• 지역사회간호학회지
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• 제9권1호
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• pp.181-199
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• 1998

This study was designed to examine Home Nursing Care in Hospital-based and Community-based programs. This study investigates actual conditions of nursing needs and demands of clients and their family and the state of home nursing services. We hope that this study will improve upon the current home nursing care system. In Korea Home-Nursing Care programs are still developing and only now becoming a part of the health care delivery system. The data was collected by a questionaire the clients developed and modified through literature review by this writer and through 10 nurses who are members of 4 hospital and 3 community- based agencies. In this study 173 clients were selected. The study lasted from Oct. 1997 to March of 1998. The results show that the average age was 64.3, years older than most women clients (63.0%), the average age of a caregiver was 50.9 years old and most were female(77%). Two types of agency clients with a significant difference between social conditions [25.7%] used some form of insurance; 54.3% had the spouse pay expenses; pay 58.5% son and daughters of Hospital-based agencies: patients of social workers were 24.0%, the highest in the community agency. The condition of patients was 63.2% of the foley and nelaton catheter insertion at hospital based agencies. The range of nursing services offered is one of the highest among the 34 kinds of servies including nasogastric tube management basic nursing, ROM exercise, bladder irrigation, wound and sore dressing. For an effective care service factors that disturb each program such as a non-cooperatative family as well as patients themselves need to be lessened. Further more, the following must be emphasized, supportive counsel 27.0%, steady care for patient, 13.3%maintain a sense of security(11.7%), dressing sores and nutrition(10.0%). Although there were a large number of home nursing care services in the community, policy changes have gathered momentum. Fortunately, the scope and level at legal support will be increased in the future. The program should intergrate and link the district or community together. A project to develop a community based home nursing system as soon as possible should be developed. In conclusion, home nursing care nurses training curriculum should be strengthened.

• 지역사회간호학회지
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• 제18권1호
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• pp.165-176
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• 2007

Purpose: The purpose of this study was to investigate the needs of home care nursing services in relation to the patients in hospital. Method: Subjects were 129 patients who admitted hospital and were selected through convenience sampling. Data were collected using the Home Health Care Need Assessment Questionnaire constructed by the Korea Health Industry Development Institute. Data were analyzed using SAS 8.12 program by applying percentage. Results: 1. According to the diagnosis of the subjects, the majority had cancer (25.0%), followed by musculoskeletal disease (15,6%), neuro/cerebral vascular disease (14.1%), digestive (10.9%) and respiratory disease (10.9%). 2. With regard to fundamental nursing service, subjects wanted to receive home care services for the following reasons: Problem identification and diagnosis (77.5%), vital sign check (49.6%); and intake and output measure (20.9%). 3. With regard to clinical laboratory tests, 62.8% wanted to receive blood tests, and followed by urine tests 26.4%, and wound drainage 26.4%. 4. With regard to medication and treatment service, 40.3% of the subjects wanted to receive intravenous fluid therapy, 26.4% intravenous antibiotics, and 26.4% the monitoring of fluid therapy. 5. With regard to therapeutic nursing service, 33.3% wanted to receive wound care, 26.4% ROM exercise, and 27.9% foley catheter change and care. 6. With regard to educational needs, 42.6% wanted education on infection monitoring, 41.4% on medication, and 34.9% on diet. 7. With regard to counseling needs, 65.9% wanted to receive telephone counseling about patient condition, 52.7% counseling about re-admission and 51.9% direct counseling about patient condition. In the group of injury and toxicity, and cardiovascular/circulatory diseases, 100% wanted telephone and direct counseling about the patient condition. Conclusion: Therefore, in order to improve the quality of hospital based home health care services, various factors that affect to the need of home health care should be analyzed and specified nursing care should be looked into.

• Journal of Acupuncture Research
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• 제23권1호
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• pp.165-177
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• 2006

