• 성인간호학회지
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• 제28권2호
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• pp.169-179
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• 2016

Purpose: The purpose of this study was to investigate the effects of simulation-based training (SBT) for basic life support (BLS) utilizing video-assisted debriefing (VAD) about non-technical skills (NTSs) and technical skills (TSs). The goal of the proposed study is the evaluation of a teaching method about the correct application of cardiopulmonary resuscitation (CPR). Methods: The study design was a control group pre- and post-test non-synchronized experimental design. The sample included twelve teams of 36 nursing students. Both the experimental and the control groups received the SBT for BLS. Only the experimental groups received VAD where as the control groups had a verbal debriefing. Raters who used checklists for TSs and NTSs evaluated both groups. Data were analyzed by the SPSS 20.0 using Cronbach's ${\alpha}$, Intraclass Correlation Coefficient (ICC), Mann-Whitney U test and Willcoxon signed rank test. Results: The experimental groups scored higher than the control groups in both TSs (p=.004) and the NTSs (p=.008). Conclusion: The findings of this study suggest that NTSs are an important factor that lead CPR successfully, so VAD can be used as an efficient teaching-learning strategy in the SBT for BLS for nursing students and nurses.

• Asian Pacific Journal of Cancer Prevention
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• 제16권3호
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• pp.1201-1206
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• 2015

Background: Tobacco is consumed in both smoking and smokeless forms in India. About 35-40% of tobacco consumption in India is in the latter. The study objective was to describe the association between chewing tobacco and adult mortality. Materials and Methods: A case-control study was conducted in urban (Chennai city) and rural (Villupuram district) areas in Tamil Nadu state in South India. Interviewed in 1998-2000 about 80,000 families (48,000 urban and 32,000 rural) with members who had died during 1995-1998. These were the cases and their probable underlying cause of death was arrived at by verbal autopsy. Controls were 600,000 (500,000 urban, 100,000 rural) individuals from a survey conducted during 1998-2001 in the same two study areas from where cases were included. Results: Mortality analyses were restricted to non-smoking non-drinkers aged 35-69. The age, sex, education and study area adjusted mortality odds ratio was 30% higher (RR:1.3, 95%CI:1.2-1.4) in ever tobacco chewers compared to never chewers and was significant for deaths from respiratory diseases combined (RR:1.5, 95%CI:1.4-1.7), respiratory tuberculosis (RR:1.7, 95%CI:1.5-1.9), cancers all sites combined (RR:1.5, 95%CI:1.4-1.7) and stroke (RR:1.4, 95%CI:1.2-1.6). Of the cancers, the adjusted mortality odds ratio was significant for upper aero-digestive, stomach and cervical cancers. Chewing tobacco caused 7.1% of deaths from all medical causes. Conclusions: The present study is the first large study in India analysing non-smoking non-drinkers. Statistically significant excess risks were found among ever tobacco chewers for respiratory diseases combined, respiratory tuberculosis, stroke and cancer (all sites combined) compared to never tobacco chewers.

• 대한간호학회지
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• 제26권2호
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• pp.483-496
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• 1996

The purpose of this study was to describe how Korean nurses overcome the language barrier while working in the U.S. hospital settings. Twelve Korean nurses living in New York metropolitan area were asked open-ended, descriptive questions to collect the data. The interviews were done in Korean. All interviews were audiotaped under the permission of the participants and were transcribed verbatim. The data were analyzed using grounded theory analysis. The research process consisted of two phases. In the first phase 8 Korean nurses were interviewed and analyzed. In the second phase, further data were collected to verify categories and working hypotheses that were emerged from the first phase. The results of this study show that all Korean nurses experienced severe psychological stress such as confusion, anxiety, frustration, loss of self-confidence, embarrassment, guilt, depression, anger, and fear. Among the mode of communication such as listening, speaking, leading, and writing, they had the most difficulty in speaking. Speaking ability was especially important for them because of the emphasis of individualism and self-defense in the U.S. Among the verbal communication modes, non-face-to-face communications such as phone conversation and body language were the most difficu1t for them to overcome. It took at least 2 years for the participants to initially overcome the language barrier in U.S. hospitals. After 2-5 years they began to feel comfortable even in non-face-to-face communication. They could actively search for the better place to work after 5 years. They finally felt comfortable in English and in their job almost after 10 years. The factors that influenced the English improvement were ‘the years of clinical experience in Korea’, ‘the decade they came to the U.S.’ ‘coming to U.S. alone or with other Korean nurses’, ‘racial homogeneity or heterogeneity of the working unit’, and ‘the degree of social support’. The strategies Korean nurses used to overcome the language barrier included depending on the written communication, using ‘nunchi’, working and studying hard, and establishing good interpersonal relationships with co-workers. They also employed assertive behavior of the U.S., such as using more explicit verbal language and employing smiles and eye contact with others during the conversation. The results of the study may help Korean nurses and nursing students who try to work in U.S. hospital settings by understanding problems other Korean nurses faced, factors that influenced their English improvement, and strategies they used. They may also help U.S. nurses and administrators in developing and implementing efficient programs for newly employed Korean nurses by understanding major problems and feelings the Korean nurses experienced and strategies they used to overcome the language barriers.

