• 제목/요약/키워드: Graduate Medical School Student

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백팩 무게가 일부 대학생의 머리척추각과 목 근활성도에 미치는 영향 (The Effect of the Weight of a Backpack on Craniovertebral Angle and Neck Muscle Activities on Some University Students)

  • 박천준;안덕현
    • 한국전문물리치료학회지
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    • 제27권1호
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    • pp.45-52
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    • 2020
  • Background: A backpack is available equipment for moving some objects. Most studies have found that the appropriate weight limit of backpack for students is between 10% to 15% of their body weight (BW). However, Some students should carry a backpack heavier than 15% of BW. Therefore, It is associated with abnormal shoulder and neck posture on students. Objects: This study tested the effects that various amounts of weight carried by university students in their backpacks had on their cervical posture and electromyography of neck muscle. Methods: The subjects consisted of 12 students (6 male, 6 female) in university. There were three loading conditions tested: no backpack, a backpack that weighed 10% and 15% of the student's BW. The dependent variables were the craniovertebral angle (tragus to C7) and the neck muscle activities (sternocleidomastoid, upper trapezius). All 12 subjects were asked to walk while wearing a backpack for 5 minutes and were then instructed to rest for 2 minutes. Results: When assessing the craniovertebral angle, the results of this study were significantly decreased in the order of 0%, 10%, and 15%. And then, there were significantly increased electromyography of neck muscles that comparison of the weight of 10% and 15% on 0%. It was found that as the weight of the backpack increased, the craniovertebral angle decreased (p < 0.05) and the muscle activities increased (upper trapezius p = 0.012, sternocleidomastoid p = 0.013). Conclusion: Our study recommended that some students shouldn't carry on over the 15% backpack of own weight, and also they should distribute backpack load to equal on body for optimal posture.

일부 대학생들의 사회심리적 스트레스, 불안 및 우울수준과 그의 관련요인 (Self-Perceived Psychosocial Stress, Anxiety and Depression Symptoms, and Its Related Factors Among College Students)

  • 이명준;조영채
    • 한국산학기술학회논문지
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    • 제14권6호
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    • pp.2828-2838
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    • 2013
  • 본 연구는 대학생들이 경험하는 스트레스, 불안 및 우울수준을 파악하고 그에 관련된 요인을 검토하고자 실시하였다. 조사대상은 대전광역시에 소재하고 있는 대학에 재학 중인 대학생 551명으로 하였으며, 자료 수집은 2012년 4월 1일부터 6월 30일까지의 기간 동안에 표준화된 자기기입식 설문지(self-administered questionnaire)를 사용한 설문조사에 의하였다. 설문지의 내용은 독립변수로 학생들의 개인 및 가정생활특성, 학교생활 특성 및 건강관련행위 특성을 조사하였고, 종속변수로는 사회심리적 스트레스수준, 불안수준 및 우울수준을 조사하였다. 연구결과, 조사대상 대학생들이 경험하고 있는 고위험 스트레스는 22.7%, 불안은 15.6%, 우울은 22.1%로 나타났으며, 이들에 관련된 요인으로는 성별, 가정의 경제상태, 가정생활의 만족도, 학교성적, 교우관계, 학교생활에 대한 만족도, 주관적인 수면의질 및 주관적인 건강상태 등을 지적할 수 있었다. 특히, 사회심리적 스트레스에는 개인 및 가정생활 특성 변수가, 불안 및 우울에는 사회심리적 스트레스가 많은 영향을 미치는 것으로 확인되었다. 따라서 대학생들의 스트레스, 불안 및 우울수준을 낮추기 위해서는 개인 및 가정생활 특성이나 학교생활 특성 외에도 사회심리적 스트레스 요인을 적절하게 통제할 수 있는 프로그램의 개발 및 운영이 필요하다고 본다.

신생아중환자실 간호사의 간호업무량 분석 (Nursing Time Use in a Newborn Intensive Care Unit (NICU))

