• 대한인간공학회지
• /
• 제35권6호
• /
• pp.595-609
• /
• 2016

Objective: The purpose of this study was to develop and validate the guidelines for Medic Work Table (MWT) based on the anthropometric data of medical technologists. Background: Users' anthropometric data such as sitting height, sitting elbow height, knee height, and so on are significant factors for designing comfortable and useful furniture. Thus, many guidelines for different types of desks and chairs based on the users' anthropometric data have been suggested to many researchers. However, few researches have been conducted to provide design guidelines for MWT for blood collecting task. Medical technologists often use their upper extremities to perform blood collecting task with high repetitions. These repeated motions could be a critical factor in the prevalence rate of Work-related Musculoskeletal Disorders (WMSDs). Therefore, a study on ergonomic design of MWT would be essential in preventing the WMSDs and improving the quality of the working environment of medical technologists. Method: This study suggested design guidelines for ergonomic MWT by focusing on the heights of the upper side and underside, depths of the inside and outside, and width of MWT through anthropometric studies and literature reviews. Afterwards, a new MWT was made using the suggested design guidelines for this study. Five healthy medical technologists participated to evaluate the original MWT and new MWT. All participants took part in the range of motion (ROM) test, electromyography (EMG) muscle activity test, and usability test to validate the suggested guidelines in this study. EMG signals of related muscles (Flexor Carpi Ulnaris, Extensor Carpi Ulnaris, Deltoid Anterior, and Biceps Branchii) were recorded through the surface electromyography system from both the original MWT and the new MWT. The ROM test of the shoulder and elbow flexion was also assessed using motion sensors. Results: The newly designed MWT showed decreased ROMs of the shoulder and elbow up to 22% and 18% compared to the original MWT. The muscle activities in the new MWT also showed a decrease of 13% in Anterior Deltoid, 6% in Biceps Brachii, 5% in Flexor Carpi Ulnaris, and 8% in Extensor Carpi Ulnaris muscle groups, compared to the original MWT. In the usability test, the satisfaction score of the new MWT was also 56.1% higher than that of the original MWT. Conclusion: This study suggested guidelines for designing MWT and validating the guidelines through qualitative and quantitative analyses. The results of motion analysis, muscle activity, and usability tests demonstrated that the newly designed MWT may lead to less physical stress, less awkward posture, and better physical user interface. Application: The recommended guidelines of the MWT would be helpful information for designing an ergonomic MWT that reduces physical loads and improves the performance of many medical technologists.

• 대한간호학회지
• /
• 제11권1호
• /
• pp.45-63
• /
• 1981

This study was done to determine the relationship between the anxiety levels of hospitalized psychiatric patients and various influencing variables. The purpose of this study was to determine factors that may help hospitalized psychiatric patients to experience lower levels of anxiety in relation to changing situations and provide the basic data for a dynamic approach which is important in the field of modern psychiatric nursing that understands and analyses the meaning of patients behavior. The anxiety may produce stress, which is a common experience among all human beings. Patients may merely feel uncomfortable in the state of mild anxiety, however, the severe state could be an obstacle to treatment and recovery from disease. The anxiety of the psychiatric patient is a factor which greatly influencing the patient's behavior, so his disorderd behavior is an expression of defence or pathologically fixed behavior. According the psychiatric patient's anxiety at the time of admission is the concern of the health team. The nurse's special concern has to do with understanding and supporting the patient and meeting his individual needs by frequent close contact during the entire hospitalization period, compared to other teamembers the nurse's responsibility in this regard is greated. So this study emphasizes the necessity of creating conditions these, but above all the psychiatric nurse should create a therapeutic environment by not only regarding the patient's behavior or symptoms but understanding the meaning of them. The subjects of this study were 57 psychiatric patients selected from the K neuropsychiatric hospital located in Kunsan city. Data were collected twice from the same patients within a 24 hour period after admission and 10 days after admission. (September 18th to November 8th, 1980). The data collected method was through direct interview, and the interview time was 20 minutes for each patient. Data analysis included Item Analysis & Internal Consistency Reliability Tests, Percentages, t-test, analysis of variance and stepwise multiple regression analysis. The findings of this study were as follows. A. Test of Hypothesis a. Hypothesis 1 :“The anxiety level of psychiatric patients within 24 hours after admission will be higher than those of the same patients 10 days after admission,”was accepted. (t = 3. 15 ; p < 0.005) b. Hypothesi 2:“The more the number of admissions the higher the level of anxiety related to two categories”, was accepted. (affective anxiety: F = 5.50, p < 0.005, Somatic anxiety: F = 9.12, p <.

