• 한국응급구조학회지
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• 제3권1호
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• pp.43-54
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• 1999

This study is attempted for the purpose of clearly understanding the stressors which emergency medical technology students experience during clinical practice, giving guidance in desirable direction and improvement of clinical practice, and giving the basic materials so that emergency medical technology students may practice effectively. The design of this study was a descriptive survey. The subjects in this study were 59 emergency medical technology students who were 2nd grade in D college. The collection of questionnaires took 3 days from September 1, 1999 to September 3, 1999. This researcher explained the purpose of this study to students, after they agreed to this survey, the researcher gave the questionnaire to them, had them answer the questions and collected the questionnaire immediately. Data analysis included percentage, mean and standard deviation, t-test and ANOVA trough SPSS computer program. The results of this study are, briefly, as follows; 1. In 'satisfaction-degree to specializing in the science of emergency medical technology' 27.1% of the subjects is revealed as 'satisfied' and in 'satisfaction-degree of clinical practice', 8.5% of the subjects is revealed as 'satisfied'. 2. Viewed from each of the categories of stressors which emergency medical technology students experience during clinical practice, 'ideals and values' is the category in which emergency medical technology students experience most severe stress at a mean 3.25 and 'personal relations' is the category in which emergency medical technology students experience mildest stress at a mean 2.82. The total stress degree mean is 3.06, which emergency medical technology students experience during clinical practice is revealed as 'moderate' stress. 3. Considering the stressor involved in each category, the results are as follows; (1) In 'environment', 'orientation to the hospital before clinical practice' is revealed as the most severe stressor at a menu 3.44. (2) In 'personal relations', 'relations with doctor and nurse' is revealed as the most severe stressor at a mean 3.59. (3) In 'role', 'unilaterally when their role is seems to be obscure' is revealed as the most severe stressor at a mean 4.10. (4) In 'ideals and values', 'difference between college practice and hospital practice' is revealed as the most severe stressor at a mean 3.88. (5) In 'activity', 'repetition of simple and functional work during clinical practice' is revealed as the most severe stressor at a mean 3.98. (6) In 'total stress factors', 'unilaterally when their role is seems to be obscure' is revealed as the most severe stress factor at a mean 4.10 and 'relations with comrade students' is revealed as the stress factor causing mildest stress at a mean 2.20. 4. Considering the relationship between the categories of stressors and the general characteristics, the results are as follows; (1) 'Environment' is revealed as being positively correlated with 'satisfaction degree of clinical practice'(F=3.53, p= .0359). (2) 'Ideals and values' is revealed as being correlated with 'sex'(t=-2.31, p= .0240) and 'satisfaction degree of clinical practice'(F=3.31, p= .0438).

• Architectural research
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• 제8권1호
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• pp.1-7
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• 2006

Various housing measures are needed for the rapidly aging society of Korea. In particular, the welfare policy for the elderly has changed towards the community care. Taking this fact into consideration, it is necessary to have the establishment of a system that offers the elderly appropriate welfare services at their appropriate residence (ageing in place) for the effectiveness of the community care. In this aspect, there are a number of implications to Korea to study merits and demerits of the Health Facilities for the Aged (HFA) in Japan. The society of Japan has been rapidly aging since 1970, and Korea is to face the same situation. As for the data of this study, a total of 2,393 facilities (as of November 1999) mentioned in the annual report of the Japanese Ministry of Health, Labor and Welfare were classified based on types of their establishment: (1) free-standing structures (603 facilities); (2) annexes to hospitals (981 facilities); (3) annexes to welfare facilities (511 facilities); and (4) annexes to clinics (298 facilities). Next, 239 facilities were selected through taking a sample of 10 percent from each type of the HFA mentioned above. This was done through the random sampling method with the computer program of MS EXCEL. The Implications of the results of analyses are as follows. First, most of the health facilities were planned with the scale that was larger than the scale of standard special nursing homes in terms of the total floor area. Precise equations that were to obtain precise results of the scale of the HFA and the appropriate number of residents were obtained through the method of the regression analysis. Korea and Japan have similarities in terms of culture, society and family relations; however, the two countries also have differences in terms of the application of laws on the establishment of houses, hospitals, and welfare facilities. As for planning the scale of the HFA, the realities of Korea should be considered. Second, as for the functional aspect of the HFA with a condition of returning home, the place before and after the HFA showed the pattern of 'from a residential place to a residential place' and 'from a hospital to a hospital.' This reveals a close correlation with the types of the HFAs and operational ways of the facilities. Its cause is considered to be the aspect of the operation and management of the HFA rather than the aspect of its function of providing services in association with medical and health facilities. Therefore, when intermediate welfare facilities are considered in Korea, it is strongly advised to consider the problem of annexes to other facilities and efficiency of sharing of the facilities in terms of its operation and management.

