• 인간행동과 음악연구
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• 제13권1호
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• pp.61-87
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• 2016

자폐범주성장애 아동은 사회적 의사소통 발달에 있어 넓은 범주의 개별적 변이성을 보이기 때문에 이에 대한 중재 개입 시 효과적인 전략이 매우 중요하며, 이를 정확하게 평가할 수 있는 사회적 의사소통 평가도구의 중요성이 지속적으로 강조되고 있다. 본 연구에서는 음악 중재 문헌 내에서 사용된 사회적 의사소통 측정 도구에 대해 고찰하고 이를 분석하였다. 전자데이터베이스 및 음악치료 학술지 검색을 통해 자폐범주성장애 아동의 사회적 의사소통을 변인으로 한 중재 연구 중 1980년에서 2015년까지 출간된 통제된 디자인의 연구가 검색되었고, 최종 분석에는 21개의 연구가 포함되었다. 분석 결과, 측정 도구 유형으로는 행동 직접 관찰이 가장 많이 사용되었고, 측정 도구 유형과 그에 따른 목표 영역 간 조합에 있어 변이성이 크게 나타났다. 또한 선정된 연구 중 90.4%를 차지하는 연구에서 측정 도구 사용의 적절성 검증을 위한 평가자 간 신뢰도가 보고되고 있음이 나타났다. 이러한 결과는 음악치료 중재문헌 내에서 객관적, 체계적 평가 시도가 증가함에도 불구하고, 동일 기능 수준에 접근하는 개별 연구 간 평가 방안 및 전략에 있어 일관성이 떨어지고, 이로 인한 임상근거 도출에 제한이 있음을 시사한다. 결론적으로 자폐범주성장애의 고유한 특성을 고려하여, 사회적 의사소통 평가 시 전반적 기능 수준 변화뿐만 아니라 특정한 행동 습득, 사회 인지 수준 등을 고려할 필요가 있음을 제언하였다.

• 산업경영시스템학회지
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• 제40권2호
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• pp.78-91
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• 2017

In this study, we conducted a comparative study on user's perception and behavior on public system service (PSS) using institutionalism theory and MGA (multi-group analysis) methodology. In particular, this study focuses on how institutional isomorphism is applied to public system services and how MGA can be implemented correctly in a variance based SEM (structural equation model) such as PLS (partial least square). A data set of 496 effective responses was collected from pubic system users and an empirical research was conducted using three segmented models categorized by public proximity theory (public firms = 113, government contractors = 210, private contractors = 173). For rigorous group comparisons, each model was estimated by the same indicators and approaches. PLS-SEM was used in testing research hypotheses, followed by parametric and non-parametric PLS-MGA procedures in testing categorical moderation effects. This study applied novel procedures for testing composite measurement invariance prior to multi-group comparisons. The following main results and implications are drawn : 1) Partial measurement invariance was established. Multi-group analysis can be done by decomposed models although data can not be pooled for one integrated model. 2) Multi-group analysis using various approaches showed that proximity to public sphere moderated some hypothesized paths from quality dimensions to user satisfaction, which means that categorical moderating effects were partially supported. 3) Careful attention should be given to the selection of statistical test methods and the interpretation of the results of multi-group analysis, taking into account the different outcomes of the PLS-MGA test methods and the low statistical power of the moderating effect. It is necessary to use various methods such as comparing the difference in the path coefficient significance and the significance of the path coefficient difference between the groups. 4) Substantial differences in the perceptions and behaviors of PSS users existed according to proximity to public sphere, including the significance of path coefficients, mediation and categorical moderation effects. 5) The paper also provides detailed analysis and implication from a new institutional perspective. This study using a novel and appropriate methodology for performing group comparisons would be useful for researchers interested in comparative studies employing institutionalism theory and PLS-SEM multi-group analysis technique.