  • 전은경
    • 간호행정학회지
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    • 제6권1호
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    • pp.55-81
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    • 2000
  • This study examined nursing care in a Newborn Intensive Care Unit (NICU) by reviewing nursing activities for the newborns. Through direct observation, time used for nursing care according to the nursing activity, shift, day of the week, and position of the nurses was measured. This study was done on November 15, 21, 24, 1999 at a university medical center hospital and included eight nurses and 179 newborns as the study subjects. The data were collected from the medical records, and by using a nursing activity record for the NICU, and a nursing activity time record for the NICU. The first step in the data collection process was to develop a list of nursing activities which was done through a literature review, examination of medical affairs and duty records. Content validity was measured by a panel of three professors who were experienced clinicians. In the second step two pre-training sessions were held with three sophomore student nurses who then measured the time for each nursing activity using a stopwatch. The data were analyzed using frequencies for nursing activities, averages, percentages and ANOVA for differences between shift and between days of the week, and percentages and t-test for differences according to position of the nurse. The results are as follows: 1) The total number of activities was 156, direct or indirect nursing activities. Direct nursing activity classified according to physical, educational, emotional/social/economic/spiritual needs. There were 109 direct nursing activities in 16 fields. 2) The order of nursing activities, according to time required, was record keeping, nutritional care, measurement/observation, medication, hygiene care, examination and specimen collection, and checking supplies, and according to frequency, measurement/ examination, record keeping, nutrition care, hygiene care, elimination care and medication. 3) According to shift, direct care during the night shift at 313.4 minutes was the longest time and indirect nursing care during the night shift at 252.2 minutes was the highest time. 4) For days of the week, Monday had the highest time for direct care 275.8 minutes (34.6%) and Wednessday had the highest time for indirect nursing care 269.6 minutes (36.1%). 5) For nursing time according to position of nurse, general nurses had the highest for direct care (330.7 minutes), nurse managers for indirect nursing activities (239.0 minutes) and general nurses for individual private time (63.9 minutes). The results of this study show that the major nursing time consuming activities included record keeping, nutrition care and measurement/examination. For newborns, time needs to be allowed for care to be sensitive, sophisticated and specialized rather than concentrated on indirect nursing tasks such as record keeping. Therefore, it is imperative to develop computerized systems that support a systematic approach to record keeping which is more efficient. Moreover, nursing needs according to shift, day or position of nurse can be utilized in assessing nursing resources through a computerized process.

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제주 지역 간호사의 구강 악안면 영역 손상에 대한 응급 처치 인식도 (Cognition of registered nurse on emergency treatment for oral and maxillofacial injury in Jeju province)

  • 이병진;송효정;임길채;감세훈;김성준
    • 대한치과의사협회지
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    • 제50권12호
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    • pp.763-770
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    • 2012
  • The purposes of this work were to assess the cognition of the registered nurse(RN) on oral and maxillofacial emergency treatment and to compare cognition of the RN with that of the 119 emergency medical technician(EMT). 450 RNs who were working at each of secondary hospitals in Jeju province had responded to the questionnaire. Independent sample t-test and chi-square test were used to assess the state of RN on dental emergency treatment and to compare RN with EMT. The question 'education time on dentistry in formal education' that marked '0 hour' and '1-3 hours' were 73.3% and 20.0%, respectively. The question 'refresher training class on dentistry' that marked '0 hour' and '1-3 hours' were 92.9% and 6.7%, aggregately 99.6%. The results showed low score in the question 'reduction of temporo-mandibular joint(TMJ)'($1.67{\pm}0.857$), 'fixation of dislocated TMJ'($1.70{\pm}0.853$) and 'post-avulsed tooth treatment'($1.78{\pm}0.774$) by 5-point Likert scale. Likewise, the scores were $2.02{\pm}0.806$ in the question 'treatment of maxillofacial trauma', $2.76{\pm}1.061$ in the question 'emergent care of avulsed tooth', $2.70{\pm}1.095$ in the question 'treatment time of avulsed tooth' and $2.79{\pm}1.056$ in the question 'mouth guard', respectively. Compared to EMT, results of RN showed a statistically lower figure(p<0.05) in all items compared except the question 'medicine control', and the question 'doctor care in emergency room' was borderline(p=0.069). From this study, it is necessary for RN and student of nursing science to be educated on the oral and maxillofacial emergency treatment for the initial management of injuries. Authors suggest further co-study and nation-wide research with nursing care.

