• Asian Pacific Journal of Cancer Prevention
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• 제17권6호
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• pp.2917-2921
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• 2016

Background: To explore factors that influence quality of life (QOL) in patients receiving breast conserving therapy (BCT). Materials and Methods: In this sequential mixed methods study, 118 women from Songklanagarind Hospital were included. We used participants' characteristics, Body Image Scale (BIS), and Functional Assessment of Cancer Therapy with the Breast Cancer Subscale (FACT-B) for analysis. The BIS transformed into presence of body image disturbance (BID). Factors that influenced QOL were determined by stepwise multiple linear regression. Forty-one participants were selected for qualitative analysis. Our female researcher performed the semi-structured interviews with questions based on the symbolic interaction theory. Final codes were analysed using thematic analysis along with investigator triangulation methods. Results: Ninety percent had early stage breast cancer with post-completed BCT, for an average of 2.7 years. The median BIS score and FACT-B score were 2 (IQR=10) and 130 (IQR=39). In the regression analysis, an age of more than 50 years and BID were significant factors. As for the value of conserved breasts, two themes emerged: a conserved breast is an essential part of a participant's life and also the representation of her womanhood; the importance of a breast is related to age. Conclusions: Body image influenced QOL in post BCT participants. The conserved breasts also lead to positive and better impact on their body image as an essential part of their life.

• Physical Therapy Rehabilitation Science
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• 제3권1호
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• pp.69-75
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• 2014

Objective: We developed a Motor-Assisted Rowing Machine (MARM) for Spinal Cord Injury (SCI), by modification of the Concept II rowing machine, so that the seats could be operated automatically in a backward and forward direction by a motor. Design: Case report. Methods: Motor rowing consisted of a chair with inclination control, a motor system, control button, monitor, program, leg supporter, safety belt, and seat. The patients were 2 men rowing athletes with SCI, classified as American Spinal Injury Association class B, participated in the study. Level of thoracic injury ranged from T8 to T10. The subjects rowed at a self-selected stroke rate with 50 watts. Two different rowing methods (static rowing without movement of the seat, dynamic rowing using MARM) were assigned to each participant during 10 minutes; 34 reflective markers were attached to their full bodies. Kinematic data were collected using the Vicon motion analysis system. Based on the full body model provided as a default by the equipment. In the rowing exercise, the rowing motions were divided into Drive Phase and Recovery Phase. Results: The two rowing methods differ in handle range, seat range, handle and seat ratio, handle velocity, and seat velocity during static and dynamic rowing. The rowing exercise using a rowing machine developed MARM increased tendency to the range of motion in the dynamic method compared to the static method. Conclusions: The newly developed MARM could be a useful whole body exercise for people with SCI.

• 가정간호학회지
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• 제26권1호
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• pp.91-101
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• 2019

Purpose: The purpose of this study was to identify factors associated with stress related to home mechanical ventilator (HMV) care in general ward nurses. Methods: The study participants were 110 general ward nurses. Data on participant characteristics, level of knowledge, education needs, coping ability in emergency situations, confidence, and stress were collected from August 1 to 30, 2018 using a structured questionnaire by web-based surveys. Data were analyzed using SPSS/WIN 20.0 for descriptive statistics and independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and multiple regression analysis. Results: Significant factors associated with stress related to HMV care were ward career, intensive care unit (ICU) career, intensive care room (ICR) career, education experience, and satisfaction level of HMV education. Stress had negative correlations with confidence and positive correlations with education needs. The determining factors affecting stress related to HMV care in the general ward were confidence (${\beta}=-.31$, p=.004), ICR career (${\beta}=-.27$, p<.001), education needs (${\beta}=.24$, p=.005), education frequency (${\beta}=-.18$, p=.040), and ICU career (${\beta}=-.18$, p=.025); their explanation power was about 41.8%. Conclusions: It is necessary to develop HMV care training manuals and guidelines and consider ICU or ICR careers for patient safety.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2019년도 춘계학술대회
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• pp.395-397
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• 2019