Objectives : 1. Clinical trial for the efficacy evaluation of Korean acupuncture techniques in treating frozen shoulder. 2. Development of the standard clinical guidelines of the acupuncture treatment for the frozen shoulder. 3. Development of the new clinical protocol for the acupuncture treatments. 4. Verification of the hypothesis that treating at both the remote and the nearby acupoints according to the meridian theory is more effective than treating at only the nearby acupoints. Methods : 1. Research designed as Single blind, Randomized, Sham acupuncture controlled clinical Trial. 2. Assignment of 86 patients to one of three groups treated at nearby acupoints(group A), remote & nearby acupoints(group B), and sham points(group C) respectively. 3. Trial conducted at KIOM CRC of Dunsan oriental medical hospital, Daejeon Univ. 4. Estimation of the recovery rate of the frozen shoulder in subjects aged over 40. 5. Efficacy evaluation using VAS, SPADI, ROM and Improvement rate. Results : 1. There was no significant difference in VAS among the three groups. 2. Pain related scores in SPADI of the group B were significantly lower than those of the group A. 3. There was no significant difference in disability related scores of SPADI among the three groups. 4. External rotation of upper arm in the group B was significantly improved in comparison with that in the group C. 5. Abduction of upper arm in group A was improved with weak statistical significance in comparison with that in the group C. Conclusion : Acupuncture at both the remote and the nearby acupoints according to the meridian theory is effective to improve external rotation of frozen shoulder, and acupuncture at the nearby acupoints is effective to improve adduction of frozen shoulder. However it is not clear that acupuncture treatment at both the remote and the nearby acupoints according to the meridian theory is more effective than treating at only the nearby acupoints in the treatment of frozen shoulder. Since our study was a short term trial, a long term trial for a more precise evaluation of acupuncture treatment for frozen shoulder will be needed in the future.

• 한국가정과교육학회지
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• 제17권1호
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• pp.113-129
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• 2005

본 연구는 '건강한 가족 만들기'에 초점을 맞춘 가족생활교육 프로그램과 교육 자료를 개발해 첫째, 학습자에게는 현재 및 미래에 건강한 가족을 만들기 위한 자신의 역할과 책임을 인식하고 실천력을 기르는데 도움을 주고자 하는데 있다. 둘째, 학교에서의 가족생활교육자에게는 교수-학습과정안, 학습활동지, 교사참고자료 학생배부자료, 수행평가자료, 학생들이 창안한 학습 결과물 등 다양한 학습 자료를 제공함으로써 교수활동에 도움을 주고자 하는 데 있다. 이를 위해 고2-3학년의 심화$\cdot$선택 교과인 '가정과학' '가족생활' 영역의 교과내용 분석. 학습자가 가족$\cdot$가정생활에서 길러야 하는 능력, 미국 유타주 '성인의 역할과 책임'에 초점을 둔 가족생활교육 프로그램, NCFR의 ·생애주기별 가족생활교육 개념 틀'을 기초로 '가족생환'영역의 단원을 '자기관리 능력 기르기'. '의사소통 능력 기르기', '건강한 가족 만들기', '위기관리 능력 기르기', '현명한 부모 되기' 등으로 재구성했다. 또한 이를 효과적으로 학습하기 위해 다양한 학습자료를 개발했다. 이 연구를 바탕으로 '행복한 결혼생활하기', '현명한 가정관리자 및 소비자 되기' 등의 내용이 보완된 후속 프로그램 개발이 필요하다.

• 한국지구과학회지
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• 제29권1호
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• pp.29-44
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• 2008

본 연구에서는 El $Ni{\tilde{n}}o$-Southern Oscillation(ENSO) 발달과 소멸의 영향에 따른 태풍 강도와 태풍 발생지역의 상관성을 살펴보았다. 1950년부터 2006년까지의 장기간 자료를 이용하였으며, 먼저 엘니뇨 발달해와 정상해를 정의하였다. 엘니뇨 발달해 동안에 태풍 강도와 태풍 발생지역이 높은 상관성을 나타내고 이는 누적 저기압 에너지와 태풍 에너지 강도가 증가한 결과이다. $Ni{\tilde{n}}o$ 3.4 지역의 해수면 온도를 기준으로 한 경우 엘니뇨 발달해에는, category 4+5에 해당하는 태풍의 발생지역이 동쪽으로 치우쳐 나타난다. 태풍 발생 잠재 함수와 하층의 저기압성 회전성은 태풍급에 해당하는 강도로 발달할 수 있는 강한 열대성 저기압의 발생에 중요한 요소가 된다. 본 논문에서는 역학적 잠재력[DP, Gray(1977)]과 MJO의 EOF 첫 번째 모드와 두 번째 모드의 시계열에 해당하는 RMM1, RMM2 (Wheeler and Hendon, 2004)를 이용하여 태풍 발생의 잠재함수와 대기 하층의 저기압성 회전성을 측정하였다. ENSO가 발달하는 해와 소멸하는 해와 영향을 찾아보기 위하여 엘니뇨가 소멸이 급격히 일어나 라니냐로 전환되는 Type I과 정상해로 회복하는 Type II를 정의하였다. Type I의 엘니뇨 소멸기간 동안에는 DP값과 RMM1, RMM2의 발달이 현저하게 서쪽으로 치우쳐 나타나며 강한 태풍의 발달을 지체시킴을 알 수 있었다.

