• 산업진흥연구
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• 제8권4호
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• pp.229-239
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• 2023

이 연구는 집중산만 전략을 활용한 건강염려증의 해소 방안을 모색하는 문헌연구이다. 건강염려증은 우리말로 건강기우증, 건강불안, 질병공포, 질병불안장애, 건강염려성 신경증, 건강염려성 성격장애, 신체 증상장애 등의 용어로 불리워지나 이 연구에서는 건강염려증으로 명명한다. 이는 기본적으로 염려, 두려움, 불안 더 나아가 공포를 야기하여 가정, 직장 및 사회에서 삶의 질을 저하하게 만드는 요인이다. 건강염려증은 주로 중년기 성인들이 겪는 심리적 문제로서 자기자신에게 집중, 몰두하다가 이에 노출된다. 이 증상은 건강에 대한 지나친 염려로 인해 빈번한 건강검진 등 병원을 전전하면서 상당한 사회적 비용이 소비되고, 개인의 삶의 질이 저하되어 상담심리, 심리상담 분야에서는 이 문제를 해결해주고, 심리적 평안을 회복하도록 해야 하는 과제를 안고 있다. 따라서 이 연구는 건강염려증을 해소할 수 있는 방안으로 인지 전략 가운데 집중산만 전략을 활용하여 그 증상 해소를 모색해보려는 시도라 할 수 있다. 집중산만 전략은 일종의 인지적 '회피 전략'이라 할 수 있다. 자신의 건강에 대하여 지나치게 집중하는 인식, 주의를 회피, 다른 방향으로 '분산'시키거나 '산만'하게 하는 것으로 건강염려를 약화시키는 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권9호
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• pp.4005-4012
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• 2014

Background: This study investigated the utilization of both problem and emotion focused coping strategies and their association with aspects of quality of life among Turkish women with ovarian cancer undergoing chemotherapy. Materials and Methods: The convenience sample consisted of 228 patients in all disease stages. The data were collected using the brief COPE, QOL-Cancer patient tool, sociodemographic sheet, and medical variables were gathered from patients' medical charts. Results: Findings reveal that quality of life is moderately high for this group of cancer patients, despite some specific negative facets of the illness and treatment experience. Acceptance, emotional support and religion were the most frequently used problem-focused coping strategies and self-distraction, venting and behavioral disengagement were the most frequently used emotion-focused coping strategies reported by patients. Overall quality of life and, particularly, psychological and spiritual well-being scores of younger patients were lower. Patients reported using significantly more problem-focused coping than emotion-focused coping, and more problem-focused and less emotion-focused coping predicted greater quality of life. Problem-focused coping was related to patients' physical and spiritual well-being and emotion-focused coping was related inversely with psychological and social well-being. Conclusions: Coping strategies are influential in patient quality of life and their psychosocial adaptation to ovarian cancer. Psycho-oncology support programs are needed to help patients to frequent use of problem-focused coping and reduce emotion-focused coping strategies to improve overall quality of life.

• 척추신경추나의학회지
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• 제8권1호
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• pp.49-61
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• 2013

Objectives: The aim of this study was to analyse the domestic trends of Chuna treatments techniques in Korean literature. Methods: We searched the clinical trials on Chuna treatments through both electronic search(used keyword 'chuna') and hand search in 3 Korean web databases(OASIS, NDSL, RISS) and 4 related journals(The Journal of Korea CHUNA Manual Medicine for Spine & Nerves, Journal of Oriental Rehabilitation Medicine, The Journal of Korean Acupuncture & Moxibustion Society, Journal of Korean Medicine Society). All relevant clinical trials were selected and extracted to be analyzed according to their published year, journals, types of study, used techniques. Results: The number of the clinical studies tends to increase every year. The studies on Chuna treatments were mainly published in The Journal of Korea Chuna Manual Medicine for Spine & Nerves. In case of types of study, case reports and case series were predominant. The most frequently adopted techniques of Chuna in studies were flexion distraction technique for lumbar spine and JS supine position cervical spine distraction. Conclusions: Through the results of this study, we hope that the more qualitative education could be conducted by strengthening the techniques which often used. Also analysis of the reason of rarely used techniques should be conducted and the modification or developing techinques should be followed as a counter measures. As applying more rigorous methodology, more qualitative evidence based Chuna studies should be conducted in future clinical research.

