• Journal of Preventive Medicine and Public Health
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• 제26권3호
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• pp.457-468
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• 1993

본 연구는 1차 의료기관과 3차 진료기관의 검사 내용 및 이들 간의 중복검사율을 파악할 목적으로 대구직할시내 1개 3차 진료기관에 1992년 3월 16일부터 4월 11일까지 진료의뢰서를 갖고 내과, 일반외과, 정형외과, 신경외과 외래를 방문한 초진환자 498명을 대상으로 설문지 및 의무기록을 통해 조사하였는데 그 결과를 요약하면 다음과 같다. 대상자는 3차 진료기관이 속한 중진료권에 거주하는 환자가 48.8%였고 나머지가 대진료권에 속한 환자였으며, 1차 의료기관의 방문목적이 진단과 치료를 위해서 방문한 경우가 74.1%였고 진료의뢰서를 발급받기 위해서가 25.9%였다. 진료의뢰서를 본인이 원해 발급받은 경우가 전체의 52.6%였는데 순수하게 의사의 판단에 의해 발급받은 환자가 47.4%로서 아직도 환자 의뢰체계가 제대로 완비되었다고 말하기 어렵다. 진료의뢰서의 발급기관은 의원급이 67.5%, 병원급이 16.3%, 보건기관이 14.2%였다. 1차 의료기관에서 검사를 하고 3차 진료기관을 방문한 환자는 49.4%였는데, 이 중에서 진료한 1차 의료기관에서 다른 진료기관으로 검사를 의뢰해서 검사를 실시한 경우가 7.8%였다. 1차 의료기관에서는 대상자의 20.9%가 X-ray 검사를 받았고, 10.6%가 소변검사, 9.0%가 심전도검사를 받았으며, 의료보험 비급여 대상종목인 컴퓨터단층촬영과 초음파검사는 각각 3.4%, 6.4%였다. 3차 진료기관에서도 방문환자의 45.2%가 X-ray 검사를 받았고, 간기능검사 24.7%, 소변검사 19.1%, 심전도검사 15.7%의 순으로 나타났다. 1차 의료기관에서 검사를 받은 사람 중 검사결과지를 지참한 환자의 비율은 컴퓨터단층촬영이 76.5%로 가장 많았고, 다음이 초음파검사로 31.3%여서 고가 의료장비 이용시 검사결과지 지참율이 높았다. 1차 의료기관과 3차 진료기관에서의 중복검사율은 각 진료과에 따라 특성이 있으나 전체적으로 보면 갑상선 기능검사가 71.4%로 가장 높았고, 다음이 혈액검사(Routine CBC)가 67.9%, X-ray검사가 64.4%였다. 그리고 초음파검사 62.5%, 컴퓨터단층촬영 11.8%, 심전도검사 35.6%, 위내시경검사 45.2%였다. 1차 의료기관에서의 검사결과지를 지참한 경우만을 기준으로 하면 혈액 검사가 75.0%, 간기능검사가 72.7%로 높았으나 X-ray 52.2%, 초음파검사 60.0%였는데, 고가장비인 컴퓨터 단층촬영은 15.4%였다. 이상의 결과에서 3차 진료기관에서는 1차 의료기관에서 실시한 검사를 중복검사한 경우가 많고 1차 의료기관에서의 검사결과지를 지참하는 환자의 중복검사율도 특수한 경우를 제외하고는 큰 차이가 없었음을 감안할 때 진료의뢰시 보다 상세한 진료결과지를 지참하도록 하는 등 환자의뢰체계를 합리적으로 개선하여야 확인검사로 인한 중복검사를 경감시킬 수 있을 것으로 생각된다. 아울러 불필요한 검사를 줄이기 위해서는 의료분쟁을 줄일 수 있는 방안이 마련되어야 하고, 의료보험수가의 조정도 필요할 것이다.

• 한국진공학회지
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• 제4권S2호
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• pp.1-7
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• 1995

Cu(400$\AA$)/Polyimide has been mixed with 80 keV Ar+ and N2+from 1.0X1015ions/$\textrm{cm}^2$ to 2.0X1016 ions/$\textrm{cm}^2$. The changes of chemical bond and internal properties of sample are investigated by X-ray photoelectron spectroscopy(XPS). The quantitative adhesion strength is measured by using scratch test. The optimized mixing condition is that Cu/PI is irradiated with 80 keV N2+ at a dose of 1.0X1015 ions/$\textrm{cm}^2$, because N2+ ions can product more pyridine-like moiety, amide group, and tertiary amine moiety which are known as adesion promoters than Ar+.

