• 대한물리치료과학회지
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• 제8권2호
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• pp.977-987
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• 2001

The purpose of this study was to examine the effects of sensory integration therapy (SIT) on sensory' motor development and adaptive behavior of cerebral palsy children. The design of this study was quasi experiments with a non-equivalent pre- and post-test control design. Subjects of the study were arbitrarily chosen based on predetermined selection criteria among the cerebral palsy children who were treated as out-patients at two rehabilitation hospitals one in Seoul, and the other in Kyunggi-do. The study was conducted between early April and late July in 2000. Fifteen children were in the experimental group and eleven in the control group. The allocation was done based on ease of experimental treatment. A five-step SIT program was devised from a combination of SIT programs suggested by Ayres(1985) and Finks(1989), and an author-designed SIT program for cerebral palsy children. The experimental group was subjected to 20 to 30 minutes of SIT per session. two sessions a week for ten -week period. The effects of SIT were measured with respect to 9 sub-areas that can be administered to cerebral palsy children out of a total of 17 sub-areas in the Southern California Sensory Integration Test (SCSIT) developed by Ayres (1980). In addition. the scale developed by Russell (1993) for Gross Motor Function Measure (GMFM). and Perception Motor Development Test developed by 中司利一 et al.(1987) were also applied. Adaptive behavior was analyzed using guidelines in two unpublished documents - School-Age Checklist for Occupational Therapy by the Wakefield Occupational Therapy Associates, and the OTA-Watertown Clinical Assessment by the Watertown Occupational Therapy Associates-, and an author-developed Adaptive Behavior Checklist. Collected data were statistically analyzed by SPSS PC for chi square test, Mann-Whitney test, Wilcoxon signed rank test, and paired t-test. The results were as follows: 1. In sensory development, the experimental group exhibited a score increase compared to the control group, but the difference was not statistically significant, Although the experimental group showed improvements in all. 9 sub-areas compared to the control group, only right-left discrimination exhibited statistically significant change. 2. In gross motor development, the experimental group showed improvements in score compared to the control group, but it was not statistically significant. In fine motor development, the experimental group exhibited statistically significant improvements compared to the control group. In sub-area analysis, figure synthesis showed positive change. 3. In adaptive behavior development, post-experimental adaptive behavior scores were higher compared to pre-experimental scores with statistical significance. Furthermore, sub-areas emotional behavior, perception behavior, gross-fine motor function, oral-respiration function, motor behavior, motor planning, and adaptive response exhibited higher scores after SIT. In conclusion SIT was found to be partially effective in sensory and fine motor development, effective in all adaptive behavior areas, and not effective in gross motor development. Thus, this study has shown that SIT is an effective intervention for sensory development, fine motor development, and adaptive behavior for cerebral palsy children. But, for the effectiveness of SIT on gross motor development, further studies employing longer-time experiments are recommended.

• 여성건강간호학회지
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• 제5권2호
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• pp.262-277
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• 1999

