• 한국산업보건학회지
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• 제11권1호
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• pp.56-69
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• 2001

Objectives : This study was designed to develop and standardize a checklist for ergonomic risk factors, and to provide ergonomic guidelines for managing cumulative trauma disorders (CTDs) in automobile assembly lines. Methods : The Checklist for Ergonomic Risk Factors (CERF-1) was developed based on the results of previous studies, and then modified after performing pilot study. Information on the symptoms possibly related with CTDs was obtained using a self-reported Questionnaire from 465 automobile assembly workers. Their job conditions were examined to assess risk factors through both direct observation and video analysis. Results : Rate of detecting risky job through CERF-1 was 85.6%, and was similar to that (88.8%) by Occupational Safety and Health Adminstration(OSHA) checklist but higher than that (63.7%) by American National Standards Institute(ANSI) Z-365. Relationship of the exposure scores derived from CERF-1 with levels of symptom was greater (r=0.49) than OSHA (r=0.28) and ANSI Z-365 (r=0.22). Considering the relationship, jobs scoring higher than 16 could be classified as the Risk Job. and lower than 16 as the Low Risk Job. Sensitivity and specificity of the Risk Job were 92.5 % and 31.5 %, respectively. Odds ratio (OR) after age adjustment was 5.69 (95 % confidence interval 3.15-10.29) for the Risk Job, and these ORs were significantly different from those of the Low Risk Job. The exposure scores were Quite valid, in that the scores at the main survey were significantly correlated with those at the follow-up survey, as suggested by test-retest(r=0.88) and inter-rater reliability(r=0.80). Conclusions : The CERF-1, developed in this study, will be an efficient tool for evaluation of risk jobs for CTDs in automobile assembly lines, and can be used easily by health care providers.

• 한국대기환경학회지
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• 제29권3호
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• pp.264-274
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• 2013

This study investigates long-term trends and characteristics of aerosol light scattering coefficient at Seoul and Baengnyeongdo in order to understand aerosol optical and radiative properties around Korea. The analysis period is limited to one year of 2011. First, the aerosol scattering coefficients (${\sigma}_{sp}$) of both sites show strong linear dependence on the $PM_{2.5}$ mass concentrations with significant correlations between both. Further, correlations and sensitivity between ${\sigma}_{sp}$ and $PM_{2.5}$ increase with relative humidity, implying both relationships are strongly dependent upon moisture amounts in the atmosphere. This study applied 3-step careful quality control procedures to the analysis of ${\sigma}_{sp}$ for the insurance of data confidence. For the relationship analysis of extinction coefficients (${\sigma}_{ext}$) to visibility and aerosol optical depth, ${\sigma}_{sp}$ observed at 3 p.m. have been used with help of aerosol absorption coefficients (${\sigma}_{ap}$) in order to remove its dependence upon relative humidity, and also those of rainy period have been excluded. As expected, ${\sigma}_{ext}$ estimated are inversely proportional to visibility observation by eye. Finally, aerosol extinction coefficients have been vertically integrated with an assumption of nearly well-mixed within an e-folding height to determine aerosol optical depth, and compared with those retrieved from sunphotometer. The results show a reasonable agreement in spite of an inherent difference of each definition. We expect these findings would help to eventually understand aerosol radiative forcing and its effect on the regional climate change around Korea.

• Journal of Korean Neurosurgical Society
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• 제60권6호
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• pp.723-729
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• 2017

Objective : Acute subdural hematoma (ASDH) is generally considered a condition that should be managed surgically. However, some patients initially receive conservative treatment, a subset of whom require surgical intervention later. This study aimed to evaluate the predictors of delayed surgical intervention in ASDH patients who are initially managed conservatively. Methods : From January 2007 to December 2015, 842 patients diagnosed with ASDH were treated at our institution. Among them, 158 patients with convexity ASDH were initially treated conservatively. Patients were divided into a delayed surgery group and a conservative group. Demographic characteristics, past medication and medical histories, and radiological and laboratory data were collected by retrospective chart review. Independent risk factors were identified with univariate and multivariate analyses. Results : Twenty-eight patients (17.7%) underwent delayed surgical intervention. Their mean age was 69.0 years, and 82.1% were male. Hypertension, diabetes mellitus, and heart disease prevalence and use of anti-platelet agents did not significantly differ from the conservative group. However, age (p=0.024), previous cerebral infarction history (p=0.026), increased maximal hematoma thickness (p<0.001), midline shifting (p=0.001) and accompanying subarachnoid hemorrhage (p=0.022) on initial brain computed tomography (CT) scan, low hemoglobin level (p<0.001), high leukocyte count (p=0.004), and low glucose level (p=0.002) were significantly associated with delayed surgical intervention. In multivariate analysis, increased maximal hematoma thickness (odds ratio [OR]=1.279, 95% confidence interval [CI] 1.075-1.521; p=0.006), low hemoglobin level (OR=0.673, 95% CI 0.467-0.970; p=0.034), and high leukocyte count (OR=1.142, 95% CI 1.024-1.272; p=0.017) were independent risk factors for delayed surgical intervention. Conclusion : Due to the high likelihood of delayed surgical intervention among minimal ASDH patients with a thicker hematoma on initial brain CT, lower hemoglobin level, and higher leukocyte count, these patients should receive more careful observation.

