• 대한치과마취과학회지
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• 제8권1호
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• pp.22-28
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• 2008

Background: Cerebral palsy (CP) is non-progressive disorder of motion and posture. In CP patient, there are difficulties in dental treatment because of uncontrolled movement of limb and head, and conjoined disabilities such as cognitive impairment, sensory loss, seizures, communication and behavioral disturbances. It is reported that CP patients have high incidence in caries and a higher prevalence of periodontal disease. But, despite the need for oro-dental care, these patients often are unlikely to receive adequate treatment without sedation or general anesthesia because of uncontrolled movements of the trunk or head. Methods: We reviewed the 58 cases of 56 patients with CP who underwent outpatient general anesthesia for dental treatment at the clinic for the disabled in Seoul National University Dental Hospital. Results: The mean age was 19 (2-54) years. The number of male patient was 40 and that of female was 18. They all had severe spastic cerebral palsy and 22 had sever mental retardation, 15 epilepsy, 8 organic brain disorder, 1 blindness, 2 deafness and cleft palate. For anesthesia induction, 14 cases was needed physical restriction who had sever mental retardation and cooperation difficulty, but 44 cases showed good or moderate cooperation. Drugs used for anesthesia induction were thiopental (37 cases), sevoflurane (14 cases), ketamine (3 cases ) and propofol (4 cases). All patients except one were done nasotracheal intubation for airway management and 4 cases were needed difficult airway management and 1 patient already had tracheostomy tube. Mean total anesthetic time was $174{\pm}56$ min and staying time at PACU was $88{\pm}39$ min. There was no death or long term hospitalization because of severe complications. Conclusion: If general anesthesia is needed, pertinent diagnostic tests and workup about anomaly, and appropriate anesthetic planning are essential for safety.

• 대한간호학회지
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• 제30권5호
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• pp.1156-1169
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• 2000

The study was aimed at developing an independent hospice center model that would be best suited for Korea based on a literature review and the current status of local and international hospices. For the study, five local and six international hospice organizations were surveyed. Components of the hospice center model include philosophy, purpose, resources (workers, facilities, and equipment), allocation of resources, management, financial support and hospice team service. The following is a summary of the developed model: Philosophies for the hospice center were set as follows: based on the dignity of human life and humanism, help patients spend the rest of their days in a meaningful way and accept life positively. On the staff side, to pursue a team-oriented holistic approach to improve comfort and quality of life for terminally ill persons and their families. The hospice center should have 20 beds with single, two, and four bed rooms. The center should employ, either on a part-time or full-time basis, a center director, nurses, doctors, chaplains, social workers, pharmacists, dieticians, therapists, and volunteers. In addition, it will need an administrative staff, facility managers and nurses aides. The hospice should also be equipped with facilities for patients, their families, and team members, furnished with equipment and goods at the same level of a hospital. represented by a center director who reports to a board and an advisory committee. Also, the center director administers a steering committee and five departments, namely, Administration, Nursing Service, Social Welfare, Religious Services, and Medical Service. Furthermore, the center should be able to utilize a direct and support delivery systems. The direct delivery system allows the hospice center to receive requests from, or transfer patients to, hospitals, clinics, other hospice organizations (by type), public health centers, religious organizations, social welfare organizations, patients, and their guardians. On the other hand, the support delivery system provides a link to outside facilities of various medical suppliers. In terms of management, details were made with regards to personnel management, records, infection control, safety, supplies and quality management. For financial support, some form of medical insurance coverage for hospice services, ways to promote a donation system and fund raising were examined. Hospice team service to be provided by the hospice center was categorized into assessment, physical care, emotional care, spiritual care, bereavement service, medication, education and demonstrations, medical supplies rental, request service, volunteer service, and respite service. Based on the results, the study has drawn up the following suggestions: 1. The proposed model for a hospice center as presented in the study needs to be tested with a pilot project. 2. Studies on criteria for legal approval and license for a hospice center need to be conducted to develop policies. 3. Studies on developing a hospice charge system and hospice standards that meet local conditions in Korea need to be conducted.

