• 대한방사선기술학회지:방사선기술과학
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• 제31권2호
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• pp.135-140
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• 2008

목 적: 지방간은 복부초음파 검사상 나타나는 가장 흔한 질환으로 초음파상 지방간은 그 정도에 따라 경증, 중등도, 중증의 세 등급으로 구분하여 적용하고 있다. 본 연구는 초음파상 지방간을 세 등급으로 구분하여 적용하는 것이 어떠한 임상적 의의가 있는지 알아보고자 하였다. 대상 및 방법: 2007년 1월부터 12월까지 대전 D 검진센터에서 복부초음파 검사를 받은 2,185명 중 지방간으로 진단된 524명(남 290명, 여 234명)을 대상으로 초음파상 간실질의 에코정도, 음향감쇄정도, 간내혈관 및 횡격막이 보이는 정도에 따라 I군(경증), II군(중등도), III군(중증)의 세 등급으로 분류하고, 각 군별 비만지표, 간기능 수치 및 대사증후군과의 연관성을 남녀로 구분하여 분석하였다. 결 과: 지방간의 정도는 I군 350명(66.8%), II군 153명(29.2%), III군 21명(4.1%)이었으며, 남자는 여자에 비해 중증 지방간의 비율이 높았다. 각 군별 평균연령은 남자(46.1세, 44.5세, 39.1세), 여자(48.8세, 50.2세, 52.4세)로 남자는 심한 지방간일수록 평균연령이 낮았으며, 여자는 심한 지방간일수록 평균연령이 높았다. 비만지표, AST, ALT 및 대사증후군 유병률은 남녀 모두에서 지방간의 정도가 심할수록 유의하게 증가하였다(p < 0.05). 결 론: 초음파상 지방간을 정도에 따라 세분하여 적용하는 것은 지방간의 치료 및 경과관찰에 도움이 될 것으로 사료되며, 초음파에 의한 지방간 검사시 지방간 유무 뿐만 아니라 지방간의 심한 정도를 파악할 수 있는 세심한 검사가 요구된다. 또한 초음파상 지방간의 등급을 보다 객관적으로 구분할 수 있는 기준의 제시가 필요할 것으로 사료된다.

• 한국치위생학회지
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• 제9권1호
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• pp.1-14
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• 2009

The purpose of this study was to examine the oral health care aware-ness of pregnant women and their actual oral health care in an effort to provide information on how to assist pregnant women to have the right knowledge on oral health and improve their oral health care. The subjects in this study were pregnant women who used obstetrics and gynecology hospitals or participated in pregnancy/child-rearing programs in the region of P. After a self-administered survey was conducted in July and August 2008, the following findings were given: 1. As for the best case of oral health care, the largest number(77.2%) of the pregnant women investigated brushed all the teeth, gums and tongue when they did toothbrushing. The smallest number of the women(6.8%) spent three minutes or more brushing their teeth. 2. As to dental treatment experience during pregnancy by age, 27.0 percent of the age 26-30 group had ever received dental treatment during pregnancy, which was higher than the rates of the other age groups with the same experience. 3. Regarding the necessity of oral health education geared toward pregnant women, 94.1 percent of the age 26-30 group and 96.3 percent of the group of age 31 and up felt the need for that, which were significantly higher than 72.7 percent of the age 20-25 group who agreed to the necessity of that education. 4. As to connections between oral health status and oral health care, the women who were in good oral health got 6.60 on oral health care. They scored significantly higher than those who were in a moderate state of oral health and who were in bad oral health, as the latter two groups respectively got 5. There was a significant correlation between oral health state and oral health care and between oral health knowledge and oral health care. The better oral health status led to better oral health knowledge, and the better oral health knowledge was followed by better oral health care. 6. As for factors affecting oral health care, oral health knowledge had the largest impact on that, followed by age, oral health status, experience of receiving oral health education for pregnant woman, dental treatment experience during pregnancy, monthly income and stress caused by oral diseases. Given the findings of the study, oral health education should be provided in light of the special physical and mental state of pregnant women. They should be encouraged to receive possible dental treatment during pregnancy if necessary, and they should learn about how to cope with a dental disease in case of develop it.

