• 제목/요약/키워드: P242

검색결과 597건 처리시간 0.031초

방사선종양학과 방사선사의 직무 만족에 관한 조사 연구 (Research of Job Satisfaction in Radiation Therapy Technologist)

  • 심재구;정홍량;유인규
    • 한국콘텐츠학회논문지
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    • 제12권8호
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    • pp.224-232
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    • 2012
  • 본 연구는 서울, 경기 지역의 의료 기관에 종사하는 방사선 종양학과 방사선사 211명을 대상으로 직무 스트레스가 조직 효과성에 미치는 영향의 요인별 신뢰도를 분석하였으며, 조직문화와 셀프 리더쉽의 각각의 유형을 분류하기 위해 요인분석을 시행한 결과는 다음과 같다. 직무몰입과 조직 만족도는 성별, 연령에 차이는 없었으나 근무 년 수가 1년 미만과 15년 이상인 경우 유의한 차이를 보였고, 직책이 높을수록 조직 몰입도와 조직 만족도가 높게 나타났다. 각 파트별 근무에 따른 조직 몰입 및 근무 만족도에 대해서는 유의한 차이가 나타나지 않았다. 방사선 종양학과의 직무 특수성간 상관관계를 분석한 결과 직무만족(r=0.601, p<0.001), 조직몰입(r=0.522, p<0.001), 스트레스(r=0.605, p<0.001), 조직문화의 위계지향 (r=-0.182, p=0.008), 조직문화의 혁신지향 (r=0.212, p<0.002), 조직문화의 관계지향 (r=0.453, p<0.001), 셀프리더십의 자부심 (r=0.387, p<0.001), 셀프리더십의 리허설과 자기관찰(r=0.242, p<0.001), 셀프리더십의 자기목표설정(r=0.249, p<0.001), 셀프리더십의 자기보상 (r=0.341, p<0.001) 항목들은 모두 유의한 상관 관계를 보이고 있다. 본 연구의 결과를 통해 향 후 방사선 종양학과 방사선사의 직무 만족도 조사를 통해 효율적인 인력 및 조직 관리 방안을 마련하는데 도움이 될 것으로 사료된다.

울혈성 심부전 환자에서 N-Terminal Probrain-type Natriuretic Peptide의 진단적 유용성 (Diagnostic Usefulness of N-Terminal Probrain-type Natriuretic Peptide to Detect Congestive Heart Failure Patients)

  • 손계성
    • 대한임상검사과학회지
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    • 제37권2호
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    • pp.88-95
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    • 2005
  • Even though the echocardiograph has been recognized as the method of choice among various diagnostic tools to detect congestive heart failure (CHF), there were some limitations in relation to the consumption of time, labor and process. We analyzed results of N-terminal probrain-type natriuretic peptide (NT-proBNP) and various parameters of the echocardiographic findings to clarify the diagnostic usefulness of NT-proBNP in detecting patients with CHF. We analyzed the sera from total of 242 cases from in-patients and out-patients, which were requested from the cardiovascular section of department of Internal Medicine at Chungnam National University Hospital from March 2003 to May 2004. The procedures were performed in order as shown below; sampling, NT-proBNP analysis, data acquisition and data analysis. All data including personal information and echocardiographic findings ware acquired by medical record review. When classifying the study population into six groups according to the degree of left ventricular ejection fraction (LVEF), the serum level of NT-proBNP was higher in the group with 51-60% of LVEF (P=0.023). There were low correlation between the serum level of NT-proBNP and various parameters of the echocardiographic findings with LVESD (r=0.1513), LVEDD (r=0.0831), LVEF (r=0.2035), IVST (r=0.03) and LVPWT (r=0.0728), respectively. When comparing NT-proBNP with atrial and/or ventricular enlargement, the patient group with both left atrial and left ventricular enlargement (p=0.186) or only left atrial (p=0.105) or only left ventricular enlargement (p=0.256) showed higher level of NT-proBNP without statistical significance than patient group with no enlargement. Searching the optimal cutoff of the serum level of NT-proBNP, the sensitivity (98.9%) and the specificity (100%) was highest at the cutoff of 300 pg/mL than any other cutoffs. These findings suggested that the analysis of NT-proBNP in serum might detect the patients with CHF earlier than with the echocardiograph, especially in patients with asymptomatic or mild symptomatic CHF. In conclusion, NT-proBNP test was proved to be clinically useful to diagnose CHF patients.

