• Clinical and Experimental Pediatrics
• /
• 제55권5호
• /
• pp.177-180
• /
• 2012

OK-432 (picibanil) is an inactivated preparation of $Streptococcus$ pyogenes that causes pleurodesis by inducing a strong inflammatory response. Intrapleural instillation of OK-432 has recently been used to successfully treat neonatal and fetal chylothorax. Here we report a trial of intrapleural instillation of OK-432 in two preterm infants who were born with hydrops fetalis and massive bilateral pleural effusion. Both cases showed persistent pleural effusion, refractory to conservative treatment, up to postnatal days 26 and 46, respectively. An average of 80 to 140 mL of pleural fluid was drained daily. In case 1, the infant was treated with OK-432 during the fetal period at gestation 28 weeks and 4 days of gestation, but showed recurrence of pleural effusion and progressed into hydrops. Within two to three days after OK-432 injection, the amount of pleural fluid drainage was dramatically decreased and there was no reaccumulation. We did not observe any side effects related to OK-432 injection. We suggest that OK-432 should be considered as a therapeutic option in infants who have persistent pleural effusion for more than four weeks, with the expectation of the early removal of the chest tube and a good outcome.

• 한국관광식음료학회지:관광식음료경영연구
• /
• 제17권2호
• /
• pp.1-26
• /
• 2006

The life of modern society is going to be more scientific and rationalized. According to these trends, our dietary life was also dramatically changed. Family restaurants grew up by 30% every year was became the place of meeting and relaxation from the place of selling and eating. These demands request to improve an atmosphere, a facility and a service in family restaurants. The objective of the present study is to investigate the effect of the gap of service in family restaurant on customer loyalty based on Oliver's gap theory. These results could be contributed to make the strategy of marketing in family restaurants. The purpose of this study in detail is as below. First, it is determined the difference of its expectation and its outcome regarding on the family restaurant service. Second, it is investigated the relationship of the gap of family restaurant with customer satisfaction. The suggestions of the present study are as below. First, it is necessary to get a novel CI strategy to clean the environment of restaurant and to induce the customer desires for young females as a dominant customers. Second, it is need to improve the interior of restaurant and to develop foods for optimal dietary environments. Third, based on the customer loyalty of the present study, customer satisfaction belongs to optimal dietary environment and utilization, whereas the negative gap of service is commercial dietary goods and employee's service. Therefore, the continuous loyalty along with personal satisfaction intends to improve the maximized atmosphere and utilization on use. The main strategy of marketing could be focused on the improvement of commercial dietary goods and utilization for the satisfaction and demands of customers.

• 대한간호학회지
• /
• 제24권2호
• /
• pp.278-302
• /
• 1994

This article reviewed and analyzed 39 studies on self efficacy theory applied to health related behavior. The following analysis was done : 1) study subjects 2) measurement tools 3) analysis according to the type of research design(intervention re-search, explanatory research). Some findings are summarized as follows : The study subjects were both healthy people in various developmental stages and patients with various illnesses. The health related behaviors examined in the studies were also various including exercise, smoking cessation, self care behaviors, etc. The measurement of self efficacy was done with specific tools in most studies. In the tools, activities that measured the health behavior domain were listed according to increasing difficulty or contexual arrangement or in combination of both of them The analysis of 17 intervention research studies showed that generally the intervention program increased the self efficacy level of subjects and then the increased strongly self efficacy influenced behavioral changes. Most studies used more than one intervention method for increasing the self efficacy level. these were derived from sources of self efficacy suggested by Bandura. The analysis of 21 explanatory research studies showed that self efficacy strongly influenced behavior change and persistence. The major independent variable to affect the self efficacy was performance accomplishment in the past. Self efficacy explained more of the variance in health related behavior when it was applied with the variables in the health belief model, health promotion model, and reasoned action theory. On the basis of the above findings, the following suggestions are made : 1. For a desirable research design, self efficacy should be the intervening variable. That is, desirable designs would include intervention-self efficacy-behavior in intervention research studies and antecedent-self efficacy-behavior in explanatory research studies. 2. More prospective, longitudinal studies are needed to test the effect of self efficacy on persistence in health related behavior. 3. Studies comparing the effects of intervention methods are needed for each health related behavior, subject group, and context. 4. It is necessary to develop a reliable, valid measurement tool for self efficacy for each health related behavior. 5. Studies to differenciate the effect of self efficacy from that of outcome expectation on the health related behavior are necessary. 6. The antecedents of self efficacy should be investigated further.