여자대학생의 식생활습관, 체형 및 체중조절 태도와 피로자각증상과의 관련성 (Relationship between Dietary Habits, Attitudes toward Weight Control and Subjective Fatigue Symptoms in Women College Students)

  • 양정연;조영채
    • 한국산학기술학회논문지
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    • 제14권7호
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    • pp.3338-3348
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    • 2013
  • 본 연구는 여자대학생을 대상으로 식생활 습관, 체형 및 체중조절태도와 피로자각증상과의 관련성을 검토할 목적으로 대전광역시의 6개 대학에 재학하고 있는 1~4학년 여자대학생 508명을 대상으로 2012년 4월 1일부터 5월 31일까지의 기간 동안에 자기기입식조사표(self administered questionnaire)에 의해 설문조사 하였다. 조사내용은 조사대상학생들의 기본적 속성 및 일상생활 상황, 식생활습관, 체형 및 체중조절 태도, 피로자각증상에 관한 항목으로 구성하였다. 연구결과, 피로자각증상에 영향을 미치는 변수로는 한 가지 음식만의 식사. 외식 빈도, 저녁식사의 섭취상황, 인스턴트식품 섭취빈도, 시리얼 및 아이스크림 섭취빈도, 콩류 및 콩 제품류 섭취빈도, 우유 및 유제품류 섭취빈도, 설탕의 과잉섭취에 대한 주의, 식염의 과잉섭취에 대한 주의, 체형의 자기평가, 체중조절의 지향 등의 식생활습관, 체형 및 체중조절 태도에 관련된 여러 변수들이 유의한 변수로 선정되었다. 따라서 건전한 식생활습관을 하기 위한 노력이나 보다 더 객관적인 평가에 의한 체형 및 체중조절의 자기평가가 이루어지도록 노력하는 것이 필요하다고 본다.

대학보건소의 현황과 활성화 방안 연구 - 서울시 여자대학을 중심으로 - (Development of Activation Program through the Evaluation of University Health Center - on the women's university in Seoul -)

  • 권수경
    • 한국학교ㆍ지역보건교육학회지
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    • 제2권1호
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    • pp.41-52
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    • 2001
  • The purpose of this research is to plan the activation of university health business through the appraisal of the function and role of university health centers. To be more specific: Firstly, analyze the facility, personnel, health service of the health centers, Secondly, appraise the role and function of the health centers, and Thirdly, consider the activation plans of health centers. The research method taken was the study of surveys conducted and written research materials on 5 women's universities in Seoul. These materials where descriptively analyzed by converting the surveys, facility and usage of health center and current personnel status in to percentage. The major results of the research are as follows: Unlike as stated in each university's additional clause on the number of personnel were working. This lack of specialized personnel resulted into lack of specialized and various services. Medicine for external application were stocked well whereas only simple medicine for internal application were on shelf and were issued only with a doctor's prescription. Universities with a full-time doctor had various available equipments. One university conducting dental treatment was equipped with indirect chest camera, dental X-ray, unit, chair(dental treatment chair) and even supersonic, electrocardiogram were available. In the case of D women's university, the number of beds compared to the number of students was lower than that of the other 3 universities, to the total size of the university was smaller than that of the other 3 universities. Among health prevention and care matters, health consultation was the only matter practised by all universities. Uniquely, there was one university that hosted epidemic prevention business. There are various tests given by each university, with each showing many differences, but some universities did not even conduct these tests. Vaccinations were usually being conducted through commission. All universities provided basic treatment, therefore matters concerning treatment at health centers were being conducted well. Concerning the management of equipment and documents, all the matters were being conducted except one university where instead of a student medical record, they were using a daily record. Because these were women's universities, most of the educations were on women's health. The subjects of these educations included: sex, contraception, prevention and control of tuberculosis, obesity, mouth hygiene, alcohol, geriatric disease, mental health and first-aid. The rate of health center usage is growing. Being women's universities, the service and treatment practised were mostly concerning sex education.

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소아 신장질환에서 요 β2-microglobulin검사의 분석 (Analysis of urine β2-microglobulin in pediatric renal disease)

