• 한국응급구조학회지
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• 제12권3호
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• pp.99-113
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• 2008

In order to protect Rescue 119 workers exposed on the spot from potential infection, this study identified their awareness and practices of infection control so that it could help preventing them from infection and also provide basic materials necessary for pre-hospital infection control. This study applied questionnaire survey to total 215 Rescue 119 workers at fire stations in Jeonbuk province, Jeonnam province and Gwangju city from July 14 to Sept. 14, 2006 for the benefit of data collection. The questionnaire about possible associations between awareness and practices of infection control consisted of total 46 times across 6 categories such as washing hands during emergency activities ; fluid therapy and injection ; respirator maintenance; individual hygienics ; disinfectant supplies and equipments maintenance ; and control of infectious wastes. And collected data were processed using SPSS statistic program to analyze frequency and percentage, mean and standard deviation, Pearson's correlation coefficient, t-test and one-way ANOVA. As a result, this study came to the following conclusions : In terms of awareness about infection control, our respondents showed highest awareness about infectious waste control, and also showed highest level of practices in washing hands during emergency activities. Throughout all domains, awareness means were higher than practice means. In particular, infectious waste control was the domain of significant differences between awareness and practices. In terms of associations between awareness and individual characteristics, it was found that female rescue worker group and hospital/general hospital career group (before joining the Rescue 119) showed significantly higher awareness on statistic level. In regard to associations between individual characteristics and practices, it was found that female rescue worker group showed higher level of practices than male group on statistic level. This study also analyzed correlations between rescue workers' awareness and practice of infection control. As a result, it was found that the higher awareness was in correlations with the higher practices across all 6 domains including washing hands. In addition, the higher awareness of a questionnaire item was in significantly positive correlations with the higher practice of other items. However, our respondents showed high awareness about anti-infection, but low practices in reality. This indicates necessity of devising possible solutions to improve the practices as much as awareness. Especially, it was noted that major reasons for insufficient practices of infection control guideline come from unhabituated practices and lack of supports for infection-preventing supplies and protective device (mask, etc). Hence, it is necessary to provide more infection-preventing supplies for local rescue workers sufficiently, in parallel with steady habituation of infection control. Furthermore, it is required to manage and study infection control policies even at pre-hospital step in efforts for effective infection control, education and activities.

• 동의생리병리학회지
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• 제25권2호
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• pp.345-351
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• 2011

This study was to examine the positive and negative affect related to psychological characteristics of each Sasang types using Positive and Negative Affect Schedule (PANAS) with 78 students from School of Korean Medicine, Pusan National University. After determining the Sasang types by QSCC II, the psychological characteristics of each Sasang types were analysed by PANAS. We did ANOVA analysis with eight related scales and found significant differences between the Tae-Eum type ($18.71{\pm}8.75$, $6.47{\pm}3.36$, $6.31{\pm}2.47$, $3.18{\pm}2.77$, $10.94{\pm}10.08$) and the So-Eum type ($13.38{\pm}6.03$, $4.55{\pm}2.23$, $4.19{\pm}2.16$, $5.81{\pm}4.20$, $1.83{\pm}9.17$, respectively) in Positive Affect (PA) (F=3.931, p=0.024), PA-Joy (F=3.991, p=0.023), PA-Interest (F=5.025, p=0.009), NA-Afraid (F=3.118, p=0.050), and Difference between Positive and Negative Affect (DPN) (F=6.355, p=0.003) scores. The post-hoc analysis showed that the Tae-Eum type ($18.71{\pm}8.75$, $6.47{\pm}3.36$, $6.31{\pm}2.47$, $10.94{\pm}10.08$) has significantly higher score than So-Eum type ($13.38{\pm}6.03$, $4.55{\pm}2.23$, $4.19{\pm}2.16$, $1.83{\pm}9.17$, respectively) in PA (p=0.018), PA-Joy (p=0.021), PA-Interest (p=0.017), and DPN (p=0.002) scores. The So-Eum type ($5.81{\pm}4.20$) showed significantly (p=0.047) higher score than the Tae-Eum type ($3.18{\pm}2.77$) in NA-Afraid. Results demonstrated distinct affect profile differences between Tae-Eum and So-Eum Sasang types using PANAS. This study may serve as the foundation in identifying psychological traits of Sasang types, especially regarding the aspect of affect.