조선기술과 항해장비 기술이 발전하고 있지만 여전히 해양사고는 80%이상이 인적과실에서 비롯되고 있다. 인적과실을 저감시켜 해양사고를 절감시키려는 노력은 항해사를 대상으로 면담이나 설문을 시행하는 등 정성적인 연구방식에 많이 의존하고 있어서 객관적인 인적과실의 실체를 규명하는데 제한이 있다. 본 연구에서는 이 같은 단점을 극복하기 위하여 항해사의 항해 업무 수행을 방해하지 않으며 공간적 제한을 극복할 수 있도록 웨어러블 센서를 활용하여 항해사의 동작을 실측하고 상황인지 여부가 항해 수행 동작에 어떤 영향을 미치는지 구분하고자 한다. Full mission ship handling simulator를 활용하여 항해사가 특정한 시나리오를 수행하는 중에 위험성을 가진 장애물을 발견하기 전과 후의 어떤 행동패턴 변화를 보이는지 측정하였다. 구분된 항해 동작 패턴은 항해 위험 상황에서 적절한 조치를 취하고 있는지 여부를 객관적으로 구분하여 인적과실을 절감하는데 활용될 것으로 기대된다.

• 한국임상약학회지
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• 제31권4호
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• pp.311-323
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• 2021

Objective: The disabled are in a blind spot for obtaining information on drugs, and the pharmacies' counseling on drug use is centered on non-disabled people. Few studies have investigated the current statuses of drug use by type of disability. The purpose of this study is to understand the drug use by type of disability and by life cycle of visually impaired and hearing impaired in Korea. Methods: The study participants consisted of 16 people with visually impairments, 12 people with hearing impairments. One in-depth interview was conducted per participant, and each interview was recorded and documented. Results: Common barriers against safe medication and medical service uses across disability types are 'lack of consideration and service for the disabled, limited access to medical facilities due to disability, limited access to information regarding medication use, psychological anxiety about drug use and side effects, and inconvenience regarding COVID-19 epidemic. The specific factors were 'difficulties in identifying proper medicines and following prescribed dosages' in the case of visually impaired, and 'problems with sign language interpretation system' for the hearing impaired. Conclusion: Disabled people are hindered from using medicines properly due to various factors. Based on the content derived from this study, it is necessary to eliminate the inhibition factors and devise specific measures for the safety of each type of disorder such as developing a method for medication counseling considering disabilities and establishing communication support systems.

• 인간식물환경학회지
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• 제23권4호
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• pp.411-422
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• 2020

Background and objective: This study was conducted to find out the effects of healing farm resources and participant satisfaction on the level of stress and loyalty. Methods: The experiment was conducted on 18 subjects who participated in agro-healing activities (aged 49.5 years on average) and the concentration of cortisol, the level of stress and satisfaction with the services and program of a healing farm. The healing-agriculture activities were performed once a week, a total of 7 sessions, for 90 minutes and their saliva was collected before and after the activities. Results: The concentration of cortisol, a stress hormone, was statistically significantly reduced after the healing-agriculture activities in 5 out of 7 sessions. The total cortisol concentration showed statistically significant differences. The 6th session was comprised of different activities, compared to others, such as understanding weeds, managing a garden and making a pizza with fermentation enzymes, and the level of cortisol in the 6th session was the lowest after participating in the agro-healing activities, which indicated that the activities have the positive effect of lowering the level of stress. The level of stress was lowered from 18.39 to 16.78, which was consistent with the results of the concentration of cortisol. The level of satisfaction in the last session was below 50%, which indicated that the owner of the farm might be a little inexperienced in education and marketing on information and safety. The variables of participants including stress and satisfaction with services showed a strong influence on their loyalty. Conclusion: Satisfaction with services and loyalty to the healing farm showed a very high correlation, which was statistically significant. It also showed that participants' stress level and satisfaction with the services and program of the healing farm have a strong influence on their loyalty.

