• 한국학교보건학회지
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• 제36권3호
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• pp.71-81
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• 2023

Purpose: This study aimed to investigate the trends in domestic research related to health literacy in children and adolescents. Methods: Six journal articles and four dissertations or theses related to health literacy in children and adolescents were analyzed according to the following criteria: study aim, research design, study population and sample size, sampling method, health literacy variables, and characteristics of health literacy measurement instruments. Result: The majority of studies focused on general children and adolescents. Correlational studies were most prevalent, while no experimental study was identified at all. The variable most frequently explored in relation to health literacy was health promoting behaviors. Functional health literacy instruments, assessing numeracy and reading comprehension, were most commonly used to evaluate child and adolescent health literacy. Conclusion: Considering the emphasis on health literacy improvement in order to achieve health equity across the entire life cycle, there is a need for both quantitative and qualitative growth in domestic health literacy studies for children and adolescents. School-based interventions are essential for enhancing health literacy. Furthermore, it is also necessary to develop an instrument to measure health literacy of children and adolescents that can be utilized and monitored at the national level.

• Child Health Nursing Research
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• 제29권4호
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• pp.260-270
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• 2023

Purpose: This study aimed to derive a conceptual definition and attributes for nursing students' rights in clinical practice in South Korea. Methods: This concept-analysis study was conducted at a nursing school in South Korea. The participants were recruited using purposive sampling. The inclusion criteria were being a fourth-year nursing student and having two or more semesters of practical experience. The hybrid model used in this study had three stages. First, 12 studies were reviewed during the theoretical stage. Second, 10 in-depth interviews were conducted during the fieldwork stage. Third, in the analytical stage, the concept of nursing students' rights related to clinical practice was defined and the attributes were derived. Results: The analysis established five attributes of nursing students' rights: the right to learn, the right to be protected from infections and accidents, the right to be cared for and supported, the right to be respected, and the right to be recognized as a member of a nursing team. A key theme that emerged from this study was having the right to learn in a safe and supportive environment. Conclusion: It is necessary to develop a measurement tool based on the above five attributes and to verify its effectiveness.

• 분석과학
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• 제36권5호
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• pp.205-215
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• 2023

In the present study, an analytical method was proposed for detecting trifluralin in aquatic products at trace concentrations. The method employed QuEChERS (Quick, Easy, Cheap, Effective, Rugged, and Safe) and gas chromatography coupled with tandem mass spectrometry (GC-MS/MS) as the sample preparation and measurement, respectively. The effect of the aqueous phase volume used in the QuEChERS was demonstrated, and the ratio of 10:10 (mL) between water and acetonitrile phase was used for 5 g of sample. Besides, dSPE using C18 and primary-secondary amine (PSA) was applied to remove the potential interferences from the food matrices, indicating no remarkable analyte loss. The linear range was built up from 0.50 ㎍ L^-1 to 3.0 ㎍ L^-1 (R² = 0.9993). Other criteria, i.e., repeatability (RSD_r = 0.86-1.96 %), reproducibility (RSD_R = 1.09-2.01 %), and recovery (over 90 %), were in accordance with Appendix F of AOAC (2016) for method performance. Although no trifluralin was detected for the commercial samples (fish, shrimp, and breaded shrimp), the spiked samples performed favorable recoveries and precision.

• 분석과학
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• 제37권2호
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• pp.114-122
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• 2024

A transmission Raman spectroscopy-based quantitative model, which can analyze the content of a drug product containing naproxen sodium as its active pharmaceutical ingredient (API), was developed. Compared with the existing analytical method, i.e., high-performance liquid chromatography (HPLC), Raman spectroscopy exhibits high test efficiency owing to its shorter sample pre-treatment and measurement time. Raman spectroscopy is environmentally friendly since samples can be tested rapidly via a nondestructive method without sample preparation using solvent. Through this analysis method, rapid on-site analysis was possible and it could prevent the production of defective tablets with potency problems. The developed method was applied to the assays of the naproxen sodium of coated tablets that were manufactured in commercial scale and the content of naproxen sodium was accurately predicted by Raman spectroscopy and compared with the reference analytical method such as HPLC. The method validation of the new approach was also performed. Further, the specificity, linearity, accuracy, precision, and robustness tests were conducted, and all the results were within the criteria. The standard error of cross-validation and standard error of prediction values were determined as 0.949 % and 0.724 %, respectively.

