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검색결과 116건 처리시간 0.023초

골반통 환자의 질환 검사: 초음파와 컴퓨터단층촬영 간의 비교 (Disease Testing in Pelvic Pain Patients: Comparison between Ultrasound and Computed Tomography Imaging)

  • 구은회
    • 방사선산업학회지
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    • 제17권4호
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    • pp.385-390
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    • 2023
  • The uterus, one of women's reproductive organs, is also closely related to women's health. Among them, hemorrhagic luteal cysts, one of the causes of pelvic pain that women often experience, were observed through CT and ultrasound, and the quality of images was evaluated through quantitative and qualitative evaluations. This study sought to find out whether the test method is more helpful to patients during CT and ultrasound. This study was conducted on 15 adolescent women and 15 adult women(21.31±3.45 average age). The equipment used for filming used EC3-10X (3~10 MHZ) and Philips Mx8000 iCT 256 among Endocavity Probes among Ecube Platinum. After setting a constant ROI on the cyst and the interface as a quantitative analysis method, SNR and CNR values were measured on a 5-point scale based on image quality, lesion clarity, image distortion, clarity of the interface, and motion artifacts (p<0.05). Independent t-test and Mann Whiteny U were performed, and the statistical program used was noted when SPSS (Version 22.0 for windows software package, Chicago, IL, USA) was statistically less than 0.05. Comparing the SNR and CNR values for this experiment, it can be seen that the SNR value was higher in the case of CT images(p<0.05). As a result of the qualitative evaluation, the quality of the image, the clarity of the lesion, the distortion of the image, the clarity of the interface, and the clarity of the boundary were measured on a 5-point scale based on the movement artifact. Comparing each score, CT images scored higher with a finer difference than ultrasound images(p<0.05). In conclusion, both test methods showed excellent results in finding the patient's lesions. However, in quantitative and qualitative evaluations, CT produced higher results in detecting lesions than ultrasound. However, for cyst tests that require continuous observation, ultrasonography, a non-invasive method that is advantageous for patients, will be clinically useful. Therefore, observing the patient's lesions by appropriately distributing these two test methods will provide optimal diagnostic information. These results will be useful for providing clinical basic data and educational materials to CT and US users in the future.

임상 1급응급구조사의 특성과 업무범위 간의 상관관계 (Correlation between scope of practice and clinical paramedic properties)

  • 엄태환;박상규
    • 한국산학기술학회논문지
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    • 제13권12호
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    • pp.5968-5975
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    • 2012
  • 본 연구의 목적은 임상 응급구조사 특성과 업무범위 간의 상관관계를 밝히는데 있다. 2012년 4월 9일부터 5월 12일까지 181명의 1급응급구조사가 성별, 학력, 경력, 실행업무, 의료지도 등의 조사내용에 무기명으로 답변한 자료를 대상으로 1종오류를 범할 확률 ${\alpha}$=0.05 수준에서 양측 검정으로 상관관계 등을 분석하였다. 실행하고 있거나 필요하다고 보는 업무는 32가지로 구분되었으며 응급환자를 위한 처치로 의료인이 행하는 침습적인 처치가 주를 이루었다. 1급응급구조사 업무범위에 대한 수행능력이 우수하다고 판단하면 법에 따른 업무, 실행하고 있는 업무, 필요한 업무에서 통계적으로 유의하게 업무범위가 확대되는 것으로 나타났다. 경력이 늘면 법에 따른 업무, 필요한 업무에서 통계적으로 유의하게 업무범위가 확대되는 것으로 나타났다. 그렇지만 전반적으로 상관계수는 0.238이하로 낮았다. 능력과 경력에 따라서, 1급응급구조사로 하여금 의사-환자 사이의 매개역할을 원활히 형성하도록 지원해 주는 의료지도체계가 빨리 확립되어 의료서비스의 질을 높이고 효율성을 기해야 하며, 1급응급구조사가 지도의사의 교육, 훈련, 지침, 근무규정 등에 의해 업무를 수행하게 하고 처치 활동은 질관리를 하면 처치의 안정성을 높일 수 있을 것으로 보인다.