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Comparison of Surgical Outcomes between Robotic and Laparoscopic Gastrectomy for Gastric Cancer: The Learning Curve of Robotic Surgery

  • Kang, Byung Hee;Xuan, Yi;Hur, Hoon;Ahn, Chang Wook;Cho, Yong Kwan;Han, Sang-Uk
    • Journal of Gastric Cancer
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    • 제12권3호
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    • pp.156-163
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    • 2012
  • Purpose: Laparoscopic gastrectomy is a widely accepted surgical technique. Recently, robotic gastrectomy has been developed, as an alternative minimally invasive surgical technique. This study aimed to evaluate the question of whether robotic gastrectomy is feasible and safe for the treatment of gastric cancer, due to its learning curve. Materials and Methods: We retrospectively reviewed the prospectively collected data of 100 consecutive robotic gastrectomy patients, from November 2008 to March 2011, and compared them to 282 conventional laparoscopy patients during the same period. The robotic gastrectomy patients were divided into 20 initial cases; and all subsequent cases; and we compared the clinicopathological features, operating times, and surgical outcomes between the three groups. Results: The initial 20 robotic gastrectomy cases were defined as the initial group, due to the learning curve. The initial group had a longer average operating time ($242.25{\pm}74.54$ minutes vs. $192.56{\pm}39.56$ minutes, P>0.001), and hospital stay ($14.40{\pm}24.93$ days vs. $8.66{\pm}5.39$ days, P=0.001) than the experienced group. The length of hospital stay was no different between the experienced group, and the laproscopic gastrectomy group ($8.66{\pm}5.39$ days vs. $8.11{\pm}4.10$ days, P=0.001). The average blood loss was significantly less for the robotic gastrectomy groups, than for the laparoscopic gastrectomy group ($93.25{\pm}84.59$ ml vs. $173.45{\pm}145.19$ ml, P<0.001), but the complication rates were no different. Conclusions: Our study shows that robotic gastrectomy is a safe and feasible procedure, especially after the 20 initial cases, and provides a satisfactory postoperative outcome.

Sarcopenia and Post-Operative Morbidity and Mortality in Patients with Gastric Cancer

  • O'Brien, Stephen;Twomey, Maria;Moloney, Fiachra;Kavanagh, Richard G.;Carey, Brian W.;Power, Derek;Maher, Michael M.;O'Connor, Owen J.;O'Suilleabhain, Criostoir
    • Journal of Gastric Cancer
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    • 제18권3호
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    • pp.242-252
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    • 2018
  • Purpose: Surgical resection for gastric adenocarcinoma is associated with significant post-operative morbidity and mortality. The aim of this study was to assess the prognostic significance of sarcopenia in patients undergoing resection for gastric adenocarcinoma with respect to post-operative morbidity and survival. Materials and Methods: A retrospective analysis was conducted on a cohort of consecutive patients who underwent surgical resection for gastric adenocarcinoma between 2008 and 2014. Patient demographics, radiological parameters, and pathological data were collected. OsiriX software (Pixmeo) was used to measure skeletal muscle area, which was normalized for height to calculate skeletal muscle index. Results: A total of 56 patients (41 male, 15 female; mean age, $68.4{\pm}11.9years$) met the inclusion criteria. Of these, 36% (20 of 56) of the patients were sarcopenic pre-operatively. Both sarcopenic and non-sarcopenic patient groups were equally matched with the exception of weight and body mass index (P=0.036 and 0.001, respectively). Sarcopenia was associated with a decreased overall survival (log-rank P=0.003) and was an adverse prognostic predictor of overall survival in multivariate analysis (hazard ratio, 10.915; P=0.001). Sarcopenia was a predictor of serious in-hospital complications in multivariate analysis (odds ratio, 3.508; P=0.042). Conclusions: In patients undergoing curative resection for gastric cancer, there was a statistically significant association between sarcopenia and both decreased overall survival and serious post-operative complications. The measurement and reporting of skeletal muscle index on pre-operative computed tomography should be considered.

해바라기침선충(Paratylenchus projectus)에 의한 상추 피해 발생 보고 (First Report of Corky Roots of Lettuce (Lactuca sativa) Associated with Paratylenchus projectus)

  • 권기윤;강헌일;서종민;윤을수;박남숙;최인수
    • 식물병연구
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    • 제25권4호
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    • pp.237-242
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    • 2019
  • 상추 시설재배지에서 해바라기침선충(Paratylenchus projectus)에 의한 피해가 발생하였다. 피해발생 시설에서 약 3개월 정도 상추를 재배하고 있었는데 상품성이 있는 상추는 전혀 생산되지 않았다. 피해 상추는 잔뿌리가 거의 없었고 굵은 뿌리는 푸석하게 부풀어 코르크화 현상이 발생했었다. 본 시설하우스에서 발견된 침선충 밀도는 토양 100 ㎤ 당 평균 3,296마리(320-11,600)로 매우 높았고 본 시설하우스의 흙을 사용하여 상추를 정식하여 실험한 결과, P. projectus 접종구에서 30% 정도 상추 생육의 저하가 발생하였다. 따라서 이 증상을 해바라기 침선충(P. projectus)에 의한 "상추 뿌리 코르크병"으로 명명하고자한다.