• Radiation Oncology Journal
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• 제27권2호
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• pp.91-102
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• 2009

목 적: 세기조절방사선치료에 있어서 치료 전 환자별 정도관리(QA)에 사용하는 EDR2 필름과 2차원 이온전리함배열(MatriXX), 그리고 전자포탈영상장치(EPID)에 대해 절대선량계와 상대선량계로서의 정확도와 효율성을 평가했다. 대상 및 방법: 6 MV X-선을 이용하여 두 가지 유형(기준 조사면, 오차 평가 조사면)의 세기조절 조사면을 설계하고 EDR2 필름, MatriXX, EPID를 사용하여 절대선량과 상대적 선량분포를 비교, 분석했다. 세 시스템의 절대선량 정확성을 평가하기 위해 세 시스템의 선량 측정값과 전리함 측정값을 비교했고, 상대적 선량분포 평가를 위해 기준 조사면과 의도적으로 MLC leaf 위치를 변형시킨 오차 평가 조사면에서 감마($\gamma$)값과 조사면 수직 프로파일을 분석했다. 또한, 환자별 QA 전 과정을 수행하는데 소요되는 시간을 측정하여 시스템에 따른 업무 부하를 비교했다. 결 과: EDR2 필름, MatriXX, 그리고 EPID의 절대선량 측정값과 전리함 측정값을 비교한 결과 EPID는 1%, MatriXX는 2%, EDR2 필름은 3% 이내의 오차 측정 정확도를 보였다. EDR2 필름과 EPID는 허용기준 3%/3 mm와 2%/2 mm 모두에서 감마값이 1을 초과하는 화소($\gamma$%>1)가 전체 화소의 2% 이내였다. 그러나 MatriXX의 경우 3%/3 mm에서는 1% 이내의 오차를 보였으나 2%/2 mm를 적용한 $10\times20\;cm^2$와 $10\times10\;cm^2$에서는 각각 5.94%와 4.95%로 증가했다. 세 시스템으로부터 얻은 오차 평가 조사면의 선량 분포를 치료계획 장치로부터 얻은 기준 조사면과 중첩하여 감마 분석한 결과, 3%/3 mm에서 EDR2 필름이 -4 mm의 MLC leaf 오차 식별이 가능했고 EPID는 -3 mm 오차를 감지했다. 2%/2 mm의 경우, EDR2 필름과 EPID에서 각각 -3 mm와 -2 mm의 오차 식별이 가능했다. 그러나 MatriXX의 경우 경계가 불분명해 오차 구분이 어려웠다. 환자별 QA 전 과정을 수행하는데 소요되는 시간은 EDR2 필름이 약 110분, MatriXX가 약 80분, EPID가 약 55분이었다. 결 론: 본 연구는 IMRT의 치료 전 환자별 QA를 위한 EDR2 필름, MatriXX, 그리고 EPID의 측정 정확도와 효율성을 분석했다. EDR2 필름과 EPID는 선량 측정 정확도가 우수했으며, MatriXX는 측정 시간이 짧았다. 본 연구 결과는 임상에서 효율적인 IMRT QA 시스템을 구축하는데 좋은 자료가 될 것으로 생각한다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제38권
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• pp.49.1-49.9
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• 2016

