• Safety and Health at Work
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• 제2권4호
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• pp.328-335
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• 2011

Objectives: Depressive disorder (DD) is a complex disease, and the assessment of work ability in patients with DD is also complicated. The checklist depression (CDp) has recently been developed to support such work ability assessments and has been recommended for implementation in insurance medicine, starting with an analysis of the organisational and social contexts. The aim of this study was to identify the potential facilitators and barriers in the use of the CDp by insurance physicians (IPs) during work ability assessments of employees on sick leave due to DD. Methods: A qualitative research was conducted based on semi-structured interviews. The participants were IPs with at least one year of work experience in performing work ability assessments. The interviews were audiotaped, transcribed and analysed qualitatively. Results: Ten IPs (7 males, 3 females; mean 53 years) were interviewed. Important facilitators, which emerged for use of the CDp, were an oral introduction for colleagues and staff, support from management, valuing the increased transparency in work ability assessments with using the CDp, having adequate time for assessments as well as modification of the appearance (colour, plasticised form) and content (clarifying aspects of the examples) of the assessment tool. The fear of the loss of autonomy, lack of added value of the CDp, high workload, inadequate instructions and lack of time were mentioned as barriers. Conclusion: Adequate introduction to the use of CDp and the fear of the loss of autonomy of IPs need special attention in planning its implementation.

• 의학교육논단
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• 제10권2호
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• pp.19-24
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• 2008

Purpose: The 'learning cycle' proposed by Guilbert in 1981 has been accredited as an effective and useful model for curriculum design. Three components of learning cycle, learning objective, instructional method, and assessment are connected organically and form basic structure of curriculum. In this study, we intend to analyze how the learning cycle and its three components are applied to present medical curriculum and examine the points at issue of the learning cycle in medical education. Also, we try to identify the educational significance of the leaning cycle in medical education. Results: First, concerning the learning objective, it was identified that impractical and abstract expressions are major controversial points. Also, there is a need to make learning objectives covering entire medical curriculum. Second, because of various structural problems, it is hard to practice new and various instructional methods. Third, even though there is a growing need for medical curriculum to develop and utilize more various and detailed assessment and evaluation, it was revealed that only are standardized and traditional assessments mainly used. Conclusion: Synthetically, we have some suggestions as follows. First, it is necessary to specify and actualize the learning objectives. Also, instructional methods and assessments should be diversified. And finally, there is a need to build organic and delicate medical curriculum by applying the learning cycle to medical education more actively.

• 한국체육학회지인문사회과학편
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• 제56권5호
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• pp.665-677
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• 2017

이 연구는 U-12 유소년 축구선수를 대상으로 운동수행력과 의학적 평가를 상세히 분석한 후에 축구를 통한 운동수행력의 변화 및 의학적 문제점을 파악하는데 그 목적이 있다. 연구대상은 유소년 축구클럽에 참여하고 있는 초등학교 선수를 유소년 축구선수 집단(Youth football players group; YFG, n=15; $11.2{\pm}0.9$ 세)과 축구를 하지 않는 건강한 일반 유소년을 통제 집단(Control group; CON, n=15; $11.5{\pm}0.6$ 세)으로 각각 분류하여 운동수행력(건강관련 체력, 운동관련 체력, 기능적 움직임 및 동적 균형) 및 의학적 평가(하지정렬, 관절가동범위 및 도수근력검사)를 측정하였다. 왕복 오래달리기, 50-m 달리기, 눈 감고 외발서기, 능동적 하지직거상, 회전 안정성 및 비주측의 종합점수는 CON과 비교해서 YFG에서 긍정적인 결과를 보였다. 하지만, 하지정렬에서 주측 및 비주측의 Q각, 관절가동범위에서 비주측의 발목관절 발등굽힘, 주측 및 비주측의 발목관절 발바닥굽힘, 도수근력검사에서 주측의 엉덩관절 폄 및 벌림, 무릎관절 굽힘 및 폄, 비주측의 무릎관절 굽힘 및 폄은 CON과 비교해서 YFG에서 부정적인 결과를 초래하였다. 따라서 이 연구에서 U-12 유소년 축구선수는 부분적으로 운동수행력은 우수하게 나타났지만, 의학적 평가에서는 부정적인 결과를 확인하였다.

• 대한생식의학회:학술대회논문집
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• 대한불임학회 1996년도 추계 학술대회 및 정기총회
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• pp.42.1-42.1
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• 1996

• 한국화재소방학회논문지
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• 제22권3호
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• pp.293-299
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• 2008

119 구급대를 이용하여 급성관상동맥증후군을 진단 받은 97명의 환자평가로는 혈압 27.8%, 호흡 23.7%, 맥박 33.0%를 측정하였고, 응급처치로는 산소공급 52.6%, 안정 12.4%, 심전도 체크 4.1%, Nitroglycerin(NTG) Aspirin 정맥로 확보 둥은 0%로 전체적인 수행율이 낮게 확인되어 급성관상동맥증후군 환자의 병원 전 처치가 제대로 이루어지지 못하고 있다. 따라서 구급대인의 질적 향상을 위해서 실무중심의 지속적인 교육, 교육 후에는 반드시 평가를 병행하여 적정수준 미달자에게는 재교육을 받도록 하는 등 구급대원의 자질을 강화시킬 수 있도록 내부적인 초안이 마련되어야 할 것이다.