  • 김동운;임인석
    • Clinical and Experimental Pediatrics
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    • 제50권4호
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    • pp.369-375
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    • 2007
  • 목 적 : 각 소아 신장 질환에서 요 ${\beta}_2$-M 검사 결과를 비교해 보고, 일차성 신증후군에서 ${\beta}_2$-M 수치와 스테로이드를 사용한 기간과의 상관관계를 확인하고, 신세뇨관 손상을 반영하는 요 ${\beta}_2$-M과 신기능의 보편적 지표인 BUN, Ccr을 비교하여 신기능의 지표로 ${\beta}_2$-M이 유용한 지를 보았다. 방 법 : 2003년 1월부터 2006년 1월까지 중앙대학교 용산병원에 내원하여 24시간 소변검사를 시행 받고 ${\beta}_2$-M 검사를 시행 받은 혈뇨, 부종, 단백뇨 등의 증상이 있는 0-4세 사이의 환아 102명의 신장질환자와 같은 연령대의 대조군 22명을 대상으로 하여 후향적인 자료분석을 하였다. 각 신장 질환을 구분하여 독립변수로 삼았다. 각 신장 질환의 요 ${\beta}_2$-M 검사치를 종속변수로 삼아 독립표본 T검정을 이용하여 통계적 차이를 검증하였다. 또한 일차성 신증후군에서 ${\beta}_2$-M 수치가 의미 있게 높았던 군(양성)과 낮은 군을 구분하여(기준=$150{\mu}g/g-Cr$), 소변에서 단백뇨가 호전되어 퇴원하기까지의 치료기간을 비교하였다. 결 과 : 신장 질환자 102명 중 신증후군이 52명(MCNS(n=45, $72{\pm}45{\mu}g/g-Cr$), MPGN(n=3, $154{\pm}415{\mu}g/g-Cr$), FSGS(n=4, 1$188{\pm}046{\mu}g/g-Cr$), APSGN은 6명($93{\pm}404{\mu}g/g-Cr$), IgA 신병증은 7명($3414{\pm}106{\mu}g/g-Cr$), 급성 신우신염은 9명($742{\pm}160{\mu}g/g-Cr$), 방광염은 16명($179{\pm}168{\mu}g/g-Cr$), 그리고 HSPN은 12명($109{\pm}898{\mu}g/g-Cr$)으로 신증후군 환자가 65%로 가장 많았다. 그 중 IgA 신병증 과 급성 신우신염이 다른 군과 비교하여 24시간 요 ${\beta}_2$-M이 유의하게 높았다(P<0.05). 일차성 신증후군환자의 ${\beta}_2$-M 검사상 높은 군이 낮은 군과 비교하여 유의하게 치료기간이 길었으나(P<0.05), 각 신장질환에서 신기능 지표인 Ccr과 BUN, Cr 등은 24시간 요 ${\beta}_2$-M 과 유의한 차이가 없었다(P>0.05). 결 론 : 각 신장 질환의 24시간 요 ${\beta}_2$-M 수치를 조사한 결과 IgA nephropathy와 급성신우염이 다른 신질환 군과 비교하여 24시간 요 ${\beta}_2$-M 값이 유의하게 높았다. ${\beta}_2$-M 수치는 전반적인 신기능의 지표와 조직병리소견의 예측인자로써는 부적합하나, 상부 하부 요로감염의 감별과 신증후군 환자의 치료기간을 예측하는 데는 유용해 보였다.

간호학생의 임상실습에서의 외상 경험과 외상후 성장 (Traumatic Experiences and Posttraumatic Growth of Nursing Students who were in the Clinical Training)

  • 성경미;박순아;오은진;이승민;이세영
    • 디지털융복합연구
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    • 제16권12호
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    • pp.489-503
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    • 2018
  • 본 연구는 임상실습을 하는 간호학과 학생의 외상 경험과 외상 후 성장에 대해 조사한 연구이다. 자료수집 기간은 2017년 11월20일부터 12월20일까지였으며 대상자는 4개 간호학과에 재학 중으로 임상실습 경험이 1년 이상된 4학년 학생 490명이었다. 자료는 SPSS/WIN 25.0으로 t-test, ANOVA 및 $Scheff{\acute{e}}$ test로 분석하였고, 외상경험은 내용분석법으로 분석하였다. 일상생활 중 외상경험을 한 경우는 26.5%였으나 임상실습 중 외상경험은 61.2%로 높았고, 외상 후 성장 점수는 5점 만점에 2.63점이었다. 외상경험 내용은 의료진의 폭력경험, 간호직에 대한 부정적 인식, 비교육적인 실습환경, 열악한 환경에서의 실습, 중증 환자 목격 등이 있었다. 본 연구의 결과는 향후 간호학과 학생의 외상 후 성장을 돕기 위한 임상실습교육 프로그램 개발의 기초자료로 활용 될 수 있다.