Background: The aim of this report is to present a new reference for aesthetic mandible surgery using three-dimensional cone-beam computed tomography-based treatment planning for orthognathic surgery which can be implemented in surgical planning and perioperative procedure. Methods: To make an objective standard for evaluating aesthetic mandibular outline, we make an aesthetic scoring criteria with consideration of asymmetry, broad mandibular border line, and prominent mandibular angle. Two maxillofacial surgeons and two orthodontists rated their aesthetical evaluation from 1 to 5. Experimental group consisting of 47 female and 38 male patients who had rotational orthognathic two-jaw surgery from 2010 to 2011 were chosen according to aesthetic scoring done by two maxillofacial surgeons and two orthodontists. A high aesthetic score (${\geq}16$) means the facial contour is symmetric, with no broad and narrow aesthetic mandible frontal profiles. Control A group consisted of ten female and ten male patients who had no orthognathic surgery experience and low aesthetic score (${\geq}10$). Control B group consisted of ten female and ten male patients who had no orthognathic surgery experience and had anaesthetic mandibular frontal profile and a high aesthetic score (${\geq}16$). The three-dimensional image of the patient was taken from dental cone-beam CT (DCT) scanning (experimental group and control A group: 6 months DCT after surgery, control B group: 1st visit DCT). Each DCT was reformatted to reorient the 3D image using 3D analyzing program (OnDemand3D, cybermed Inc, CA, USA). After selection of 12 landmarks and the construction of reoriented horizontal, vertical, and coronal reference lines, 15 measurements were taken in 3D analysis of frontal mandibular morphology. Afterwards, horizontal and vertical linear measurements and angular measurements, linear ratio were obtained. Results: Mean $Go^{\prime}_{Rt}-Me^{\prime}-Go^{\prime}_{Lt}$ angular measurement was $100.74{\pm}2.14$ in female patients and $105.37{\pm}3.62$ in male patients. These showed significant difference with control A group in both genders. Ratio of $Go^{\prime}_{Rt}-Go^{\prime}_{Lt}-Me^{\prime}$ length to some linear measurements (ratio of $Me^{\prime}-Cd^{\prime}_{Rt}Cd^{\prime}_{Lt}$ to $Me^{\prime}-Go^{\prime}_{Rt}Go^{\prime}_{Lt}$, ratio of $Me^{\prime}-Go^{\prime}$ to $Me^{\prime}-Go^{\prime}_{Rt}Go^{\prime}_{Lt}$, ratio of $Go^{\prime}_{Rt}-Go^{\prime}_{Lt}$ to $Me^{\prime}-Go^{\prime}_{Rt}Go^{\prime}_{Lt}$) showed significant difference with control A group in both genders. Conclusion: This study was intended to find some standard measurement of mandible frontal view in 3D analysis of aesthetic patient. So, these potential measurement value may be helpful for orthognathic treatment planning to have more aesthetic and perspective outcomes.

• 한국콘텐츠학회논문지
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• 제14권6호
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• pp.255-261
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• 2014

의료현장에서의 방사성폐기물은 방사성동위원소의 사용량의 증가와 더불어 급격히 늘어나고 있다. 특히, 갑상선 질병의 진단 및 치료용으로 사용량이 증가하고 있는 I-131 핵종의 경우 8.02 일의 짧은 반감기를 가지고 있으며, 관련 폐기물은 모두 자체처분 방법으로 처분하고 있다. 이와 관련하여 국제원자력기구(IAEA)는 개인선량(10 ${\mu}Sv/y$) 및 집단선량(1 man-Sv/y)과 핵종별 농도에 근거하여 각각 폐기물의 규제해제기준을 제시(IAEA Safety Series No 111-P-1.1, 1992 및 IAEA RS-G-1.7, 2004)하였다. 이 연구에서는 의료현장에서 발생하는 I-131 핵종 관련 폐기물을 사용상 종류별로 수집 및 측정하여 방사능농도의 측정 방법 및 절차를 수립한다. 또한, 측정 결과를 바탕으로 핵종의 감쇠 유도식을 산출하고, 이것을 바탕으로 자체처분 가능일자를 산출하여 이론식의 경우와 대비하여 고찰하였다. 측정 결과를 바탕으로 유도 감쇠식을 신정하여 이론적 반감기와 유효 반감기를 비교해 본 결과, I-131 핵종의 이론적 반감기가 유효반감기(7.72일)에 비해 긴 반감기를 가지고 있음을 확인하였다. 측정결과를 바탕으로 한 유효 반감기를 적용한다면, 현재보다 더 짧은 기간 동안 I-131 핵종 폐기물을 보관하였다가 자체처분을 할 수 있다. 이 연구 결과는 ISO 표준으로 추진할 예정이다.

• 한국환경농학회지
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• 제35권4호
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• pp.263-269
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• 2016

본 연구에서는 방제복의 액체침투저항성을 측정하는 방법 중 피펫법을 적용하여 국내 시판중인 5종의 방제복과 일반 shirt에 대해서 체류성, 발수성 그리고 침투성을 측정하였다. ISO 22608 Guideline 'Liquid penetration resistance-Pipette test'에서 요구하는 장치를 사용하였고 시험농약으로는 pendimethalin을 처리하여 GC/MS로 분석하였다. 5종의 방제복은 침투성이 0.0~5.4%로 매우 낮은 침투성을 보였으며 발수성은 67.0~98.1%로 농약이 쉽게 투과되지 않고 물 또는 액체에 의해서 제거될 수 있을 것으로 보였지만, 일반 shirt는 높은 침투성과 낮은 발수성이 확인되어 농약살포 시 손쉽게 피부에 노출될 수 있을 것으로 확인되었다. 현재 국내에서는 방제복에 대한 침투저항성 측정법과 기준이 마련되어 있지 않기 때문에, 본 연구는 방제복의 성능측정의 기준시험법 마련에 도움을 줄 수 있을 것으로 사료된다.

