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폐경 전 여성 요실금에 대한 침치료 효과 : 예비연구 (Effects of Acupuncture on Urinary Incontinence in Premenopausal Women : Preliminary Study)

  • 윤영주;강경원;양주노;전미선;최종보;양정인
    • Journal of Acupuncture Research
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    • 제28권3호
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    • pp.55-71
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    • 2011
  • Objectives : The purposes of this preliminary study was to examine the feasibility of recruiting women into a clinical trial designed to examine the effects of acupuncture in treating urinary incontinence (UI) in premenopausal women with delivery history and the feasibility of performing the study procedures. We also tried to determine if there was preliminary evidence to suggest that acupuncture may be effective in reducing UI and improving disease-specific quality of life. Methods : This study was a pragmatic randomized clinical trial. Subjects between the ages of 20 and 49 years were randomly assigned to a treatment(n=11) or control group(n=11) and analyzed. Both groups were supposed to do Kegel exercise at home during 4 weeks and acupuncture was applied to the treatment group twice a week(8 sessions) additionally. Subjects performed 1 hour pad test and completed a 3-day urination diary, international consultation on incontinence modular questionnaire(ICIQ), and incontinence - quality of life(I-QOL) at base line and 5 weeks. Results : Both group showed improvement in 1 hour pad test and the reducing amount of UI was significantly larger in treatment group(p=0.0182). The significant improvements in ICIQ and I-QOL were also observed in treatment group and sustained until the follow-up measurement at 16 weeks. Any adverse reaction related to acupuncture did not happen. Conclusions : It was feasible to recruit subjects and perform the study procedures. The positive results of this study support the requirement for additional research investigating the efficacy of acupuncture in the treatment of UI in women.

중년 여성의 폐경 증상과 신허 증상에 대한 경락마사지의 효과 (The Effects of Meridian Massage on Menopausal Symptoms and Shin-Hur in Middle-aged Menopausal Women)

  • 양경희;박금숙;이정란
    • 대한간호학회지
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    • 제38권1호
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    • pp.131-139
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    • 2008
  • Purpose: The purpose of this study was to identify the effects of meridian massage on menopausal symptoms and Shin-Hur in middle-aged menopausal women. Method: The research design was a nonequivalent control group pre-post experimental design. The subjects of the study were middle-aged women who had had no menstruation in the last 12 months after the last menstrual bleeding. Cards of invitation on bulletin boards of several apartments were placed to recruit the subjects. The cards of invitation included: purpose of the study, eligibility criteria, method and period. Eighteen women in the experimental group and 16 women in the control group were conveniently assigned, respectively. The experimental group received 20 min meridian massage 3 times per week for 4 weeks. The menopausal symptoms and Shin-hur were measured and compared between the two groups before and after the intervention. Data were analyzed with the SPSS program by Fisher's exact test, Wilcoxon Sign Rank test, Mann Whitney U-test and Spearman's rank correlation. Result: The experimental group showed a significant decrease of menopausal symptoms (U=77.00, p=.020) and Shin-Hur (U=76.00, p=.017). There was a significantly positive correlation between menopausal symptoms and Shin-Hur (r=.497, p=.003). Conclusion: Meridian massage was effective in improving menopausal symptoms and Shin-Hur in middle-aged menopausal women. Thus it can be useful as a nursing intervention for menopausal women.

지면의 종류와 숙련도에 따른 필라테스 티져(Teaser)동작의 코어안정화와 근육 균형의 차이 (Difference in Core Stability and Muscle Balance of the Pilates Teaser Motion According to Kinds of the Ground and Skills)