• 한국환경보건학회지
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• 제41권6호
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• pp.405-411
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• 2015

Objectives: The purpose of this study is to evaluate the optimum conditions for oral mucosal irritation testing using the buccal pouch of hamsters. Methods: Test materials were applied to the buccal pouch of seven-week old male Syrian hamsters (SLC, Japan) four times at one-hour intervals and macroscopic changes were examined at 24 hours after final treatment. After sacrifice, the buccal pouches were removed and prepared for histopathological evaluation. In order to set the exposure time, we performed exposure tests of 5, 12, 18 and 23 minutes using sodium lauryl sulfate (SLS) 1% and set the treatment volume from the test results at 2, 3, or 4 ml treatment using SLS 1%, Triton X-100 1% and ethanol. After setting the experimental conditions, seven groups of materials [sodium lauryl sulfate (SLS) (1%), Triton X-100 (1%), hydrogen peroxide (3%), ethanol (100%), chlorhexidine (0.2%, 2%), phosphate buffer saline (PBS)] were assessed. Results: Experimental conditions of material exposure time were fixed as 18 minutes from the exposure tests of 5, 12, 18 or 23 min using sodium lauryl sulfate (SLS) 1%. Treated volume was set as 4 ml per each pouch from the test results of 2, 3, or 4 ml treatments using SLS 1%, Triton X-100 1% and ethanol. The results in terms of irritation degree were in the order of sodium lauryl sulfate (SLS) (1%) > Triton X-100 (1%) ${\fallingdotseq}$ hydrogen peroxide (3%) > ethanol (100%) ${\fallingdotseq}$ chlorhexidine (0.2%, 2%) > phosphate buffer saline (PBS). Conclusion: From this study, suitable conditions for hamster mucosal irritation testing were suggested and this method was verified through materials commonly used on oral mucosal membranes.

• 성인간호학회지
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• 제24권4호
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• pp.348-357
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• 2012

Purpose: This retrospective chart review study was carried out in order to examine the frequency of delirium, and to identify the risk factors associated with the development of delirium in elderly patients with arthroplasty. Methods: Data were collected from medical records of patients who received arthroplasty during one and half year in a hospital. Three hundred sixty five patients were selected for the study. The onset of delirium was reviewed based on the result of psychological doctor's consultation or nurse's assessment with Confusion Assessment Method and delirium onset risk factors were examined. Data were analyzed with descriptive statistics, t-test, $x_2$-test, Fisher's exact test and logistic regression analysis. Results: Delirium occurred with 31 patients (8.5%) out of 365 patients who underwent arthroplasty. There were statistically significant differences between incidence of delirium and gender ($x_2$=6.11, p=.025), age ($x_2$=32.81, p<.001), hearing difficulty ($x_2$=8.08, p=.012), albumin level of preoperational day (t=-3.43, p<.001), albumin (t=-2.20, p=.028) and hemoglobin level (t=-2.83, p=.005) of operational day. Age and gender were the most significant predictive factors with regard to the incidence of delirium. Conclusion: Through understanding of these results, nurses will be able to identify those patients who may be at risk for developing delirium in early stages.

• 대한간호학회지
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• 제35권2호
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• pp.419-427
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• 2005

Purpose: The purpose of this study was to identify the effects of a workbook program on percieved stress levels, maternal role confidence and breastfeeding practices of mothers of premature infants. Method: This study employed a quasi-experimental non-equivalent pre-and-post test to compare the two groups. Data was collected from 32 subjects from March 10. to September 5, 2003 at an NICU located in S. city. In the sample, fifteen mothers were in the experimental group and seventeen were in the control group. A workbook program was provided twice during a period from two-three days after the baby's admission to one week after the first intervention. The instruments used were the PSS and self confidence scale. Data was analyzed by means of frequency, SD, $x^2-test$, Fisher's exact test, Mann-Whitney test, and the Wilcoxon signed rank test. Result: There was a significant difference in perceived stress levels between the experimental and control group (U=2.366, p=.018). There was not a significant difference in maternal role confidence between the two groups (U=1.002, p=.316). There was a significant difference in breastfeeding practice between the two groups ($x^2=4.910$, p=.035). Conclusion: It is concluded that a program using a workbook has a positive effect on decreasing the perceived stress level and increasing breastfeeding practice.

• Asian Pacific Journal of Cancer Prevention
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• 제17권6호
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• pp.2761-2765
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• 2016

Opisthorchiasis is a health problem in rural communities of Thailand, particularly in the northeast and north regions. Therefore, this study aimed to investigate raw fish consuming behavior related to liver fluke infection among the population at risk for opisthorchiasis and cholangiocarcinoma (CCA). A cross-sectional descriptive study was conducted in Meuang Yang district, Nakhon Ratchasima province, northeast Thailand, between June and October 2015. Participants were screened for CCA, and samples who had a high score of CCA risk were purposively selected. A predesigned questionnaire was utilized to collect the data from all participants. $X^2-test$ was used for analysis of associations between demographic data and raw fish consumption. The results revealed that participants had past histories of stool examination (33.0%), liver fluke infection (21.0%), praziquantel use (24.0%), raw fish consumption (78.0%), relatives family consuming raw fish (73.0%), and relatives family with CCA (3.0%). Participants consumed several dished related to liver fluke infection, mainly raw fermented fish (13.0%), under smoked catfish (5.00%), raw pickled fish (4.00%), and raw spicy minced fish salad (3.00%). The most common types of cyprinoid fish were Barbodes gonionotus (39%), Hampala dispar (38%), Puntius brevis (37%), Cyclocheilichthys armatus (33%), Puntioplites proctozysron (32%), and Luciosoma bleekeri (30%), respectively. Participants had a low level of knowledge (mean=3.79, SD=0.74), moderate attitude (mean=7.31, SD=7.31) and practice (mean=38.64, SD=6.95) regarding liver fluke prevention and control. Demographic variables like age (>36 years old; $X^2-test=17.794$, p-value=0.001), education (primary school; $X^2-test=18.952$, p-value=0.001), marital status (married; $X^2-test=12.399$, p-value=0.002), and income (<5,000 baht; $X^2-test=27.757$, p-value=0.015) were significantly associated with raw fish consumption. This result indicates that the population had risk consumption for liver fluke infection particularly of various cyprinoid fishes that are $2^{nd}$ intermediate hosts. Therefore, health education is required to improve their behavior.

