• 치과방사선
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• 제27권1호
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• pp.273-281
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• 1997

Patient with complaints of swelling, pain in the maxillaly region and discomfort visited Seoul National University Dental Hospital in August last year. Clinical examination and diagnostic imagings implied he was suffered from fungal hyphal infection but no causative fungus was found by the histopathologic and microbiologic investigation. Therefore he was diagnosed with nonspecific inflammation. But as yet, we do think this case is very similar to some kinds of mucormycosis. So we presented this case for more thorough discussion.Followings are founded in the examination. 1. Patient had suffered from Diabetes mellitus and complained of stuffness, headache, swelling in buccal cheeks and paresthesia And we found more maxillary bony destruction and ulcer with elevated margin in the palate by clinical examination. 2. In the first visit, Plain films revealed general bony destruction of the maxilla, radiopaqueness in the sinonasal cavities. or and MRI showed soft tissue mass filled in the paranasal sinus except frontal sinus and bony destruction in involved bones. 3. No causative bacteria and fungus was found in the biopsy and microbiologic cultures. 4. Caldwell-Luc operation and curettage were carried and antJbiotics were taken for 4 months. But now he was worse than in the past 5. In the second visit, involvement of orbit, parapharyngeal sinus, clivus, cavernous sinus and middle cranial fossa were seen clearly in the or and MRI.

• 한방안이비인후피부과학회지
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• 제30권2호
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• pp.51-85
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• 2017

Objectives : This study aimed to investigate the awareness improvement of atopic dermatitis(AD) for AD children's parents and to evaluate the mental health condition of AD children and QoL of their parents. Methods : We conducted elementary school visit education(the first education) and recruited children and parents who wanted to participate the hospital visit education(the Second education). In the first education, we lectured about AD, performed survey about QoL and awareness about AD and obtained 48 valid results. In the second education, we performed an education for AD again, skin condition evaluation, mental health analysis survey and obtained 29 valid results. We compared the AD and non-AD groups of each education in the first and second education. We assessed atopic awareness, FDLQI, DFI, CDI, BAI, and KISE scores by gender, age, duration of disease, onset, and severity of AD. Results : Despite children with AD, the survey showed their parents lacked knowledge about AD. However, they acquired the necessary knowledge in AD education. There was a significant difference in the total score of Atopic awareness between the AD group in the first education and the AD group in the second education. (p=0.042) In addition, the CDI and BAI scores of all patients were divided by the duration of disease, and it was estimated that depression and anxiety disorders may be aggravated by longer term illness. Conclusions and Discussions : This study confirmed duration of AD affects AD children's mental health, and verified positive changes in atopic awareness after AD education.

• 대한간호
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• 제36권1호
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• pp.59-76
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• 1997

The purposes of this study were to identify the contents and satisfaction level of the patients received home care service, and to compare the differences of the contents by the characteristics of the patients. Seventy eight patients received home care service from 1st Jan. to 30th Sept., 1996 were data-collected to analyze the contents and outcomes of home care service. Sixty-nine patients currently receiving home care service were participated to evaluate the satisfaction level of home care service. The data were analyzed using mean, standard deviation, $x^2$ test, and ANOVA by SPSS $PC^+$ program. The findings of this study were as follow : 1. The contents & outcomes of home care service 1) The mean age of the subjects was 64.4 years: 58% of them were female. Those who living in Seoul were 83% and the rest of the subjects was living in Kyung-Gi. 2) The subjects who had one diagnosis were 41%. Over 60% of them had the disease of neurologic & sensory system. 3) The mean number of visit was 6. Only one visit was 22%. The mean time of care was 79 minutes. Duration of visit from 31 minutes to 60 minutes were 47 %. The subjects who terminated the visit because of death were 67.3%. 62% of the persons who referred them to the home care service were nurses. 4) The pain after the service was more relieved than before. The amounts of intake, the degree of bed sore, edema & fracture after the service were more improved than before. Health status after the service was improved in general. 5) There were significant differences between initial and last conscious level in tracheostomy care & oxygen inhalation care. There was significant difference between initial and last degree of activity in blood sugar check. 6) There were significant differences on the number of visit in assessment of the status, evaluation & observation, vital sign check, skin care, injection, medication, bed sore care, colostomy care, relaxation therapy for pain relief, patient education, family care, exercise therapy, position change, supply of disinfected equipments and infection control. There were significant differences on visiting time in nasogastric tube care, drainage tube care and oxygen inhalation care. 2. The satisfaction level of home care service 1) 50% were male. Over 60 years of the subjects was 61 %. Those who living in Seoul were 82%. 2) The subjects who had one or two diagnosis were 32% respectively. 55% of the persons who referred them to the home care service were nurses. 3) Total level of satisfaction of home care service was very high. 4) The older the age, the higher the satisfaction level. The larger the number of visit, the higher the satisfaction level. 5) The subjects who were in cloudy state were higher level of satisfaction than in alert or coma state. The subjects whose activity were normal or who needed assistance were higher level of satisfaction than bedridden or immobilized subjects. These findings suggested that the patients had substantial need for posthospital care. They tended to be elderly and to have experienced the wide range of health problems associated with aging, chronicity, including limitations in activities, and other serious health problems. So, the nationwide home care systems beyond the limit of demonstration program by local association and the development of the effective financial system of home based health care are necessary for the clients who are in need of home care.