• 항공우주정책ㆍ법학회지
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• 제26권1호
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• pp.215-239
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• 2011

우주의 급속한 상업화와 더불어 본격적인 상업우주운송시대가 열리고 있다. 이 상업우주운송 중 가장 먼저 실현될 것으로 보이는 분야는 우주여행분야로서 이를 위한 우주운송체 개발이 Virgin Galatic 사와 XCOR Aerospace 사 등 민간기업의 주도로 진행되고 있다. 우주여행을 위한 우주운송체는 재 사용가능한 운송체(Resuable Launch Vehicle)로 개발되고 있으며 Virgin Galatic사의 Spaceship I과 II는 시험비행을 성공리에 끝내고 2012년 경 부터 본격적인 우주여행에 투입할 계획이다. 우리나라도 예천천문연구센타에서 XCOR Aerospace사와 동사의 LYNX MARK-II를 도입하는 양해각서를 체결하고 계획대로 라면 2013년부터 동 우주선을 사용하여 우주여행을 실시하려고 하고 있다. 이와 같이 이제는 우주여행은 우리에게 먼 미래의 이야기가 아니라 현실적인 문제가 되었다. 그러나 우주여행을 위한 법적측면에서의 대비는 거의 마련되어 있지 않은 것도 국내외적 현실이다. 이에 따라 본 논문은 우주여행과 관련하여 발생할 수 있는 제반 법적 문제점을 (1) 항공법과 우주법 중 어느 법의 적용을 받아야 하는가 하는 적용법 문제와, (2)우주여행객의 법적지위 문제를 우주선원으로 볼 수 있는가와 우주비행참가자로 볼 수 있는가를 우주관련 조약과 미국의 개정 상업우주발사법을 통하여 살펴보고 우주여행객에 대한 우주선선장의 권한 문제도 살펴보았다. (3)우주여행사고시의 책임문제는 정부 및 비정부단체의 국제책임문제와 관련하여 살펴보고, (4)허가와 감독문제는 미국의 AST의 사례와 개정 상업우주발사법을 통하여 고찰하였다. 특히 우주선의 안전성 보장 문제가 우주여행의 본격화를 위해서는 필수적인 점에서 현행 법제도상의 한계점과 개선점에 대해서도 살펴보았다. (5)우주여행선의 등록문제도 우주물체 등록협약과 관련하여 살펴보고, (6)마지막으로 우주여행 사업의 리스크 보전차원에서 우주보험 문제를 제3자 손해에 대한 보험과 자기재산에 대한 손해 순으로 보험문제를 살펴보았다. 우주여행이 본격적으로 활성화되기 위해서는 적어도 본 논문에서 언급되고 있는 법적 문제점들에 대한 검토와 이에 대한 법적 제도적 보완 장치가 조속히 국내적으로도 국제적으로도 마련되어야 할 것으로 본다.

• 대한인간공학회지
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• 제35권5호
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• pp.361-370
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• 2016

Objective:The aim of this study is to evaluate contributions of individual finger forces associated with various levels of submaximal voluntary contraction tasks. Background: Although many researches for individual finger force have been conducted, most of the studies mainly focus on the maximal voluntary contraction. However, Information concerning individual finger forces during submaximal voluntary contraction is also very important for developing biomechanical models and for designing hand tools, work equipment, hand prostheses and robotic hands. Due to these reasons, studies on the contribution of individual finger force in submaximal grip force exertions should be fully considered. Method: A total of 60 healthy adults without any musculoskeletal disorders in the upper arms participated in this study. The young group (mean: 23.7 yrs) consisted of 30 healthy adults (15 males and 15 females), and the elderly group (mean: 75.2 yrs) was also composed of 30 participants (15 males and 15 females). A multi-Finger Force Measurement (MFFM) System developed by Kim and Kong (2008) was applied in order to measure total grip strength and individual finger forces. The participants were asked to exert a grip force attempting to minimize the difference between the target force and their exerted force for eight different target forces (5, 15, 25, 35, 45, 55, 65, and 75% MVCs). These target forces based on the maximum voluntary contraction, which were obtained from each participant, were randomly assigned in this study. Results: The contributions of middle and ring fingers to the total grip force represented an increasing trend as the target force level increased. On the other hand, the contributions of index and little fingers showed a decreasing trend as the target force level increased. In particular, Index finger exerted the largest contribution to the total grip force, followed by middle, ring and little fingers in the case of the smallest target force level (5% MVC), whereas middle finger showed the largest contribution, followed by ring, index and little fingers at the largest target force levels (65 and 75% MVCs). Conclusion: Each individual finger showed a different contribution pattern to the grip force exertion. As the target force level increase from 5 to 75% MVC, the contributions of middle and ring fingers showed an increasing trend, whereas the contributions of index and little fingers represented a decreasing trend in this study. Application: The results of this study can be useful information when designing robotic hands, hand tools and work equipment. Such information would be also useful when abnormal hand functions are evaluated.

