• Pediatric Infection and Vaccine
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• 제21권1호
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• pp.29-36
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• 2014

목적: 이 연구의 목적은 면역글로불린-저항성 가와사키병의 예측 인자를 찾고 점수화된 예측 모델을 만들고자 하는 것이다. 방법: 2009년 1월부터 2012년 12월까지 세브란스 어린이 병원에서 가와사키병으로 진단된 573명의 환자를 대상으로 하였다. 실험군과 검증군으로 나누었고, 각 군들은 면역글로불린-반응성과 저항성으로 나누었다. 실험군에서 면역글로불린의 예측 인자를 찾았고, 점수화된 예측모델을 만들었다. 그리고 외적, 내적 타당성 검증을 시행하였다. 결과: 남성, 경부림프절종대, 손과 발의 변화, 혈소판, 총빌리루빈, 젖산탈수효소, CRP가 면역글로불린-저항성 가와사키병의 예측 인자로 나타났다. 점수화된 예측 모델을 만들었고, 민감도와 특이도가 실험군에서는 52.5%와 82.4%, 검증군에서는 37.8%와 81.8%로 나타났다. 결론: 우리의 점수화된 예측 모델은 한국 환자에 적용하였을 때 높은 특이도와 낮은 민감도를 갖는다.

• 한국방사선학회논문지
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• 제13권7호
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• pp.1015-1024
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• 2019

최근 의료분야에서 X선은 질병의 진단 및 치료영역에서 필수적으로 요구되며, 영상의학 기술의 발전과 더불어 X선의 이용은 지속적으로 증가하는 추세지만, X선은 방사선 피폭의 단점을 가지고 있다. 방사선피폭을 방어하기 위해 임상에서는 납 방호도구를 사용하지만 납은 중금속으로 분류되어 납중독 등 인체에 유해한 반응을 일으킬 수 있다. 따라서 본 연구는 FDM(Fused Deposition Modeling)방식의 3차원 프린터의 재료를 이용하여 제작한 차폐체의 유용성을 알아보고자 한다. 필라멘트의 선감약계수를 확인하기 위해 PLA, XT-CF20, Wood, Glow, Brass를 이용해 팬텀을 제작 하고, CT scan을 하였다. 그리고 100 × 100 × 2 mm 크기의 차폐 시트를 모델링하고, 진단용 X선발생장치와 조사선량계를 이용하여 선량 및 차폐율을 측정하였으며, 납 방호도구와의 차폐율을 비교하였다. 실험결과 Brass의 CT number가 가장 높게 측정되어 Brass를 이용하여 차폐시트를 제작하였으며, 진단용 X선발생장치로 확인한 결과 100 kV, 40 mAs 조건으로 X선 조사 시 6 mm 두께의 차폐시트에서 차폐율이 90 % 이상으로 측정되어 apron 0.25 mmPb보다 차폐율이 높은 것을 확인하였다. 본 연구의 결과 3차원 프린팅 기술로 제작한 차폐체가 진단용 X선 영역에서 높은 차폐율을 보이는 것을 확인하였으며, 납 방호도구와의 비교를 통하여 납을 대체하여 방사선 방호도구로서의 가능성을 알 수 있었다.

• 정보관리학회지
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• 제34권3호
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• pp.109-124
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• 2017

여러 학문 분야에서 데이터의 공유와 재이용에 관한 관심이 증가하고 있다. 실제로 다른 연구자의 데이터를 다시 연구에 사용하고 인용을 부여하는 관행이 서서히 자리를 잡아가고 있다. 이러한 변화를 반영하여 톰슨로이터는 Data Citation Index(DCI)라는 데이터인용 색인 데이터베이스 서비스를 2012년부터 제공하기 시작하였다. DCI는 모든 학문의 전 영역에서 데이터의 인용 현황을 저널의 논문과 유사하게 집계한다. 본 연구에서는 데이터인용이 활발한 사회학 분야의 인용된 연구데이터를 분석하여 해당 분야의 특성과 지적구조를 규명하고자 하였다. 이를 위해 논문인용을 기반으로 한 사회학 분야의 지적구조와 비교하였으며, 사회학 분야의 연구데이터의 특성과 고유한 지적구조를 살펴보고자 하였다. 분석을 위한 데이터는 두 종류로 수집하였다. 첫째는 DCI에서 'Sociology'로 주제 검색을 수행하여 총 8,365건의 인용된 데이터를 수집하였다. 둘째로, 논문 인용 분석과의 비교를 위해서 Web of Science에서 'Sociology'로 주제 검색을 수행하여 총 12,132건의 데이터를 수집하였다. 이 두 데이터를 활용하여 저자키워드 동시출현단어 분석을 수행한 결과, 데이터를 기반으로 한 사회학 분야는 2영역 15군집으로 구성된 반면, 논문을 기반으로 한 사회학 분야는 3영역 17군집으로 나타났다. 내용적인 특성을 살펴보면, 전통적으로 사회학의 지적구조를 나타낸다고 볼 수 있는 논문 기반 사회학과 달리 사회학 분야의 연구데이터는 의학 분야와의 활발한 접목을 찾아볼 수 있으며, 그 중에서도 공중보건과 심리학이 중심 영역인 것으로 나타났다.

