• 대한영양사협회학술지
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• 제26권4호
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• pp.243-253
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• 2020

The purpose of this study was to set new guidelines for adenosine triphosphate (ATP) bioluminescence hygiene monitoring of distribution trays at children's foodservices. Five dietitians visited 223 foodservices (95 institutional, 128 small) to examine whether they adhered to the norms of 'Keeping distribution tray sanitary by washing/sanitizing' and 'Performing food distribution in a clean and appropriate way'. In this visit, dietitians swabbed 100 ㎠ area of the distribution trays twice, once for obtaining ATP measurements and the second time for Aerobic Plate Counts (APC) using 3M Petrifilm Plates. Chi-square test and ANOVA were applied using SPSS 23.0 software. SPSS 23.0 was used to conduct graphical and statistical analysis of the raw data of ATP measurements, which were further transformed by a Box-Cox transformation. The mean of APC from all the subjects inspected was 3.8×10²±2,102.0 CFU/100 ㎠. A total of 208 (93.3%) trays were observed within the acceptable limits of APC (Pass<5.0×10² CFU/100 ㎠). APCs taken at institutional foodservices showed significantly lower levels (1.4×10²±600.0 CFU/100 ㎠, P<0.01) compared to the small foodservices (5.5×10²±2,718.7 CFU/100 ㎠). No significant differences were observed between the two groups in ATP measurements and in the performance rate of 2 checklist items. As against the 93.3% APC adequacy from the total subjected inspection, total ATP adequacy (Pass≤300 RLU/100 ㎠) was only 71.7%. Therefore, more practical guidelines should be prepared for the assessment of the hygiene of distribution trays. In the graphical and statistical analysis, levels below 250 RLU/100 ㎠ was considered 'Pass', while equal to or greater than 350 RLU/100 ㎠ was considered 'Fail' for distribution trays.

• Asian Pacific Journal of Cancer Prevention
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• 제17권12호
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• pp.5133-5138
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• 2016

Background: Breast cancer is one of the most common cancers and a major public health problem in developing countries. However, early detection and treatment may be achieved by breast self-examination (BSE). Despite the importance of BSE in reducing the incidence of breast cancer and esultant deaths, the disease continues to be the most common cause of cancer death among women in Iran.This study aimed to determine the effects of self-care education on performance of BSE among women referring to health centers in our country. Materials and Methods: This quasi-experimental interventional study with pretest/posttest control group design was conducted on 168 women referred to health centers. The data were collected using a validated researcher-made questionnaire including demographic variables and trans-theoretical model constructs as well as a checklist assessing BSE behavior. The instruments were administered to groups with and without self-care education before, a week after, and 10 weeks after the intervention. Then, the data were entered into the SPSS statistical software (version 19) and analyzed using independent sample t-tests, paired sample t-test, repeated measures ANOVA, Chi-square, and Friedman tests (p<0.05). Results: The results showed an increase in the intervention group's mean scores of trans-theoretical model constructs (stages of change, self-efficacy, decisional balance, and processes of change) and BSE behavior compared to the control group (p<0.001). Conclusion: The study confirmed the effectiveness of aneducational intervention based ona trans-theoretical model in performing BSE. Therefore, designing educational interventions based on this model is recommended to improve women's health and reduce deaths due to breast cancer.

• 대한물리의학회지
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• 제10권3호
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• pp.29-37
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• 2015

