• 제목/요약/키워드: Standard of Care

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한국 중년 여성의 운동 생활문화에 관한 탐색적 연구 - Q 방법론적 접근 - (An Inquiry into Exercise Behaviors of Middle-aged Women in Korea - A Q-methodological approach -)

  • 윤은자;류은정
    • 성인간호학회지
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    • 제15권1호
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    • pp.94-104
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    • 2003
  • Purpose: This study was performed to identify the factors which affected exercise and the perceived exercise behaviors in women according to Q-methodology and to provide basic strategies for health promotion of middle-aged women in Korea. Method: Q-methodology provides a scientific method for identifying perception structures that exist within certain individuals or groups. Thirty subjects in Seoul, Incheon, Chung-buk classified 35 selected Q-statements in to 9 points standard. The collected data was analyzed by using a QUANL pc program. Result: Principal component analysis identified 3 types of exercise behavior of middle-aged women in Korea and named by the researcher. They are called persistent activity preference type, living-exercise preference type, exercise mania type. In persistent activity preference type, the middle-aged women thought activity was very helpful to achieving health and releasing stress or fatigue. Also, they recognized the relationship between physical health and psychological health. In living-exercise preference type, the middle-aged women preferred maintaining stability or nonactivity to intended exercise or activity for health. In exercise mania type, the middle-aged women thought there was no other way to keep her health than to exercise. Conclusion: The findings of this study will provide the health care provider including nurse with useful information. It's very important to offer appropriate exercise intervention to the middle-aged women of each type by taking into consideration the characteristics of individual types.

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반코마이신 내성 장구균 환자 보호자의 질병 불확실성과 감염관리 수행 (Uncertainty and Performance of Infection Control in Caregivers of Vancomycin-Resistant Enterococci Patients)

  • 이은숙
    • 한국콘텐츠학회논문지
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    • 제15권6호
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    • pp.346-357
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    • 2015
  • 목적: 본 연구는 VRE 환자 보호자의 질병 불확실성과 감염관리 수행 정도를 확인하기 위한 서술적 조사 연구이다. 방법: 본 연구는 D광역시에 소재한 D의료원에 입원한 VRE 환자 보호자 82명을 대상으로 실시하였다. 수집된 자료는 SPSS/WIN 21.0을 이용하여 실수, 백분율, t-test, ANOVA로 통계 분석하였다. 결과: VRE 환자 보호자의 질병 불확실성은 56.99점이었고, 감염관리 수행 정도는 35.09점이었다. 대상자의 특성에 따른 감염관리 수행 정도 차이 검정에서 나이(F=121.38, p<.001), 학력(F=102.77, p<.001), 환자와의 관계(F=17.80, p<.001), 하루 평균 간호하는 시간(t=3.14, p=.002), 가족의 형태(t=-8.65, p<.001)에서 통계적으로 유의한 차이가 나타났다. 대상자의 질병 불확실성은 유의하게 감염관리 수행 정도와 부적인 상관관계를 보였다(r=-.96, p<.001). 결론: 본 연구결과는 VRE 환자 보호자를 위한 감염관리 프로그램 개발 및 감염관리 표준지침 개발을 위한 기초자료로 활용될 수 있을 것이다.

산업 생태계의 혁신을 선도할 블록체인 기술의 미래전망 (The Future of BlockChain Technology Leading Innovation in the Industrial Ecosystem)

  • 김정숙
    • 한국콘텐츠학회논문지
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    • 제18권6호
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    • pp.324-332
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    • 2018
  • 블록체인 기술은 신뢰모델과 비즈니스 프로세스를 다양한 산업분야에서 혁신적으로 바꿀 수 있는 잠재력을 지니고 있다. 하지만, 효율성보다는 자율성을 추구한 시스템의 초기단계로 평가되고, 분산원장기술도 기존의 관계형 DB 거래기술에 비해 가격과 도입시간에서의 모니터링 및 점검이 필요하다고 판단된다. 하지만, 국내 외 민간에서는 구체적인 영역에서 블록체인 기술이 적용되어 활성화되고 있고 기록의 불변성, 투명성, 비즈니스 규칙의 자율적인 실행을 특징으로 초기의 과장된 기술이라는 의심에서 벗어나 금융업계는 물론 다양한 산업군에서 이력과 신원, 자격인증과 감사 등에 활용되기 시작했다. 이에, 본 논문에서는 보안 취약점, 규제환경의 미흡, 기술적 공감대 및 공통표준의 미흡 등에서 문제점을 분석하였다. 그리고 블록체인 기술이 갖는 비즈니스적 의미와 가능성을 저작권, 물류, 헬스케어, 환경분야에서의 실제 도입성과 기반의 모니터링을 통해 개념에서 현실 제도권으로 진입되어 산업생태계의 혁신을 이를 것으로 전망하였다.

