• 제목/요약/키워드: time of visit

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말더듬이 지속된 아동과 회복된 아동의 기질 특성 비교: 종단연구 (Temperament characteristics of children with persistent and recovered stuttering: A longitudinal study)

  • 전희정
    • 말소리와 음성과학
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    • 제13권4호
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    • pp.101-114
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    • 2021
  • 본 연구의 목적은 말더듬의 지속과 회복에 따른 하위유형의 기질 특성을 종단적으로 비교하고, 외현적 말더듬 중증도와 기질 특성의 관련성을 살피는 것이었다. 연구 참여자는 학령전 아동으로 41명의 말더듬 아동(CWS, children who stutter)과 30명의 말을 더듬지 않는 아동(CWNS, children who do not stutter)이었다. 아동들은 4년간 종단연구에 참여하였으며, 마지막 평가에 참여하였을 때 전체 CWS 중 27명은 말더듬이 회복된 아동으로, 14명은 말더듬이 지속된 아동으로 최종 진단되었다. 각 아동의 기질 특성은 유아기질척도-간편형을 사용하여 평가하였으며, 기질 평가는 첫 평가 이후 1년이 지난 시점과 첫 평가 이후 2년이 지난 시점에서 각각 이루어졌다. 기질 특성 비교를 위해 유아기질척도-간편형의 상위요인(외향성, 부정적 정서, 의도적 통제)과 15개의 하위영역 점수를 분석하였으며, 집단과 평가 시점에 따른 차이를 각각 비교하였다. 연구 결과, 말더듬이 지속된 아동 집단은 말더듬이 회복된 아동 집단과 CWNS보다 상위요인인 부정적 정서 점수가 평가 시점과 관계없이 유의하게 높은 것으로 나타났다. 또한, 말더듬이 지속된 아동 집단은 다른 아동 집단보다 부정적 정서를 구성하는 하위영역인 '공포'와 '분노/좌절' 점수가 유의하게 높았다. 말더듬이 지속된 아동 집단을 대상으로 평가 시점별로 외현적 말더듬 중증도와 기질의 상위요인 및 하위영역 점수 간 상관분석을 실시한 결과, 외현적 말더듬 중증도와 기질 특성은 유의한 상관을 보이지 않았다. 본 연구결과는 기질 특성이 말더듬의 지속 및 회복과 관련 있는 요인이라는 이론적 관점을 지지하며, 시간이 지남에 따라 기질이 말더듬으로 인한 반복적인 경험의 영향을 받을 수 있음을 시사한다.

만성 긴장성 두통 환자에 대한 사암침 치료효과의 Pilot 임상연구 (Effect of Sa-am Acupuncture Method for Chronic Tension-type Headache;A Randomized Controlled Trial)

