• Journal of Dental Anesthesia and Pain Medicine
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• 제20권6호
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• pp.357-365
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• 2020

Background: To evaluate the effectiveness of vibration as a counter-stimulatory measure in reducing subjective pain due to local anesthesia administration in children. Methods: Electronic databases (PubMed, Ovid SP, Cochrane Central Register of Controlled Trials) were searched until April 2020. Studies were screened by titles and abstracts, followed by full text evaluation of the included studies. Results: A total of seven studies involving 376 children aged 5-17 years were included in the systematic review and meta-analysis. The meta-analysis compared vibration as a counter-stimulatory measure with no vibration as a comparator. The primary outcome evaluated was pain perception or subjective pain reported by the child. The secondary outcome evaluated was objective pain evaluated in each study. The pooled mean difference favored vibration to be effective for the first outcome. Conclusion: Within the limits of this systematic review, low quality evidence suggests that vibration as a counter-stimulatory measure is effective in reducing the subjective pain reported by children during local anesthesia administration.

• 무역상무연구
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• 제17권
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• pp.147-167
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• 2002

In this paper, I investigated and analysed of the utilization of logistics information system in Korean firms - key factors of logistics management capacity, capacity of logistics information technology management, utilization of logistics information system and logistics outcome. I come to the conclusion that the higher firms are management capacity and capacity of logistics information technology management, the better firms utilize logistics information system, and the better these firms are logistics outcome, that is, the higher to promote logistics service and to reduce logistics cost.

• 한국콘텐츠학회논문지
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• 제21권8호
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• pp.608-618
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• 2021

본 연구는 간호대학생을 대상으로 개발된 프로그램 학습성과 간접측정도구의 활용을 위해 타당도와 신뢰도를 검증한 연구이다. 대상자는 국내 5개 간호학과의 재학생 396명이었으며, 자료수집은 2019년 11월 22일부터 12월 10일까지 이루어졌다. 자료분석은 IBM Statistics SPSS 21.0과 AMOS 21.0 프로그램을 이용하여 문항분석, 탐색적 및 확인적 요인분석을 실시하였다. 문항분석 결과 79개 문항이 모두 요인분석 대상으로 선정되었다. 탐색적 요인 분석결과 다른 요인과 함께 부하하는 5개의 문항이 삭제되었고 최종 요인부하량의 범위는 .37부터 .86이었으며, 12개 요인에 대한 총 분산은 71.71%로 나타났다. 확인적 요인분석결과 삭제된 문항은 없었으며, 최종 척도는 74개 항목으로 구성되었다. 척도의 평균 점수는 3.78점, Cronbach' α는 .98이었다. 본 연구를 통해 간호교육 프로그램 학습성과 간접측정도구의 타당도와 신뢰성이 검증되었으므로 간호대학생을 위해 보다 표준화된 측정도구로 사용될 수 있을 것이다.

• 통상정보연구
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• 제14권4호
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• pp.545-562
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• 2012

전자무역 해외시장조사, 계약, 신용조사, 거래알선, 결제, 보험, 운송 등 무역거래 전반의 프로세스를 통합하여 구매효율성을 높이고, 시간단축 등을 통해 전자무역 업무의 효율성 및 생산성을 높일 수 있는 장점을 가지고 있다. 본 연구는 전자무역업무의 몰입 요인인 무역업체 종업원이 해외시장조사업무의 몰입, 상역업무의 몰입, e-LC업무의 몰임, 통관업무의 몰입, e-B/L 및 Logistics업무의 몰입, 결제 및 e-Nego업무의 몰입 등을 개발하여, 전자무역업무의 성과에 미치는 영향을 분석하고 있다. 분석결과, "해외시장 조사업무의 몰입", "e-LC업무의 몰입", "통관업무의 몰입"과 "e-B/L 및 Logistic 업무의 몰입" 그리고 "결제 및 e-Nego업무의 몰입"의 요인들은 전자무역 성과에 유의한 영향을 미치고 있다. 반면 "상역업무의 몰입"은 전자무역 성과에 유의한 영향을 미치고 있지 않다는 분석 결과가 나왔다. 본 연구에서 나타난 바와 같이 전자무역은 무역업체에게 유효한 효과가 있기 때문에 글로벌 전자무역과 시스템 개발에 노력해야 하며, 각 관련부처간의 시스템 연계의 통일화를 기해야 할 것이다.