노로바이러스 및 로타바이러스 감염의 역학 및 기후요인과의 관계: 천안시, 2010-2019 (Molecular epidemiologic trends of norovirus and rotavirus infection and relation with climate factors: Cheonan, Korea, 2010-2019)

  • 오은주;김장묵;김재경
    • 디지털융복합연구
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    • 제18권12호
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    • pp.425-434
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    • 2020
  • 바이러스감염으로 인한 설사는 전 세계적으로 공중 보건의 주요 문제이며 사망률의 큰 부분을 차지하고 있지만 기후데이터를 이용하여 분석한 연구는 많지 않다. 따라서 본 연구는 설사를 유발하는 바이러스인 Rotavirus Gr.A, Norovirus G-I & GII의 감염과 기후와의 인과관계를 분석하여 조기진단과 치료를 용이하게 하고 계절성 질환을 더욱 관리하고 예방하는데 기여하고자 하였다. 2010년 6월부터 2019년 12월까지 단국대학교 병원에서 시행한 대변 시료 4,009개의 설사바이러스 6종의 멀티플렉스 역전사 PCR(mRT-PCR)검사결과와 다양한 기후 요인 중 체감온도, 상대습도, 일조율과의 상관관계를 후향적으로 분석하였다. 4,009 개의 대변 샘플 중 985 개는 Rotavirus Gr.A, Norovirus G-I & GII 감염에 대해 양성이었다. 이 985 건 중 95.3 % (n = 939)는 10 세 미만으로 Rotavirus Gr.A, Norovirus G-I & GII는 10 세 미만 환자에서 높은 감염률을 보였다. 우리는 기상 빅데이터와 연령, 시기별 감염분석 등에 기초하여 Rotavirus Gr.A의 감염이 상대 습도에 따라 유의한 상관 관계가 있음을 확인하였고 Norovirus G-II의 감염은 체감 온도와 유의한 상관 관계가 있음을 확인하였다. 본 연구는 기후요인에 따른 Rotavirus Gr.A, Norovirus G-I & GII 감염의 분포에 대한 이해도를 향상시킴으로써 바이러스성 설사질환과 관련된 보건정책의 설정이나 계절적 영향에 대한 새로운 통찰력을 제공하는데 유용한 자료가 될 것으로 기대한다.

간호센타 개발을 위한 건강증진 프로그램 요구사정 연구-유방자가검진 프로그램을 중심으로- (A Study on Need Assessment in Health Promotion Programs for Developing Nursing Centers - Breast Self Examination-)

  • 박인혜;강혜영;이정희;류현숙
    • 지역사회간호학회지
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    • 제11권1호
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    • pp.21-36
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    • 2000
  • The purpose of this study was to assess the needs of breast self examination education (BSEE) programs for developing nursing centers. A first, we reviewed the literature of activity and management-related factors of nursing centers: and, second. we used a questionnaire to discover the degree of knowledge, attitude, and practice on breast cancer, as well as an individual's intention to participate BSEE program. 1. Reviewing the literatures of nursing center activities. Nursing centers which were administered by a professional nurse are an ideal site for faculty and student practices. With the use of nursing models of health. professional nurses in nursing centers diagnose and treat human responses to potential and actual health problems and offer holistic, client-centered health service. In nursing centers professional nursing services include health education, health promotion, and health-related research. A nursing center is comprised of the advisory and exacutive commitee; the advisory commitee serves consultants and links community needs to the nursing center, while the director of the exacutive commitee identifies the potential resources to generate funds, support, and facilitate the activities of staffs in a nursing center. Nursing centers mobilize various financal resources for reimbursement of services from college and insurance companies, collect minimum service fees from the client, and further collect fees for providing programs to community groups, this also includes membership fees, and donations. The services provided by nursing centers focus on services related to primary prevention, health maintenance & health promotion, direct nursing care for acute & chronic diseases, and holistic care for actual and potential health problems. The client satisfaction for the services was high. Students also showed positive reponses for their clinical experiences and independent working conditions. 2. The degree of knowledge, attitudes, and practices for breast cancer. and an individual's intention to participate in the BSEE program. The subjects of this study were 308 females in K-city in the Republic of Korea. Data were collected using a self-administered questionnaire. The mean age of the respondents was 35.0 years old. Those who already participated in the BSEE were 64.9%, and those who had support and encouragement to practice BSE from significant others were 25.1 %. Clients intent to participate in the BSEE were 37.0%. The mean score of knowledge(2.4 out of 5 points) and practices(1.8 out of 5 points) for breast cancer were quite low, but the mean score of attitudes was relatively positive04.5 out of 20 point) for breast cancer. Those who already had BSEE showed significantly high scores in knowledge(t=6.48, p<0.01), attitudes (t=10.54, p<0.01). and practices(t=57.07, p<0.001) for breast cancer than those who had not participated in the BSEE. In all age groups no intention to participate in the BSEE was higher than who the intention to participate. These findings suggest some strategies should be developed to increase the awareness of breast cancer's early detection.

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