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반코마이신 내성 장구균 환자 보호자의 질병 불확실성과 감염관리 수행 (Uncertainty and Performance of Infection Control in Caregivers of Vancomycin-Resistant Enterococci Patients)

  • 이은숙
    • 한국콘텐츠학회논문지
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    • 제15권6호
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    • pp.346-357
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    • 2015
  • 목적: 본 연구는 VRE 환자 보호자의 질병 불확실성과 감염관리 수행 정도를 확인하기 위한 서술적 조사 연구이다. 방법: 본 연구는 D광역시에 소재한 D의료원에 입원한 VRE 환자 보호자 82명을 대상으로 실시하였다. 수집된 자료는 SPSS/WIN 21.0을 이용하여 실수, 백분율, t-test, ANOVA로 통계 분석하였다. 결과: VRE 환자 보호자의 질병 불확실성은 56.99점이었고, 감염관리 수행 정도는 35.09점이었다. 대상자의 특성에 따른 감염관리 수행 정도 차이 검정에서 나이(F=121.38, p<.001), 학력(F=102.77, p<.001), 환자와의 관계(F=17.80, p<.001), 하루 평균 간호하는 시간(t=3.14, p=.002), 가족의 형태(t=-8.65, p<.001)에서 통계적으로 유의한 차이가 나타났다. 대상자의 질병 불확실성은 유의하게 감염관리 수행 정도와 부적인 상관관계를 보였다(r=-.96, p<.001). 결론: 본 연구결과는 VRE 환자 보호자를 위한 감염관리 프로그램 개발 및 감염관리 표준지침 개발을 위한 기초자료로 활용될 수 있을 것이다.

Effect of Defaunation on In Vitro Fermentation Characteristics and Methane Emission When Incubated with Forages

  • Qin, Wei-Ze;Choi, Seong-Ho;Lee, Seung-Uk;Lee, Sang-Suk;Song, Man-Kang
    • 한국초지조사료학회지
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    • 제33권3호
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    • pp.197-205
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    • 2013
  • An in vitro study was conducted to determine the effects of defaunation (removal of protozoa) and forage sources (rice straw, ryegrass and tall fescue) on ruminal fermentation characteristics, methane ($CH_4$) production and degradation by rumen microbes. Sodium lauryl sulfate, as a defaunation reagent, was added into the mixed culture solution to remove ruminal protozoa at a concentration of 0.375 mg/ml. Pure cellulose (0.64 g, Sigma, C8002) and three forage sources were incubated in the bottle of culture solution of mixed rumen microbes (faunation) or defaunation for up to 24 h. The concentration of ammonia-N was high under condition of defaunation compared to that from faunation in all incubations (p<0.001). Total VFA concentration was increased at 3, 6 and 12 h (p<0.05~p<0.01) but was decreased at 24 h incubation (p<0.001) under condition of defaunation. Defaunation decreased acetate (p<0.001) and butyrate (p<0.001) proportions at 6, 12 and 24 h incubation times, but increased propionate (p<0.001) proportion at all incubation times for forages. Effective degradability of dry matter was decreased by defaunation (p<0.001). Defaunation not only decreased total gas (p<0.001) and $CO_2$ (p<0.01~0.001) production at 12 and 24 h incubations, but reduced $CH_4$ production (p<0.001) at all incubation times for all forages. The $CH_4$ production, regardless of defaunation, in order of forage sources were rice straw > tall fescue > ryegrass > cellulose (p<0.001) up to 24 h incubation.

