• Archives of Plastic Surgery
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• 제43권5호
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• pp.395-401
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• 2016

Background Some of the relatively newer, more efficacious, and potent topical wound dressing solutions include tetrachlorodecaoxide and super-oxidised solution. This study compares the efficacy and safety of these two drugs. Methods This is a block-randomised, double blind, parallel-arm, post-marketing study. One hundred fifty patients with ulcers (75 blocks uniform for sex, ulcer aetiology, diabetes mellitus, and wound area score) were randomised into the two treatment arms. Patients were observed for eight weeks with weekly assessments. One hundred and twenty patients completed the study. Wound healing was objectively assessed by measurement of wound area, scoring of wound exudation and tissue type, and using the pressure ulcer scale of healing Tool (validated for multiple wound aetiologies). Subjective improvement in pain was noted using a visual analogue scale. Both groups were compared using Mann-Whitney U test on all indicators. Results Difference in change in wound tissue type in the two groups was significant (${\alpha}$=0.05) by intention-to-treat (ITT) and per-protocol (PP) analysis at the end of week two (ITT and PP, P<0.001) and week four (ITT, P=0.010; PP, P=0.009). P-values for other comparisons were not significant (P>0.05). No study-related adverse events were observed. Conclusions Both drugs are efficacious. Tetrachlorodecaoxide yields healthy granulation tissue earlier. Both drugs appear to be safe for application.

• 대한의료기공학회지
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• 제13권1호
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• pp.105-144
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• 2013

This study intended to provide fundamental data to take countermeasures against recurrent stress by analyzing the health-related quality of life and factors for recurrent stress of alcohol dependents. Structured questionnaire was prepared for patients who quitted drinking after they had been hospitalized for alcohol dependence to take medical treatment but suffered recurrence, and analysis on health-related quality of life and environmental factors with drinking risk was conducted. The quality of life was at a relatively satisfactory level, where pain was found at the highest level and general health condition was found at the lowest level. Environmental factors with drinking risk were found to be a moderate level, drinking for the reason of family and friends in terms of complications with other persons was found to be highest, and then job, self control, bad emotions, and social pressure on drinking were found in order. For health-related quality of life, the quality of life was found to be high in case of the only son, professional job, well-educated persons, and no history of hospitalization. Regarding factors for recurrent stress, stress was found to be high in case of the eldest son and being without religion, and the lower was the quality of life, the higher were recurrent stress and environmental factors with drinking risk. It was found that demographic factors including age, marriage, and job influenced the recurrence of alcohol dependence, and factors for recurrent stress, etc. also influenced recurrent alcohol dependence with drinking risks. Specially, the lower was the quality of life, the higher were factors for recurrent stress, and drinking risks, therefore measures to improve the quality of life are required to be taken to prevent alcohol dependence from recurrence.

• 대한간호학회지
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• 제29권3호
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• pp.563-575
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• 1999

The purpose of this study was to examine the correlation between self-efficacy and self-care of hemodialysis patients. The subjects consisted of 140 hemodialysis patients who underwent hemodialysis at 2 university hospitals. The data were collected by questionnaires and chart review. The questinnaire used the self-efficacy tool developed by Kim Ju Hyune(1995) and the self-care tool developed by literature review and indepth open openended questions to 10 patients. Also, the questionnaire included physiologic data which collected through review of the patients' charts. The statistical analysis was used the SPSS program for frequency, mean, t-test, ANOVA and Pearson correlation. The results were as follows : 1. The mean score for general self-efficacy of hemodialysis patients was 3.103(1-4point) and there were significant differences according to percieved health. The mean score for specific self-efficacy of hemodialysis patients was 3.113 (1-4point) and there were significant differencies according to percieved health, side effects and complications which related hemodialysis. 2. The mean score for self-care of hemodialysis patients was 3.822(1-5point) and there were significant differencies according to marital status and economic level. 3. The relationship between general self-efficacy and self-care was a positive correlation(P＝.000). The relationship between specific self-efficacy and self-care was a positive correlation(P＝.000). In conclusion, this study revealed the level of self-efficacy and self-care, and the positive correlation between self-efficacy and self-care in hemodialysis patients. Therefore, intervention is needed to promote self-efficacy for self-care of hemodialysis patients. Considering the vulnerable self-care area same as checking blood pressure and weight, fluid restriction, social adjustment, exercise and rest, luther studies should develop self-efficacy promoting programs for self-care of hemodialysis patients.

