• 한국의료질향상학회지
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• 제5권2호
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• pp.176-189
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• 1998

This study was conducted to evaluate the subjective ideas about the determinants of quality in ambulatory care unit among outpatients and medical staff of a university hospital, and to compare the differences of the ideas, between patients themselves and hospital staff. A self-administered questionnaire survey was conducted covering 799 outpatients and 190 hospital staff in March, 1998. The questionnaire included general characteristics and 26 determinants of ambulatory care quality. The following are summaries of the findings: 1. Both of outpatients and hospital staff perceived, "Physician's knowledge" as the most important determinant of medical care quality. 2. In respect of 7 determinants related to physician's knowledge and skill, both outpatients and hospital staff perceived "physician's knowledge and skill" as important determinants. The scores of determinants such as, "Not doing unnecessary examinations", and "Assignment of adequate number of patients and duty schedule for the physician" were significantly different between outpatients and hospital staff. 3. In respect of 4 determinants related to doctor-patient relationship, both outpatients and hospital staff perceived "attention to patient's complaints" as the most important determinant. The scores related to the determinants such as "kindness of physician" and "explanation of treatment outcome" were significantly different between outpatients and hospital staff. 4. Among the amenities related determinants, "Modern facilities and equipments" were perceived as the most important determinant in both group. 5. In respect of 8 determinants related to non-financial accommodation, outpatients perceived, "Waiting hours for treatment" as the most important determinant, and hospital staff perceived, "Kindness of hospital staff". 6. In respect of 4 determinants related to financial accommodation, outpatients perceived, "Fare account of medical cost" as the most important determinant, and hospital staff perceived, "Increasing reimbursements". Further comprehensive research should be made on the evaluation of perceptions of medical care quality, both of outpatient and inpatient care, among patients and hospital staff. So good quality in medical care will be achieved based on clients' needs.

• 한국전문물리치료학회지
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• 제23권4호
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• pp.16-26
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• 2016

Background: Deficiencies in the ability to maintain balance are common in elderly. Augmented feedback such as knowledge of results (KR) can accelerate learning and mastering a motor skill in older people. Objects: We designed this study to examine whether one session of Wii-Fit game with self-regulated KR is effective for elderly people, and to compare the effect of two different timings of self-regulated KR conditions. Methods: Thirty-nine community-dwelling elders, not living in hospice care or a nursing home, participated in this study. During acquisition, two groups of volunteers were trained in 10 blocks of a dynamic balancing task under the following 2 conditions, respectively: (a) a pre-trial self-regulated KR ($n_1=18$), or (b) a post-trial self-regulated KR ($n_2=21$). Immediate retention tests and delayed retention tests of balancing performance were administered in 15 minutes and 24 hours following acquisition period, respectively. Results: In both groups, significant improvements of balancing performances scores were observed during the acquisition period. Regardless of the group, mean of balancing performance scores on retention tests were well-maintained from the final session. There were no significant differences between groups in balancing performance scores during the acquisition period (p>.05); however, the post-trial self-regulated KR group exhibited significantly higher balancing performance scores in both the immediate retention test and delayed retention test than that of the pre-trial self-regulated KR group (p<.05). Conclusion: Therefore, subjects who regulated their feedback after a dynamic balancing task, during the acquisition period, experienced more efficient motor learning during the retention period than did subjects who regulated their feedback before a dynamic balancing task. Accordingly, in case of presenting the KR of motor learning in clinical settings to elders who reduced dynamic balance abilities, the requesting time of KR is imperative according to self-estimation processes as well as types of KR and practice.

• 디지털융복합연구
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• 제16권2호
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• pp.9-17
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• 2018

본 연구는 음성인식기술이 급격한 고령화를 맞고 있는 우리 사회의 노인문제 해결을 위해 어떻게 활용될 수 있는지를 목표로 삼았다. 국내에서도 본격적으로 고령자들을 위한 공공지원서비스나 민간간병 서비스 등이 확대될 것으로 예상된다. 이 때 음성인식기술은 미디어인터페이스에 익숙하지 못한 노인들에게 다양하게 활용될 수 있다. 이를 위해 본 연구진은 국내의 음성인식기술의 활용가능성과 일본 방문시 노인 간병에서 음성인식기술을 통해 이룬 성과를 조사했다. 특히 간병인들이 보고서를 작성할 때 음성인식기술을 이용해 수기로 작성하던 보고를 대체하여 업무시간을 크게 축소한 바 있는데, 이러한 방법은 국내에서도 쉽게 정책적으로 실행될 수 있다고 판단했으며, 음성인식기술이 탑재된 로봇의 개발을 통해 노인부양의 사회적 비용을 줄여야 한다는 결론 역시 도달했다. 아울러 음성인식기술이 다양한 정서인식기능의 인공지능기반 프로그램과 결합을 통한 다양한 정책이 도모되어야 한다는 사실 역시 제안할 수 있게 되었다.