• 전자공학회논문지CI
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• 제40권1호
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• pp.59-73
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• 2003

인터넷 가상공간에서 서로 다른 언어 사이의 언어 장벽을 극복하기 위한 한 방법으로 CG 애니메이션 기술을 이용한 수화 통신 시스템이 연구되고 있다. 지금까지 연구에서는 비언어 통신 수단으로서 팔과 손의 제스춰만을 고려하였으나, 얼굴 표정이 의사전달에 중요한 요소가 된다. 특히 사실적인 감정표현보다는 얼굴 요소가 과장된 코믹한 표현이 보다 효과적이고, 또 눈썹, 눈, 입 등의 AU(Action Units)만이 아니라 뺨과 턱의 움직임도 중요한 역할을 하게 됨을 알게 되었다. 따라서 3D 표정 생성 에디터에서 AU를 추출하고, 보다 효율적을 표정 생성을 위해 FACS(Facial Action Unit)으로 분류한다. 또 기존에 표정 에디터에 비해서 제안된 표정 에디터는 PAU에 대한 강도를 강하게 줌으로써, 6가지 표정을 분리할 수 있음을 보인다. 또한 얼굴 표정 생성에서 “뺨을 올림”과 “턱을 내림”에 대한 움직임을 자동화하기 위해서 포물형 편미분식(Parabolic Partial Differential Equations)과 Runge-Kutta법을 이용하여 보다 자연스러운 표정을 생성하였다. 또한 이를 이용하여 구조가 서로 다른 아바타 모델에 감정을 재생하는 방법을 제안하였다. 본 방법을 윈도우 플렛폼에서 Visual C＋＋와 Open Inventor 라이브러리를 이용하여 구현하였으며, 실험 결과 언어의 장벽을 넘을 수 있는 비언어 통신수단으로 이용될 수 있는 가능성을 확인하였다.

• 대한영상의학회지
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• 제79권6호
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• pp.323-331
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• 2018

목적: 간종양의 경피적 고주파 열치료(radiofrequency ablation, 이하 RFA) 도중 및 종료 후 발생하는 통증을 관리하는데 있어 흉부방척추블록(thoracic paravertebral block, 이하 TPVB)의 효용성을 평가하고자 하였다. 대상과 방법: TPVB를 시행하지 않은 그룹(4명; 4개 종양, 4회 RFA)과 시행한 그룹(5명; 7개 종양, 7회 RFA)으로 나누었다. 초음파 유도하 TPVB는 7번 흉추에서 시행하였다. 시술 전 우측 방척추 공간에 0.375% ropivacaine을 15 mL 주입하였다. 시술 중 환자가 통증을 호소하며 진통제를 요구하거나 구두통증척도(verbal numerical rating scale) 4점 이상의 통증을 호소하면 fentanyl $25{\mu}g$ (최대 $100{\mu}g$), pethidine 25 mg, midazolam 0.05 mg/kg (최대 5 mg)을 순차적으로 정맥 주입하였다. 결과: RFA 전, 도중, 후 사용된 진통제의 총 정맥 주입 모르핀 등가(total intravenous morphine equivalence)는 TPVB를 시행하지 않은 그룹에서는 129.1 mg이었고, 시행한 그룹에서는 0.0 mg이었다. 결론: 초음파 유도하 TPVB는 간종양의 RFA 도중 및 후에 발생하는 통증을 감소시키는데 효과적이고 안전한 방법일 수 있겠으며 마약성 진통제의 사용량을 줄이는데 도움이 될 것이다.

