• 재활간호학회지
• /
• 제6권2호
• /
• pp.239-247
• /
• 2003

Purpose: The purpose of this study is to examine how well patients who had hip arthroplasty comply with medical regimens given to them after the operation. Method: The subjects of the study were patients who had arthroplasty at P Hospital between April 1, 2001 and August 30, 2002. 20 patients of the subjects experienced complications after the operation and the other 20 did not. Data from a survey using the qustionnaire were statistically analyzed in terms of real number, percentage point, mean and standard deviation by using $X^2$-test, t-test and ANOVA. Result: 1) the surveyed patients were significantly different in the compliance of medical regimen among them according to their education background as one of the subjects general characteristics. 2) It was found that the group of complication was higher in the compliance of medical regimen than that of non-complication. The two groups showed statistically significant difference with each other in the degree of compliance with therapeutic instructions than the experimental group in terms of the maintenance of abduction after the operation, training instructions on step-by-step basis, urination cotrol on bed, accurate use of crutch, compliance with medication, balance among medical treatment, training, leisure, rest and nutrition, instructions by physicians, nurses and physical therapists, use of low armchairs and toilet bowels and no bending of the body forward, and use of a non-operated leg in case of go upstairs or downstairs. Conclusion: It seems necessary to develop systematic and sessional education programs for improving the compliance of medical regimen, ultimately reducing complications following hip arthroplasty.

• Journal of Yeungnam Medical Science
• /
• 제31권2호
• /
• pp.75-81
• /
• 2014

Background: Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening disease. Despite of proper treatment and improving treatment regimens, HLH patients still show a fatal prognosis. Therefore the evaluation of prognostic factor is important and there are many studies about hyperbilirubinemia as a prognostic factor in HLH. So we studied the prognostic value of hyperbilirubinemia in HLH children. Methods: A retrospective analysis was performed about 33 patients who were diagnosed with HLH at Pusan National University Hospital and Yangsan Pusan University Hospital between January 2000 to December 2012. We reviewed the clinical characteristics, laboratory findings, and results of treatment to identify hyper-bilirubinemia as a prognostic factor in HLH patients. Results: The median age of patients at diagnosis was 32 months. Most of patients presented with fever, pale appearance, abdominal pain and jaundice. Forty-eight point five percentage of patients showed normal serum bilirubiln level (<2.0 mg/dL) and 51.5% showed hyperbilirubinemia (${\geq}2.0mg/dL$). In normal serum bilirubin group, 1 patient (6.3%) was relapsed and 1 patient (5.9%) was relapsed in hyperbilirubinemia group. In the hyperbilirubinemia group, the mortality was higher than the normal bilirubin group but, there was no statistical significance. Conclusion: As a prognostic factor serum bilirubin at diagnosis in HLH patients, there was no significant correlation between hyperbilirubinemia and poor outcome. But, our study has a limitation that the number of patients is too small and almost showed good prognosis.

• 한국컴퓨터정보학회논문지
• /
• 제18권11호
• /
• pp.213-220
• /
• 2013

이 연구는 국제 환경기관간의 환경문제에 관한 국가정책채택에 영향력을 미치는 요인이 무엇 인지에 관한 내용이다. 이를 위하여 다변량에 의한 회귀분석을 이용하여 환경정책의 채택에 관한 국가정책의 영향력을 분석하였다. 데이터 분석은 세계의 모든 부분에서 130 개국의 샘플에 대한 독립 변수의 측정에 의해 각 국가의 비준된 환경협약을 인덱스 포인트로 하여 회귀분석을 실시하였다. 분석결과 전반적으로, 회귀 분석은 일반적으로 독립 변수에 대한 가설을 긍정적으로 보여주고 있다. 결과에서 외부적 결정요인은 국제 환경기구들과 관련하여 국가 환경 정책 도입의 수준을 설명하는 내부적 요인보다 더 강한 것으로 나타났다. 즉 모든 국제 환경 기구, 국제 비정부기구 및 지역 다국적 기관은 국가간이 아닌 국제 환경 정책 방향에 호의적인 자세로 국가에 영향을 미치는 긍정적인 방향에 기능하는데 입증되었다. 본 연구의 결과는 한국 환경정책 시스템의 효능을 개선하는 방법에 대한 유용한 정보를 제공할 것으로 보인다.