• 한국산학기술학회논문지
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• 제19권11호
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• pp.60-67
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• 2018

본 논문은 한국산학기술학회 논문지 심사용 투고요령입니다. 본 논문은 한국산학기술학회 논문지 심사용 투고요령입니다. 간호대학생이 성공적으로 대학생활에 적응하여 전문역량을 갖춘 전문인으로서 성장하기 위해 최근 인간의 개인 행동유형을 파악하여 유형에 따른 중재 프로그램 적용에 대한 연구가 관심을 받고 있다. 이에 본 연구는 DISC 행동유형이 간호대학생들의 지식과 임상수행능력에 미치는 영향을 보고자 시도된 횡단적 조사연구이다. 연구 대상자는 H대학 4학년에 재학 중인 간호학과 학생들이었다. 자료수집 기간은 2015년 3월부터 2016년 12월이었다. 수집된 자료는 SPSS 24.0을 이용하여 분석하였다. DISC 행동유형 분석결과, 주도형 10.6%, 사교형 33.8%, 안정형 48.5%, 신중형 7.1%으로 나타났다. 지식과 임상수행능력 점수는 집단 간, 측정시점 간, 집단과 측정시점 간의 교호작용에서 통계적으로 유의한 차이를 보였다. 측점시점에 따른 지식 점수는 1차(F=4.51, p=0.317)에서 통계적으로 유의한 차이가 없었으나, 2차(F=3.44, p=0.018), 3차(F=2.18, p<.001)에서 통계적으로 유의한 차이가 있었다. 임상수행능력 점수는 1차(F=3.69, p<.001), 2차(F=4.70, p=0.003), 3차(F=1.23, p<.001)에서 통계적으로 유의한 차이가 있었다. 이상의 결과로 간호대학생 개개인이 가지고 있는 행동유형은 다양하고 각각 장단점이 있으므로 교육과정의 학습성과를 향상시키기 위해서는 학생의 다양성을 이해하고 장점을 개발할 수 있는 기회를 제공해야 할 것이다.

• 대한족부족관절학회지
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• 제19권4호
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• pp.142-150
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• 2015

Purpose: Restoration of ankle stability through the strengthening exercise of peroneus muscles is considered an important factor for achievement of successful outcomes, in the rehabilitation program following ankle ligament injuries. However, there were few definitive data on normal muscle strength, including eversion power by peroneus muscles. This study was conducted to evaluate the muscle strength of ankle joint measured using an isokinetic dynamometer in normal Koreans. Materials and Methods: Sixty adults (120 ankles) were recruited and divided into three groups (20 in their twenties, 20 in thirties, and 20 in forties). Each group consisted of 10 males and 10 females. The selection criteria were no history of ankle injury and no evidence of instability. The peak torque, total work, and deficit ratio were measured using the Biodex$^{TM}$ (Biodex Medical Systems). Differences in muscle strength by age, gender and dominant versus non-dominant side were analyzed. Results: The peak torque of dorsiflexion was average 31.5 Nm at $30^{\circ}/s$ of angular velocity and 18.8 Nm at $90^{\circ}/s$; average 69.3 Nm ($30^{\circ}/s$) and 42.4 Nm ($90^{\circ}/s$) on plantarflexion; average 19.6 Nm ($30^{\circ}/s$) and 10.8 Nm ($90^{\circ}/s$) on inversion; average 12.9 Nm ($30^{\circ}/s$) and 8.0 Nm ($90^{\circ}/s$) on eversion. The deficit ratio of strength in women was average 61.1% of men on dorsiflexion; average 66.2% on plantarflexion; average 48.5% on inversion; average 55.4% on eversion. The deficit ratio in non-dominant foot was average 88.6% of dominant foot on dorsiflexion; average 90.1% on plantarflexion; average 85.1% on inversion; average 85.6% on eversion. Conclusion: The muscle strength of the ankle joint showed a tendency to weaken with age. There were significant differences in muscle strength by gender and dominancy. Further studies for comparison of patients with ankle instability, a comparison between before and after surgery for instability, the correlation between clinical outcomes and the recovery in muscle strength will be needed.

• Journal of Korean Neurosurgical Society
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• 제63권2호
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• pp.237-247
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• 2020