• 보건행정학회지
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• 제16권2호
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• pp.96-116
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• 2006

To assess the economic value of pharmaceutical therapy with Kremezin, we investigated the maximum amount of willingness-to-pay (WTP) of patients with chronic renal failure (CRF) for a hypothetical effect of Kremezin in delaying the initiation of dialysis treatments. A face-to-face survey was carried out in a sample of 141 CRF patients from 2 dialysis centers, composed of 82 hemodialysis patients, 38 peritoneal dialysis patients, and 21 non-dialysis CRF patients. Using a bidding game method with a starting point of 320,000 Won, which is the average monthly out-of-pocket payment for dialysis treatment, we asked the study subjects how much they would pay per month to receive Kremezin therapy. The mean out-of-pocket monthly WTP for Kremezin was 310,000, 430,000, and 520,000 Won (p<0.05, repeated one-way ANOVA)) when Kremezin delays the initiation of dialysis treatments by 1, 2, and 4 years. Significant correlation between the respondent's WTP and income $(r=0.266{\sim}0.368,\;p<0.05)$ confirmed the construct validity of the WTP instrument. Regression results showed that patients with a higher education, with diabetes as a major causes of CRF, and undergoing hemodialysis treatments tended to express higher WTP for Kremezin. The economic value of WTP from the perspective of patients varied from 310,000 to 520,000 Won depending on the effect size of Kremezin. The mean WTP was higher than 32,000 Won, only when the hypothetical effect of Kremezin in delaying the initiation of dialysis is for 2 years. This implies that Kremezin might be the preferred choice of therapy by CRF patients if it delays the initiation of dialysis treatment for at least 2 years.

• Asian Pacific Journal of Cancer Prevention
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• 제15권1호
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• pp.375-380
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• 2014

This study examined the incidence rates of cancer cases (averages for 2006-2010) and relationships with environmental radioactivity levels. Soil and water samples were collected from provincial and district centers of Van city and the outdoor gamma doses were determined using a portable gamma scintillation detector. Gross alpha and beta, (226)Ra, (232)Th, and (40)K activities were measured in both tap water and soil samples. Although high rates of stomach and esophagus cancers have been reported previously in Van the underlying reasons have not hitherto been defined. Incidences of cancers were highest in the Gurpmar (326.0) and Ozalp (377.1) counties (p<0.001). As to the results of the gross alpha and gross beta radioactivity measurements in the drinking water, these two counties also had high beta radionuclide levels: Gurpmar ($140mBq/dm^3$) and Ozalp ($206mBq/dm^3$). Even if within the normal range, a relation between the higher rate of the incidence of stomach and esophagus cancers with that of the higher rate of beta radionuclide activity was clear. On Spearman correlation analysis, the relation between higher beta radionuclide levels and cancer incidence was found to be statistically significant (p<0.01). According to the results of the analysis, Van residents receive an average 1.86 mSv/y annual dose from outdoor gamma radiation, ingestion of radionuclides in the drinking water, and indoor $^{222}Rn$ activity. Moreover, gross alpha and beta activities were found to be extremely high in all of the lakes around the city of Van, Turkey. Further investigations with long-term detailed environmental radiation measurements are needed regarding the relationship between cancer cases and environmental radioactivity in the city of Van.

• 한국산학기술학회논문지
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• 제18권1호
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• pp.124-134
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• 2017

본 논문은 조직구성원의 팀내 교환관계와 기술경영교육이 혁신행동에 미치는 영향을 임파워먼트를 매개효과로 고찰하였다. 조직 경쟁력 유지를 위해서는 조직내 혁신행동의 지속적 창출은 필수적인 요소가 되었다. 이러한 혁신행동 창출을 위한 요인으로 본 논문에서는 기술경영교육과 팀원간 교환관계를 고찰하였다. 또한, 이러한 기술경영교육과 팀원간 교환관계가 임파워먼트를 매개효과로 혁신행동에 미치는 영향을 고찰하였다. 설정된 가설은 다음과 같다. 가설1: 팀내 팀원들간의 교환관계의 질(TMX)이 높은 종업원은 혁신행동 창출을 보다 많이 할 것이다. 가설2: 팀내 팀원들의 기술경영교육이 높으면 혁신행동 창출이 보다 많이 이루어질 것이다. 가설3: 팀내 팀원들간의 교환관계와 기술경영교육이 혁신행동에 미치는 영향에 있어서 개인수준의 임파워먼트는 매개효과를 할 것이다. 이러한 가설의 검증을 위하여 대전의 벤처기업 조직구성원을 대상으로 설문조사를 실시하였으며 가설의 검증은 상관관계효과, 회귀분석, 매개효과 분석을 실시하였다. 가설검증결과 팀내 TMX, 기술경영교육은 혁신행동에 정의 영향을 미치고 있었으며 임파워먼트는 매개효과를 하고 있었다. 혁신행동에 영향을 미치는 선행요인으로 다양한 요인이 고찰되었지만 본 논문에서는 임파워먼트를 매개효과로 하여 기술경영교육과 팀내 교환관계를 고찰하였다는 점에서 의의가 있다고 할 수 있다.

