• 대한간호학회지
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• 제48권2호
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• pp.143-153
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• 2018

Purpose: The purpose of this study was to identify factors predicting behavioral and psychological symptoms of dementia (BPSD) in persons with dementia. Factors including the patient, caregiver, and environment based on the multi-dimensional behavioral model were tested. Methods: The subjects of the study were 139 pairs of persons with dementia and their caregivers selected from four geriatric long-term care facilities located in S city, G province, Korea. Data analysis included descriptive statistics, inverse normal transformations, Pearson correlation coefficients, Spearman's correlation coefficients and hierarchical multiple regression with the SPSS Statistics 22.0 for Windows program. Results: Mean score for BPSD was 40.16. Depression (${\beta}=.42$, p<.001), exposure to noise in the evening noise (${\beta}=-.20$, p=.014), and gender (${\beta}=.17$, p=.042) were factors predicting BPSD in long-term care facilities, which explained 25.2% of the variance in the model. Conclusion: To decrease BPSD in persons with dementia, integrated nursing interventions should consider factors of the patient, caregiver, and environment.

• Journal of Yeungnam Medical Science
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• 제36권1호
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• pp.20-25
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• 2019

Background: The aim of this study was to evaluate the awareness of occupational hazards and personal protective equipment use among dental hygienists (DHs). Methods: A total of 271 self-administered questionnaires were obtained from 280 DHs working at dental hospitals or clinics in Daegu and Gyeongsangbuk-do, Korea. Results: The occupational hazards included work involving dust (94.1%), volatile substances (86.0%), noise (97.0%), and light-curing units (96.7%). The proportion of dental hygiene tasks that participants perceived as harmful were 42.4%, 51.7%, 9.2%, and 31.4% in the same order as above. The proportion of participants who used dust-proof masks during work involving dust was 1.1%. Those who wore gas-proof masks and gloves for work using volatile substances were 0.7% and 31.2%, respectively. Participants who used goggles for work involving light-curing units were 31.0%. None of the participants used ear plugs for work involving noise. A total of 22.9% of the participants recognized the Material Safety Data Sheet, while 79.7% had never been educated about harmful work environments. Conclusion: When compared to exposure status and perception of occupational hazards, the level of protective equipment use was very low. Extra measures to increase DHs' use of personal protective equipment are necessary.

• 국제학술발표논문집
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• The 9th International Conference on Construction Engineering and Project Management
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• pp.736-743
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• 2022

Construction workers experience a high rate of fatal incidents from mobile equipment in the industry. One of the major causes is the decline in the acoustic condition of workers due to the constant exposure to construction noise. Previous studies have proposed various ways in which audio sensing and machine learning techniques can be used to track equipment's movement on the construction site but not on the audibility of safety signals. This study develops a novel framework to help automate safety surveillance in the construction site. This is done by detecting the audio sound at a different signal-to-noise ratio of -10db, -5db, 0db, 5db, and 10db to notify the worker of imminent dangers of mobile equipment. The scope of this study is focused on developing a signal processing model to help improve the audible sense of mobile equipment for workers. This study includes three-phase: (a) collect audio data of construction equipment, (b) develop a novel audio-based machine learning model for automated detection of collision hazards to be integrated into intelligent hearing protection devices, and (c) conduct field experiments to investigate the system' efficiency and latency. The outcomes showed that the proposed model detects equipment correctly and can timely notify the workers of hazardous situations.

• 한국산업보건학회지
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• 제17권2호
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• pp.153-159
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• 2007

Usually equal noise exposure is considered to cause symmetrical hearing loss, but some screening audiometries of employees who were exposed to noise showed asymmetry. Therefore, this study was carried out to evaluate the distribution of asymmetrical hearing loss and the difference of air conduction level between left and right ear at the different frequencies (500, 1,000, 2,000, 3,000, 4,000, 6,000 Hz). Study subjects were 326 male employees who had participated in the noise-specific health examination from May to October, 2002. They were evaluated by otoscopic examination, pure tone audiometry and tympanometry. In all frequencies, hearing threshold level of left ear was worse than right ear. The mean interaural threshold differences between two ears were 0.83 dB at 500 Hz, 1.18 dB at 2,000 Hz, 2.29 dB at 3,000 Hz, 2.18 dB at 4,000 Hz, and statistically significant (p<0.05). The hearing loss of left ear was greater than right ear in occupationally noise-exposed workers. It is believed that left ear was more susceptible to noise damage than right ear

• 핵의학기술
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• 제17권2호
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• pp.67-71
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• 2013