The purpose of this study is to define the effects of the roles played by the Doulas : one group educated on the conventional Lamaze method known to have effects on birth pang during delivery process and the other group educated both on Lamaze and therapeutic touch. On the various factors of delivery, and thereby, provide for some basic data to develop an effective nursing intervention to relieve women of their birth pang. 136 mothers who were hospitalized in a general hospital from June 13, 1998 to May 13, 1998 to May 13, 1999 to deliver their first babies were sampled to be divided into control group, test group I and test group II and thus be subject to interviews and observations. As for the tool of study, melzack's(1975) 'pain scale', McCaffery's(1972) and Mcrachlan's(1974) 'pain expression scales' and Spielberger's (1975) 'anxiety scale' were used. The preparatory educational programs consisted of 5week Lamaze method and therapeutic touch. The research, design was quasi-experimental, non equivalent, posttest only control group design. The collected data were processed using the SPSS/PC statistics software for frequencies, means and one-way Anova as well as Tukey HSD and Scheffe test as post hoc for individual comparison. Moreover, chi-square test was used to test the differences between groups, while Pearson's correlation coefficients were analyzed to determine the correlations between anxiety and variables. The findings are as follows ; 1. The birth pain of the mothers delivering first babies scored in a subjective and objective pain scale; 1) There was a significant difference of subjective birth pain at 8~10cm opening of cervix between control group and two test groups. 2) There was no significant difference of objective birth pain as per opening of cervex among three groups in terms of sweating, facial movement, bodily posture and vocal changes. 2. There was no significant difference of trait anxiety among three groups. however, there was a significant difference of state anxiety during labor process between control group and two test groups. On the other hand, all the three groups showed a significantly lower level of anxiety during labor process than when they were carried to the hospital. 3. There was a significant difference of the time of total and first-stage labor among three groups, while there was a significant but small difference of the time elapsed from 8~10cm cervix open to the full among three groups. 4. Two test groups showed a higher frequency of natural deliveries than the control group. 5. Two test groups were subject to these drugs than the control group. In conclusion, it was found that the test group I and II showed a shorter delivery time than the control group, a higher frequency of natural delivery and a lesser use of anodyne or epidural. In particular, this study is significant to develop a nursing intervention service or a therapeutic touch which the nursing administrators can apply to their hospitals in marketing programs.

• 부모자녀건강학회지
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• 제5권2호
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• pp.129-144
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• 2002

This longitudinal quasi-experimental research was conducted to develop parent role education program and to evaluate the effect of this program for mother-infant interaction, childrearing environment and infant development. The subjects were the healthy infants weighing over 2,500gm at birth, whose gestational age was more than 37weeks, and their healthy mothers. The sample consisted of eighteen mother-infant dyads for intervention group and sixteen dyads for control group. Data were collected from March 15th in 1999 to Jun 20th in 2000. The intervention group received programmed education consisted of discharge education, telephone counselling, and home visiting care. But control group were collected data without programmed education. In this study, the Nursing Child Assessment Teaching Scale(NCATS) devised by Barnard was used to determine the mother-infant interaction, HOME was used to determine the childrearing environment, and Griffiths mental development scale was used to determine the infant development. The data were analyzed using SPSS Win using chi-square test, t-test, and repeated measure ANOVA. This study was focused on the results of twelve months time point. Summaries of the results were as follows: 1. There was no significant difference in mother-infant interaction(NCATS) between intervention group and control group. But both of two groups showed significantly higher in interaction score at twelve months than at six months in the subscales of social-emotional growth fostering, and responsiveness to caregiver. 2. There was no significant difference in childrearing environment(HOME) between two groups at twelve months. But when each subscale of HOME was examined, intervention group showed higher scores in the dimensions of maternal involvement with child(p=.001), and maternal emotional-verbal responsivity(p=.048). 3. There was no significant difference in GQ of the Griffiths mental development scale between two groups, although significant difference was found in performance subscale. 4. Infant development at twelve months showed significant correlation with mother-infant interaction and childrearing environment at six months, although mother-infant interaction and childrearing environment at twelve months did not show significant correlations with infant development at twelve months. 5. Developmental scores at six months showed significant correlations with variety in daily stimulation, and mother's emotional, verbal responsivity, whereas developmental scores at twelve months showed significant correlations with acceptance of child behavior at six months, and appropriate play material at twelve months. In conclusion, the maternal education program for primipara showed long term effect in some categories in organizing the childrearing environment, and fostering the infant development. We suggest further study and implications of parent role education program for high risk parents such as parents in low economic status or with premature babies.

• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.1157-1162
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• 2016

Background: Cervical cancer is known as one of the most prevalent types of cancers and a major public health problem in developing countries which can be detected by Pap test, prevented, and treated. Despite the effective role of Pap test in decreasing the incidence and mortality due to cervical cancer, it is still one the most common causes of cancer-related deaths among women, especially in developing countries. Thus, this study aimed to examine the effect of educational interventions implemented by health volunteers based on protection motivation theory (PMT) on promoting Pap test use among women. Materials and Methods: This quasi-experimental study was conducted on 60 health volunteers and 420 women. The study participants were divided into an intervention and a control group. Data were collected using a valid self-reported questionnaire including demographic variables and PMT constructs which was completed by both groups before and 2 months after the intervention. Then, the data were entered into the SPSS statistical software, version 19 and were analyzed using Chi-square test, independent T-test, and descriptive statistical methods. P<0.05 was considered as statistically significant. Results: The findings of this study showed that the mean scores of PMT constructs (i.e. perceived vulnerability, perceived severity, fear, response-costs, self-efficacy, and intention) increased in the intervention group after the intervention (P<0.001). However, no significant difference was found between the two groups regarding response efficacy after the intervention (P=0.06). The rate of Pap test use also increased by about 62.9% among the study women. Conclusions: This study showed a significant positive relationship between PMT-based training and Pap test use. The results also revealed the successful contribution of health volunteers to training cervical cancer screening. Thus, training interventions based on PMT are suggested to be designed and implemented and health volunteers are recommended to be employed for educational purposes and promoting the community's, especially women's, health.

• 전자공학회논문지SC
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• 제44권5호
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• pp.62-70
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• 2007

본 논문에서는 일정 토크영역에서 승압형 PFC 컨버터와 직접토크제어(DTC) 방법을 사용하여 BLDC 모터의 구동 시스템을 DSP(TMS320F2812)로 구현하였다. 기존의 6단계 PWM 전류제어와 달리 미리 정한 샘플시간 마다 간단한 look-up 표로부터 2상 도통 모드에 대한 인버터의 전압 상태 벡터를 설정함으로써 원하는 전류파형을 만들었으며 이로부터 기존의 전류제어기보다 훨씬 빠른 토크 응답특성을 얻을 수 있었다. 또한 BLDC 모터의 비 이상적인 사다리형 역기전력에 의해 발생되는 저주파 토크변동을 저감하기 위하여 위치 loop-up 표를 사용하였다. 아울러 역률을 보정하기 위해 승압형 PFC 컨버터를 구성하였고 이 때 전파 정류된 입력전압과 출력전압, 인덕터의 전류에 의해 평균전류모드 제어 방식으로 80 kHz마다 PWM 듀티(duty)가 조절 되도록 하였다. 이와 같이 복잡한 제어 알고리즘은 초고속 DSP의 출현으로 PFC와 DTC 알고리즘이 동시에 제어가 가능하며, 본 논문에서는 DTC 알고리즘을 구현할 때 DSP의 일반 범용의 출력포트를 사용하여 구현하였고 단지 PFC에서만 1개의 PWM을 사용하여 디지털 제어기를 구현하였다. 실험을 통해 DTC 알고리즘과 PFC 컨버터를 이용한 BLDC 모터 구동 시스템의 타당성과 효용성을 보였고, 실험결과로부터 PFC 컨버터를 사용하지 않았을 때는 역률이 약 0.77이었으나 PFC 컨버터를 사용하였을 때는 부하변동에 관계없이 약 0.9997로 크게 향상됨을 확인하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.6033-6038
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• 2015

