• 보건행정학회지
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• 제28권3호
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• pp.240-250
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• 2018

By the end of 2017, in a world of 7.6 billion people, there were inequalities in healthcare indices both within and between nations, and this gap continues to increase. Therefore, this study aims to understand the current status of regional inequalities in healthcare indices and to find an action plan to tackle regional health inequality through a geo-economic review in Korea. Since 2008, there was great inequality in life expectancy and healthy life expectancy by region in not only metropolitan cities but also districts in Korea. While the community health statistics from 2008-2017 show a continuous increase of inequality during the last 10 years in most healthcare indices related to noncommunicable diseases (except for some, like smoking), the inequality has doubled in 254 districts. Furthermore, health inequality intensified as the gap between urban (metropolitan cities) and rural regions (counties) for rates of obesity (self-reported), sufficient walking practices, and healthy lifestyle practices increased from twofold to fivefold. However, regionalism and uneven development are natural consequences of the spatial perspective caused by state-lead developmentalism as Korea has fixed the accumulation strategy as its model for growth with the background of export-led industrialization in the 1960s and heavy and chemical industrialization in the 1970s, although the Constitution of the Republic of Korea recognizes the legal value of balanced development within the regions by specifying "the balanced development of the state" or "ensuring the balanced development of all regions." In addition, the danger of a 30% decline or extinction of local government nationwide is expected by 2040 as we face not only a decline in general and ageing populations but also the era of the demographic cliff. Thus, the government should continuously operate the "Special Committee on Regional Balanced Development" with a government-wide effort until 2030 to prevent disparities in the health conditions of local residents, which is the responsibility of the nation in terms of strengthening governance. To address the regional inequalities of rural and urban regions, it is necessary to re-adjust the basic subsidy and cost-sharing rates with local governments of current national subsidies based mainly on population scale, financial independence of local government, or distribution of healthcare resources and healthcare indices (showing high inequalities) overall.

• 감성과학
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• 제21권1호
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• pp.17-34
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• 2018

스스로 완벽하게 목적지까지 주행하는 완전 자율주행 자동차 시대가 가까운 미래에 도래할 것으로 예상되면서 자동차 산업은 1800년대 후반에 자동차가 탄생한 이래 큰 변화를 꾀해야 할 중대한 전환기를 맞이하고 있다. 완전 자율주행 자동차는 단순한 이동수단의 개념을 넘어 생활공간으로 정의되어지며, 앞으로 실내공간을 중심으로 큰 변화가 나타나게 될 것이라고 전망되고 있으나 완전 자율주행 자동차 실내공간 디자인에 대한 기존 연구는 미비한 실정이다. 이에 본 연구는 생활공간이라는 개념에 적합하도록 사용자의 감성적 경험을 충족시켜줄 수 있는 근본적인 디자인 요소인 실내행위에 대한 분석을 통해 실내공간 디자인 방안을 제안하고자 한다. 이를 위해 완전 자율주행 자동차의 실내행위에 대한 소비자 의식을 조사하였다. 분석 결과 국내 소비자들은 완전 자율주행 자동차 내에서 '수면 및 휴식', 'TV 및 영화 시청', '음악감상' 등 개인 중심 행위 중에서도 휴식 및 감상 활동과 관련된 실내행위에 대한 필요성을 인지하고 있었으며, 본 연구 결과를 바탕으로 완전 자율주행 자동차 실내공간 디자인 방안을 제안하였다. 본 연구는 소비자 니즈(needs)를 정량적 방법으로 분석하여 실내공간 디자인 방안을 새로운 시각으로 제시한 선도적인 연구라는 점에서 중요한 의미를 지닌다.

• 대한간호학회지
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• 제26권3호
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• pp.605-622
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• 1996

