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검색결과 513건 처리시간 0.03초

청소년의 학대피해경험이 공격성에 미치는 영향: 자아탄력성의 매개효과 (The Effects of Adolescents' Experiences of Abuse Damage on Aggressiveness in the Convergence Era: Focused on the Mediation Effects of Resilience)

  • 김숙향;김형모
    • 한국융합학회논문지
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    • 제9권2호
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    • pp.331-340
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    • 2018
  • 본 연구의 목적은 청소년의 학대피해경험이 공격성에 미치는 영향에서 자아탄력성 매개효과를 검증하는 것이며, 이를 위해 한국아동 청소년패널조사 초4 패널 중에서 7차년도(2016년) 데이터를 사용하였다. 분석방법은 SPSS WIN 21.0을 사용하여 대상의 일반적특성을 파악하기 위해 빈도분석, 기술통계를 실시하였으며, 다중공선성을 확인 한 후 매개변인 효과를 하였다. 그리고 매개효과 경로분석을 위해 Sobel Test를 실시하였다. 연구결과는 다음과 같다. 첫째, 청소년의 학대피해경험이 공격성에 유의하게 영향을 미치는 것으로 나타났다. 둘째, 청소년의 학대피해경험이 공격성에 미치는 영향에서 자아탄력성이 부분매개효과가 있은 것으로 나타났다. 본 연구의 결과는 피학대청소년을 대상으로 자아탄력성 강화의 중요성과 모든 청소년들의 성공적인 성인기를 맞이할 수 있도록 예방적 차원에서 자아탄력성 강화가 필요함에 대한 실증적 자료를 제공함으로써 의미를 가지며, 이를 토대로 청소년을 대상으로는 자아탄력성 강화 프로그램이 제공이 사회복지실천에서 필요성을 제언하였다.

청소년 건강행태 및 생활환경과 천식의 관련성 (Relationship between Health Behaviors, Living Environment and Asthma of Adolescents)

  • 장보미;김정훈;장미정;박주현;김규상
    • 한국환경보건학회지
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    • 제45권6호
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    • pp.613-621
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    • 2019
  • Objectives: This study was performed to examine the relationship between health behaviors, living environment, and asthma in adolescents in Korea. Methods: Information on adolescents' characteristics, including demographic factors, health behaviors, and doctor's diagnosis of asthma was obtained from the Korean Youth Risk Behavior Web-based Survey (2015). In total, 68,043 middle and high school students participated. Environmental characteristics, including city park area and outdoor PM10 concentrations in 2015 were obtained from the Korean Statistical Information Service. The adolescents' and environmental characteristics were merged by local information. Multiple logistic regression models were used to investigate the risk factors affecting asthma in adolescents. Results: The prevalence of asthma in adolescents in 2015 was 8.8%. In the multiple logistic regression analysis, adolescents who were male, attended middle school, suffered obesity, experienced tobacco smoking, had physical activity levels of 2 to 4 days, had higher stress levels, and lived in areas with outdoor PM10 concentrations more than 47 ㎍/㎥ were more likely to have asthma, while adolescents who had middle levels of family economic status were less likely to do so. Conclusions: The fact that PM10 concentration can affect asthma is an important point in this study. Risk factors identified in this study could be used as basic data for the prevention and management of asthma in Korea.

A new manufacturing method of all ceramic restoration using alumina tape and presentation of clinical cases