• 재활복지
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• 제20권1호
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• pp.189-210
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• 2016

본 연구는 신체활동 참여 노인의 인지기능과 자기효능감, 건강행위와의 관계를 알아보기 위하여 실시하였다. 연구는 2015년 11월부터 2016년 1월까지 실시하였으며, 건강타운을 방문하는 65세 이상 노인 61명을 대상으로 신체활동 참여노인의 일반적 특성과 한국판 몬트리올 인지평가(K-MoCA), 일반적 자기효능감 척도, 운동에 대한 자기 효능 도구, 한국 노인의 건강행위 사정도구를 이용하여 정보를 수집한 값을 분석하였다. 연구 결과 일반적 특성에 따른 인지기능과 운동자기효능감은 남성, 고학력, 배우자가 있고, 동거인이 있는 경우, 프로그램 참여기간이 오래된 경우 높은 수행을 보였으며(p <.05), 일반자기효능감은 남성, 70에서 74세 연령, 고졸, 경제적 어려움이 없고, 프로그램 기간이 오래된 경우 높은 수행을 보였고(p <.05), 건강행위는 남성, 고학력, 배우자가 있고, 함께 거주하며, 경제적인 어려움이 없고, 동적인 프로그램에 참여하며, 프로그램 참여 기간이 길수록 높은 수행을 보였다(p <.05). 인지기능과 운동자기효능감, 건강행위는 유의한 상관성을 보였으며(p <.01), 중간정도의 정적방향 관계가 확인되었다. 일반자기효능감은 운동자기효능감, 건강행위와 운동자기효능감은 건강행위와 유의한 상관성을 보였으며(p <.01), 높은 정적방향 관계가 확인되었다. 운동자기효능감은 인지기능에 영향을 미치는 것을 알 수 있었다(p <.01). 따라서 노인의 신체활동에 대한 지속적인 참여와 실천을 위한 활동프로그램 개발이 이루어져야 할 것으로 생각된다.

• Tuberculosis and Respiratory Diseases
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• 제82권2호
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• pp.118-125
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• 2019

Background: Lung cancer is a leading cause of morbidity and mortality worldwide, and the incidence continues to rise. Although many prognostic factors have been identified, the clinical characteristics and outcomes in Korean lung cancer patients are not well defined. Methods: Of the 23,254 new lung cancer cases registered at the Korea Central Cancer Registry in 2013, total 489 patients from 19 hospitals were abstracted by the Korean Central Cancer Registry. The clinical data retrospectively analyzed, patients were followed up until December 2015. Results: The median age was 69 years (interquartile range, 60-74 years); 65.4% were male and 62.1% were ever-smokers. Cough was the most common initial symptom (33.5%); 13.1% of patients were asymptomatic. While squamous cell carcinoma was the most common subtype in male patients (37.2%), adenocarcinoma was the most frequent histological type in all patients (48.7%) and females (76.3%). The majority of patients received treatment (76.5%), which included surgery, radiation therapy, and chemotherapy. Older age (hazard ratio [HR], 1.037), lower body mass index (HR, 0.904), ever-smoker (HR, 2.003), small cell lung cancer (HR, 1.627), and distant metastasis (HR, 3.990) were independent predictors of mortality. Patients without symptoms (HR, 0.387) and without treatment (HR, 0.364) were associated with a favorable outcome in multivariate Cox analysis. Conclusion: Lung cancer in Korea occurs predominantly in elderly patients, with adenocarcinoma being the most frequent subtype. The prognosis was poorer in ever-smokers and older, malnourished, and untreated patients with advanced lung cancer.

• 한국콘텐츠학회논문지
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• 제22권5호
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• pp.404-415
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• 2022

본 연구의 목적은 온라인 미술기반 동료 슈퍼비전 실행과정에서의 특징을 바탕으로 실제 적용을 돕는 고려사항을 제안하는데 있다. 연구자를 포함한 임상미술치료 박사과정 동료들은 연구 참여자로서 실행과정에서 반복적인 문제점 파악과 개선적용을 시도하였고, 이 과정에서 수집된 다양한 자료들을 질적으로 분석하였다. 분석결과 특징을 살펴보면 '미술기반' 측면에서는 매체 및 공간의 확장성, '온라인' 측면에서는 주도성, 편리성, 신속성이 확인되었다. 이를 통해 파악된 고려사항은 다음과 같다. 먼저 '사전 구조화'는 명확한 경계와 설정, 집단의 사전 협의, 자기 주도적 준비와 태도가 기반이 되어야 한다. 두 번째, '미술 구조적 측면'은 창작을 통한 몰입을 돕는 공간과 매체 마련, 안정적인 시행구조화가 이루어져야 한다. 세 번째, '기술적 측면'은 미술작품을 전달할 수 있는 활용방안과 창작자의 명확한 의도전달이 가능한 방법을 적용할 필요가 있다. 마지막으로 '윤리적 측면'은 최소 보안표준 기준에 따른 온라인 소프트웨어 활용 및 반복적인 비밀보장 상황 유지를 위한 노력이 필요하다. 본 연구는 팬데믹을 포함한 다양한 상황에서 미술치료사의 전문역량을 유지하고 미술치료사간 네트워크 확장을 위한 실질적 방법을 제안했다는 것에 의의가 있다.