융합 시대의 임상실습 교육환경, 임상실습관련 무력감, 현장실습적응, 간호전문직관이 돌봄효능감에 미치는 영향 (The Influence of Clinical Learning Environment, Clinical Practice Powerlessness, Field Practice Adaptation, and Nursing Professionalism on Caring Efficacy in Convergence Era)

  • 제남주;김정숙
    • 디지털융복합연구
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    • 제18권12호
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    • pp.469-479
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    • 2020
  • 본 연구는 간호학과 4학년을 대상으로 돌봄효능감에 미치는 영향을 파악하고자 시도되었다. G도 J대학 간호학과 173명을 자료수집 하였다. IBM SPSS WIN/25.0을 이용하여 t-test, ANOVA, Pearson correlation coefficient, Multiple regression을 사용하였다. 돌봄효능감은 임상실습 교육환경(r=.42, p<.001), 현장실습적응(r=.53, p<.001), 간호전문직관(r=.42, p<.001)과 상관관계, 임상실습관련 무력감(r=-46, p<.001)과 역상관관계가 있었다. 대상자의 돌봄효능감에 가장 영향을 미치는 요인은 현장실습적응(β=.330, p<.001), 그 다음으로, 간호전문직관(β=.188, p=.005), 임상실습 교육환경(β=.176, p=.015), 내성적(β=-.146, p=.018), 외향적(β=.134, p=.035) 순이었다. 설명력은 41.8%이었다. 본 연구결과를 토대로 돌봄효능감 향상을 위한 체계적인 간호교육 프로그램이 필요하며, 돌봄효능감 프로그램 개발에 도움이 되는 기초자료로 활용될 수 있을 것이다.

일부 중년여성의 주관적 건강상태에 영향을 미치는 요인 분석 (The Related Factors Influencing on Self-rated Health Level of Middle-aged Women)

  • 이혜진;이경혜;김은경;김미정;황석만
    • 대한지역사회영양학회지
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    • 제17권3호
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    • pp.290-301
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    • 2012
  • This survey of 836 midlife women ($51.0{\pm}4.0$ yrs) was undertaken by exclusively a face to face interview by well-trained interviewers guarantying data collection of higher quality. This survey data was analyzed using the SPSS program. The main purpose of this study was to describe the factors affecting self-rated health status, including dietary habits and physical mental social factors. In the self-rated health status of a 'good' group, age was lower (p < 0.05), monthly income was higher (p < 0.01), dietary habits score (p < 0.001) and appetite (p < 0.001) and the degree of movement (p < 0.001) and life satisfaction (p < 0.001), marital intimacy (p < 0.001) and relationship satisfaction with their children (p < 0.001) were significantly higher than the 'bad' group. The level of depression (p < 0.001) and severe feeling of menopausal symptoms (p < 0.001) were significantly higher in the 'poor' group. The results of correlation analysis demonstrated that educational level (r = 0.069, p < 0.05), income (r = 0.157, p < 0.001), eating habits (r = 0.235, p < 0.001), appetite (r = 0.263, p < 0.001), life satisfaction (r = 0.197, p < 0.001), marital intimacy (r = 0.167, p < 0.001), child relationship satisfaction (r = 0.149, p < 0.001), positive attitude toward menopause (r = 0.070, p < 0.05) showed a positive correlation, but depression (r = -0.122, p < 0.001) and menopausal symptoms (r = -0.292, p < 0.001) showed a negative association with self-rated health status. The predictable factors affecting the self-rated health status of middle-aged women were examined by multiple regression analysis. The 'menopausal symptoms - physical discomfort' was the most important variables followed by the 'appetite', 'eating habits', 'menopause symptoms - sensory problems', 'BMI', 'positive attitude toward menopause' and 'high marital intimacy'. These results showed that the 'appetite' and 'eating habits' are important factors affecting the self-rated health status. Therefore, a program of dietary education must be considered for the effective health education and counseling of middle-aged women.

저강도 레이저와 초음파의 동시 적용이 골절 치유 촉진에 미치는 효과 (The Effects of Low-Intensity Ultrasound and Laser on Healing of Bone Fracture)