  • 홍권의;박양춘;조정효;조현경;정인철;강위창;이상봉;최선미
    • Journal of Acupuncture Research
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    • 제24권1호
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    • pp.13-28
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    • 2007
  • Objectives : Clinical character of chronic tension-type headache is bilateral, moderate intensity, persistent and chronic, repeating disease and CTTH is a common prevalent disease, but pathophysiology and likely mechanism remain unclear. It impedes subjective quality of life. The purpose of this research is to examine the effect of sa-am acupuncture method for chronic tension-type headache. Methods : In this randomized, single blind, placebo-controlled study, we compared active acupuncture with sham acupuncture for the treatment of chronic tension-type headache. Volunteers who satisfied the requirements were enrolled in study. Evaluation of chronic tension-type headache was measured by VAS and Headache Disability Inventory(HDI), Six point Linkert Scale before and after treatments. Results : 26 subjects finished study. There were not difference between two groups on age, sex, weight, height, blood pressure, pulse, respiratory rate, Byeonjeung, sunrise of treatment. In change of VAS, there were not difference between two groups on before treatment. Before treatment per visit, VAS of 6th and 7th visit were significantly decreased in active acupuncture(each p=0.039, p=0.008) and were not decreased in sham acupuncture. In change of VAS on a withdrawing needling after treatment, VAS of 1st, 2nd, 6th and 7th visit were significantly decreased in active acupuncture (each p=0.001, 0.038, 0.035, 0.008) and VAS of 2nd, 4th and 5th, 6th visit were significantly decreased in sham acupuncture(each p=0.033, 0.032, 0.035, 0.031). In change of VAS on 2hrs after treatment, VAS of 4th and 5th, 6th visit were significantly decreased in active acupuncture(each p=0.014, 0.023, 0.027) and 5th visit were significantly decreased in sham acupuncture(each p=0.004, 0.009). In change of VAS on 4hrs after treatment, VAS of 4th and 5th, 6th visit were significantly decreased in active acupuncture(each p=0.018, 0.011, 0.015) and 5th, 6th visit were significantly decreased in sham acupuncture(each p=0.020, 0.015). In change of VAS on the next day after treatment, VAS of 3th and 4th and 5th, 6th visit were significantly decreased in active acupuncture(each p=0.032, 0.011, 0.005, 0.012) and 4th, 5th visit were significantly decreased in sham acupuncture(each p=0.001, 0.012). In change of VAS according to a current time(before treatment, after a withdrawing needling, 2hrs, 4hrs, the next day), total score of VAS was decreased more active acupuncture group than sham acupuncture group, but there were no statistical significance compared with sham acupuncture group. In change of HDI score, after treatment was decreased than before treatment in two group, but there were no statistical significance compared with two group. In change of Six point Linkert scale score, after treatment was decreased than before treatment in two group on 6th, 7th visit(active acupuncture 6th 7th each p=0.002, 0.003, sham acupuncture 6th 7th each 0.003, 0.009), but there were no statistical significance compared with tow group. Conclusion : Sa-am acupuncture treatment is effective to improve the symptoms and quality of life in patients with chronic tension-type headache.

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한방 소아과 외래환자의 휴일 및 평일 진료시간 연장의 필요성 및 선호시간대 조사 (The Research on Necessity of Overtime Hospital Business Hours and Patient's Visiting Time Preferences)

  • 김초영;장규태;한윤정
    • 대한한방소아과학회지
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    • 제22권2호
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    • pp.171-186
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    • 2008
  • Objectives : The purpose of this study is to investigate necessity of overtime hospital business hours and patient's visiting time preferences. Methods : The study was composed of 117 children's protectors who visited the pediatrics department in Kyunghee university oriental medicine hospital between on April 14th and on July 4th in 2008. Results and Conclusions : 1. Question for asking the preference of weekdays regular consultation hours 27% of preschool children preferred time around 11 am to 12 pm, each 32% of school aged children preferred time around 3:30 to 4:30 pm, 4:30 to 5:30 pm. 2. Question for 'Have you ever experienced inconvenience for regular consultation hours' 41% of them said 'Yes', and 59% said 'No'. 3. School aged children more experienced inconvenience for regular consultation hours than preschool children, and more likely to come at overtime hospital business hours. 4. Question for 'If the hospital extends the business hours for holidays and weekdays and Saturdays, would you prefer to come at that time?' 88% of them answered 'Yes'. 5. Question for asking the preference time on weekdays, 35% of them preferred 6:30 to 7:00 p.m. 6. Question for asking the preference time on Saturdays, 44% of them preferred 1:30 to 2:30 p.m. 7. Question for 'Do you willing to pay extra charges if you visit in non office hours?' 66% were willing to pay, 24% of them said "no", 'the other opinion' is 10%.

