• 근관절건강학회지
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• 제10권2호
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• pp.142-155
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• 2003

The purpose of this study was to investigate the rate of utilization, kinds and effective complementary-alternative therapy in elder arthritics, and then utilize the results as basic data for nursing intervention for elder arthritics. Study subjects consisted of 157 elder arthritics over 60 years old, data were collected through a structured questionnaire and face to face interviews. Data collection was done from July 2001 to August 2001. Subjects were sampled out from outpatients of department of rehabilitation of a university hospital in S city, outpatients of a local hospital in D city, and outpatient at public heath center in K and S city. Sexual distribution of subjects showed male 19.1% and the female 80.9%. The diagnosis distribution showed degenerative arthritis at 91% and reumatoid arthritis at 8.9% Duration of arthritics was 10 years over by 46.5%, duration of hospital treatment was 1-5 years by 41% The degree of pain by arthritis pointed out a mean point of 3.37 on a 5-point numeric scale 94.2% of subjects have experience complementary-alternative therapies used. Of the kind the subjects used, physiotherapy occupied 38.2%, Oriental medicine 36.3%, physical exercise 35.7%, nutritional therapy 22.3%, animal diet 8.9%, herbal diet 3.8%. The hardest thing due to arthritis represented disability in daily life by 59.8% and the pain problem by 30.5%. In conclusion, results of the study reveal that elder arthritics have used physiotherapy, Oriental medicine, physical exercise. Concrete strategies for nursing intervention about these complementary-alternative therapy are required to the established soon.

• 의료법학
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• 제13권2호
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• pp.179-214
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• 2012

There are two opinions on the legal characteristics of damages for non-pecuniary loss, a private sanctions theory and complementary function of damages for non-pecuniary loss, briefly. There is a close connection between the legal characteristics and the function of damages for non-pecuniary loss. The functions of damages for non-pecuniary loss are consist of satisfaction, prevention( sanctions) and complementation. Several cases of medical injury relief reported to Korea Comsumer Agency are categorized as follows, 1) cases of death after having an operation, 2) diagnosed with disability after a medical accident, 3) extended damages happening related to delayed diagnosis, 4) et cetera(a plastic surgery, a treatment with oriental medicine), and the damages for non-pecuniary loss in respect to each cases are examined. In the case of occurring death or disability, Korea Comsumer Agency has set up guidelines for assessment of damages for non-pecuniary loss by classifying into major and collateral violation for a duty of care. Furthermore, the damages for non-pecuniary loss in the case of all sorts of cancers, are assessed in accordance with the degree of responsibility subsequent to dividing cancer into good and poor prognosis. When it comes to a complementary function of damages for non-pecuniary loss in the actual work, it is hard to assess the damages as it is difficult to objectify non-pecuniary loss, such as emotional distress. Though compensation for damages is major legal characteristics of consolation money, preventing a damage(private sanctions) through consolation for a victim or sanctions against an assailant also has great significance. Therefore, it is necessary to approach flexibly for mutual agreement by considering specialty( concrete facts) of individual issue thoroughly. If considering this aging society that limits the possible age for work to 60 years old, it is needed to have a complementary function of consolation money in mind not to make it less meaningful for victims due to small sum of consolation money.

• 한국직업건강간호학회지
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• 제10권2호
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• pp.174-182
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• 2001