• 한국과학교육학회지
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• 제42권2호
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• pp.253-264
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• 2022

본 연구에서는 이언 해킹(Ian Hacking)의 '현상의 창조'의 관점으로 과학자의 실행을 살펴보았다. 해킹의 관점에 따르면 과학적 현상은 규칙적인 것으로 과학자의 개입이나 실험 도구 없이는 자연 상태에 존재할 수 없다. 본 연구는 네 명의 생명과학자가 직접 경험한 '손탄다' 현상에 대한 생각과 에피소드를 분석함으로써 과학 교육적 의미를 도출하였다. 손탄다 현상은 과학자들 사이에서 통용되는 은어로써 동일한 실험 방법과 재료를 가지고 실험을 수행함에도 결과가 일정하게 나타나지 않는 현상을 일컫는다. 연구 결과 다음과 같은 네 가지 교육적 시사점을 도출하였다. 첫째, 실험에서 단순히 실험과정에 익숙해지는 것을 넘어 매순간 적절한 판단과 반응을 통해 당면한 문제를 해결하는 체화된 지식, 즉 비언어적인 지식의 중요성을 확인하였다. 이는 학생들에게 실제적인 탐구 경험을 제공하기 위해서 명제적 지식과 더불어 비언어적인 지식을 균형 있게 다루어야함을 시사한다. 둘째, 실험의 이미지를 재고하고자 하였다. 과학자의 인터뷰에 의하면 현상은 드물게 나타나며 현상을 안정화하기까지는 오랜시간이 소요된다. 반면 학교 실험의 이미지는 늘 성공적이고 안정적이므로 이에 대한 관점의 변화가 요구된다. 셋째, 과학적 실천의 구체적인 의미를 확인할 수 있었다. 본 연구는 과학자가 상황적 맥락에 맞게 지식을 적절하게 활용하는 것을 확인하였으며 이를 바탕으로 과학적 실천을 학교 교육에 적용시킬 방안에 대해 논의하였다. 마지막으로 손탄다 현상은 불확실성을 촉발함으로써 학생들을 과학적 참여로 이끄는 기회를 제공할 것으로 예상한다. 본 연구를 통해 학교실험 교육이 요리책식 실험을 탈피하여 학생들에게 과학적 실천을 경험시키려는 노력에 기여할 것으로 기대한다.

• 지식경영연구
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• 제24권2호
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• pp.185-209
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• 2023

위드 코로나와 함께 움츠렸던 항공 여행업계가 다시 날개를 달고 있다. 이에 본 연구는 국내 항공사를 통해 최근 1년이내 해외여행을 다녀온 승객을 대상으로 항공사 승무원과의 상호작용을 통해 경험한 비언어 커뮤니케이션 요인이 고객 인게이지먼트와 브랜드 친밀감에 영향을 미치는지 살펴보았다. 총 285명의 응답을 수집하였고, SPSS 28과 AMOS 26 프로그램을 이용하여 연구도구의 신뢰도와 타당도, 모델의 적합성, 가설을 검증하였다. 실증연구 분석 결과 항공사 승무원의 비언어 커뮤니케이션 요인에서 의사언어와 공간언어가 고객 인게이지먼트에 유의미한 영향을 미치는 것으로 확인되었다. 코로나 19 이후 관점의 변화에 따라 기존 연구 결과와는 다르지만, 승객과의 접점에서 대면 서비스를 제공하는 데 있어 항공사 승무원 커뮤니케이션의 중요성을 다시 한 번 확인했다. 또한 새로운 고객만족 경영 지표인 고객 인게이지먼트를 유도하기 위해서는 항공사 승무원의 비언어적 요소에 대한 지속적인 교육과 관리가 필요하다. 또한 고객 인게이지먼트가 브랜드 친밀감에 유의한 영향을 미치는 것으로 확인되었다. 이러한 결과는 기존의 가격 인하나 충성도 확보 중심의 마케팅에서 감정과 관계 마케팅의 새로운 고객 관리 지표를 정립할 필요가 있다는 견해를 뒷받침한다. 항공사 승무원과의 상호작용이 고객 인게이지먼트에 기여할 수 있음을 확인하였으며, 이러한 결과는 항공 운송 산업 종사자에게 중요한 의미를 갖는다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제18권2호
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• pp.117-122
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• 2007