• 미술이론과 현장
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• 제6호
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• pp.101-121
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• 2008

An artist, Oh Yun(1946~86)'s theory of people's art during his final period is summed up in his essay 'Expansion of Artistic Imagination and World' (1985). Emphasizing the mystic and traditional characteristics of Oh Yun's artistic oeuvre during his final period, some critics focus on Oh Yun's experience of medical treatment and shamanistic custom at Jin Do island, and his belief in Jeung San Do, the dao of Jeung-san, the Ruler of the Universe. However, they forget the practical intention and implication of his theory of art during his final period, which aimed to overcome the contradiction of revelation itself. Oh Yun's essay criticized the loss of artistic imagination and the ignorance of traditional culture that resulted from the elevation of science to a religion, and insisted that the stereotyped idealism, scientism and elitism in art should be overcome in order to recover the full reality in realism and to continue traditional cultures. The essay is comprised of 18 paragraphs. Oh Yun criticized monochromatic art, conceptual art, hyper-realistic art, objet d'art, and neo-dadaist art, saying that they were simply mechanical forms of modern art derived from scientism and a fetishistic lens culture. In addition, he criticized naturalism in art, which had continued as a tendency in the development of western art, for the same reason. He pointed out that even the world of realism had been diminished by elite stereotypes and diagrams. He declared the need to overcome the imitation of shells or stereotyped propaganda, and recover full realism, which seems to have started with a reflective examination of current problems in 'Reality and Utterance', in which he participated. Especially, he thought that universality and the extension of full realism could be achieved by building on the views of traditional cultures, which is meaningful. This logic is same as the theory of epic theatre that Bertolt Brecht(1898~1956) has developed under the ancient Greek masque and Pieter Bruegel the Elder(1525~69)'s story-like picture style. The universality of realism and the extension of acquisition to include incantation art, rather than move toward incantation art, is what Oh Yun intended to propose in 'Artistic Imagination'. This attitude is same as Bertoh Brecht's aesthetic viewpoint in the 1930s. But regrettably, Oh Yun's style wording, which seems covert and far-sighted, is often misunderstood as 'mysticism'. In the flow of people's art in the 1980s, Oh Yun was a traditionalist in a narrow sense, and an realist in a broad sense. However, his critical mind, which comprehends tradition and reality, was attempting to expand universality and extend full realism, and this attempt found many sympathizers and had an influence on the next generation of people's artists, such as "Levee" which is field-centered, to which we should pay attention. This means that while their works thought about 'tradition', we should be careful not to connect them with 'aesthetic conservatism' or 'classical art'. This is the why the meaning of Oh Yun's theory of art during his final period should be closely examined again.

• 대한물리치료과학회지
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• 제9권2호
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• pp.143-149
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• 2002

Nowadays senile dementia is on the rise as consequence of serious social problem because of it is old aged society by improvement of medical service. However remedial approach is not being done because of we still don't have an infallible cure of dementia and dementia is been hard to cure. Thus it is introduced in this study to the concept of Occupational therapy, which is one of the remedies. I tried to find out which remedy is the best to cure demented elderly and which is been able to use on field. For this study, I applied a developed Occupational therapy program in actual practice. First, I chose nine demented elderly who are lived in 'David's house' located in Daejon metropolitan city, and I separated them in three groups for this study. Second, I applied each Occupational therapy to first and second group, and I did not apply any Occupational therapy to third group. The first and second group was applied the program, two times a week for an hour, for three months. The measurement of Cognitive function was practiced five times - one time before applying the Occupational therapy by MMSE-K, and three times during applying the program, and one time after ending of the program. The measurement of ADL was practiced two times - one time before applying the Occupational therapy by the Barthel ADL, and one time after one month from ending the program. Effectiveness of Occupational therapy and possibility of application of Occupational therapy program are proved because of this study shows the Occupational therapy keeps well the cognitive function and the ADL function of demented elderly, improves those functions, affects positively to the whole life. However we must develop Occupational therapy, which is proper to a trait of character, and expanded application is needed. In addition, temporary remedy must not be performed but continuous cure. This study will be complement by studying about special situation researcher cannot control something like unexpected death of demented elderly by other diseases.

