• 한국조경학회지
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• 제36권4호
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• pp.36-47
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• 2008

본 연구는 국내 현대조경을 대표하는 공원들을 대상으로 실제 이용자들이 느끼는 만족도, 선호도, 이미지 등을 분석하여 개별 공원의 기능적, 경관적인 차이점과 공통점을 실증적으로 규명하는 것을 목적으로 하였다. 공원시설 유형으로는 관리상태, 공원활동시설, 편의시설, 동선 및 밀도, 조경 및 휴게시설 등으로 구분되었다. 공원이용행태 만족도에 대해서는 대화, 휴식, 한가로움 등에 대해서는 긍정적으로 평가하였고 학습, 체험, 경험 등에 대해서는 부정적으로 평가하였으며, 공원 이용행태의 유형으로는 공원활동, 정서 및 체험, 자연활동 등으로 구분되었다. 공원의 이미지 분석 결과 조사대상 공원은 주로 안정적이고 편안하며 자연적인 느낌의 공간으로 인식하고 있는 것으로 분석되었으며, 자연/조화성 요인, 개방감 요인, 독특성 요인 등의 요인으로 요약되었다. 선호도 조사 결과 전반적으로 양호한 선호를 보이는 것으로 나타났다. 시설만족도, 이용행태, 경관이미지, 선호도 등을 기준으로 공원을 유형화한 결과 다목적공원(일산호수공원, 여의도공원, 하늘공원, 양재천, 올림픽공원), 자연적 요소를 가진 종합공원(선유도공원, 평화의 공원), 개방된 도시공간(서울광장, 청계천), 상대적 개선필요 공원(파리공원, 서울숲), 생태공원(길동자연생태공원) 등의 5개의 유형으로 구분되었으며, 각 유형별 특징에 대한 분석이 진행되었다. 본 연구결과는 수도권에 위치한 공원을 대상으로 한 계절 동안 설문조사의 결과로 일반적인 도시공원의 유형화를 위한 기초연구라고 할 수 있다. 향후 이러한 한계점을 극복하기 위한 보다 다양한 도시공원에 대한 일반적이고 폭넓은 연구가 필요하겠다.

• 한국수산과학회지
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• 제28권1호
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• pp.49-59
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• 1995

Nine species of edible seaweed [green laver (Monostroma nitidium) and sea staghorn ( Codium fragile) of green algae; sea mustard (Undaria pinnatifida), seaweed fusiforme(Hizikia fusiforme), gulf weed (Sargassum fulvellium), and sea tangle (Laminaria japonica) of brown algae; seaweed dilatata (Halimeniopsis dilatata), seaweed furcata (Gloiopeltis furcata), and laver (Porphyra tenera) of red algae] collected from Kijang, Chungmu, and Yosu in Korea, were examined and compared on their chemical and mineral composition depending on their harvesting season. Crude protein $(N\pm6.25)$ showed about $45\%$ on moisture free basis (the contents of every components described below are shown as moisture free basis) for laver and $30\%$ for green laver collected from ever seasons and sites. Sea tangle showed the highest content in crude lipid $(10\%)$ among brown seaweeds and green laver had $6\%$ of crude lipid regardless their habitats. Ash and carbohydrate in sea staghorn hold about $90\%$ of total solids but those levels were only $50\%$ in laver. The relationship between ash and carbohydrate content showed a tendency with reverse correlation. Mineral compositions were examined on green laver, sea mustard, and seaweed furcata collected from Kijang. Sodium was eminent element (1,798-7,334mg/l00g) followed by potassium. Magnesium and calcium content were low level compared with sodium and potassium. As a micro-element iron was appraised the highest status (165-330mg/100g) in green laver, however, iron in sea mustard and seaweed furcata was comparatively low amount (2.7-47.4mg/100g). The level of zinc was also comparatively high and that was varied on habitats. In conclusion, chemical compositions of these algae were distinctively varied on species and habitats, and mineral compositions were notably changed by the harvesting season.

• 한국임상약학회지
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• 제21권2호
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• pp.170-181
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• 2011

