• 한국의류산업학회지
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• 제25권2호
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• pp.185-198
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• 2023

The purpose of this study is to obtain information necessary for the development of patient clothes that can reduce physical fatigue of caregivers by quantitatively measuring the muscle load and fatigue. The patient clothes used in this study can be broken down into three types: A type (back center zipper open suit), B type (top-to bottom separated patient clothes), and C type (front zipper open suit). The EMG measurement sites are as follows: hand muscle (brachioradialis), upper arm (biceps, triceps), shoulder (anterior deltoid, medial deltoid, posterior deltoid, upper trapezius), and waist (erector spinae); additionally, the EMG signals were measured. Through this experiment, muscle load, muscle energy consumption, and muscle fatigue generation tendency were analyzed. The results of the study revealed that the C type patient clothes required the most strength in the muscles of the shoulders, upper arms, hands, and back when being put on and taken off compared to other patient clothes. The A type clothes required a relatively large force in opening the zipper. In terms of muscle energy consumption, B type generally called for more strength when it came to the zip-up and putarmsup motions. With regard to the cover the body and put legs/hips up motions, C type used the highest amount of muscle energy, whereas A type used relatively little energy. In terms of the occurrence of muscle fatigue during the putting on and taking off of the patient's clothing, there was a difference in the area and degree of muscle fatigue in the A, B, and C types, and there was also a tendency for muscle fatigue to occur when performing repetitive movements.

• 패션비즈니스
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• 제8권1호
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• pp.61-75
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• 2004

This paper has the meaning to plan new design of patient's cloth focusing on its aesthetic aspect through surveying actual condition of use of patient's cloth and reflecting color or pattern that patient prefers to it. Substantial purpose of this paper is 1) to survey actual condition of patient's cloth on the basis of general hospital of downtown of Busan City, 2) to revise difficulty of patient's cloth and survey and analyze color and pattern that patient prefers and 3) to suggest new patient's cloth design using color and pattern that meets function that is not difficult for patient's activity and cure and stabilizes patient's mind on the basis of the result of analysis. The result of this paper is like follow. 1. Problem of current patient's cloth is that most hospital uses patient's cloth having white background and hospital logo of blue or green color and its length is too long so it requires adjustment of length of sleeves and pants 2. The result from analyzing preferred patient's cloth is that patient prefers patient's cloth classified by man and woman, one that its length of sleeves and pants are adjusted and one that there is no collar in its neckline. Regarding color, male patient prefers mild indigo color(5PB7/7) and mild green color (5G9/2) and female patient prefers bright purple color and bright scarlet color(5YR8/7). Regarding pattern, both of man and woman prefers natural pattern. 3. This paper planned total 6 kinds of patient's cloth (common patient's cloth: 2 kinds, male patient's cloth: 2 kinds and female patient's cloth: 2 kinds) through revising difficulty and using new color and pattern according to result of preference.

• 패션비즈니스
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• 제9권1호
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• pp.79-88
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• 2005

The purpose of this study is to propose the design of the patient's clothes for a disabled child between 4 and 6. For this, in this study, I would present the following design plan which includes 3 upper garments, 2 trousers and a one-piece dress. In case of the damage on head and neck, a neck line should be deep and wide thereby providing ease to the clothes. To facilitate injection and dressing/undressing, there should be parting from neck to cuff which can be fixed by snap or button. By rolling up sleeves with strings inside the cuffs and fixating plaster cast with snap button outside the cuffs. In case of body cast with plaster cast around body part, front adjusting part should be wider and the width should be adjusted with strings. In case of hip spica cast which covers waist, I separated front part and rear part, fixated them with snap buttons, gave more width to front adjusting part with strings to adjust width, which constitute one-piece dress. In case of shoulder spica cast, the other shoulder which is not covered with plaster cast should be exposed, and to prevent clothes' coming down, strings with snap button or velcro should be attached over a shoulder so that the length of the strings can be adjusted. In case of applying plaster cast or aid to the whole part of a leg, one part of trousers should be shorter so as to expose the injured part and there should be a parting with strings or velcros on the side for easy dressing/undressing. When plaster cast or splint is short, The strings are meant to adjust length of trousers. The partings are located 2 cm from side lines toward the center.