• 한국과학예술포럼
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• 제28권
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• pp.105-116
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• 2017

본 연구는 수요자중심의 종합병원 환경디자인 기초연구로서 세대별 사용자 이용행태 특성을 분석하는데 목적이 있다. 이를 위하여 문헌연구를 통하여 세대 및 병원에서의 행태를 파악하였으며, 20대부터 60대 까지 각 세대별 300명씩, 총 1500명을 대상으로 설문조사를 실시하였다. 본 연구결과는 다음과 같다. (1) 이용빈도, 방문목적, 방문시간대, 이용교통수단, 동행인원, 주방문공간, 대기 중 행위, 종합병원 선택방법 관련 항목에서 세대별 유의한 차이가 있는 것으로 나타났다. (2) 전 세대에서 종합병원은 주로 연1-2회 방문한다고 응답하였으며, 20대와 30대는 치료 및 진료를 위하여, 40대, 50대, 60대는 건강검진을 위하여 방문한다고 응답한 비율이 높게 나타나 건강검진센터가 장년층(40s, 50s, 60s)의 특성을 고려한 환경계획이 이루어져야 할 것이다. (3) 40대, 50대, 60대는 평일 오전에 주로 종합병원을 방문하며, 20대, 30대는 주말 오전에 방문한다고 응답한 비율이 상대적으로 높게 나타났다. (4) 종합병원 방문 시 20대는 대중교통을 주로 이용하며 30에서 60대 까지 주로 자가용을 이용하는 비율이 높게 나타났다. (5) 20대는 주로 '로비'를 방문한다고 하였고, 연령대가 높아질수록 '외래진료실' 이라고 응답한 비율이 높게 나타나, 노인층을 배려한 외래진료실 환경구축이 필요할 것이다. (6) 이용자 대부분은 대기시간에 휴대전화를 사용한다고 대답하였고, 연령대가 높아질수록 TV시청, 책 또는 잡기 읽기, 아무것도 안한다고 응답한 비율이 높게 나타났다. 그러므로 휴대전화 사용과 시각적 미디어 관람 환경을 서비스 차원에서 제공하는 것이 필요할 것이다.

• 한국환경생태학회지
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• 제33권6호
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• pp.734-747
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• 2019

본 연구는 무등산국립공원 공원관리 전략을 수립하기 위해 정상부인 서석대 일대를 찾는 탐방객을 대상으로 이용행태와 공원인식, 탐방 만족도에 미치는 요인등을 분석하였다. 분석결과 정상부를 찾는 탐방객은 광주시민이 78.1%로 가장 많았고, 산악형과 도시근교형 특성을 동시에 갖고 있는 것으로 나타났다. 탐방객 91.2%는 서석대 등의 주상절리가 무등산에서 가장 자원가치가 크다고 인식했고, 탐방객 포화에 따른 서석대의 자연 훼손에 대해 탐방객이 우려를 보였다. 이를 보전 및 복원하기 위해 일부 탐방제한이나 탐방로 우회에 대해 절반이상의 탐방객이 긍정적인 반응을 나타냈다. 전체탐방객과 인근탐방객(광주·담양·화순 거주자) 모두 원활한 탐방을 위한 시설관리가 무엇보다 공원관리 만족도에 큰 영향을 미치는 것으로 분석됐다. 인근탐방객의 경우는 이것에 더하여 무질서와 혼잡스러움을 줄이는 탐방관리가 만족도를 높이는 요인이었다. 중요도-만족도 분석에서 전체탐방객은 '편의 및 안내시설'을 개선해야 한다고 인식했다. 한편 인근탐방객은 '편의 및 안내시설' 개선과 함께 '불법 및 무질서 행위 예방'에 집중적인 관리가 필요하다고 느껴, 양측이 차이를 보였다.

• Journal of Forest and Environmental Science
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• 제37권1호
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• pp.69-78
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• 2021

This study aims to verify a difference between the years 2014 and 2019 of Uiryeong-Gil, which is operated by the Visitor-Reservation System, in terms of the cognition of system, operational effectiveness, and behavioral intention. The analysis is as follows. First, among the overall cognition of the Visitor-Reservation System, the satisfaction from - prevention for safety for accident, expansion to other parks, number of visitor restriction, and satisfaction with reservation method - increased compared to 2014. Second, among the effects of the Visitor-Reservation System operation, satisfaction shows differences in year-to-year levels in terms of resource protection, resource damage mitigation efficiency, natural experience opportunity, comfort of visit-environment, and prevention of illegal activities. Third, the analysis of the differences in the behavior of the Visitor-Reservation System showed that the satisfaction of visitors, revisit intention, and overall satisfaction differed per year. The results of this study are meaningful in that the Visitor-Reservation System is no longer the restriction, but the change in cognition for the protection of ecosystems and sustainable visiting in order to expand the Visitor-Reservation System into a sustainable policy.