Purpose: There is considerable variability in rates of hospitalization for patients with community-acquired pneumonia (CAP) in part because of physicians' uncertainty in assessing the severity of illness at presentation. The purpose of the study was to examine the current treatment patterns and factors influencing the Pneumonia Severity Index (PSI) and clinical outcomes in the patient with CAP. Method: The retrospective data collection of the patients with CAP was conducted and the data were reviewed. The collected data included demographic, clinical, laboratory and microbiological medical information. All patients were stratified into three risk groups according to PSI: low risk (PSI score I-II), moderate risk (III) and high risk (IV-V) groups. The examined treatment patterns were the appropriateness of admissions, category of antibiotics used. The prognostic factors associated with PSI and clinical outcomes were examined. Results: One hundred and six patients' medical data were reviewed. The overall appropriateness of admissions was low presenting many of patients were admitted or intensely treated in the hospital despite of lower risk of prognosis and treated with intravenous antibiotics instead of oral fluoroquinolones. Primary pneumonia pathogens were Klebsiella pneumoniae (27%) and Streptococcus pneumoniae (21.6%). Mean LOS was 8.5 days and was significantly longer (10.0days) (p<0.001) in high risk group. The patients with age >65 (p<0.001), diabetes mellitus (p<0.001), mental alteration (p<0.001), and/or $PaO_2$ <60 mmHg (p<0.001) had a tendency to have higher PSI. The prognostic factors associated with longer LOS were age >65 years (p=0.008), mental status alteration (p<0.001), dyspnea (p=0.002) and PSI score (p=0.001). The prognostic factors associated with mortality were congestive heart failure (p=0.038), systolic blood pressure <90 mmHg (p=0.002) and arterial pH <7.35 (p=0.013). Conclusion: Most of patients were found to over-utilize medical service according to appropriateness of admissions. The elderly, mentally altered patients with low $PaO_2$ had higher PSI score with increased risk of LOS. The mortality could be increased in the patient with disease state of congestive heart failure, high blood pressure, and/or acidosis.

• 한국임상약학회지
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• 제21권2호
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• pp.122-130
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• 2011

Objective: Although recombinant human erythropoietin (rhEPO) has revolutionized the treatment of anemia in chronic kidney disease (CKD) receiving hemodialysis (HD) with no need of blood transfusion, some patients have a blunted or appear to be resistant to rhEPO. There is a controversy in the causes of rhEPO resistance in maintenance HD patients with anemia. This study is to examine current anemia treatment outcomes and the factors influencing the rhEPO responsiveness in HD patient with CKD. Methods: The clinical parameters or factors relating to erythrompoietin treatment outcomes and erythropoietin responsiveness were collected from the HD patients in two large dialysis centers for three months. The collected paramenters included serum iron, total iron biding capacity (TIBC), transferrin saturation rate, ferritin, albumin, intact PTH, C-reactive protein (CRP), nPCR and medications such as an angiotensin converting enzyme inhbitor, an angiotension II receptor blocker and an HMG-CoA reductase inhibitor (HMG-CoA RI). The data were analyzed to examine the degree of acheiveing the anemia treatment goal and factors relating to ERI. Results: Among total 111 patients, 42 (42.3%) and 47 (37.8%) patients achieved the target Hct and Hb based on the Health Insurance Review and Assessment Services (HIRA) reimbursement criteria. In the higher ERI group (upper quartile), the patients had higher CRP levels (0.5 mg/dl) (p=0.0096), and lower TIBC score (<$240{\mu}g/dl$) (p=0.0027), and less patients were taking HMG-CoA RI (p=0.0019). Male patients (p=0.0204), patients with high TIBC score ($R^2$=0.084, p=0.0021) and patients taking HMG-CoA RI (p=0.0052) required to administer less dose of rhEPO meaning higher erythropoietin responsiveness. Conclusion: Less than 50% of CKD patients were achieving the goals of anemia by erythropoietin administration in large hospitals in Korea even though the goals were lower than those of NKF-K/DOQI practice guideline. The factors influencing ERI were sex, TIBC and HMG-CoA RI administration status, and neither an ACEI nor an ARB did not influence ERI.

• 디자인학연구
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• 제20권1호
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• pp.253-262
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• 2007

산후조리원은 불과 십여 년 전부터 등장한 시설이지만, 현재 우리나라의 산후 조리 문화를 바꿔놓았다고 해도 과언이 아니다. 저 출산이 사회적 현상이 되어버린 지금 대부분의 산모들은 산후 조리원을 이용하고 있다. 하지만 산후조리원은 법적, 제도적 뒷받침이 되어있지 않은 상태로, 세무서에 사업자 신고만 하면 누구나 시설을 운영할 수 있기 때문에 기본적인 시설을 갖추지 못한 산후조리원이 난립하고 있는 실정이다. 이에 본 연구는 대상자나 운영면에서 일반 시설과 다른 특성을 갖고 있으나 보건 복지법 상이나 의료법 상에서의 시설 기준이 명확치 못한 산후 조리원의 효율적 공간 구성과 사용자의 편의을 고려한 실내 환경 계획을 제시 하였다. 진행은 서울 경기지역의 산후조리원 6곳을 선정하여 조리원 공간의 구성을 진입공간, 거주공간, 공용공간, 간호공간, 관리 및 부속공간 등의 5가지로 구분하여 그 실태를 조사하고, 개선방향을 제시함으로써 향후 건립될 산후 조리원의 실내 환경 계획을 수립하고자 한다. 본 연구는 산후 조리원 이용자들의 만족도를 높이고, 보다 효율적으로 시설이 운영되어 질 수 있도록 도움을 주는 실내 건축 계획의 기초적 자료가 될 것으로 기대한다.