• 한국조경학회지
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• 제28권4호
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• pp.91-104
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• 2000

The traditional village, which is subject for this paper, can be defined as a community having unique combinations of natural, cultural, and social characteristics of that nation, which reflects settlement environments during hundreds of years. Now, in spite of tis potential power of traditional village, national strategies do not find satifsactory directions in Korea. In terms of this concenrs, this paper tries to analyze and diagnose about successful precedents(Tsumage village and Shiragawa village, Japan) with focus on the village management. And this paper aims to explore concrete management systems of Japanese cases, to find clues for practical application, and to suggest several instructive concepts in the light of management system of traditional village management. The analysis is progressed in three viewpoints(village space, village attraction, and village community). And it is extracted that diverse management systems are necessary to secure sustainable traditional village and their way of life, particularly in the face of the pressure of tourism. As a result of exploring of Japanese two cases, representative characteristics, which are found, are as follow; Fist, objective of management is not tourism development but maintenance of sustainable life system. Second, management systems are having not compulsory but spontaneous open decision making process, and in particular, village management is mainly operated by the local government and semipublic institute(inhabitants-oriented0 which have the strongest influential power in village composition units. Finally, village management programs are mostly experience-type and are composed of public law and regulations, diverse operation program, and individual efforts of inhabitants for village management. Because this paper mainly focused on two precedents, there should be more diverse cases. however, extracted conclusions have practical meanings for village management and can be used in re-establishing management concepts of Korean traditional villages.

• 대한토목학회논문집
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• 제35권3호
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• pp.557-565
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• 2015

기후온난화로 인해 해수면 상승은 연안지역의 해수침투 피해를 야기했다. 해수침투에 대한 취약성 지수를 PSR 모형과 계층화 분석 방법(AHP)을 이용하여 개발하였다. 우리나라 삼면의 연안지역 중 강원도 속초시, 인천시 강화군, 충청남도 태안군, 전라남도 여수시, 진도군을 선정하여 인문, 경제, 사회, 환경 등의 자료를 바탕으로 14개 지표를 선정하였다. 스케일 재조정방법을 통해 지표의 표준화를 실시하고, 전문가들의 의견을 반영한 설문으로 얻어진 가중치를 부여하여 해수침투 취약성 지수를 산정하였다. 그 결과 전라남도 여수시가 해수침투에 가장 취약한 지역으로 선정되었다. 개발된 해수침투 취약성 지수는 해수침투 피해를 최소화 할 수 있는 향후 정책을 결정하는 중요한 도구 및 기초자료로 활용될 수 있을 것으로 기대된다.

• 농촌계획
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• 제24권1호
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• pp.99-111
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• 2018

This study was conducted for the purpose of deriving implications by observing the changing patterns and characteristics of the farmland reduction area in urban vicinity with Gimhae city, Gyeongsangnam-do as the subject. In order to achieve this goal, we first examined the problems and possibilities of farmland reduction area in urban vicinity through a theoretical review. Additionally, the characteristics of land use and community were examined for Gimhae city, Gyeongsangnam-do. The results of the study are summarized as follows. First, for 35 years from 1981 to 2015, Gimhae decreased $50.52km^2$ of farmland, which is about 17.4 times that of Yoido, and about 69.4% of the decreased farmland area. Second, the decrease in agricultural land has been expanding to the whole of Gimhae City from 1990 to 2010, and has been continuing since 2010 around dong-area. Third, in the farmland reduction area in urban vicinity, the number of settlements increases rapidly, but the aging population also increases. Fourth, the composition of the community is getting complicated with the change of the members. Taken together, it is necessary to manage the area efficiently because rapid change is present in the farmland reduction area in urban vicinity. Based on this, the implications are summarized as follows. First, there is a change in land use due to the reduction of farmland not designated as agricultural development region. Therefore, it is necessary to supplement the farmland-conversion standard. Second, despite the fact that land use management has been carried out, there have been problems such as uncontrolled development due to the development pressure beyond institutional management, and therefore it is necessary to improve the structural defects of the pertinent legal system. Fourth, while the traditional farming activities are decreasing with the decrease of agricultural land area, the increase in farms with secondary jobs and the urban-rural interchanges organization's efforts can lead to increased visits from outsiders that seek rural tourism and experiential learning.

• Physical Therapy Rehabilitation Science
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• 제9권3호
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• pp.155-164
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• 2020