This study was performed to find out the differences between noise levels of hospital wards and the nurses efforts for noise management in some general hospitals. The hospital wards selected were the intensive care unit(ICU), the emergency room(ER), the nursery room(NR), the internal medicine(IM), the general surgery(GS) among the 5 general hospitals located in Seoul. The data were collected from August 3 to September 13, 1999 through questionnaire survey and noise measurement in each nursing station of hospital wards. Data analysis was done by SPSS 8.0 package among the 305 questionnaires and 24 hours monitored noise levels. Frequency, Chi-square and ANOVA test were used. The study results were as belows: 1. The noise level measured by 24 hours monitoring survey were exceeded on the standard limit in all the hospital wards. Data also showed that noise levels were significantly different in each ward among the three shifts working duties. 2. The subjects were all female nurses. They were mostly working in the ICU ward(28.9%). They were 26~30 years old (43.9%), junior college graduates(57.0%), working for 1~5 years(55.1%) as staff-nurse(85.6%). There were no significant differences between hospital wards and general characteristics of nurses. 3. The noise levels perceived by nurses were regarded as 'Highly noisy'(56.4%), especially during the 11:30 and 15:30 (30.2%) o'clock. Data also showed that noise education was not ever given to nurses(89.9%). Nurses also responded that they hardly put an effort to reduce noise level(54.8%). However, there were significant differences between wards and noisy working time, experience of noise education and level of effort for noise reduction. 4. Nurses also perceived the ventilator alarm and EKG-alarm as the most disturbing sounds in the ICU, human voice and telephone ringing in the ER, human voice and EKG-alarming in the NR, human voices and telephone ringing in IM and GS both wards respectively in order. There were significant differences between hospital wards and noise making factors. 5. Nurses were shown that they regarded highly 'Sound reduction of the human voice', 'Careful handling on medical instruments', and 'Immediate appliances on alarming materials' as the practical method for noise management. There were significant differences between hospital wards and behavioral practical efforts for noise management. According to that results, the statistical differences were shown in the 24 hour monitored noise levels in each ward. Also, nurses perceived the noise severity differently and they approached variously on the practical efforts for noise reduction in each ward. Thus, author thinks that concrete and systematic endeavor will be necessary for noise reduction and management in hospitals for better working and healing environment for both of patients and staffs.

• 대한의용생체공학회:의공학회지
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• 제24권5호
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• pp.427-434
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• 2003

본 논문은 음성기반 생활환경 제어장치 (Enviropmet Control System: ECS)의 개발과 적용에 대해 다룬다. 구체적으로 개발 내용은 음성인식을 통한 생활환경의 제어 장치와 음성 지원 이동형 휠체어 리프트 제어장치를 구현하였다. 구현된 시스템은 경수 손상 사지마비 환자에게 적용되었고 활용의 문제점과 장치의 사용이 장애인 및 가족에게 미치는 신체적 정신적 영향을 평가 고찰하였다. 음성 인식 시스템은 HMM기반 실시간 음성 인식 시스템을 구성하였고 임상의 적용을 평가하기 위하여 가전 기구를 제어하도록 간략화된 음성인식 모듈을 구현하여 54세 남자로 완전 제 4 경수 손상인을 대상으로 1주간 관찰하였다. 그리고 설문 조사를 통하여 Beck 우울 척도와 오락 및 사회적 관계성의 변화를 평가하였다. 또한 음성 지원 이동형 휠체어 리프트의 전동기 구동 제어 장치를 개발하고 구조 역학 해석을 통해 기계적 안정성을 평가하고 시제품을 제작 성능 시험을 하였다. 시스템의 실험 결과 95%이상의 인식률을 나타내었다. 설문조사 결과 장애인의 장치에 대한 만족도는 높은 편이고 간호의존도와 사회적 관계성의 증진을 확인할 수 있었다. 이에 더불어 간병인의 부담과 우울 경향의 감소가 있었다. 또한 음성 지원 이동형 휠체어 리프트는 구조 해석 결과, 상단 휠체어 바퀴 지지대의 재료로서의 피로 수명이 우수하고 무게 중심 이동이 안정성을 가짐을 확인하였다. 본 논문은 실시간 음성 인식 시스템과 이동형 휠체어 리프트를 이용한 장애자를 위한 생활환경 제어장치 구성의 한 예를 제시하였고, 실험을 통하여 실시간 음성인식의 중요한 활용 분야인 재활 의학 분야에서 한국형 생활환경 제어장치의 개발의 필요성을 확인하였으며 상용화를 모색의 발판이 될 것이다.