초등학생의 인터넷 게임중독과 아동이 지각한 부모-자녀 애착과의 관계 (Relation between Internet Game Addiction in Elementary School Students and Student's Perception of Parent-Child Attachment)

  • 김영혜;손현미;양영옥;조영란;이내영
    • Child Health Nursing Research
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    • 제13권4호
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    • pp.383-389
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    • 2007
  • Purpose: In this study, the Internet game addiction level was assessed, and parent-child attachment level associated with the addiction was analyzed. Method: From December 5 to 23, 2005, self-reported questionnaire data were collected from 990 Busan City elementary school students of the 5th and 6th grades. The questionnaire consisted of questions about their characteristic features in playing Internet games based on the K-scale developed by KADO. The data were analyzed using the SPSS WIN 10.0 program. Frequency, percentage, arithmetic mean, and standard deviation, $X^2$-test, ANOVA analysis and Scheffe test were used to analyze the data. Results: 1. With regard to the level of Internet game addiction, 71.2% of the students responded that they were general users, and 6.3%, at high risk for addiction. Mean scores were 103.3 for the high-risk group, 77.7 for the potential risk group, and 55.86 for the general user group. The total mean was 63.74. 2. Mean scores for parent-child attachment levels were 97.1 and 99.6 for father and mother, respectively. Conclusion: These results suggest that a collaborative program to educate and counsel parents to increase the parent-child attachment level needs to be established in protection and recovery programs for Internet game addiction.

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중년 여성 근로자의 모바일 앱을 활용한 심뇌혈관질환 예방관리 프로그램 참여 경험 (Experience of middle-aged female workers participating in cardio-cerebrovascular disease prevention management programs using mobile app)

  • 양혜경
    • 문화기술의 융합
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    • 제7권3호
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    • pp.105-113
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    • 2021
  • 본 연구는 중년여성 근로자를 대상으로 모바일 앱을 활용한 심뇌혈관질환 예방관리 프로그램 참여 경험에 대한 의미를 파악하기 위해 일대일 심층면담 및 포커스 그룹 인터뷰(Focus Group Interview, FGI)를 실시한 질적 연구이다. 본 연구의 대상자는 일 백화점에서 모바일 앱을 활용하여 심뇌혈관질환 예방프로그램에 참여하고 있는 50세 이상의 여성 근로자 26명을 대상으로 하였다. 연구결과 도출된 참여경험은 '알아가는 것에 대한 즐거움', '상호 우호적 관계의 활성화', '건강에 대한 관심이 나를 관리하게 함', '익숙하지 않은 문화를 받아들임', '어디서나 상담을 받는 듯한 편리함'의 주제가 도출되었다. 이러한 결과를 통해 모바일 앱이 건강행위 실천의지를 향상시키는 것으로 나타났고, 모바일 앱을 설치 시 낯선 프로그램에 대한 불안을 감소하기 위해 안전한 프로그램임을 보증할 수 있는 인증기준이 필요함을 제언한다.