Background: Experience of lung cancer includes negative impacts on both physical and psychological health. Pain is one of the negative experiences of lung cancer. Cognitive behavioral therapy techniques are often recommended as treatments for lung cancer pain. The objective of this review was to synthesize the evidence on the effectiveness of cognitive behavioral therapy techniques in treating lung cancer pain. This review considered studies that included lung cancer patients who were required to 1) be at least 18 years old; 2) speak and read English or Thai; 3) have a life expectancy of at least two months; 4) experience daily cancer pain requiring an opioid medication; 5) have a positive response to opioid medication; 6) have "average or usual" pain between 4 and 7 on a scale of 0-10 for the day before the clinic visit or for a typical day; and 7) able to participate in a pain evaluation and treatment program. This review considered studies to examine interventions for use in treatment of pain in lung cancer patients, including: biofeedback, cognitive/attentional distraction, imagery, hypnosis, and meditation. Any randomized controlled trials (RCTs) that examined cognitive behavioral therapy techniques for pain specifically in lung cancer patients were included. In the absence of RCTs, quasi-experimental designs were reviewed for possible conclusion in a narrative summary. Outcome measures were pain intensity before and after cognitive behavioural therapy techniques. The search strategy aimed to find both published and unpublished literature. A three-step search was utilised by using identified keywords and text term. An initial limited search of MEDLINE and CINAHL was undertaken followed by analysis of the text words contained in the title and abstract, and of the index terms used to describe the article. A second search using all the identified keywords and index terms was then undertaken across all included databases. Thirdly, the reference list of all identified reports and articles were searched for additional studies. Searches were conducted during January 1991- March 2014 limited to English and Thai languages with no date restriction. Materials and Methods: All studies that met the inclusion criteria were assessed for methodological quality by three reviewers using a standardized critical appraisal tool from the Joanna Briggs Institute (JBI). Three reviewers extracted data independently, using a standardized data extraction tool from the Joanna Briggs Institute (JBI). Ideally for quantitative data meta-analysis was to be conducted where all results were subject to double data entry. Odds ratios (for categorical data) and weighted mean differences (for continuous data) and their 95% confidence intervals were to be calculated for analysis and heterogeneity was to be assessed using the standard Chi-square. Where statistical pooling was not possible the finding were be presented in narrative form. Results: There were no studies located that met the inclusion requirements of this review. There were also no text and opinion pieces that were specific to cognitive behavioral therapy techniques pain and lung cancer patients.Conclusions: There is currently no evidence available to determine the effectiveness of cognitive behavioural therapy techniques for pain in lung cancer patients.

• Child Health Nursing Research
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• 제7권1호
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• pp.96-107
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• 2001

Recent research indicates that the new mothers want to learn about childrearing, and have burden in care of infants. Also it indicates that the new mothers say the lack of confidence and knowledge about infant care. This study was a prospective longitudinal reseach developing parent role education program and evaluating the effectiveness of this program for mother-infant interaction, childrearing environment and infant development. Longitudinal quasi-experimental design was used. The subjects were the healthy infants weighing over 2,500gm at birth, whose gestational age was more than 37weeks, and their mothers. The sample consisted of 19 mother-infant dyads for intervention group and 18 dyads for control group. Data were collected from March 15th to December 14th in 1999. For the intervention group received programmed education that was consisted of discharge education, telephone counselling, and home visiting for maternal education. The data were analyzed using chi-square test and t-test to test the equivalence of two groups, and the effectiveness of intervention program. This study was focused on the results of six months time point. The results were as follows: 1. There was significant difference in the mean score of mother-infant interaction(NCAST) between two groups. Intervention group showed higher scores in the subscales of sensitivity to cues, cognitive growth fostering, and caregiver total. 2. There was no significant difference in the mean score of child rearing environment (HOME) between two groups of six-month-infants. But when each subscale of HOME was examined, intervention group showed higher scores in the dimensions of opportunities for variety in daily stimulation, maternal involvement with child, and emotional, verbal response. 3. Six-month-infants of the intervention group showed significantly higher GQ in the Griffiths mental development scale. In conclusion, the maternal education program was effective in promoting the mother-infant interaction, organizing the childrearing environment, and fostering the infant development. These results were very meaningful that we found parent role education necessary for normal infants' mothers, and nurses can make a great contribution in promoting health of infants and mothers.