• 대한간호
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• 제31권5호
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• pp.39-52
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• 1992

As society has changed, the demand for improved health care has increased. To keep up with this type of social need, professional nursing care is seeking to efficiently satisfy the care needs of human beings. The goal of clinical nurse is to meet nursing care needs of patients. This study was designed to survey attitudes of nursing profession of clinical nurses. The following specific 5 objectives were investigated and the attitudes of clinical nurses were determined. 1. The social position of nursing as a profession. 2. Factors influencing the development of nursing. 3. The future of nursing. 4. Their work. 5. Job satisfaction. The subjects consisted of 120 nurses who are working at 5 general hospital over 150 beds Ill CHONG NAM. The nurses were surveyed by means of a questionnaire from May 24 to Jun 15, 1992. The tool used for this study was based on earlier work by Lee, Nam Hi(1978) and Kim, Myong Hee(1984). Computer was used for Data Analysis. Frequency and Percentage were used to examine the genera] characteristics of the subjects. ANOV A and t.test were used to test the relation in characteristics of the subjects and attitudes Loward nursing prfession. The finding of this study were as follows; 1. Social position of nursing as a profession; The response with the highest agreement was "The professional nursing organization is less power. ful than the other professional organization" 3.333 points, and the response with the lowest agreement was "Nursing get a big salary" 2.225 points. 2. Factors influencing the development of nursing; the response with the highest agreement was "Hospital environment should be improved" 4.267 points, and the response with the lowest agreement was "Nurses satisfaction with salary"2.175 points. 3. The future of nursing; the response with the highest agreement was "Along the deveiopmem of science technique will be elevated educational state and graduate to needed in nursing" 3.958 points, and showed generally positive response toward the future of nursing. 4. Their work; the response with the highest agreement was "Work loading due to nursing staff insufficient" 4. 308 points, the response with the lowest agreement was "Nurses are unkind to patient" 2.508 points. 5. The subject's view regarding job satisfaction;it showed that "Interpersonal nursing staffs" 3.508 points, showed generally unsatisfactory response toward job satisfaction. 6. The relationship between the subject's attitudes toward professional nursing and general characteristics showed a significant difference statistically in regard to the field of work(P<.05). 7. The relationship between general characteristics and the subject's attitudes toward factors influencing the development of nursing showed a significant difference statistically in regard to the age and the status of position(P<.05). The subject's attitude toward the future of nursing showed a significant difference statistically in regard to the age and the period of nursing career and the field of work(P<.05, P<.005). The subject's attitude toward the job satisfaction showed a significant difference statistically in regard to the age and the period of nursing career and the status of position and the field of work(P<.005).

• 대한방사선치료학회지
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• 제20권2호
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• pp.115-122
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• 2008

목 적: 암 치료를 위한 방사선치료 기술은 끊임없이 발전되어 왔으며 특히, 컴퓨터와 전자기 공학의 발달과 더불어 급속하게 방사선 치료분야에서 많은 발전을 하게 되었다. 따라서 본 연구에서는 발전된 치료기술에 대한 치료 원리와 방법들을 중심으로 그 특징들을 고찰하려고 한다. 대상 및 방법: 발전된 치료기술에 관한 이론적인 고찰을 위하여 관련된 문헌조사를 실시하였으며 임상에서의 자료를 광범위하게 조사 연구하였다. 결 과: 방사선을 이용한 암에 대한 치료는 눈부신 발전을 거듭하고 있다. 과거에는 2차원적인 방법으로 방사선치료를 하였으나 현재는 3차원적인 입체조형치료, 세기변조방사선치료를 병행한 4차원적인 치료기술이 도입되었으며 이는 과거 방사선치료의 난제였던 정상조직보호와 방사선에 의한 합병증 해결을 가능하게 하였다. 결 론: 발전된 방사선치료인 3, 4차원적 현대적 치료는 방사선치료의 목적에 부합되고 있으며 정상조직의 보호가 거의 완벽하게 이루어지고 있으며 방사선을 이용한 암 치료에 대한 평가도 다시 되어야 한다고 사료된다.