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가정 호스피스 간호 수가 개발 (A Study on Estimating the Nursing Cost of Home Hospice Care)

  • 이태화;성영희;최화숙;황나미;박희옥;황문숙;장옥주
    • 간호행정학회지
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    • 제14권2호
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    • pp.182-195
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    • 2008
  • Purpose: Hospice care represents all meaningful aspects of physical, mental and economical status of the end stage patients. The purpose of this study was to estimate the cost of home-based hospice care. Method: Fifteen nurses participated in counting an hour for requirement and home visit data of 50 end stage patients were analyzed. The method of to estimate the cost of home-based hospice care was three ways. Result: In case, including traffic expense, Singles fixed fee per visit via direct inquiry was 112,970 won but in case, excluding traffic expenses, was 86,036 won and traffic expenses per visit was 26,934 won. Final cost of home-based hospice care integrated the fixed fee per the needed time for visit and fee-for services. The fixed fee per 30 minutes was 35,251 won and 60 minutes was 46,595 won and 90 minutes was 57,939 won. We included pain management and the management of emergency and bereavement care among fee-for services. Conclusion: The cost of hospice care should be establish for not only patient but the living spouse, families, and children of the dying and for anyone else affected by any patient's death.

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A Pilot Clinical Study of the Efficacy and Safety of Phellinus Linteus (Sanghuang) Extract Treatment for Knee Osteoarthritis

  • Ryu, Hwa yeon;Lee, Hyun;Kang, Jae Hui
    • Journal of Acupuncture Research
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    • 제39권2호
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    • pp.115-121
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    • 2022
  • Background: To evaluate the efficacy and safety of Phellinus linteus (PL) extract for the treatment of knee osteoarthritis (KOA) a pilot clinical study was performed. Methods: There were 24 patients with KOA who enrolled in this double-blind, randomized, controlled, clinical trial. There were 3 groups: PL 1,000 mg/day (PL 1,000), PL 1,500 mg/day (PL 1,500), and dextrin 3,000 mg/day (placebo). Patients took capsules twice a day, 3 capsules at a time, over 8 weeks. Patients were monitored prior to treatment (Visit 1: Week 0), and followed up every 4 weeks (Visit 2: Week 4 and Visit 3: Week 8) where outcome measurements were taken. The primary outcome measure was the score from the Korean version of the Western Ontario and McMasters Universities from baseline to Week 8. The secondary outcomes were measurements from the visual analog scale, quality of life scale, erythrocyte sedimentation, and c-reactive protein. Adverse events were recorded at every visit. Results: The Korean version of the Western Ontario and McMasters Universities score showed the greatest improvement in symptoms of KOA in the PL 1,500 group compared with the placebo group. The erythrocyte sedimentation tended to decrease in the PL 1,500 group compared with the placebo group (which was within the normal range). The visual analog scale score decreased in all groups, with no significant differences between groups. No adverse events related to PL were reported. There were no abnormal hematological or physical findings. Conclusion: This pilot clinical trial was the first step to assess the efficacy and safety of PL used in the treatment of patients with KOA.

Feed Intake Patterns and Growth Performance of Purebred and Crossbred Meishan and Yorkshire Pigs

  • Hyun, Y.;Wolter, B.F.;Ellis, M.
    • Asian-Australasian Journal of Animal Sciences
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    • 제14권6호
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    • pp.837-843
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    • 2001
  • Two experiments were conducted to compare the feed intake patterns and growth performance of Meishan and Yorkshire growing pigs. Experiment 1 was carried out over a 6-wk period and used 48 barrows with equal numbers of purebred Meishan (M) and Yorkshire (Y). Pigs were allocated to four groups of 12 pigs consisting of equal numbers of M and Y. Initial BW were $36.4{\pm}0.32kg$ and $42.1{\pm}1.41kg$ for M and Y, respectively. Experiment 2 was carried out over a 5-week period and used 48 pigs consisting of equal numbers of both barrows and gilts and of crossbred Meishan$\times$Yorkshire (MY) and purebred Yorkshire (Y) animals. Pigs were allotted to 6 pens of 8 pigs, with 4 single- and 2 mixed-genotype groups (initial $BW=28.5{\pm}0.99kg$). In both experiments, pigs were given ad libitum access to a grower diet (17% crude protein, 0.9% lysine, 3365 kcal/kg ME) via feed intake recording equipment (F.I.R.E.). Pigs carried an ear-tag transponder with an unique identification which allowed the time, duration, and size of individual meals to be recorded. In Exp. 1, Y had higher ADG (721 vs 353 g, p<0.01), daily feed intake (DFI; 2.338 vs 1.363 kg, p<0.01), made more frequent visits to the feeder per day (NFV; 18.5 vs 7.7, p<0.01), had a shorter feeder occupation time per visit (FOV; 7.4 vs 12.9 min, p<0.01), and ate less feed per visit (FIV; 130 vs 177 g, p<0.01) than M pigs. Feed consumption rates (CR) were greater for Y compared to M (19.3 vs 14.8 g/min, p<0.01). Feeder occupation time per day (FOD) was longer for Y than M (114.3 vs 82.8 min/pig, p<0.01). Yorkshire pigs visited the feeder more frequently between 0800 and 1100 h. Meishan pigs showed more frequent feeder visits between 0600 and 0800 h, and between 1600 and 2100 h when feeding competition with Y was reduced. In Exp. 2, there was no effect of genotype or group composition on DFI, ADG or gain:feed ratio. Crossbred pigs (MY) made fewer feeder visits (12.6 vs 17.7, p<0.01), and had greater FIV (124 vs 98 g/visit, p<0.01), and longer FOV (8.11 vs 7.24 min/visit, p<0.01) and FOD (112 vs 100 min, p<0.05) than Y pigs. Results of this study suggest substantial genetic variation in feeding patterns as well as in growth performance.