  • 이현기
    • The Journal of Korean Physical Therapy
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    • 제15권4호
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    • pp.331-372
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    • 2003
  • The purpose of study was to evaluate effects of low-intensity ultrasound and laser on healing of bone fracture. Twenty fracture patient were selected for this study(fourteen males, six females. mean aged 44.8) fracture area was humerus, tibia, forearm bones. The obtain result are as follows. 1. The result of this study were following that pain score was significantly reduced pre intervention compared with post intervention in male(P<.001). 2. The result of this study were following that pain score was significantly reduced pre intervention compared with post intervention in female(P<.001). 1. The result of this study were following that pain score was not appeared reduced pre intervention compared with post intervention in male and female(P<.001). 4. The result of this study were following that pain score was not appeared pre intervention compared with post intervention in male between age(P<.001). 5. The result of this study were following that pain score was not appeared pre intervention compared with post intervention in female between age (P<.001). 6. The result of this study were following that radiologic score was significantly reduced pre intervention compared with post intervention in male(P<.001). 7. The result of this study were following that radiologic score was significantly reduced pre intervention compared with post intervention in female(P<.001). 8. The result of this study were following that radiologic score was not appeared reduced pre intervention compared with post intervention in male and female(P<.001). 9. The result of this study were following that radiologic score was not appeared pre intervention compared with post intervention in male between ages(P<.001). 10. The result of this study were following that radiologic score was not appeared pre intervention compared with post intervention in female between ages(P<.001). 11. The result of this study were following that healing on fracture area was observed that reduced pre intervention compared with post intervention

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Effects of Defaunation on Fermentation Characteristics, Degradation of Ryegrass Hay and Methane Production by Rumen Microbes In Vitro When Incubated with Plant Oils

  • Qin, Wei-Ze;Li, Cheng-Yun;Choi, Seong-Ho;Jugder, Shinekhuu;Kim, Hyun-Ju;Lee, Sang-Suk;Song, Man-Kang
    • 한국초지조사료학회지
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    • 제34권3호
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    • pp.193-201
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    • 2014
  • This study was conducted to examine the effects of defaunation (removal of live protozoa) on fermentation characteristics, degradation of ryegrass hay and $CH_4$ (methane) production by rumen microbes when incubated with plant oils (SO, sunflower oil and LO, linseed oil) in vitro. Sodium lauryl sulfate (0.000375 g/ml) as a defaunation reagent was added into the culture solution and incubated anaerobically up to 24 h at $39^{\circ}C$. pH from defaunation was increased for all treatments from 6 h incubation times (p<0.01-0.001) compared with those from fauantion. Concentration of ammonia-N from defaunation is higher than that from faunation at 3 h (p<0.001), 12 h (p<0.05) and 24 h (p<0.001) incubation times. Defaunation decreased (p<0.01-0.001) total volatile fatty acid concentration at all incubation times. Molar proportions of $C_2$ (acetate, p<0.05-0.001) and butyrate (p<0.01-0.001) were also decreased by defaunation at all incubation times. Molar proportion of $C_3$ (propionate), however, was increased by defaunation at all incubation times (p<0.001). Thus the rate of $C_2$ to $C_3$ was decreased by defaunation at all incubation times (p<0.001). Defaunation decreased ED (effective degradability) of dry matter (p<0.001) and ED of neutral detergent fiber (p<0.001) of ryegrass hay. Defaunation decreased total gas, $CH_4$ production, $CH_4$ % in total gas and $CH_4/CO_2$ at all incubation times (p<0.001). Oil supplementation decreased total gas (p<0.05-0.001), $CH_4$ production (p<0.001) and $CH_4$ % in total gas (p<0.001) compared with control at all incubation times. The result of this study showed that defaunation combined with oil supplementation may cause an alteration of microbial communities and further medicate the fermentation pattern, resulting in both reduction of degradation of ryegrass hay and $CH_4$ production. No difference, however, was observed in all the examinations between SO and LO.