PURPOSE: The aim of this study is to investigate the relationship between psychosocial factors and the severity of musculoskeletal pain in veterans with posttraumatic stress disorder (PTSD). METHODS: A total of 60 subjects were recruited from among the veterans with musculoskeletal pain at D Veterans Hospital. PTSD was evaluated by using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition; severity of pain was measured by using the short-form McGill Pain Questionnaire (SF-MPQ); depression and anxiety were measured by using the Symptom Checklist-90-Revision; and the quality of sleep was measured by using the Pittsburgh Sleep Quality Index. All data were analyzed using SPSS 18.0 software for Windows. RESULTS: The averages cores of pain intensity ($7.48{\pm}1.67$), SF-MPQ-sensory ($13.84{\pm}7.52$), SF-MPQ-affective ($4.41{\pm}3.79$), depression ($19.30{\pm}11.37$), anxiety ($13.39{\pm}7.99$), and quality of sleep ($10.05{\pm}5.89$) were obtained in veterans with PTSD. SF-MPQ-sensory measures sleep quality (r=0.346, p<0.01), SF-MPQ-affective measures depression (r=0.318, p<0.01) and anxiety (r=0.404, p<0.01), and these showed a statistically significant positive correlation in veterans with PTSD. Pain levels were observed to be higher in veterans with PTSD. Moreover, in these subjects, physical pain had a significant influence on the anxiety variable among the psychosocial factors. CONCLUSION: These findings suggest that musculoskeletal pain provides meaningful information about depression, anxiety, and sleep disorder in veterans with PTSD. Our data suggest that musculoskeletal pain may need to be addressed as part of the health management process of veterans.

• 대한조선학회논문집
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• 제45권4호
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• pp.441-454
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• 2008

Shipyard design and equipments layout problem, which are directly linked with the productivity of ship production, is an important issue serving as reference data of production plan for later massive production of ships. So far in many cases, design of a shipyard has been relying on the experienced engineers in shipbuilding, resulting in sporadic and poorly organized processes. And thus, economic losses as well as trials and errors in that accord have been pointed out as inevitable problems. This paper extracts a checklist of major elements to fine tune the shipbuilding yard designing process and the input/output data based on the simulation based shipbuilding yard layout designing framework and methodology proposed in existing researches, and executed initial architecture to develop software that integrates all the relevant processes and designing tools. In this course, both user request and design data by the steps are arranged and organized in the proposed layout design template form. In addition, simulation is done based on the parent shipbuilding process planning and scheduling data of the ship product, shipbuilding process and work stage facilities that constitute shipbuilding yard, and design items are verified and optimized with the layout and equipment list showing optimal process planning and scheduling effects. All the contents of this paper are based on simulation based shipbuilding yard layout designing methodology, and initial architecture processes are based on object oriented development methodology and system engineering methods.

• 한국간호교육학회지
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• 제23권1호
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• pp.15-26
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• 2017

Purpose: This study evaluated the efficacy of a communication ability enhancement program for nursing students in Korea through a systematic review of literature and meta-analysis. Methods: The researchers searched data-bases, including the Data Base Periodical Information Academic, Research Information Sharing Service, National Digital Science Library and National Assembly Library. The key words used included 'communication' and 'nursing student'. The researchers evaluated articles published up to July 2016. Out of 381 selected articles, 20 clinical trial studies were meta-analyzed. Each article was evaluated in accordance with the Checklist of Scottish Intercollegiate Guideline Network. The effect size of communication ability, self-efficacy and interpersonal relations were synthesized by a random effects model from analysis software (R 3.2.3). The heterogeneity of effect size was analyzed by exploratory and confirmatory moderator analysis. Results: The overall effect size of the program was of a moderate level (SMD=0.78, 95% CI: 0.49~1.07) along with each outcome of self-efficacy (SMD=0.80, 95% CI: 0.23~1.37), and interpersonal relations (SMD=0.47, 95% CI: 0.14~0.80). For heterogeneity, moderator analysis was performed, by grade, and a statistically significant moderator was found. Conclusion: It is evident that a communication ability enhancement program for nursing students is moderately effective in improving communication ability, self-efficacy and interpersonal relations.