• 한국지반환경공학회 논문집
• /
• 제13권4호
• /
• pp.27-36
• /
• 2012

대기의 온도가 $0^{\circ}C$ 이하로 내려가면 지표면의 물이 얼기 시작한다. 체적팽창을 수반하는 지반의 동결현상은 흙의 거동에 영향을 미치며 지반구조물의 심각한 피해를 야기한다. 본 연구의 목적은 지표면에서 지반 내부로 진행되는 자연적인 동결현상을 반영할 수 있도록 제작된 동결용 셀을 이용하여 모래-실트 혼합토의 온도변화에 따른 탄성파의 특성을 파악하는 것이다. 나일론으로 제작된 동결용 셀에 모래와 실트로 구성된 시료를 조성한 후 시료의 깊이별로 상부, 중앙부 및 하부에 설치된 세 쌍의 벤더 엘리먼트와 피에조 디스크 엘리먼트를 이용하여 전단파와 압축파를 측정하였다. 시료의 온도가 $20^{\circ}C$에서 $-10^{\circ}C$로 변하는 동안 시료의 깊이에 따른 탄성파 속도, 공진주파수, 진폭을 연속적으로 측정하였다. 시료가 동결됨에 따라 전단파와 압축파의 속도 및 공진주파수는 $0^{\circ}C$에서 큰 변화를 보였으며, 전단파와 압축파의 진폭은 각기 다른 경향을 나타내었다. 상온에서 전단파 속도는 유효응력의 영향을 받지만 흙이 동결된 후에는 흙입자와 얼음의 결합력에 큰 영향을 받는다. 본 연구는 흙의 동결에 따른 탄성파 특성의 기초적인 정보를 제공한다는 점에서 의의가 있다.

• 한국지반공학회논문집
• /
• 제32권11호
• /
• pp.43-50
• /
• 2016

철도하중을 지지하고 있는 성토사면을 연직으로 굴착할 경우 철도노반의 안정성 확보를 위하여 보강이 필요하다. 본 연구에서는 사면굴착 후 전면 벽체를 형성하고, 통상적으로 사용되고 있는 쏘일네일링 시스템보다 짧으면서도 대구경인 봉상보강재를 적용하여 보강재의 길이, 수평 간격, 직경 및 설치 각도를 기준으로 총 15개 Case로 구분하여 각각에 대하여 조건별 안정성을 3차원 수치해석을 이용하여 검토하였다. 수치해석시 보강재와 주변 그라우팅과의 접촉면을 고려하기 위하여 그라우트재의 점착력과 강성 및 주면장을 고려하였다. 굴착심도 3m인 경우, 그라우트 직경 변화에 따른 변위해석 결과 보강재 직경이 커질수록 변위가 감소하나 직경 0.3m일 경우와 0.4m일 경우의 변위 차이가 미소하므로 경제성을 고려한다면 직경 0.3m가 가장 적합한 것으로 검토되었다. 보강재 조건별로 굴착 시 지표면 침하량과 벽체의 수평변위 및 보강재의 응력 및 경제성을 수치해석적으로 검토한 결과, 보강재 길이 3m, 직경 0.3m, 수평간격 1.5m, 경사각도 10도로 보강재를 배치하는 것이 최적의 조건으로 검토되었다. 또한 보강노반의 잠재적인 파괴면은 보강재 끝단에서 약 60도의 경사면으로 나타났으며, 철도하중 재하 시 보강재가 지표침하 및 벽체 수평변위를 안정적으로 억제하고 있는 것으로 판단되었다.

