• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제23권3호
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• pp.259-265
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• 2020

Purpose: Perforation of choledochal cyst (CC) is a relatively rare clinical presentation in pediatric populations and difficult to predict preoperatively. We assess the clinical implications by comparing clinical parameters based on a single-center experience between perforated and nonperforated CC to facilitate the appropriate management for future interventions. Methods: A total of 92 cases of CC in pediatric patients (aged <18 years) who received surgical management between January 2003 and December 2018 at a Pusan National University Children's Hospital were reviewed. After screening the clinical features of perforated cases, we compared the demographic findings, clinical characteristics, and some laboratory results between the perforated and nonperforated groups. Results: Perforated CC was identified in 8 patients (8.7%), and nonperforated CC in 84 patients (91.3%). Perforation can be classified into three categories: free perforation of cyst (3 cases), pinpoint perforation of cyst (2 cases), and necrotic change of cyst (3 cases). CC perforation occurred significantly more commonly in patients aged <24 months. Clinically, the perforated group showed significantly higher frequency of fever and higher C-reactive protein (CRP) level during the initial visit. Conclusion: Perforation is more likely to be suspected in patients aged <24 months presenting together with fever and high CRP level in the initial visit. It is also necessary to keep in mind that it indicates not only a possibility of complicated disease status regardless of its association with stones but also a difficulty of applying a minimal invasive procedure and relatively increased length of hospital stay.

• Archives of Plastic Surgery
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• 제40권5호
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• pp.536-541
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• 2013

Background Pathogens in the nasal cavity during nasal surgery could lead to a systemic infectious condition, such as bacteremia, nosocomial infection, or toxic shock syndrome. However, there is no research about the prevalence of nasal carriage in patients with nasal bone fracture. Methods This was a prospective, double-blind, randomized study about the rate of nasal carriage in 200 patients with nasal bone fracture in Korea. Nasal secretions were taken from both the middle nasal meatus and colonized. All analyses were carried out using SPSS software. Results Pathogens were identified in 178 of the 200 cases. Coagulase-negative staphylococci (CNS) were the most cultured bacteria in 127 (66.84%) of the 190 total patients after excluding 10 cases of contaminated samples, and methicillin-resistant coagulase-negative staphylococci (MRCNS) were found in 48 (25.26%). Staphylococcus aureus was the second most identified pathogen, found in 36 (18.95%), followed by 7 cases (3.68%) of methicillin-resistant Staphylococcus aureus (MRSA). The prevalence rate of MRSA in the females was higher than that in the males (RR=4.70; 95% CI, 1.09-20.18), but other demographic factors had no effect on the prevalence rate of MRSA and MRCNS. Conclusions The prevalence rate of these pathogens in patients with nasal bone fracture in Korea was similar to other reports. However, few studies have addressed the prevalence rate of CNS and MRCNS in accordance with risk factors or the change in prevalence according to specific prophylaxis against infectious complications. Additional research is needed on the potential connections between clinical factors and microbiological data.

• 패션비즈니스
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• 제5권4호
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• pp.73-88
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• 2001

The purpose of this study was to analyze the consumers' acceptance of the new changes in fashion trend and to project the future possibility of them based on the result of the analysis. It was identified in the review of fashion trend that the major change in the recent fashion trend was the turning of focus from 'Minimalism-influenced' to 'Maximalism-influenced'. Total 176 of Korean women, who preferred 'Minimalism-influenced' or 'Maximalism-influenced' style, were sampled and asked to response on a self-report questionnaire with stimuli developed for this study. According to the respondents’ acceptance and preference of either one of the two streams, each respondent was allocated to one of the two groups which were named as 'Minimal-preference group' or 'Maximal-preference group'. The reasons of their preference, traits in trend-related attitude and demographic variables of both groups were analyzed and compared. The degree of clothing involvement and fashion leadership of Maximal-preference group, who accepted the new trend, were found to be significantly higher than those of Minimal-preference group. Maximal-preference group had significantly higher level of income and expenditure on fashion than Minimal-preference group. The motives and reasons for their acceptance of each stream were also analyzed.