• 핵의학기술
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• 제16권2호
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• pp.12-17
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• 2012

방사성 요오드 치료병실에서 나온 환의 및 시트는 본디 방사성폐기물로서 관련 규정에 따라 일반 쓰레기와 동일하게 처리해야 하지만 사정상 일정기간 보관하여 방사능을 감쇄시킨 후 재사용하게 된다. 통상 최소보관기간 산출에 표면오염도(Bq/$m^2$)를 기반으로 하는 반출기준을 적용하고 있다. 하지만 방사선측정기를 이용하여 단위 면적당 총방사능량을 구하는 방법은 측정방법에 따라 편차와 불확실성이 상당히 커진다. 본 연구에서는 '방사성폐기물 자체처분 등에 관한 규정'에서 제시하고 있는 핵종 농도(Bq/g)를 Dose Calibrator를 이용하여 직접 측정하여 최소보관기간을 구함으로써, 환의 및 시트의 정확한 재사용 주기를 산출하고자 한다. 한편 반출기준으로 산출한 최소보관기간과 비교하여 그 차이를 살펴보았다. 본원의 방사성 요오드 치료병실에서 2011년 7월부터 2012년 3월까지 I-131을 3.7 GBq (100 mCi) 이상을 사용하여 방사성 요오드 치료를 시행한 환자 31명이 사용한 환의와 시트의 방사선 오염도를 측정하여 최소보관기간을 산출하였다. 최소보관기간은 핵종 농도를 측정하여 '방사성폐기물 자체처분 등에 관한 규정'에 따라 100 Bq/g이 되는 시점과 표면오염도를 측정하여 반출기준에 따라 허용표면오염도의 1/10, 즉 4 kBq/$m^2$되는 시점을 붕괴식에 대입하여 산출하였다. 반출기준으로 산출한 최소보관기간은 침대/담요시트는 14.2일, 베개시트는 4.6일, 환의(상(上))은 63일, 환의(하(下))는 78일 이었으며, 자체처분 기준에 따른 최소보관기간은 베개시트는 18.1일, 환의(상(上))은 43일, 환의(하(下))는 62일로 산출되었다. 표면오염도와 핵종 농도의 상관관계를 분석해 본 결과 베개시트와 환의(상(上))는 상관관계가 높게 나타났으나, 환의(하)는 낮게 나타났다. 이는 베개시트와 환의는 방사성오염이 부분에 국한 되어 측정값이 일정한 반면, 환의(하(下))는 소변에 의한 방사성오염이 여러 부분에 산재되어 있어 방사선측정기의 측정값이 상대적으로 낮게 측정된 결과로 생각 된다. 실질적으로 방사성 오염도를 측정한 결과 반출기준과 자체처분 기준을 상당량 초과하는 방사능이 존재하는 것을 확인할 수 있었다. 환의와 시트의 최소보관기간 산출에는 핵종 농도를 기준으로 하는 자체처분 기준을 적용하는 것이 더 적합하다고 할 수 있다. 방사능에 오염된 환의 및 시트는 최소 60일 정도는 보관해야 성급한 재사용에 따른 불필요한 방사선피폭 및 오염 확산을 방지할 수 있을 것으로 생각된다.

• 대한간호학회지
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• 제24권4호
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• pp.597-615
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• 1994

