of Emotional Exhaustion)

  • 강성호;최종학;이지애;허원무
    • 유통과학연구
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    • 제14권2호
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    • pp.73-82
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    • 2016
  • Purpose - Counterproductive work behavior(CWB) was typically categorized according to the behavior whether it targets other people(i.e., interpersonal CWB: I-CWB). Employing organizations(i.e., organizational CWB: O-CWB) has emerged as major concerns among researchers, managers, and the general public. An abundance of researches has informed us about the understanding for the antecedents of CWB, whereas little is known about the antecedents of CWB directed distribution service in employee's emotional labor. Therefore, the purpose of this research is to propose a research model in which surface acting enhances emotional exhaustion as an emotional labor strategy, which eventually increases counterproductive work behavior(including I-CWM and O-CWB). Research design, data, and methodology - This empirical research data were gathered from the samples of full time frontline hotel employees(including front office, call center, food/beverage, concierge, and room service) in South Korea. Six hotels were selected ranged from four to five stars, including privately owned and joint-venture properties. A convenience sampling method was used to select hotels. Full time frontline hotel employees from the six hotels were surveyed using a self-administered instrument for data collection. With the strong support of hotel managers, a total of 300 questionnaires were distributed, and 252 responses were collected indicating a response rate of 84.0%. In the process of working with the 252 samples, structural equation modeling is employed to test research hypotheses(H1: The relationship between surface acting and Interpersonal counterproductive work behavior(I-CWB) is mediated by emotional exhaustion, H2: The relationship between surface acting and organizational counterproductive work behavior(O-CWB) is mediated by emotional exhaustion). SPSS 18.0 and M-Plus 7.31 software were used for the data analysis. Descriptive statistics were used to assess the distribution of the employee profiles and correlations between factors. M-Plus 7.31 software was used to test the model fit, validity, and reliability of the factors, significance of the relationship between factors, and the effects of factors in the model. Results - To test our mediation hypotheses, we used an analytical strategy suggested by Preacher & Hayes (2008) and Shrout & Bolger (2002). This mediation approach directly tests the indirect effect between the predictor and the criterion variables through the mediator via a bootstrapping procedure. Thus, it addresses some weaknesses associated with the Sobel test. We found that surface acting was positively related to emotional exhaustion. Furthermore, emotional exhaustion was a significant predictor from the two kinds of counterproductive work behavior. In addition, surface acting was not significantly associated with the two kinds of counterproductive work behavior. These results indicated that the surface acting by frontline hotel employees was associated with higher emotional exhaustion, which is related with higher interpersonal counterproductive work behavior(I-CWB) and organizational counterproductive work behavior(O-CWB). In sum, we confirmed that the positive relationship between surface acting and the two kinds of counterproductive work behavior was fully mediated by emotional exhaustion. Conclusions - The current research broadens the conceptual work and empirical studies in counterproductive work behavior literature by representing a fundamental mechanism that how surface acting affects counterproductive work behavior.

유전치 우식에 대한 치과의사들의 치료 선택 현황 조사 (A COMPARISON OF DECISIONS FOR PRIMARY ANTERIOR TEETH BETWEEN PEDIATRIC DENTISTS AND GENERAL DENTISTS)

  • 김성희;김영종;김신;정태성
    • 대한소아치과학회지
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    • 제39권3호
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    • pp.242-248
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    • 2012
  • 유아기에서의 적절한 우식 치료는 장기간의 향상된 구강 건강 상태를 유지할 수 있는 토대가 된다. 치아 우식증, 외상 또는 발육성 결함 존재시 유전치의 수복치료가 필요하며 기능과 심미, 발음 면에서 올바른 기능을 수행하도록 이루어져야 한다. 여러 가능한 수복 방법 및 재료 선택에 있어 적절한 술식을 선택하는 것은 어려운 일이며, 치과의사마다 치료 결정 여부 및 술식 선택에 있어 다양한 기준을 갖고 있다. 본 연구 조사는 유전치 우식 치료와 관련하여 소아치과 의사와 일반치과 의사를 대상으로 치료 결정 여부 및 수복 방법, 그리고 재료 선택을 알아보고자 설문 조사를 시행한 결과 다음과 같은 결론을 얻었다. 1. 초기 우식 치료에 있어서 소아치과 의사는 예방 치료의 빈도가 높은데에 비해, 일반치과 의사는 수복치료의 빈도가 높게 나타났다. 2. 수복재의 선택 기준으로는 양군 모두에서 조작성을 가장 높게 꼽았다. 3. 전치부 심미 수복의 경우 소아치과 의사는 전부 피개법을, 일반 치과의사는 일부 수복법을 선택하는 경향이 높았다. 4. 상아질 우식을 보이는 치아를 치료하지 않는 잔여수명에 관하여, 소아치과의사는 평균 2.0년, 일반 치과의사는 1.2년을 기준으로 하고 있는 것으로 나타났다. 5. 생리적 치근 흡수를 보이는 치아에 대한 수복치료에 있어서, 소아치과 의사는 치근 흡수가 없거나 치근 길이가 $67.6{\pm}10.9%$ 이상 남은 경우, 일반 치과의사는 치근 길이가 $62.2{\pm}10.0%$ 이상 남은 경우에 치료를 하는 것으로 나타났다. 6. 상아질 우식증을 가진 만 1세 유아에 대하여, 소아치과 의사의 84%, 일반치과 의사의 52%가 예방치료를 먼저 시행하였으며, 일반치과 의사의 41%는 소아치과로 의뢰하는 것으로 나타났다.

