• 근관절건강학회지
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• 제2권2호
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• pp.185-196
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• 1995

The purposes of this study are to identify effectiveness of the hospital-based home care project, to manage patients' problems in comprehensive way, to decrease the patients' economical burden to the arthritis patients. The design is nonequivalent control group pretest-posttest design with matched samples in terms of age, sex and disease severity. Fifty two patients were assigned in each of the experimental and control groups in Seoul, Kyunggi, Kangwon and Kwangju. Before the experiment and after 3-month period of experiment of home care, level of pain, duration of morning stiffness, Richie Index, ADL, self-efficacy and depression were measured. Nine patients were excluded from the control group because of denial of participation. Contents of home care provided to the experimental group include distribution of prescribed drugs, assessment of patient's condition and side-reactions of drug, pain control, depression control, nutrition guide, exercise teaching, and family counselling. Patients assigned to the control group visited the outpatient clinic once a month as usual. Null hypotheses were selected because physicians concerned about the ineffective change of patients' conditions due to indirect communication with patients through nurses. Level of pain, Richie Index, ADL, self-efficacy, depression and duration of morning stiffness did not significantly different between two groups as expected. In the experimental group, level of pain, ADL, Richie Index and duration of morning stiffness changed to the positive direction from the pretest to the posttest. However, level of depression and self-efficacy did not show any changes. Ninety percent of patients in the experimental group satisfied with the home care provided to them. Since this is the intermediate report, more detailed and long-term report will be prepared.

• 정신신체의학
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• 제24권2호
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• pp.200-207
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• 2016

연구목적 알츠하이머병은 대표적인 증상인 인지 기능의 저하 외에도 다양한 행동심리증상(Behavioral Psychological Symptoms of Dementia, BPSD)을 흔히 동반하며, 이는 간병인들로 하여금 부양 부담을 야기한다. 본 연구에서는 한국의 치매 환자들과 그들의 간병인들을 대상으로 행동심리증상의 각 항목들과 간병인의 부양 부담에 대한 상관관계를 알아보고자 한다. 방 법 80명의 치매 환자들을 대상으로 행동심리증상을 한국형 신경정신행동검사(Korean neuropsychiatric inventory, K-NPI)를 통해서 평가하였고, 부양자들의 부양부담은 한국판 Zarit Burden Interview(ZBI)를 이용하여 평가하였다. 결 과 K-NPI의 망상, 환각, 초조/공격성, 우울/낙담, 불안, 탈억제, 과민/불안정 빈도와 간병인 부양부담의 평가척도인 ZBI 사이에 통계적으로 유의한 상관이 있었으며, K-NPI의 환각, 초조/공격성, 불안, 탈억제, 이상운동증상, 수면/야간행동의 심각도와 ZBI 척도 간에 유의한 상관이 있었다. K-NPI의 빈도${\times}$심각도 영역에서는 망상, 환각, 초조/공격성, 우울/낙담, 불안, 탈억제, 이상운동증상, 수면/야간행동과 ZBI가 유의한 상관관계를 보였다. 또한 인지기능척도(MMSE-KC, CDR, GDS)와 ZBI 척도 사이에 유의한 상관이 있었으며, 일상생활수행능력(Barthel-ADL, K-ADL)과 ZBI 척도 사이에도 유의한 상관관계를 보였다. 결 론 알츠하이머병 환자의 BPSD와 간병인의 부양부담과 상관관계가 있었다. 또한 간병인의 부양부담은 인지기능 및 일상생활수행능력과도 상관이 있었다. BPSD를 조기에 발견하고 적절하게 치료함으로써 치매 환자의 삶뿐만 아니라 보호자의 삶의 질도 개선시킬 수 있을 것이다.

• 한국전문물리치료학회지
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• 제14권3호
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• pp.64-71
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• 2007

The purposes of this study were to determine correlations between the Berg Balance Test (BBS), Timed -UP & Go Test, Fugl Meyer-L/E, Balance, Sensory (FM-L/E, B, S), Motor Assessment Scale-Gait (MAS-G), Comfortable maximal Gait Speed (C MGS), and the Modified Barthel Index (MBI). The subjects were 40 stroke patients of the Korea National Rehabilitation Center in Seoul. Main outcome measures were Balance control (BBS, FM-B), Gait (TUG, C MGS, MAS-G), ADL (MBI) and Motor Function of Lower Extremities (FM-L/E, S). The data were analyzed using Pearson product correlation. FM scales between other clinical and instrumental indexes and multiple stepwise regression analyses were performed to identify prognostic factors for Balance, Gait and ADL Motor Function of Lower Extremity inclinations. The results of this study were as follows: The BBS, FM-L/E, balance, sensory and MBI showed positive correlation relations, but TUG and C MGS showed negative correlations. The sensory factor of the FM-scale showed the strongest variance in predicting BBS. However the FM-balance showed the strongest variance in predicting TUG, MAS-G and C MGS. The use of both quantitative and qualitative scales was shown to be a good measuring instrument for the classification of the general clinical performance of the patients.