This study is designed to facilitate the creation of home environment conducive to the family taking care of chronic bed-ridden patients with more effective method. The need for this study has emerged against the background of marked changes in the structure of ailments and causes of death, resulting in the number and plights of chronic bed-ridden patients as well as of a rapid increase in demand for medical care and resulting premature discharge. Keeping these in mind, this study focused on home-wards where the majority of chronic bed-ridden patients are being cared for. Despite. their overriding importance, home-words are less than efficient in caring (or chronic bed-ridden patients. These circumstances require the designing of home-wards that can offer greater comfort to patients and at the same time make things easier for caregivers, on the basis of an overall analysis of patients' life and home - ward situation. According1y this study adopted a Participant Observation Method derived cultural anthropology, Toward this end, 3 patients were chosen as subjects of this study for intensive interviewing and participant observation. In the process of this field re-search efforts were made to collect emprical data, that is, to faithfully record the words of the subjects and their caregivers for analysis and interpretation. The findings of these analyses are as follows. Firstly, the chronic bed-ridden patients are mostly being taken care by close family members. Secondly, a room for the exclusive use of the patient, floor, kitchen, bathroom and multipurpose space were found to be necessary for proper caring of the patient. These spaces were respectively used with a view to 1) accomodating the patient as well as caregivers' activities, 2) keeping general and medical supplies and other appliances for patient's care and drying the patient's washing, 3) preparing and keeping the patient's foods and beverages, 4) keeping the supplies necessary for cleaning the patient's body and treating the patient's eliminations, 5) washing the patient's clothes, underwears and bedclothes. The patient's room in turn is subdivided into six portions in terms of uses : specifically the places for accomodating 1) the patient, 2) medical supplies, 3) medicines, 4) linens St clothes, 5) bedclothes and, 6) diapers. Thirdly, the activities of the caregiver are subdivided into seven key areas : hygiene, exercise, diet, elimination, therapeutic nursing, prevention of sore, and other activities. Each area is further classified into several different activities of caring. These activities we mainly carried out in the patient's room. Fourthly, the supplies for caring the chronic bed-ridden patient is divided into two large domains : medical and general supplies. Finally, three main problems areas were found in this study on the part of caregivers, that is, sore prevention, hygiene problem related frequent urination / defecation, the caregiver's physical, psych ological and emotional burden. In consideration of the aforesaid problem areas, a model home-ward was developed in this study. The newly-developed model has been found to have the following six advantages. Firstly, the time and effort required for maintaining the patient's hygiene are reduced, thus relievins the caregiver's physical and psychological bur-den. Secondly, the patient's hygiene can be maintained in satisfactory conditions, because the patient's eliminations are more easily removed. Thirdly, skin irritations caused by the patient's eliminations were remarkably reduced and so were the patient's sores due to moisture and bacteria. Fourthly, the home-ward have a tilt-table ef-fect thanks to the inclining room floor. This improves the patient's cardiovascular function as well as constantly changes pressed skin areas and thus prevents sores. Fifthly, improved shelf arrangements help make the best use of patient's supplies. Sixthly, the trouble of continuously changing clothes, underwears, diapers & bedclothes is remarkably reduced simply by covering the patient with cotton sheets when laid in bed. This is espected to cut down expenses by reducing the comsumptions of diapers and other disposable supplies.

• 복식
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• 제56권6호
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• pp.45-57
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• 2006

The purpose of this research was to find the present condition on dementia patients clothes design including shapes, colors, construction and details in domestic. This research was for confirming the present problems, suggestions, and basic informations for development dementia patients clothes proto-types. The research methods and process were as follows; 1. The total 20 institutes (5 dementia specialty hospitals, 3 the senior hospitals and 11 nursing care centers) were researched during from June to August, 2005 by trained researchers who had experiences researches. 2. The total 30 nurses and care-givers were interviewed for find the present problems related the dementia patients clothes. 3. The total 39 suits for dementia patients clothes were collected and the design analysed such like shapes, colors, constructions and details by taking pictures and drawing flat works. 4. The present condition about the clothes and problems were found and suggest new ideas. The results were belows; 1 The most of institutes of domestic area had two piece type like general hospital patients' clothes for dementia patients clothes. It means there are no concerning now for old dementia patients. 2. The white colors were firstly used as fabric ground and secondly pale tone or pastel tone colors were used The blue and pink were used as pattern colors. The pattern colors were usually moderate tones. 3. The characteristics of constructions and details were round neckline, buttons, full-length sleeves, straight pants, ankle length pants. 4. New functional fabrics and designs for emotional satisfaction were demanded for dementia patients.

• Nuclear Medicine and Molecular Imaging
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• 제40권1호
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• pp.51-52
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• 2006

A 39-year-old female patient who had undergone a total thyroidectomy for a papillary thyroid carcinoma underwent a whole body scan with I-131. The I-131 scan was performed 72 hours after administering 185 MBq (5 mCi) of an I-131 solution. The anterior image of the head, neck, and upper chest showed multiple areas of increased uptake in the mediastinal area considering of functional metastasis. However, radioactivity was not evident in the image taken after removing her clothes and muffler. The image obtained after placing the muffler on the pallet showed that the radioactivity was still present. It is well known that artifacts on an I-131 scan can be produced by styling hair sputum, drooling during sleep, chewing gum, and paper or a cloth handkerchief that is contaminated with the radioactive iodine from either perspiration or saliva. This activity might be mistaken for a functional metastasis. Therefore, it is essential that an image be obtained after removing the patient's clothes. In this study, artifacts due to a contaminated muffler on the I-131 scan were found. These mimicked a functional metastasis of the mediastinal area in a patient with a papillary thyroid carcinoma.