• 대한의용생체공학회:의공학회지
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• 제23권1호
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• pp.9-16
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• 2002

국부적 근 피로는 근전도 신호의 저주파역으로의 천이, 특히 중앙주파수의 감소로 특징된다. 여러 운동각도(0$^{\circ}$, 12$^{\circ}$, 36$^{\circ}$, 72$^{\circ}$)에서 등척성 요추신전운동을 수행하는 동안 근 피로에 따른 근전도 신호의 중앙주파수와 토크의 특성을 살펴보고자 총 20명 (평균 연령 24.35$\pm$2.70세)의 건강i한 피검자를 대상으로 본 실험연구를 수행하였다. 근전도 신호로부터 FFT를 사용하여 중앙주파수를 추출하였으며 선형회귀분석을 통해서 시간에 따른 초기중앙주파수의 초기값과 기울기를 계산하였다. 중앙주파수의 기울기와 토크의 기울기에 대한 상관관계를 정량화하기 위해서 피어슨 상관계수를 적용하였다 중앙주파수의 기울기(p〈0.656)나 v-절편(p〈0.609), 피로지수(p〈0.555)에서는 요추의 각도 타이에 영향을 받지 않아 유의한 차이가 없었으며. 토크의 기울기. 피로지수 역시 유의한 차이가 없었으나, 토크의 ｙ-절편에서는 차이(p〈0.04)가 나타나서, 근육의 길이 증가와 자세변화가 토크에 영향을 미침을 알 수 있었다. 또한, 개인간의 중앙주파수와 토크의 기울기에는 상관관계가 낮았으나, 개인 내에서 중앙주파수와 토크의 시계열 변화에는 유의한 상관관계(0.682)가 있음을 알 수 있었다.

• 대한한의학회지
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• 제19권2호
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• pp.5-16
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• 1998

Hwabyung is a common emotional disorder which has symptoms expressed like firt's explosion in middle-aged after long period of emotional suppression among Koreans. It is similar in its characteristics such as neurosis, anxiety, panic attacks in Western Medicine, though the treatment method was not effective. So we have done a clinical research on Oriental Medical Method, especially on Acupuncture Therapy, and obtained following results. 1. Patients with Hwabyung complained of pressure pain around the Chunjung(?中, CV-17) point distinctively. About 70% of those were located on the CV-17 point, 25% were 1cm upper than the CV-17 point and 5% of those were 1cm lower point than the CV-17 point. 2. Degrees of pressure pain were divided into 5 grades from ade 1(feeling pain with slight pressure) to grade 5(feeling no pain with severe pressure), respectively. 3. Patients with Hwabyung showed various symptoms compared to fire's explosion such as anger, chest discomfort, difficulty in breathing. tachycardia. and feeling of epigasfric mass etc., and the degrees were divided into 5 grades according to the severities from grade 1(can't keep their usual living) to grade 5(no complaints with heavy stresses), respectively. 4. For the treatment of Hwabyung in this study, we had given Acupuncture therapy on some points such as Chunjung:?中:CV-17, Jungwan:中脘:CV-12) and Chunchu:天樞:S-25, etc. for 15 minutes a time twice a week. And Bunshimkiumgmnihang(分心氣飮加味方) was administered 3 times a day. 5. About 40% of the patients took treatment for more than 2 months, 29% of those took 1 to 2 months and 31% of those took less than 1 month. In this study, we excluded those who stopped treatment within a month without any expected effects. 6. We evaluated the changes of severity of pain according to the following categories such as - for no change, + for 1 grade, ++ for 2 grades, +++ for 3 grades, and ++++ for 4 grades of improvements. Among the patients taken 1 to 2 months of treatment. 48% of the those showed +, 7% of those showed ++, 3% of those showed +++ and 41% of those showed no change. Among the patients taken less than 2 months of treatment, 20%of those showed +, 40% of those showed ++, 28% of those showed +++ and 13% of those showed no change. 7. We evaluate the changes of symptoms according to the following categories such as - for no change, + for 1 grade, ++ for 2 grades, +++ for 3 grades and +++ for 4 grades of improvements. Among the patients taken 1 to 2 months of treatment, 34% of those showed +, 14% of those showed ++ and 52% of those showed no change. Among the patients taken more than 2 months of treatment, 20% of those showed +, 43% of those showed 20% of those showed +++, 3% of those showed +++ and 15% of those showed no change. 8. When we compare the changes of pain and symptoms according to the periods of treatment, the changes in quantity of pain in 1 to 2 months group was $0.72{\pm}0.75$, in more than 2 months group was $1.83{\pm}0.98$, and the changes in quantity of symptoms in 1 to 2 months group was $0.62{\pm}0.73$, in more than 2 months group was $1.75{\pm}1.03$. According to the above results, we have concluded that more than 2 months of treatment is more beneficial than 1 to 2 months of treatment.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제10권1호
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• pp.64-75
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• 1999