• 한국정보교육학회:학술대회논문집
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• 한국정보교육학회 2008년도 동계학술대회
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• pp.251-256
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• 2008

e-Learning은 시 공간의 제약 없이 교수자와 학습자간의 교육이 이루어진다는 장점이 있는 반면, 다양한 학습자의 요구를 만족시킬 만큼 충분한 학습 콘텐츠의 제작이 어렵다는 단점이 있다. 이러한 단점을 해결하기 위해 ADL(Advanced Distributed Learning)의 SCORM(Sharable Content Object Reference Modeling)의 표준에 따라 e-Learning의 학습 콘텐츠를 학습객체(Learning Object)로 제작하고, 이를 SCORM의 표준을 지원하는 LCMS(Learning Content Management System)를 이용하여 관리하려는 연구가 진행되고 있다. LCMS를 이용할 경우 학습 콘텐츠의 제사용성을 높이므로 학습 콘텐츠의 제작 및 관리가 무척 용이해진다는 장점이 있는 반면 탈맥락화된 학습 콘텐츠를 제작하기는 매우 어렵다는 단점을 가진다. 본 연구에서는 이러한 문제점을 해결하기 위해 버전관리 기법을 이용한 탈맥락화된 학습 콘텐츠에 대한 제작이 용이한 시스템을 연구했다.

• 한국생산제조학회지
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• 제20권4호
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• pp.412-418
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• 2011

Reliability-based Topology optimization(RBTO) is to get an optimal design satisfying uncertainties of design variables. Although RBTO based on homogenization and density distribution method has been done, RBTO based on BESO has not been reported yet. This study presents a reliability-based topology optimization(RBTO) using bi-directional evolutionary structural optimization(BESO). Topology optimization is formulated as volume minimization problem with probabilistic displacement constraint. Young's modulus, external load and thickness are considered as uncertain variables. In order to compute reliability index, four methods, i.e., RIA, PMA, SLSV and ADL(adaptive-loop), are used. Reliability-based topology optimization design process is conducted to obtain optimal topology satisfying allowable displacement and target reliability index with the above four methods, and then each result is compared with respect to numerical stability and computing time. The results of this study show that the RBTO based on BESO using the four methods can effectively be applied for topology optimization. And it was confirmed that DLSV and ADL had better numerical efficiency than SLSV. ADL and SLSV had better time cost than DLSV. Consequently, ADL method showed the best time efficiency and good numerical stability.

• 성인간호학회지
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• 제22권3호
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• pp.291-302
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• 2010

Purpose: This study was a secondary data analysis aimed at identifying the predictors of health-related quality of life (HRQoL) of the home-dwelling disabled person by using EQ-5D which is a standardized instrument used as a measure of health outcome. Methods: Data were drawn from the 3rd Korea National Health and Nutritional Examination Survey conducted by the Ministry of Health and Welfare (MOHW). Subjects were 1,021 home-dwelling disabled persons over 19 years of age. Data were analyzed by using descriptive statistics, t-test, Pearson's correlation, one-way ANOVA, Scheff$\acute{e}$ test, and Stepwise multiple regression. Results: HRQoL (Health Related Quality of Life) is differentiated within age, genders, educational level, employment status, economic status, types and grades of disability, health problems associated with limited mobility, and the limited duration of time. HRQoL is correlated with age, number of cohabiters, educational level, grades of disability, activities of daily living (ADL), and instrumental ADL (IADL). HRQoL is significantly associated with ADL, health problems in connection with limited mobility, employment status, types of disability, marital status, grades of disability, and the limited duration of time. These factors explained 63.7% of variance in HRQoL. Conclusion: HRQoL among the disabled is related to their characteristics, ADL, and IADL. For this reason, it is necessary to develop health programs to promote those variables required to improve HRQoL.

• 한국수학교육학회지시리즈E:수학교육논문집
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• 제20권3호
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• pp.425-441
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• 2006

21세기와 함께 디지털 시대를 몰고 온 인터넷은 교육의 패러다임을 바꾸고 있고 지식정보화사회의 경쟁력을 결정짓는 가장 중요한 핵심인 창의적이고 도전적인 인재양성이 어느 때보다도 강조되고 있다. 이러한 시대적 요구에 부응해 나가기 위해 교육 분야는 e-Learning을 통한 학습환경 개선에 주력하고 있다. 최근 초등학교에 시범적으로 도입되기 시작한 전자교과서가 이런 면을 단적으로 보여준다. 많은 e-Learning 컨텐츠가 개발되고 있지만 사회의 빠른 변화 속도만큼 컨텐츠의 수명이 짧아지고 있다. 또, 개발된 컨텐츠가 다양한 원격교육 시스템에 그대로는 사용이 불가능한 경우가 많기 때문에 개발된 컨텐츠를 여러 시스템에 사용하기 위한 표준안들이 대두되고 있으며, 그 중에서 가장 유력한 표준안이 ADL(Advanced Distributed Learning)사의 SCORM(Sharable Content Object Reference Model)이다. Keris의 사이버가정학습 시스템에서도 이 SCORM 표준안에 따라 개발된 컨텐츠를 사용하고 있다. 이에 본 연구에서는 컨텐츠의 재사용성을 높인 SCORM 표준안을 기반으로 하여 Keris의 사이버가정학습 시스템에 적합하고, 학습자들의 실험활동이 강조된 수학과 e-Learning 컨텐츠를 설계하고 개발하는 것을 목적으로 둔다.