• The Korean Journal of Pain
• /
• 제34권3호
• /
• pp.304-314
• /
• 2021

Background: The study investigated virtual reality (VR) immersion in alleviating procedure-related pain in patients with chronic pain undergoing fluoroscopy-guided minimally-invasive intervention in a prone position at an outpatient clinic. Methods: In this prospective randomized controlled study, 38 patients undergoing lumbar sympathetic ganglion block were randomized into either the VR or the control group. In the VR group, procedure-related pain was controlled via infiltration of local anesthetics while watching a 30-minute VR hypnotic program. In the control group, the skin infiltration alone was used, with the VR device switched off. The primary endpoint was an 11-point score on the numerical rating scale, indicating procedure-related pain. Patients' satisfaction with pain control, anxiety levels, the need for additional local anesthetics during the procedure, hemodynamic stability, and any adverse events were assessed. Results: Procedure-related pain was significantly lower in the VR group (3.7 ± 1.4) than in the control group (5.5 ± 1.7; P = 0.002). Post-procedural anxiety was lower in the VR group than in the control group (P = 0.025), with a significant reduction from pre-procedural anxiety (P < 0.001). Although patients' satisfaction did not differ significantly (P = 0.158) between the groups, a higher number of patients required additional local anesthetics in the control group (n = 13) than in the VR group (n = 4; P = 0.001). No severe adverse events occurred in either group during the study. Conclusions: VR immersion can be safely used as a novel adjunct to reduce procedural pain and anxiety during fluoroscopic pain intervention.

• Journal of Korean Biological Nursing Science
• /
• 제23권1호
• /
• pp.31-42
• /
• 2021

Purpose: This study was performed to assess the level of blood glucose and to identify poor glycemic control groups among patients with type 2 diabetes mellitus (DM). Methods: Data of 1,022 Korean type 2 DM patients aged 30-64 years were extracted from the Korea National Health and Nutrition Examination Survey VII. Complex samples analysis and a decision-tree analysis were performed using the SPSS WIN 26.0 program. Results: The mean level of hemoglobin A1c (HbA1c) was 7.22±0.25%, and 69.0% of the participants showed abnormal glycemic control (HbA1c≥6.5%). The characteristics of participants associated with poor glycemic control groups were presented with six different pathways by the decision-tree analysis. Poor glycemic control groups were classified according to the patients' characteristics such as period after DM diagnosis, awareness of DM, sleep duration, gender, alcohol drinking, occupation, income status, low density lipoprotein-cholesterol, abdominal obesity, and number of walking days per week. Period of DM diagnosis with a cut-off point of 6 years was the most significant predictor of the poor glycemic control group. Conclusion: The findings showed the predictable characteristics of the poor glycemic control groups, and they can be used to screen the poor glycemic control groups among adults with type 2 DM.

• 한국환경복원기술학회지
• /
• 제24권4호
• /
• pp.15-29
• /
• 2021

Urban green spaces offer a variety of benefits to living things and humans. However, existing green spaces have been reduced and fragmented due to urbanization, and there is a limit to creating new large green spaces in densely developed cities. Street trees have fewer restrictions on land use, which can be a measure to secure green areas in cities. In Korea, excessive pruning is being done on some street trees for reasons such as blocking of building signboards, contact with electric wires, and restrictions on sidewalk widths. Therefore, it is necessary to quantitatively understand the relationship between the benefits provided by street trees and their structures to come up with an efficient and systematic planning and management plan for urban street trees. In this study, we quantitatively analyzed the relationship between the thermal comfort improvement by the shades of street trees and the vertical structure, planting environment, and types of street trees. To calculate the thermal comfort felt by human body, we calculated UTCI (Universal Thermal Climate Index) of each street tree. For the vertical structure of street trees, we used Terrestrial LiDAR and the point clouds of street tree's crown was sliced vertically at 1m intervals. We conducted a multiple regression analysis on the thermal comfort improvement using the variables we obtained from fields. As a result, in the case of a street tree's vertical structure, the lager the volume of tree's crown located 3-4m (β=0.298, p<.05) and 6-7m (β=0.568, p<.001) above clear length, the better the cooling effect. In addition, the thermal comfort improvement was assessed to decrease as the DBH increased (β=-0.435, p<.001). In general, the crown diameter and DBH are positively correlated, with a cooling effect occurring as crown diameter increases. In this study, the opposite result was obtained due to the small number of trees measured, so additional research is needed by increasing the number of tree samples. In the case of the planting environment, the effect of improving thermal comfort was higher in the shaded area of trees planted to the south (β=-0.541, p<.001). Since unsystematic management of street trees can deteriorate the function of them, quantitative evaluations of the vertical structure of street trees are required, which can provide specific measures for planning and management of urban street trees with thermal comfort effect.