• 동의신경정신과학회지
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• 제32권2호
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• pp.81-93
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• 2021

Objectives: Mild cognitive impairment (MCI) is condition of cognitive decline shown in transition from normal aging to dementia. Hominis placenta pharmacopuncture (HPP) is a treatment that combines effects of medication and acupuncture by injecting Hominis placenta into acupoints. The objective of this study was to evaluate the efficacy and safety of HPP for MCI. Methods: This was a randomized, double-blind, placebo-controlled, two-center clinical trial. Eligible patients were randomly allocated to either the HPP group or the placebo group. HPP or saline as placebo was administered to participants for eight weeks. Changes in symptoms were observed. The primary outcome was difference in mean change of Korean Version of the Montreal Cognitive Assessment (MoCA-K) score between the HPP group and the placebo group. Cognitive function, overall status of mood and sleep, and quality of life (QoL) were also assessed. Safety assessment and economic analysis were then conducted. Results: Thirty participants were enrolled. One participant in the placebo group dropped out. The score of MoCA-K increased after treatment. Its mean change was smaller in the HPP group than in the control group. HPP ameliorated Global Deterioration Scale and Korean Dementia Rating Scale subtests for attention, organization, and memory compared to the placebo. However, none of them was significantly different between the two groups. Mood, sleep, and QoL all improved more in the HPP group than in the placebo group, although differences between the two groups were not statistically significant. There was no adverse event probably related to the drug. HPP treatment needed KRW 345,000 more than the placebo group in improving Geriatric Quality of Life scale-Dementia score by one point for one year. Conclusions: Although HPP treatment did not significantly improve cognition, it changed behavioral and psychological symptoms in MCI.

• 항공우주정책ㆍ법학회지
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• 제22권1호
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• pp.75-103
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• 2007

본 논문은 동북아시아에서의 우주협력에 장애가 되는 것을 극복하고자 정치적 상황을 검토함과 아울러 규범적인 체계의 수립에 대해서 검토하고자 한다. 그러한 협력의 장애가 되는 것중의 하나는 MTCR을 중심으로 하여 미국의 영향력 이라고 할 수 있다. 한국과 중국의 발사계약이 성사되지 않은 것도 그로 인한 것이었다. 중국이 MTCR 체제와 융합하는 것이 동북아시아에서의 우주협력을 활성화하기 위한 초석이 될 수도 있다. Helsinki 사례가 인권, 평화 및 환경 문제를 다루는 포괄적인 규범 체계를 제공하였듯이, 한반도의 안정과 평화를 둘러싸고 수립될 수 있는 동북아시아에서의 평화 체제가 우주부문에서의 협력과 같은 광범위한 문제를 다룰 수도 있을 것이다. 한국이 동북아시아지역에서 제3의 우주개발국가로서 성장하면 중국과 다른 열강과의 관계에 있어서 균형자로서의 역할을 할 수도 있을 것이다. 한국은 우주개발을 통해서 획득한 자료등을 아무런 정치적 이해 관계없이 주변국들과 공유하면서 우주협력을 이끌어낼 수도 있다. 일본이 주도하는 APRSAT가 재난방지위성시스템으로서 Sentinel을 제공하면서 주변 국가들의 협력을 이끌어 낸 것이 하나의 예가 될 수도 있다.