19-65세 한국 성인의 악관절질환의 증상에 관한 실태조사 (Symptoms of Temporomandibular Disorders in the Korean Adults: An Epidemiological Study)

  • 김아현;안소연;김민정;이언화
    • 구강회복응용과학지
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    • 제27권3호
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    • pp.277-284
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    • 2011
  • 본 연구는 국민건강영양조사 제 4기, 2009년 자료 중 19~65세 성인의 자료를 이용하여 성별, 연령별 악관절질환 증상에 대한 실태조사를 실시하였다. 최종적으로 연구에 포함된 연구 대상자는 남성 2,738명, 여성 3,427명, 총 6,165명이었다. 모든 통계 분석은 윈도우용 SPSS 17.0K 프로그램(SPSS Inc., Chicago, USA)을 사용하였다. 성별, 연령, 악관절 질환 증상의 유병률의 분석은 기술통계분석을 실시하였고, 성별, 연령과 악관절질환 증상의 관련성을 알아보기 위해 교차분석을 실시하였다. 연구 결과 TMJ sound의 유병률은 10.1%, TMJ pain의 유병률은 1.5%, TMJ limitation의 유병률은 2.0%였다. 이 세 가지 악관절 질환 증상 중 한 개 이상의 증상을 가지고 있는 경우는 1.2%였다. 성별에 따른 악관절질환의 증상은 여성의 경우 TMJ sound, TMJ pain, TMJ limitation 증상의 유병률이 각각 10.7%, 1.8%, 2.2%로 남성 9.3%, 1.2%, 1.6% 보다 높았으나 통계적으로 유의한 차이는 없었다(p>0.05). 연령에 따른 악관절질환의 증상은 19~24세에서 TMJ sound, TMJ pain, TMJ limitation 증상의 유병률이 각각 18.7%, 3.4%, 4.2%로 다른 연령대에 비해 높은 유병률을 보였다(p<0.05). 또한 성별에 따른 악관절질환의 증상의 수는 '적어도 한 개 이상'의 악관절질환의 증상을 가진 경우, '적어도 두 개 이상', '세 개'의 악관절질환 증상을 가진 경우에서 여성의 유병률이 높았으나 모든 경우에서 통계적으로 유의하지 않았다(p>0.05). 그리고 연령에 따른 악관절질환 증상의 수는 '적어도 한 개 이상'의 악관절질환의 증상을 가진 경우, '적어도 두 개 이상', '세 개'의 악관절질환 증상을 가진 경우가 45세 미만의 경우에서 많은 것으로 나타났으며 이는 통계적으로 유의한 것으로 나타났다(p<0.05).

캐나다 스트랫포드의 문화산업 클러스터: 셰익스피어 축제를 중심으로 (Governance of the Shakespearian Festival of Canada: the Industrial Cluster Approach)

  • 신동호
    • 한국경제지리학회지
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    • 제10권3호
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    • pp.263-280
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    • 2007
  • 최근 세계 여러 나라에서 문화 예술 활동의 진흥을 통해 지역경제를 활성화하고, 지역의 정체성을 강화하는 한편, 주민들의 삶의 질을 제고하고자 노력하고 있다. 특히 선진 공업국들은 제조업의 침체로 인해 도시경제가 쇠퇴하고, 도시기반시설이 노후화, 혹은 유휴화되는 상황에 직면하여 문화활동을 진흥하여 그러한 문제를 해결하고자 하고 있다. 본 연구에서 취급하고자 하는 캐나다 온타리오 주의 스트랫포드는 제조업의 침체에 대비하여 이미 1953년부터 셰익스피어 작품을 소재로 매년 연극축제를 개최하여 북미 최고 수준의 극단을 보유하고 연간 약 60만 명의 관객과 200만 명의 관광객을 유치할 수 있게 되었다. 스트랫포드 시는 또한 이 사업을 통해 북미 전체, 혹은 세계적으로 알려졌고, 문화산업 클러스터를 형성하여 지역경제도 활성화시켰다. 본 연구는 스트랫포드의 이러한 성공 사례를 분석하여 한국의 문화산업 정책에 시사하는 바를 도출하는 한편, 문화 예술 활동의 활성화 과정을 유도하는 혁신주체는 무엇인지, 그들간의 관계는 어떻게 설정되었는지를 규명하고자 한다.

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주민참여 도구로써 가로경관 디자인 가이드라인 구성 연구 (A Study on The Structure and Contents of Streetscape Design Guideline as a Tool of Residents' Participation)

  • 강혜연;이연숙
    • KIEAE Journal
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    • 제12권4호
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    • pp.59-69
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    • 2012
  • In order to create humanitarian living environment with sustainable ecological environment, urban regeneration project has been implemented recently seeking diverse methods for residents'participation stressing the process of communication with the residents changing from the existing one way planning by limited number of experts. Particularly, it is essential to develop systematic tools to promote the voluntary and positive participation of the residents because residents have to perform as the master of urban streetscape design project that requires sophisticated knowledge and experience and also because the residents have to function as sustainable maintainers and managers of their streetscape. This study intends to identify the organizational structure and major contents of design guideline as a tool to support the voluntary and positive participation of the residents in streetscape maintenance. For this purpose based on the structural system and characteristics of Chicago streetscape design guideline that was developed as tool for residents' participation, efforts were made to set up framework of design guideline for sustainable streetscape project with the users' participation with their overall understanding and trust. In detail, the author studied the resident participatory process for sustainable maintenance and management in a long term landscape project and the principle and theories of design planning for streetscape that supports the utilizing behaviors of the users, and how this information should be linked and organized to form the structure and contents of design guideline. As a tool supporting residents' participation and helping the residents perform the responsible function as sustainable maintainers and managers of their streetscape through social maturity with ontological sense of masters of their local community as they experience the gradual processes of their streetscape maintenance project, streetscape design guideline has its meaning in the efforts that tried to achieve deep participation of the residents through researches converging the two academic sectors of urban architecture and social psychology.