  • Oh, Nam-Sik;Kim, Eui-Seong;Lee, Keun-Woo;Han, Jung-Suk;Kim, Dae-Joon;Lee, Myung-Hyun
    • 대한치과보철학회지
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    • 제38권6호
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    • pp.800-805
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    • 2000
  • In an effort to facilitate fabrication procedure of all ceramic crowns, a novel preparation method for all ceramic crown using alumina tape was developed. The alumina tape having a uniform thickness was cast by using Doctor blade method. The physical properties of newly introduced alumina tape has biaxial flexure strength of $500\sim600MPa$. The value of toughness is $3.18\sim3,28MPa.m^{1/2}$ which corelates with fracture and the linear shrinkage rate of the alumina tape is 0.44% during core production. The marginal fitness of the alumina tape all-ceramic restoration with $90{!`}$shoulder margin had average marginal discrepancy at $78.3{\S}$ > and average marginal gap at $44.4{\S}$ >. At the marginal preparation of $135{!`}$deep chamfer, the average marginal discrepancy at $82.1{\S}$ > and the average marginal gap at $40.2{\S}$ > had been reported. This fabrication procedure of all ceramic crowns with alumina tapes is easier and less technical sensitive for dental technicians. After restoration with new all ceramic crowns we followed the patients 2 years later, there were no complications as porcelain fractures or periodontal disease. We had good esthetic clinical results with new all ceramic crowns.

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TRUS 전립선 영상에서 가버 텍스처 특징 추출과 평균형상모델을 적용한 전립선 경계 검출 (Detecting the Prostate Boundary with Gabor Texture Features Average Shape Model of TRUS Prostate Image)

  • 김희민;홍석원;서영건;김상복
    • 디지털콘텐츠학회 논문지
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    • 제16권5호
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    • pp.717-725
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    • 2015
  • 전립선 영상은 비용이 상대적으로 저렴한 경직장 초음파 영상을 이용하여 전립선 진단에 많이 사용된다. 경직장 초음파 영상은 3차원으로 촬영되어 여러 장으로 하나의 진단 단위가 만들어 진다. 의사는 진단을 위해 2차원 영상을 순서대로 모니터에 표시하여 볼 수도 있고, 3차원의 영상을 볼 수도 있다. 2차원 영상은 원 영상을 그대로 출력하면 되지만, 3차원 영상은 다양한 각도에서 보이기도 하고, 내부의 어떤 면을 자른 형태로도 보여야 하므로 정확하게 전립선과 배경을 구분하여야 한다. 특히 경계를 구분할 때, 전립선의 중간 부분은 상대적으로 구분하기 쉬우나, 기저부와 첨단부는 불확실한 부분이 많으므로 경계를 구분하기기 매우 어렵다. 이에, 본 논문은 평균 형상 모델을 적용하여 전립선 경계를 추출하는 방법을 제안하고, 실험을 통하여 기존의 방법에 비해 우수함을 보인다.

영 유아 및 학령전 아동의 안전사고 및 어머니의 응급처치 정보 접촉 경험에 관한 조사 연구 (A Survey on the Experience of Accident of Infant, Toddler and Preschooler, and the Education about Emergency Care for Parents)

  • 김일옥;신선화
    • Child Health Nursing Research
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    • 제8권2호
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    • pp.174-182
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    • 2002
  • The purpose of this study was to investigate the experiences of accident and visiting emergency center, and the experiences of education about emergency care for parents. The subjects of this study were 117 mothers whose children are attending 9 different nursery schools or kindergartens. The instrument used in this study was developed by researchers and validated by nursing professor, first aid doctor and the president of nursery school, and consisted of 'most important thing in child rearing' ,'experiences of accident and visiting emergency center', 'type of trauma' and 'need for parent education program' the result of this study were as followed ; 1.There were 70.09% of the experience of visiting emergency center among the subjects. The cause of visiting emergency center were high fever and convulsion(42.86%), and trauma by accident(28.04%) 2. The most common type of the indoor accident were fall down and slipping(76.92%), the common type of trauma were contusion (76.92%), abrasion(47.01%), laceration(29.06%), dislocation or fracture(12.82%), burn(10.26%), piercing(8.55%). 3.47.01% of subjects had the experience of education about emergency care for parents. They were educated by child rearing journals (32.72%), small books which were published by hospitals or community health center (25.45%), mass media(21.8%), parent seminar (12.72%), nursery school or kindergarten (5.45%). In conclusion, the need of emergency care for children was strongly found. Therefore, on the basis of above results, the parent education program which fits their cognitive level and their health care needs So, it must be directed on the further study of parents' knowledge about emergency care for children. To enhance the effectiveness of program and accomplish the children's health promotion, advanced instructional media and demonstration must be included.