• 한국응용과학기술학회지
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• 제40권4호
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• pp.733-742
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• 2023

본 연구는 간호대학생을 대상으로 강점인식과 진로적응성과의 관계에서 결과기대의 매개효과를 규명하여, 간호대학생의 진로적응성을 증진시키기 위한 교육프로그램 개발에 기초자료를 제시하고자 수행되었다. 연구대상은 G광역시와 J도에 소재한 대학교 3곳의 간호대학생 284명을 대상으로 하였다. 자료분석은 SPSS/WIN 26.0프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson 상관분석 및 Baron과 Kenny의 3단계 매개 회귀분석을 이용하였고, Sobel test로 검증하였다. 진로적응성은 강점인식(r=.61, p<.001) 및 결과기대(r=.55, p<.001)와 정적 상관관계를 강점인식은 결과기대(r=.41, p<.001)와 정적 상관관계를 보였다. 결과기대는 강점인식과 진로적응성 사이에서 부분매개효과를 나타냈으며(Z=3.85, p<.001), 강점인식 수준이 높을수록(𝛽=.44, p<.001), 결과기대가 높을수록(𝛽=.33, p<.001), 진로적응성 수준이 높아지며, 진로적응성을 설명하는 설명력은 50%이었다. 간호대학생의 진로적응성 증진을 위해서는 개인에 대한 긍정적 사고로 강점을 인식하도록 할 뿐 아니라 바람직한 결과기대 형성을 위한 태도를 동시에 증진시킬 필요가 있음을 시사한다.

• 대한족부족관절학회지
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• 제10권1호
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• pp.1-6
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• 2006

Purpose: To evaluate the clinical manifestations, the patterns and the functional outcome of the amputations due to the diabetic foot complications. Materials and Methods: Fifty patients (50 feet) of diabetic foot amputations were followed for more than 1 year. The mean age was 62.5 years, and the mean follow-up period was 46 months. Retrospective analysis was performed using chart review and interview with the patients. The outcome was assessed with modified AOFAS scale. Results: The diabetic foot lesions were infection in 45 feet, gangrene in 35 feet and ulcer in 15 feet. Toe amputation was most commonly performed procedure (23 cases) followed by below knee and ray amputation. Postoperative modified AOFAS score was average 51.5 points, and 94% were satisfied with outcome. Minor amputations showed better outcome than the major amputations. Conclusion: Overall postoperative functional outcome was encouraging with high patient satisfaction rate (94%). Better outcome was obtained with the minor amputations.

• Journal of Preventive Medicine and Public Health
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• 제43권3호
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• pp.245-256
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• 2010

Objectives: This study aims to compare quality indicators for the hemodialysis services between patients with health insurance and those with medical aid. Methods: This study used data from sampled hospitals that provided a hemodialysis service. A total of 2287 patients were selected, and the information for hemodialysis service has been granted from medical record reviews. A multi-level regression analysis was used to examine the differences in process and outcome indicators for hemodialysis between patients with health insurance and those with medical aid. Process indicators were defined as: frequency of hemodialysis, hemodialysis time, erythropoietin (EPO) use, measurement of hemodialysis dose at least once a month, measurement of phosphate at least once every three months, and measurement of albumin at least once every three months. Outcome indicators were defined as: hemodialysis adequacy, anemia management, blood pressure management, and calcium, phosphate and nutrition management. The total scores for outcome indicators ranged from 0 (worst) to 4 (best). Results: There was a significant difference in the measurement of hemodialysis dose at least once a month between patients with health insurance and those with medical aid (OR 0.66, 95% CI = 0.43 - 0.99). However, frequency of hemodialysis, hemodialysis time, EPO use, measurement of phosphate at least once every three months, measurement of albumin at least once every three months, hemodialysis adequacy management, Hb${\geq}$11 g/dL, blood pressure within the range of 100-140 /60-90 mmHg, calcium x phosphate${\leq}$55 $g^2/dL^2$ and albumin${\geq}$4 g/dL were not significantly different between the groups. Conclusions: There were no significant differences in outcome indicators for hemodialysis between the groups. Further studies are warranted into the mechanism that results in no differences in the outcome indicators for hemodialysis.