• Nutrition Research and Practice
• /
• 제11권4호
• /
• pp.340-346
• /
• 2017

BACKGROUND/OBJECTIVES: Despite the importance of consuming sufficient amounts of vegetables, daily vegetable intake among adolescents in Korea is lower than the current dietary recommendation. The objective of this study was to examine determinants affecting vegetable preference in order to suggest a stage-tailored education strategy that can promote vegetable consumption in adolescents. SUBJECTS/METHODS: Adolescents (n = 400, aged 16-17 years) from two high schools participated in a cross-sectional study. Survey variables were vegetable preference, the social cognitive theory (SCT) and stages of change (SOC) constructs. Based on vegetable preference, subjects were classified into two groups: a low-preference group (LPG) and a high-preference group (HPG). SOC was subdivided into pre-action and action/maintenance stages. To compare SCT components and SOC related to vegetable preference, chi-squared and t-tests, along with stepwise multiple-regression analysis, were applied. RESULTS: In the LPG, a similar number of subjects were classified into each stage. Significant differences in self-efficacy, affective attitudes, and vegetable accessibility at home and school were detected among the stages. Subjects in the HPG were mainly at the maintenance stage (81%), and there were significant differences among the stages regarding self-efficacy, affective attitudes, and parenting practice. In the predictions of vegetable preference, self-efficacy and parenting practice had a significant effect in the "pre-action" stage. In the action/maintenance stage, outcome expectation, affective attitudes, and vegetable accessibility at school had significant predictive value. In predicting the vegetable preference for all subjects, 42.8% of the predictive variance was accounted for by affective attitudes, self-efficacy, and vegetable accessibility at school. CONCLUSION: The study revealed that different determinants affect adolescent vegetable preference in each stage. Self-efficacy and affective attitudes are important determinants affecting vegetable preference. Additionally, school-based nutrition intervention that focuses on enhancing affective attitudes, self-efficacy, and vegetable exposure may constitute an effective education strategy for promoting vegetable consumption among adolescents.

• 국제지역연구
• /
• 제15권3호
• /
• pp.393-405
• /
• 2011

미국의 장단기 국채 수익률 스프레드와 한국 거래소시장의 종합주가지수 변화를 통해 한국경제와 미국경제에 동조화가 존재하는지, 또 동조화가 존재한다면 어느 정도의 시차로 동조화가 진행되고 있는지, 그리고 미국의 금융위기로 동조화의 내용에 사실상 어떤 변화가 발생했는지를 분석하였다. 본 연구는 먼저 한국의 대표적 자산시장인 거래소시장이 미국의 장단기 국채금리 스프레드와 동조화를 보이고 있는 사실을 발견하였다. 또 동조화의 방향도 미국 국채의 장단기 금리차가 벌어지면, 즉 세계경제의 견인차 역할을 하고 있는 미국경제의 전망이 밝아지는 경우 자산시장에서 안전자산보다는 위험자산을 선호하는 분위기가 조성되어 국제적으로 자금이 고수익을 기대할 수 있는 한국과 같은 신흥시장으로 흘러들어오면서 신흥시장의 주가를 끌어올리게 될 것이라는 일반적인 예상과 일치하였다. 본 연구에서는 또 다양한 시차를 대상으로 하여 동조화가 극대화되는 시점을 조사했는데 양국 시장의 동조화가 불과 1주일 만에 극대화되는 사실도 발견하였다. 또 가변수를 이용하여 미국에서 시작된 금융위기가 동조화에 어떤 변화를 주었는지에 대한 분석에서는 금융위기 후 동조화의 강도가 현저하게 낮아진 사실도 발견하였다.

