• 제목/요약/키워드: Medical Support

검색결과 3,038건 처리시간 0.028초

Assessment of radiopacity of restorative composite resins with various target distances and exposure times and a modified aluminum step wedge

  • Mir, Arash Poorsattar Bejeh;Mir, Morvarid Poorsattar Bejeh
    • Imaging Science in Dentistry
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    • 제42권3호
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    • pp.163-167
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    • 2012
  • Purpose: ANSI/ADA has established standards for adequate radiopacity. This study was aimed to assess the changes in radiopacity of composite resins according to various tube-target distances and exposure times. Materials and Methods: Five 1-mm thick samples of Filtek P60 and Clearfil composite resins were prepared and exposed with six tube-target distance/exposure time setups (i.e., 40 cm, 0.2 seconds; 30 cm, 0.2 seconds; 30 cm, 0.16 seconds, 30 cm, 0.12 seconds; 15 cm, 0.2 seconds; 15 cm, 0.12 seconds) performing at 70 kVp and 7 mA along with a 12-step aluminum stepwedge (1 mm incremental steps) using a PSP digital sensor. Thereafter, the radiopacities measured with Digora for Windows software 2.5 were converted to absorbencies (i.e., A=-log (1-G/255)), where A is the absorbency and G is the measured gray scale). Furthermore, the linear regression model of aluminum thickness and absorbency was developed and used to convert the radiopacity of dental materials to the equivalent aluminum thickness. In addition, all calculations were compared with those obtained from a modified 3-step stepwedge (i.e., using data for the 2nd, 5th, and 8th steps). Results: The radiopacities of the composite resins differed significantly with various setups (p<0.001) and between the materials (p<0.001). The best predicted model was obtained for the 30 cm 0.2 seconds setup ($R^2$=0.999). Data from the reduced modified stepwedge was remarkable and comparable with the 12-step stepwedge. Conclusion: Within the limits of the present study, our findings support that various setups might influence the radiopacity of dental materials on digital radiographs.

아동실종으로 인한 사회경제적 비용 분석 (Analysis of Socioeconomic Costs of Child Missing)

  • 정익중;김성천;송재석
    • 한국사회복지학
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    • 제61권2호
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    • pp.371-389
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    • 2009
  • 실종아동문제는 한 가정의 문제로 끝나는 것이 아니라 사회문제로 발전할 수 있다는 데에 그 심각성이 있다. 하지만 실종아동문제에 대한 사회적 관심은 초보적인 수준에 머무르고 있다. 본 연구의 목적은 실종아동문제에 대한 사회적 관심을 불러일으키기 위해 아동실종의 사회경제적 비용을 추계하는 것이다. 전체적으로 1명의 장기실종아동이 발생하였을 경우, 약 5억 7천만원 정도의 비용이 발생하였다. 직접비용은 약 6,532만원으로 전체의 11.5%였으며 간접비용은 약 5억원으로 전체의 88.5%였다. 이는 실종을 예방하는 것이 가장 중요하지만, 실종 이후에는 단기간 내 찾기가 매우 중요함을 보여주고 있다. 본 연구결과를 통해 실종으로 인한 사회경제적 비용이 계산되어 실종에 대한 국민의 관심을 유발할 수 있고 예방에 대한 적정 투자비용에 관하여 자료를 추산할 수 있으며, 결과적으로 실종 예방에 대한 적극적인 국가적 투자를 유인할 수 있을 것이다.

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주요 건강기능식품 관련 홍보용 인터넷 건강 정보에 대한 평가 (Evaluation of Promotional Internet Health Information about Health Functional Foods)

  • 최지영;이진석
    • 보건교육건강증진학회지
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    • 제31권2호
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    • pp.65-78
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    • 2014
  • Objectives: The aim of this study is to evaluate promotional Internet health information on health functional foods with regard to labeling information, website structure, and overall quality. Methods : The websites of 15 producers of three health functional foods (Red ginseng, vitamin, aloe) were selected. Ministry of Food and Drug Safety (MFDS) required labeling information was used to evaluate the integrity of basic information, and the structural properties of the websites were investigated. Moreover, DISCERN instrument was used to evaluate reliability and quality of information. Results : 1) Among MFDS required labeling information, seven items, including 'sell by date', and 'possible side effects' were not fully specified, and only 6.7% of Internet advertisements provided 'possible side effects'. 2) Each of 92.9% of these websites offered 'Introducation to websites and producers', and 'customer service', whereas only 64.3% and 42.9% of these websites offered 'FAQ about website utilization' and 'multilingual support', respectively. 3) The evaluation using DISCERN instrument showed the scores of $2.03{\pm}0.24$ in reliability, $1.87{\pm}0.28$ in quality, and $2.10{\pm}0.55$ in overall quality. Conclusions : Current promotional Internet health information on health functional foods has various weaknesses in terms of reliability and quality that need to be improved.