• Journal of Nutrition and Health
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• 제25권6호
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• pp.511-517
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• 1992

한국산 야생식용식물의 형당강화 효과를 보기위해서 일차적으로 5가지 식물(냉이, 닭의장풀, 메꽃, 며느리배꼽 및 참마)을 채집하였다. Strcpotozotocin(45mg/kg)을 미정맥으로 주사하여 당뇨병을 유발시킨 130~180g Sprague-Dawley계 흰쥐를 대조군과 실험군으로 나누어 이를 5가지 식물을 adlibitum으로 공급하였다. 식용식물섭취에 따른 각군의 체중변화는 제 3주까지는 점차 증가하다가 냉이군과 메꽃군을 제외하고는 제4주째에 증가추세가 둔화되었다. 식이이용효율은 닭의장풀군이 대조군에 비해 유의적으로 높게 나타났으며(p<0.05) 냉이군, 메꽃군, 참마군과 며느리배꼽군에서는 식이이용효율에 차이가 없었다. 닭의장풀군, 참마군과 며느리배꼽군은 대조군에 비해 혈당 감소 경향이 지속적으로 나타났고, 뇨당의 경우에서도 닭의장풀군과 참마군에서는 검출되지 않았으며 며느리배꼽군에서도 한마리를 제외하고는 뇨당이 검출되지 않아 당뇨유발쥐에서 혈당강하에 효과가 있는것으로 추정된다. 혈장 중의 cholesterol수준은 대조군에 비해 며느리배꼽군에서 약간 높은 경향을 보였으나 유의적인 차이는 없었다. 야생식용물의 건조시료 중 조섬유의 함량은 며느리배꼽이 24.4%로 가장 높았고, 가장 낮은 것은 참마로 2.5%였다. 생시료중 Vitamin C의 함량은 냉이가 193.73mg으로 가장 높았고 닭의장풀, 며느리배꼽, 메꽃슨이었고 참마가 24.6mg으로 가장 낮았다. Fe의 함량도 냉이가 14.86mg으로 높았고 참마가 가장 낮았다. Cr과 Zn의 함량도 냉이에서 높았고 참마에서 낮았다. 앞으로 야생식용산채류에 대한 성인병 예방 및 치료에 대하여 영양학적 연구가 더 많이 이루어져야 할 것이다.

• 한국콘텐츠학회논문지
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• 제18권10호
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• pp.403-414
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• 2018

본 연구는 치아미백에 대한 지식과 만족도를 알아보고자 하는 것이다. 2017년 6월1일부터 2주 동안 울산광역시에 위치한 치과의원에 방문한 환자 328명을 대상으로 자기기입식 설문 조사를 실시하였다. 연구결과 치아미백 지식수준에 따른 치아미백만족도는 통계적으로 유의하지 않았으며, 치아미백지식수준이 상(8-10)인 경우 만족도가 3.86으로 가장 높았으며 하(0-3)인 경우 만족도가 3.00으로 가장 낮았다. 일반적인 특성에 따른 치아미백 만족도는 성별과 연령에서 통계적으로 유의하게(p<0.05) 나타났으며, 여자의 만족도가 3.74로 남자의 만족도 3.11 보다 높았다. 미백경험방법과 미백동기에 따른 만족도는 통계적으로 유의하였으며(p<0.05), 전문가 미백(4.41)이 OCT미백(2.64)보다 높았다. 또한 병원의 권유로 미백을 한 경우 4.13점으로 매체광고를 통해 미백을 경험한 경우(3.00) 보다 높았다. 따라서 치아미백의 만족도는 대상자의 일반적인 특성 뿐만 아니라 치아미백에 관한 지식수준, 치아미백 방법과 치아미백 동기에 영향을 받았다. 이러한 요인을 활용하여 치아미백의 경험과 만족도를 향상시키기 위한 치료계획을 세우는데 유용하게 사용될 수 있을 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권21호
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• pp.9453-9458
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• 2014