대학생의 e헬스 리터러시가 건강증진행위에 미치는 영향 (Influence of eHealth Literacy on Health Promoting Behaviors among University Students)

  • 황아름;강현욱
    • 한국학교보건학회지
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    • 제32권3호
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    • pp.165-174
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    • 2019
  • Purpose: The purpose of this study was to identify the influence of eHealth literacy on health promoting behaviors, thereby providing basic data for the development of interventions for health promoting behaviors among university students. Methods: Data were collected from 242 university students aged 19 and over in a university located in K province in South Korea. Participants responded to structured questionnaires in September 2018. eHealth literacy and health promoting behaviors were measured by eHealth Litaracy (EHL) and a translated version of the Health Promoting Lifestyle Profile (HPLP-II), respectively. The correlation between eHealth literacy and health promoting behaviors were analyzed using Pearson's correlation, and multiple regression analysis was carried out to examine the influence of eHealth literacy on health promoting behaviors. Results: The participants had a moderate level of eHealth literacy with the greatest score recorded in the sub-domain of functional eHealth literacy and the lowest in the sub-domain of critical eHealth literacy. Female students and students who majored in healthcare had higher levels of eHealth literacy than male students and those with non-healthcare majors. The degree of health promoting behaviors was moderate or lower with the highest score being in the sub-domain of interpersonal support and the lowest in the sub-domain of health responsibility. Health promoting behaviors had significant relationships with eHealth literacy, exercise hours, subjective health status, and health concerns. Multiple regression analyses revealed that the participants engaged more in health promoting behaviors when they had greater eHealth literacy (β=.18, p<.001), interest in their own health (β=.33, p<.001), exercise hours (β=.18~.23, p<.001), and subjective health status (β=.17~.18, p=.007~.031). Conclusion: In order to facilitate health promoting behaviors of university students, interventions for health promoting behaviors need to be developed including strategies to improve competencies relevant to critical eHealth literacy and to increase exercise hours.

Therapeutic alternatives in painful diabetic neuropathy: a meta-analysis of randomized controlled trials

  • Vilar, Samuel;Castillo, Jose Manuel;Martinez, Pedro V. Munuera;Reina, Maria;Pabon, Manuel
    • The Korean Journal of Pain
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    • 제31권4호
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    • pp.253-260
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    • 2018
  • Background: One of the most frequent problems caused by diabetes is the so called painful diabetic neuropathy. This condition can be treated through numerous types of therapy. The purpose of this study was to analyze, as a meta-analysis, different treatments used to alleviate painful diabetic neuropathy, with the aim of generating results that help making decisions when applying such treatments to tackle this pathology. Methods: A search was conducted in the main databases for Health Sciences, such as PUBMED, Web of Science (WOS), and IME biomedicina (Spanish Medical Reports in Biomedicine), to gather randomized controlled trials about treatments used for painful diabetic neuropathy. The analyzed studies were required to meet the inclusion criteria selected, especially those results related to pain intensity. Results: Nine randomized controlled trials were chosen. The meta-analysis shows significant positive effects for those treatments based on tapentadol [g: -1.333, 95% CI (-1.594; -1.072), P < 0.05], duloxetine [g: -1.622, 95 % CI (-1.650; -1.594), P < 0.05], pregabalin [g: -0.607, 95% CI (-0.980; -0.325), P < 0.05], and clonidine [g: -0.242, 95 % CI (-0.543; -0.058), P < 0.05]. Conclusions: This meta-analysis indicates the effectiveness of the treatments based on duloxetine, gabapentin and pregabalin, as well as other drugs, such as tapentadol and topic clonidine, whose use is better prescribed in more specific situations. The results provided can help increase the knowledge about the treatment of painful diabetic neuropathy and also in the making of clinical practice guidelines for healthcare professionals.

The Effect of Violent Experience on Burnout among Some Dental Hygienists

  • Jeon, Eun-Jeong;Han, Mi Ah;Park, Jong;Choi, Seong Woo
    • 치위생과학회지
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    • 제17권5호
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    • pp.413-422
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    • 2017
  • This study investigated the effect of violent experience on burnout among some dental hygienists. The study subjects were 242 dental hygienists working at dental clinics. Data were collected by self-administered questionnaire including information such as demographics, work-related characteristics, working environment, experience of violence, and burnout. The violence was classified as verbal violence, physical threat, or physical violence committed by dentists, patients, or caregivers. Descriptive analysis, t-test, ANOVA, correlation, and multiple linear regression analysis were performed to examine the factors associated with burnout. The levels of verbal violence, physical threat, and physical violence by dentists were $0.53{\pm}1.26$, $1.12{\pm}2.70$, and $0.04{\pm}0.42$, respectively. The levels of verbal violence, physical threat, and physical violence by patients and caregivers were $1.50{\pm}1.89$, $1.41{\pm}2.24$, and $0.24{\pm}1.38$, respectively. The score of burnout was $3.13{\pm}0.43$. Total violence, verbal violence, and physical violence by dentists were positively correlated with burnout. Total violence, verbal violence, and physical threat by patients and caregivers were positively correlated with burnout. In multiple linear regression analysis, the level of physical violence by dentists was positively associated with burnout of dental hygienists (${\beta}=0.95$, p=0.032). The levels of total physical violence (${\beta}=0.28$, p=0.002), verbal violence (${\beta}=0.15$, p<0.001), and physical threat (${\beta}=0.19$, p=0.009) by the patients or caregivers were positively associated with burnout of dental hygienists. This study examined the association between violence and burnout among dental hygienists. The level of violence showed positive correlation with burnout. Environment improvement to protect employees from violence and for management of employees who experienced workplace violence are needed to reduce the burnout.