• 대한간호학회지
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• 제4권1호
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• pp.151-161
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• 1974

Home visiting as a Public Health Horsing function is believed to be of therapeutic value to, the patient. However, home visiting is time consuming and expensive. Is the gain in knowledge and treatment for patients with Tuberculosis in Korea enough to make the necessary outlay in finances and personnel worthwhile\ulcorner While this study does not attempt to completely answer this question it does, under the following objectives, attempt to answer part of the question. The objectives of the study were to l) ascertain if there is a difference between patients, who receive home visits from the public Health Nurse and those who do not, in the following areas: a) their compliance with medical regimen, b) their ability to answer general questions about Tuberculosis, and c) their compliance with medical advice concerning prevention (B.C.G. immunization) and early diagnosis (contact X-rays), and 2) to determine if there is any correlation between the patient's answers to questions about Tuberculosis and his action both in the areas of treatment and prevention. The patients participating in the study were all newly diagnosed patients at Kwangju Christian Hospital. A control group and an experimental group were selected. The patients in the control group were seen according to the regular schedule at the Kwangju Christian Hospital except that they received no home visits from the Public Health Nurses. The patients in the experimental group were visited on an average of three times during the first two months of their treatment by the investigator, a Public Health Nurse. At the end of two months the patients in the two groups were compared as to compliance both in the treatment and preventive areas. They were also compared according to their answers to a questionnaire regarding both the prevention and treatment of Tuberculosis. The following results were obtained : 1. Patients in the experimental group (68.2%) showed a significantly higher compliance rate for medical treatment than patients in the control group (43.2%). 2. Patients in the experimental group (87.5%) showed a higher compliance rate for B.C.G. immunization than those in the control group (40%). 3. Women patients in the experimental group showed a higher mean score (7.2$\pm$2.6) on the questionnaire than did women in the control group (6.2$\pm$3.4). The results of this study seem to indicate that while home visiting is beneficial to the patient with Tuberculosis as far as treatment is concerned, something more concrete needs to be done if home visiting is to help the patient learn more about Tuberculosis and its prevention. Further study is indicated in the following areas: 1) A similar type of study over a longer period of time involving more subjects and using Korean Public Health Nurses to make the home visits. 2) Study to develop an adequate approach to education considering the problems unique to patients with Tuberculosis living in Korea.

• 한국조경학회지
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• 제42권3호
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• pp.76-89
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• 2014

건강 증진, 기후변화 적응 및 완화 등 도시공원의 역할과 기능은 확장하고 있으나, 확장된 기능을 어떻게 분배할 것인가에 대한 문제는 상대적으로 관심이 미흡한 실정이다. 본 연구에서는 중앙정부 및 지방자치단체의 도시공원 정책개발 및 집행 과정에 도시공원의 다기능성과 분배적 형평성을 반영하기 위해 녹색복지 개념을 제안한다. 녹색복지 관점에서 서울시 생활권 도시공원(NUP)의 분배적 형평성 차이를 분석하기 위해 관련 이론 및 선행연구 고찰을 통해 공원복지 지표를 선정하였다. 분석방법은 SPSS 18.0을 이용하여 상관분석, 군집분석을 실시하였다. 녹색복지는 사회경제적 지위에 관계없이 생애주기별 시민 모두가 건강 증진과 기후변화로 인한 환경위험으로부터 안전할 수 있는 녹색 서비스 전달과정에 참여하고 공정한 혜택을 누리는 것으로 정의했다. 분석결과 서울시는 자치구별 사회 경제 환경적 지위에 따라 1인당 NUP 면적에 차이가 있는 것으로 나타났다. 1인당 NUP 면적과 상관관계가 있는 공원복지 지표는 인구밀도(-), 65세 이상 고령인구 비율(+), 재정자립도(+), 홍수 및 대기오염 취약성(-)인 것으로 분석되었다. 군집분석 결과 공원복지 수준에 차이가 있는 3개의 군집이 도출되었고, 이를 통해 녹색복지 관점에서 서울시 NUP는 불균형적으로 공급되어 있음을 알 수 있다. 서울시의 향후 도시공원 정책은 양적 확충을 넘어 공원이 지닌 기능의 공정한 분배가 요구되며, 이는 공원서비스의 수요자인 지역주민과 지역사회가 우선적으로 고려되어야 하겠다.