WBAN 환경에서 동적 우선순위를 적용한 MAC 프로토콜에 관한 연구 (A Study on MAC Protocol with Dynamic Priority Adjustment in WBAN)

  • 정필성;조양현
    • 한국정보통신학회논문지
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    • 제18권7호
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    • pp.1589-1598
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    • 2014
  • IEEE 802.15.6 표준화 문서에서 WBAN을 위한 MAC 프로토콜은 의료용 센서 노드의 주기적인 데이터를 효율적으로 처리하기 위해서 8단계로 나누어진 트래픽 우선순위를 기준으로 응급 상황에서 발생하는 트래픽을 가장 높은 우선순위로 처리하는 CSMA/CA(Carrier Sense Multiple Access with Collision Avoidance) 알고리즘을 수행하게 된다. 노드가 전송하는 응급 메시지는 충돌이 발생하게 되고 응급 메시지 전송을 위한 전송 지연을 만족하지 못하는 상황이 발생할 수 있으며 재전송으로 인한 에너지 낭비를 가져올 수 있다. 본 논문에서는 이러한 문제점들을 해결하기 위해서 다음과 같이 WBAN 환경에서 데이터 종류와 전송률을 고려한 CSMA/CA 알고리즘 요소기술을 제안하였다. 성능평가 결과 제안한 MAC 프로토콜을 사용했을 때가 IEEE 802.15.6을 사용했을 때 보다 충돌 확률이 감소하여 패킷 전송 성공률과 에너지 효율이 개선된 것을 확인할 수 있었다.

델파이를 활용한 치과 중간관리자의 직무역량모델 개발 (Development of a Job Competency Model of a Dental Intermediary-Manager Using the Delphi Method)

  • 문학진;임순연
    • 치위생과학회지
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    • 제17권2호
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    • pp.150-159
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    • 2017
  • 치과의료기관의 경영성과를 달성하기 위해서는 치과 중간관리자의 직무역량은 매우 중요하다고 볼 수 있다. 따라서 본 연구에서는 문헌고찰, FGI, 델파이 조사를 통해 치과 중간관리자의 직무역량모델을 개발하는 데 목적이 있다. 먼저 문헌고찰과 FGI를 거쳐 치과 중간관리자 직무역량 모형은 6개의 역량군, 25개의 하위역량, 그 안에 125개 행동지표로 도출하였다. 도출된 치과 중간관리자 직무역량모델 초안은 3차에 걸친 델파이 조사를 통해 치과경영관리, 진료지원, 인적자원관리, 의사소통과 고객관리, 리더십, 자기관리와 태도의 6개의 역량군으로 구성하였고 각 역량군에 따른 25개의 하위역량과 95개의 행동지표로 구성된 최종 치과 중간관리자의 직무역량모델을 개발하였다. 본 연구에서 개발한 치과 중간관리자 직무역량모델은 치과 중간관리자의 교육프로그램 개발의 기초자료로 활용될 뿐만 아니라 치과 중간관리자의 선발, 평가 등 광범위하게 활용될 수 있을 것이다.