• 한국학교보건학회지
• /
• 제1권2호
• /
• pp.50-65
• /
• 1988

This study was conducted in order to grasp the condition of about the school nurse's service and to offer the basic materials of improving the school health service. The objects were comprised of 98 volunteered school nurses who take service in the elementary school. The material of this study was the questionaire suited to the purpose of this research which has been made through studying references and this questionaire has been corrected and revised three times. All the questionaire written by school-nurses. The results are as follows; 1. General features of the objects of study Average age was 35.9 and average career was 9.2 years. Except working as school-nurse, the past career was that average clinical-field was 3.4 years and health service was 4 months. Their educational level was as high as 72.4% of the objects were graduated from above 3 years college and 89.8% were married. 76.5% have religions and 94.8% were working at with national and public schools. 99.0% were doing only nursing service. 2. The conditions of the school health resources. The ratio of school-nurse to students was one to 2630. School-nurse to classes, one to 49.3, and school-nurse to teachers, one to 54. For total amount of a year budget of school health, from three hundred thousands to fifty nine hundred thousands won was most common. Expenses for purchasing medicine were used most. 58.2% of school-nurses hasn't known a year budget. There was an organization for school health in 74.2% of schools. 42.9% of nursing rooms were in the center of school and 88.8% were on first floor. Nursing room were used alone without being used by another purpose and the room size of 71.6% was below 10 pyong. 3. The conditions of school health service Average users of nursing room were 413 a month. The most of them had digestive trouble. Sending letters to home was 15.9 times a year. The most contents of letters was about health education. Object spent much time managing nursing room. 4. The degree of school health service When 2 points was given to "perform" and 1 point was to "not perform" the total average was 1.75, health education 1.89, environmental management 1.86, plan of project and evaluation 1.83, management of nursing room 1.82, health management 1.78, run of school health organization 1.32. 5. Correlation between the school health services and variables (1) The part of project plan and evaluation of school health service has relationship to existence or none-existence of school health organization (P<0.01), past health service career (P<0.05), number of classes (P<0.01), number of students (P<0.01), sending letters to home about health education (P<0.01) and number of users (P<0.05). (2) The part of nursing room management has relationship to ages (P<0.05) past clinical career (P<0.05), number of classes (P<0.05), number of students (P<0.05) and sending letters to home about health education (P<0.01). (3) The part of health education has relationship to existence or none-existence of school health organization (P<0.05), past clinical career (P<0.05), the ratio of health management to school nurse's all work (P<0.05) and the ratio of health education to school nurse's all work (P<0.01). (4) The part of environmental management to ages (P<0.01), career as a school-nurse (P<0.01), salary step(P<0.01), sending letters to home about health education (P<0.01), sending all letters to home (P<0.001), the ratio of health management to school nurse's all work (P<0.05), the ratio of health education to school nurse's all work (P<0.05) and area of school-nurse's room to be used. (5) The part of school health organization management to number of classes (P<0.05). (6) The part of health management to number of classes (P<0.05), sending letters to home about health education (P<0.001), sending all of letters to home (P<0.01) and the ratio of health management to school nurse's all work (P<0.05). (7) The part of school health service to ages (P<0.05), past clinical career (P<0.05), past health career (P<0.01), number of classes (P<0.05), number of student (P<0.05), sending letters to home about health education (P<0.05), sending all letters to home (P<0.05), the ratio of health management to school nurse's all work (P<0.05), the ratio of health education to school nurse's all work (P<0.01) and area of school - nurse's room to be used (P<0.05). ## Suggestion for further studies are as follows. 1. School-nurse should exert herself to advance a quality to take care of school population's health. 2. It is necessary that systematic support required to keep school population's health. 3. Home, school and community should make efforts cooperatively and the proper roles of students, teachers, health team members and parents must be achieved.