영과잉 가산자료(Zero-inflated Count Data) 분석 방법을 이용한 지역사회 거주 노인의 노인학대 발생과 심각성에 미치는 위험요인 분석 (Risk Factors Influencing Probability and Severity of Elder Abuse in Community-dwelling Older Adults: Applying Zero-inflated Negative Binomial Modeling of Abuse Count Data)

  • 장미희;박창기
    • 대한간호학회지
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    • 제42권6호
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    • pp.819-832
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    • 2012
  • Purpose: This study was conducted to identify risk factors that influence the probability and severity of elder abuse in community-dwelling older adults. Methods: This study was a cross-sectional descriptive study. Self-report questionnaires were used to collect data from community-dwelling Koreans, 65 and older (N=416). Logistic regression, negative binomial regression and zero-inflated negative binomial regression model for abuse count data were utilized to determine risk factors for elder abuse. Results: The rate of older adults who experienced any one category of abuse was 32.5%. By zero-inflated negative binomial regression analysis, the experience of verbal-psychological abuse was associated with marital status and family support, while the experience of physical abuse was associated with self-esteem, perceived economic stress and family support. Family support was found to be a salient risk factor of probability of abuse in both verbal-psychological and physical abuse. Self-esteem was found to be a salient risk factor of probability and severity of abuse in physical abuse alone. Conclusion: The findings suggest that tailored prevention and intervention considering both types of elder abuse and target populations might be beneficial for preventative efficiency of elder abuse.

보건계열학생이 인지하는 치과기공사의 이미지 조사연구 (Research on dental laboratory technician's image perceived by health allied college students)

  • 김석환;김재홍
    • 대한치과기공학회지
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    • 제35권3호
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    • pp.221-229
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    • 2013
  • Purpose: The purpose of this study was to investigate the image and the awareness of dental laboratory technicians in health allied college students. Methods: The subject of this research are 431 health-related major students who are selected by convenience sampling from Seoul, Gyeonggi-do, Chungcheong-do, Jeolla-do and Gyeongsang-do. After a survey was conducted, the answer sheets from 401 respondents were analyzed except for 30 incomplete ones. The collected data is statistically analyzed by SPSS(Statistical Packages for Social Science 12.0. SPSS Inc., Chicago, IL, USA). Results: The findings of the study were as follows: As a result of general awareness about dental laboratory technicians, the health allied college students knew 83.0% about dental laboratory technician as a job. Respondents showed high recognition about dental laboratory technician as a job($3.62{\pm}0.31$), which showed that the health allied college students took a favorable view of dental laboratory in general. There were significant difference in dental laboratory technician image with age, gender(P<.05). Conclusion: It is required to develop programs such as proactive public relations or campaign via mass media that could enhance the public recognition about dental laboratory technician up to one of professional as required. It is also necessary that dental laboratory technicians make steady efforts for self-development to enhance their own job philosophy and skills in the level of quality, while they need various educations for building up their own favorable personality and positive ideas.

아동용 건강자기결정 지표의 타당도 및 신뢰도 조사 -미국 아동을 대상으로- (Validity and reliability test of the Health Self-Determinism Index for American Children)