• 한국전문물리치료학회지
• /
• 제30권2호
• /
• pp.92-101
• /
• 2023

Background: Stroke is one of the causes affecting gait and balance. Taping is considered an effective method for improving balance and gait in stroke patients. Numerous studies have confirmed the functional effects of taping in stroke patients. However, there is still no consensus regarding the use of taping to improve gait and balance. Objects: The purpose of this review was to investigate the effects of taping on the balance and gait of patients with stroke through meta-analysis of studies. Methods: PubMed, Medline, Embase, Web of Science, Cochrane Review, RISS, DBPia, and Science on were used to collect articles on Kinesio and non-elastic taping. The key terms were "Stroke", "Hemiplegia", "Taping", "Tape", "Balance", and "Gait" with cut-off of October, 2022. Taping group was compared with control groups with sham, placebo, and no taping. The outcome measures included the Berg Balance Scale (BBS), Timed Up and Go (TUG) test, and gait speed (cm/s). Eighteen studies (524 patients) were selected for the meta-analysis. Results: Overall, taping improved balance and gait in stroke patients, and Kinesio and non-elastic taping had similar effect sizes. Taping improved the BBS and TUG, and was most effective on gait speed. Contrary to the expectation that a longer duration of taping would be more affective, taping was most effective when the total taping duration was shorter than 500 minutes. In addition, the effect size of taping was greater when it was simultaneously attached to multiple locations. Conclusion: This meta-analysis supports the use of taping to improve gait and balance in stroke patients, and provides guidelines for the location, duration, and type of tape to increase taping efficiency.

• 예술인문사회 융합 멀티미디어 논문지
• /
• 제6권4호
• /
• pp.341-349
• /
• 2016

글로벌 시대의 요구에 부응하기 위해 교육 분야에서도 글로벌 교육에 대한 필요성과 중요성이 급증하고 있다. 하지만 보는 관점에 따라 글로벌 교육의 정의와 모델에 대한 합의가 아직 명확하지 않고 글로벌 교육 과정에서의 고비용성, 저효과성, 지속성 결여 등으로 인해 실제 글로벌 교육의 성과는 예상보다 기대에 미치지 못하고 있다. 더구나 예비 교원의 글로벌 능력을 함양하기 위한 글로벌 교육에 관한 연구는 거의 이루지지지 않고 있다. 본 연구는 예비 교원의 글로벌 교육을 중심으로 IT 융합 접근 방법을 연구하였다. 본 연구에서는 우선 국내에서 시행되고 있는 글로벌 교원 양성을 위한 글로벌 교육 프로그램을 비교 분석하였다. 또한, 글로벌 교육에서의 제약 사항들을 해결할 수 있는 IT 융합 교육 시스템을 연구하여 구체적인 IT 융합 글로벌 교육 방법들을 알아보았다. 특히 빅데이터 분석 기술을 기반으로 복수학위나 교환학생 프로그램에 도움을 줄 수 있는 글로벌 교육과정 이수 추천 시스템을 제시하였다.