• 산업진흥연구
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• 제2권1호
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• pp.45-50
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• 2017

본 연구는 충남 서부지역 근로자의 현장훈련교육이 생산성 향상에 미치는 영향을 분석하였다. 한국폴리텍대학 교육 및 노동부 지원 현장교육과정을 수료한 충남 서부지역 근로자를 대상으로 설문지 총 76부를 분석하였다. 연구결과 첫째, 근로자의 현장훈련교육이 생산성 향상에는 현장훈련교육을 받게 된 동기가 높을수록 교육만족도가 향상되는 것으로 나타났으나 직무생산성에는 유의한 영향이 미치지 못했다. 둘째, 훈련경험이 직무생산성과의 상관관계는 통계적으로 유의한 영향을 미치지 못한 것으로 나타났다. 셋째, 직급에 따른 생산성 향상에 미치는 영향으로는 임시직이 평사원(대리급)보다 교육만족도가 높은 것으로 나타났고, 직무생산성은 중간관리자(과.차장급)보다 관리자(부장급)이상이 가장 높게 분석되었다. ANOVA 분석 결과에서는 근무년수, 경력, 직급에 따라 교육만족도, 직무만족도에 유의한 영향을 미치는 것으로 분석되었다. 본 연구는 충남 서부지역 근로자의 현장교육훈련이 생산성 향상에 미치는 영향을 분석함으로써 교육만족도, 직무생산성 향상에 대한 근로자 개인의 훈련경험 및 훈련동기에 대한 특성 요인의 중요도를 파악하고 근로자의 개인적 요인의 효과성을 검증한 데 연구의 의의가 있다.

• 대한임상독성학회지
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• 제14권1호
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• pp.16-25
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• 2016

Purpose: Patients suffering from acute poisoning by different substances often visit the emergency department (ED) and receive various prognoses according to the toxic material and patients' condition. Hyperlactatemia, which is an increased blood lactate level that generally indicates tissue hypoperfusion, is commonly utilized as a prognostic marker in critically ill patients such as those with sepsis. This study was conducted to investigate the relationships between blood lactate and clinical prognosis in acute poisoned patients. Methods: This retrospective study was conducted from January 2013 to June 2014 at a single and regional-tertiary ED. We enrolled study patients who were examined for blood test with lactate among acute intoxicated patients. The toxic materials, patient demographics, laboratory data, and mortalities were also reviewed. Additionally, we analyzed variables including blood lactate to verify the correlation with patient mortality. Results: A total of 531 patients were enrolled, including 24 (4.5%) non-survivors. Patient age, Glasgow coma scale (GCS), serum creatinine (Cr), aspartate transaminase (AST), and serum lactate differed significantly between survivors and non-survivors in the binary logistic regression analysis. Among these variables, GCS, AST, and lactate differed significantly. The median serum lactate levels were 2.0 mmol/L among survivors and 6.9 mmol/L among non-survivors. The AUC with the ROC curve and odds ratio of the initial serum lactate were 0.881 and 3.06 (0.89-8.64), respectively. Conclusion: Serum lactate was correlated with fatalities of acute poisoning patients in the ED; therefore, it may be used as a clinical predictor to anticipate their prognoses.

• 한국실내디자인학회논문집
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• 제20권5호
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• pp.42-50
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• 2011

In the 21st century, people began to pay more attention on the culture, and the chances for them to participate in the cultural lives also increased. The spaces for entertainments can also be deemed as the center of the cultural contents. The entertainment is, in consideration of its definition by the literal meaning and the origin of the word itself, 'an act that entertains, or any artificial creation that is designed to give entertainment with a view to relieve the subjects from the burdens they have as they live.'Of the modem entertainment spaces, the one with the most profound visual manifestation of the entertainment element is the club. The purpose of this study is to examine the influence from the entertaining element manifested in the club spaces. Only until a few years back, the club spaces were deemed with negative impressions that comes with the more negative side of the entertaining world. But, recently such negative impressions are lift off considerably, and the club spaces are regarded with positive impressions as to be the kind of place where the young people can enjoy performances and other kind of culture in healthy atmosphere. In Chapter 2, we will examine the entertainment and the nature of the pleasure it gives, as well as the correlation between the entertaining environments and the pleasure they give. In chapter 3, the entertaining elements within such contexts are classified into the experience, form, color, objects, and the lightings and examine the characteristics of each of them. Also, the influences of these elements to the entertaining environment will be reviewed. In the case study in chapter 4, 9 overseas and domestic club spaces that were introduced in 'Interior World' magazines, that is, in the issues that are focused on 'Entertainment,'such as Issue 59, 68, and 79. As a result of the analysis, the influences of the entertaining, or pleasing, elements were discovered. The particular expression characteristics of the pleasing designs in the club spaces are, namely, the form elements, material elements, color elements, objects elements, and the lighting elements. As the society changes and the cultural level goes up, the club spaces are required to adopt more changes. Therefore, the pleasing elements of the space should receive further emphasis. These elements will act as a trend in the space and make the people appreciate the space more refreshing.