PACS 도입에 의한 현상시스템 폐수 감소효과에 관한 연구 (A Study on Reduction Effect of Processing Wastewater by Introduction of PACS)

  • 고신관;한동균;김욱동;강병삼;양한준
    • 대한방사선기술학회지:방사선기술과학
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    • 제30권2호
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    • pp.167-175
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    • 2007
  • 2001년부터 본격적으로 보급되기 시작한 PACS 도입은 영상의학과에서는 필름비용 절감, 인건비 절감, 현상액 사용량 절감, 관리업무 축소, 재 촬영 건수의 감소 등의 효과를 볼 수 있었고, 임상 의사들에게는 의료영상동시 활용, 임상정보의 증대, 진료 환자수의 증가, 의료영상 및 판독결과 활용성 증대 효과를 기대할 수 있는 것으로 알려져 있다. 환자들에게는 방사선 피폭선량 감소, 진료비 절감, 임상정보를 신속하게 알 수 있는 효과가 있다. 이에 본 저자들은 Full PACS를 도입한 서울 및 경기도의 10개 종합병원을 대상으로 하여 PACS로 인한 긍정적인 여러가지 효과 중 현상, 정착 폐수의 감소 추이를 알아보기 위하여 도입 1년 전과 도입 3년 후를 비교 분석하여 다음과 같은 결론을 얻었다. 1. 1개월 당 검사 건수는 7357.7건이 증가하였으나 필름 사용량은 90%가 감소하였다. 2. 현상액 월 평균 소모량은 3년 후 92%가 감소하였고, 정착액은 86%가 감소하였다. 3. 필름 1장 당월 평균 현상액 소모량은 3년 후 149%가 증가하였고, 정착액은 300%가 증가하였다. 4. 현상 폐수 발생량은 3년 후 월 평균 88%가 감소하였고, 정착 폐수는 87%가 감소하였다. 5. 3년 후 필름 1장 당월 평균 현상폐수 발생량은 377%, 정착폐수 발생량은 385%가 증가하였다.

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GATE 시뮬레이션 프로그램을 이용한 I-131의 영상 특성의 타당성에 관한 연구 (Validation Study for Image Performance of I-131 Using GATE Simulation Program)