• Asian Pacific Journal of Cancer Prevention
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• 제17권sup1호
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• pp.17-23
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• 2016

The aim of this paper is to report the rate of current and ever cigarette smoking and explore correlates of current cigarette smoking among adolescents aged 13-15 in Viet Nam. This analysis was derived from GYTS survey, which comprised of 3,430 adolescents aged 13-15, conducted in 2014 in 13 cities and provinces of Viet Nam. We calculated the weighted rates of current and ever cigarette smoking and reported patterns of smoking behavior. We also performed logistic regression to explore correlates of current cigarette smoking behavior. The weighted rate of ever cigarette smoking was 9.5% (95% confidence interval (CI): 8.5 %-10.5%), in which the weighted rate among males (15.4%; 95% CI: 13.6%-17.0%) was higher than that among females (4.2%; 95% CI: 3.3%-5.1%). The weighted rate of current cigarette smoking was relatively low at 2.5% (95%CI: 2.0%-3.0%) with higher weighted rate among males (4.9%; 95% CI: 3.8%-5.9%) compared to the corresponding figure among females (0.2%; 95% CI: 0.0 %-0.5%). Current cigarette smoking was significantly higher among males than females, in students aged 15 versus 13 years old, and in students who had several or all close friends smoking and students with daily observation of smoking at school. For greater smoking reduction outcomes, we recommend that tobacco interventions for adolescents should consider targeting more male students at older ages, establish stricter adherence to school-based banning of cigarette smoking, engage both smoking and nonsmoking adolescents and empower adolescents to resist peer smoking influence as well as changing their norms or beliefs towards smoking benefits.

• 한국과학교육학회지
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• 제25권3호
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• pp.400-410
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• 2005

인지갈등 과정모형에 근거하면 불안요인은 개념변화 학습을 위한 갈등상황에서 학생들의 반응 행동에 이중적(긍정적 부정적) 영향을 미칠 수 있다. 그러나 인지갈등 해소를 위하여 단계적 실험을 수행할 때, 어떤 불안유형이 긍정적인 또는 부정적인 유형인지 보고한 연구는 거의 없는 실정이다. 이 연구에서는 작용과 반작용 개념과 관련된 단계적 실험을 수행한 학생들이 불안유형에 따라 설명가설을 제안하는 특성이 어떻게 나타나는 가를 알아보았다. 연구결과, 논리적 오개념 확신형, 변안추가 시도형, 합리적 수정형의 학생들은 단계적 실험 이후 물리적 본성에 가까운 가설을 제안 할 수 있었다. 반면 다섯 가지 유형 (예측결과 양립형, 타인 의존형, 과거경험 융합형, 자신감 부족형, 과거경험 충돌형 등)의 학생들은 임시적 보조가설이나 학생의 직관과 실험 관찰에 근거한 단편적 설명가설을 제안하는 것으로 나타났다. 이러한 결과를 통해 불일치 상황을 이용하는 개념변화 학습에서 단계적 실험을 이용할 경우, 이들 다섯 가지 유형의 학생들은 불안유형에 근거한 교사와의 적극적인 상호작용이 필요함을 제안하고, 인지갈등 해소를 위하여 단계적 실험을 사용할 때 교사가 보다 주의해야 할 학생들의 반응 특성을 제시하였다.