• 한국의류학회지
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• 제9권3호
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• pp.71-78
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• 1985

This research is designed to systemize the protection theory as well as to supplement the missing theory by organizing various studies on the protective functions of celothes by domestic and foreign scholers of clothing. Human environments is classified two standpoints : (1) Physical environments, and (2) man built psychological environments including socio-physical environments, socio-biological environments, behavioral environments, socio-psychological environments and institution environments. Clothes acting as a physical protection might be of (1) extreme air temperature: Parka; (2) high relative humidity: raincoat; (3) air movement: windbreaker; (4) radiation: space suit; (5) atmospheric pressure: deep sea diver suit; (6) mechanical agent: bullet proof vest; (7) physical agent: (8) chemical agent: (9) biological agent: surgeon's gown, cap, and mask. Also dresses act to support the body comfort, health and the well-being; corset for bad back patient, wrist band for people with weak wrist, bottom half of pressure suit for people with low blood pressure. Clothes acting as a psychological protection might be of (1) influence of magic and of spirits: (2) moral danger; (3) the general unfriendliness of the world as a whole; a reassurance against the lack of love. Clothes should provide the maximum of satisfaction in accordance with the full recognition of reality. The reality should aim at the formulation of general laws concerning the most pleasing forms, colors, and styles to suit. The complex physiological anatomical and psychological aspects of individual personalities.

• 핵의학기술
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• 제12권1호
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• pp.3-12
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• 2008

목적: 방사성옥소 치료시 환자의 배설물(침, 소변)을 통해 표면 오염된 환의 및 침구류를 방사선 측정기로 측정하여 방사성 폐기물의 적정보관기간을 산출하고자 하였다. 대상 및 방법: 2005년도 8월부터 2006년 2월까지 방사성옥소 치료를 받은 환자 70명(남자: 12명, 여자: 58명)이 사용한 환의 및 침구류를 대조군(60 case)과 비대조군(10 case)으로 나누어 측정하였다. 결과: 세탁하지 않고 자체보관한 대조군과 세탁 후 자체 보관한 비대조군의 적정보관기간은 대조군 $44{\pm}16$일, 비대조군 $32{\pm}13$일으로 대조군과 비대조군의 보관기간에 있어서 유의미한 차이가 있는 것으로 나타났다(p<0.001). 환의 및 침구류에 대한 세탁전후의 표면오염도 제염효과는 평균 $83.66{\pm}15.15%$로 나타났으며, 오염 확산여부를 측정하기 위해 실시 된 결과에서 최초 표면오염 되지 않았던 환의에 미치는 영향은 미비하였다(p<0.05). 그러나 세탁과정 중에 발생된 세탁폐액에 대한 오염도는 최초 표면오염의 정도에 따라 허용표면 오염도 수준을 벗어난 것도 있었다. 결론: 표면 오염된 환의 및 침구류 전체를 방사선 측정기로 측정한 후 표면오염도의 정도에 따라 분류하고 적정 보관 기간이후 관리구역 밖으로 불출하는 것이 유용할 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권2호
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• pp.725-729
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• 2014

Background: Having been known as a virulent disease in 1970s, cancer is now onsidered a chronic disease and 64% of cancer patients live for five years after diagnosis. Home care has gradually gained more importance and it is a great burden on the shoulders of caregivers. Caregivers have to undertake the responsibility of the cancer patient's home management, and organize care and arrange health care services according to the ever-changing condition of patients. Caregivers should be prepared for home care so they can provide accurate and complete care to patients. This descriptive study aims to investigate challenges that caregivers encounter in the home care of patients and the reasons for these challenges. Materials and Methods: The research group consisted of caregivers of outpatients in a daily treatment center in a university hospital. The research sampling consisted of 137 voluntary caregivers of patients who attended the Daily Treatment Center for control, chemotherapy or other supportive cares services between January-June, 2011. Data were collected with face-to-face interviews in the Daily Treatment Center. Ethics Committee approval was taken university hospital; caregivers and their patients were informed about the research and their approval was taken as well. Results: It was found that 54.01% of caregivers help patient's nutrition, 50.36% help medicine use, 26.28% help oral hygiene, 26.28% help to meet urinary needs and 51.82% help to change clothes, 69.34% of caregivers help to change bed sheets, 38.69% help the patient to communicate with their environment and 71.53% help to bring the patient to hospital or outside. Conclusions: This study, it was found that caregivers experience challenges due to following factors: patient nutrition, medicine use, oral and body hygiene, colostomy maintenance and stomach tube feeding, concern of dropping the patient, feeling incompetency in body temperature and fever control, fatigue, and lack of personal time.