Needle stick injury, in which blood-borne pathogens including Human Immune-Deficiency virus and hepatitis B virus are transmitted, is one of the major occupational hazards that health professionals face everyday. In order to provide basic data for the development of educational programs for health professionals aimed at preventing and effectively managing needle stick injuries, a retrospective descriptive study was carried out .The subjects of the study were 630 health professionals, 499 nurses and 131 physicians, from two university hospitals in Seoul, Korea. Data on episodes of needle stick experiences over the past is months September 1994 through August 1995, were collected between September 1 and 7, 1995. A Questionaire developed by the researcher was used. The frequencies and the percentile score for episodes of needle stick injuries were calculated using the PC-SAS program. The differences and similarities in reference to the structure, career, and specialty variables were analysed by X$^2$-tests. Results are as follows : 1. Of the sample, 521(82.7%) reported a needle stick injury, 33.4% reported 3 or more episodes of needle stick injuries. 2. The needle stick injuries occured in the following processes : process of percutaneous venepuncture for intra-venous injection and infusion(55.3%), medical examination and treatment(48.9%), per-cutaneous venepuncture for blood sampling (46.3%) and intra-muscular injection(42.2%). 3. The study showed that needle stick injuries occured before(19%), during(25%), and after (56%) client treatment. The major causes of needle stick injuries were perceived to be hastiness(82.2%) and carelessness(48.3%). Of these injuries, 91.8% occured in emergency situations. 4. Follow of care for the injury consisted of : treating the injured site immediately using disinfectants(89.7%), reviewing the clinical records of the patient involved(84.2%), immunological investigation for the status of antibodies(11.1%) and self-medication of antibiotics (10.7%). Only 16.3% of the total episodes were founded to have been reported to the administrative unit. 5. The length of clinical experience of the nurses, clinical specialty and length of clinical experience in physicians were found to have influenced the episodes of needle stick injuries ; nurses with less than 1 year and with more than 6 years of clinical experiences had significantly lower levels (X$^2$=25.04, P=.00), surgeons had significantly higher levels (X$^2$=9.89, P=.02) compared to that of internists and interns, higher(X$^2$=4.54, P=.03)than residents.

• Journal of Oral Medicine and Pain
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• 제43권2호
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• pp.27-33
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• 2018

Purpose: Many researchers have established a connection between sleep disturbances and the symptoms of temporomandibular disorder (TMD) in adults, but there are a few studies targeted at adolescents with TMD. The aim of this study was to analyze the sleep pattern of adolescents with TMD and to determine the effect of poor sleep quality on their clinical symptoms. Methods: The subjects were composed of 47 adolescents with TMD. The sleep pattern and preliminary information of patients were measured by self-reported questionnaires; Pittsburgh Sleep Quality Index (PSQI) and Questionnaire for TMD analysis. TMD pain was scored using the Numerical Rating Scale. The Kruskal-Wallis test, Mann-Whitney U test, Fisher's exact test and logistic regression were used for statistical analysis. Results: The poor sleeping group had statistically more females (25.00% males, 75.00% females) than the good sleeping group. As compared with that of good sleepers, sleep quality of poor sleepers was significantly worse in the items of subjective sleep quality, sleep latency, sleep duration, sleep disturbances, daytime dysfunction and global PSQI score. The sleep time of adolescents was much longer during vacation ($7.20{\pm}1.38hours$) than during school days ($6.10{\pm}1.26hours$). Poor sleep of patients was associated with the pain in the ear or in front of the ear, in the face, jaw, throat or temple and in neck or back. Adolescents with pain in those areas had significantly higher proportion of poor sleepers than adolescents with no pain in those areas. Conclusions: The high ratio of girls in poor sleeping group could reflect the greater prevalence of TMD in women than in men. Pain in peri-temporomandibular joint areas, neck or back could negatively influence sleep quality of adolescents with TMD.

• Child Health Nursing Research
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• 제9권1호
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• pp.9-17
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• 2003

Families of children with cancer face many illness-related demands. The perceived social support is a critical resource for the family adaptation process. And the patterns of family adaptation to childhood cancer varies as characteristics of disease, which is prognosis, the influence of cognition function, and treatment process. The conceptual definition of social support is not unidimensional. However, most studies focus on general aspect of mediating effects on adaptation. Diverse dimensions of perceived social support should be considered in its effectiveness for intervention. Therefore, this study was undertaken to determine whether family's perceived social support influences the family adaptation of family with pediatric cancer and what dimension influences mostly in family adaptation as the characteristics of disease in the family of children with cancer. The subject was consisted of 102 families with pediatric cancer who had been diagnosed as leukemia or brain tumor last 2 years. Those families had participated in the education program or meetings for family who have with pediatric cancer children. The measurement for this study were Personal Resource Questionnaire (PRQ) Part-Ⅱ developed by Brandt and Weinert to measure parents' perceived social support, and the McCubbin's Coping Health Inventory for Parents (CHIP) to measure family coping. The results of this study can be summarized as follows; Regression analysis showed that perceived social support has effect on family adaptation with β=.43, p<.01. In the group of family of child with leukemia, social support as general has effect on adaptation (β=.40, p<.01) and specially, social support perceived as intimacy was strongly effect on family adaptation. And In the group of brain tumor, Social support has effect on adaptation(β=.46, p<.01) and among the social support domains, the self esteem dimension was most predictable to family adaptation. In conclusion, the perceived social support is a predictor on family adaptation and useful vehicle to help family who has child with pediatric cancer. An important clinical implication is that specified support program for intervention may be useful and critical for the family who has diverse pediatric conditions of childhood cancer. Further studies should stress the effects of family support for clinical intervention and is needed with diverse stage of development and pediatric conditions.