• 근관절건강학회지
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• 제11권1호
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• pp.74-87
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• 2004

Purpose: This study aims to analyze the outcome of exercise programs for Rheumatoid Arthritis patients and its tendency with network analysis. Method: 30 articles from Medline search of foreign nursing journals(1966-2002) and 5 from three Korean nursing journals(1970-2002) were surveyed. The contents analyses were focused on outcome measures and network analysis of exercise programs. Results: Exercise programs result in improving muscle strength(91.7%), aerobic capacity(72.9%), and 50 feet walk time(57.3%). Among several exercises, water exercise, and Tai-chi are in the middle of weight-bearing exercises. In the experimental design, non-randomized control trials were 40%, and the functional status of subjects were not classified in 40% of the articles surveyed. Conclusion: Considering the results, muscle strength, aerobic capacity, and 50 feet walk time were tested as valid outcome measures. Tai-chi exercise could be recommended as proper exercise for Rheumatoid arthritis patients because of its low intensity of weight-bearing exercise. In terms of research methods, the randomized trials and functional classifications of rheumatoid arthritis should be done more strictly.

• 대한소아신경학회지
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• 제26권4호
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• pp.240-245
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• 2018

목적: 병원 외 심정지 후 회복된 혼수 상태의 소아 환자에서 신경학적 예후를 예측하는 것은 어렵다. 본 연구는 병원 외 심정지 후 자발순환회복 된 소아 환자에서 뇌파와 혈액 검사를 통해 신경학적 예후를 예측할 수 있는지 알아보았다. 방법: 2006년부터 2015년까지 병원 외 심정지로 가천대학교 의과대학 길병원에 방문한 1개월 이상 18세 미만의 소아 환자를 대상으로 하였다. 뇌파 분석은 배경파 점수화(background scoring), 자극에 대한 반응성(reactivity)의 유무 및 뇌파 상 경련(electrographic seizures)의 유무를 포함하였다. 배경파는 0점(nomal/organized), 1점(slow and disorganized), 2점(discontinuous or burst suppression), 3점(suppressed and featureless)으로 분류하였다. 신경학적 예후는 심정지 발생 후 최소 6개월 후에 PCPC에 따라 분류하였다. 결과: 좋은 신경학적 예후군(PCPC 1-3점) 9명과 불량한 신경학적 예후군(PCPC 4-6점) 17명으로 총 26명의 환자를 분석하였다. 불량한 예후군 환자의 88.2%, 좋은 예후군 환자의 44.4%에서 suppressed and featureless 소견을 보여 두 군간의 차이가 있었다(P=0.028). non-convulsive status epilepticus를 제외한 electrographic ictal discharges는 좋은 예후군의 44.4%, 불량한 예후군의 5.9%에서 보여 두 군간의 차이가 있었다(P=0.034). 불량한 예후군에서 산혈증, 젖산혈증, 고암모니아혈증이 좋은 예후군에 비해 의미있게 증가되어 있었다. 결론: 병원 외 심정지 후 회복된 소아 환자에서 뇌파 배경파가 suppressed and featureless 패턴을 보이는 경우 불량한 예후와 관련이 있고 electrographic ictal discharges 가 있는 경우 좋은 신경학적 예후와 관련이 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7133-7136
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• 2013

Background: We studied Surveillance, Epidemiology and End Results (SEER) breast cancer data of Georgia USA to analyze the impact of socio-economic factors on the disparity of breast cancer treatment outcome. Materials and Methods: This study explored socio-economic, staging and treatment factors that were available in the SEER database for breast cancer from Georgia registry diagnosed in 2004-2009. An area under the receiver operating characteristic curve (ROC) was computed for each predictor to measure its discriminatory power. The best biological predictors were selected to be analyzed with socio-economic factors. Survival analysis, Kolmogorov-Smirnov 2-sample tests and Cox proportional hazard modeling were used for univariate and multivariate analyses of time to breast cancer specific survival data. Results: There were 34,671 patients included in this study, 99.3% being females with breast cancer. This study identified race and education attainment of county of residence as predictors of poor outcome. On multivariate analysis, these socio-economic factors remained independently prognostic. Overall, race and education status of the place of residence predicted up to 10% decrease in cause specific survival at 5 years. Conclusions: Socio-economic factors are important determinants of breast cancer outcome and ensuring access to breast cancer treatment may eliminate disparities.