  • 신윤경;이경옥
    • 한국운동역학회지
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    • 제25권1호
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    • pp.65-76
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    • 2015
  • Objective : The purpose of this study was to analyse the differences in core stability and muscle balance of the pilates Teaser motion according to the surfaces and skills. Methods : There were 10 subjects in this study with 5 being skilled and 5 that were not skilled. The independent variables were surfaces (high elastic & aluminum) and skills (skilled & unskilled). Dependent variables were core stability and muscle balance. Core stability was measured by Force Platform (9872, Switzerland), 3D Imagery (IBS-2000, EXYMA) was used to understand the muscle balance. In order to do the Teaser movement subjects had to lay flat on their back and then lean forward as much as possible and hold the position for 10 seconds. Afterwards, they would lay back down again. A camera (MHS-PM5K, SONY) was used to make 4 phases (take off, recoil forward, holding, recoil backward) during the teaser exercise to analyze movement. In this study quantitative and qualitative analysis was used. For the statistical analysis, 2X2 ANOVA was used to analyze the differences in movement time, X,Y,Z maximum force, center of pressure and angles according to different phases. 2X3 ANOVA was used to analyze the differences in muscle balance via SPSS 18.0. Results : Soft. Elastic mat had a longer holding time, lower Fx/ Fy/ Fz, shorter Fx trajectory, larger angle and shorter gaps in muscle balance than a hard surface in skilled subjects. This was because the mat can help to recruit and then sustain core fine muscles during holding time in the Teaser movement.

수축-이완 기법 방법에 다른 최대 힘과 무릎관절 가동 범위에 미치는 즉각적인 효과 비교 -예비연구- (Immediate Effects of Various Contract-Relax Techniques on the Peck Force and Range of Motion of Knee Extension -A Pilot Study-)

  • 신승섭
    • PNF and Movement
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    • 제16권2호
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    • pp.229-238
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    • 2018
  • Purpose: This study aimed to compare the immediate effects of various contract-relax (CR) techniques on the peck force and passive range of motion (ROM) of knee extension. Methods: This study recruited 17 adult males and females who obtained below $90^{\circ}$ in straight leg raising. The subjects randomly performed one of three different CR techniques (direct CR, indirect CR, and modified CR) on the right knee extension four times per day for three days. The subjects' peck force during each CR and their passive knee extension on the hip at a $90^{\circ}$ flexed position before and after each CR were measured. Results: The peck force was significantly higher in the direct and modified CR than in the indirect CR. The ROM in the passive knee extension significantly increased after direct and indirect CR. Comparing between each CR, the passive knee extension range was significantly more improved in the direct and indirect CR than in the modified CR. Conclusion: Direct and indirect CR are more effective than modified CR in the ROM of passive knee extension. The study results suggest that the modified CR did not have the same effect on the ROM of the knee extension as the direct and indirect CR and that further research is needed to recruit more subjects and to determine the effects on different muscles after modified CR.

중등 과학교사 임용시험 중 화학영역 문항의 적절성과 개선 방안에 대한 조사 (A Survey on the Adequacy of Question Items of the Chemistry Teacher Employment Examination)

  • 한효순;박종윤
    • 대한화학회지
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    • 제47권5호
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    • pp.505-518
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    • 2003
  • 현행 중등 과학교사 임용시험에 대한 일반적인 사항과 화학영역 문항들이 우수한 화학교사 선발을 위해 적절한가를 알아보기 위해 사범대학의 화학교육과 교수들을 대상으로 설문조사를 실시하였다. 전국 14개 대학 중 13개 대학으로부터 응답을 받았으며, 응답을 분석한 결과 다음과 같은 문제점과 개선책이 제안되었다. 교과교육학과 교과내용학의 현행 비율에 대한 검토가 필요하다. 교과교육학의 평가 기준을 제시하여 전문 지식과 자질을 종합적으로 평가할 수 있어야 한다. 임용시험의 수준은 대학교재 중심이어야 하며 시험시간을 늘려 교과관련 전문지식을 깊이 있게 점검할 수 있어야 한다. 출제위원의 수를 늘리고 적절한 수준의 난이도로 변별력이 뛰어난 교과교육학과 화학 각 분야의 평가문항을 출제해야 한다. 실생활과 접목된 화학문제 해결이나 종합적인 사고 능력을 측정하는 문항, 교육현장에서 필요한 지식과 기술을 측정할 수 있는 문항을 개발하도록 해야 하며, 제 7차 과학교육과정에 제시된 화학 학습목표를 충실히 반영해야 한다. 아울러 임용시험 문항과 관련된 자료들을 분석하고 공개하여 적극적으로 개선책을 모색해야 한다.

