• 대한간호학회지
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• 제36권5호
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• pp.751-760
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• 2006

Purpose: This study was to evaluate the effects of a comprehensive life style modification program on glycemic control and stress response in type 2 diabetes. Method: The participants(n=34) with type 2 diabetes were divided into either a usual care(control) or treatment(experimental) group. The experimental group(n=21) received a program that was based on a comprehensive life style modification protocol at a weekly meeting for 16 weeks. They also participated in individually prescribed exercise and diet along with stress management and self monitoring. The participants were followed for 6 months, during which postprandial glucose, HbA$_{1C]$, and stress response inventory were measured. Result: The experimental group showed a significant lower postprandial glucose and stress response compared to those of the control group. However, there was no significant change in the HbA$_{1C]$ value in either group. Conclusions: These results suggest that a type 2 diabetes comprehensive lifestyle modification program may lead to clinical improvement in glycemic control and reduce the stress response.

• 성인간호학회지
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• 제17권2호
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• pp.298-309
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• 2005

Purpose: The purpose of this study was to investigate the effect of a comprehensive rehabilitation program on grip strength, pinch strength, the shoulder joint function, flexibility, and fatigue in mastectomy patients. Method: The subjects were fifty-five women with breast cancer (27 in the control group and 28 in the experimental group). The subjects in the experimental group participated in a comprehensive rehabilitation program for 10 weeks, which was composed of education, stress management, exercise, and peer support group activity. Results: The results revealed that the increase in grip strength, key pinch, the shoulder joint function, and flexibility (Back & Reach test, Standing & Bending reach test) of the operated extremity, and the decrease in fatigue were significantly higher in the experimental group than in the control group. However, the results revealed that tip strength and palmar pinch of the experimental group increased but there was no significant difference from that of the control group. Conclusions: The 10-week comprehensive rehabilitation program showed much affirmative effect on physical function, and fatigue of breast cancer patients after mastectomy.

• 대한간호학회지
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• 제34권5호
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• pp.809-819
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• 2004

Purpose: The purpose of this study was to investigate the effect of a comprehensive rehabilitation program on physical function, immune response, fatigue and quality of life in mastectomy patients. Method: The subjects included fifty-five patients with breast cancer (27 in the control group and 28 in the experimental group). The subjects in the experimental group participated in a comprehensive rehabilitation program for10 weeks, which was composed of 1 session of education, 2 sessions of stress management, 2 sessions of exercise, and 1 session of peer support group activity per week. Result: The results revealed anincrease in shoulder extension, abduction, external rotation, and internal rotation of the affectedupper extremity, and in shoulder extension and abduction of the healthy upper extremity. Also an increase in quality of life and a decrease in fatigue were significantly higher in the experimental group than the control group. However, the results revealed that the natural killer cell ratio of the experimental group increased but there was no significant difference from that of the control group. Conclusion: The 10-week comprehensive rehabilitation program showed a large affirmative effect on physical function, fatigue and quality of life of breast cancer patients after a mastectomy.

• 한국압력기기공학회 논문집
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• 제19권1호
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• pp.1-5
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• 2023

This paper describes a newly-developed analysis methodology in comprehensive vibration assessment program (CVAP) of reactor internals to develop a valid-prototype for the design of nuclear power plants. The new analysis methodology developed in this study will be confirmed through a scale model testing (SMT). Based on the measurements obtained from dynamic pressure transducers in the SMT, a new non-dimensional equation is developed to apply the forcing functions at reactor internals for the prototype. In addition to the new non-dimensional equation, a computational fluid dynamics(CFD) is used to develop the application of the hydraulic loads at reactor internals for the prototype.

• 한국소음진동공학회논문집
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• 제21권8호
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• pp.708-713
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• 2011

U.S. nuclear regulatory commission(NRC) regulatory guide(RG) 1.20 requires a comprehensive vibration assessment program(CVAP) for use in verifying the structural integrity of reactor vessel internals(RVI) for flow-induced vibrations prior to commercial operation. The CVAP program consist of vibration and fatigue analysis, a vibration measurement program, an inspection program, and a correlation of their results. One of the main purposes of the analysis program is to select measurement locations, however measurement locations can not be determined by only analysis results, therefore we developed selection criteria of measurement locations for advanced power reactor 1400(APR1400) RVI CVAP, It will be used to select measurement locations and instrument types for APR1400 RVI CVAP.

• 영재교육연구
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• 제26권1호
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• pp.21-36
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• 2016

본 연구는 최선일(2015)이 중학교 미성취영재의 미성취 문제 해결을 위해 개발 적용했던 읽기 이해 전략 프로그램 효과의 지속성 여부 및 변화 양상을 탐색하는 데 그 목적이 있다. 이를 위해 최선일(2015) 연구에 참여했던 중학교 미성취영재 31명을 대상으로 프로그램 종료 이후 9~12개월 동안의 학업성적 변화 양상에 대한 분석을 실시하였다. 연구 결과, 읽기 이해 전략 프로그램을 통해 미성취 문제를 해결했었던 11명의 학생들 중 5명은 프로그램 종료 이후에도 지속적으로 성취 수준을 유지하였고, 3명은 성취 수준을 유지하지 못하고 다시 미성취 수준으로 하락하였으며, 3명은 성취와 미성취를 반복하며 불안정한 변화 양상을 나타냈다. 또한 읽기 이해 전략 프로그램 종료 직후 측정에서 미성취 수준을 벗어나지 못한 것으로 나타났던 20명 중 5명은 프로그램 종료 이후 몇 개월 이내에 성취 수준에 도달하였고, 나머지 15명은 이후에도 여전히 미성취 범주에서 벗어나지 못하였다. 결론적으로, 미성취 문제를 가진 영재학생들 중에서 중학교 미성취영재의 미성취 문제를 해결하기 위해 개발한 읽기 이해 전략 프로그램을 통해 미성취 문제를 해결할 수 있는 학생의 비율은 가장 보수적인 입장에서는 16.1%(5명), 가장 낙관적인 입장에서는 51.6%(16명)로 해석할 수 있다. 따라서 적어도 50%에 정도에 해당하는 미성취영재들은 학습 전략의 부재와 같은 인지적 요인에 의한 미성취가 아닌 다른 요인 또는 인지적 요인을 포함함 복합적 요인에 의한 것으로 해석할 수 있다.