• 간호행정학회지
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• 제6권3호
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• pp.333-345
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• 2000

The health care environment becomes more competitive every day. It has fallen to nurse managers - from vice presidents of patient care to nurse managers and their assistants - to recruit and develop a workforce that successfully meets the needs of both patients and the organization. This means employees who demonstrate advanced critical thinking skills, creative problem solving, and sound decision making skills combined with clinical skills and patient advocacy. The environment which nurse managers create and the way they relate to their workforce, are pivotal to organizational viability. Especially leadership of first -line nurse managers contributes to the success of their organizations. First-line nurse managers are deserved to be one of the most administrative supervisors through the middle stratum in a hospital organization as being a manager in the field service if assessed from the overall aspects of hospital, as being an interim managers in the nursing department as well as being a supreme supervisor in a unit in terms of an organizational structure in the hospital. Similarly, as a compete leader, the first-line nurse managers have not only a professional which is qualified to perform a role of appropriate coordination with medical staff and key personnel but also hold an important key position a being responsible for performing his or her given role. The first-line nurse manager is expected to manage human and fiscal resources in ways not required before. While an identified need for well-prepared first-line nurse manager continues to plague the profession, first-line nurse managers often have difficulty providing the leadership required. The need leadership training to function effectively in their positions. But we hardly find a useful leadership training program for first-line nurse managers, therefore the purpose of this study was to developed the leadership training program for them. The steps of leadership program development were below: 1st step, 2 studies were done before develop a leadership program. One was done to ask to first-line nurse managers what they want to learn through leadership training, the other one was to ask the staff nurses what their opinions are for their first-line nurse managers leadership. 2nd step was searching other leadership programs contents. The results of this study were below: The total amount of hours is 24. Leadership training program contents are : Future of nursing profession (210min), understanding basic factor's of leadership and leadership theories(310 min), self understanding as first- line nurse managers(320 min), basic principle and practice of interpersonal relationship(210 min), assertiveness training, conflict management (180min), and group study(210min). This is challenging time to be a leader, especially in nursing. As nurse managers look toward the new millennium, it seems as through the same struggles are ahead that are behind. So nurse managers need to embrace change with a positive attitude. They need to demonstrate risk taking and support it in their staffs. All these things are possible that after they participate the leadership training program.

• 한국직업건강간호학회지
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• 제9권1호
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• pp.39-48
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• 2000

Hyperlipemia is the most leading risk factor of cardiovascular disease which is the main cause of death in Korea. However, there is a tendency to neglect the prevention and treatment since it has no specific symptoms. It has been reported that the level of serum-lipid can be lowered by the improvement of eating habits. Therefore, it is highly likely that the development of programs on the improvement of eating habits through behavioral theory is required to the community nursing practice. The theory of planned behavior, which assumes that human behaviors are determined by one's intention to carry out the behavior, can be characterized by the point that behaviors are not only individual factors but also social behaviors relating to subjective norms. It is widely recognized that this theory has a high predictability on health behavior due to it's simplicity clearness, and measurability as well as high quality of being general. Thus, the theory of planned behavior could be useful in developing a model of a health promotion program to the change of behaviors of the risk group of cardiovascular disease. Consequently, based on the theory of planned behavior, the purpose of this study is to develop an intention promotion program of the diet, and then to testify the effects. The sample of this study consisted of 26 industrial workers who had proved hyperlipemia from a medical examination in 1996 (experimental group 13, control group 13). The intention promotion program, which includes education, monitoring, pressure, counselling on the level of individuals, families and organizations, was conducted for 10 weeks The purpose of this program was to promoting intention of the diet through changes of the prerequisite factors of intention such as behavioral belief, outcome evaluation, normative belief and control belief. When it came to data analysis, the ${\chi}^2$-test and Fisher's Exact test were used to compare the general characteristics between the experimental and the control group, an independent t-test for the other variables. ANOVA was used to the test hypothesis, and the Pearson correlation test for variable's correlation. The results of this study can be summarized as follows ; 1) There was a significant increase in the intention(F=18.51, p=.00) of diet in the experimental group. 2) Diets(F=32.51, p=.001) in the experimental group were better carried out than in the control group. 5) There was a moderate correlation between the intention of diet and performance (r=.587. p=.003). From the results, it can be concluded that the intention promotion program is very effective, leading to the change of health promotion behavior. Above all, it is really valuable that the intention promotion program in this study regards health promotion behavior as a social behavior and that intervention was done on the level of family and organization. Consequently, when performing a health promotion program, social approach elevating the intention should go hand in hand in order to make the program effective.