부산 지역 지하수의 수질오염 특성 (The Characteristics of Groundwater quality in the Pusan Area)

  • 정상용;강동환;심병완
    • 한국지하수토양환경학회:학술대회논문집
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    • 한국지하수토양환경학회 1998년도 공동 심포지엄 및 추계학술발표회
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    • pp.86-92
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    • 1998
  • 부산 지하수의 오염실태와 그 특성을 파악하기 위하여 1996년과 1997년에 분석된 지하수 수질자료 중에서 pH, TS, KMnO$_4$소비량, Cl, SO$_4$등을 통계분석 하였다. 각 성분의 평균치는 pH가 모두 7.3, TS는 216.0 mg/$\ell$와 242.3 mg/$\ell$, KMnO$_4$소비량은 2.6 mg/$\ell$와 6.3 mg/$\ell$, Cl은 35.7과 50.1mg/$\ell$, SO$_4$는 25.4와 33.9mg/$\ell$이다. 2년 동안 pH의 음용수 기준치 초과 비율은 0.55와 0.47%, TS는 1.89와 2.50%, KMnO$_4$소비량은 0.73과 1.17%, Cl은 1.41과 2.18%, 그리고 SO$_4$는 0.37과 0.86% 이다. 따라서 성분별로 비교해 볼 때, pH의 음용수 기준치 초과비율이 가장 적고, Cl의 초과비율이 가장 크다. Cl 및 SO$_4$이온의 음용수 기준치(각각 100 mg/$\ell$, 200mg/$\ell$) 초과지점과 이 이온들의 평균치보다는 훨씬 큰 100 mg/$\ell$이상되는 지점들의 분포를 분석한 결과, 해안가보다는 내륙에 더 많이 초과지점들이 분포한다. 따라서 부산지하수는 해수에 의한 영향보다는 내륙에서 생활하수나 기타원인(공장폐수, 오염된 하천수, 폐기물 매립 등)에 의한 오염이 훨씬 큰 것으로 보인다. 1996년에 5개 성분의 음용수 기준치 초과비율은 5.06%이고, 1997년의 초과비율은 6.87%로 전년도에 비하여 약간 증가하였다. 그러나 부산이 바다에 접하고 또한 인구과밀 지역임을 고려할 때, 부산의 지하수 수질은 양호한 편이다. 따라서 앞으로 부산 지하수의 보전 및 관리가 적절하게 진행된다면 부산에서 지하수는 시민의 생활용수로서의 역할을 증대해 나갈 수 있을 것이다.

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간호사의 심리적 계약이 발언행동에 미치는 영향 (The effect of psychological Contract of Nurse on Voice Behavior)

  • 이미향;우정희;배영희
    • 디지털융복합연구
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    • 제16권2호
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    • pp.235-242
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    • 2018
  • 본 연구는 간호사의 심리적 계약이 발언행동에 미치는 영향을 확인하여 조직의 인적자원관리와 효율적 병원 경영을 위한 기초자료를 제공하고자 하였다. 연구 참여에 동의한 간호사를 대상으로 실시한 서술적 조사연구이다. 연구결과 심리적 계약의 조직의무 이행 인식정도에서 거래적 계약과 관계적 계약 모두 낮게 나타났으며 발언행동은 지지적 발언, 건설적 발언, 저항적 발언, 부정적 발언 순으로 나타났다. 심리적 계약과 발언 행동의 하위 영역 관계를 보면 거래적 계약과 건설적 발언은 양의 상관관계가 있었으며(p<.05), 관계적 계약과 부정적 발언은 음의 상관관계가 있었다(p<.05). 따라서 의료기관은 새로운 정책, 조직 변화를 수행하고자 할 때 간호사의 역할 변화에 따른 내적 외적 보상이 이루어질 수 있는 시스템을 구축하는 것이 필요하다. 또한 간호사가 정책이나 조직변화에 적극 참여할 수 있도록 조직문화를 개선시키는 것이 필요하다.