• 재활간호학회지
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• 제4권2호
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• pp.207-218
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• 2001

This study was carried out to find out the basic data required to plan and develop Rehabilitation Day Care Program for the stroke survivor's family in Korea. The subjects comprised of 92 stroke survivor's family who discharged from 4 hospitals in Seoul during the past 2 years. The data were collected from August 3, 1998 to September 18, 1998, through interviews with questionnaires about general characteristics, activities of daily living, depression and service need of rehabilitation day care program at the outpatient clinics by trained nursing graduates. Data were analyzed with descriptive analysis, Pearson's correlation analysis, and Stepwise multiple linear regression analysis using SPSS/WIN 10.0 program. The results obtained are as follows; 1. The mean score of the general need of rehabilitation day care program of stroke survivor's family was 3.10(range 1-4). The highest need among the service categories of the rehabilitation day card program was self-care and restorative activities category(3.30), and health services referral category, recreation category, psychosocial activities category in order. The needs of each category are as follows. In the health services referral category, the need for dental examination and medical examination were highest, followed by the need for physical therapy and occupational therapy. In the psychosocial activities category, the need for family counselling was highest. In the self-care and restorative activities category, the need for ROM exercise training was highest, followed by bowel training, and ambulation training. 2. The need of family for rehabilitation day care program service displayed a correlation with the level of education, ADL, and the level of depression, and a reverse correlation with age, illness intrusiveness, depression, knowledge, subject and object burden and relationship with stroke survivors. 3. The stepwise multiple linear regression analysis revealed following results. For the need for rehabilitation day care program service, 22.6% of the variance was initially explained by level of family's knowledge about caring method for stroke survivors, 8.8% was the level of subjective burden and 5.4% was relationship with stroke survivors. In conclusion, above characteristics should be considered to develop stroke survivors' rehabilitation day care program.

• Imaging Science in Dentistry
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• 제45권1호
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• pp.31-39
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• 2015

Purpose: This study was performed to evaluate the feasibility of visualizing soft tissue lesions and vascular structures using contrast-enhanced cone-beam computed tomography (CE-CBCT) after the intravenous administration of a contrast medium in an animal model. Materials and Methods: CBCT was performed on six rabbits after a contrast medium was administered using an injection dose of 2 mL/kg body weight and an injection rate of 1 mL/s via the ear vein or femoral vein under general anesthesia. Artificial soft tissue lesions were created through the transplantation of autologous fatty tissue into the salivary gland. Volume rendering reconstruction, maximum intensity projection, and multiplanar reconstruction images were reconstructed and evaluated in order to visualize soft tissue contrast and vascular structures. Results: The contrast enhancement of soft tissue was possible using all contrast medium injection parameters. An adequate contrast medium injection parameter for facilitating effective CE-CBCT was a 5-mL injection before exposure combined with a continuous 5-mL injection during scanning. Artificial soft tissue lesions were successfully created in the animals. The CE-CBCT images demonstrated adequate opacification of the soft tissues and vascular structures. Conclusion: Despite limited soft tissue resolution, the opacification of vascular structures was observed and artificial soft tissue lesions were visualized with sufficient contrast to the surrounding structures. The vascular structures and soft tissue lesions appeared well delineated in the CE-CBCT images, which was probably due to the superior spatial resolution of CE-CBCT compared to other techniques, such as multislice computed tomography.

• 한방재활의학과학회지
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• 제26권4호
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• pp.45-55
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• 2016

Objectives The aim of this review is to provide fundamental data for temporomandibular disorders diagnosis and evaluation criteria which can be used in clinical trial. Methods We investigated the clinical studies on temporomandibular disorders via PubMed. Also, we searched domestic articles through "OASIS", "NDSL", "KISS", "Korean Traditional Knowledge Portal (KTKP)". The articles we focused on were the recent decade from 2007 to 2016. A total of 139 studies were analyzed: 42 domestic articles and 97 overseas articles. This study focuses on the diagnosis and evaluation criteria on temporomandibular disorders. Results 1) In diagnosis criteria, Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) was used 14 times in domestic articles and 63 times in overseas articles. Clinical symptoms were used 13 times in domestic articles, 17 times in overseas articles. 2) In evaluation criteria, Visual Analog Scale (VAS) was used as a pain scale 12 times in domestic articles, 63 times in overseas articles. Pressure Pain Threshold (PPT) was used 16 times in overseas articles. Whereas, no clinical trials used PPT in domestic articles. In psychological scale, Symptom Checklist-90-Revised (SCL-90-R) was used 6 times. However, SCL-90-R was used 2 times in domestic articles. ROM(Maximum Mouth Opening (MMO), Maximum Comfortable Opening (MCO) were used 24 times in overseas. In domestic articles, MMO was counted 12 times, while MCO was counted 5 times. Conclusions This research reviewed the tendency of using diagnosis methods and evaluating outcomes of the clinical on TMD. It is expected that this investigation would develop further treatment for TMD in the Korean Medicine.