• 치위생과학회지
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• 제4권2호
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• pp.49-53
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• 2004

환자들의 치과 치료시 심리적으로 안정이 되고 편안하게 보일 수 있는 복장을 제시하고 치과위생사의 이미지 향상을 위해 치과에 내원한 성인환자 486명을 대상으로 2003년 1월 20일부터 2월 20일까지 자기기입식에 의한 설문조사를 실시하였으며 그 결과는 다음과 같다. 1. 선호하는 의복형태에 대해 39.1%의 환자들이 투피스치마를 가장 선호하였고 일반적 특성에 따른 의복형태 분석결과 성별에서 유의한 차이가 나타났다(p<0.01). 2. 의복색상에 대해 36.2%의 환자들이 분홍색 계열을 선호하였다. 3. 선호하는 신발은 44.2%의 환자들이 샌들을 가장 선호하였고 일반적 특성에 따른 분석결과 연령(p<0.01), 성별(p<0.05)에서 유의한 차이가 나타났다. 4. 머리스타일은 환자들의 43.6%가 뒤로 묶은 머리를 가장 선호하였고 일반적 특성에 따른 분석결과 연령(p<0.05), 성별(p<0.01)에서 유의한 차이가 나타났다. 5. 선호하는 화장정도는 45.9%의 환자들이 전체화장을 가장 선호했으며 일반적 특성에 따른 분석결과 성별(p<0.01)에서 유의한 차이가 나타났다. 6. 치과위생사 표시방법으로 환자들의 60.7%가 명찰을 가장 선호하였고 일반적 특성에 따른 분석결과 연령(p<0.05)에서 유의한 차이가 나타났다. 7. 자신이 선호하는 복장에 대해 75.9%의 환자들이 자신에게 안정을 준다고 하였다.

• 한국가정과교육학회지
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• 제32권1호
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• pp.167-184
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• 2020

이 연구는 중학교 기술·가정 교과의 가족 단원에서 그림책을 활용한 스토리텔링 수업이 청소년의 회복탄력성과 부모자녀관계에 미치는 효과를 살펴보는 데 목적을 두었다. 이를 위해 가족 형태, 가족관계, 가족갈등, 성폭력, 가정폭력, 가족 상실에 관한 5가지 주제의 그림책을 선정하고 스토리텔링 요소와 기법을 적용한 '그림책으로 만나는 가족' 교수·학습 과정안을 개발하였다. 남녀 중학생 194명을 대상으로 기술·가정 수업시간에 적용하고, 사전·사후 검사를 통하여 수집된 자료를 분석하였다. 그 결과 청소년이 지각하는 회복탄력성 정도는 수업 후 유의미하게 증가하였으나, 사회성 영역의 하위요인 중 자아확장력에서는 수업의 효과가 나타나지 않았다. 청소년의 부모자녀관계에서는 모든 영역에서 수업의 효과가 나타났고, 아버지보다 어머니와의 관계에서 느끼는 애정적 결속 정도가 더 증가하였다. 회복탄력성의 향상과 부모자녀관계 향상을 목표로 하는 기술·가정 교과의 가족 단원에서 그림책을 통한 스토리텔링 수업은 자신의 역경을 딛고 일어서는 잠재적인 힘을 청소년 스스로 길러주게 하여 청소년 가정의 가족과의 관계까지 긍정적인 영향을 미치는 것임을 알 수 있다.

