• 제목/요약/키워드: General fear

검색결과 254건 처리시간 0.024초

위암환자의 위절제술 후 영양상태 및 섭취량 변화 (Nutritional Status and Dietary Change after Gastrectomy of Gastric Cancer Patients)

  • 박영옥;윤소윤;강신숙;한상미;강은희
    • 대한지역사회영양학회지
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    • 제17권1호
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    • pp.101-108
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    • 2012
  • The purpose of this survey is to investigate the nutritional status and dietary intake of gastrectomized cancer patients in Asan Medical Center. The subjects were 98 patients, who underwent a gastrectomy due to gastric cancer and were admitted to the General Surgery Department during March 2007 to December 2007. We examined general characteristics (sex, age, clinicopathological stage, type of operation), anthropometric data (height, weight change), biochemical data (red blood cell RBC, hemoglobin HGB, hematocrit HCT, mean corpuscular volume MCV, total lymphocyte count TLC, albumin, total cholesterol), dietary intake and dietary intake related symptoms. Weight loss of gastrectomized patients was $9.0{\pm}4.3$% from preillness weight to visiting out-patient department (OPD) weight. Biochemical data (RBC, HGB, HCT, MCV, TLC, albumin, total cholesterol) significantly deteriorated after gastrectomy. However, outpatient visits were all restored to the normal range. Postoperative energy intake was $785.0{\pm}164.2$ kcal, which corresponds to $41.6{\pm}9.6$% of daily energy requirement. The cause of poor oral intake is mostly fear, abdominal pain and abdominal discomfort. Therefore, to control pre-or post-operative weight change in the future requires, focusing on the body weight to maintain a normal or usual nutrition by interventions and increased caloric intake during hospitalization for the development of nutrient-dense meals. In addition, as the main reason of the lack of intake of meals after the gastrectomy was fear, the patients should be actively encouraged to consider the importance of eating proper meals.

An Efficient Music Notation by Plain Text for General Music Lovers

  • Yi, Seung-taek;Kim, Inbum;Park, Sanghyun
    • 한국컴퓨터정보학회논문지
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    • 제22권8호
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    • pp.85-91
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    • 2017
  • Although various music composition programs for PCs have become commonplace, the reasons why people think it is hard to make music are the lack of experience with musical instruments, the lack of knowledge of music or composition, and the fear of learning MIDI software. In this paper, we propose an effective method to solve this problem by using plain text based method which makes it easy for the general people who do not know MIDI, have little experience of musical instruments, and cannot even read music to make their own music. As a result, many people who like music but have not been able to produce their own music may produce and distribute music, and collaborate with others to produce better quality music.

모바일금융범죄 취약성인식과 모바일금융 사용 간의 관계에서 모바일금융 범죄두려움의 매개효과 (Mediated Effect of Mobile Financial Crime Fear on the Relationship between Mobile Financial Crime Vulnerability Perception and Mobile Financial Using)

  • 권준성;공정식
    • 한국콘텐츠학회논문지
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    • 제20권4호
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    • pp.305-314
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    • 2020
  • 모바일환경은 시간과 공간의 제약에서 비교적 자유로우며, 비대면 채널로서 신체적·사회적 취약성이 적용되지 않는 등 고유한 특징을 가지고 있다. 이러한 시공간적 특수성은 이용자들의 심리 작용 및 행위에 일반적인 대면 환경과는 다른 형태로 영향을 줄 가능성이 크기 때문에 대면 환경에서의 심리 변인을 연구해온 기존 연구의 결과를 기반으로, 모바일환경에서의 실증 연구를 수행해 내용을 검증할 필요가 있다. 그러나 선행연구를 살펴보면, 모바일금융이라는 새로운 환경에서 소비자가 느끼는 취약성과 범죄에 관한 불안과 관련한 연구는 아직 본격적으로 이루어지지 않고 있으므로, 본 연구에서는 전통적 취약집단이 모바일금융환경에서 느끼는 인식을 살펴봄과 더불어 범죄두려움과 취약성인식, 모바일금융 사용의 관계를 파악하는 실증 연구를 수행하고, 이에 대한 단초를 마련하고자 한다. 분석결과, 전통적 취약집단 중 여성은 남성보다 모바일금융환경에서도 스스로 취약성이 있다고 인식하였고 범죄두려움을 강하게 느끼는 것으로 확인되었다. 또한, 모바일금융 범죄 취약성이 모바일금융 사용에 미치는 직접 효과는 유의하지 않았고, 모바일 범죄두려움을 완전매개하여 모바일금융 사용에 간접효과를 갖는 것으로 확인되었다.