• 치위생과학회지
• /
• 제11권6호
• /
• pp.563-571
• /
• 2011

본 연구는 울산지역에 위치하는 2개 대학의 학생들 330명을 대상으로 건강증진행위를 하는데 있어 중요한 변수로 인식된 기존의 변수들을 모아 구강건강증진 행위에 대한 경로를 분석한 결과 다음과 같은 결론을 얻었다. 1. 최종모형의 적합도는 ${\chi}^2$ 값은 39.06, 유의확률은 0.152, GFI= .982, AGFI= .948, NFI=.967, NNFI= .982, RMSR= .028로 나타나 자료와 잘 부합되는 것으로 나타났다. 2. 가설모형에서 선정된 39개의 경로중 27개의 경로가 통계적으로 직접효과와 총효과가 유의하였으며, 2개 경로는 간접효과와 총효과가 유의하여 총 27개의 경로가 유의한 것으로 나타났다. 3. 현재의 구강건강증진행위에 영향을 미치는 변수로는 과거구강건강경험(총효과=.805), 주관적 구강건강(총효과=.717), 지각된 장애성(총효과=-.226), 자기효능감(총효과=.179), 사회적지지(총효과=.192), 구강건강통제위(총효과=.120), 의도(총효과=.167)로 나타났다(P<.05). 4. 현재의 구강건강증진행위에 긍정적으로 영향을 미치는 변수로는 과거구강건강경험, 주관적 구강건강, 사회적지지, 자기효능감, 의도, 구강건강통제위의 순으로 긍정적인 영향을 미치는 것으로 나타났고, 지각된 장애성은 부정적인 의미로 영향을 미치는 것 으로 나타났다.

• 디지털융복합연구
• /
• 제12권10호
• /
• pp.391-403
• /
• 2014

본 연구는 간호 대학생을 대상으로 Pender(1987)의 건강증진모형과 선행연구의 문헌고찰을 기초로 간호대학생의 건강증진행위를 설명하고, 이들의 영향요인을 파악하여 건강증진행위를 촉진하는 효과적인 간호중재방법 개발에 기틀을 제공하고자 시도되었다. 연구대상은 임상실습을 한 경험이 있는 간호 대학생 204명을 대상으로 하였으며 자료수집기간은 2014년 4월 1부터 5월 30일까지 시행하였으며, 최종 204부를 자료의 분석대상으로 하였다. 수집된 자료는 SPSS, LISREL을 이용하여 빈도분석, 백분율, ANOVA, t-test, 상관관계 분석을 하였고, 가설검정은 경로분석을 하였다. 가설모형의 전반적 지수는 ${\chi}^2=.06$(p=.812), df=1, ${\chi}^2(df)=.000$, GFI=0.97, AGFI=1.0, SRMR=.002, NFI= 0.947, NNFI=0.957, RMSEA=0.016, CN=266으로 좋은 부합도를 보였다. 모형에서 제시된 가설 검증 결과를 보면 건강증진행위에 영향을 미치는 변수는 지각된 장애성, 지각된 자기 효능감, 지각된 사회적 지지로 나타났고, 임상실습 스트레스, 지각된 건강상태, 강인성, 지각된 유익성은 건강증진행위에 영향을 미치지 못하였다.