• 한국대기환경학회지
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• 제31권6호
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• pp.562-572
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• 2015

$NO_x$ emissions from diesel vehicles have been regarded as a main cause of high $NO_2$ concentration in metropolitan area. Recent studies have shown that the on-road $NO_x$ emissions of diesel vehicles are quite higher than the emission limits specified with the pre-defined test method for emission certification. To reduce air pollutants effectively, the discrepancy of emissions in certification and real-driving conditions should be tackled. In this study, the real-driving emissions have been estimated with portable emission measurement system (PEMS). The results of this study have shown that the on-road $NO_x$ emissions from diesel vehicles have been decreased as the introduction of stricter emission regulation, EURO-6, but additional reduction should be still required and robust technologies should be applied to control $NO_x$ in real-driving conditions. RDE-LDV (Real Driving Emission - Light Duty Vehicles) test method being developed in the European Union can represent excessive on-road $NO_x$ emissions of diesel vehicles as applied emission technologies and can be a solution to remove discrepant $NO_x$ emissions between certification and Korean real-driving conditions. Among the $NO_x$ reduction technologies for EURO-6 diesel vehicles, selective catalytic reduction (SCR) system has shown the better performance than lean $NO_x$ trap (LNT) system to control on-road $NO_x$ emissions. Implementing RDE-LDV will require vehicle manufacturers to adopt the more effective $NO_x$ reduction technology in real driving conditions.

• Communications for Statistical Applications and Methods
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• 제15권3호
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• pp.403-409
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• 2008

In this paper we show that the peak of the type I error rate of the Oochran-Armitage trend test could be greater than the nominal level when $2\;{\times}\;C$ contingency tables obtained from two multinomial distributions are extremely unbalanced. This result justifies the use of the exact Cochran-Armitage trend test in extremely unbalanced $2\;{\times}\;C$ contingency tables.

• 한국지반공학회논문집
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• 제29권10호
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• pp.19-27
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• 2013

Tatsuoka and Shibuya(1991)는 하나의 식으로 연약 점성토에서 연암에 이르는 광범위한 지반재료에 대해 적용 가능하며, 넓은 범위의 변형률 수준($10^{-6}{\sim}10^{-2}$)에 대해 적용할 수 있는 새로운 제안식을 발표하였다. 본 연구는 세계 각국의 주요 연구기관에서 사용되고 있는 7종류의 연구용 표준사 공시체 및 2종류의 유리 구슬(Glass beads) 공시체를 이용하여 평면변형률압축시험을 실시하고, 새롭게 제안된 식에 적용하여 각각의 파라메타의 경향성에 대해 연구하였다. 그 결과 구속압이 클수록 $C_1(X={\infty})$ 값이 크게 되지만, $C_2(X={\infty})$ 값은 거의 변화하지 않았다. ${\delta}$에 대한 $C_1(X={\infty})$ 값의 변화는 모래의 종류에 관계없이 ${\delta}$가 클수록 크게 되는 경향이 있지만, $C_2(X={\infty})$, $C_2$(X=Xe) 값은 ${\delta}$가 변화해도 그다지 변화하지 않았다. 한편, ${\alpha}$, ${\beta}$값은 ${\delta}$가 감소함에 따라 약간 감소하는 경향이 있었다.

• 한국토양비료학회지
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• 제34권5호
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• pp.311-315
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• 2001

토양검정의 적중율을 높이기 위하여 농업과학기술원에서 실시한 10개의 pot시험 결과를 Bray등이 개정한 Mitscherlich-Baule-Spillman식(A)에 넣어 토양질소와 시비질소의 이용계수 $C_2$와 $C_1$을 계산하고, 적정 수량을 생산하는데 소요되는 시비량(x) 산출식(B)을 유도하였다. log(Ymax-Y) = logYmax-$C_1x-C_2b$ (A) Ymax : 최고수량, Y: 무비구 또는 일정량의 시비구 수량 b: 토양의 $NO_3{^-}-N(mg\;kg^{-1})$, x:시비량 log(0.05))=$-C_1x-C_2b$ =-C_1x-C_2b (B) 실제 시비량에 대한 식 B로 계산되는 비료 소요량과 는 유의한 정의 상관 관계를 보였다. 식 A와 B의 $C_1$과 $C_2$값에 관한 정밀한 연구는 토양검정의 실용성을 높일 수 있다.