• 대한건축학회논문집:계획계
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• 제33권12호
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• pp.41-52
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• 2017

This study investigates the waiting and resting behaviors of children within a restorative healthcare facility design. In particular, the aim is to compare children with and without disabilities and reveal similarities and differences in terms of their behavioral characteristics and uses of design facilities, related to positive distraction, for restoration in the hospital. Three major common spaces for outpatients in S children's hospital in Seoul were examined including the main lobby and two waiting and resting spaces in the pediatric and rehabilitation medicine departments, respectively. A total of 155 children under the age of 12-67 with physical disabilities and 88 without-were observed while they waited and rested at the three spaces before or after doctors' examination. Basic demographic information and waiting and resting behavioral characteristics were compared between the two groups. The results indicated that the disabled children were more restricted in terms of space, facilities used, and social behaviors. However, regardless of disabilities, the children showed more positive distractions related to cognitive and social behaviors in areas where restorative design elements such as an aquarium, garden, or visual images were available. Based on the results, design implications were discussed to strengthen positive distraction behaviors in children with and without disabilities and to foster the restorative quality of the spaces for waiting and resting in the children's hospital.

• 대한교통학회지
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• 제35권2호
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• pp.160-168
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• 2017

지난 10년 간 졸음운전은 전체 고속도로 사고건수의 약 23%로 교통사고 사망원인 중 가장 높은 비중을 차지하고 있다. 과속, 주시태만 등 운전자 과실이 주요원인인 일반적인 사고유형과 달리, 졸음운전은 졸음이라는 불가항력적 원인에 의해 발생한다는 점에서 타 사고유형과 차별화된 접근이 요구된다. 그 동안의 졸음운전 감소대책은 일반적인 교통사고 대책과 마찬가지로 사고다발지점과 같은 특정지점(spot)에 집중하였으나, 도로특성(해당구간의 화물차 비율 등) 또는 시간특성(누적주행시간에 따른 위험 운전행동 증가 등)을 고려한 감소대책이 필요함에 따라, 본 연구에서는 시 공간적으로 확대한 구간(link) 개념을 도입하였다. 고속도로 졸음운전 위험구간 분석을 위해 화물차 디지털 운행기록계(digital tacho graph: DTG) 자료를 활용하였으며, 이를 바탕으로 졸음운전 위험구간을 산정하였다. 위험 행동지표와 사고 발생건수 간의 상관 분석을 위해 음이항 회귀모형(negative binomial regression)을 통한 졸음사고 예측모형을 추정하였으며 모형의 결과 값을 바탕으로 경험적 베이즈(empirical Bayes: EB) 추정치와 구간별 잠재적 안전개선 지수(potential for safety improvement: PSI)를 산출하여 졸음운전 위험 구간을 선정하였다. 졸음사고 모형 추정 결과, 연평균 일교통량, 화물차 비율, DTG 수집 자료건수, 평균 과속비율(20km/h 초과), 평균 급감속비율 및 평균 급차로변경비율이 늘어날 경우 졸음운전 사고건수 역시 증가하는 것으로 분석되었다.