• 혜화의학회지
• /
• 제9권1호
• /
• pp.201-214
• /
• 2000

Precise and detailed clinical research and evaluation based on objective standards are imperative factors in securing reliability of a clinical test. Built on this principle, this clinical test has been conducted during the period between March 1999 and March 2000 dealing with 31 outpatients treated with ShiHo-GuizhiTang or ShiHo-GuizhiTang modify and ShiHo-GuizhiTang mixed prescriptions at the Sung-bo ORIENTAL MEDICAL CLINIC. A variety of information relating to those patients has been collected and analyzed under such criteria as precise diagnoses and their clinical effectiveness. The analysis was duly based on "The theory of cold syndrome". Then, the 31 patients' individual clinical information was compared one another by breaking down the results into sub-categories including gender, age, disease, main symptom, blood pressure, pulse beats, syndrome of abdomen, treatment period, modify and mixed prescription, and evaluation. The result of this clinical test can be summarized as follows: First, ShiHo-GuizhiTang appears to be more frequently prescribed in the case of female patients than in the case of male patients despite the fact that it does not necessarily need to be applied only to female. In addition, the numbers of prescriptions of ShiHo-GuizhiTang in the two age groups consisting of elementary school children and economically active adults respectively were the highest among other age groups. Second, ShiHo-GuizhiTang proved to be most effective in treatment for respiratory ailments and arthritis. Third, ShiHo-GuizhiTang brought down blood pressure of hypertension patients and at the same time benefited patients with normal or lower-than-normal blood pressure who were vulnerable to diseases due to low disease-resistance. Fourth, ShiHo-GuizhiTang was effective in the case of frequent pulse(rapid pulse) and thereby indicating the fact it carries Taiyang superficies syndrome. 지맥 arises from suppressed immune responses owing to adrenocortical hormones. ShiHo-GuizhiTang controls and revitalizes those suppressed immune systems which stem from slow pulse and, as a consequence of that process, helps them return to normal condition of pulse. Fifth, from the standpoint of syndrome of abdomen, feeling of obstruction in the epigastrium serves as an important standard in the process of diagnosing diseases and evaluating effectiveness of treatments. Sixth, according to the results of the clinical test with the 31 patients, a total of 81 percent of test subjects benefited from the treatment. The figure is the sum of 52 percent of I-class (both main symptom and accompanying symptoms had been eliminated) and 29 percent of II-class (part of main symptom and accompanying symptoms had been eliminated) respectively. All told it is safe to say that ShiHo-GuizhiTang can elect to be a viable clinical treatment. In conclusion, it is estimated that this clinical study has drawn up guidelines for objective diagnostic standards and evaluation on specific treatments' effectiveness. This will lead to more general application of ShiHo-GuizhiTang. On top of that, this study could also provide an opportunity to stress the significance of ShiHo-GuizhiTang and ShiHo-GuizhiTang modify and ShiHo-GuizhiTang mixed prescriptions as an alternative treatment for collagen disease which comes from environmental degradation and pollution.

• 대한간호학회지
• /
• 제28권1호
• /
• pp.171-183
• /
• 1998

The purpose of this study was to identify the incidence of urinary incontinence in adult women and to identify factors related to life style and sexual intercourse that were related to incontinence. The sample consisted of 1,065 women living in Seoul or one of five provinces. Data for this study were collected from January 16 to June 23 using structured questionnaires. The Urinary Symptom Questionnaire developed by Jackson and a demographic questionnaire were used to collect the data. The data were analyzed using frequency, percentage with an SPSS/PC$^{+}$ program. The major finding are as follows : 1. The distribution of age of subjects was as follows : 20-29(10.1%), 20-39(17.8%), 40-49(27.3%). 50-59(22.3%), 60-69(12.9%), 70-79(6.1%). 80-89(2.8%), more than 90(0.6%). The frequency of normal delivery, 0(155%), 1-2(36.0%), 3-4(29.2%), 5-6(13.0%). more than 7(6.3%). The rate of subjects with menopause was 40.8%. 2. It was reported that 50.7% of the subjects experienced urinary incontinence with stress, mixed. and urgency incontinence being 49.8%, 43.4%, 6.8% respectively. 3. The lower urinary symptoms and incidence with urinary incontinence were as follows : Daily frequency. 22.3%, nocturia. 40.8%, urgency, 71.2%, bladder pain 47.8%, unexplainned incontinence, 32.4%, noctural incontinence, 16.1%, and frequency of incontinence, 37.7%. In term of quantity of incontinence, drop/pants damp, 29.5%, dribble/pants wet, 20.5%, flood or soaking through to outer clothing, 1.7%, and flood or running down legs or onto floor, 0.2%. 4. The symptoms related to sexual intercourse and incidence of urinary incontinence were as follows : dry vagina, 39.1%, sex life trouble, 10.8%, pain during sexual intercourse, 27.4%, and urine leakage during sexual intercourse. 8.8%. 5. Life style problems related to urinary incontinence were as follows : fluid intake restriction, 20.0%, affected daily task, 24.5%. avoidance of placess and situations, 35.0%, interference in physical activities, 30.6%, interference in relationships with other people. 19.0%. interference in relationships with husband/companion, 8.1%, and time after attack of urinary symptoms, 76.9%. In term of the feeling about the rest of their lifves the women reported : perfectly happy, 11.3%. pleased, 16.9%. mostly satisfied, 20.2%, mixed feelings, 21.0%, mostly dissatisfied, 21.0%, very unhappy 8.5%, and desperate. 1.0%. In conclusion. this study was a preliminary study to provide nursing practices guidelines for incontinence in adult women. Nurse working with adult women should develop and provide adequate care for these women.n.