PET/CT검사에서 CT촬영조건의 변화는 영상의 화질 및 환자가 받는 피폭선량에 영향을 미친다. 본 연구는 CT 매개 변수 중 Pitch와 X-선관 회전시간 변화에 따른 선량대비 CT 영상의 질과 이로 인해 PET상에서 SUV에 미치는 영향을 비교 평가하고자 하였다. Discovery STe PET/CT 장비를 이용하여 영상을 획득하였다. QA Phantom과 AAPM Phantom을 이용한 CT 영상 획득 시 Pitch는 0.562, 0.938, 1.375, 1.75:1로 4단계, X-선관 회전시간은 0.5에서 1.0까지 0.1초씩 증가시켜 6단계로 나누어 총 24개 조합을 적용한 영상을 각각 획득하였다. PET 영상은 $^{18}F-FDG$ 5.3 kBq/mL가 채워진 1994 NEMA PET Phantom을 이용하여 프레임당 2분 30초의 방출영상을 획득하였다. 각 조합의 CT 영상에 관심영역을 설정하고 CT number의 표준편차를 측정하였다. 동일한 영상에서 DLP변화에 따른 영상잡음의 예측값을 계산하여 예측값 대비 실측값의 비율을 구해 선량대비 영상잡음 효과를 비교하는 척도로 사용하였다. AAPM Phantom 영상에서 1.0 mm까지 식별이 가능한 지 확인하였다. NEMA PET Phantom의 방출영상에 관심영 역을 설정하고 SUV를 비교 평가하였다. Pitch가 0.562, 0.938, 1.375, 1.75:1로 변화할 때 영상잡음 효과는 QA Phantom에서 1.00, 1.03, 1.01, 0.96, AAPM Phantom에서 1.00, 1.04, 1.02, 0.97로 측정되었다. 회전시간의 증가에 따른 경우 QA Phantom에서 0.99, 1.02, 1.00, 1.00, 0.99, 0.99이었고, AAPM Phantom에서 1.01, 1.01, 0.99, 1.01, 1.01, 1.01로 SPSS Ver. 18을 이용하여 상관관계를 분석한 결과 피어슨 상관계수는 -0.059로 나타났다. 공간분해능에 대한 평가는 24개의 조합 모두에서 1.0 mm까지 육안으로 구별이 가능하였다. SUV의 경우 평균 SUV는 모든 조합에서 1.1로 모두 동일한 값을 나타내었다. Pitch 변화에 따른 CT 영상 평가에서 1.75:1을 적용 시 선량대비 가장 적은 영상잡음 효과를 보이며 공간분해능과 SUV에는 영향을 미치지 않는다. 그러나 회전시간 변화가 영상에 미치는 영향에는 유의한 차이가 없음을 알 수 있다. 결과에서와 같이 각 장비에 따른 선량대비 영상잡음이 적은 Pitch를 사용하고 환자의 체격에 따른 적절한 X-선관 회전시간을 이용한다면 환자의 피폭선량을 줄이면서 최적의 화질을 얻을 수 있는 프로토콜을 구성하는데 도움이 될 것이라 사료된다.

• 한국환경보건학회지
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• 제42권6호
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• pp.438-449
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• 2016

Objectives: Exposure to airborne bacteria is associated with adverse health effects such as respiratory and infectious diseases. This study evaluated airborne bacterial concentrations in the living rooms, kitchens, and toilets of 30 homes. Methods: Bacteria were sampled with an MAS100 impactor in three spaces in the subject homes between April 2014 and February 2015. Bacteria were grown on TSA plates for 48 hours at $35^{\circ}C$. The bacterial strains were isolated and amplified by polymerase chain reaction. Results: The most culturable bacteria were found in toilets ($624.0CFU/m^3$, GM: $417.3CFU/m^3$), followed by in the kitchen ($503.8CFU/m^3$, GM: $324.9CFU/m^3$). The dominant genera identified were: Staphylococcus sp.(19%), Micrococcus sp.(16%), and Bacillus sp.(11%) in the indoor air and Bacillus sp. (30%) in the outdoor air. Gram-positive bacteria comprised more than half of all colonies. Conclusion: In this study, culturable bacteria concentrations were higher than those reported in other spaces. Therefore, it is important to control relative humidity and remove moisture to prevent bacteria from multiplying. Additionally, the dominant species in indoor air were Staphylococcus sp. and Micrococcus sp. These are found on the human skin, mucous membranes, and hair, so human activity can affect bacterial distribution. Therefore, cleaning and controlling moisture are important for reducing indoor bacterial concentrations.