• Journal of Cardiovascular Imaging
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• 제31권3호
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• pp.125-132
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• 2023

BACKGROUND: There is limited data on the residual echocardiographic findings including strain analysis among post-coronavirus disease (COVID) patients. The aim of our study is to prospectively phenotype post-COVID patients. METHODS: All patients discharged following acute COVID infection were systematically followed in the post-COVID-19 Recovery Clinic at Vancouver General Hospital and St. Paul's Hospital. At 4-18 weeks post diagnosis, patients underwent comprehensive echocardiographic assessment. Left ventricular ejection fraction (LVEF) was assessed by 3D, 2D Biplane Simpson's, or visual estimate. LV global longitudinal strain (GLS) was measured using a vendor-independent 2D speckle-tracking software (TomTec). RESULTS: A total of 127 patients (53% female, mean age 58 years) were included in our analyses. At baseline, cardiac conditions were present in 58% of the patients (15% coronary artery disease, 4% heart failure, 44% hypertension, 10% atrial fibrillation) while the remainder were free of cardiac conditions. COVID-19 serious complications were present in 79% of the patients (76% pneumonia, 37% intensive care unit admission, 21% intubation, 1% myocarditis). Normal LVEF was seen in 96% of the cohort and 97% had normal right ventricular systolic function. A high proportion (53%) had abnormal LV GLS defined as < 18%. Average LV GLS of septal and inferior segments were lower compared to that of other segments. Among patients without pre-existing cardiac conditions, LVEF was abnormal in only 1.9%, but LV GLS was abnormal in 46% of the patients. CONCLUSIONS: Most post-COVID patients had normal LVEF at 4-18 weeks post diagnosis, but over half had abnormal LV GLS.

• 대한장애인치과학회지
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• 제13권2호
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• pp.95-98
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• 2017

본 증례는 다운 증후군이 있는 환자의 구강 재건 시 CAD/CAM 시스템 사용의 이점을 모색해보았다. 다운 증후군 환자들의 경우, 보철물 파절의 위험성이 크며 불가피하게 보철물을 재제작할 경우, CAD/CAM 시스템의 기존 데이터를 이용하여 최소한의 기공 과정만 진행하여 보철물을 빠른 시일 내에 재제작할 수 있다. 결과적으로 이는 심미적 및 기능적 개선을 통해 삶의 질을 높일 수 있는 보철물 제작 시 환자의 불편감과 치과의사의 노력을 최소화하는 방법이다.

• 대한방사선기술학회지:방사선기술과학
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• 제27권3호
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• pp.25-29
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• 2004

방사선부문 디지털시스템 중 일반촬영 부문에서 가장 많이 사용하고 있는 Computed radiography(CR) 영상판(image plate)의 검출시스템은 형광체의 빛 확산 영향을 받는 시스템이므로 영상을 흐리게 만들기 마련이다. 본 연구에서는 X-ray 발생장치를 이용하여 computer radiography 영상판의 정보전달능(modulation transfer function, MTF) 측정을 통해 해상도와 선예도 등을 알아보기 위해 현재 A병원에서 사용중인 일반촬영용 IP 사용년수 3년 이상된 Fuji ST-Vn 모델과 사용년수 2년 미만인 Fuji ST-VI 모델을 대상으로 MTF를 측정하여 분석 비교하였다. 실험방법은 X선 발생장치를 이용하여 resolution chart법으로 시행하였으며, 레이저프린터로 출력하여 microdensitometer로 측정하였다. 실험결과, 2가지의 IP 모델은 차이가 있었으며, 해상도와 선예도 모두 Fuji ST-VI 모델이 우수하게 나타났다.