한국어판 치과 불안 및 공포 지수의 타당도와 신뢰도 (Validity and Reliability of the Korean Version of the Index of Dental Anxiety and Fear)

  • 임은정;임순연
    • 치위생과학회지
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    • 제17권1호
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    • pp.20-29
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    • 2017
  • 본 연구는 $IDAF-4C^+$를 국내 실정에 적절하게 적용할 수 있도록 수정 보완하여, 치과 방문 환자의 치과 불안 정도를 평가할 수 있는 도구를 개발하고 타당도와 신뢰도를 평가하고자 시행하였다. 치과 불안 및 공포 원 도구 23문항을 번역한 후 번역 정확도, 내용분석 및 내용타당도 검증을 통하여 3문항을 삭제하고 14문항을 수정하여 총 20문항을 분석하였다. 연구 결과 탐색적 요인분석에 의한 요인 적재량이 0.4 이하인 1개의 문항이 삭제되었으며, 선행연구의 이론구조에 맞지 않게 적재된 1개의 문항이 삭제된 결과 18문항들이 추출되었다. 치과 불안 및 공포 측정 도구의 하위요인으로는 치과 불안, 공포, 자극으로 구분되었다. 또한 확인적 요인분석을 통한 측정 도구의 각 하위별 적합지수를 충족시키기 위해 4개 문항이 삭제되어, 최종 3개의 하위요인의 14문항으로 구성된 측정 모델의 적합도는 기준을 충족하였다. 모든 요인의 개념신뢰도, 표준화 회귀 계수값이 일반적 기준을 충족시켜 집중타당도가 입증되었다. 모든 요인의 평균분산추출값은 각 요인 간 상관관계 제곱값보다 크게 나타나 판별타당도도 입증되었다. 내적일관성을 검증한 결과 Cronbach's ${\alpha}$는 치과 불안 항목 0.920, 공포 항목 0.613, 자극 항목 0.866으로 나타나 신뢰할 만한 수준의 측정도구임을 나타냈다. 한국어판 $IDAF-4C^+$의 타당도와 신뢰도는 적합하다고 검증되었다. 향후 국내 환자의 치과 불안 및 공포 조절 도구로 임상과 연구에 활용되어 구강건강 증진에 도움을 줄 수 있을 것으로 생각된다.

충남장애인구강진료센터에서 시행된 전신마취 및 진정법에 관한 실태조사 (A SURVEY OF GENERAL ANESTHESIA, SEVOFLURANE SEDATION AND INTRAVENOUS SEDATION IN CHUNGNAM DENTAL CLINIC FOR THE DISABLED)

  • 김승오
    • 대한소아치과학회지
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    • 제40권1호
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    • pp.28-39
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    • 2013
  • 전신마취 및 진정법은 소아 및 장애인에게 성공적 치과치료를 위해서 필수불가결하다. 이 연구의 목적은 충남장애인구강진료센터에 치과치료를 위해 시행된 전신마취와 진정법의 실태를 평가하기 위함이다. 2011년 1월부터 2012년 9월까지 전신마취, 세보플루란진정 및 정주진정을 받은 소아와 장애인 426명을 대상으로 조사분석하였으며 389명이 전신마취, 20명이 세보플루란진정 그리고 17명이 정주진정하에서 치과진료를 받았다. 전신마취의 비율이 두 진정법에 비해 높았다. 세보플루란진정은 소아환자의 외상처럼 짧고 간단한 치료에 유용하게 사용되었다. 정주진정은 공포와 불안을 가진 치과적장애환자에게 선택되었다. 세보플루란과 정주진정은 점차적으로 전신마취의 사용을 줄이고 치과적장애환자를 위한 유용한 방법이었다.

건강보험 현지조사제도에서 일반적 억제이론에 대한 경험적 연구 (An Empirical Study on General Deterrence Effects of the On-site Investigation System in the Korean National Health Insurance)

  • 강희정;홍재석;김세라;최지숙
    • 보건행정학회지
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    • 제19권3호
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    • pp.109-124
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    • 2009
  • Background: This study aimed to examine whether cases of punishing false claimants threat general physicians to check their medical cost claims with care to avoid being suspected, and identify empirically general deterrence effects of the on-site investigation system in the Korean National Health Insurance. Methods: 800 clinics were selected among a total of 15,443 clinics that had no experience of on-site investigation until June 2007 using a stratified proportional systematic sampling method. We conducted logistic multiple regression to examine the association between factors related to provider's perception of on-site investigation and high level of perceived deterrence referring to fear of punishment after adjusting provider's service experiences and general characteristics. Results: The probability of high perceived deterrence was higher 1.7 times (CI: 1.13-2.56), 2.73 times (CI: 1.68-4.45) each among clinics exchanging the information once or more per year or once or more for 2-3 months than among clinics no exchanging the information about on-site investigation. Also, the probability of high perceived deterrence was higher 2.27 times (CI: 1.28-4.45) among clinics that knows more than 3 health care institutions having experienced an on-site investigation than among clinics knowing no case. Conclusion: A clinic knowing more punishment cases by onsite investigation and exchanging more frequently information about on-site investigation is likely to present high perceived deterrence. This result will provide important information to enlarge preventive effects of on-site investigation on fraud and abuse claims.