• 한국전자파학회:학술대회논문집
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• 한국전자파학회 2004년도 아시아 태평양 마이크로파 학술회의
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• pp.1-226
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• 2004

I. 행사결과의 효과 및 기여도 $\textbullet$국내 마이크로파 기술 수준을 세계에 알리고 세계수준의 연구 내용들을 발표, 세계 각국의 마이크로파 분야의 학술 교류를 통해 선진 기술의 국제적 조화 및 연구 활성화에 기여함. $\textbullet$학술회의와 함께 동시 진행된 전시를 통해 국내 관련 산업체들의 기술 및 제품을 소개하는 자리를 마련하여, 해외 시장 진출의 발판을 마련하고 신 수요를 창출함. $\textbullet$마이크로파 분야의 최근 동향 및 최신 기술을 공유, 세계 각국의 관련 연구 현황에 대한 소개와 비교, 분석을 통해 향후 중요하게 대두될 주제를 도출함. $\textbullet$국제 학술회의의 성공적 개최에 따른 타 학술분야의 자극 효과 및 이를 통한 국내 학술 수준의 전반적 향상을 도모함. $\textbullet$국제 경쟁력 및 기술 수준에 대해 세계 각국의 전문가들에게 홍보 및 확이능ㄹ 토？여 연구 협력 방안을 수립하는 자리를 마련함. II. 관련분야 활용 정도 $\textbullet$마이크로파 분야에 관련된 국내, 외 전시 참여를 통해 첨단 기술을 활용한 응용 시스템, 서비스 비즈니스 개발 등의 폭을 넓힐 수 있게 됨. $\textbullet$선지 연구 수행중인 해외 각국의 과학자를 초청, 현재까지의 연구 개발 내용과 주요 연구의 향후 방안에 대한 강연 및 논문 발표를 통하여 국내 연구 개발 내용과 주요 연구의 향후 방안에 대한 강연 및 논문 발표를 통하여 국내 연구자들과의 상호 정보 교류를 촉진, 중요 연구 주제의 도출 및 연구 진행 계획을 수립하고, 국제적 산학 협력 강화를 통해 공동 연구를 도출하는 자리를 마련함. $\textbullet$본 학술회의에서 발표된 논문들을 취합하여, 논문집 및 CD-ROM을 제작하여 세계적 수준의 연구 결과를 알리고 이 분야에 관련된 학문, 기술 발전에 큰 도움이 됨.

• 생물환경조절학회지
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• 제26권4호
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• pp.346-352
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• 2017

본 연구는 사과 '후지'의 과실 횡경 예측 모델을 개발하고 검증하고자, 수원지역에서 2000년부터 2014년까지의 연차간 과실 생장과 기상을 포함한 환경요인들을 분석하였다. 2000년부터 2014년까지의 평균 만개일은 4월 28일이었고, 만개 후 수확일까지의 성숙일수는 평균 181일이었다. 만개 후 약 36일 이후부터의 과실 생장은 단일 S자 곡선이었으며, 과실 횡경에 영향을 미치는 환경요인들은 BIO2, 9월강수량, 4월 최고 최저 평균기온, 8월 최저기온, 그리고 4월의 생육도일이었다. 그 중에서, 서로 간의 요인이 교차 상관관계를 나태내지 않는 BIO2와 9월 강수량을 각각 다른 요인들과 조합하여 모델을 만들었다. 선발된 모델 중에서 AICc가 92.61이며 보정된 $R^2$ 값이 0.53으로 가장 적합도가 높았던 모델을 선택하였으며 그 최종 모델식은 19.33095+(5.76242${\times}$BIO2)-(0.01891${\times}$9월강수량)+(2.63046${\times}$4월최저온도)이었다. 이 모델을 2000년부터 2014년까지의 실측치와 비교하였는데, 사과 '후지'과실 횡경의 실측치와 예측치의 평균차이는 ${\pm}2.9mm$, 표준편차는 3.54였다.