이동형 전산화단층촬영장치의 기본 안전 및 필수 성능 기준을 마련하기 위한 연구 (A Study on Establishment of Basic Safety and Essential Performance Criteria of Mobile Computed Tomography)

  • 김은혜;박혜민;김정민
    • 대한방사선기술학회지:방사선기술과학
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    • 제44권3호
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    • pp.261-267
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    • 2021
  • As the number of Coronavirus Disease-19 (COVID-19) patients increases in a global pandemic situation, the usefulness of mobile computed tomography (CT) is gaining attention. Currently, mobile CT follows the basic safety and essential performance evaluation criteria of whole-body or limited-view X-ray CT in order to obtain device approval and evaluation in the Republic of Korea. Unlike stationary CT, mobile CT is not operated in shielded areas but rather areas such as intensive care units, operating rooms, or isolation rooms. Therefore, it requires a different basic safety and essential performance evaluation standard than stationary CT. In this study, four derived basic safety evaluation criteria related to electrical, mechanical, and radiation safety were included (dose indication test, protection against stray radiation, safety measures against excessive X-rays, half-value layer measurement); and seven essential performance evaluation criteria were included (tube voltage accuracy, mAs accuracy, radiation dose reproducibility, CT number of water, noise, uniformity, and spatial resolution); total eleven basic safety and essential performance evaluation criteria were selected. This study aims to establish appropriate basic safety and essential performance evaluation criteria for simultaneously obtaining images with diagnostic value and reducing the exposure of nearby patients, medical staff, and radiologic technologists during the use of mobile CT.

인유두종바이러스 연관 구인두암의 치료 약화 전략: 보고된 결과를 중심으로 분석 (Treatment Deintensification for Human Papillomavirus-Associated Oropharyngeal Cancer: Focused Review of Published Data)

  • 김진호
    • 대한두경부종양학회지
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    • 제38권2호
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    • pp.7-13
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    • 2022
  • Human papillomavirus (HPV) is a causative agent for a subset of oropharyngeal cancer (OPC). The current standard of care (SOC) for locally advanced OPC is 70 Gy definitive radiotherapy (RT) concurrent with cisplatin, which entails significant proportions of acute and late grade 3 or higher toxicities. Accordingly, discovery of favorable prognosis of HPV-related OPC has led to enthusiasm to attenuate subspecialties therapy in multidisciplinary treatment. Diverse deintensification strategies were investigated in multiple phase 2 trials with an assumption that attenuated treatments result in comparable oncologic outcome and less toxicities compared with SOC. Several trials on chemotherapy deintensification revealed that concomitant administration of cisplatin is not to be omitted or substituted for cetuximab without compromising progression-free survival or local control. A transoral robotic surgery (TORS) is investigated as alternative local treatment, but TORS plus SOC or mild deintensified adjuvant RT showed similar toxicities and inferior oncologic outcomes compared with SOC definitive RT or moderately deintensified RT. However, it has been reported that TORS plus deintensified 30-36 Gy adjuvant RT results in excellent outcome and less late toxicity compared with SOC adjuvant RT. Several phase 2 trials reported apparently equivalent progression-free survival and local control and similar adverse effects with moderately deintensified 60 Gy RT compared with SOC 70 Gy RT. Further dose reduction below 60 Gy has been investigated using biology-directed approaches, which use response to induction chemotherapy or metabolic images to triage HPV-positive OPC for deintensified RT. In summary, these trials provide valuable insights for future directions. Available evidence consistently showed that moderately deintensified RT is effective and safe for HPV-positive OPC in both definitive and adjuvant settings. Concurrent cisplatin remains an essential component without which progression-free survival is significantly compromised for advanced HPV-positive OPC. A simple incorporation of TORS to SOC may be detrimental for oncologic outcome without anticipated toxicity reduction. Given the lack of level 1 evidence, it is prudent to curb an unjustified deviation from the current SOC and limit any deintensified strategies to clinical trials and adhere to the current SOC.

Segmentation of Mammography Breast Images using Automatic Segmen Adversarial Network with Unet Neural Networks