• 한국응급구조학회지
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• 제23권2호
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• pp.43-59
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• 2019

Purpose: The purpose of this study was to assess 119 emergency medical technicians' perception of child abuse, attitudes towards mandatory reporting, and perceptions of mandatory reporting system, and to promote early reporting. Methods: The questionnaire was filled out by one hundred ninety 119 EMTs with paramedic or nurse licenses. The questionnaire consisted of 53 items with responses based on a five-point scale. Data were collected from July 10 to July 31, 2018, and were analyzed using IBM SPSS version 24.0 software. Results: The average score for 119 EMT's perception of child abuse was 3.76. The average score for positive attitude towards mandatory reporting was 3.63, and the average score for negative attitude towards mandatory reporting was 2.63. The average score for perceptions of the mandatory reporting system was 3.50. There was a significant positive correlation between perception of child abuse and positive attitude towards mandatory reporting (r=.244, p=.001), between perception of child abuse and perceptions of the mandatory reporting system (r=.209, p=.004), and between positive attitude towards mandatory reporting and perceptions of mandatory reporting system (r=.336, p=.000). Conclusion: Systemic educational programs for 119 EMTs on perception of child abuse and reporting are needed. It is very important to establish institutional strategies such as the use of checklist for suspicion of child abuse, procedural simplicity after reporting, and protection of reporter information.

• Restorative Dentistry and Endodontics
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• 제45권4호
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• pp.48.1-48.11
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• 2020

Objectives: This systematic review aimed to identify mean oxygen saturation values (SpO₂) using pulse oximetry in permanent maxillary anterior teeth. Materials and Methods: The MEDLINE, Scientific Electronic Library Online, Cochrane Central Register of Controlled Trials, EMBASE, and Literatura Latino Americana em Ciências da Saúde electronic databases were searched. Combinations and variations of "oximetry" AND "dental pulp test" were used as search terms. Studies reporting means and standard deviations of SpO₂ values were included. Two reviewers independently extracted data following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Heterogeneity was assessed using the I² statistic, and all analyses were performed using R software. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool and the Newcastle-Ottawa scale. Results: Of the 251 studies identified, 19 met the eligibility criteria and were included (total sample, 4,541 teeth). In the meta-analysis, the mean SpO₂ values were 84.94% (95% confidence interval [CI], 84.85%-85.04%) for the central incisors, 89.29% (95% CI, 89.22%-89.35%) for the lateral incisors, and 89.20% (95% CI, 89.05%-89.34%) for the canines. The studies were predominantly low-quality due to the high risk of bias associated with the index test, unclear risk regarding patient selection, and concerns about outcome assessment. Conclusions: Although most studies were low-quality, the oxygen saturation levels in normal pulp could be established (minimum saturation, 77.52%). Despite the risk of bias of the included studies, the reference values reported herein are clinically relevant for assessments of changes in pulp status.

• 임상간호연구
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• 제29권3호
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• pp.296-311
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• 2023

Purpose: This study aimed to identify factors related to the workload of intensive care unit nurses through a systematic literature review and meta-analysis to provide basic data to explore the direction of development of nursing staffing standards. Methods: This study involved quantitative studies about nurses working in intensive care units related to nursing workload published in English or Korean since 2000. Search terms included 'intensive care unit', 'nursing workload', and their variations. Databases such as RISS, DBpia, MEDLINE(PubMed), CINAHL, PsycINFO, and Web of Science were utilized. Quality assessment was conducted using the Joanna Briggs Institute's Critical Appraisal Checklist for Analytical Cross-Sectional Studies. JAMOVI software facilitated the analysis of effect sizes, employing a meta-analysis approach for 7 studies with correlational or regression data. Results: From 16 studies on the workload of intensive care unit nurses, a total of 20 patient and nurse-related factors were identified. Patient-related factors included severity of illness, length of stay, and age. Meta-analysis was conducted for three patient-related factors: age, severity of illness measured by SAPS 3, and length of stay. Only severity of illness measured by SAPS 3 was significantly associated with nurse workload (Zr=0.16, p<.001, 95% CI=0.09-0.24). Conclusion: In previous studies, the characteristics of intensive care units and patients varied across studies, and a variety of scales for measuring workload and severity of illness were also used. Sustained research reflecting domestic intensive care unit work environments and assessing the workload of intensive care unit nurses should be imperative.