저밀도 지질단백질 및 산화 LDL(Oxidized-LDL)의 특성 (Function Properties of Low Density Lipoprotein (LDL) and Oxidized-LDL)

  • Tae-Koong Kim
    • 한국식품영양과학회지
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    • 제23권3호
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    • pp.530-539
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    • 1994
  • 최근 지방 섭추의 증가에 따른 혈관계 질병이 증가 추세에 있다. 이러한 동맥경화 및 고지질의 질병은 지질 단백질(lipoprotein)과 관련하여, LDL 및 산화 LDL의 특성을 중심으로 고찰하였다. 인체의 혈장에 함유된 LDL 함량의 증가는, 동맥경화와 직결되는 것을 의미하며, 이러한 LDL은 매우 hydrophobic한 특성을 가진 550Kd의 단일 polypeptide인 Apo B-100라는 단백질이, 지질성분인 triglyceide, phospholipid 및 cholesterol와 결합되어 있다. 최근 이러한 LDL은 산화(oxidation)되는 경우, 정상적인 LDL-receptor pathway를 따르지 않고, macrophang와 결합하므로서, foarn cell을 형성하여 동백경화가 촉진되는 것으로 알려지고 있다.

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사업장 보건관리자 공동채용모형개발(II)-사업주와 간호사의 의견 비교- (Developing the Joint Employment System of Occupational Health Nurse Practitioners for the Minor Enterprises in Korea (Part 2) - Comparison of Opinions between Employers and Occupational Health Nurses -)

  • 김영임;전경자;이성은;윤순녕
    • 지역사회간호학회지
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    • 제9권2호
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    • pp.313-323
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    • 1998
  • This study is to develop the model on the joint employment system of occupational health nurse practitioners for medium or small sized enterprises in Korea based on the comparison opinions between employers and occupational health nurses (OHN). The data were collected by questionnaires from Oct. to Nov. in 1997. The number of subjects was 210 OHNs and 176 employers, response rate was 47.1% for OHNs and 23.2% for employers. The SAS PC program was used for the descriptive statistics. The results were as follow: 1. More than three years career was preferred for qualification of OHN by employers and OHNs. OHNs preferred that all instruments and materials should be equipped in each industry, but employers preferred that they should be equipped by OHN. 2. For the limit number of industries and employees per one OHN, employers preferred average 2.25 industries and 307 employees, OHNs preferred average 3.0 industries and 448 employees. Both of them preferred two times visit per week for all day long. 3. OHNs wanted that the local office of Ministry of Labor could act as mediator, but employers preferred direct contact individually. For the average wage, employers preferred 887,000 won per month, but OHNs preferred 1,960,000 won per month. 4. OHNs preferred the Korean Association of Occupational Health Nurse as the recruit agency. Finally, employers and OHNs have the opinions that they can choose this system depending on the condition. There is in need of development of effective strategy for this new system such as manpower development, cost-benefit analysis, establishment of occupational health service standard, advertisement for employers, and government supported project.

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대학 인적자원 공급의 지리적 특성: 미국 3개 도시 지역의 정보통신업체를 사례로 (Raising Human Capital in Three U.S. Metropolitan Areas: Geographies of Educators Workforce Supply from Higher Education Institutions to Information Technology Companies)