• Archives of Plastic Surgery
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• 제49권4호
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• pp.473-478
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• 2022

Background We investigate the effect of involutional blepharoptosis (IB) surgery based on dry eye symptoms by analysis using objective and subjective measures. Methods We recorded various parameters from patients that underwent levator advancement surgery for IB, totaling 125 eyes (total 65 patients, 5 unilateral, 60 bilateral). Subjective assessment comprised a questionnaire on dry eye-related quality of life score (DEQS), a summary score calculated from DEQS, and six-grade evaluation, the patient's own measure of eye comfort. Objective assessment comprised marginal-reflex distance-1 (MRD-1), measurement of tear film breakup time, and superficial keratopathy (SPK) existence by slit lamp microscope. Results Subjective assessments showed that IB patients had improvement of dry eye symptoms and eye comfort when surgery increased MRD-1. On the other hand, objective assessments showed that the presence of SPK is suspected when the postoperative MRD-1 level is 3 mm or higher. Conclusion IB surgery must not only increase MRD-1 value, but also to perform maintenance of the appropriate ocular surface condition. From our parameters, we suggest postoperative MRD-1 value should be maintained at < 3 mm to safe and effective of IB surgery.

• 대한디지털의료영상학회논문지
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• 제11권2호
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• pp.63-68
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• 2009

Among various physical or subjective assessments of the quality of X-ray images, physical assessments can be quantitative but they are eventually judged by the view of observers thus subjective assessments including the aspect of observers are required. The changes in the ability to detect lesions caused by changes in the thickness of acrylic plates were tested with the ROC interpretation method that has taken into consideration, all the features of physical assessments as well as observers' ability to observe and mental stages and even surrounding environments using an Alvim phantom and the result indicated that as the thickness of acrylic plates increased, the amount of noises occurred increased compared to signals and thus the ability to detect signals as well as the sensitivity that is an ability to signals accurately and the ability to distinguish noises from signals thus it is considered that more efforts of radiologic technologists will be required to detect small lesions of fat patients with diagnostic X-ray generating apparatus.

• Nuclear Engineering and Technology
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• 제55권7호
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• pp.2388-2394
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• 2023

The radioactivity concentration of environmental radionuclides was analyzed for soil and sand at eight locations within a radius of 255 m centered on the Dongnam Institute of Radiological & Medical Science (DIRAMS), Korea. The average activity concentrations of ⁴⁰K, ¹³⁷Cs, ²²⁶Ra, and ²³²Th were 661.1 Bq/kg-dry, 0.9 Bq/kg-dry, 21.9 Bq/kg-dry, and 11.1 Bq/kg-dry, respectively. The activity of ⁴⁰K and ¹³⁷Cs was lower than the 3-year (2017-2019) average reported by the Korea Institute of Nuclear Safety, respectively. Due to the nature of granite-rich soil, the radioactivity of ⁴⁰K was 0.6-fold higher than in other countries, while ¹³⁷Cs was in the normal fluctuation range (15-30 Bq/kg-dry) of the concentration of radioactive fallout from nuclear tests. The activity of ²²⁶Ra and ²³²Th was lower than in Korean soils reported by the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR). The average activity concentrations of ²³²Th and ⁴⁰K for the soil and sand samples from DIRAMS were within the range specified by UNSCEAR in 2000. The radium equivalent activity and internal and external hazard index values were below the recommended limits (1 mSv/y). These radionuclide concentration (²²⁶Ra, ²³²Th, ⁴⁰K, and ¹³⁷Cs) data can be used for regional environmental monitoring and ecological impact assessments of nuclear power plant accidents.

• 대한예방한의학회지
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• 제28권1호
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• pp.43-57
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• 2024

Objectives : The aim of this study was to identify the effect of Medical humanities curriculum on students of Korean medical school in terms of cognitive, affective, and psychomotor level of humanities skill. Methods : The course was taught to second- and third-year Korean medicine students. The classes were held eight times a semester for second-year students and 9 times for third-year students, and each class was held once a week for 2 hours. Formative and summative assessments, group and individual assignments, and peer assessments were conducted to evaluate educational effectiveness, as well as basic lecture evaluations and satisfaction surveys. Results : Most of the students who took Medical humanities showed a performance rate of more than 60-70% in the cognitive aspect, and the total score was 14.48 with a standard deviation of 2.70 in the knowledge application stage. In terms of class satisfaction, students in Medical humanities I were more satisfied with the evaluation criteria and class management expertise, while students in Medical humanities II were most satisfied with the class organization, with an average score of 4.86/5. Conclusions : It was confirmed that students' humanities improved in cognitive, affective, and psychological aspects after medical humanities courses, and future research should be conducted on the long-term educational effects of medical humanities, effective teaching methods, and evaluation methods.

• 한국응급구조학회지
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• 제6권1호
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• pp.129-140
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• 2002

Purpose : To evaluate the emergency medical protocols and assessments through the case reports. Method : We studied retrospectively investigates the emergency calls through the 1339 emergency patients information center in 1997. Results : The emergency calls show an order : abdominal pain(13.5%), unconsciousness(12.0%), traffic accidents(7.4%), bleeding(6.6%), respiration difficulty(5.9%) by emergency medical protocols, and injury and poisoning(22.3%), symptom (51.6%), others (26.1%). Conclusion : The results suggest that a specific training program for emergency medical dispatchers should be established, and emergency medical dispatcher managers must review emergency medical dispatching cases on the basis of emergency medical protocols every year. Emergency medical services, furthermore, will continue to raise the standard for emergency medical dispatching.