대학생의 치과 치료공포에 영향을 미치는 요인 (Factors Influencing Dental Fear in University Students)

  • 문학진;이정숙;이주열;김형미
    • 한국학교ㆍ지역보건교육학회지
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    • 제15권2호
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    • pp.39-49
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    • 2014
  • Objectives: University students's oral health care practice and oral health status are very important. Because its affect their systemic disease, so as to have confidence, and to be eager to study. However if they feel dental fear, they avoid dental treatment. It is miss opportunities of early treatment and prevention treatment and have little effect on dental treatment. The aim of this study was to investigate the factors influencing dental fear of university students to reduce their dental fear. Methods: A total of 366 self-administered questionnaires were collected from university student in Cheon-an. To investigate the factors influencing dental fear of university students, t-test, one-way ANOVA, correlation analysis, linear regression analysis were carried out by using SPSS ver. 18.0 Results: University students feel the most fear of specific dental stimuli. Especially, 'Feeling the needle injected'. University Students felt dental fear in order of 'fear of specific dental stimuli', 'physiologic arousal', 'avoidance fear'. 'Feeling the needle injected', they felt severe dental fear. 'My muscles become tense' of Symptoms they feel dental fear was the most frequent Sex affects avoidance fear, physiologic arousal, fear of specific dental stimuli and dental fear. Femal feel more its than male. The time since last dental clinic visit affects physiologic arousal, fear of specific dental stimuli and dental fear. Group do not visit the dental clinic within a year feel more its than others. Conclusions: To reduce dental fear in university students, it is necessary to make them visit dental clinics frequently and dental staffs consider their sex. Therefore, Department of dental hygiene and dentistry must be added the management of dental fear of the curriculum. In addition, it must be emphasized that to visit dental clinics frequently for university students.

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Myers Briggs Type Indicator(MBTI) 성격유형에 따른 지역사회 방문간호 시뮬레이션 연계 문제중심학습의 효과검증 (Effectiveness of Simulation Problem-Based Learning for Community Visit Nursing according to Myers Briggs Type Indicator(MBTI) Personality Types)