• 대한지역사회작업치료학회지
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• 제1권1호
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• pp.59-72
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• 2011

목적: 본 연구는 후천적 장애인이 이성과의 관계 맺기에 대한 장애인들의 감정을 이해하고 이성과의 관계 맺기 속에서 일어나는 경험한 내용을 밝히는 것을 목적으로 하였다. 연구방법: 본 연구는 후천적 장애인들의 경험과 감정, 그 과정에 대한 이해를 얻기 위해 질적연구방법의 하나인 현상학적 연구 방법을 이용하였다. 참여자에 대한 심층면담, 현장 기록, 기술적 관찰 일기 등을 통해 자료를 수집하였고, 이를 Colaizzi의 현상학적 분석 방법을 통해 분석하였다. 결과 : 후천적으로 장애를 갖게 된 대상자들은 신체적, 심리적, 사회적으로 변화를 경험하게 되었으며, 특히 이성과의 관계 맺기 과정에서 심리적으로 많은 변화를 경험하였다. 대상자 8명의 심층 면담자료를 분석하였고. 그 결과 6가지의 주제 모음 1) 진단에 대하여 다양한 심리적 반응 2) 보호자 및 이성의 다양한 심리적 반응 3) 적극적인 지지를 통한 재활 의지변화 4) 장애를 갖게 된 이후 사회성 결여 5) 재활을 통한 자신감 변화 6) 이성에 대해 다양한 생각이 도출되었다. 결론 : 본 연구결과는 후천적 장애인이 이성과 관계 맺기에서 발생하는 문제점 및 감정을 이해하는데 필요한 자료를 제시하는데 유용하다. 이성과의 관계 맺기는 다른 어떤 사회속에서의 상호 작용하는 행위보다 의미가 있다. 관계 맺기 과정에서 갈등이 존재하고 이를 해결하기 위해 다양한 전문가들의 지원프로그램이 필요하다.

• 대한간호학회지
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• 제30권1호
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• pp.84-97
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• 2000

The Necessity and Purpose of the Study Recently the number of patients with chronic diseases and the aged patients is increasing steadily. Furthermore, due to the expansion of health insurance system, the number of patients hospitalized in the general hospital is increasing at a surprising speed. However, hospitals urge the early discharge of the patients for the efficiencies of hospital administration, and therefore, the number of patients who must be taken care of in their home is also increasing. Homecare nursing is one of the health care service for the patients at home who require continual attention and care, and now increasing attentions are given to it as one of the professional nursing fields. However, it was almost impossible to find a study on the actual experiences of the homecare nurses written by their own language in Korea, that it also posed a great difficulty in understanding their diverse experience. Considering these situation, this study will help understanding of them, and provide the fundamental data on their experiences for making policies to develop homecare nursing. Methods of Research Phenomenological research method was employed to analyze the lived experiences of homecare nurses fundamentally. Data collection Data were collected from August 1998 to December 1998 from ten homecare nurses who worked for patients under the homecare nursing setting as model cases designated by Seoul Nurses Association and who agreed to the purpose of this study after listening to and understanding the explanation completely. The in-depth interview was carried at the time which was convenient both for the researcher and participants for one or two hours, and recovered with the approval participants. The first interview covered diverse and broad areas like the situation of homecare nursing, and their feelings and thoughts over it, and in the second and third interviews, more specific questions are asked. Data Analysis For the phenomenological analysis, contents analysis was employed. The data collected from the participants were analyzed into the following procedures according to Van Manen 's phenomenological analysis. 1) Reserve the preconception of the researcher by restricting it inside parenthesis. 2) Make a thorough observation of the lived experiences by insight process. 3) Analyze the contents (Find out the repetitive factors) 4) Interpret the essence found. 5) State the meaning of the interpretation. Results and discussion 1. Fear and expectation for the first visit. (unfamiliarity, awkwardness, anxiety, shivering) 2. Mingle with the family (feeling friendly with the family, becoming like a family member) 3. Being proud of her own know-how (learning the know-how, organizing alternatives, building up confidence) 4. Pity for the poor. (criticizing the current government, feeling ashamed, feeling anger) 5. Difficulty of constructing cooperative system with physicians (strenuousness, frustration) 6. Helplessness due to the lack of support system (difficulty to get supplies, annoyance, embarrassment by institutional restraints) 7. Anxiousness for heavy traffic and parking (annoyance, hastiness) 8. Ethical conflicts (pity for the patients and family, skepticism about lengthening life maintenance) 9. Burden for the possible accident (pressure, anxiety, conflict, physical exhaustion) 10. Establishment of identity as a professional (fulfillment, worth, joy) 11. Being distressed at other's ignorance

• 한국과학교육학회지
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• 제19권2호
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• pp.217-228
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• 1999