Practice and Barriers of Mammography among Malaysian Women in the General Population

  • Al-Naggar, Redhwan A.;Bobryshev, Yuri V.
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권8호
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    • pp.3595-3600
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    • 2012
  • Objective: The objective of this study was to determine the practice and barriers of mammography and associated factors among Malaysian women in the general population. Methodology: A cross-sectional study was conducted among 200 women in Shah Alam, Selangor; Malaysia. The questionnaire contained 27 questions and was comprised of two sections; socio-demographic characteristics and practices, knowledge and barriers of mammography. All the data were analyzed using the Statistical Package for the Social Sciences (SPSS) 13.0. Results: Of the 200 Malaysian women who participated in this study, the majority were under the age of 50 years (65.5%), Malay (86%), and married (94.5%). Regarding any family history of cancer in general, the majority of the participants had none (78%). However, some did report a close relative with breast cancer (16.5%). While the majority of them knew about mammography (68%), 15% had had a mammogram once in their life and only 2% had the procedure every two or three years. Univariate analysis showed that age, family history of cancer, family history of breast cancer, regular supplement intake, regular medical check-up and knowledge about mammogram were significantly associated with mammogram practice among the general population (p=0.007, p=0.043, P=0.015, p=0.01, p=0.001, p<0.001; respectively). Multivariate analysis using multiple linear regression test showed that age, regular medical check-up and knowledge about mammography testing were statistically associated with the practice of mammography among the general population in Malaysia (p=0.035, p=0.015 and p<0.001; respectively). Lack of time, lack of knowledge, not knowing where to go for the test and a fear of the test result were the most important barriers (42.5%, 32%, 21%, 20%; respectively). Conclusion: The practice of mammogram screening is low among Malaysian women.

대학수학 기초학력 부진학생을 위한 기초수학 지도 방안 (Effective management strategies of basic mathematics for low achievement students in university general mathematics)

  • 표용수;박준식
    • 한국수학교육학회지시리즈E:수학교육논문집
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    • 제24권3호
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    • pp.525-541
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    • 2010
  • P대학에서는 교양수학 교과에 대한 기초학력 부진학생들의 문제해결력 향상을 위하여, 대학 교육역량강화사업의 일환으로 수학카페 운영과 함께, 기초수학 특강, 개인지도 및 컴퓨터 활용학습 등을 시행하고 있다. 본 논문에서는 여름 및 겨울방학을 이용하여 기초수학 특강을 실시하고, 그 결과를 중심으로 수학에 대한 기초학력 부진학생들을 위한 효율적인 기초수학 학습지도 방안을 살펴보고자 한다.

동의보감(東醫寶鑑)에 나타난 칠정(七情)의 대한 연구-병기(病機)를 중심으로 (Study of Pathologic Mechanism Related Chiljeong-Based on a Literature Review of Donguibogam)

  • 이고은;유영수;강형원
    • 동의신경정신과학회지
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    • 제25권1호
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    • pp.85-108
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    • 2014
  • Objectives: Chiljeong means the basic emotions containing joy, anger, anxiety, depression, fear and fright in Korean traditional medicine. Chiljeong was considered as a cause diseases or syndrome. The pathology of Chiljeong described the action of the gi and the principle of eumyangohaeng. When we treat the psychiatric symptoms in Korean traditional medicine, we need to understand the pathologic mechanism of Chiljeong. Methods: We extract the sentences regarding Chiljeong, Oji, Chilgi and Gugi along with the related words in Donguibogam. We analyze the selected sentences and classify the pathologic mechanism according to the general and seven emotions. Results: We found that several parts were related to Chiljeong, except the Sinmun, including the psychiatric symptoms in Donguibogam. Conclusions: The most frequently mentioned affected areas of basic Jangbu are Sim and Gan. The pathologic mechanism of general emotion was categorized by sentences into 4 groups, Giul, Dameum, Hwa and Heo.

콘투어 드로잉을 활용한 패션 일러스트레이션 교과 개발 연구 (A study on the development of fashion illustration course using contour drawing)

  • 김고운
    • 복식문화연구
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    • 제28권4호
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    • pp.508-526
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    • 2020
  • This study has established a fashion illustration education plan using the contour drawing that fosters observational ability and enables creative drawing. This study developed two illustration curriculum proposals consisting of 15 weeks, combining literature and case studies. The researchers organized a step-by-step teaching plan that utilizes contour drawing according to the three stages of fashion illustration classes: foundation courses, general courses, and intensive courses. When the contour drawing is used at the beginning stage of the foundation courses of fashion illustration, it can be used as a technique to reduce the fear of students about practical skills, induce interest in illustration, and cultivate observation ability about objects. In general process, it is combined with various tools and coloring materials to strengthen expression power, and it is possible to produce detailed expressions and illustrations about human body and clothing. In intensive courses, it is expanded to the production of creative works with new aesthetics through digital techniques and mixed materials. As such, the contour drawing is expanded in various ways according to the learning contents and goals of each step, and is flexibly adjusted according to the learning content. Contour drawing has the effect of acquiring observation and expression ability, and it is analyzed as a technique that enables the production of creative illustration of students.