Objective : Fixation of the C1-2 segment is challenging because of the complex anatomy in the region and the need for a high degree of accuracy to avoid complications. Preoperative 3D-computed tomography (CT) scans can help reduce the risk of complications in the vertebral artery, spinal cord, and nerve roots. However, the patient may be susceptible to injury if the patient's anatomy does not match the preoperative CT scans. The intraoperative 3D image-based navigation systems have reduced complications in instrument-assisted techniques due to greater accuracy. This study aimed to compare the radiologic outcomes of C1-2 fusion surgery between intraoperative CT image-guided operation and fluoroscopy-guided operation. Methods : We retrospectively reviewed the radiologic images of 34 patients who underwent C1-2 fusion spine surgery from January 2009 to November 2018 at our hospital. We assessed 17 cases each of degenerative cervical disease and trauma in a study population of 18 males and 16 females. The mean age was 54.8 years. A total of 139 screws were used and the surgical procedures included 68 screws in the C1 lateral mass, 58 screws in C2 pedicle, nine screws in C2 lamina and C2 pars screws, four lateral mass screws in sub-axial level. Of the 34 patients, 19 patients underwent screw insertion using intraoperative mobile CT. Other patients underwent atlantoaxial fusion with a standard fluoroscopy-guided device. Results : A total of 139 screws were correctly positioned. We analyzed the positions of 135 screws except for the four screws that performed the lateral mass screws in C3 vertebra. Minor screw penetration was observed in seven cases (5.2%), and major pedicle screw penetration was observed in three cases (2.2%). In one case, the malposition of a C2 pedicle screw was confirmed, which was subsequently corrected. There were no complications regarding vertebral artery injury or onset of new neurologic deficits. The screw malposition rate was lower (5.3%) in patients who underwent intraoperative CT-based navigation than that for fluoroscopy-guided cases (10.2%). And we confirmed that the operation time can be significantly reduced by surgery using intraoperative O-arm device. Conclusion : Spinal navigation using intraoperative cone-beam CT scans is reliable for posterior fixation in unstable C1-2 pathologies and can be reduced the operative time.

• Journal of Acupuncture Research
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• 제23권1호
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• pp.187-215
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• 2006

Objectives : To determine whether the pragmatic acupuncture treatment provides more effective pain relief than treatment using the same acupuncture point to the all patients. Methods : We randomly allocated participants to treatment group 1 and 2. The group 1 is the pragmatic treatment group and the group 2 is using the same acupuncture point to the all patients. Primary outcomes were measured by the Western Ontario and McMaster Universities Osteoarthritis index(WOMAC) pain and function scores at 4, 8, and 14 weeks. Secondary outcomes were measured by 100mm VAS(Visual Analog Scale), ROM(Range of Motion) using Goniometer, and pain threshold using pressure algometer. Results : When patients were extension of the knee, they were statistically significant in improvement of the ROM in 14 weeks. Whole body condition and pain rate through VAS measurement were improved significantly in 14 weeks. Also pain score and function score of WOMAC were improved significantly in 14 weeks. We could get difference in pain score of two acupuncture groups significantly in 14 weeks. But we could not get difference in whole score of two acupuncture groups significantly. Local temperature using T.C thermometer was changed significantly in 14 weeks. But we could not get difference in whole score of two acupuncture groups significantly. Excluding above item, DITI, pain threshold, and ROM of the knee flexion were no difference in before and after treatment.

• 서비스연구
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• 제7권3호
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• pp.71-91
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• 2017

본 연구는 개인 창의성과 조직 구성원의 가치혁신문화 인식이 혁신행동 및 지식공유에 어떠한 영향을 미치는지 규명하고, 혁신행동과 지식공유를 매개로 조직의 혁신성과와 경영성과에 어떠한 영향을 미치는지를 검정함으로써 기업 경영의 경쟁력을 높이기 위한 방향을 제시하는데 목적이 있다. 이러한 연구목적을 달성하기 위해 기존의 선행연구를 통해 각 변수의 측정변인들을 추출하고 가설검정을 위해 423명의 유효 표본을 대상으로 SPSS 22.0 통계 패키지 프로그램과 LISREL 9.1을 활용하여 분석하였다. 본 연구의 분석결과, 개인 창의성의 창의적 사고기술과 조직의 가치혁신 문화 인식의 의미 있는 업무, 위험감수문화는 혁신행동에 유의한 영향을 미치는 것으로 나타났으며, 조직의 가치혁신 문화 인식의 의미 있는 업무 요인만이 지식공유에 영향을 미치는 것으로 나타났다. 혁신행동은 지식공유 및 혁신성과에 유의한 영향을 미치는 것으로 나타난 반면, 경영성과에는 영향을 미치지 않는 것으로 나타났다. 또한 지식공유는 혁신성과에는 유의한 영향을 미치지 않으나 경영성과에는 유의한 영향을 미치는 것을 확인하였다. 마지막으로 혁신성과는 경영성과에 유의한 영향을 미치고 있음을 확인하였다.