• 대한임상검사과학회지
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• 제39권1호
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• pp.31-36
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• 2007

The purpose of the clinically reportable range (CRR) in clinical chemistry is to estimate linearity in working range. The reportable range includes all results that may be reliably reported, and embraces two types of ranges: the analytical measurement range (AMR) is the range of analyte values that a method can directly measure on the specimen without any dilution, concentration, or other pretreatment not part of the usual assay process. CAP and JCAHO require linearity on analyzers every six months. The clinically reportable range is the range of analyte values that a method can measure, allowing for specimen dilution, concentration, or other pretreatment used to extend the direct analytical measurement range. The AMR cannot exceed the manufacturer's limits. Establishing AMR is easily accomplished with Calibration Verification Assessment and experimental Linearity. For example: The manufacturer states that the limits of the AST on their instrument are 0-1100. The lowest level that could be verified is 2. The upper level is 1241. The verified AMR of the instrument is 2-1241. The lower limit of the range is 2, because that is the lowest level that could be verified by the laboratory. The laboratory could not use the manufacturer's lower limit of 2 because they have not proven that the instrument values below 2 are valid. The upper limit of the range is 1241, because although the lab has shown that the instrument is linear to 1241, the manufacturer does not make that claim. The laboratory needs to demonstrate the accuracy and precision of the analyzer, as well the validation of the patient AMR. Linearity requirements have been eliminated from the CLIA regulations and from the CAP inspection criteria, however, many inspectors continue to feel that linearity studies are a part of good lab practice and should be encouraged. If a lab chooses to continue linearity studies, these studies must fully comply with the calibration/calibration verification requirements of CLIA and/or CAP. The results of lower limit and upper limit of clinically reportable range were total protein (2.1 - 79.9), albumin (1.3 - 39), total bilirubin (0.2 - 106.2), alkaline phosphatase (13 - 6928.2), aspartate aminotransferase (24 - 7446), alanine aminotransferase (13 - 6724.2), gamma glutamyl transpeptidase (16.64 - 9904.2), creatine kinase (15.26 - 4723.8), lactate dehydrogenase (127.66 - 13231.8), creatinine (0.4 - 129.6), blood urea nitrogen (8.67 - 925.8), uric acid (1.6 - 151.2), total cholesterol (48.52 - 3162), triglycerides (36.91 - 3367.8), glucose (31 - 4218), amylase (21 - 6694.2), calcium (3.1 - 118.2), inorganic phosphorus (1.11 - 108), HDL (11.74 - 666), NA (58.3 - 1800), K (1.0 - 69.6), CL (38 - 1230).

• 분석과학
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• 제30권5호
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• pp.240-251
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• 2017

1,1,1,2-수소불화탄소(HFC-134a)는 에어컨에 주로 사용되는 냉매로, 최근 온실가스로 규제되어 정제를 통한 재사용 방법이 권장되고 있다. 폐냉매의 재사용 기준 평가를 위해서는 폐냉매에 존재하는 미량 성분의 정량분석이 매우 중요하다. 본 연구에서는 표준 물질이 없어서 정량화하기 어려웠던 C, H, Cl, F가 포함된 미량 성분들을 GC/AED (gas chromatograph-atomic emission detector)를 이용하여 정량분석하였다. 이를 위하여 GC/MSD (mass selective detector)를 통한 정성분석을 선행하였다. 또한 성분의 원자 수와 비례하여 반응하는 AED의 특성을 조사하기 위하여, 탄화수소 혼합 표준물질을 이용하여 선형성을 확인하였다. 시료 중 C, H, Cl, F가 포함된 미량 성분의 정성 분석 결과, 주성분인 HFC-134a와 유사 냉매류들을 포함한 총 15 개의 성분이 검출되었다. MSD 결과를 토대로 AED를 이용한 미량 성분들을 정량 분석한 결과, 한 시료는 $CHClF_2$ 성분($45438.38{\mu}mol/mol$), 또 다른 시료는 $C_2H_2ClF_3$ 성분($1311.47{\mu}mol/mol$)이 가장 높은 몰분율을 나타냈다. 본 연구에서는 이 분석법을 기반으로 하여, 표준 물질이 존재하지 않아 정량화하기 어려운 복합 성분들의 정성 및 정량 분석의 확장 적용이 가능할 것으로 보인다.