• 기본간호학회지
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• 제3권1호
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• pp.81-95
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• 1996

The purpose of this study was to investigate the effects of breast self-examination teaching methods which are printed material, videotape, demonstration used BSE model on women. The subjects for this study were non-medical professional 88 women in Kwangju. The data was collected from October 16 to November 24, 1995 by means of a structured questionnaire. For measuring BSE knowledge, Kim's(1994) instrument was used ard modified by researcher. For measuring BSE attitude based on health belief, Lee's(1982) & Kim's(1994) instrument was used and modified by researcher. Printed material from literature were reviewed by researcher, 'A woman's guide to breast self-examination' videotape by Nurse Practitioner Creation and BSE simulator by Narco were used 21 attitude scale and 13 knowledge scale were checked before and after teaching methods. The data was analyzed by frequency, paired t-test, ANOVA using the SAS program. The results were as follows : 1. The BSE total knowledge score after having teaching was higher than before, different significantly(t=-14.05, p=0.000). The most effective teaching method on BSE knowledge change was demonstration used BSE model in three teaching methods and was different significantly(F=8.44, p=0.000). 2. The BSE total attitude score after having teaching was changed to more positively, different significantly(t=4.59, p=0.000). The most effective teaching method on positive BSE attitude change was demonstration used BSE model in three teaching methods and was different significantly(F=3.21, p=0.045). 3. The HB score after having teaching was higher than before, and benefits, barriers and health concerns were different significantly(t=-2.51, p=0.014 ; t=-4.53, p=0.000 ; t=-3.71, p=0.000). Susceptibility and seriousness were not different significantly. 4. There were different significantly among knowledge, religion(F=3.92, p=0.013) and child (F=3.08, p=0.08). There were different significantly among attitude, age(F=4.65, p=0.05), mansturation state(F=4.39, p=0.016), and artificial abortion experience(F=5.18, p=0.026). There were different significantly among health concern, age(F=2.50, p=0.068), delivary experience(F=3.22, p=0.076), artificial abortion experience(F=5.46, p=0.023), and feeding(F=6.24, p=0.003). Printed material, videotape, and demonstration used BSE model may be valuable for changing positively knowledge and attitude related to BSE. Demonstration used BSE model was most effective teaching method in this study. Therefore, this study revealed that BSE teaching methods were a useful nursing intervention for promoting practice regularily and exactly on women.

• 대한소아치과학회지
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• 제47권4호
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• pp.406-415
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• 2020

Silver diamine fluoride(SDF)는 우식의 정지를 위해 사용될 수 있는 효과적이고 경제적인 약제로, 협조가 힘든 환자나 의과적인 문제로 치료를 받기 힘든 경우 등에서 사용될 수 있다. 이 연구는 타액 생물막을 이용하여 SDF 의 항미생물효과를 평가하고자 시행되었다. 타액을 이용하여 획득피막 유사 구조를 형성한 후, 타액과 Streptococcus mutans를 첨가하여 우식원성의 타액 생물막을 형성하였다. 타액 생물막에 SDF 를 처리한 결과, 전체 미생물과 S. mutans의 수가 유의하게 감소하였다(p < 0.000). CLSM에서도 생물막 내 죽은 세포가 증가하였다. 유치 법랑질과 상아질 시편에 SDF를 처리한 후 우식원성의 생물막을 배양한 결과, SDF 를 처리할 경우 생물막 형성이 저해되는 것을 확인할 수 있었다(p = 0.029). 연구 결과 SDF의 뛰어난 항미생물효과를 확인할 수 있었으며, 이로 인한 임상에서의 항우식효과를 기대할 수 있다.

• 의료법학
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• 제20권1호
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• pp.25-43
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• 2019

약가 인하 처분은 국민건강보험법령에서 정하는 직권 조정 사유가 있는 경우에 한하여 행정절차법이나 국민건강보험법령에서 정하는 행정 절차에 따라 내려진다. 그런데 약사법상 허가특허연계제도에 따라 후발의약품의 판매 시점이 달라짐으로 인하여 또는 약가 인하 처분에 대한 집행정지 신청의 인용 또는 기각 결정, 행정절차법이나 국민건강보험법령에 따른 행정 절차 진행 기간에 따라 약가 인하의 효력 발생하는 시점이 늦어지거나 빨라질 수 있다. 약가 인하의 효력 발생 시점이 늦추어지면 그만큼 제약회사가 이익을 얻고 반대로 국민건강보험의 보험자가 손실을 입는다. 반대로 약가 인하의 효력 발생 시점이 빨라지면 그만큼 국민건강보험의 보험자가 이익을 얻고 반대로 제약회사는 손실을 입는다. 그런데 그 이익이나 손실이 사후적으로 볼 때 부당하다고 평가될 수 있는 경우가 있다. 약가 인하 처분 사유는 동일한데 약가 인하의 효력이 발생할 때까지의 절차에서 발생하는 사정으로 인하여 제약회사나 국민건강보험의 보험자가 망외의 이익(windfall)을 얻고 그로 인하여 반사적으로 국민건강보험의 보험자나 제약회사가 손실을 입는다면 부당하다. 본고에서는 그 문제를 분석하고 이에 대한 해결 방안을 모색한다.