본 연구에서는 전반적 발달장애 pervasive developmental disorder(이하 PDD)의 공존질환과 동반증상의 현황을 파악하고자 전반적 발달장애 아동에서의 동반증상과 공존질환의 빈도 및 특성을 알아보고 발달성 언어장애 developmental language disorder(이하 DLD)와의 차이를 비교해 보았다. 연구대상은 1996년 1월부터 1999년 3월까지 국립서울정신병원 소아정신과 외래에서 통원치료를 받았거나 발달장애 주간치료프로그램에 참가했던, DSM-IV를 기준으로 소아정신과 전문의에 의해 진단된, 만 1세에서 11세 아동 352명 이었으며 이중 PDD는 209명(남179, 여30), DLD는 143명(남119, 여24)이었다. 진단적 평가에는 병록지, 언어평가, 작업평가, 가정방문보고서, 부모양육보고서, SMS, CARS, PEP 결과 등을 참조하였다. 진단군에 따른 각각에서의 공존질환과 동반증상의 빈도와 특징을 비교분석하였고, PDD아동 64명을 CARS에 따라 3군으로 나누어 동반증상의 양상을 비교하였으며, 106명을 대상으로 각 동반증상과 교육진단검사 소항목과의 관계를 검증하였다. 연구결과 PDD와 DLD 양군에서 공존질환의 비율은 각각 19.6%, 41.2%이었고, 동반증상 13개 항목의 평균 동반비율은 31.47%, 22.13%이었다. 비정상적 집착, 강박증, 자해행동, 상동증, 수면문제, 기묘한 반응 등은 PDD에서 유의하게 높은 빈도를 보였다. 동반비율에서 PDD에서는 비정상적 집착, 상동증, 주의집중 부족, 부적절한 정서 등의 순서를 보인 반면, DLD에서는 주의집중 부족, 공격성, 부적절한 정서, 행동과다, 비정상적 집착 등의 순서를 보였다. 각 동반증상의 유무에 따른 교육진단검사 소항목 들의 양상을 분석해본 결과, 전체군에서는 비정상적 집착, 자기자극행동, 상동증, 부적절한 정서, 수면문제, 기묘한 반응 등의 유무에 따라 유의한 차이를 보였고, 진단별에 따라서는 두 군 모두 차이를 나타낸 항목이 없었다. 한편 CARS에 따라 유의한 차이를 보인 동반증상은 상동증, 불안, 수면문제 등이었다. 이와 같은 결과는 전반적 발달장애에서의 공존질환 및 동반증상의 임상적 중요성을 나타내며, 추후 공존질환과 동반증상의 빈도 및 특성에 따라 세부적인 진단과 이에 따른 현실적인 치료적 접근이 필요함을 시사한다.