추나의학 관련과목 개설현황 조사 (Curriculum Analysis of Chuna Manual Medicine in Korea)

  • 박태용;신병철
    • 척추신경추나의학회지
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    • 제5권1호
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    • pp.157-168
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    • 2010
  • Objectives: The aim of this study was to investigate the curriculum of Chuna manual medicine (CMM)-related subjects in oriental medicine college and to let CMM have opportunities to develope current curriculum and basic circumstance for CMM. Methods: Questionnaire was obtained from 11 oriental medicine college and 1 school of Korean medicine, Pusan National University, bye-mail. If there was any insufficient information from response, we asked more information by direct call. Results and Conclusions: The findings from our study can be summarized as follows: 1. There are three CMM-related subjects, CMM, Oriental Rehabilitation Medicine (ORM) and Neuromusculoskeletology(NMS). All curriculums of 8 colleges belonged to classification I have CMM and DRM courses. Curriculums of 4 colleges belonged to classification II, have ORM or NMS course without CMM course. 2. 10 colleges of 11 ones which have ORM course, have major compulsory courses, 1 college has a major optional course. 5 colleges of 8 ones which have CMM course, have major compulsory courses, 3 colleges have major optional courses. 2 colleges have only part-time lecturers for CMM course, other 2 college have cooperation of specialized professors and part-time lecturers, another 8 colleges have only specialized professors. 3. Most CMM-related subjects is teached at 3 or 4 grade of medical course. The units taken for CMM-related subjects is minimum 4 units to maximum 8 units in total about 160 units. 4. Total class hour for CMM-related subjects is minimum 120 hours to maximum 225 hours, and practice hours is about minimum 30 hours to maximum 75 hours. 5. The systematic regulation and financial support is needed for patients to get the best CMM treatment, because the present curriculum of CMM is insufficient for carrying out the best manual therapy for patients.

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간호사의 임상에서의 의사소통장애에 관한 연구 (The Study on the Communication Barrier for Nurses in Clinical Settings)

  • 장성옥;박영주
    • 기본간호학회지
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    • 제6권1호
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    • pp.130-140
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    • 1999
  • This study was designated to investigate communication barriers of nurses in clinical settings. This study was done in 2 phases, first content analysis on descriptions of 50 nurses in three general hospitals and 40 nursing students on communication barriers for nurses in clinical settings, and second a survey to investigate the factors related to communication barriers and the relation between the nurse's characteristics and the extent of communication barriers in clinical settings from two nurses educators, 13 nursing students who experienced clinical practice and 71 nurses in 11 general hospitals. The results are as follows : 1. Through content analysis, 11 properties of communication barriers for nurses in clinical settings were identified. These were inappropriate communication style as a nurse, lack of professionalism, in appropriate control of emotions, lack of knowledge about the clincal setting, the lack of preparation about content of communication, the problem in trust relation, differences in priorities in needs, uncontroleable situation for nurses, inappropriate nurses' perception about patients, conflict with medical team and inadequate systematic support were identified and grouped in to four categories, communicator, message, feed-back and communication context. 2. The four factors in communication barriers for nurses in the clinical setting were identified and named as ambiguity in the nurses' position, lack of confidence, difference in perspectives with patients and in-adequate nurse-patient relationship. 3. There was a significant difference(F=5.31, P=0.0022, F=3.62, P=0.0316, F=2.80, P=0.067, F=9.01, P=0.0003) among the groups according to work place in rating the extent of the communication barrier in the clinical setting and in the four factors, the nurses working in the psychiatric patient unit rated the communication barrier in the clinical setting lowest among the groups. There was a significant negative correlation between the length of the nurses's carrier and the extent of communication barrier in three factors, ambiguity in the nurses' position, lack of confidence and inadequate nurse-patient relationship.

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중증 근무력증과 전신성 홍반성 낭창의 동반 발생 (Coexistence of Myasthenia Gravis and Systemic Lupus Erythematosus)

