• Asian Pacific Journal of Cancer Prevention
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• 제13권6호
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• pp.2453-2458
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• 2012

Background: The healthcare needs of cancer patients are complex and persons involved in their caregiving process are faced with many issues that need to be addressed. The entire family and particularly the person taking on responsibility for patient care develop expectations from healthcare professionals, especially nurses. Objective: The study was conducted to evaluate the impact of a home education program provided to caregivers of cancer patients on the level of their perceived social support and problems in caregiving. Interventions/Methods: The caregivers of thirty seven cancer patients of 2,400 registered people in a family center were given an educational program in this descriptive and cross-sectional study twice a week for a month during the period of March 2011 - April 2011. Results: Of all caregivers, 56.8% were between the ages 36-40, 94.5% were female, 91.9% had received no education on caregiving, 81.0% stated that they mostly felt physically and mentally inadequate in their caregiving. Perceived Social Support from the family indicated a significant difference at $8.05{\pm}4.38$ before and $11.7{\pm}4.97$ after the education. A comparison of the mean scores of caregivers on emotional issues before and after the education revealed the following: spiritual distress scores were $2.54{\pm}0.69$ before and $2.44{\pm}0.43$ after the education; hopelessness scores, $2.24{\pm}0.59$ before and $2.23{\pm}0.38$ after the education; ineffective individual coping was $3.89{\pm}1.42$ before and $2.45{\pm}0.59$ after the education; competing needs in decision-making were $3.54{\pm}0.69$ before and $2.10{\pm}1.24$ after the education; depressive feeling were $3.01{\pm}1.53$ before and $2.02{\pm}0.99$ after the education (p<0.05). Conclusions: Positive effects of home education on levels of perceived social support and caregiving problems of caregivers of cancer patients were observed. Home educational programs for caregivers of cancer patients are important for both better understanding of the requirements of their patients and themselves.

• Asian Pacific Journal of Cancer Prevention
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• 제14권1호
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• pp.69-73
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• 2013

Background: An increasing trend of cytotoxic drug use, mainly in cancer treatment, has increased the occupational exposure among the nurses. This study aimed to assess the change of nurses' safety-related knowledge as well as attitude levels and subsequently to assess the change of cytotoxic drug handling practices in wards after a series of pharmacist-based interventions. Materials and Methods: This prospective interventional study with a before and after design requested a single group of 96 nurses in 15 wards actively providing chemotherapy to answer a self-administered questionnaire. A performance checklist was then used to determine the compliance of all these wards with the recommended safety measures. The first and second assessments took 2 months respectively with a 9-month intervention period. Pharmacist-based interventions included a series of technical, educational and administrative support measures consisting of the initiation of closed-system cytotoxic drug reconstitution (CDR) services, courses, training workshops and guideline updates. Results: The mean age of nurses was $32.2{\pm}6.19$ years. Most of them were female (93.8%) and married (72.9%). The mean knowledge score of nurses was significantly increased from $45.5{\pm}10.52$ to $73.4{\pm}8.88$ out of 100 (p<0.001) at the end of the second assessment. Overall, the mean practice score among the wards was improved from $7.6{\pm}5.51$ to $15.3{\pm}2.55$ out of 20 (p<0.001). Conclusions: The pharmacist-based interventions improved the knowledge, attitude and safe practices of nurses in cytotoxic drug handling. Further assessment may help to confirm the sustainability of the improved practices.

• Asian Pacific Journal of Cancer Prevention
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• 제16권17호
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• pp.7627-7632
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• 2015

Background: The present study was conducted to evaluate the technical feasibility, safety and adequacy of surgical margins with salvage transoral robotic surgery (TORS) for recurrent or residual head and neck squamous cell carcinoma patients. Materials and Methods: Thirty patients who underwent salvage TORS using the 'DaVinci' robot were enrolled in the study and data related to their surgical time, complications and functional outcome were recorded. Results: The feasibility of salvage TORS in our study was observed to be 100%. Positive margins were encountered in only 6.7% of patients. Mean blood loss was 23.3 ml with no patient requiring blood transfusion. Postoperative complications in the form of primary haemorrhage requiring active surgical intervention occurred in 13.3%. Oral feeding could be started as early as the 3rd postoperative day in a few patients, with nasogastric tubes being removed on the 12th postoperative day. Long term gastrostomy tube dependency was seen in 10% cases. Median survival of patients was 19 months. Conclusions: Salvage TORS is a safe, effective and feasible option in the management of treatment failure cases. It offers an alternative surgical approach with unexpected benefits in terms of tracheostomy tube use, Ryle's tube and gastrostomy dependence.