• Journal of Forest and Environmental Science
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• 제29권4호
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• pp.292-299
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• 2013

The study was undertaken to assess the tourist's carrying capacity and to explore ecotourism potential of Bangabandhu Sheikh Mujib Safari Park, the only safari park of Bangladesh. Carrying capacity was assessed both from physical and social aspect. On the other hand, 250 visitors were interviewed with semi structured questionnaire for ecotourism prospect evaluation along with some secondary data. The total daily-allowed visit was 17,300 with rotation coefficient of 3.46. Maximum daily average numbers of tourists were relatively below the physical carrying capacity of the Park (5,000). The social carrying capacity was 4.38 persons per day. As there are different categories of visitors, their choice of encounters and number of expected encounters also varied. Each year, the total tourist's number varied significantly ($p{\leq}0.05$). That proved the safari park had immense tourist prospect. 85 percent visitors were from lower and middle class family as entrance fees and other fees inside were very cheap in relation to other private amusement place. The ecological perspective of the park will remain unaltered if the carrying capacities of the area are followed with sustainability. Therefore, it is the proper time for taking appropriate decision.

• 수산해양교육연구
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• 제28권1호
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• pp.47-58
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• 2016

The college students were faced with not just technical challenges that require skill acquisition but adaptive challenges that require transforming one's mindset to a more complex way of making meaning. The purpose of this study was confirmed the relations among the help-seeking behavior, self-disclosure and self-concealment of 343 female college students'. As a result of data analysis, positive help seeking attitude was higher when the level of self-concealment was lower and self-disclosure, but regarding help-seeking intention, consultation intention was shown to be higher in the case of lower self-disclosure and higher self-concealment. Therefore, female college students need to visit college consultation centers more often while attending college and it needs to provide those students with mediation so that they can use mental health consultation services easily.

• Journal of Preventive Medicine and Public Health
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• 제51권3호
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• pp.163-168
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• 2018

Objectives: Due to their developmental characteristics, adolescents have a higher probability than other age groups of experiencing injuries caused by accidents, violence, and intentional self-harm. The severity and characteristics of injuries vary by the intentionality and mechanism of injury; therefore, there is a need for a national-level estimate of the scale and the severity of injuries in adolescents that takes these factors into account. Methods: By using data from the Emergency Department-based Injury In-depth Surveillance Data, National Emergency Department Information System, the Korean National Hospital Discharge In-depth Injury Survey, and cause of death statistics, we calculated the emergency department (ED) visit rate, hospitalization rate, and death rate of injuries per 100 000 adolescents for each injury mechanism. The calculated rates were used to generate the injury pyramid ratio (ratio of death rate to hospitalization rate to ED visit rate) to visualize the scale and the severity of the injury. Results: The mortality rate in adolescents due to injury was 10/100 000; the corresponding rates for hospitalization and ED visits were 1623 and 4923, respectively, resulting in an injury pyramid ratio with the general pyramid form, with a 1:162:492 ratio of deaths to hospitalizations to ED visits. The mortality rate due to suicide/intentional self-harm was 5/100 000, while 35 were hospitalized for this reason and 74 made ED visits. The pyramid ratio of 1:7:15 for intentional self-harm/suicide showed a steep pyramidal form, indicating considerable lethality. The mortality rate due to motor vehicle collisions (MVCs) was 3/100 000; 586 were hospitalized for this reason, while 1023 made ED visits. The pyramid ratio of 1:195:341 for MVCs showed a gradual pyramid form, indicating that the lethality was low and the scale of injury was high. Conclusions: The main categories of injuries in adolescents were visualized in pyramid form, contributing to an understanding of the scale of each injury by mechanism in terms of levels of death, hospitalization, and ED visits. These findings will be helpful for understanding how to prioritize injuries in adolescents.

• 자연과학논문집
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• 제18권1호
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• pp.65-76
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• 2007

The purpose of this study is to examine residents' consciousness for urban parks and green spaces in the city of Daejeon. This work enables us to find new implementation factors to increase resident's satisfaction of urban parks and green spaces. This study surveyed 1005 residents from 80dongs(neighborhoods), of 5 Gu(districts) districts in Daejeon. The survey was conducted with a structurally organized questionnaire and objective materials. The data collected from participants of the survey were summarized as follows. Daejeon residents want more natural parks and neighborhood parks than other urban facilities as recreation facilities. The favorite places in which Daejeon residents visit are Bomun Mountain, Gap River, Geajock Mountain, and Yudeon River, in order. In landscape scenery of Daejeon, residents prefer Daedeck research complex area than others and they felt that urban landscape scenery is more improved than 5 years ago. Also they want to increase the area of park and green space about 4times more than present. The result shows that the importance index of park and green space is 8.7 and the satisfaction index is 5.42. These results suggests that the demand by residents for urban park and green spaces will improve as the urban structure is improved.