• Environmental Analysis Health and Toxicology
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• 제31권
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• pp.7.1-7.6
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• 2016

Objectives The aim of this study is to evaluate radiation exposure resulting from the comprehensive health examinations of selected university hospital programs and to present basic data for research and management strategies on the health effects of medical radiation exposure. Methods Radiation-based diagnostic studies of the comprehensive health examination programs of ten university hospitals in Seoul, Korea, as introduced in their websites, were analyzed. The medical radiation studies of the programs were reviewed by radiologists. Only the effective doses of the basic studies were included in the analysis. The optional studies of the programs were excluded. Results Among the 190 comprehensive health examination programs, 132 programs (69.5%) included computed tomography studies, with an average of 1.4 scans. The average effective dose of radiation by program was 3.62 mSv for an intensive program for specific diseases; 11.12 mSv for an intensive program for cancer; 18.14 mSv for a premium program; and 24.08 mSv for an overnight program. A higher cost of a programs was linked to a higher effective dose (r=0.812). The effective doses of the examination programs for the same purposes differed by as much as 2.1 times by hospital. Inclusion of positron emission tomography-computed tomography was the most critical factor in determining the level of effective dose. Conclusions It was found that radiation exposure dose from comprehensive health exam programs targeted for an asymptomatic, healthy public reached between 3.6 and 24 times the annual dose limit for the general public. Relevant management policies at the national level should be provided to minimize medical radiation exposure.

• 지역사회간호학회지
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• 제24권2호
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• pp.111-122
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• 2013

Purpose: This study was conducted to evaluate effects of a comprehensive lifestyle improvement program for middle-aged women with cardio-cerebrovascular disease (CVD)-related risk factors. Methods: The research adopted a non-equivalent control group pretest-posttest design. The number of participants was 18 in the experimental group and 16 in the control group sampled among middle-aged women who had CVD-related risk factors residing in a community. The experimental group participated in a four-session comprehensive lifestyle promotion program, which consisted of lectures, demonstrations, small-group meetings and telephone-counseling. The effects of the program were evaluated by measuring knowledge, attitude, health behavior, and self-efficacy for CVD prevention. Results: The experimental group showed a significant increase in self-efficacy for CVD prevention compared to the control group. There was no significant increase in knowledge, attitude, and health behavior. Conclusion: The results suggest that the comprehensive lifestyle improvement program was effective in improving self-efficacy for CVD prevention. There is a need to develop more effective lifestyle improvement programs designed to improve knowledge, attitude, and health behavior for CVD prevention. In further research, a follow-up evaluation is also needed to investigate any delayed effects on targeted variables among which no significant differences emerged immediately after the completion of the program.

• 대한가정학회지
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• 제43권3호
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• pp.161-183
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• 2005

This study aimed to develop a comprehensive group therapy program for divorced parents and their children for increased self-esteem, problem-solving technique, communication ability and emotional support. This comprehensive program was based on Solution-Focused and Satir's Experiential Family Therapy Models, as well as on therapeutic activities from various sources. Six mothers and 18 children of divorced families participated in this program which consisted of six, two-hour sessions. This program was found to be effective in enhancing the participants' self-esteem and communicative ability in addition to emotional support between mothers and their children, and among participants. Therapeutic activities were implemented in harmony with the Solution and Experiential based values and techniques, which seemed to heighten the fun and motivation for the participants to change their view points and behaviors in a positive way.

• 한국콘텐츠학회논문지
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• 제19권11호
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• pp.190-200
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• 2019

본 연구는 종합병원 간호 간병통합서비스 병동 간호사의 노인 낙상에 대한 지식과 태도, 낙상예방 자기효능감에 대한 낙상예방교육프로그램의 적용효과를 파악하고자 시도된 비동등성 대조군 전후 시차설계에 의한 유사실험연구이다. 연구대상자는 S시 소재 D종합병원 간호·간병통합서비스 병동에 근무하는 간호사로 실험군, 대조군 각 20명씩 40명을 대상으로 하였으며, 예비교육 프로그램은 타당도 검증을 거쳐 낙상예방교육프로그램을 개발하였다. 자료수집은 2017년 3월부터 5월까지였으며, 수집된 자료는 SPSS/WIN 21.0 프로그램을 사용하여 분석하였다. 연구결과 실험군은 대조군보다 지식(F=189.03, p<.001), 태도(F=761.74, p=.003), 낙상예방 자기효능감(F=188.50, p=.002) 점수가 유의하게 높았다. 결과적으로 낙상예방교육프로그램은 간호·간병통합서비스 병동에 근무하는 간호사의 노인 낙상에 대한 지식, 태도, 낙상예방 자기효능감을 향상한 효과적인 중재로 검증되었다. 따라서 간호·간병통합서비스병동 임상실무 현장에서 간호사의 낙상예방행위를 증가시키기 위한 체계적인 교육중재를 제공할 필요가 있다.