• 한국지반공학회논문집
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• 제33권12호
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• pp.81-92
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• 2017

2013년 주택법 개정에 따라 최대 3개층까지 공동주택의 수직증축 리모델링 사업이 가능해졌다. 수직증축 리모델링은 추가하중으로 인한 구조 안전성 및 강화된 내진기준을 만족해야 하므로 기초보강을 필요로 하며, 말뚝 보강설계에서는 기존 말뚝과 보강 말뚝의 하중분담을 고려해야 한다. 말뚝의 하중분담을 계산하기 위해서는 말뚝의 수직 강성($K_v$)이 필요하지만, 20~30년 전에 설치된 PC 말뚝 강성에 대한 연구는 매우 미미한 실정이다. 본 논문에서는 1990년대 아파트 신축시 수행된 38건의 현장 말뚝재하 시험 결과를 검토하여, 직경 및 길이의 변화에 따른 PC말뚝의 강성을 분석하였다. 분석 결과 말뚝강성은 장경비(L/D)가 증가함에 따라 감소하는 것으로 나타났다. 또한, 현장 말뚝재하 시험결과를 도로교설계기준해설(2008) 및 한국철도시설공단 말뚝기초의 설계(2012)에서 제안하고 있는 말뚝강성 산정을 위한 계수 'a'와 비교하였다. 비교결과 10

• 대한한의학원전학회지
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• 제13권1호
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• pp.184-232
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• 2000

The trend of the concept for modern medicine is gradually forwarding to preventive medicine from therapeutic medical science. One of the most remarkable characteristics of oriental medicine is that it attaches greater importance to preventive medicine scientifically. The basic theory of oriental medicine principally takes roots in Huang Di Nei Jing and it is Si Qi Tian Shen Da Lun that is deep-rooted in the principle of "growing life" grounded in theory of unity of heaven and man of oriental medicine. Therefore having translated annotation of 〈Si Qi Tian Shen Da Lun·Huang Di Nei Jing Su Wen〉 which is quoted frequently and using it for appendix and comparing each views of annotators, I would like to state the results of dissertation as below. 1. Si Qi Tian Shen of title of the paper means that it keeps our health and prevent diseases in advance to control our mind and rhythm of life to the change of Yin and Yang - that is, the grower Yin, the looser Yang - following four seasons of nature environment. 2. The summary of this dissertation is that spring means things newly sprout from old ones, things become profuse, beautiful and brilliant in the summer. Autumn stands for things is harvested and allocated evenly and finally things is closed and stored. That is, in the spring and summer. If one break this principle of growth, diseases are followed after this. Therefore an excellent physician should handle diseases before they are attacked not remedy them after outbreak of diseases. It is said that a sage governs the nation before it is put into confusion. 3. These four terms standing for each season describe definitely and realistically rural life in the agricultural environment, in other words, spouting in spring, growing in summer, harvesting in autumn, storing in winter. Going with the current of the times, they have developed to theoretical concept of getting, growth, harvest, store so that implied the principle of growth for four seasons. 4. It means in a concrete way "Yang would grow in the spring and summer and Yin would grow in autumn and winter" as follow. That is, when the day is long, things act energetically and emit the warmth of life and expand the vigor of growth. On the other hand, when the night is long, things lessen their activity to protect the warmth of life and to preserve the sprit of growth. In addition, we should be concerned about the work outward and try to concretely fulfill plan of business in spring and summer. It is in autumn and winter when we should grow Yin. It does not mean that we simply grow cold yin in our body to build Yin. But according to annotators, for example, Wang Bing stated that we need to make things be cool in spring and summer, and be warm in autumn and winter for improvement. Zhang Jie Bin noted that things should not be cold in spring and summer and not be too hot to improve in autumn and winter. Those principles theorized to unify physiological status into the principle of changing of Yang and Yin in the nature and enriched the contents. In these principles, no problems are not found logically somewhat.

• 한국의사학회지
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• 제19권1호
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• pp.111-133
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• 2006