• 대한화학회지
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• 제55권2호
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• pp.177-182
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• 2011

이케토형 리간드는 thiophene-2-aldehyde와 acetylacetone의 Knoevenagel 축합반응을 통해 합성하였으며, 이를 이용하여 Cu(II), Ni(II) 및Co(II) 염화물의 착물을 합성하였다. 모든 착물의 특성은 다양한 물리-화학적 방법으로 규명하였다. 몰전기전도도 결과로부터 이들 착물이 이온성을 가짐을 알았다. 전자 및 EPR 스펙트럼을 통해 구리(II) 이온이 사각평면 기하구조를 가짐을 알았다. 구리(II) 착물과 CTDNA(송아지 thymus DNA)의 상호작용을 흡수 스펙트럼과 순환 전압전류법으로 연구하였다. $k_{obs}$ 대 [DNA]의 도시는 선형을 보였는데, 이는 유사-1차반응을 의미한다. 순환 전압전류 그림으로부터 구리(II) 착물이 각각 -0.240 V와 -0.194 V의 $E_{1/2}$ 값을 갖는 일전자 Cu(II)/Cu(I) 산화-환원 쌍에 대해 준가역적임을 알았다. CTDNA를 첨가한 경우, $E_{1/2}$값이 각각168 mV와 18 mV 이동하였고 Ep 값도 감소하였다. CTDNA의 존재 하에 $E_{1/2}$이 이처럼 이동하는 것은 구리(II) 착물이 CTDNA에 강하게 결합됨을 의미한다.

• 한국통신학회논문지
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• 제16권10호
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• pp.941-950
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• 1991

디지털 이동통신 전송로에 있어서 고속통신을 위한 시스템의 성능은 다중파 지연분산에 의해 크게 좌우된다. 본 논문에서는 최근 디지털 자동차 전화의 변복조방식으로 채택된 $\pi/4$ shift QPSK에 대해, 간이 다중파 지연시간 검출방법으로써 직교채널간섭량 (CCI)을 이용하는 방법을 제안하였다. $\pi/4$ shift QPSK신호는 원래 직교 채널에 정보를 갖고있기 때문에 BPSK변조방식처럼 Quadrature채널에서 간섭량을 얻기 위하여 주파수 체배기와 지연전파 방식을 제안하였다. 또한 다중파 전파환경하에서, 격렬하게 변하는 직교채널 간섭량으로 부터 정보를 얻는 방법으로서 절대치평균과 실효치 평균을 취하는 방법을 제안하였으며, 아울러 자연분산과 직교채널 간섭량과의 관계도 조사하였다. 이론적인 결과를 확인하기 위하여, 준정적인 2파 모델과 Rayleigh분포 2파모델하에서 computer simulation을 수행하였다. simulation결과 좋은 결과가 얻어졌으나. 본방식은 송신 대역제한에 어느정도 민감하다는 것이 밝혀졌다. 또한 H/W실현시 주요부분인 주파수 체배기에 대한 H/W구성 방안도 제안하였다.

• 한국산학기술학회논문지
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• 제21권1호
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• pp.732-738
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• 2020

본 연구는 간호대학생을 대상으로 호스피스완화의료 교육이 영적 안녕감과 사전의료의향서 지식에 미치는 효과를 규명하기 위하여 실시되었으며, 비동등성 대조군 전후 설계의 유사실험 연구이다. 자료수집은 2018년 09월에서 12월까지 C시에 소재한 일개대학의 간호대학생 3학년을 대상으로 실시되었고, 실험군은 22명, 대조군은 27명이었다. 실험군은 호스피스 총론 교과목을 수강 신청한 3학년 학생 중에서 연구 참여에 동의한 대상자로 선정하였고, 대조군은 수강 신청하지 않은 대상자 중에서 참여의사를 밝힌 학생으로 구성되었다. 실험군은 주 1회 120분씩 7주 동안 총 14시간의 정규 교과목을 통하여 호스피스완화의료 교육을 제공받았다. 자료분석은 SPSS/WIN 21.0 Program을 이용하였으며 Chi-square test, Fisher's exact test, independent t-test, paired t-test로 분석하였다. 연구결과 영적 안녕감은 유의한 증가를 보였고(t=2.80, p=.009), 사전의료의향서 지식은 유의한 차이가 없었다(t=1.33, p=.190). 이상의 결과를 토대로 본 연구에서 적용한 호스피스완화의료 교육은 간호대학생의 영적 안녕감을 증진시킬 수 있는 구체적인 중재 방안을 모색했다는 점에서 연구의 의의가 있다.