• 대한중풍순환신경학회지
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• 제8권1호
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• pp.34-39
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• 2007

Objective : To report cases of patients with Parkinson's syndrome. Design : Case-series Patients and methods : 35 of patients with Parkinson's syndrome who visited Department of Cardiovascular and Neurologic Diseases of Kyunghee Oriental Medical Center were treated by acupuncture and herbal medicine from May until December 2007. 35 patients were participated in this study. 21 patients were dropped out during the trial, and we evaluated symptom progress of 14 patients by using several questionnaires such as Unified Parkinson's Disease Rating Scale(UPDRS), modified Hoehn & Yahr stage (H&Y stage) and Schwab & England ADL scale(S&E ADL scale). Results : The whole group consists of 14 male patients and 21 female patients. Mean±SD age range is 64.5±8.4. There were no significant differences of the demographic and clinical characteristics between the case group and drop-out group. The mean±SD medical treatment period of the Case group were 8.4±6.3weeks, the mean±SD of the total score in first medical treatment UPDRS section 1~3 were 29.6±11.0, the mean±SD of the final score were 27.1±12.6, all of which showed significant improvement(p=0.007). There were no significant changes on the H&Y stage and S&E ADL scale. Conclusion : Patients with Parkinson's syndrome who visited Department of Cardiovascular and Neurologic diseases of Kyunghee Oriental Medical Center had a tendency of showing improvement in clinical symptoms.

• 한국초지조사료학회지
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• 제25권3호
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• pp.169-176
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• 2005

본 연구에서는 국내에서 반추가축용 조사료 원으로 많이 사용하고 있는 화본과 수입조사료 6종(bermuda grass hay, klein grass hay, oat hay, orchard grass straw, tall fescue straw and timothy hay)에 대하여 최근 NRC의 nutrient requirements of daily cattle(7th revised edition, 2001)에서 권장하는 사료의 영양성분 분석방법에 따라 일반조성분과 함께 heat-stable $\alpha-amylase$ treated neutral detergent fiber (aNDF), acid detergent fiber (ADF), acid detergent lignin(ADL), neutral detergent insoluble crude protein(NDICP)과 acid detergent insoluble crude protein(ADICP) 등의 함량을 분석하고 영양성분간의 Pearson의 상관계수를 산출하였다. 조사료에 따라 다소 차이는 있으나 oat hay는 CP와 NDICP(p<0.05), CP와 ADICP(p<0.01)의 상관관계가 높게 나타났고, orchard grass straw는 CP와 NDICP의 상관관계가 높게 나타났다(p<0.05). Tall fescue straw도 CP와 NDICP의 상관관계가 높게 나타났으며(p<0.01), timothy hay는 CP와 ADICP의 상관관계가 높게 나타났다(p<0.05). Klein grass hay는 CF와 aNDF (p<0.01), oat hay는 CF와 ADF(p<0.05), orchard grass straw는 CF와 ADL(p<0.05), tall fescue straw는 CF와 aNDF(p<0.01), CF와 ADF(p<0.01), timothy hay는 CF와 aNDF(p<0.01), CF와ADF(p<0.05), CF와 ADL(p<0.01)에서 높은 상관관계를 나타내었다. 이렇게 영양성분 간에 상관관계가 높은 성분들 간에는 앞으로 조사료의 영양성분에 영향을 미치는 제 요인들을 고정하여 상관관계를 조사하고, 분석점수를 많이 하여 회귀식을 만들 수 있다면 수입조사료 평가에 실질적인 적용이 가능할 것으로 생각된다.

• 대한한방내과학회지
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• 제29권4호
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• pp.913-921
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• 2008

Objective : To report the effects of Chengsimyeonjatang-gamibang on tremors. Methods : Seven patients with tremors who visited the Department of Internal Medicine of Sangji Oriental Medical Center were diagnosed as Taeumin by consultation with the Dept. of Sasang Constitutional Medicine. Thus, an oriental medical therapy of Chengsimyeonjatang-gamibang, acupuncture, and moxibustion was carried out. We evaluated symptom progress of seven patients by using several questionnaires such as Unified Parkinson's Disease Rating ScaleIII (UPDRSIII), and Schwab & England activity of daily living (S&E ADL). Results : The scores of UPDRSIII were significantly improved after treatment (p<0.05). The scores of ADL were significantly improved after treatment (p<0.05). Conclusion : This study suggests that Chengsimyeonjatang-gamibang is probably effective in the treatment of tremors.