• Journal of Community Nutrition
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• 제7권3호
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• pp.156-162
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• 2005

This study was done to analyze the contents of food and nutrition information in daily newspapers. Articles in four newspapers(Chosun, Donga, Hankook, Joongang Ilbo) published during November 2003 to April 2004 were monitored. In analysis, 216 articles were used. Classifying the articles by topics, cuisine/cooking $(19.4\%)$ and food/ nutrition related to diseases $(18.1\%)$ were most common. Articles regarding food sanitation or safety, obesity and diet accounted for $12.5\%$, respectively. Other topics in articles included food culture$(11.1\%)$, balanced meals/eating habits $(10.6\%)$ and functional foods $(7.9\%)$. About $77\%$ of articles were written for unspecified persons. Regarding the types of articles, news articles made up $44\%$ of monitored articles, followed by feature articles $(14.8\%)$, advertisement by articles $(12.9\%)$, serials by professionals $(11.6\%)$, and information of daily life $(8.8\%)$. Nineteen percent of articles did not have specific sources, while $20.8\%$ were based on interviews with professionals. Other sources of articles included research reports $(14.8\%)$, field reports $(12.1\%)$ and literature $(8.8\%)$. Contents analysis showed that four-fifth of articles were evaluated as 'contents and titles are consistent', 'not difficult to understand', 'contents are not exaggerated', and 'information is not overgeneralized'. Seventy-one percent of articles were evaluated positively on increasing awareness regarding food/nutrition, while $56.5\%$ were evaluated as providing practical information. The major problems in articles were 'intentional or indirect advertisements of specific items/companies' ($74.6\%$ of articles applicable), 'lacking in scientific basis/explanation' $(65.3\%)$, 'presenting unbalanced information due to focusing on specific area' $(46.7\%)$, 'unclearness of contents' $(38.4\%)$, and 'lacking in explanation of technical terms' $(35.2\%)$. To provide reliable information, stating the sources of articles clearly and supplementing the articles with scientific basis and balanced information on specific topics are needed. It is also necessary to explain the contents and technical terms clearly and to reduce the contents of intentional, indirect advertisement in nutrition-related articles.

• 한국환경보건학회지
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• 제41권1호
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• pp.1-10
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• 2015

Objectives: The purpose of this study was to propose an indirect exposure assessment method using a questionnaire survey at a time when direct exposure assessment would be impossible after a chemical accident. Methods: About two weeks after an accident, a questionnaire survey was performed with 1,264 persons from the local community. Variables related to exposure were extracted from the survey contents, weighted and then graded for comparison with subjective symptoms in order to evaluate the extent of exposure. Survey items suitable for reflecting the previous exposure level during the accident were extracted, weighted and divided into quartile ranges. Subjective symptoms showed an increasing tendency with higher exposure level when compared with final exposure level (p<0.01). Results: For the relationship between the final exposure grade and subjective symptoms, as the exposure grade was increasing the rates complaining of symptom also showed an increasing tendency. However, when adjusted for demographic characteristics, there was a tendency for the eye irritation symptom to appear higher in women, and respiratory organ irritation appeared higher in smokers. Conclusions: When the problem of recall bias is considered, this study may not have completely unraveled exposure and the characteristics of the participants can affect subjective symptoms. Nevertheless, the exposure rating method of using a questionnaire showed a significant relationship with symptom level. It can be deemed that assessment of past exposure may be successfully evaluated by questionnaire in cases such as chemical accidents.

• 대한토목학회논문집
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• 제38권6호
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• pp.925-932
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• 2018

이 연구는 특수형 회전교차로 중 터보형 회전교차로를 다루고 있다. 최근 많은 회전교차로가 국내에 건설되고 있으나, 회전교차로의 효과는 총 진입교통량과 용지면적에 달려 있다. 이 연구의 목적은 부도로 교통량이 매우 작은 신호교차로를 터보형 회전교차로로 전환함에 따른 운영 및 사고감소 효과를 분석하는데 있다. 주요 연구결과는 다음과 같다. 첫째, 주도로의 교통량 비율이 높고, 부도로의 교통량이 10~15% 이하인 경우나 좌회전 비율이 30% 이하로 적을 경우 1차로형 및 2차로형 회전교차로 보다는 터보형 회전교차로로 전환할 경우 개선효과가 있는 것으로 분석되었다. 둘째, 1차로형 회전교차로에 비해 터보형 회전교차로는 지체감소효과가 매우 높고, 2차로형 회전교차로에 비해 용지 면적이 적어 도로용량의 증대에도 더욱 효율적인 것으로 판단된다. 셋째, 터보형 회전교차로 전환설치 후 교통사고 건수는 45.9%, 부상자수는 76.5%가 감소하였고, 사고유형별로 차대사람 사고가 2.3명에서 2명(14.3%), 차대차 사고가 14.3명에서 0명(100%), 차량단독 사고가 0.3명에서 사상자가 0명(100%)으로 분석되었다. 마지막으로 이용자 만족도 조사 결과 긍정적인 평가는 60.4%에서 터보형 회전교차로 전환설치 후 76.8%로 약 16.4%가 향상되어 안전성, 접근성, 편의성 등에 대한 개선효과가 높은 것으로 분석되었다.