• 한국치위생학회지
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• 제9권3호
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• pp.479-492
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• 2009

This study was conducted to find out the relationship between dental anxiety and self-efficacy, physical and psychological condition and expected self-efficacy. The objective of this study was also to provide foundation for appropriate dental hygiene intervention model for scaling. In this study, anxiety reactions were measured among 178 patients, who made appointment with dental hygienists for scaling between May and July, 2009. The analysis was done in SPSS 12.0 statistical program which confirmed Cranach's alpha value. Technical statistics, t-test and One-way ANOVA, correlation and regression were also used. The result of the study is following: While dental hygienist conducts scaling, the dental anxiety was each measured in following categories: Thus male, age between 40 and 50, single, high school graduated and unemployed were measured highest dental anxiety among various groups. Dental Fear Scale demonstrated the validity of relationship between dental anxiety and self efficacy. The correlation was equated as r=-.409(p<0.01). In the other words, the higher self efficacy, the lower dental anxiety. The relationship between dental anxiety and physical and physiological condition was relevant. Physical condition was r=-.229(p<0.01) And then, the psychological condition was r=-.299(p<0.01). Thus, better physical and physiological condition results in less dental anxiety. The relationship between expected Self-efficacy and dental anxiety is also valid. The dental anxiety after performance accomplishment is r=-.239(p<0.01), after vicarious experience is r=-.195(p<0.01), after verbal persuasion is r=-.152(p<0.05), after recognition of physiological state is r=-.410(p<0.01). In conclusion, sex, age, marital status, education level, employment, physical condition, physiological condition are all relevant to dental anxiety(F=8.834). Both independent and dependent variables p<.05 have 37.5% persuasiveness.

• 한국통신학회논문지
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• 제27권11C호
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• pp.1178-1188
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• 2002

LLU는 신규사업자의 시내서비스 진입장벽을 낮춤으로써 음성서비스 및 광대역서비스 제공에 경쟁을 촉진할 수 있으며, 시내망 부문의 사업자간 중복투자를 방지한다는 긍정적인 측면이 있다. 그렇지만, LLU의 도입은 시내망 부문의 설비기반 경쟁을 감소시키고, 새로운 정책의 도입에 따른 직접비용과 규제비용을 발생시킨다는 점에서 부정적인 측면도 함께 공존하고 있다. 따라서 전반적인 LLU의 경제적 효과는 해당국가의 특수한 상황 및 LLU의 목적에 따라 다르게 나타날 것이다. 본 연구에 의하면 EU의 경우 대다수 회원국이 LLU를 도입하여 이미 시행하고 있으나 현재 LLU의 도입 초기에 예상했던 경제적 효과들은 기대하기 어려운 상황이다. LLU의 원활한 시행이 이루어지기 위해서는 규제문제, 합리적인 LLU 제공대가의 수준, 기술적·운영적 문제 등 LLU의 시행과정에서 발생되는 주요 이슈에 대한 신중한 검토가 요구된다.

• 한국구조물진단유지관리공학회 논문집
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• 제14권6호
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• pp.246-253
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• 2010

시설물의 안전관리에 관한 특별법이 1995년 제정된 이후 정밀점검 및 정밀안전진단을 실시하여 국가의 주요시설물의 안전 확보에 기여해 왔다. 그러나 관리주체의 안전등급 판정 개입, 안전진단전문기관의 저가수주, 진단기술력 부족 등으로 점검 진단의 실효성에 관한 의문이 꾸준히 제기되어 왔다. 이에 평가제도가 도입되어 부실 점검 진단 방지로서 역할과 기능을 하고 있지만, 앞으로 부실 점검 진단비율을 더 이상 낮아지기 힘들다는 의견이 대두되고 있다. 따라서 현행 평가제도와 부실 점검 진단비율에 대한 현황 분석을 실시하고, 부실 점검 진단으로 인한 국가적 손실비용을 추정함으로서 현행 평가제도 개선의 필요성과 당위성을 제시하고자 하였다.

• Clinics in Shoulder and Elbow
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• 제23권2호
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• pp.86-93
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• 2020

Background: Several systematic reviews have reported on the conservative treatment of full-thickness rotator cuff tears; however, clinical results of this treatment still remain determined. Methods: PubMed, Cochrane Library, PEDro, and CINAHL databases were systematically searched for randomized clinical trials and observational studies. Two independent researchers reviewed a total of 2,981 articles, 28 of which met the criteria for inclusion in the study. Clinical outcome measures included Constant score, visual analog scale score for pain, range of motion, and short-form 36 questionnaires. The meta-analysis used a linear mixed model weighted with the variance of the estimate. Results: The meta-analysis showed a significant improvement after surgery. Pain score is 26.2 mm (1 month) to 26.4 mm (3 months), and 24.8 mm (12 months) (P<0.05); active abduction: 153.2° (2 months), 159.0° (6 months), 168.1° (12 months) (P<0.05); Constant score: 67.8 points (2 months) to 77.2 points (12 months) (P<0.05); short-form 36 questionnaires "vitality" section: 57.0 points (6 months) to 70.0 points (12 months) (P<0.05). Conclusions: Our data confirmed the effectiveness of conservative treatment in patients with full-thickness rotator cuff tears 12 months post-intervention. The results suggest that conservative treatment for patients with full-thickness rotator cuff tears should be the first line of treatment before considering surgery.