구성주의 관점에 의하면 학습자가 백지상태인 채 피동적으로 새로운 개념을 받아들이는 것이 아니라, 주체적인 입장에서 자기의 개념을 재조직해 가는 것이 학습의 과정이라고 본다. 본 연구에서는 이러한 구성주의 교수원리에 근거하여 예측 설명-실험, 관찰토론-적용 단계의 구성주의적 수업을 개발하고 이를 중학교 과학 수업에 적용하여 그 효과를 조사하였다. 2학년의 '대가와 물의 순환' 단원 총 7차시에 대하여 구성주의적 수업과 교사중심 수업을 실시한 후 대기압 관련 오개념 감소율과 학습동기의 4가지 요소 별로 비교하였다. 구성주의적 수업과 교사중심 수업이 대기압 관련 오개념 감소에 미치는 효과를 검증한 결과, '기온과 기압의 관계', '높이에 따른 기압의 변화', '대류현상과 기압', '기압과 바람' 등의 개념에서 나타난 오개념이 교사중심 수업보다 구성주의적 수업에서 더 많이 감소하였다. 또한 두 집단의 대기 압 개념 점수를 차이 검증한 결과 구성주의적 수업 집단이 교사중심 수업 집단에 비하여 유의미하게 높게 나타났다. 동기의 4가지 요소인 '주의력, '관련성', '자신감', '만족감' 각 문항의 점수를 비교한 결과 구성주의적 수업은 교사중심 수업보다 자신감 요소를 제외한 3가지 요소 모두에 효과적인 것으로 나타났다. 이것으로 구성주의적 수업에서 학습자들로 하여금 자신의 선행개념을 확인하고, 관찰과 토론을 통해 개념을 형성하도록 한 결과 교사중심 수업보다 과학개념 획득과 학습동기 유발에 효과적이라는 결론을 얻을 수 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권7호
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• pp.4157-4160
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• 2013

Objectives: Understanding the situation of cancer awareness which doctors give to patients might lead to prognostic prediction in cases of of colorectal cancer (CRC). Methods: Subsets of 10,779 CRC patients were used to screen the risk factors from the Cancer Registry in Pudong New Area in cancer awareness, age, TNM stage, and gender. Survival of the patients was calculated by the Kaplan-Meier method and assessed by Cox regression analysis. The views of cancer awareness in doctors and patients were surveyed by telephone or household. Results: After a median observation time of 1,616 days (ranging from 0 to 4,083 days) of 10,779 available patients, 2,596 of the 4,561 patients with cancer awareness survived, whereas 2,258 of the 5,469 patients without cancer awareness and 406 of the 749 patients without information on cancer awareness died of the disease. All-cause and cancer-specific survival were poorer for the patients without cancer awareness than those with (P < 0.001 for each, log-rank test). Cox multivariate regression analysis showed that cancer concealment cases had significantly lower cancer-specific survival (hazard ratio (HR) = 1.299; 95 % confidence interval (CI): 1.200-1.407)and all-cause survival (HR = 1.324; 95 % CI: 1.227-1.428). Furthermore, attitudes of cancer awareness between doctors and patients were significantly different (P < 0.001). Conclusion: Cancer concealment, not only late-stage tumor and age, is associated with a poor survival of CRC patients.

• 대한수의학회지
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• 제44권1호
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• pp.49-55
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• 2004

The present study was carried out to investigate the potential acute toxicity of CKD-602 by a single intravenous dose in Beagle dogs. The test chemical was administered intravenously to male and female Beagle dogs at dose levels of 0.3, 0.5, or 2.5 mg/kg. Mortalities, clinical findings, and body weight changes were monitored for the 14-day period following the administration. At the end of 14-day observation period, all animals were sacrificed and complete gross postmortem examinations were performed. All males and females of the 2.5 mg/kg dose group were found dead between the fourth and seventh day after the injection. Treatment related clinical signs, including vomiting, anorexia, mucous stool, diarrhea, and no stool were observed. Decrease or suppression of body weight was observed in a dose-dependent manner. In autopsy, dark red discoloration of the gastrointestinal tract, atrophy of the thymus, paleness of the spleen, sporadic dark red spots of the lung and petechia of the heart were observed in dead animals of the 2.5 mg/kg dose group. There were no specific adverse effects on males and females of the 0.3 and 0.5 mg/kg dose groups, except for the transient clinical signs such as anorexia, vomiting, and mucus/no stool. On the basis of the results, it was concluded that a single intravenous injection of CKD-602 to Beagle dogs resulted in increased incidence of abnormal clinical signs and death, decreased body weight, and increased incidence of abnormal gross findings. The absolute toxic dose of this chemical was 2.5 mg/kg for both genders. The $LD_{50}$ value was 1.1 mg/kg (95% confidence limit not specified) for both genders. The no-observed-effect level (NOEL) was considered to be below 0.3 mg/kg for both genders.