• 한국전문물리치료학회지
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• 제25권2호
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• pp.22-29
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• 2018

Background: Deficits of both ankle dorsiflexion range of motion (DFROM) and dynamic balance are shown in persons with chronic ankle instability and the elderly, with the risk of falls. Objects: This study aims to investigate the relationship between DFROM and dynamic balance in elderly subjects and young adults. Methods: Fifty-nine subjects were divided into three groups: ankle stability young group (SY), ankle instability young group (IY) and ankle stability older group (SO). We recruited three old subjects with ankle instability, but excluded them during a pilot testing due to the safety issue. DFROM was measured by weight bearing lunge test (WBLT) and dynamic balance was measured via star excursion balance test (SEBT) in anteromedial, medial, and posteromedial directions. The group differences in WBLT and SEBT and each group's correlation between WBLT and SEBT were detected using the R statistical software package. Results: The dorsiflexion range of motion was significantly different between the SY, IY, and SO groups. The SO group showed the highest DFROM and IY group showed the lowest DFROM (SY: $45.88{\pm}.66^{\circ}$, IY: $39.53{\pm}1.63^{\circ}$, SO: $47.94{\pm}.50^{\circ}$; p<.001). However, the SO group showed the lowest dynamic balance score for all SEBT directions (SY: $87.24{\pm}2.05cm$, IY: $83.20{\pm}1.30cm$, SO: $77.23{\pm}2.07cm$; p<.05) and there was no relationship between the dorsiflexion range of motion and dynamic balance in any group. Conclusion: Our findings suggest that ankle DFROM is not a crucial factor for dynamic stability regardless of aging and ankle instability. Other factors such as muscle strength or movement coordination should be considered for training dynamic balance. Therefore, we need to establish the rehabilitation process by measuring and treating ROM, balance, and muscle strength when treating young adults with and without ankle instability as well as elderly people.

• 한국학교보건학회지
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• 제18권1호
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• pp.1-14
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• 2005

Purpose: The purpose of this study was to identify the needs of health education in students, their parents and teachers in the elementary, middle and high schools and the current situation of health education class. Method: The subjects of this study were a total of 9450 persons including students, their parents and teachers from 279 schools throughout the country. They were selected through convenient sampling. Data were analyzed through $\chi^2$-test and ANOVA. Result: Students, their parents and teachers replied that 18 dimensions of health education class (DHEC) are necessary. The four DHEC - healthier life style, sex education, mental health and safety education - showed high educational needs in students, their parents, and teachers. High school students had higher educational need of 'symptom management for daily living' than elementary and middle school students. Students, their parents and teachers in elementary school had higher educational needs of 17 DHEC than those in middle and high school. The percentages of schools with health education class taught by health teachers were 99.2%, 75.5% and 66.0% respectively in elementary, middle and high schools. Health education was given mainly using physical education classes at elementary schools, and creative class hours at middle and high schools. In general, health education took 1-3 hours per week at elementary schools, and less than an hour at middle and high schools. Conclusion: Therefore, based on the results, systematic health education class should begin from elementary school to meet the need of health education in students, their parents and teachers, and further study should be made on the number of hours required and the amount of contents of 18 DHEC.

• 한국조경학회지
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• 제41권2호
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• pp.47-58
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• 2013

본 연구의 목적은 국내 노천카페의 유형을 분류하고, 평가기준을 선정하여 유형별로 평가함으로써 추후 노천카페 가이드라인을 만들 때 기초자료를 제공하는 것이다. 이를 위해 가로와의 관계성 관점에서 노천카페의 유형을 분류하기 위하여 가로변 노천카페의 전수조사가 시행되었다. 그리고 평가기준을 선정하기 위하여 문헌 조사와 중요도 조사가 사용되었고, 데이터의 분석에는 기술통계분석, 요인분석 등과 같은 통계방법들이 사용되었다. 그 결과, 노천카페의 유형은 가로와의 관계성 관점에서 가로돌출형, 가로개폐형, 혼합입체형, 가로앙각형, 사인제공형 등 5개 유형으로 분류되었다. 평가항목의 5개 요인은 접근성, 심미성, 정체성, 환경성, 문화성이었는데, 이 5개 요인의 누적기여율은 68.731%로 높은 편이었다. 이러한 평가항목을 토대로 조경 전문가 4인이 5점 리커트 방식으로 평가를 실시하였다. 유형별 평가 결과, 가로돌출형과 가로개폐형은 '심미성'과 '문화성'의 평가점수가 가장 낮았고, 혼합입체형은 '문화성'의 평가점수가 가장 낮았으며, 가로앙각형은 '접근성', '심미성', '문화성', 사인제공형은 '접근성', '정체성', '환경성'의 점수가 낮았다. 지표별 평가 결과, '문화성'의 평가점수가 가장 낮았고, 항목별 평가 결과, '장애인의 안전성', '프로그램의 흥미성', '출입의 개방성'의 평가점수가 가장 낮았다. 본 연구는 국내에서 요구와 관심은 높지만 연구가 미흡한 분야인 노천카페의 유형을 분류하고, 유형별 평가를 수행하여 정책적 시사점을 제공하였다는 것에 의의가 있다. 그러나 소로변의 노천카페만 대상으로 하였으므로 추후 주변 환경의 차이에 대한 고찰을 위하여 다양한 환경의 노천카페를 대상으로 해야 할 것이다. 또한 전문가가 평가를 시행하였으므로 추후 이용자 입장에서의 중요도와 만족도 조사도 시행되어야 할 것이다.