• 한국초등수학교육학회지
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• 제23권3호
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• pp.305-321
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• 2019

국제결혼 및 이민으로 인한 급격한 인구학적 변화로 우리나라는 다문화 사회로 이미 이행되고 있으며 이에 따라 다문화 학생을 위한 교육적 관심의 필요성이 야기되었다. 특히, 모국어가 타언어이면서 한국어로 학습하는 한국어학습자(Korean Language Learners)를 위한 교과학습 지원의 필요성이 절실한 상황이다. 본 연구는 영어학습자(English Language Learners)를 위해 미국에서 개발된 SIOP 모델 중 우리나라의 교실 상황에 적합한 전략을 선택하고 이를 한국어학습자에게 적용하여 수학적 의사소통의 특징과 수학적 오류의 변화 가능성에 대해 분석하는 것을 목적으로 한다. 구체적으로 5학년 2학기 합동과 대칭 단원의 7차시에 걸쳐 SIOP 모델을 적용한 후에 나타나는 한국어학습자의 수학적 의사소통 양상과 수학적 오류를 분석하였다. 본 연구의 결과는 한국어학습자의 특성을 파악하고 향후 교과 학습에 대한 방향성을 설정하는 데 시사점을 제공할 것으로 기대된다.

• 한국화재소방학회논문지
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• 제32권5호
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• pp.105-111
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• 2018

본 연구에서는 소방청의 119 구급서비스 통계연보와 통계청의 인구동향조사 및 장래추계인구를 활용하여 저출산 고령화와 같은 인구 변동이 미래의 구급 이송 서비스 이용에 미치는 영향을 분석하였다. 우리나라의 인구는 2031년 정점에 이룬 후 인구 감소가 시작될 것으로 추계되나 70세 이상 노인 인구는 계속 증가할 것으로 전망하고 있다. 본 연구 결과에 따르면, 인구 변동을 반영한 이송률, 즉 인구 1,000명 당 이송 환자 수는 최근 추이와 비교해 큰 폭의 변화는 없으나 70세 이상 노인 인구에 대한 구급 서비스는 기하급수적으로 늘어날 전망이다. 따라서 저출산, 고령화에 따른 인구 변동은 구급 서비스의 양적, 질적 변화를 수반하게 되며, 장기적인 관점에서의 대응이 요구된다. 특히 고령화에 따른 구급 서비스의 효과적 대응은 물론 인구 변화에 따른 기존 관할 영역의 조정과 인력, 자원의 재배치 등이 고려되어야 할 것이다.

• 대한공간정보학회지
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• 제20권4호
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• pp.55-65
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• 2012

이 연구의 목적은 도시의 시공간 변화를 분석할 수 있는 시스템 다이내믹스 모형(System Dynamics Model)을 구현하고, SD 모형을 기반으로 부산시 U-City 계획에의 적용가능성을 모색하여 올바른 U-City계획 수립의 정책방안을 제시하는데 있다. 이를 위해 U-City 이슈와 관련된 다양한 선행연구를 검토하여 이전연구와의 차별성을 도모하였다. 그리고 도시의 시계열적 변화를 모의할 수 있는 SD 모형을 설계 및 구현하여 부산광역시를 대상으로 사례분석을 수행하였다. 마지막으로 U-City 계획측면에서 사례분석을 통해 도출된 문제점을 해소할 수 있는 정책방향을 제시하였다. 결론적인 U-City 계획의 정책방향으로 U-City 기술과 산업을 기반으로 하는 비즈니스 모델의 제시 필요성, 구도시와 신도시를 연계 통합할 수 있는 U-City 모델 구축과 사회 및 인구구조의 변화를 반영한 실효성 있는 U-City 서비스 모델 발굴 등을 들 수 있다.

• 한국지역지리학회지
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• 제14권4호
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• pp.394-417
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• 2008

한국 사회의 고령화는 세계에서 유례를 찾기힘든 속도로 빠르게 진행되고 있다. 이러한 인구학적 변화는 공간적 변화가 수반되는 사회경제적, 문화적 변화를 가져온다. 이 연구의 목적은 수도권을 대상으로 노인 주거 의료 서비스와 노인 생활의 공간적 특성에 대해 고찰하는 것이다. 연구의 주요 결과는 다음과 같다. 수도권 노인 주거 의료 서비스의 입지와 그 이용자의 생활은 노인의 이동성뿐만 아니라 서울로부터의 거리, 거주환경 등의 영향도 받는 것으로 보인다. 노인의 일상생활에 영향을 미치는 것은 일차적으로 노인 주거 의료 서비스의 위치와 노인의 이동성이고, 이차적으로는 가족 거주지의 위치이다. 따라서 주거 의료 서비스의 위치가 대도시로부터 멀리 떨어지는 것은 바람직하지 않다.

