• 정신신체의학
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• 제25권1호
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• pp.56-62
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• 2017

Objectives : The objective of this study was to investigate the relationship between psychological distress and pain in cancer patients. Methods : 249 patients with cancer who visited National Health Insurance Service Ilsan Hospital between April 2013 and March 2014 were evaluated with National Cancer Center Psychological Symptom Inventory(NCC-PSI) which consisted of Modified Distress Thermometer(MDT) and Modified Impact Thermometer(MIT). Each scale was divided into 3 subscales targeting separate symptoms: insomnia, anxiety, and depression. Psychological distress was defined as positive for those who scored above the cutoff values in at least one of all six subscales. The Numeric Rating Scale for Pain(NRS-Pain) was used to assess the subjective severity of pain. Logistic regression was performed to investigate the association between psychological distress and pain. Results : Univariate logistic regression analysis showed that pain, gender, compliance, and two subscale scores of Hospital Anxiety and Depression Scale(HADS) were significantly associated with psychological distress. Multivariate logistic regression analysis showed that pain and HADS anxiety subscale score maintained a statistically significant association with psychological distress adjusted for variables including age, gender, years of education, Eastern Cooperative Oncology Group performance status, cancer stage, Charlson Comorbidity Index, compliance, and HADS depression subscale score. One point increase in pain was 1.31 times more likely to cause psychological distress. In secondary analysis, pain was significantly associated with all subscales of NCC-PSI, except MIT-anxiety subscale. Conclusions : This study suggests that NCC-PSI, a screening tool for psychological distress, reflects pain. We recommend that physicians who treat cancer patients consider the examination of psychological distress which provides comprehensive evaluation of various factors regarding quality of life.

• 생물정신의학
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• 제24권4호
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• pp.204-211
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• 2017

Objectives In this study, we identified the symptoms of insomnia, anxiety, and depressed mood in newly diagnosed women breast and thyroid cancer patients. Methods The subjects of this study were 1794 women patients who visited the Ewha Womans University Cancer Center for Women. They included 1119 newly diagnosed primary breast cancer patients and 675 newly diagnosed primary thyroid cancer patients. The patients completed the National Cancer Center Psychological Symptom Inventory (NCC-PSI) during their first follow-up visit after surgery, before starting chemotherapy or radiotherapy. The NCC-PSI is composed of the modified distress thermometer (MDT) and the modified impact thermometer (MIT) for insomnia, anxiety, and depressed mood. Results Anxiety severity was found to be greater in breast cancer patients than in thyroid cancer patients. Significant levels of anxiety, depressed mood and insomnia were present in 28, 24.5, and 20.7% in all the subjects, respectively. Moreover, anxiety symptoms, depressed mood and insomnia interfered with the daily lives of 20, 18.4, and 14.2% of all the subjects, respectively. Dealing with anxiety (18.8%) was found to need the most help, followed by dealing with insomnia (8.9%) and depressed mood (8.7%). Conclusions A significant level of distress was found in about 40% of the total subjects. Nearly 30% of newly diagnosed breast cancer patients reported significant anxiety symptoms and interferences with daily living caused by anxiety, which most commonly needed special care. Early assessment and management of psychological distress, especially anxiety, in breast and thyroid cancer treatment are very important to establish integrated cancer care.

• 성인간호학회지
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• 제28권4호
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• pp.378-387
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• 2016

Purpose: The purpose of this study was to describe the impact of fatigue and distress on self-efficacy among breast cancer survivors and to provide a base for development of nursing intervention strategy to improve self-efficacy. Methods: A descriptive research design was used. The subjects were 158 patients who were either being treated or were receiving follow-up care at a university breast center in D City from May 30 to August 30, 2014. Structured questionnaires, Revised Piper Fatigue Scale, Distress Thermometer, and Self-Efficacy Scale for Self-Management of Breast Cancer were used to measure fatigue, distress, and self-efficacy. Data were analyzed using t-test, ANOVA, Pearson's correlation coefficients, and multiple regressions. Results: The mean scores of fatigue, distress, and self-efficacy were 3.83, 4.31, and 3.77, respectively. There were significant differences among participants in terms of educational background, current treatment methods, perceived health status, economic burden for fatigue and perceived health status for distress. Self-efficacy was impacted by age, educational background, marital status, average monthly income, perceived health status, and medical expenses. Fatigue, age, and the burden on medical expense had the most impact on self-efficacy, accounting for 17% of the variance. Conclusion: Fatigue should be managed to improve self-efficacy of breast cancer survivors. Therefore, nursing programs designed to decrease fatigue may be helpful.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2015년도 추계학술대회
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• pp.121-122
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• 2015

최근 몇 년 동안, 사람들은 건강에 대한 관심을 많아져서 버섯 등 건강 농작물에 대한 수요량도 점진적으로 증가되고 있다. 농가들은 실외 환경을 농작물 재배에 대해 영향을 줄이기 위해 비닐하우스 재배 방식을 많이 사용하고 있다. 이로 인해 농가들 비닐하우스 안에 온도를 수시 조정할 필요가 있다. 지금은 대부분 농가들 여전히 온도계로 온도를 측정하고 있다. 본 논문에서는 이런 문제를 해결하기 위해 자동 온도 조절 환경 구축해서 온도를 실시간으로 측정할 수 있으며 농가 생산효율 향상시키고 불필요한 노동력을 감소시킬 수 있다.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2016년도 추계학술대회
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• pp.368-370
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• 2016