Objective: This study aimed to compare muscle structure, balance, and gait parameters between healthy adults and persons with stroke and to analyze the correlation among these variables. Design: Cross-sectional study. Methods: Twenty persons with stroke (11 male, 9 female) and twenty healthy participants (9 male, 11 female) were included. Ultrasound images of the triceps surae and the tibialis anterior were acquired in sitting resting, sitting co-contraction, and standing resting positions and also during the functional reach test (FRT) and single leg anterior reaching test (SLART). Muscle thickness and fascicle length were measured. Spatiotemporal parameters of gait were measured using a pressure walkway. Gait speed, cadence, step length, stride length, stance time, and swing time were measured. Results: Changes in percent fascicle length were significantly greater in the gastrocnemius and soleus (SOL) muscles of healthy adults in the sitting co-contraction position (p<0.05). The percent fascicle length of the SOL in FRT and SLART were significantly greater in healthy adults (p<0.05). The mid-stance phase of stroke patients was shorter than healthy adults (p<0.05). A negative correlation was observed between percent fascicle length of the SOL in the sitting co-contraction position and the proportion of the mid-stance phase (p<0.05). Conclusions: The function of the triceps surae is affected in persons with stroke when compared with healthy adults. This can lead to difficulty in performing tasks that involve forward transfer of weight. If the triceps surae is not sufficiently secured, the possibility of compensation in the stance phase increases during gait.

• 한국치위생학회지
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• 제12권4호
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• pp.685-693
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• 2012

Objectives : This research was conducted to find the subjective symptoms of musculoskeletal system for main jobs and job posture. Methods : A survey was conducted from September 15, 2011 to October 7, 2011 and 357 dental hygienists were responded. The survey was consisted of the working environment and medical equipments, psycho-social characteristics, health habits and education, job posture, subjective symptoms of musculoskeletal system pain, and so on. Results : In the survey on the frequency of job posture of dental hygienists by jobs, said they cast down or tilt their head by 15 degrees or more or twist or bend their back. The result of the analysis on the subjective symptoms of musculoskeletal system by main job showed that they experienced a pain in neck, shoulder, and back, although the order differed. The order of subjective symptoms of musculoskeletal system for casting down or turning head by 15 degrees or more, twisting or bending back, having shoulders not parallel to the ground, sitting at the end of a chair, and supporting the whole body with one leg or pressing on a pedal for treatment was from the shoulders to the neck to the back. The order of subjective symptoms of musculoskeletal system for having arms too far from the body or hunching for treatment and bending wrists inward or outward for treatment was from the shoulders to the back to the neck. Conclusions : Due to the characteristics of the job which requires one to have a proper view of a patient's oral cavity, most of the postures included casting down of head or bending of back. Therefore a development of new postures is needed to replace the existing job postures which pressure the musculoskeletal system. And shift rotation can be used as a preventive measure.

• 한국산학기술학회논문지
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• 제15권8호
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• pp.4950-4960
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• 2014

본 연구는 잠수함 승조원들의 이직의도 요인을 분석하기 위해 설문 조사를 통한 실증적 연구를 실시하였으며, 분석도구로 이요인 이론을 토대로 한 Kano모델과 Timko 고객만족계수를 이용하였다. 본 연구는 2013년 11월 1일부터 30일까지 잠수함 승조원 408명을 대상으로 설문조사를 실시하였으며 분석결과 다음과 같은 결과를 도출하였다. 잠수함 승조원들은 잠수함의 열악한 근무환경, 수압에 의한 신체적 위험, 밀폐된 공간에서의 불안감 그리고 불확실한 계급 정년 등이 이직을 생각할 때 가장 많은 영향을 미치는 것으로 분석되었다. 이러한 결과를 바탕으로 분석된 요인에 대해 복지적인 측면과 정책적인 측면에서 요인별로 해소방안을 제시하였다.

• 인터넷정보학회논문지
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• 제18권6호
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• pp.93-100
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• 2017

다매체, 다채널 시대, 기존의 방송망이 아닌 인터넷 망을 통해 디지털 디바이스를 이용한 동영상 시청이 새로운 방송 시청 행태로 급부상 하고 있다. 이러한 시청 행태 변화의 주요 서비스로 OTT 서비스가 주목 받고 있다. OTT 서비스란 인터넷 연결이 가능한 곳이면 끊어짐 없이(seamless) 자신이 원하는 콘텐츠를 원하는 시간에 다양한 단말기(any time, any device, any contents)로 이용 할 수 있는 동영상 서비스를 말한다. 본 연구는 OTT 서비스의 확산에 발맞춰 OTT 서비스의 만족도에 영향을 미치는 요인을 기술 수용 모델이론을 적용하여 탐색하고자 하였다. OTT 서비스 초기 이용자 303명의 설문조사를 통해 분석한 결과, 사회적 압력, 인지된 대중성, 인지된 비용, 이용자 평판, 개인의 혁신성, 심미성 등이 인지된 유용성, 인지된 용이성, 인지된 유희성에 부분적으로 영향을 미치고 있는 것으로 나타났다. 또한 유용성, 용이성, 유희성은 각각 만족도에 긍정적인 영향을 미쳤다. 이러한 결과를 바탕으로 이론적, 실무적 함의를 논의하고 향후 연구 과제를 제언하였다.