• 중소기업융합학회논문지
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• 제6권3호
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• pp.71-77
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• 2016

이 논문에서는 소아청소년 암환자 중 치료종료 2년 이상의 환자 293명를 대상으로 소아와 청소년을 구분해 삶의 질을 분석하였다. 기존 연구에서는 소아청소년 암환자의 삶의 질을 평가하기 위해서 소아암 환자와 환자의 부모가 느끼는 삶의 질을 비교하는 것이 대부분이었고, 소아청소년을 하나의 그룹으로 평가하는 것이 일반적이었다. 그러나 소아청소년 암환자의 폭넓은 연령을 하나의 기준으로 평가하는 것은 문제가 있다. 따라서 이 논문에서는 언어 이해정도에 따라 연령을 10-12세와 13-20세의 연령의 두 그룹으로 분류하고 한국어로 작성된 KMMQL-AF 설문지를 이용하였다. 2011년 7월 15일에서 2012년 1월 31일까지 전국 10대 지역 병원(국립암센터, 서울대학교병원, 한양대학교병원, 화순전남대학교병원, 충북대학교병원, 충남대학교병원, 전북대학교병원, 경상대학교병원, 원자력병원, 이화여대부속목동병원)에서 정확한 자료수집을 위해 전문가가 동반해 심층면접을 통해 추출된 서술적 조사연구이다.

• 대한의용생체공학회:의공학회지
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• 제25권6호
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• pp.497-503
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• 2004

건강한 정상인의 복부대동맥과 장골동맥 분기관의 다이콤 의료 영상으로부터 구성된 혈관 모델을 대상으로 전산혈류해석을 수행하였다. 본 연구에서는 CT로 촬영한 혈관영상으로부터 단면영상을 읽고 각 단면의 경계 좌표를 매끄럽게 추출하는 프로그램을 개발하여 적응하였다. 해석용 3차원 메쉬 생성과 혈류해석은 상용프로그램을 사용하였다. 해석을 통해 얻어진 압력, 속도 및 유량 분포는 정상인의 생리학적 범위 내에 있었다. 초음파로 측정된 장골동맥 중심부의 심장 수축기 속도는 해석에 비해 20% 정도 작은 값을 보였으며 한 주기 동안 속도 변화의 경향은 유사하였다. 본 연구의 접근방법은 환자 개인의 실제 혈관 형상에 기반한 혈류해석으로서 좁아진 동맥 또는 시술 될 동맥에서의 압력, 속도값, 속도분포에 대한 정보를 제공한다. 이 결과는 의사로 하여금 환자의 혈류역학적 변수의 변화를 파악하게 하여 환자의 상태를 더 잘 이해하고 수술의 필요성을 판단하도록 도움을 줄 수 있으며 나아가 혈관 수술의 기초자료로 사용될 수 있을 것이다. 이 연구는 향후 동맥경화와 밀접히 연관된 혈류역학적 변수의 분포를 혈관 내에 보여줌으로서 동맥경화를 조기 진단하는 프로그램으로 발전할 것으로 기대된다.

• 한국노년학
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• 제30권1호
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• pp.127-140
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• 2010

본 연구는 시-지각 이론에 근거한 전산화 인지재활치료가 경증치매환자의 일상생활수행능력, 인지기능과 작업수행수준에 미치는 효과를 알아보고 치매환자를 위한 독립적인 지역사회에서의 적응을 위한 인지재활치료의 기초 자료를 제시하기 위함이다. 연구방법은 2009년 2월부터 2009년 8월까지 용인시 치매예방관리센터에 내원한 경증 치매환자 14명을 대상으로 5주 동안 주 2회, 총 10회 가정 방문하여 전산화인지재활치료를 실시하였다. 전산화인지재활치료는 시-지각이론의 틀에 근거하여 실시하였다. 알쯔하이머치매군과 비알쯔하이머치매군을 대상으로 치료 전후의 일상생활수행능력, 인지기능과 작업수행기능에 미치는 효과를 검증하기 위한 유사 실험연구로써 단일군 전후실험설계를 적용하였다. 연구결과는 첫째, 전산화인재활치료 실시 전에 비하여 실시 후에 경증치매환자의 일상생활수행능력, 인지수준판별검사 등의 인지기능과 작업수행 만족도가 통계적으로 유의하게 증가하였다(p<.05). 둘째, 비알쯔하이머치매군에 비하여 알쯔하이머치매에서 인지기능의 변화에 유의한 효과가 있었다(p<.05). 따라서 시-지각 이론의 틀에 근거한 전산화 인지재활치료는 지역사회에 거주하는 경증치매환자의 전반적인 인지기능 및 일상생활수행능력 향상에 효과적으로 보인다. 또한 인지기능과 일상생활독립성의 증가로 인하여 작업수행에 대한 만족감도 증가에도 효과적이었다. 앞으로 지역사회에 거주하는 경증치매환자의 기능향상을 위한 보다 다양한 인지재활 프로그램에 대한 연구가 필요하다.