일식 레스토랑 이용 소비자들의 메뉴선택속성이 소비자 선호도 및 만족도에 미치는 영향에 관한 연구 (Influence of Japanese Restaurant Menu Select Attribute on Consumer Preferences and Satisfaction - Focused on Mediating Effects of Customer Preferences -)

  • 주성민
    • 한국조리학회지
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    • 제22권4호
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    • pp.353-364
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    • 2016
  • 본 연구에서는 일식레스토랑의 소비자들이 메뉴선택시 만족도와 선호도에 어떠한 영향을 미치는지 측정하였다. 설문 조사는 2016년 1월 1일부터 1월 31일까지 시행하였으며, 설문 대상은 부산 및 경남의 일식 레스토랑을 이용한 경험이 있는 소비자들을 대상으로 조사하였다. 첫째, 메뉴품질, 메뉴디자인, 메뉴선택동기가 소비자 선호도 간에 메뉴품질(${\beta}=.444$, p<.001), 메뉴디자인(${\beta}=.425$, p<.001), 메뉴선택동기(${\beta}=.147$, p<.001)로 소비자선호도에 대하여 유의한 정(+)의 영향관계가 있는 것으로 분석되었다. 둘째, 소비자선호도는 소비자만족도에 대하여 유의한 정(+)의 영향관계가 있는 것으로 분석되었다. 셋째, 일식 레스토랑 메뉴선택은 소비자만족도에 메뉴품질(${\beta}=.650$, p<.001), 메뉴디자인(${\beta}=.120$, p<.001), 메뉴선택동기(${\beta}=.263$, p<.001)는 유의한 정(+)의 영향관계가 있는 것으로 분석되었다. 마지막으로 메뉴품질이 소비자만족도에 미치는 영향과 관련하여 부분매개효과가 있는 것으로 나타났고, 메뉴디자인이 소비자만족도에 미치는 영향과 관련하여 부분매개효과가 있는 것으로 나타났으며, 메뉴선택동기는 소비자만족도에 미치는 영향과 관련하여 부분매개효과가 있는 것으로 나타났다.

인문사회계열 대학생의 자기효능감, 대인관계능력, 스트레스가 회복탄력성에 미치는 영향 (Effect of Self-efficacy, Interpersonal Relationship Ability and Perceived Stress toward Resilience in Humanities and Social Sciences Undergraduate Students)

  • 윤숙자
    • 문화기술의 융합
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    • 제8권4호
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    • pp.205-212
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    • 2022
  • 본 연구는 인문사회계열 대학생을 대상으로 자기효능감, 대인관계능력, 지각된 스트레스가 회복탄력성에 미치는 영향을 확인하기 위해 시도되었다. 연구참여자는 B시의 인문사회계열 전문대학생 330명을 대상으로 하였다. 자료 분석은 SPSS 22.0 프로그램을 이용하여 실수, 백분율, 평균, 표준편차, t-test, ANOVA, 피어슨 상관계수, 다중회귀분석으로 분석하였다. 대상자의 회복탄력성 평균 3.34±0.45점이었다. 대상자의 회복탄력성은 자기효능감(r=.521, p<.001), 대인관계능력(r=.678, p<.001)과 정적상관관계를 나타냈고, 지각된 스트레스(r=-.234, p<.001)와 부적상관관계를 나타냈다. 대상자의 회복탄력성에 영향을 미치는 요인은 자기효능감(β=.280, p<.001), 대인관계능력(β=.394, p<.001), 지각된 스트레스(β=-.191, p<.001)로 나타났고, 설명력은 53.3%로 나타났다. 본 연구결과를 통하여 인문사회계열 대학생의 회복탄력성에 영향을 미치는 요인을 확인할 수 있었다.

What are the most important prognostic factors in patients with residual rectal cancer after preoperative chemoradiotherapy?