  • 허재혁;민주홍;조중양;김남희;이광우
    • Annals of Clinical Neurophysiology
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    • 제7권2호
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    • pp.93-96
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    • 2005
  • Background: Myasthenia gravis (MG) and systemic lupus erythematosus (SLE) are well recognized to coexist and have some similarities in immunologic, clinical and serologic findings. Despite several reports of the association with autoantibodies and thymectomy in these disorders, the pathomechanism of coexistence remains to be elucidated. Objective: We aimed to investigate the relationship of MG and SLE through overall features of patients with both disorders;: clinical, laboratory, and electrophysiological findings. Materials and Methods: We reviewed the medical records of 6 consecutive patients with MG and SLE (2 men, 4 women, ages 17-51, mean 30.5 years, Seoul National University Hospital, from 1998 to 2005). Results: Three patients who developed SLE first, had ocular type of MG and 2 were children showing much severe and recurrent SLE features and only 1 patient had thymic hyperplasia. The other 3 developed MG first and they were generalized type and none underwent thymectomy. In addition, the development of MG or SLE was not coincident with remission or improvement of another disorder. Conclusion: The coexistence of SLE and MG may support the hypothesis of two different antibody populations modulated by thymus in the opposite extremesThis report suggests that the systemic and extensive autoimmune response in preceding MG or SLE may effect the development of the other disorder followed, while. the coexistence of two disorders cannot be explained by the hypothesis of two different antibody populations modulated by thymus in the opposite extremes The role of thymectomy and the theorectical subsequent effect on the development of SLE have been debated with controversy. However, SLE occurred without thymectomy in MG and these disorders did not develop in the quiescent period of another disorder. Therefore, the other pathomechanism for the coexistence of MG and SLE should be elucidated.

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A Substrate Serves as a Hydrogen Atom Donor in the Enzyme-Initiated Catalytic Mechanism of Dual Positional Specific Maize Lipoxygenase-1

  • Huon, Thavrak;Jang, Sung-Kuk;Cho, Kyoung-Won;Rakwal, Randeep;Woo, Je-Chang;Kim, Il-Chul;Chi, Seung-Wook;Han, Ok-Soo
    • Bulletin of the Korean Chemical Society
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    • 제30권4호
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    • pp.917-923
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    • 2009
  • The maize lipoxgyenase-1 is a non-traditional dual positional specific enzyme and the reaction proceeds via enzyme-initiated catalysis. Bioinformatic analysis indicated that the maize lipoxygenase-1 is structurally more similar to soybean LOX1 than pea LOXN2 in that it has an additional external loop (residues 318-351) in the carboxy-terminal catalytic domain. We analyzed the dependence of product distribution on concentration of linoleic acid and monitored the formation of hydroperoxyoctadecadienoic acid as a function of enzyme concentration. Product distribution was strongly influenced by substrate concentration, such that kinetically-controlled regioisomers were enriched and thermodynamically-controlled regioisomers were depleted at high substrate concentration. Kinetic studies indicated that the formation of hydroperoxyoctadecadienoic acid saturated rapidly in an enzyme concentration-dependent manner, which implied that reactivation by reoxidation of inactive Fe(II) failed to occur. Our results support the previously proposed enzyme-initiated catalytic mechanism of the maize lipoxgyenase-1 and reveals that a substrate molecule serves as a hydrogen atom donor in its enzyme-initiated catalysis.

질적-양적 연구방법론의 혼합에 의한 의료사회복지사의 소진탄력성 및 소진위험성 척도개발 연구 (Creating and Validating Scale of Resilience to Burnout and Scale of Burnout Risk with Mixed Methods)

  • 최명민
    • 한국사회복지학
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    • 제59권4호
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    • pp.245-272
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    • 2007
  • 본 연구는 혼합방법론의 탐색설계 중 척도개발모델에 의거하여 소진탄력성척도와 소진위험성척도를 개발하고 그 과정에서 산출된 자료들의 의미를 탐색하기 위한 것이다. 이를 위하여 척도개발모델 1단계에서는 선행 질적연구를 통해 도출한 의료사회복지사의 소진 보호 및 위험요인에 기반을 두고 각 척도의 내용을 구성하였고, 2단계 양적 연구 단계에서는 의료사회복지사 185명의 조사자료를 분석하여 척도들의 구성타당도와 신뢰도를 검증하였다. 확인적 요인분석 결과 6요인 31문항의 소진탄력성척도와 6요인 27문항의 소진위험성척도의 구성타당도가 검증되었으며, 두 척도의 신뢰도는 소진탄력성 0.92, 소진위험성 0.90으로 나타났다. 더불어 각 척도 및 하위요인들 간의 상관관계 분석을 통해 소진탄력성과 소진위험성의 속성 및 관계에 대한 분석을 제시하였고, 인구사회학적 변인들에 의한 조사 결과도 살펴보았다. 이와 같은 혼합방법론에 의한 척도개발과정을 통해 현장의 목소리를 최대한 반영하면서 수량적으로도 타당도와 신뢰도가 검증된 척도를 개발할 수 있었다.

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