• 한국학교보건학회지
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• 제4권2호
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• pp.61-77
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• 1991

This study was carried out from April 11 to May 10 1990, in order to evaluate the effect of health education by school nurses on the regular schedule of 6 hours per week from 1987, and to compare with the result of the same study performed in 1987. The data were collected by questionnaire from 589 primary school students, 425 middle school students, and 888 high school students, total 1,902 students, and 208 primary school teachers, 169 middle school teachers, and 539 high school teachers, total 916 teachers in Seoul. Analysis of data was done utilizing SPSS-X program for percentage, frequency and Chi-square test. The major results obtained from this study were as follows: 1. The demand of health education was higher in high school students(p<0.01), but not in other students and teachers than in 1987(p>0.01). 2. The satisfaction to health education was higher in middle school and high school students, and high school teachers(p<0.01), but not in other students and teachers than in 1987(p>0.01). 3. The concern about school health events was higher in primary school and high school students than in 1987(p<0.01), but not in middle school students and every school teachers than in 1987(p>0.01). 4. The practice of knowledge obtained from health education was more in every school students than in 1987(p<0.01). 5. The delivery of knowledge obtained from health education to family was higher in primary school students, but lower in high school students than in 1987(p<0.01). 6. The concern about school nursing room was higher in primary school students(p<0.01), but not in other students(p>0.01). 7. The interest pattern of students about health was revealed to be changed compared with the data obtained in 1987 : the most interested part was family health and sex. The school level was statistically significant(p<0.01).

• 보건교육건강증진학회지
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• 제24권1호
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• pp.63-74
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• 2007

Objectives: This study aimed to evaluate the educational effect of the Field Epidemiology Specialist Training Program for School Nurse which composed of 18hours curriculum. Method: The subjects were 797 who participated in the 2005 training program. Data was collected with structured questionnaires(knowledge on the control of communicable disease 15 items, attitude 15 items, and confidence in practice 14 items, demographic characteristics 4 items) before (January) and after (July to October) programs in 2005. Results: Knowledge on the control of communicable disease was improved from 9.7 points (possible range : 0-15) before program to 11.9 points after program. Attitude was improved from 53.6 points (possible range : 15-60) before program to 55.7 points after program. Confidence in practice was changed from 45.9 points (possible range : 14-56) before program to 50.0 points after program. Even though all three areas were improved after educational program, knowledge showed the largest change among them. Conclusion: We can conclude the educational program was effective because knowledge, attitude, and confidence in practice on the control of communicable were statistically significantly improved after educational program. Further educational program is recommended to be operated to get more improvement in attitude and confidence in practice. And short-term continuing educational program is needed to maintain and refresh the information on the control of communicable diseases in schools.

• 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.

• 대한임상검사과학회지
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• 제43권3호
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• pp.98-104
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• 2011

To evaluate the physioactivity of Salicornia herbacea L. (SH), which are obtained from Sunchon bay as wild plants, an SH extract was prepared by freeze drying to obtain SH, and by cold drying to obtain SH. For the evaluation of their bioactivities, cell viability and antioxidative effect were measured. The XTT assay was adopted to measure cell viability after C6 glioma cells were treated with various concentrations of reactive oxygen species (ROS) and hydrogen peroxide ($H_2O_2$) for 8 hours. The DPPH-radical scavenging activity was also measured for the antioxidative effect. In this study, the $XTT_{50}$ value of $H_2O_2$ was determined at $30{\mu}M$ which was highly toxic based on the cytotoxic criteria by Borenfreund and Puerner. The protective effect of SH extract significantly increased cell viability compared with $H_2O_2$-treated group. Its antioxidative effect showed a significant DPPH-radical scavenging activity at concentrations of $1-100{\mu}g/mL$, while SH extract showed highly a DPPH-radical scavenging activity at only $100{\mu}g/mL$. From these results, $H_2O_2$ was highly toxic in cultured C6 glioma cells, and SH extract was effective in the prevention of cell damage by its antioxidative effect.