농작물의 재배 목적이 생산량의 목적에서 품질향상으로 변화되어져 왔다. 실외 환경을 농작물 재배에 대해 영향을 줄이기 위해 농가들이 비닐하우스 재배 방식을 많이 사용하고 있다. 이로 인해 농가 비닐하우스 안에 온도를 수시 조정할 필요가 있다. 지금은 대부분 농가들 여전히 온도계로 온도를 측정하고 있다. 본 논문에서는 이런 문제를 해결하기 위해 자동 온도 조절 환경 구축해서 온도를 실시간으로 측정할 수 있으며 농가 생산효율 향상시키고 불필요한 노동력을 감소시킬 수 있다.

• 한국지반신소재학회논문집
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• 제15권3호
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• pp.1-12
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• 2016

본 논문에서는 지열 활용시스템을 지반구조물에 적용시 발생하는 주변 지반에 부과되는 다양한 온도 및 온도변화 사이클이 흙의 역학적 특성에 미치는 영향에 대한 내용을 다루었다. 이를 위해 화강풍화토를 대상으로 다양한 온도변화 조건을 구현하고 이에 따른 흙의 입자구조 및 열전도특성 변화 경향을 고찰하였다. 아울러 다양한 OCR(over consolidation ratio)값을 가지는 시료를 제작하여 내부 온도를 $20^{\circ}C{\sim}70^{\circ}C$까지 변화시키며 온도상승과 가열-냉각 반복작용 횟수에 따른 흙에 미치는 영향을 분석하고자 온도계로 압축셀 내부 온도를 측정하였으며 비배수 실험을 통해 시료에 작용하는 축차응력 및 간극수압을 측정하여 온도변화가 화강풍화토에 미치는 영향을 분석하였다. 그 결과 온도상승과 가열-냉각 반복 작용으로 인해 간극수압이 증가하며 축차응력 또한 감소하는 것으로 관찰되었다.

• 한국치위생학회지
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• 제14권4호
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• pp.585-591
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• 2014

Objectives : The purpose of this study was to investigate of the color change, tooth surface and intra-pulpal temperature of tooth bleaching by light activation Methods : Forty-eight extracted bovine teeth were immersed into a tea solution for 24 hours. The specimens were randomly divided into four groups(n=15):(G1) 15% HP + without light activation, (G2) 15% HP + light activation, (G3) 25% HP + without light activation, (G4) 25% HP + light activation. All specimens were bleached for 15 minutes three times. The spectrophotometer (CM-2600d, Konica Minolta, Osaka, Japan) was used including before bleaching, immediately after bleaching, 1 week, 1 and 3 months after the end of bleaching. The temperature rise were measured in the pulpal chamber and tooth surface with a digital thermocouple thermometer(Termopar Digital Multimeter, Tektronix DMM916, USA). Between the tested time points, the specimens were stored in distilled water. The data were analyzed by ANOVA, t-test and Tukey's post hoc test set at 0.05. Results : There was no significant color change by the use of light after the bleaching treatment(p>0.05). The dental bleaching treatments of teeth with 15% HP and 25% HP did not seem to be more effective when light source was used. There was no difference in color stability between groups within three month(p>0.05). There was an increase in tooth surface and pulp temperature, but it was not sufficient to cause damage to the pulp. Conclusions :The use of light activation has no obvious effective impact on the tooth bleaching effect.

• 한국정보통신학회논문지
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• 제20권11호
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• pp.2167-2171
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• 2016

농작물의 재배 목적이 생산량의 목적에서 품질향상으로 변화되어져 왔다. 실외 환경을 농작물 재배에 대해 영향을 줄이기 위해 농가들이 비닐하우스 재배 방식을 많이 사용하고 있다. 그 가운데, 버섯은 고영양이면서, 풍부한 비타민을 함유하고 있는 건강식품으로서 많은 관심을 받고 있다. 이로 인해 버섯 산업은 새로운 유망산업으로 떠오르고 있다. 이를 위해 버섯에 대한 재배방식은 단순한 수공 재배모드에서 자동화된 공장화된 재배모드로 발전해오고 있다. 이와 같이 버섯의 생산 과정에서 요구되는 생육환경제어는 버섯의 산출량 및 품질에 직접적인 영향을 미친다. 이로 인해 농가 비닐하우스 안에 온도를 수시 조정할 필요가 있다. 지금은 대부분 농가들 여전히 온도계로 온도를 측정하고 있다. 본 논문에서는 이런 문제를 해결하기 위해 자동 온도 조절 환경 구축해서 온도를 실시간으로 측정할 수 있으며 농가 생산효율 향상시키고 불필요한 노동력을 감소시킬 수 있다.