This study was examined to reveal the medical Science of Balhae which was not well displayed until now. For this, the category of the medical science of Balhae(渤海) was decided in diachronic and synchronic perspective and the concrete contents of the medical science of Balhae(渤海) was presumed. Balhae(渤海) succeeded to the medical science of Koguryo(高句麗) and its orthodoxy. Through the interchange between Balhae(渤海) and the country as Dang(唐) and Shilla(新羅), Balhae(渤海) accepted new medical knowledge. Balhae(渤海) had a customs to eat a cake made of rice flour and artemisia paste on the Tano Festival(端午) to overcome its constitutional character. And medicines as Gon-po(昆布), Doo-shi were treated valuable. and they used Ondol(溫突). Balhae(渤海) advanced suigeneris abscess medicine(治腫醫學), and they valued much of Hyangyak(鄕藥). And they took the serious view on the scripture in the education and on the simplic in the clinic. It shows Balhae(渤海) had the unique medical tradition of our nation. The medical institution and medical educational system of Balhae(渤海) was fundamental to that of Koguryo(高句麗), and it was established in the reference of the system of Dang(唐) and Shilla(新羅). It influenced the establishment of medical system and medical education of Corea(高麗) later on. And the medical doctor of the Balhae(渤海) who was dispatched to Japan imparted the advanced medicine of Balhae(渤海) and it was fundamental to the Japanese medical development. Balhae(渤海) produced superior acupuncture on the basis of superior materials which are represented as metalwork technology and Corea-copper(高麗銅) which are handed down from the Old-Chosun(古朝鮮) and Koguryo(高句麗). And we can suppose the level of Balhae(渤海) through the fact that the acupunctual technique of Koguryo(高句麗) was spread out to the nearby country. By the tradition of acupuncture and moxibustion, the theory of Bi-bo(裨補) that cure a disease on the theory of acupuncture and moxibustion appeared in the north and south branch period(南北國時代). And we can prusure the level of acupuncture of Balhae(渤海) through this fact. Balhae(渤海) educated herbal medicine with priority given to Shin-nong-bon-cho-kyong(神農本草經) stand on the serious view on the scripture. They produced a various herbs on the basis of broad territory and suigeneris herbal medicine. It is famous herb of Balhae(渤海), that To-sa-ja, Gon-po(昆布), Doo-shi, Ginseng(人蔘), Woo-hwang(牛黃), Song-ja(松子), Hwang-myung-kyo (黃明膠), Baek-bu-ja(白附子), Sa-hyang(麝香), Honey(蜜).

• 한국보육지원학회지
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• 제10권2호
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• pp.213-236
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• 2014

본 연구의 목적은 발달지체유아의 교육 보육에 어려움을 겪고 있는 통합교실 담임교사를 지원하기 위하여 주제환상극 놀이 프로그램을 개발하고, 이를 현장에 제시하여 발달지체유아의 친사회적 행동과 긍정적인 또래놀이행동의 증진을 도모하는 것이다. 연구에 참여한 유아는 인천광역시 K유치원의 만 4세 발달지체유아 3명과 같은 통합교실에서 생활하는 3명의 일반또래유아이며, 6명의 소집단을 대상으로 3개월간 담임교사가 21회기의 중재를 실시하였다. 그 결과, 주제환상극 놀이 프로그램은 발달지체유아의 친사회적 행동 사후평정에서 긍정적인 변화 경향을 나타내었다. 또한 친사회적 행동의 관찰결과에서도 중재기간동안 표적행동의 빈도가 증가하였다. 이와 유사하게 발달지체유아의 또래놀이행동 사후평정에서도 긍정적인 변화의 경향성이 나타났다. 종합해 볼 때, 본 연구의 주제환상극 놀이 프로그램은 일반 교육 및 보육과정에서 발달지체유아의 개별적 요구를 지원하는 구체적인 통합교육의 지원방안이 될 수 있으며, 교사에게 실질적 지원방법을 제시하였다는데 의의가 있다.

• 대한간호학회지
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• 제23권3호
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• pp.369-376
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• 1993