• The Journal of Korean Physical Therapy
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• 제16권3호
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• pp.9-21
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• 2004

The purpose of study is that we will observe the change of c-fos with the immunohistochemistry method and then we will study the effect of micro current stimulation following the frequency after inducing pain to rats with capsaicin. Rat were classified to SD and they have growed for 8 weeks. We classify to four groups, ordinal group is used in experiment I, the group which we induce pain is used in experiment II, the application group which we induce pain and then the high frequency micro current stimulation is used in experiment III, the application group which we induce pain and then the low frequency micro current stimulation is used in experiment IV, we get the following result. Compare with experiment II, experiment III, and experiment IV from acute pain modal in the immunohistochemistry experiment which has c-fos protein as an antigen, c-fos immunoreactive positive neurons significantly after induced pain for two hours(p<0.001). According to these results, from rats induced pain, micro current stimulation effect to reducing pain, but following frequency micro current stimulation theraphy isn't different from immunoreactive c-fos

• 한국학교보건학회지
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• 제22권2호
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• pp.103-111
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• 2009

Purpose: By analyzing factors related to suicide ideation of Korean middle and high school students, the purpose of this study was to multi-dimensionally understand suicide ideation of Korean middle and high school students and arrange the plans to prevent suicide. Methods: This study used and analyzed the data on ‘The 3rd (Year2007) Korea Youth Health Risk Behavior Web-based Survey (KYHRBWS)' conducted by the Korea Centers for Disease Control and Prevention. In this study, we analyzed 74,698 respondents in total. SPSS 12.0 Program was used to analyze the survey. Descriptive statistics, Chi-Square Test and multivariate logistic regression were also used as research methods. Results: 23.8% of the Korean middle and high school students had suicide ideation during the last one year. Girls had higher possibility of suicide ideation by 1.51 times compared to boys. Students with poor academic achievement had more suicide ideation. In terms of health characteristics, students who perceived themselves as not healthy, and students with short weekday sleeping hours, more drinking experience and more smoking experience had more suicide ideation than others. Furthermore, students who perceived themselves as overweight or obese had more suicide ideation than other students. In terms of mental characteristics, students with high level of stress, low level of happiness and depression had more suicide ideation. Conclusion: As a result of this study, we found out that the factor that had the biggest influence on suicide ideation of Korean middle and high school students was depression. Consequently, active supports and policies to decrease suicide ideation of Korean middle and high school students are necessary. Therefore, active interviews, education for suicide prevention, and periodical screening inspection should be introduced in schools.

• Korean Journal of Acupuncture
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• 제34권1호
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• pp.1-7
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• 2017

Objectives : The purpose of this study was to evaluate effects of taping therapy on recovery of behavioral symptoms and neural excitability of the lumbar spinal cord in rat model for ankle sprain. Methods : Adult Sprague-Dawley rats was used and divided into 3 experimental groups: normal group(n=6), ankle sprain(n=6), and ankle sprain with taping treatment(n=6). In order to induce ankle sprain the right ankle joint was injured with 4~5 repetitive over-flexions and over-extensions manually. The severity of joint pain was evaluated by measuring foot weight bearing force ratio(FWBRF) of the hind limb and the injury-induced edema formation by diameter of the joint following ankle sprain. The changes of neural excitability in the lumbar spinal cord was tested by observation of cFos protein expression, a metabolic marker for neural excitation. Results : Severity of ankle injury induced in this experiment coincided with Grade 1 ankle sprain. Compared with ankle sprain group, ankle sprain＋taping showed a significant reductions of joint pain as well as of edema formation at the ankle joint following ankle sprain. There was significant upregulation of cFos-immunoreactive neurons in the lumbar spinal cord 24 hours after ankle sprain. In contrast, taping therapy resulted in significant inhibition of cFos-immunoreactive neurons in the lumbar spinal cord. Conclusions : Collectively, these results suggest that taping therapy may be an alternative therapeutic intervention for symptom recovery of the mild ankle sprain.