• Safety and Health at Work
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• 제4권2호
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• pp.77-83
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• 2013

There is still a considerable burden of occupational diseases and injuries in the world. It is not well known which interventions can effectively reduce the exposures at work that cause this burden. The objective of this article is to summarize evidence from systematic reviews of interventions to prevent occupational diseases and injuries. We included systematic reviews of interventions to reduce the incidence of work-related cancer, dust-related diseases, occupational asthma, chronic obstructive pulmonary disease, noise induced hearing loss, back pain, and occupational injuries. We searched Medline and Embase with predefined search strategies to locate systematic reviews of these interventions. We found 23 systematic reviews of which the results are also applicable to low- and middle income countries. Effective measures to reduce exposure leading to work-related cancer, dust-related diseases, asthma, chronic obstructive pulmonary disease, noise, and injuries are available. However, better implementation of these measures is needed. Regulation, enforcement of regulation, and incentives for employers are effective interventions to achieve this goal. There is evidence that feedback and rewards for workers help in reducing occupational injuries. There is no evidence in many studies that back pain can be prevented. Personal protective equipment technically has the potential to reduce exposure but this is difficult to put into effect. There is no evidence in the studies regarding the effectiveness of education and training, preventive drugs, or health examinations. There is evidence that the implementation of technical measures enforced by regulation can prevent occupational diseases and injuries. For other interventions such as education or health examinations, there is no evidence that supports their effectiveness. More systematic reviews are needed in the area of injury prevention.

• 디지털융복합연구
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• 제16권7호
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• pp.345-355
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• 2018

본 연구는 혈액투석환자의 신체활동량 수준이 우울, 건강관련 삶의 질 및 수면장애에 미치는 융합적 요인을 조사하고자 실시하였다. 대상자는 2개 도시에 소재한 5개 혈액투석실에서 혈액투석을 시행받는 193명의 혈액투석환자들이었다. 자료 분석은 기술적 통계, 상관관계와 위계적 회귀분석을 사용하였다. 상관관계의 결과는 우울과 신체활동량은 유의한 음의 상관관계를 보였고(r = -.259, p <.01), 신체적 및 정신적 건강관련 삶의 질과 신체활동량은 유의한 양의 상관관계를 보였다(r = .273, p <.01, r = .186, p <.01). 위계적 회귀분석 결과는 신체적 건강관련 삶의 질이 높을수록 혈액투석환자의 신체활동량 수준은 더 높은 것으로 조사되었다(${\beta}=.22$, p <.01). 따라서 혈액투석환자의 신체활동량을 증진시켜서 건강관련 삶의 질을 향상시키는 중재프로그램의 개발이 필요하리라 사료된다.

• 융합정보논문지
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• 제7권6호
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• pp.79-87
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• 2017

본 연구의 목적은 융복합 수강생의 의사소통 인식과 의사소통능력, 의사소통 자기효능감의 관계를 확인하기 위한 융합연구이다. 2017년 3월13일부터 24일까지 S대학 융복합 수강생을 대상으로 자발적으로 동의한 학생에게 연구목적과 방법을 설명하고 128부의 설문지를 수집하였다. 분석은 IBM SPSS 21.0 프로그램을 이용하여 기술통계, T-test, ANOVA, Spearman correlation coefficient를 이용하였고 도구는 Likert 5점 척도이다. 연구결과 연구대상자의 의사소통 인식 5점 만점 평균 $3.50{\pm}.41$, 의사소통 능력 $3.32{\pm}.38$, 의사소통 자기효능감 $3.00{\pm}.40$으로 나타났다. 연구대상자의 의사소통 인식과 의사소통 능력(r=.633, p<0.01), 의사소통 인식도와 자기효능감(r=.336, p<0.01), 의사소통 능력과 자기효능감(r=.480, p<0.01) 모두 유의한 양의 상관관계를 나타냈다. 따라서 융복합수강생의 자기효능감 수준을 향상시키는 프로그램이 적용된다면 의사소통 능력을 더 높일 수 있을 것으로 기대한다.