• 대한본초학회지
• /
• 제35권4호
• /
• pp.25-36
• /
• 2020

Objective : Reflux esophagitis is a disease caused by the reflux of gastric acid and inflammation due to unstable gastroesophageal sphincter. The aim of the present study was to clarify the effect of Phellodendri Cortex (PC) on chronic reflux esophagitis (CRE) in rats. Methods : The anti-oxidant activity of PC was measured by total polyphenol, total flavonoid contents, 1, 1-diphenyl-2-picrylhydrazyl (DPPH), and 2, 2'-azinobis-3-ethyl-enzothiazoline-6-sulfonic acid (ABTS) radical scavenging activity. A CRE was established surgically in SD rats. And then CRE rats were treated with water or PC 200 mg/kg body weight for 14 days. Besides, the anti-oxidant and inflammatory protein levels were evaluated using western blotting. Results : PC reduced esophagus tissues injury. The total polyphenol (36.05 ± 0.25 mg/g) and total flavonoid (72.90 ± 0.61 mg/g) of PC showed a high content. PC strongly reduced radical scavenging activities (DPPH IC₅₀ 43.58 ± 1.54 ㎍/㎖; ABTS IC₅₀ 36.75 ± 0.35 ㎍/㎖). Moreover, reactive oxygen species (ROS) and peroxynitrite (ONOO^-) levels in serum, the protein expression of inducible nitric oxide synthases (iNOS) were significantly reduced. In addition, the protein expression of NADPH oxidases related to oxidative stress were significantly reduced in PC compared to CRE control. PC effectively reduced inflammatory factors including, TNF-α, and IL-6 via NF-κBp65 inactivation through the inhibition of p-IκBα and increased anti-oxidant enzyme such as HO-1, SOD, catalase, and GPx-1/2 via Nrf2 activation. Conclusions : Taken together, these results show that PC can alleviate the esophageal mucosal ulcer though the inhibition of NF-κB inflammatory and the enhancement of Nrf2 anti-oxidant pathway.

• 경영과정보연구
• /
• 제30권4호
• /
• pp.195-227
• /
• 2011

본 연구는 '과연 소비자의 중독구매성향은 일반적인 소비에서 예상되는 구매 이후 감정 및 행동패턴에 또다른 영향으로 작용할 것인가' 라는 질문에 관심을 가지고 접근하고자 한다. 구체적인 연구의 목적은 첫째, 우리나라 패션제품 소비자의 쇼핑 중독구매성향에 영향을 미치는 심리적 요인을 살펴보고, 둘째, 중독구매성향이 패션제품 구매 후 감정(긍정적 감정/부정적 감정)에 미치는 영향을 살펴보며, 셋째, 구매후 감정이 구매 후 행동(재구매/반품 및 교환/부정적 구전)에 미치는 영향을 살펴보고, 넷째, 중독구매성향에 영향을 미치는 심리적 요인과 중독구매 성향이 구매 후 감정 및 행동에 미치는 영향은 유통채널(온라인/오프라인) 별로 차이가 있는 지를 살펴보고자 하였다. 연구결과, 개인의 심리적 요인 중 자아 존중감이 낮고, 보상구매성향과 충동성이 높은 사람일수록 중독구매성향이 높아지는 것으로 나타났다. 중독구매성향은 구매후의 양면적(긍정적, 부정적) 감정에 모두 영향을 미치고, 특히 오프라인의 경우 긍정적 감정을 수반하는 것이 밝혀졌다. 구매 후 감정은 일반적인 소비상황과 같이 구매 후 행동에 영향을 미치고 있으나, 부정적 감정의 영향이 긍정적 감정의 영향보다 크고, 또한 긍정적, 부정적 행동에 모두 명확한 영향을 미치는 것을 밝혔다는 점을 찾을 수 있었다. 본 연구는 사회적으로 문제가 되고 있는 중독구매성향에 초점을 맞추고, 중독구매성향이 구매 후 감정 및 행동에 미치는 영향을 최초로 연구하였다는 점에 의의가 있다.