Since nursing has come of age both as a profession and as a scholarly discipline, there has been increasing concern with delineating its theory base. In 1978 Chinn and Jacobs asserted that “the development of theory is the most crucial task facing nursing today.” The basic building blocks of theories are concepts. Concept formation begins in infancy, for concepts help us to categorize and organize our environmental stimuli. Concepts help us to identify how our experiences are similar or equivalent by categorizing all the things that are alike about them. concepts can be primitive, concrete, or abstract. Concept Analysis is a strategy that examines the attributes or characteristics of a concept. It is a formal, linguistic exercise to determine those defining attributes. It encourages communication. Its basic purpose is to distinguish between the defining and irrelevant attributes of a concept similarities. It is a process of determining the differences between concepts and it is useful for several reasons. It is an excellent way to begin examining information in preparation for research or theory construction and results in an operational definition and a list of defining attributes and antecedents. It provides the scientist with an excellent beginning for a new tool, is an excellent way of evaluating an old one and is useful in evaluating existing instruments. The steps of concept analysis are : 1. Select a concept, 2. Determine the aims or purposes of the analysis, 3. Identify all uses of the concept that you can discover, 4. Determine the defining attributes, 5. Construct a model case, 6. Construct borderline, re-lated, contrary, invented, and illegitimate cases, 7. Identify antecedents and consequences, 8. Define empirical referents. In this paper, the concept selected for analysis was Love. The concept of love is of great interest to nursing because loving care is considered vital to the nursing care of patients. The aims of the concept analysis of love were to clarify the meaning of love, to develop an operational definition for it and to contribute to existing nursing theory. Love influences the quality of life which is the goal of nursing according to Parse in her Human Becoming Theory. Lived experiences are the entities for study in Parse's Research Methodology. Human caring, human understanding, and human becoming are the most important issues in lived experiences. In this research, dictionaries and literature from nursing philosophy and other human disciplines were used to identify the concept of love. As many different instances of the concept as could be found were examinned. The model case was a real life example of the use of the concept. Next borderline, related, invented, and contrary cases were constructed for the purpose of providing examples of “not the concept” and for promoting further understanding of the concept being discussed. The defining attributes of the concept of love were concern, responsibility, respect, understanding and dedication. Love was defined as showing concern and understanding. relating with mutual respect and dedicating oneself responsibly to others. Concept analysis is a highly creative activity and may add significant new information to a given area of interest. It is a strategy for developing a concept based on observation or other forms of empirical evidence. The purpose of concept analysis is to generate new ideas. It provides a method of examining data for new insights that contribute to theoretical development. This concept analysis suggests that a nurse’s love for patients is shown in the process of giving oneself in mutual relationships of responsibility and respect and in continuously providing understanding and quality human care for them.

• 가정과삶의질연구
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• 제21권2호
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• pp.1-18
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• 2003

In recent years, Korean society has witnessed an increased interest in the observance of everyday life proprieties, building healthy families, and psychological well-being of family members. The main purpose of this research was to examine the relationships among the practice of everyday life proprieties, dynamics of family systems, and psychological well-being of Korean married couples. A self-report Questionnaire was used to collect data from married couples with a child over four-years-old who are currently residing in Seoul. 513 couples(1026 individuals) were used for the final data analysis. Statistical analyses were conducted using frequencies, percentages, means, standard deviations, Cronbach'α, Pearson correlation, paired t-test, factor analysis, and multiple regression. The findings of this study are as follows: First, the level of the practice of everyday life propriety was relatively high in both husbands and wives, and no significant gender difference was found in the level. Yet, there were some statistically significant differences in certain sub-dimensions. Wives showed a higher degree of performance in public decorum and social etiquette, whereas husbands exhibited a higher degree of performance in family decorum and communication manners. The family systems were highly dynamic, according to both husbands and wives, and there was no difference between husbands and wives. As for the sub-dimensions, the extent of communication was found to be higher among husbands than among wives. Psychological well-being was again relatively high for both husbands and wives, with husbands significantly higher than wives. Second, the findings indicate that the causal model did fit the data well, and that a myriad of background variables had direct and indirect impacts on psychological well-being, and these relationships were mediated by several variables in the sub-dimension of proprieties observance, family adaptability, and the degree of communication. The implication is that the practice of life propriety, an intervening variable, is crucial in improving psychological well-being of married couples. The findings of this research demonstrate that there are significant causal relationships among the practice of everyday life propriety, family systems dynamics, and psychological well-being. In addition, the observance of proprieties is shown to be a concept that can be used as an important predictor in the area of family resource management. Further research is needed to expand its focus on the practice of proprieties in the family resource management. More concrete and specialized family life education programs should be developed to help build healthy families. Lastly, the results indicate that proprieties education needs to be incorporated in family policies in order to promote the quality of family life.