• 대한후두음성언어의학회지
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• 제30권2호
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• pp.118-123
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• 2019

Background and Objectives Voice evaluation is classified into subjective tests such as auditory perception and self-measurement, and objective tests such as acoustic and aerodynamic analysis. When evaluating dysphonia, subjective and objective test results do not always match. The purpose of this study was to analyze the relationship between subjective and objective evaluation in patients with dysphonia and to identify meaningful parameters by disease. Materials and Method The total of 322 patients who visited voice clinic from May 2017 to May 2018 were included in this study. Laryngeal lesions were identified using stroboscopy. Pearson correlation test was performed to analyse correlation between subjective tests including GRBAS scale and voice handicap index, and objective tests including jitter, shimmer, noise to harmonic ratio (NHR), cepstral peak prominence (CPP), maximal phonation time (MPT), mean flow rate, and subglottic pressure. Results In vocal nodule and sulcus vocalis, among GRBAS system, grade and breathiness showed good correlation with CPP, and roughness showed good correlation with jitter or shimmer. In unilateral vocal cord paralysis (UVCP), grade and breathiness showed a very good correlation with CPP, and also good correlation with jitter, shimmer, NHR, and MPT. Also asthenia showed good correlation with CPP and MPT. Vocal polyp has a limited association with other diseases. Conclusion In patients with dysphonia, grade and breathiness showed good correlation with CPP, jitter, and shimmer, and reflect the state of voice change well especially in UVCP, CPP, and MPT.

• 한국치위생학회지
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• 제15권3호
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• pp.477-486
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• 2015

Objectives: The purpose of the study is to investigate the influencing factors of subjective awareness of dental health status on the use of dental hygienic devices. Methods: A self-reported questionnaire was completed by 320 patients who visited dental clinics in Seoul and Gyeonggi-do from May to June 2014. Except incomplete answers, 284 copies were analyzed by SPSS WIN 18.0 program. The questionnaire was adapted from Park & Youn, and Chae. The questionnaire consisted of five questions of the general characteristics of the subjects, one question of subjective dental health status, eight questions of awareness of dental hygienic devices, and eight questions of use of dental hygienic devices. Results: Although the awareness of self dental health state was shown to statistically significantly affect the awareness of dental hygiene devices(p<0.001) which is the dependent variable, it was shown to not affect the use. Conclusions: Based on such results, to improve and maintain the dental health, an individual's subjective dental health state should be identified and provide accurate and objective information on the dental hygiene devices that are suitable to individual dental state, as well as make the patient's use of dental hygiene devices increase through continuous boosting of motivation.

• 한국인구학
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• 제30권2호
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• pp.45-69
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• 2007

본 연구는 개인의 주관적 건강상태 판정의 국가간 차이에 주목한다. 주관적 건강상태는 기본적으로 객관적 건강상태에 영향을 받지만, 이를 해석하는 태도나 주관적 신념의 영향을 받아 최종적으로 형성되는 판단이라고 본다. 그러므로 주관적 건강상태의 국가별 차이는 (1) 객관적 건강상태의 차이와 (2) 개인의 태도나 신념체계에 영향을 미치는 사회 문화적 특성의 차이의 결합으로 이해되어야 한다. 2006년에 새로 구축된 '고령화연구패널조사' 자료와 유럽 3개국의 고령자조사 자료를 비교한 결과, 우리나라 고령자가 유럽의 고령자에 비하여 자신의 건강상태를 부정적으로 판정하는 경향이 강하다는 사실을 확인하였다. 본 연구에서는 이러한 사실을 두 가지 방식으로 설명하였다. 첫째, 만성질환 여부나 일상생활 수행능력의 영향을 통제하고 보더라도, 우리나라 고령자의 주관적 건강상태 판정은 독일과 스웨덴, 이태리에 비하여 현저히 부정적이다. 둘째, 만성질환 여부나 일상생활 수행능력 정도와 같은 객관적인 건강상태의 수준은 주관적인 건강상태에 영향을 미치는 것이 분명하지만, 그 정도는 국가마다 다르다. 우리나라에서는 만성질환이 있는 경우, 이로 인하여 주관적 건강상태를 부정적으로 평가하게 되는 정도가 다른 나라보다 심한 것으로 보인다. 그 원인이 무엇인지는 후속연구의 주제로 남긴다.