Background: Breast cancer is the second leading cause of cancer death for women in the United States. Differences in survival of breast cancer have been noted among racial and ethnic groups, but the reasons for these disparities remain unclear. This study presents the characteristics and the survival curve of two racial and ethnic groups and evaluates the effects of race on survival times by measuring the lifetime data-based half-normal model. Materials and Methods: The distributions among racial and ethnic groups are compared using female breast cancer patients from nine states in the country all taken from the National Cancer Institute's Surveillance, Epidemiology, and End Results cancer registry. The main end points observed are: age at diagnosis, survival time in months, and marital status. The right skewed half-normal statistical probability model is used to show the differences in the survival times between black Hispanic (BH) and black non-Hispanic (BNH) female breast cancer patients. The Kaplan-Meier and Cox proportional hazard ratio are used to estimate and compare the relative risk of death in two minority groups, BH and BNH. Results: A probability random sample method was used to select representative samples from BNH and BH female breast cancer patients, who were diagnosed during the years of 1973-2009 in the United States. The sample contained 1,000 BNH and 298 BH female breast cancer patients. The median age at diagnosis was 57.75 years among BNH and 54.11 years among BH. The results of the half-normal model showed that the survival times formed positive skewed models with higher variability in BNH compared with BH. The Kaplan-Meir estimate was used to plot the survival curves for cancer patients; this test was positively skewed. The Kaplan-Meier and Cox proportional hazard ratio for survival analysis showed that BNH had a significantly longer survival time as compared to BH which is consistent with the results of the half-normal model. Conclusions: The findings with the proposed model strategy will assist in the healthcare field to measure future outcomes for BH and BNH, given their past history and conditions. These findings may provide an enhanced and improved outlook for the diagnosis and treatment of breast cancer patients in the United States.

• Asian Pacific Journal of Cancer Prevention
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• 제14권3호
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• pp.2131-2135
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• 2013

Background: To evaluate the efficacy and safety of distearoylphosphatidylcholine pegylated liposomal doxorubicin (DPLD) combined with carboplatin for the treatment of platinum resistant or refractory epithelial ovarian cancer (EOC) or fallopian tube cancer. Materials and Methods: A retrospective analysis of women who received DPLD with carboplatin for recurrent EOC or fallopian tube cancer in King Chulalongkorn Memorial Hospital Thailand from January 2006 to August 2011 was conducted. Patients were identified from the medical records and data on demographic factors, stage, histology, surgical findings, cytoreduction status, and prior chemotherapies were abstracted. The efficacy and toxicity of DPLD/carboplatin were evaluated. Progression-free (PFS) and overall survival (OS) were estimated by the Kaplan-Meier method. Results: A total of 65 patients, 64 with platinum resistant or refractory epithelial ovarian cancer and 1 with fallopian tube cancer, were enrolled. DPLD and carboplatin were given for an average of 4.46 cycles per patient with a total of 273 cycles. Among the 65 evaluable patients, 0% achieved CR, 7.69% PR, 15.4% SD and 76.% PD. The overall response rate was 23.1%. With a median follow-up of 27.4 months, the median progression-free and median overall survival in the 36 patients was 4.46 months and 8.76 months respectively. In the aspect of side effects, palmar-plantar erythrodysesthesia (PPE) occurred in 33.3% (Grade I 22.2%, Grade II 11.1%) and mucositis in 41.7% (Grade I 27.8%, Grade II 13.9%) of all treatment cycles, all Grade 1 or 2. Anemia, leukopenia and thrombocytopenia occurred in 58.3% (Grade I 41.7%, Grade II 16.7%), 66.7% (Grade I 47.2%, Grade II 19.4%), and 22.2% (Grade I 16.6%, Grade II 5.56%) of cycle respectively, and were mostly Grade 1 or 2. Conclusions: DPLD, the second-generation PLD drug combined with carboplatin every 4 weeks, is effective and has low toxicity for treatment of patients with recurrent platinum-resistant or refractory epithelial ovarian cancer.

• 대한영양사협회학술지
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• 제20권4호
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• pp.235-246
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• 2014

The purpose of this study was to evaluate nurses' perception of clinical nutrition services. A cross-sectional survey design was performed. The research was accomplished by using questionnaires developed for this study and administered from September 12 to December 31, 2013 to 343 nurses at 43 tertiary hospitals and 20 general hospitals. The percentage of nurses who recognized clinical nutrition certificate as issued from nation was 27.8%. The mean scores of perceived usefulness on clinical nutrition services was 4.23/5.00, whereas that of perceived implementation was 3.76/5.00. The mean scores of necessity of disease-specialized clinical dietitian at capital hospitals were significantly higher for obesity (P<0.01), cancer (P<0.05), and infant & childhood disease (P<0.01) than at local hospitals. The rates of nurses' experience in group education on cancer at capital hospitals (21.7%) was significantly higher than that at local hospitals (10.3%) (P<0.05). The mean scores of perceived importance of clinical nutrition services were 4.46/5.00 for 'group nutrition education', 4.46/5.00 for 'individual consultation', and 4.40/5.00 for 'nutrition management for enteral nutrition (EN) patients'. The most common reason why clinical nutrition services are important was 'improving malnutritional status'. To activate clinical nutrition services especially at local hospitals, clinical dietitians should give systematic assistance to patients and also institutional supports are needed.