  • 홍경자
    • Child Health Nursing Research
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    • 제1권1호
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    • pp.47-58
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    • 1995
  • This study was performed to test the validity and reliability of the Health Self-Determinism Index for Children(HSDI-C), an instrument designed to measure dimensions and strength of motivation in health behavior, to improve the applicability of the tool through application to the various samples. The convenient sample of 148 (boys=75, girls=72 third grade=42, fourth grade=22, fifth grade=32, sixth grade=52 : Caucasian=72, Asian=30, African=19) comprised the children at a chatholic elementary school in Chicago. The children completed English version of HSDI-C from December 5th, 1994 to January l0th, 1995. The findings were as follows : 1. Four factors of HSDI-C were isolated through the principal component analysis and oblique rotation, and explained 48% of the variance in total score. Low correlations among four factors were anticipated because each factor contributed uniquely, All items of the tool loaded above .30 on one of 4 factors. But items loaded on each factor in this study were very different from those in the previous studies. 2. Cronbach's alpha coefficient for internal consistency was .81 for the total items and .57∼ .81 for 4 subscales. 3. The differences of HSDI-c mean scores between boys and girls and that of among races were not statistically signifcant, but the mean score of girls and the Caucasian were relatively high. The total mean score of the scale was highest at the 3rd grade, decreased at the 4th or 5th grade, and reincreased at the 6th grade. The trend of mean score of four subscales was similar to that of total mean score. According to the results, suggested below : 1. The items loaded on each factor in this study were very different from those in the previous studies. To clear away the problem of the conceptual confusion, HSDI-C needs to be performed to various and large samples. 2. Unexpectedly, the HSDI-C mean score decreased at middle school age. A longitudinal study will be helpful to search for the change trend of the intrinsic motivation. 3. To improve the applicabilty of the HSDI-C, various reliability and validity test methods besides factor analysis or internal consistency are recommended.

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여자 중학생 대상 욕설 중재 앱 프로그램 개발 및 효과 (Development and Effectiveness of a Profanity Intervention Application)

  • 조미경;신기수
    • 한국학교보건학회지
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    • 제31권2호
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    • pp.88-97
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    • 2018
  • Purpose: The purpose of this study was to investigate the effects of a profanity intervention application on interpersonal relationship ability, aggression, and empathic ability among female middle school students. Method: The subjects of the present study were freshmen students at a girls' middle school in Gyeonggi-do. The profanity intervention application was implemented from November 20th to 27th, 2017. The pre- and post-tests were conducted one week before and two weeks after the intervention, respectively. The study was designed as a randomized controlled study and the collected data were analyzed using SPSS/WIN 23.0 (Chicago, IL). A homogeneity test between the two groups was performed using $x^2$ test, Fisher's exact test, independent t-test, and ANCOVA. Results: The two groups were found to be homogeneous in the pre-test. After the implementation of the profanity intervention application, aggression significantly decreased (F=20.17, p<.001) and interpersonal reactivity (F=5.92, p=.023) and empathy (F=11.10, p=.003) significantly increased in the experimental group compared to the control group. Among the factors related with aggression, verbal aggression, anger, and hostility significantly decreased in the experimental group. Meanwhile, among the factors of interpersonal reactivity, empathic concern and perspective-taking significantly increased and, among the factors of empathy, cognitive empathy significantly increased in the experimental group compared to the control group. Conclusion: Based on the findings of the present study, various intervention programs that can consistently improve the moral and ethical sensitivity of students should be presented starting from elementary school to prevent verbal violence in adolescents.

20-30대 일부 성인의 스트레스, 구강악습관 및 턱관절 증상의 연관성 (Relationship of Stress, Oral Habits and TMJ Symptoms in 20-30 ages Adults)

  • 홍민희
    • 한국치위생학회지
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    • 제14권5호
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    • pp.739-746
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    • 2014
  • Objectives : The purpose of this study was to examine the relationship of stress symptoms, oral habits and temporomanbibular joint symptom among 20-30 ages adults. And it's also meant to investigate the direct and indirect influence of these factors by using a path model to determine their causal relationship. Methods : The subjects in this study were 287 selected 20-30 ages adults, on whom a survey was conducted from June 15 to July 10, 2014. The data were analyzed using SPSS 18.0(SPSS 18.0 K for window, SPSS Inc USA) and IBM SPSS Amos 18.0(SPSS Inc, Chicago, IL, USA). Results : There were significant differences in oral habits, TMJ symptoms and stress according to gender. There were significant differences in oral habits, TMJ symptoms, physical and psycho-emotional symptoms according to Systemic disease. And stress, physical, psycho-emotional symptoms, oral habits and TMJ symptoms were correlated to one another. Stress exerted a direct influence on physical, psycho-emotional symptoms, and psycho-emotional symptoms had a direct impact on physical symptoms, oral habits and TMJ symptoms. Physical symptoms exercised a direct influence on oral habits and TMJ symptoms, and oral habits affected TMJ symptoms in a direct way. physical, psycho-emotional symptoms and oral habits served as parameters that produced partial mediation effects, and the two factors had an indirect impact on TMJ symptoms. Conclusions : It's found that stress exerted direct and indirect influence on oral parafunction and TMJ symptoms. Like other diseases, oral habits and TMJ symptom that stem from stress is likely to lead to chronic diseases if the two are not noticed at the right time. Therefore individual people should try to get rid of stress in a manner to be appropriate for their own characteristics in order to maintain their oral health.