  • 김형주
    • 대한지리학회지
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    • 제40권5호
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    • pp.533-552
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    • 2005
  • 지식기반사회의 도래와 함께 인적 자원과 대학 교육의 중요성이 점차 강조되고 있으며, 도시지역은 이런 인적자원을 유인하여 경제발전이 이루어지는 장소로 인식되어 왔다. 고급 인력 공급은 최근 경제 발전을 주도해온 정보기술산업의 핵심적인 요소이다. 본 연구는 미국 대도시 지역에서 대학의 정보통신업체에 대한 인력 공급의 지리적 특성에 영향을 미치는 요소들을 설문조사와 인터뷰를 통하여 분석한다. 분석 결과에 따르면, (1) 정보통신업체와 대학간 근접성은 대학이 고급 인력을 IT업체에 공급하는 정도를 증가시키고, (2) 필요 인력의 전문성 및 희소성의 정도가 높을수록 인력 공급의 지리적 범위가 넓어진다. (3) 더 높은 학위 수준을 제공하는 대학일수록 인력 공급의 지리적 범위가 넓어지며, (4) 규모가 큰 정보통신업체일수록 인력 공급의 지리적 범위가 넓어진다.

족관절 골절의 치료에 있어 잠재적 관절 내 손상의 관절경적 평가 (Arthroscopic Assessment of Potential Intra-articular Ankle Injury in Treatment of Ankle Fracture)

  • 김정한;곽희철;이형주
    • 대한족부족관절학회지
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    • 제19권4호
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    • pp.151-155
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    • 2015
  • Purpose: The purpose of this study was to analyze the frequency and patterns of intra-articular lesions detected during ankle fracture surgery using ankle arthroscopy. Materials and Methods: Thirty patients (31 ankles) who underwent open reduction and internal fixation combined with ankle arthroscopy for acute ankle fracture at Inje University Busan Paik Hospital from June 2011 to September 2013 were evaluated. The ankle fractures were classified according to the AO/OTA (AO Foundation and Orthopaedic Trauma Association) classification and the intraarticular injuries were identified by ankle arthroscopy. Osteochondral lesions of the talus were divided into nine subtypes based on their locations, and the ligament injuries were classified according to avulsion fracture and rupture. Results: Using arthroscopy, abnormality in the distal tibiofibular ligament was found in 21 cases and osteochondral lesions and defects of the talus larger than 5 mm were detected in 26 cases. Among ligament injuries, anterior inferior tibio-fibular ligament injury was found in 14 cases, posterior inferior tibio-fibular ligament injury was found in two cases, deep deltoid ligament injury was found in three cases, and deep transverse tibio-fibular ligament injury was found in five cases. The locations of the osteochondral lesions were on the antero-lateral, antero-medial, centro-medial, centro-central, centro-lateral, and postero-lateral talus in 11, one, two, one, two, and nine cases, respectively. Conclusion: With early diagnosis and treatment arthroscopy performed at the time of intra-articular fracture surgery is expected to result in a good outcome.

자동차 환경검사에 의한 대기오염물질 배출계수 및 연비 산출 (Emission Factor and Fuel Economy Calculation Using Vehicle Inspection and Maintenance Program)

  • 이태우;길지훈;박준홍;엄명도;김종춘;이대엽
    • 한국자동차공학회논문집
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    • 제17권5호
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    • pp.97-106
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    • 2009
  • An objective of this study is to give practical information that could be used for calculating pollutant emission factors and fuel economy from Korean Inspection & Maintenance program, which has been using steady state acceleration simulation mode. Concentration results from I/M test is adequately converted to mass emission factors and fuel efficiency data, which have unit of g/km and km/L, respectively. Exhaust volume flow(EVF), which is for converting emission result from concentration to mass, is measured by tracer method in various vehicle speed - power condition. It is found that there is an apparent second order relationship between EVF and vehicle inertia weight. EVF is expressed in function of vehicle inertia weight in order to estimate EVF in I/M site without measuring device. Converted mass emission results from measured EVF and raw emission analyzer show a satisfactory agreement with those from conventional CVS-bag type measurement system. Mass emission factors and fuel efficiency from measured EVF and estimated EVF also show good agreement to each other. Considering that an I/M program has great advantages to recruit-based emission test in terms of the number of test vehicle, the information in this study can be used for developing an alternative procedure to collect more various data to establish national database of mobile emission factors and fuel economy, even though the driving cycle in I/M program is steady state cycle rather than transient cycle.