• 대한방사선기술학회지:방사선기술과학
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• 제44권4호
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• pp.295-300
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• 2021

This study aims to present new chest AP examination exposure conditions through a study on the effect on image quality and patient dose by applying high tube voltage and scatter ray post-processing software during chest AP examination in digital radiography equipment. This study was used a human body phantom and in the chest AP position, the dosimeter was placed horizontally at the thoracic spine 6. The experiment was conducted by dividing into a low tube voltage (70 kVp, 400 mA, 3.2 mAs) group and a high tube voltage (100 kVp, 400 mA, 1.2 mAs) group. The collimation size (14″× 17″) and the source to image receptor distance(110 cm) were same applied to both groups. Radiation dose was presented to dose area product and entrance surface dose. Image quality was compared and analyzed by comparing the difference between the signal-to-noise ratio and the contrast-to-noise ratio of the image according to the application of the scatter ray post-processing software under each condition. The average value of the entrance surface dose in the low and high tube voltage conditions was 93.04±0.45 µGy and 94.25±1.51 µGy, which was slightly higher in the high tube voltage condition, but the dose area product was 0.97±0.04 µGy and 0.93±0.01 µGy. There was a statistically significant difference in the group mean value(p<0.01). In terms of image quality, the values of the signal-to-noise ratio and the contrast noise ratio were higher in the high tube voltage than in the low tube voltage, and decreased when the scattering line post-processing function was used, but the contrast resolution was improved. If there is a scatter ray post-processing function during chest AP examination, it is helpful to actively utilize it to improve the image quality. However, when this function is not available, I thought that applying a higher tube voltage state than a low tube voltage state will help to realize images with a large amount of information without changing the dose.

• 전자공학회논문지
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• 제54권4호
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• pp.61-67
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• 2017

방사선 노출의 위험을 줄이기 위한 저선량 X-ray 영상은 양자노이즈로 인해 화질열화가 발생한다. 본 논문은 저선량 X-ray 기기를 통해 입력받은 저화질의 동영상으로부터 포아송 확률 거리(Stochastic distance)에 기반하여 동영상 X-ray 데이터의 노이즈를 3차원 Non-local Means(3D NLM) 필터를 통해 제거한다. 포아송 확률 거리는 X-ray 영상에서 3D NLM 노이즈 제거 필터의 유사성을 판별하는 척도로써 사용되어 진다. 제안하는 방법은 움직임 정보가 포함된 프레임 유사도를 사용하여 움직임 아티팩트가 최소화된 X-ray 동영상 데이터를 출력하도록 한다. 수행한 결과로 노이즈가 제거된 X-ray 영상을 생성하도록 함으로써, 영상의 열화된 화질을 개선시켜 저선량 X-ray 영상 데이터에 대한 판독 능력을 향상시킬 수 있는 효과가 있다. 제안하는 방법은 객관적인 기준의 수치적인 관점에서 뿐만 아니라, 실제의 X 선 영상 시퀀스의 주관적인 시각적 인식에서도 뛰어남을 확인 할 수 있다.

• 한국의학물리학회지:의학물리
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• 제19권4호
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• pp.219-226
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• 2008

이 연구에서는 저자들이 개발한 비정질 셀레늄층과 비정질 실리콘TFT배열을 사용하는 직접방식 디지털 X-선 영상 검출기에 대해 IEC (international electrotechnical commission)와 같은 국제표준으로 권고된 측정방법에 따라 특성을 평가하였다. 영상 성능 묘사에 사용되는 측정은 응답특성(response characteristic), 변조전달함수(MTF, modulation transfer function), 잡음전력스펙트럼(NPS, noise power spectrum), 양자검출효율(DQE, detective quantum efficiency), 양자제한 성능을 포함하고 있다. 영상특성평가 결과, 개발된 검출기의 DQE 값은 최저주파수와 최고주파수에서 각각 40%와 25%이었다. 해외 타사의 제품과 비교해서도 우월한 값을 나타내었다. 또한 MTF는 간접방식 DR, CR과 비교하면 매우 우월한 성능을 보이고 있다. 또한 양자 제한된 특성을 평가한 결과, 0.023 mR 이하에서만 제한된 특성을 보여 일반촬영용도로서 적합성을 확인할 수 있었다.

• Journal of Preventive Medicine and Public Health
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• 제20권2호
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• pp.205-214
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• 1987

For the purpose of evaluating the effect of noise induced hearing loss on the blood pressure, a cross-sectional study was conducted in 481 manufacturing industrial workers in Pusan area consisted of 275 workers from noisier plant (over 90 dB(A), high exposed group) and 206 workers from less noisy plant (below 85 dB(A), low exposed group) from April to Decepmber in 1985. The summarized results were as follows; 1) The degree of hearing loss according to the audible frequency was most notable in 4,000 Hz. 2) The prevalence of hypertension was 14.8% in total examined subjects. And also in 40 dB(A) hearing lost workers, there was no significant difference between high exposed group as 15.5% and low exposed group as 15.8%. 3) In 3 models analyzed by multiple regression technique to obtain the complexed extents of risk factors related to the diastolic blood pressure, especially model III which contain age, body mass index, smoking, alcohol and family history of hypertension, duration of work, noise exposure level and degree of hearing loss in high exposed group was most remarkable compared to the others. 4) The most potential predictor related to the diastolic pressure in high exposed group was the degree of hearing loss. And the next were body mass index, familial history of hypertension and age in order. But in the case of low exposed group, the potential predictors were body mass index, age and familial history of hypertension.