  • 백철하;김대호;이용구;이영진
    • 전자공학회논문지
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    • 제54권5호
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    • pp.133-137
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    • 2017
  • 본 연구의 목적은 GATE (Geant4 Application for Tomographic Emission) Simulation을 사용하여 치료용 방사성동위원소인 I-131의 감마카메라/SPECT 영상을 획득하여, 실제 기기의 실험결과와 그 특성을 비교 및 분석 하여 GATE simulation의 정확성을 획득하는 것이다. 더 나아가 GATE simulation을 이용한 치료용 방사성동위원소를 위한 감마카메라/SPECT 영상 정량화 기반기술 연구가 가능함을 입증하고자 한다. 본 연구에서 Simulation상에서 구성한 SPECT System은 Stream-R Forte version 1.2 (Philips Medical System, Best and Heerlen, Netherlands)의 설계변수를 참고로 하였다. 감마카메라/SPECT 시스템에서의 I-131 영상특성을 이해하기 위하여 실제 Forte 시스템을 이용하여 산란물질을 사용하였을 때와 사용하지 않았을 때 에너지 스펙트럼 및 선 선원에 대한 선 응답함수 (Line Spread Function, LSF)와 반치폭 (Full Width at Half Maximum, FWHM)을 측정하였다. 또한 실제 실험과의 비교를 위하여 GATE simulation에서 구성한 시스템에서도 동일한 실험 조건 및 변수에 대하여 에너지 스펙트럼 및 선 선원에 대한 LSF 및 FWHM을 측정하였다. 그 결과 산란물질을 사용하지 않았을 때의 에너지 스펙트럼의 경우 실제 실험과 Simulation 모두 364 keV의 위치에서 에너지 피크를 나타내어 동일한 경향의 결과를 보였다. FWHM은 실제 실험과 Simulation 모두에서 선원과 검출기간의 거리가 증가함에 따라 그 크기가 증가하는 경향을 보였으며 오차율은 3.8%로 나타났다. 산란물질을 사용하였을 때의 에너지 스펙트럼 역시 실제 실험과 Simulation 경우 모두에서 비슷한 경향을 나타내었다. 결론적으로, GATE simulation은 치료용 방사성 동위원소에 대해서도 실제 기기의 특성 및 방사성 동위원소의 특징을 모두 반영하고 있으며 이를 이용하여 감마카메라/SPECT에서의 치료용 방사성 동위원소의 정량화에 대한 다양한 연구가 가능 할 것이라고 사료된다.

국내 중환자실내 호흡치료의 현황 (Current Status of Respiratory Care in Korean Intensive Care Units)

  • 박소연;김태형;김은경;심태선;임채만;이상도;김우성;김동순;김원동;고윤석
    • Tuberculosis and Respiratory Diseases
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    • 제49권3호
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    • pp.343-352
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    • 2000
  • 연구배경 : 대부분의 국내 중환자실에서는 간호사들에 의해 호흡 치료가 이루어지고 있으나 그 실태는 잘 알려지지 않았다. 본 연구는 국내 중환자실에서 시행되는 호흡요법의 종류 및 호흡치료사들의 필요성을 알아보고자 하였다. 방법 : 중환자실이 설치된 117개 병원의 수간호사들을 대상으로 설문조사를 실시하였다. 결과 : 117개 병원 중 100개 병원에서 회신하여 회신율은 85%(대학병원 97%, 산하병원 81%, 종합병원 77%) 였다. 대학병원 66단위 중 18단위, 종합병원 58단위 중 35단위에서 통합 중환자실로 운영되고 있었으며 중환자실 전담의사가 있는 병원은 47.1% 였다. 호흡요법 전문치료사가 있는 병원은 없었으며 응답자의 92.8%가 전문치료사의 필요성을 인정하였다. 중환자실에서 제공되는 호흡요법 중 기관지흡인, 자세 변경, 타진법, 기침유발 등은 대부분 시행되고 있었으며 진동마사지, 간헐적 양압환기법 등은 종합병원에서의 시행률이 낮았다. 이러한 호흡요법은 주로 간호사들에 의해 시행되어졌으며 평균 8시간 근무 중 이러한 호흡요법 시행에 소모되는 시간은 1시간 미만에서 4시간까지 다양하였다. 산소공급을 위해 사용하는 장치 중 venturi mask, T-piece 등은 종합병원에서의 사용률이 낮았으며 종합병원은 전통적인 인공환기법에 대한 의존도가 상대적으로 높았다. Swan-Ganz catheter monitoring등의 혈역학적 감시 장비도 병원간의 차이를 보였다. 의료장비의 관리 및 보관에서도 담당 의공학과가 갖추어진 곳이 종합병원은 드물었다. 결론 : 국내 중환자실의 호흡치료는 간호사들에 의해 제공되고 있으며 병원 수준에 따라 제공되는 호흡요법 수준의 차이가 커 전문적 호흡요법의 수행을 위해서는 호흡치료사 제도의 도입이 필요할 것으로 사료된다.