• 디자인학연구
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• 제17권4호
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• pp.233-240
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• 2004

과학기술이 발달한 현대에 살고 있는 우리는 모두 ‘에너지’로 인해 편리한 생활을 영위하고 있다. 우리나라는 자원빈국으로 에너지원의 대부분을 해외에서 수입하고 있는 실정이며 계속되는 경제 성장과 국민 생활수준의 향상으로 에너지 소비는 더욱 증가하는 추세이다. 원자력은 우리나라처럼 에너지 부존자원이 빈약하고 에너지 수입 의존도가 높은 나라에서는 필수적인 에너지 자립형 대체에너지라고 한다. 하지만 원자력 발전이 위험 시설이라는 부정적인 인식과 방사능 처리 시설에 대한 불신 문제가 이슈화되면서 원자력 발전에 대한 대국민 교육, 홍보가 절실히 요구되고 있다. 이러한 문제를 환경 색채계획의 관점인 친인간, 친환경 색채계획을 목표로 접근하였으며 이를 통해 원자력에 대한 부정적 이미지를 최소화하고 친근하고 자연스러운 이미지를 부각시키며 대 국민 신뢰성 향상 및 청정 이미지 구축이 본 연구의 목표이다. 이를 위하여 일본의 원자력 발전소와 국내 발전소의 사례를 조사, 분석하고 발전소가 건설될 대상지를 방문하여 자연환경, 현황분석을 통하여 구체적인 색을 추출하였으며 지역 주민의 참여를 유도하고자 선물조사를 실시하여 색채계획에 반영하였다. 원자력 발전소의 환경 친화적 이미지구현을 통해 발전소의 안정성 및 친근한 발전소 이미지를 구축하며 원자력 발전에 대한 일반 국민들의 부정적인 인식을 계도하는데 적극적인 홍보 전략 및 수단으로 외관 환경색채계획을 시도하며 이를 통해 원전의 새로운 이미지 창출에 기여할 것으로 기대된다.

• 한국재료학회지
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• 제22권7호
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• pp.379-383
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• 2012

$TiO_2$ thin films consisting of positively charged poly(diallyldimethylammonium chloride)(PDDA) and negatively charged titanium(IV) bis(ammonium lactato) dihydroxide(TALH) were successfully fabricated on glass beads by a layer-by-layer(LBL) self-assembly method. The glass beads used here showed a positive charge in an acid range and negative charge in an alkaline range. The glass beads coated with the coating sequence of(PDDA/TALH)n showed a change in the surface morphology as a function of the number of bilayers. When the number of bilayers(n) of the(PDDA/TALH) thin film was 20, Ti element was observed on the surface of the coated glass beads. The thin films coated onto the glass beads had a main peak of the (101) crystal face and were highly crystallized with XRD diffraction peaks of anatase-type $TiO_2$ according to an XRD analysis. In addition, the $TiO_2$ thin films showed photocatalytic properties such that they could decompose a methyl orange solution under illumination with UV light. As the number of bilayers of the(PDDA/TALH) thin film increased, the photocatalytic property of the $TiO_2$-coated glass beads increased with the increase in the thin film thickness. The surface morphologies and optical properties of glass beads coated with $TiO_2$ thin films with different coating numbers were measured by field emission scanning electron microscopy(FE-SEM), X-ray diffraction(XRD) and by UV-Vis spectrophotometry(UV-vis).

• 인터넷정보학회논문지
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• 제15권2호
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• pp.87-94
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• 2014

본 논문은 SNS 사용증가에 따라 페이스북 이용자들의 정서적 양가 감정태도가 어떻게 다른지를 정량적으로 조사하고, 페이스북 이용동기와 이용행태가 양가성 태도와 어떤 상관성을 갖는지 탐색하였다. 설문조사 결과, 페이스북 이용시기와 이용시간보다 접속횟수가 양가성에 영향을 미치며, 페이스북 이용동기 중 '인맥넓히기', '관계유지', '연락 주고받기'의 이용동기가 양가성 태도와 상관성이 높은 것으로 나타났다, 또한 페이스북에 대한 영향력인식이 양가성 태도에 통계적으로 유의하게 나타났으며, 성별차이는 없었지만 40대의 페이스북 이용자들이 정서적 양가성을 크게 느끼는 것으로 나타났다. 이와 같은 결과는 인맥확장과 관계유지를 위해 페이스북을 자주 접속하는 40대 이상의 이용자들일수록 정서적 양가성 태도를 갖게 되며 그로 인해 페이스북 피로감도 증가할 것임을 시사한다.