• 감성과학
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• 제16권2호
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• pp.195-206
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• 2013

교통사고의 주된 원인은 자동차 주행 중 운전자의 시각적 주의 분산이다. 본 연구에서는 운전자의 시선을 도로에서 벗어나지 않게 하면서 주행정보를 제공하는 HUD(Head Up Display)시스템을 이용해서 자동차 앞 유리(windshield)에 투영된 주행정보의 색채감성을 평가하였다. 주행정보는 전방시선 $0^{\circ}$에서 약 하방 $9^{\circ}$에 위치하도록 설치하였고, 실험실의 형광등, 5개의 LED 조명등과 TV출력 영상을 통해 25[lux]의 야간 운전 시 조도 환경, 100,000[lux]의 주간 운전 시 조도 환경을 재현하였다. 먼셀 표색계의 기본 5색(R, Y, G, B, P)과 신호등의 색 YR, W 총 7색의 단일 색과 W를 제외한 6개 글자에 각각 흰색 글자 외곽선, 회색 글자 외곽선을 주어 외곽선 있는 글자 12개를 만들었다. 총 19개의 실험 자극물을 주간과 야간 환경에서 각각 주행정보의 컬러 시인성, 피로도, 선호도, 방해 정도를 평가하였다. 실험결과는 시인성이 유의미하게 나왔는데, 첫째, 주간에서는 Y와 G 색상같이 색상 자체의 휘도가 높은 경우 시인성이 높았다. 둘째, 텍스트의 외곽선이 있는 경우, 외곽선이 배경색으로 작용하여 색상과의 휘도대비를 일으켜 시인성에 영향을 준다. 셋째, 외곽선이 없는 경우에는 차량 전면 유리의 휘도가 배경색 휘도로 작용하여 글자의 휘도와 큰 대비를 이룰 때 시인성이 높은 것으로 나타났다. 이처럼 운전자의 주시야를 고려해 전방에 제공되는 가상의 영상, HUD의 상용화를 위해서는 주행정보의 색채시인성이 중요한데 이를 높이기 위한 방안으로 배경과 글자의 휘도대비를 고려해볼 수 있다.

• 대한족부족관절학회지
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• 제15권2호
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• pp.51-57
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• 2011

Pilon fractures involving distal tibia remain one of the most difficult therapeutic challenges that confront the orthopedic surgeons because of associated soft tissue injury is common. To introduce and describe the diagnosis, current treatment, results and complications of the pilon fractures. In initial assessment, the correct evaluation of the fracture type through radiographic checkup and examination of the soft tissue envelope is needed to decide appropriate treatment planning of pilon fractures. Even though Ruedi and Allgower reported 74% good and excellent results with primary open reduction and internal fixation, recently the second staged treatment of pilon fractures is preferred to orthopedic traumatologist because of the soft tissue problem is common after primary open reduction and internal fixation. The components of the first stage are focused primarily on stabilization of the soft tissue envelope. If fibula is fractured, fibular open reduction and internal fixation is integral part of initial management for reducing the majority of tibial deformities. Ankle-spanning temporary external fixator is used to restore limb alignment and displaced intraarticular fragments through ligamentotaxis and distraction. And the second stage, definitive open reduction and internal fixation of the tibial component, is undertaken when the soft tissue injury has resolved and no infection sign is seen on pin site of external fixator. The goals of definitive internal fixation should include absolute stability and interfragmentary compression of reduced articular segments, stable fixation of the articular segment to the tibial diaphysis, and restoration of coronal, transverse, and sagittal plane alignments. The location, rigidity, and kinds of the implants are based on each individual fractures. The conventional plate fixation has more advantages in anatomical reduction of intraarticular fractures than locking compression plate. But it has more complications as infection, delayed union and nonunion. The locking compression plate fixation provides greater stability and lesser wound problem than conventional implants. But the locking compression plate remains poorly defined for intraarticular fractures of the distal tibia. Active, active assisted, passive range of motion of the ankle is recommended when postoperative rehabilitation is started. Splinting with the foot in neutral is continued until suture is removed at the 2~3 weeks and weight bearing is delayed for approximately 12 weeks. The recognition of the soft tissue injury has evolved as a critical component of the management of pilon fractures. At this point, the second staged treatment of pilon fractures is good treatment option because of it is designed to promote recovery of the soft tissue envelope in first stage operation and get a good result in definitive reduction and stabilization of the articular surface and axial alignment in second stage operation.