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스마트카드 가상화(ViSCa) 플랫폼 기반 모바일 결제 서비스 제안 및 타 사례와의 비교분석 (Comparative Analysis of ViSCa Platform-based Mobile Payment Service with other Cases)

  • 이준엽;이경전
    • 지능정보연구
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    • 제20권2호
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    • pp.163-178
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    • 2014
  • 본 연구는 스마트카드 가상화(ViSCa: Virtualization of Smart Cards) 플랫폼 기반의 모바일 결제 서비스를 제안하고 타 사례와 비교분석을 한다. 스마트카드 가상화 플랫폼 기반의 모바일 결제 서비스는 단말 가상화 기술을 이용하여 스마트카드 하드웨어를 가상화하고, 모바일 클라우드 기술을 통해 가상화된 스마트카드에 대한 통합 관리를 목표로 하는 Smart Cards as a Service (이하 SCaaS)이다. 스마트카드 가상화 플랫폼 기반 모바일 결제 서비스는 스마트카드를 가상화하여 클라우드에 저장한 후, 애플리케이션(이하 앱)을 통해 사용자 인증을 거쳐 모바일 클라우드에 저장된 스마트카드 중 한 가지를 선택하여 결제한다. 연구 범위 설정 및 사례 선정을 위해 선행연구에서 진행한 모바일 결제 서비스 분류 방식을 토대로 제안하는 서비스와 관련 있는 특징별, 서비스 유형별 그룹을 도출하였다. 공통적으로 기존 결제수단(신용카드) 정보를 모바일 기기에 저장하여 오프라인 매장에서 결제하는 특징을 지닌 것으로 나타났다. 도출된 그룹은 금융거래정보의 저장 위치에 따라 앱과 연결된 서버에 저장하는 '앱 방식'과 모바일 기기 내부의 보안요소(Secure Element, SE)에 금융거래정보가 담긴 IC(Integrated Circuit, 집적회로) 칩을 탑재하는 '모바일 카드 방식'으로, 2 가지 서비스 유형으로 나타낼 수 있다. 모바일 결제 서비스의 채택 요인 및 시장 환경 분석과 관련된 선행연구를 토대로 경제성, 범용성 보안성, 편리성, 응용성, 효율성, 총 6가지 비교분석을 위한 평가 요인을 도출하였으며, 스마트카드 가상화 플랫폼 기반 모바일 결제 서비스와 도출된 그룹에서 선정된 사례 5 가지를 비교 분석하였다.

오메가 3계열 지방산을 함유하는 사료의 급여가 육용 토종닭 계육 내 지방산 조성에 미치는 영향 탐색 (Effects of Dietary Sources Containing ω-3 Fatty Acids on the Fatty Acid Composition of Meats in Korean Native Chickens)

  • 오성택;전흥규;박정민;김진만;강창원;안병기
    • 한국축산식품학회지
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    • 제32권4호
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    • pp.476-482
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    • 2012
  • 본 실험은 부존사료자원을 토종닭에 이용하여 EPA 및 DHA와 같은 ${\omega}-3$계 다가불포화지방산을 함유하는 고품질 계육을 생산하기 위한 목적으로 실시하였다. 45일령의 재래종 암수탉을 공시하여 20일간 사양실험을 수행하였다. 일반시판사료를 사용한 대조구와 임자박 10% 첨가구(PM), 임자박 10% 및 아마종실 5% 첨가구(PM+FS), 임자박 10%, 아마종실 5% 그리고 어유 1% 첨가구(PM+FS+FO)로 나누어, 4처리 3반복 그리고 반복당 20수씩 총 240수를 공시하였다. 실험 종료 시체중, 증체량, 사료섭취량 및 사료 요구율 등 생산성과 관련된 항목에서는 처리간에 큰 차이는 관찰되지 않았다. 대조구에 비해 모든 시험구에서 산패도 수치가 약간 높게 나타났으나 처리간에 유의차는 인정되지 않았다. 계육 내의 지방산 조성을 조사한 결과에서 ${\omega}-6$계 불포화지방산의 비율은 처리간에 큰 차이가 관찰되지 않았다. 임자박, 아마종실 및 어유 첨가에 의해 ${\omega}-3$계 불포화지방산(C18:3 ${\omega}-3$, EPA, DHA)의 비율이 증가하는 경향 및 유의하게 증가하는 결과가 나타났다. 특히 EPA와 DHA는 어유를 첨가한 PM+FS+FO구에서 다른 구와 비교하여 유의하게 증가하였다. 본 연구의 결과, 임자박, 아마종실 및 어유를 일반시판사료에 적정량 혼합 급여하는 사료적 처리를 통해 재래종 닭에서 조직 내 총 ${\omega}-3$계 불포화지방산 및 DHA 함량을 증가시킬 수 있었으며, 이렇게 생산된 고부가가치 계육이 ${\omega}-3$계 불포화지방산의 좋은 공급원이 될 수 있을 것으로 사료되었다.