  • 장현정;박정숙
    • 한국간호교육학회지
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    • 제22권4호
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    • pp.577-587
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    • 2016
  • Purpose: This study was conducted to provide Simulation Problem-Based Learning (S-PBL) for community visit nursing students according to their Myers Briggs Type Indicator (MBTI) personality types for learner-focused education and to verify its effectiveness. Methods: This study was conducted with subjects having the ST (Sensing-Thinking) and NF (iNtuition-Feeling) personality types, which are conflicting personality types, and forty-one subjects were allocated to the experimental group and nineteen subjects to the control group. The training, provided to subjects once a week, for a total of six times and 100 minutes each time, was with respect to the improvement of problem-solving ability, communication ability, and clinical practice competency. Data were analyzed through t-test and independent t-test. Results: After training, the self-rated problem-solving competency (t=3.07, p=.003), communication ability (t=2.86, p=.006), and academic self-efficacy (t=2.44, p=.018) were significantly higher in the experimental group than in the control group. However, there was not a significant difference in the clinical practice ability rated by subjects themselves (t=1.50, p=.140) and by professors (t=1.08, p=.285), and in the communication ability rated by professors (t=0.72, p=.474). Conclusion: The community visit nursing S-PBL, according to MBTI personality types, is a helpful learning method for nursing students participating in self-directed learning of nursing theory and practice.

커피전문점 이용 실태 및 커피전문점의 물리적 환경이 고객 행동 의도에 미치는 영향 - 서울.경기 지역 대학생을 중심으로 (A Study on Coffee Shop Use and the Influence of Physical Environment of Coffee Shop on Customer Behavioral Intention - focused on college students in Seoul, Gyeonggi province)

  • 전민선;조미나
    • 한국식품조리과학회지
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    • 제27권6호
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    • pp.825-838
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    • 2011
  • The main purposes of this study were to assess coffee shop use and to identify the influence of physical environment of a coffee chop on customer behavioral intention. The survey was administered from April to May 2011, targeting twenties college students in Seoul, Gyeonggi Province. A total of 174 copies of the questionnaire were collected for the data analyses such as frequency test, descriptive analysis, chi-square analysis, reliability test, factor analysis, ANOVA, Duncan's multiple range test and multiple regression analysis using SPSS 17.0 program. The main results of this study were as follows: The number of visits was once or twice a week. Students went with their friends to the coffee shop. Most of the students answered that they visit the coffee shop at any time. The main purpose of visit was to have time to relax. The main source in choosing a coffee shop was recommendation from others. The main criterion for the selection of the coffee shop was atmosphere. Americano was a favorite drink. Coffee was drunk with a cake. Expenditure per visit was 3,000~5,000 won. The choice of the coffee shop was selected by the student. The factor analysis identified seven underlying dimensions of coffee shop physical environment perceptions (seating comfort, attractiveness, cleanliness, harmony, ambient condition, congestion, amenity) and one dimension of customer behavioral intention. Through multiple regression analyses, four determinants (attractiveness, cleanliness, amenity, ambient condition) were found to have the greatest impact on customer behavioral intention.

규칙기반 상황인식 모듈관리에 의한 가변위치 부품창고 시스템 (Warehouse System of Parts in Variable Location by Rule-Based Module Management for Context Awareness)

  • 민들레;전병환
    • 전자공학회논문지CI
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    • 제46권4호
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    • pp.111-120
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    • 2009
  • 본 논문에서는 자동차 부품과 같이 다량 다품종의 부품을 효율적으로 관리할 수 있는 ubiWarehouse 시스템을 제안한다. 먼저, 5W1H 상황표현으로 사용자 작업상황을 체계적으로 정의하고, 상황인식기를 기능별로 구분하여 관리규칙에 의해 각 모듈을 독립적으로 운영한다. 입출고 부품의 선반 적합도를 계산하여 효율적인 이동경로를 선정하고 자주 동시에 취급되는 관련부품들이 인접할 수 있도록 한다. 이때, 다른 사용자가 현재 방문하고 있거나 바로 방문할 예정인 경우에는 충돌해결을 위해 방문순서를 변경하여 양보한다. 결과적으로, 제안한 시스템은 경쟁을 피하면서도 효율적으로 부품을 입출고할 수 있는 경로를 사용자에게 제공하고, 관련 부품들이 가까운 위치에 모이도록 선반을 배정하여 창고 공간을 효과적으로 활용한다. 또한 입출고 이력을 이용한 사용자별 성향을 파악하여 개인화된 서비스를 제공하고, 실시간적인 입출고 갱신과 경보상황 처리로 재고정보의 정확도를 향상시키는데 기여할 수 있다.