• 기본간호학회지
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• 제2권1호
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• pp.19-35
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• 1995

This study was designed to identify the severity of anorexia and the diet patterns in receiving chemotherapy. The identification of anorexia would provide useful and basic information to oncology nursing care. The subjects of this study were 102 hospitalized chemotherapy patients in a September 10, 1994. The subjects were 20 years old or above and who agreed to participate in this study and could understand the questionnaire. Three-days diet history were collected and analysed. The study subjects change, food aversions, the severity of anorexia. Data related to demographic and other mecdical characteristics such as age, diagnosis, and medication were collected by review of patient medical record. The results of this study were summarized as follows : 1) The score of anorexia was 73.7 in Anorexia Visual Analogue Scales and mean amount of fool intake per a day was 823cc. The larger the anorexia VAS score, the more severe of anorexia. 2) The food preferences of subjects were identified. Those were aversions, or dislikes the meat such as beef, pork, and chicken, and greesy or fried foods. The Caffeinated drinks such as coffee and tea were disgusted, also. The patients preferred vegetables and Korean traditional food especially kimchee and soy bean soap. 3) Those who were administered analgesics and cisplatin suffered more severe in anorexia than those who analgesics and cisplatin was not administarted. The patients with gastrointestinal cancer has more severe anorexia than those who have the other site cancer ; head and neck, genirourinary etc. The result of this study in turn provide valuable nursing practice guidelines for nutritional counseling in cancer chemotherapy patient. Nurses working with chemotherapy ward should identify the severity of anorexia and diet patterns. In conclusion, the severity of anorexia in cancer chemotherapy patients is very important problems. Health care personnels recognize the potential problems of anorexia and encourage the nutritional counseling in cancer chemotherapy patients.

• 대한간호학회지
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• 제50권4호
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• pp.523-532
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• 2020

Purpose: The purpose of the study was to compare the effectiveness of multi interventional package (MIP) and lifestyle interventions (LI) on physiological parameters of women with metabolic syndrome, to compare the effectiveness of MIP and LI on biochemical parameters of women with metabolic syndrome and to compare the effectiveness of MIP and LI on socio-psychological parameters of women with metabolic syndrome. Methods: A quasi experimental nonequivalent control group design with two experimental groups and one control group was used to collect data from 60 self-help group women. Samples were selected by multistage sampling. Reflexology foot massage, dietary modification, moderate intensity exercise and structured education were given to MIP group and dietary modification, moderate intensity exercise and structured education were given to LI group for 12 weeks. Control group received routine care. Demographic and clinical data sheets were used to collect basic information. Knowledge was assessed by a knowledge questionnaire. Physiological (weight, body mass index, waist circumference and blood pressure) and biochemical parameters (HDL, triglycerides and FBS) were assessed before and after the intervention. Results: The study found significant change in the physiological and biochemical parameters of metabolic syndrome as well as knowledge among the MIP group and LI group compared to the control group (p <.001). Conclusion: MIP and LI are effective in controlling the parameters of metabolic syndrome. Hence the guidance may be provided to women with metabolic syndrome for adopting necessary lifestyle changes as well as reflexology foot massage to control the physiological and biochemical parameters of metabolic syndrome.

• 한국주거학회논문집
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• 제4권2호
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• pp.73-83
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• 1993

Recently, large APT complexes are newly constructed in Taegu city and among them, large APT complexes aggegate densly espically in Weolsung and Jisan complexes of Dalsuh-gu and Susung-gu districts. The purpose of this thesis is to perform occupants' apprasials about residential environment on the housewifes residing at new constructed APT who seem tn have different apprasials on the residential environment by the zones. The results of the investigations are as follows. 1. House possessed type and house sire got elevated in comparison with them before shifting residence in respect to residential property and it was revealed they moved to short distance in the change of their lands. And most occupants could choose their houses by looting-out and there's some difference in the choice motive according to the zones. 2. As a result of studying the relation between demographic and residential properties, there were deep differe-nces in the Possessed house type before move, possessed house size after move, preferenti-al degree of house and move plan. 3. In the degree of satisfaction on residential environment, the result was high in the order of heating facilities, water-supply and draining facilities and lighting and was low in the order of room's size, interior decoration and soundproofin. According to zones, there was a great difference in the items of room's size, privacy, heating facilities, securi-ty from calamity, ventilation, convenience of traffic and school group and facilities for extracurricular activities and the degree of satisfaction was high in Jisan zone in othe items except for room's size and heating facilities. 4. In the tenants' apprasials on tile inside and outside spaces of the zones, important factors were "Cultural Institutions", "Green Areas", "Level of Welfare Facilities" and "Utility degree of welfare facilities" and in the classification of important factors according to the zones, the first and the third factors were changed each other. I think this is because they attached importance to somethings dissatisfied in present circumstances.