• 가정∙방문간호학회지
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• 제12권2호
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• pp.1-15
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• 2005

Purpose: This study was conducted to assess the fall risk factors. Method: The subjects were 87 persons who were older than 65 years living at 28 nursing home in Seoul and Gyunggi province. Subjects were interviewed using RAFS II for intrinsic factor and the environmental factor were assessed using a structured questionnaire from Oct. to Dec. in 2004. The data were analyzed by SPSS(ver. 12.0) programs, using descriptive statistics, $x^2$-test, and t-test. Result: The 37.9% of the subjects experienced the fall, and its average number is $1.94\pm1.75$. The Women's experience of the fall was higher than that of the men, but it was no significant difference with gender. There was no significant difference with the age and duration of living. The mean of the intrinsic risk factor was 13.38 in total score 39 points marks on the RAFS II scales. The intrinsic risk factor score of the fallen group 15.71 was significantly higher than the non-fallen group 12.10. The variables of recent fall experience(t=4.72, p=0.000) and urinary dysfunction(t=2.64, p=0.010) was significantly higher than the non-fallen group. The highest variable of the intrinsic factor was the age and the variables of drug intake, balance, chronic disease, recent fall experience, urinary dysfunction were followed in order. The mean of the environmental risk factor was 0.24 points. No significant differences were shown in environmental risk factor between the fallen and the non-fallen groups. To the fallen group, the place of entrance was the highest risky environmental factor. To see in area dimension, the floor surfaces was the highest risky environmental factor and equipment and illumination factor was the following risky elements in order. In the total score of environmental risk factors based on the ares, the fallen group was 0.26 and the non-fallen group was 0.24, but there were no significant differences between the groups. Conclusion: This results suggested that visual protection strategy, set up the safety device in the place of entrance and inner stairway, bathroom and nonskid mat in the nursing home would be contribute to the prevention of the fall for the elderly.

• 가정과삶의질연구
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• 제28권6호
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• pp.35-46
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• 2010

The purpose of the study was to identify the potential buyers' consciousness of single-family housing to provide useful data to help future single-family housing supplies in Ulsan. The study selected residents in Ulsan, who were over twenty and had an interest in living in a single-family housing. A survey was conducted from September 11, 2008 to September 25, 2008. The sample consisted of 364 persons who are currently live in Ulsan metropolitan area. The results are as following. About two thirds of the sample had the desire to live in a single-family housing. Moving into a single-family housing had financial preparation as the greatest issue. When moving into a single-family housing, the convenience of the residential district was the greatest consideration, whether or not it is a green environment, pollution level, etc. The potential buyers valued environment-friendly features and also had a very strong desire to own their own house. Many of them wanted to design and build their own single-family housing within a budget of 100-200 million KRW. In terms of the location, there was a higher preference for the riverside or lakeside rural areas outside the city. In terms of size, the preference was less than $330m^2$, which includes $99-132m^2$ for residential. When considering a single-family housing the direction was the most important feature, along with eco-friendly and safer materials and equipments. When building the single-family housing the potential buyers considered the community spaces first with a preference for having three bedrooms and two bathrooms. For the exterior, they wanted a unique shape of roof and there were high preferences for brown and beige colors. In terms of housing complexes, the potential buyers preferred individual unit types over complexes. If they preferred housing complexes, they wanted the cluster form complex with about 10-30 units. The complex also required a park-like setting with a guard system, which shows that convenience and safety were the most important features. In terms of complex management, they considered environmental management as the most important feature. The potential buyers were willing to pay belw 200,000 KRW, which showed their desire to minimize financial burdens.