• 한국심리학회지 : 문화 및 사회문제
• /
• 제21권4호
• /
• pp.575-594
• /
• 2015

본 연구는 공감 능력이 사회 정의 실천에 미치는 영향을 사회 인지적 관점에서 알아보고자 하였다. 구체적으로 인지적 공감과 정서적 공감이 사회 정의 자기 효능감, 사회 정의 결과 기대, 사회 정의 관심이라는 사회 인지적 기제를 통해 사회 정의 실천에 어떤 영향을 주는 지를 살펴보았다. 이를 위해 서울 및 경기도에 거주하는 20대 537명을 대상으로 사회적 이슈 질문지, 사회적 바람직성 척도, 한국어판 공감 지수 척도를 포함하는 자기 보고식 설문조사를 실시하였으며, 사회적 바람직성을 통제한 뒤 연구 모형을 구조 방정식 모형을 통해 검증하였다. 분석 결과, 인지적 공감에 비해 정서적 공감의 영향력이 더 큰 것으로 나타났으나 두 변인 모두 사회 정의 실천에 유의한 영향력을 행사하며, 특별히 사회 인지적 기제를 거쳐 간접적으로 사회 정의 실천에 영향을 미친 것으로 나타났다. 이러한 결과는 공감 능력이 일반적인 이타행동 뿐만 아니라 사회적 불평등과 차별의 개념을 포함하는 사회 정의 실천 역시 예측한다는 것을 시사한다. 본 연구의 결과를 종합하여 정서적 또는 인지적 공감의 측면에서 사회 정의 실천을 촉진할 수 있는 방안을 제안하였다.

• 경영정보학연구
• /
• 제18권4호
• /
• pp.1-15
• /
• 2016

전기자동차는 화석연료 사용으로 인한 대기오염을 줄여 삶의 질을 개선하고, 신규 사업을 창조하여 경제적 발전에 역할을 할 것으로 기대된다. 그러나 이러한 기대와는 달리 전기자동차의 보급은 쉽지 않다. 주요한 이유 가운데 하나는 화석연료를 사용하는 자동차에 비해 충전이 늦거나 불편하다는 것이다. 전기자동차가 보급되지 않은 상황에서 선제적으로 충전소를 확보하는 일은 비용부담과 관리의 어려움을 야기할 수 있어 주의해야 한다. 본 연구는 디자인 과학 연구법을 활용하고 전기자동차 충전소 결정 문제를 정보시스템 관점에서 해석한다. 주행 범위 불안감을 이론적 근거로 삼아 여정 설계 알고리즘을 제안하고 네비게이션 사용자 데이터를 분석함으로써 서울시 충전소의 위치 선정의 문제점을 확인한다. 또한 여정 설계 디자인의 적용 가능성을 검토하고 시사점을 도출한다.

• Hip & pelvis
• /
• 제35권1호
• /
• pp.24-31
• /
• 2023

Purpose: A response to conservative treatment is usually obtained in cases of ischiogluteal bursitis. However, the time required to achieve relief of symptoms can vary from days to weeks, and there is a high recurrence rate, thus invasive treatment in addition to conservative treatment can occasionally be effective. Therefore, the aim of this study was to examine surgical excision in cases of refractory ischiogluteal bursitis and to evaluate patients' progression and outcome. Materials and Methods: A review of 21 patients who underwent surgical excision for treatment of ischiogluteal bursitis between February 2009 and July 2020 was conducted. Of these patients, seven patients were male, and 14 patients were female. Injection of steroid and local anesthetic into the ischial bursa was administered at outpatient clinics in all patients, who and they were refractory to conservative treatment, including aspiration and prescription drugs. Therefore, surgery was considered necessary. Excisions were performed by two orthopedic specialists using a direct vertical incision on the ischial area. A review of each patient was performed after excision, and quantification of the outcomes recorded using clinical scoring systems was performed. Results: The results of radiologic evaluation showed that the mean lesion size was 6.2 cm×4.5 cm×3.6 cm. The average disease course after excision was 21.6 days (range, 15-48 days). Measurement of clinical scores, including the visual analog scale and Harris hip scores, was performed during periodic visits, with scores of 0.7 (range, 0-2) and 98.1 (range, 96-100) at one postoperative month, respectively. Conclusion: Surgical excision, with an expectation of favorable results, could be considered for treatment of ischiogluteal bursitis that is refractory to therapeutic injections, aspirations, and medical prescriptions, particularly in moderate-to-severe cases.