• International Journal of Computer Science & Network Security
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• 제23권7호
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• pp.79-90
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• 2023

Leadership development corresponds to the focus on the individual's success and competitiveness strategy. This is the optimal direction of the organization of attitude development because it covers two aspects of the student's personality development, professionally-oriented and self-centric. The aim of the study is to identify and compare the leadership level in second-and fourth-year students to see dynamics of development and implementation of the leadership phenomenon in the professional and personal making up of future specialists. Based on the theoretical analysis of the issue, the authors developed an objective and subjective diagnostic model for leadership skills. In this study, data of the objective diagnostic technique are the key. Subjective diagnostic technique for leadership skills provides insights for problem interpretation. At the level of the first group of respondents, the average Leadership Skills Level of the second-year students was quite low and was found within the medium level. The second group of respondents consisting of the fourth-year students showed a slight but effective improvement. The Leadership Skills of this group were found at a sufficient level. Positive dynamics was revealed for all criteria of leadership skills as a result of applying objective diagnostic methods: decreased percentage of students with negative and relatively low markers of Leadership Skills Level and corresponding increase in percentage of applicants with positive markers of Leadership Skills Level. Further research can be organized in the direction of identifying and developing successful universal and professionally-oriented tactics for leadership development in students as part of attitude development.

• 노동경제논집
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• 제40권3호
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• pp.29-55
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• 2017

본 연구는 주관화된 지표와 객관화된 지표로 구성된 장년근로자의 건강변수가 근로보수에 미치는 영향을 분석하고 있다. 근로보수는 화폐적 요소인 임금수준과 비화폐적 요소인 작업조건을 대변해 주는 사업장 안전지표인 산업재해 여부로 구성된다. 장년근로자의 객관화되고 주관화된 건강요소들이 근로사업장의 물리적이고 조직적인 근무환경과 결합되어 생산성을 반영하게 되는 임금수준과 재해 발생에 미치는 효과는 성별 연령별로 뚜렷한 차이로 나타난다. 특히, 장년근로자의 정신적 건강문제는 임금수준이 높을수록 크게 나타난다. 신체적인 손상, 만성질환 등 질병을 경험한 장년근로자는 재해위험에 더 노출되어 있으며 보상임금도 낮다. 따라서 장년근로자들의 건강수준 격차에 따른 근로보상 차이가 커짐에 따라 사업장 근로여건 개선과 일자리 보호에 대한 취약성을 보완하여 전직지원서비스나 기업의 주도적인 은퇴설계 프로그램의 활성화와 국가 차원의 제도 지원이 요청된다.

• 디지털융복합연구
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• 제10권7호
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• pp.107-114
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• 2012

정당방위는 자기또는 타인의 법익에 대한 현재의 부당한 침해를 방위하기 위한 상당한 이유가 있는 행위라고 정의된다(형법 제21조). 이러한 정당방위가 성립하려면 '자기 또는 타인의 법익에 대한 현재의 부당한 침해'라는 객관적 정당화상황과 상당한 이유 이외에도 주관적 요소로서 방위의사가 필요하다는 것이 일반적인 견해이다. 정당방위의 객관적 정당화상황에 대한 인식을 의미하는 방위의사는 정당방위에 있어서 주관적 정당화요소로 인정된다. 방위의사와 관련하여서는 오늘날 이러한 방위의사필요성여부 뿐만 아니라 방위의사의 내용에 대하여 행위자가 객관적 정당화 상황의 존재의 인식으로 충분한가 혹은 그것을 넘어 일정한 목적이나 동기까지 요구되는가의 문제, 방위의사가 결여되었을 경우에 기수로 처벌할 것인가 혹은 미수나 준미수로 처벌할 것인가의 문제 등 다양한 측면에서 많은 논의가 되고 있지만 명확한 규정은 없는 실정이다. 본고는 방위의사필요설의 전제하에 우선 방위의사의 내용을 검토하고, 방위의사결여시의 형법적 효과 및 과실범에 있어서 방위의사 등에 대한 내용을 검토하였다.

• Journal of Korean Biological Nursing Science
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• 제11권2호
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• pp.157-166
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• 2009

Purpose: The purpose of this study was to determine the effects of self-care program using Short message service (SMS), e-mail, or telephone call on self-care compliance and nutritional status in maintenance of hemodialysis patient. Methods: Nonequivalent pretest-posttest control experimental design was used. Ninety-six patients were allocated to control (n=24), SMS (n=24), e-mail (n=24), or telephone (n=24) group from four hospitals. Experimental groups received self-care program about hemodialysis diet, drug administration, exercise, and fistula care by SMS, e-mail, or telephone call respectively at 3 times a week for 4 weeks. Results: Subjective self-care compliance, and objective self-care compliance including interdialytic weight of SMS and telephone groups were significantly increased than those of control groups. However, nutritional status of SMS and e-mail groups were significantly improved than those of control groups in albumin and protein level. Conclusion: Self-care program using SMS and telephone call were effective on promoting self-care compliance, while SMS and e-mail were effective on improving nutritional status. The pop-up remaining effect and easy accessible effect of SMS message in busy daily life was considered as an alarm to control fluid and diet.