  • Suriya Priyadharsini.M;J.G.R Sathiaseelan
    • International Journal of Computer Science & Network Security
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    • 제23권12호
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    • pp.151-160
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    • 2023
  • Breast cancer is the most dangerous and deadly form of cancer. Initial detection of breast cancer can significantly improve treatment effectiveness. The second most common cancer among Indian women in rural areas. Early detection of symptoms and signs is the most important technique to effectively treat breast cancer, as it enhances the odds of receiving an earlier, more specialist care. As a result, it has the possible to significantly improve survival odds by delaying or entirely eliminating cancer. Mammography is a high-resolution radiography technique that is an important factor in avoiding and diagnosing cancer at an early stage. Automatic segmentation of the breast part using Mammography pictures can help reduce the area available for cancer search while also saving time and effort compared to manual segmentation. Autoencoder-like convolutional and deconvolutional neural networks (CN-DCNN) were utilised in previous studies to automatically segment the breast area in Mammography pictures. We present Automatic SegmenAN, a unique end-to-end adversarial neural network for the job of medical image segmentation, in this paper. Because image segmentation necessitates extensive, pixel-level labelling, a standard GAN's discriminator's single scalar real/fake output may be inefficient in providing steady and appropriate gradient feedback to the networks. Instead of utilising a fully convolutional neural network as the segmentor, we suggested a new adversarial critic network with a multi-scale L1 loss function to force the critic and segmentor to learn both global and local attributes that collect long- and short-range spatial relations among pixels. We demonstrate that an Automatic SegmenAN perspective is more up to date and reliable for segmentation tasks than the state-of-the-art U-net segmentation technique.

교회학교 유치부 교사교육프로그램에 대한 교사들의 인식 및 요구 (Church School Kindergarten Teacher Education Programs for Teachers' Perceptions and Needs Analysis)

  • 김성혜;강란혜
    • 한국보육지원학회지
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    • 제8권6호
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    • pp.77-97
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    • 2012
  • 본 연구는 교회학교 유치부 교사교육 프로그램에 대한 교사들의 인식과 요구를 분석하는 조사연구이다. 연구대상은 수도권 지역의 유치부 교사 278명이다. 연구방법은 설문지를 이용한 조사방법으로 유치부 교사교육 프로그램에 대한 교사의 인식과 필요성 및 교육내용의 3개 영역으로 구성된 설문지를 유치부 교사들에게 배부한 후 회수하였다. 회수 된 설문지는 문항별 빈도와 백분율을 구했으며 배경변인에 따른 차이가 있는지 X2 검증을 실시하였으며, 프로그램 내용에 관한 문항은 평균과 표준편차를 실시하였다. 분석결과 교사들은 유치부 교사교육 프로그램에 대해 관심과 필요성을 높게 인식하고 있었으며 교사의 배경변인중 학력, 교육경력, 전공여부에 따라 통계적으로 유의한 차이가 나타났다. 둘째, 유치부 교사교육 프로그램 내용에 대한 요구로는 부모교육과 유아발달이해, 문제행동 영유아지도법, 영유아와 할 수 있는 효과적인 의사소통법, 영유아 기질 이해 및 기질에 따른 교육방법, 교사를 위한 영성훈련 순으로 나타났다.

고령화 사회의 노인 소득보장정책에 관한 연구 (A study of how to guarantee an income policy for old people in an aging society)

  • 김제완
    • 경영과정보연구
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    • 제16권
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    • pp.139-159
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    • 2005
  • In many countries the demographics clearly informs us that an aging population represent a serious problem. To this extent senior citizens welfare does matter it has developed into a public debate and genuine concern. it seems that the social issues are focused on how the socity views the social welfare policies. In a modern welfare state where the emphasis lies in pursing a high standard of living and thereby high quality of life. This does not cover the very well the old people in society, but the government clearly carries an obligation to look after and care for the retired & old people in the society. This obligation the social and economic impact that an old person faces as he/she grows old. it is important ensure that their lives carries a meaning and that they as a group will not be estranged from the mainstream of society just because they are considered to be part of the aging population. The key issues that must be addressed are 1) The impact of reduced spending power from less income. a lower income stream; 2) increasing health problems and costs; 3) the natural degradation of ones physical & mental powers; 4) and thereby an isolation from the public in general. So clearly the social policy related to the old people in society should be developed with the consent of what they believe is important to them. To ensure their minimum income level that a beneficiary of an old person's pension will receive, the monthly pension should be reflected by the official price index and be adjusted accordingly. by making the job market open for the senior citizens, expending the mandatory retirement age, give companiesincentives to hire senior citizens, there maybe an opportunity to extend to the aging population the possibility to continue to participate in the society at large.

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