  • Kim, Sol-Min;Yoon, Ghilsuk;Seo, An Na
    • Journal of Yeungnam Medical Science
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    • 제36권2호
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    • pp.124-135
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    • 2019
  • Background: We aimed to establish robust histoprognostic predictors on residual rectal cancer after preoperative chemoradiotherapy (CRT). Methods: Analyzing known histoprognostic factors in 146 patients with residual disease allows associations with patient outcome to be evaluated. Results: The median follow-up time was 77.8 months, during which 59 patients (40.4%) experienced recurrence and 41 (28.1%) died of rectal cancer. On univariate analysis, residual tumor size, ypT category, ypN category, ypTNM stage, downstage, tumor regression grade, lymphatic invasion, perineural invasion, venous invasion, and circumferential resection margin (CRM) were significantly associated with recurrence free survival (RFS) or/and cancer-specific survival (CSS) (all p<0.005). On multivariate analysis, higher ypTNM stage and CRM positivity were identified as independent prognostic factors for RFS (ypTNM stage, p=0.024; CRM positivity, p<0.001) and CSS (p=0.022, p=0.017, respectively). Furthermore, CRM positivity was an independent predictor of reduced RFS and CSS, irrespective of subgrouping according to downstage (non-downstage, p<0.001 and p<0.001; downstage, p=0.002 and p=0.002) or lymph node metastasis (non-metastasis, p<0.001 and p=0.001; metastasis, p<0.001 and p<0.001). Conclusion: CRM status may be as powerful as ypTNM stage as a prognostic indicator for patient outcome in patients with residual rectal cancer after preoperative CRT.

정신질환자들에 동반된 기능성 위장질환에 영향을 미치는 정신사회적 요인에 관한 연구 (Psychosocial Factors Influence the Functional Gastrointestinal Disorder among Psychiatric Patients)

  • 강등현;장승호;류한승;최석채;노승호;백영석;이혜진;이상열
    • 정신신체의학
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    • 제26권1호
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    • pp.1-8
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    • 2018
  • 연구목적 본 연구에서는 기능성 위장질환(Functional gastrointestinal disorder, 이하 FGID)이 동반된 정신질환자들의 정신사회적 특성을 알아보고자 하였다. 방 법 일 대학병원 정신건강의학과 외래를 방문한 환자를 대상으로 Rome III questionnaire - Korean version에 따라 FGID를 선별하여 144명의 자료를 분석하였다. 인구학적 요인을 조사하였으며, 정신사회적 요인을 평가하기 위해 Hospital Anxiety Depression Scale, Patient Health Questionnaire-15, Childhood Trauma Questionnaire-Korean, State-Trait Anger Expression Inventory를 사용하였다. 통계분석은 독립표본 t-검정(independent t-test)과 교차분석(chi-square test)을 사용하였다. 결 과 FGID에 따른 집단간 비교에서 학력에 따른 차이가 나타났다(${\chi}^2=10.139$, p=0.017). FGID 집단에 따른 정신질환의 차이에서는 과민성 대장증후군(Irritable bowel syndrome, 이하 IBS) 집단에서 유의한 차이가 있었다. (${\chi}^2=11.408$, p=0.022) IBS 집단은 불안(t=-3.106, p=0.002), 우울증상(t=-2.105, p=0.037), 신체증상(t=-3.565, p<0.001), 특성분노(t=-3.683, p<0.001), 분노-억제(t=-2.463, p=0.015), 분노-표출(t=-2.355, p=0.020)에서 높은 점수를 나타냈다. 기능성 소화불량(Functional dyspepsia) 집단에서는 불안(t=-4.893, p<0.001), 우울증상(t=-3.459, p<0.001), 신체증상(t=-7.906, p<0.001), 특성분노(t=-4.148, p<0.001), 상태분노(t=-2.181, p=0.031), 분노-억제(t=-2.684, p=0.008), 분노-표출(t=-3.005, p=0.003)지표가 유의하게 높았다. 비미란성 위식도 역류증(Nonerosive reflux disease) 집단에서는 불안(t=-4.286, p<0.001), 우울증상(t=-3.402, p<0.001), 신체증상(t=-7.162, p<0.001), 특성분노(t=-2.994, p=0.003), 상태분노(t=-2.259, p=0.025), 분노-억제(t=-2.772, p=0.006), 분노-표출(t=-2.958, p=0.004)에서 유의미하게 높은 수준을 나타냈다. 결 론 본 연구에서는 정신질환자에서 FGID의 유병률이 매우 높고, 다양한 정신사회적 변인들이 이에 영향을 미치는 것으로 나타났다. 따라서 이러한 정신의학적 접근은 FGID 환자를 더 잘 이해하고 치료하는데 있어서 도움이 될 것으로 생각된다.