• 동서간호학연구지
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• 제5권1호
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• pp.90-101
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• 2000

The study attempts to examine the degree of cognition and demand on health promotion center of oriental nursing. It puts unique nursing intervention using traditional health promotion connected with oriental medicine to practical use for residents' health promotion and prevention of disease. With the study design of cross-sectional descriptive study, 516 residents who live in 26 Dongs, Dongdaemoon-gu were selected. The tool of study consists of 30 questions which the study team made for the degree of cognition and demand on health promotion center of oriental nursing. Cronbach's $\alpha$ in the degree of cognition was .8028. Collection of research data had been done from October 1 to October 30, 1999 with help of Dongdaemoon-gu office after pretest from 20 residents. Collected data were analyzed into the number and percentage in the characteristic of a subject and connected with demand on the establishment of center, the mean and the standard deviation in the degree of cognition and F-tests in the difference of the degree of cognition by characteristics. The results were as follow; 1) The characteristic of subject of this study was male 50.6%, and average age was 38.5 years old and 30-39 years old occupied the highest percentage with 31.6%. The married were 71.8%, over high school graduates was 85.6%, monthly income from 500 thousand won to 2 million won was 86.1%. 50.8% was the type living with parents, children and sibling. 2) When they were sick, the institution which residents used at first was a pharmacy(69.2%) and hospital(27.5%), but oriental medicine hospital was just 1.4%. As for subjective health condition, 82.5% answered over average, and 28.7% answered that they had chronic illness such as arthritis, chronic digestion problem, hypertension and so on. As for information collection on health, mass communication(34.9%) and medically concerned people(28.1%) occupied relatively high rate. Free health diagnosis system(36.8%) and establishment of health promotion center(31.5%) among welfare programs that residents want to enjoy were high ranked. The rate using a special institution for health was 17.8%, and among these institutions, the rate using aerobic exercises, health center(7.0%) and steamed room(5.4%) was high. Besides, other institutions such as breathing at the abdomen, finger-pressure therapy, meridian massage, foot massage, and so on were being used. 3) As the average of the degree of cognition on health promotion center of oriental medicine was 2.92, the degree of cognition was medium. The description, "health promotion center of oriental medicine is necessary for health keeping of healthy people, including people who have a problem in health" showed the highest degree of cognition(3.04, ${\pm}0.64$). 4) As for the intention on using health promotion center of oriental nursing, 61.4% said "yes", "no" was just 1.4%. The services that people relatively high wanted to be served from the center were measures reducing stress(68.0%) (relaxation therapy, meditation, breathing at the abdomen and so on), acupuncture(66.5%), finger-pressure(61.6%), moxibustion(57.6%), meridian massage(44.2%), postpartum care(40.3%) and so on. 5) As for the degree of cognition on the establishment of health promotion center of oriental nursing by characteristics of subject, there was significant difference(F=4.03, p=.046) between male(3.01) and female(2.91). But there was no significant difference by age, marital status, level of educational achievement and monthly income. As the above result, cognition on the establishment of health promotion center of oriental nursing was relatively low because people were not familiar with about the health promotion center of oriental nursing yet. However once the center will be established, the degree of demand on the center will be relatively high. So positive advertisement will be necessary, and the management of useful programs will be also required in order to make people recognize the advantage when they actually will use the center. On the other hand, as the subject of the study consists of many young people of below 30, the health problem came to be low. And in the case of sampling, the study using random sampling that can represent population will be required.

• Journal of Yeungnam Medical Science
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• 제33권1호
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• pp.8-12
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• 2016

Background: The decision to administer oral anticoagulation therapy depends on accurate assessment of stroke risk in patients with atrial fibrillation (AF). Various stroke risk stratification schemes have been developed to help inform clinical decision making. The CHADS2 and CHA2DS2-VASc scores have been used in estimating the risk of stroke in patients with AF. Recently R2CHA2DS2-VASc score was developed. The objective of the current study is to validate the usefulness of the R2CHA2DS2-VASc score and to compare the accuracy of the CHADS2, CHA2DS2-VASc, and R2CHA2DS2-VASc scores in predicting a patient's risk of stroke. Methods: Based on medical records, we conducted a retrospective study of patients hospitalized with AF from March 2011 to July 2013. A total of 448 AF patients were included in this study. The receiver operating characteristic (ROC) curve analysis in MedCalc was used for comparison with respective diagnostic values. Results: The patient characteristics showed male predominance (60.9%). Among the 448 AF patients, 131 (29.2%) patients had strokes during the study. A R2CHA2DS2-VASc score of more than 5 is the optimal cut-off value for prediction of stroke. A risk score of three, the area under the ROC curve (AUC) of R2CHA2DS2-VASc score (AUC 0.631; 95% confidence interval, 0.585-0.679) was the highest. A significant difference was observed between AUC for R2CHA2DS2-VASc, CHADS2, and CHA2DS2-VASc scores, but no meaningful difference between CHADS2 and CHA2DS2-VASc scores. Conclusion: We determined the usefulness of the R2CHA2DS2-VASc score, which showed better association with stroke than the CHADS2 and CHA2DS2-VASc scores.