• 대한간호학회지
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• 제37권2호
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• pp.242-248
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• 2007

Purpose. Parkinson's disease (PD) is a common neurodegenerative disorder characterized by motor disabilities and increasing dependence on others for daily life activities with consequent impact on patients' and caregivers' quality of life. The aim of this study was to elucidate the burden on primary caregivers of patients with PD, and identify related factors. Methods. A cross-sectional descriptive study. Seventy-six primary caregivers of PD patients in a neurology out-patient clinic, Seoul, Korea completed structured questionnaires, of which 68 were analyzed. The structured self-report questionnaire included (1) demographic information on the caregivers, (2) information regarding the disease characteristics of the patients, and (3) the subjective and objective caregiver burdens as assessed on Montgomery, Gonyea, & Hooyman's scale. Results. The mean age of the caregivers was 54.56 years, and spouses represented the largest proportion (47.0%). Caregivers of PD patients experienced high levels of burden (mean scores on the subjective and objective burdens were 45.22 and 34.90, respectively), which were comparable to the caregiver burdens in stroke, and higher than the caregiver burdens in general chronic disease. Older caregivers and spousal caregivers experienced significantly higher burdens (p=.004 and p=.019, respectively). A greater motor disability and higher modified Hoehn and Yahr grade were related to higher caregiver burden (p=.001 and p=.018, respectively). Conclusion. Caring for PD patients is associated with a high level of caregiver burden. Therefore, healthcare professionals should identify the burden of caregivers who look after PD patients and develop comprehensive management strategies both for patients and their caregivers.

• Journal of Audiology & Otology
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• 제24권4호
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• pp.180-190
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• 2020

Background and Objectives: Although many studies have evaluated the effect of the digital noise reduction (DNR) algorithm of hearing aids (HAs) on speech recognition, there are few studies on the effect of DNR on music perception. Therefore, we aimed to evaluate the effect of DNR on music, in addition to speech perception, using objective and subjective measurements. Subjects and Methods: Sixteen HA users participated in this study (58.00±10.44 years; 3 males and 13 females). The objective assessment of speech and music perception was based on the Korean version of the Clinical Assessment of Music Perception test and word and sentence recognition scores. Meanwhile, for the subjective assessment, the quality rating of speech and music as well as self-reported HA benefits were evaluated. Results: There was no improvement conferred with DNR of HAs on the objective assessment tests of speech and music perception. The pitch discrimination at 262 Hz in the DNR-off condition was better than that in the unaided condition (p=0.024); however, the unaided condition and the DNR-on conditions did not differ. In the Korean music background questionnaire, responses regarding ease of communication were better in the DNR-on condition than in the DNR-off condition (p=0.029). Conclusions: Speech and music perception or sound quality did not improve with the activation of DNR. However, DNR positively influenced the listener's subjective listening comfort. The DNR-off condition in HAs may be beneficial for pitch discrimination at some frequencies.

• 대한청각학회지
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• 제24권4호
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• pp.180-190
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• 2020

Background and Objectives: Although many studies have evaluated the effect of the digital noise reduction (DNR) algorithm of hearing aids (HAs) on speech recognition, there are few studies on the effect of DNR on music perception. Therefore, we aimed to evaluate the effect of DNR on music, in addition to speech perception, using objective and subjective measurements. Subjects and Methods: Sixteen HA users participated in this study (58.00±10.44 years; 3 males and 13 females). The objective assessment of speech and music perception was based on the Korean version of the Clinical Assessment of Music Perception test and word and sentence recognition scores. Meanwhile, for the subjective assessment, the quality rating of speech and music as well as self-reported HA benefits were evaluated. Results: There was no improvement conferred with DNR of HAs on the objective assessment tests of speech and music perception. The pitch discrimination at 262 Hz in the DNR-off condition was better than that in the unaided condition (p=0.024); however, the unaided condition and the DNR-on conditions did not differ. In the Korean music background questionnaire, responses regarding ease of communication were better in the DNR-on condition than in the DNR-off condition (p=0.029). Conclusions: Speech and music perception or sound quality did not improve with the activation of DNR. However, DNR positively influenced the listener's subjective listening comfort. The DNR-off condition in HAs may be beneficial for pitch discrimination at some frequencies.