• Journal of Nutrition and Health
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• 제47권5호
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• pp.351-363
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• 2014

본 연구는 도시지역의 식품상점 환경을 측정하기 위한 조사도구를 개발하고, 활용가능성 및 신뢰도를 검증하기 위해 실시하였다. 문헌고찰을 통해 기 개발된 식품상점 조사도구를 검토하여, 우리나라 실정에 맞는 식환경 조사도구를 개발하였고, 크게 식품상점의 특성, 접근성, 식품의 이용가능성에 대한 문항으로 구성하였다. 개발된 조사도구의 현장 적용성 검토를 위해 소요시간, 응답수월성, 참여의사, 현장조사의 어려움, 사용된 용어의 적절성 등을 평가한 결과, 조사시간이 상점의 특성에 따라 차이가 있다는 점을 제외하고는, 모든 측면에서 현장적용성이 높았다. 그리고 식품의 이용가능성 문항에 대해 신뢰도를 검증한 결과, 조사자간 및 조사자내 일치율이 매우 높았다. 건강이 강조된 식품의 경우에는 일반식품에 비해 상대적으로 일치율이 낮았으나, 여전히 높은 일치율 수준을 보였다. 본 연구에서 개발한 식환경 조사도구는 현장적용성과 신뢰도가 높은 것이 확인되었으므로, 추후에 객관적인 식환경 측정이 필요한연구에 다양하게 활용될 수 있을 것이다.

• 한국산업보건학회지
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• 제19권1호
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• pp.25-29
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• 2009

The purpose of this study was to investigate the effect of two different lifting posture on the plantar foot pressure, force and COP(center of pressure) trajectory path during object lifting. Fourteen healthy adults who had no musculoskeletal disorders were instructed to lift with two postures(stoop and squat) and two object weights(empty box and 10 kg box). Plantar foot pressures, forces and COP trajectory path were recorded by the F-mat system(Tekscan, Boston, USA) during object lifting with barefoot. Plantar foot surface was defined as seven regions for pressure measurement; two toe regions, three forefoot regions, one midfoot region and one heel region. Paired t-test was used to compare the outcomes of peak pressure and maximum force with different two lifting postures and two object weights. Plantar peak pressure and maximum force under hallux was significantly greater in squat posture than stoop posture during the two different boxes lifting(p<.05). During the empty box lifting, maximum force under lessor toes was significantly less and plantar peak pressure under second metatarsal region was significantly greater in squat than stoop(p<.05). Maximum force under heel was significantly less in squat than stoop posture during 10kg box lifting(p<.05). Finally, COP trajectory path was significantly greater in squat than stoop(p<.05). These findings confirm that there are significantly change in the structure and function of the foot during the object lifting with different posture. Future studies should focus on the contribution of both structural and functional change to the development of common foot problems in adults.

• 대한간호학회지
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• 제36권4호
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• pp.621-629
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• 2006

Purpose. The purpose of this study was to identify the clinical variables that predict functional and cognitive recovery at 1- and 6-month in both severe and moderate/mild traumatic brain injury patients. Methods. The subjects of this study were 82 traumatically brain-injured patients who were admitted to a Neurological Intensive Care Unit at a university hospital. Potential prognostic factors included were age, motor and pupillary response, systolic blood pressure, heart rate, and the presence of intracranial hematoma at admission. Results. The significant predictors of functional disability in severe traumatic brain injury subjects were, age, systolic blood pressure, the presence of intracranial hematoma, motor response, and heart rate at admission. In moderate/mild traumatic brain injury patients, motor response, abnormal pupil reflex, and heart rate at admission were identified as significant predictors of functional disability. On the other hand, the significant predictors of cognitive ability for severe traumatic brain injury patients were motor response and the presence of intracranial hematoma at admission, whereas those for moderate/mild patients were motor response, pupil reflex, systolic blood pressure at admission, and age. Conclusions. The results of the present study indicate that the significant predictors of TBI differ according to TBI severity on admission, outcome type, and outcome measurement time. This can be meaningful to critical care nurses for a better understanding on the prediction of brain injury patients. On the other hand, the model used in the present study appeared to produce relatively low explicabilities for functional and cognitive recovery although a direct comparison of our results with those of others is difficult due to differences in outcome definition and validation methods. This implies that other clinical variables should be added to the model used in the present study to increase its predicting power for determining functional and cognitive outcomes.