Practice parameters for non-pharmacological treatment of children and adolescents with pervasive developmental disorders are based on the scientific literature for evidence-based practices. Appropriate educational and behavioral interventions are important in improving the long-term outcome in pervasive developmental disorders. Early and sustained intervention appears to be particularly important. The goal for interventions is to gain pragmatic skills for verbal communication, playing with peers, daily living routines, self-management, and social adaptation. Appropriate involvement and collaboration with parents and family are essential for well-functioning intervention programs. The life-long nature of autism implies that the clinician should maintain an active role in long-term treatment planning and family support. Vocational training and training for more independent living are important for adolescents with autism. Professionals should be knowledgeable about local and national resources and opportunities for family support as well as support of the individual.

• 임상간호연구
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• 제19권3호
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• pp.468-478
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• 2013

Purpose: The purpose of this study was to identify the effects of balancing taping therapy on reducing headache in patients with angina pectoris undergoing nitrate IV therapy. Methods: A non-equivalent control group non-synchronized design was used. A total of 50 patients with angina pectoris undergoing nitrate therapy at G hospital participated in the study. For measuring pain intensity, the Visual Analogy Scale (VAS) and Non-Verbal Pain Behavior Scale were used. Data were analyzed using SPSS 19.0 program. Results: No significant differences were observed between the experimental and control groups in pain intensity. However, the number of times of analgesics of experimental group was significantly lower than those of control group. Conclusion: Balance taping can be effective in pain for patients undergoing nitrate IV therapy. Therefore, utilizing the balance taping can be useful method to reduce headache in patients with angina pectoris during the IV therapy of nitrate.

• 대한물리치료과학회지
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• 제9권1호
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• pp.45-52
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• 2002

This study was intended to observe the relationship of pain alleviation between the group with needle electrode electrical stimulation applied on bach of head, lung, nasalis internae, shen-men, pharynx & larynx, and internal secretion which are the pants to regulate smoking and that, with no treatment of the kind among smokers and con-smokers with chronic low back pain. It also aimed to conduct a research of applying different treatment methods according to smoking, thus ultimately providing basic data needed by clinic therapists and to help achieve appropriate treatment effects considering the characteristics of each patient. The subject criteria were men who were in their 40's or 50's, smoking or non-smoking and came to the physical therapy of the hospital to cure the chronic low back pain which had lasted more than three months. The total 24 subjects were randomly divided into four groups according to smoking; the group of smokers with needle electrode electrical stimulation applied, that of smokers with no application of such treatment, that of non-smokers with the action of such treatment, and that of non-smokers with no application of such treatment Each group was measured in terms of four pain assessment methods of visual analogue scale(VAS), verbal rating scale(VRS), McGil pain questionnaire(MPQ), endorphin. And the results were as follows: 1. In terms of the effects of the needle electrode electrical stimulation in the auricular therapy on pain had by the smokers with low back pain, there was a statistical significance in VAS, VRS, and endorphin 1 between before and after the treatment. 2. In terms of the pain effects had by the smokers with low back pain when no needle electrode electrical stimulation in the auricular therapy was applied, there was a statistical significance in VRS and MPQ between before and after the treatment. 3. In terms of the effects of the needle electrode electrical stimulation in the auricular therapy on pain had by the non-smokers with low back pain, there was a statistical significance in VAS, VRS, and MPQ between before and after the treatment. In terms of the pain effects had by the non-smokers with low back pain when no needle electrode electrical stimulation in the auricular was applied, there was a statistical significance in VAS, VRS, and MPQ between before and after the treatment. 5. The smokers with low back pain were given the needle electrode electrical stimulation in the auricular therapy to see how it affected their pain. There was found pain reduction in number, but no statistical significance. 6. The subject suffering from low back pain were given the needle electrode electrical stimulation to see how it affected their pain according to smoking. There was found pain reduction in number, but no statistical significance. Based upon the results, it can be concluded that smokers with low back pain received the more effects of pain alleviation from the application of the needle electrode electrical stimulation in the auricular therapy compared to the rest of the groups who suffered from low back pain.