• 한국ITS학회 논문지
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• 제22권6호
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• pp.299-312
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• 2023

최근 ECU(Electronic Control Unit)는 단순한 편의 기능을 넘어 여러 기능이 하나로 통합되고 있다. 이에 따라 ECU는 이전보다 더 많은 기능과 외부 인터페이스를 갖게 되었고, 다양한 사이버 보안 문제가 발생하고 있다. UNECE(United Nations Economic Commission for Europe) WP. 29는 증가하는 차량 사이버보안에 대한 위협을 고려해 UN Regulation No.155를 발표하여 차량 사이버 보안 관리 체계에 대한 국제 기준을 마련했다. 국제 기준에 따르면 차량 제조업체는 2022년 7월부터 CSMS(Cybersecurity Management System)를 구축하고, VTA(Vehicle Type Approval)를 받아야 한다. 그러나 국내에서는 이에 대한 준비가 미흡해 시행 시기를 조정해야 한다는 의견이 제기되었다. 따라서 본 논문에서는 요구사항의 CSMS 현황을 확인하기 위한 체크리스트와 식별된 갭(Gap)을 완화하기 위한 다양한 차량 보안 솔루션을 매핑 시켜주는 웹 기반의 솔루션을 제안한다.

• 대한감각통합치료학회지
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• 제21권2호
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• pp.69-83
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• 2023

목적 : 본 연구는 수면장애 아동을 대상으로 사회적 이야기(social story)를 적용한 연구를 대상으로 중재효과를 체계적으로 고찰하고자 하였다. 연구방법 : 본 연구는 2001년에서 2022년까지 데이터베이스 Scopus, ScienceDirect, psycArticles, Pubmed에 게재된 문헌들을 대상으로 하였다. 검색어는 'social story' OR 'social stories' AND 'sleep' OR 'sleep disorders' OR 'sleep wake disorder bedtimes' OR 'sleep initiation' and 'maintenance disorders' OR 'sleep wake disorder' OR 'sleep arousal disorder'을 사용하였다. 선정 기준에 따라 최종적으로 6편의 실험연구를 선정하여 분석을 실시하였다. 결과 : 분석 대상 문헌은 무작위 대조 실험연구는 2편, 개별 실험연구가 3편, 사례연구가 1편이었다. 대상자는 진단별로는 자폐스펙트럼 아동, 연령별로는 학령기와 청소년기가 가장 많았다. 중재유형은 사회적 이야기와 다른 중재를 함께 포함한 복합중재가 많았고, 중재 기간은 1일부터 40일 이상으로 다양하였다. 중재 효과로는 수면의 질에 긍정적인 효과를 보였으며, 그중에서도 야간 각성(night walking), 수면 시작 지연(sleep onset delay), 수면 불안(sleep anxiety)이 개선되었다. 사회적 이야기의 효과를 평가하는 도구로는 표준화된 평가에서는 아동 수면 습관 설문지(children's sleep habits questionnaire)와 아동 행동 체크리스트(child behavior checklist)를 가장 많이 사용하였고, 비표준화된 평가로는 인터뷰(interview), 수면일기 (Sleep diary)를 사용한 연구가 많았다. 결론 : 본 연구는 수면장애가 있는 아동 및 청소년에게 사회적 이야기를 적용함으로써 임상에서 적용할 수 있는 수면 중재 방향을 모색하는 것에 의의가 있다. 사회적 이야기의 중재 효과로는 야간 각성(night wakings), 수면 시작 지연(sleep onset delay), 수면 불안(sleep anxiety) 영역이 개선된 연구들이 큰 비중을 차지하였다. 수면의 질의 세부 효과 영역은 대부분의 연구에서 중재 전후 유의한 개선을 나타냈으며, 본 연구에서 분석한 6편의 연구에서는 추적검사를 통해서 중재 효과에 대한 지속을 확인할 수 있었다. 따라서 본 연구는 사회적 이야기(social story)를 적용한 수면장애 아동의 중재 효과, 결과 평가 도구, 중재 기간을 제시함으로써 수면장애 아동을 대상으로 사회적 이야기(social story)를 임상에서 적용할 때 도움이 될 것으로 판단된다.