• 산업경영시스템학회지
• /
• 제39권4호
• /
• pp.7-14
• /
• 2016

Unlike most researches that focus on single manufacturer or single buyer, this research studies the cooperation policy for two participants of supply chain such as single vendor and single buyer. Especially, this paper deals with single vendor-single buyer integrated-production inventory problem. If the buyer orders products, then the vendor will start to make products and then the products will be shipped from the vendor to the buyer many times. The buyer is supposed to order again when the buyer's inventory level hits reorder point during the last shipment and this cycle keeps repeated. The buyer uses continuous review inventory policy and customer's demand is assumed to be probabilistic. The contribution of this paper is to present a mixed approach and derive its cost function. The existing policy assumes that the size of shipping batch from single vendor to single buyer is increasing, called Type 1, or constant, called Type 2. In mixed approach, the size of shipping batch is increasing at the beginning part of the cycle, and then its size is constant at the ending part of the cycle. The number of shipping for Type 1 and Type 2 in a cycle in mixed approach is determined to minimize total cost. The relationship between parameters, for example, the holding cost per product, the set up cost per order, and the shortage cost per item and decision variables such as order quantity, safety factor, the number of shipments, and shipment increasing factor is figured out via sensitivity analysis. Finally, it is statistically proved that the mixed approach is superior to the existing approaches.

• 한국학교수학회논문집
• /
• 제20권4호
• /
• pp.387-404
• /
• 2017

본 연구에서는 최근 4개년(2014~2017학년도)의 수학교과내용학 기출문항 가운데 확률과 통계학 문항을 분석 대상 문항으로 분류하고, 수학과 임용시험 문항 분석틀을 기반으로 분류된 문항을 분석하였다. 그 결과 첫째, 확률과 통계학 교육과정의 정상화를 유도하기 위하여 4개 평가영역이 고르게 출제되어야 한다. 둘째, 통합적 사고, 종합 분석적인 사고 평가가 이루어져야 한다. 셋째, 수학적 사고력과 논리적 역량을 측정할 수 있는 문항 발문이 사용되어야 한다. 넷째, 문항 수에 의한 출제 비율은 7.7%~10.0%이고, 배점에 따른 비율은 이 보다 낮은 5.0%~7.5% 사이로 출제되었다. 다섯째, 적정난이도 안정화 정책을 유지하고 있다. 여섯째, 확률과 통계학은 귀납적 관점의 문제해결력 측정을 해야 한다는 결론과 시사점을 얻었다.

• Nutritional Sciences
• /
• 제7권2호
• /
• pp.92-97
• /
• 2004

Despite the universal recommendation to eat a variety of foods, we still do not know whether and to what extent the variety affects dietary quality. This study was performed to evaluate the dietary variety scores as tools for assessing the dietary quality of Korean young adults. The 1-day dietary intake data were collected from 144 male and 214 female college students (>18 years) using the 24-hour recall method Relative nutrient intake compared to Korean Recommended Dietary Allowance (KRDA) as the nutrient adequacy ratio (NAR), were computed Also, the mean adequacy ratio (MAR) was calculated. Dietary variety score (DVS) was determined by counting the number of food items consumed daily, and the dietary diversity score (DDS) by counting the number of food groups consumed daily. Results showed that DVS, DDS and MAR were significantly correlated to each other. The MAR score significantly increased as DDS increased in both men and women. When different DVS (20$\leqDVS\leq$ 30) was evaluated for its sensitivity, specificity, measured prevalence, true prevalence, and positive and negative predictive values towards MAR, DVS 21 was revealed to be optimal dietary variety score as a cutoff point to differentiate Korean young adults with or without an adequate and balanced diet. Nutrient intakes of subjects who had DVS<21 were significantly lower than those of subjects with DVS$\qeq$ 21. These results indicate that the dietary variety score appeared to be an effective tool for evaluating the adequacy of diet in Korean young adults.