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서울지역 일반 한의원과 네트워크 한의원의 환자만족도 및 추천의사에 미치는 영향요인 비교 (Comparison of Patients' Satisfactions with General Korean Medicine Clinics and Networked Korean Medicine Clinics in Seoul, Korea)

  • 한혁규;오치석;류지선;임병묵
    • 대한예방한의학회지
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    • 제18권3호
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    • pp.57-67
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    • 2014
  • Objective : This study aimed to compare the patients' satisfactions with local Korean Medicine(KM) clinics and networked KM clinics, and to find out which factors had an effect on it. Method : Six local KM clinics and six networked KM clinics were selected, and patients' questionnaires on the satisfaction with KM clinic use were administered using exit poll method. The questionnaires were developed to measure satisfactions with facility, doctor and staffs, and services. 240 patients completed the questionnaires, and the data were statistically analyzed. Results : There was more diversity in patients' diseases among networked KM clinics users, however, treatments provided were not differentiated clinically between two types of KM clinics. Patients' satisfaction scores for local KM clinics were significantly higher than those for networked KM clinics in the aspects of doctors/staffs (9.35 vs 8.92, p<.01) and services (8.76 vs 8.42, p<.05). 90.0% of local KM clinic users expressed their willingness to recommend the clinics they used to others, while 75.0% of networked KM clinics users did. For both the local and networked clinics, 'KM doctors' kindness', and 'process and waiting time' were statistical factors affecting patients' satisfaction. Conclusion : The patients' satisfactions with general KM clinics were higher than those with networked KM clinics. Networked KM clinics need to develop services to meet the diverse medical demands which were created by them selves.

컴퓨터 응용 인공고관절 모사 시술 방법 연구 (A Study on Computer Aided Surgical Simulation Method for Total Hip Arthroplasty)

  • 김상후;한승무
    • 대한의용생체공학회:의공학회지
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    • 제25권6호
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    • pp.455-464
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    • 2004
  • 현재 인공고관절 전치환 수술 과정의 높은 난이도 때문에 숙련된 의사의 경험에 상당히 의존하고 있는 실정이다. 비구컵과 대퇴 임플란트의 위치 선정은 수술의 성공 여부와 밀접한 관계가 있지만 아직까지는 의사의 눈대중에 의해 이루어지는 경우가 많다. 이러한 이유로 인하여 인공삽입물(비구컵, 대퇴시스템) 삽입의 정확성이 낮아서 재치환술을 해야 하는 경우가 자주 발생한다. 본 연구에서는 환자 골반골(pelvis)과 대퇴골(femur)의 3차원적인 고유 기하학적 정보를 이용하는 모사 시술을 통하여 비구컵과 대퇴 임플란트의 정확한 위치를 선정하는 방법을 결정하였다. 이를 위하여 우선 비구컵의 위치 변화에 따른 대퇴 전염각 및 대퇴 경간각의 변화 양상을 살펴보았고 또한 대퇴 임플란트의 삽입 위치에 따른 대퇴스템 경부 길이 및 대퇴스템각의 변화 양상을 조사하였다. 본 연구에서 다양한 모사 시술을 통한 기하학적 정보의 분석 결과 비구컵과 대퇴 임플란트의 정확한 위치 선정이 가능함을 확인하였다. 본 연구의 모사 시술 방법을 이용하여 의사가 인공고관절 수술을 선행한다면 수술의 정확도와 숙련도를 향상시킬 수 있을 것으로 기대된다.

애드혹 라우팅을 이용한 무선센서네트워크 기반의 원격 생체신호 모니터링 시스템 (Remote Vital Sign Monitoring System Based on Wireless Sensor Network using Ad-Hoc Routing)

  • ;이영동;정완영
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2006년도 춘계종합학술대회
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    • pp.426-429
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    • 2006
  • 노약자나 만성질환자를 위하여 가정에서 분산된 무선센서네트워크 노드를 사용하는 헬스케어 모니터링 시스템을 설계 및 제작하였다. 본 시스템은 가장 중요한 건강 파라메터인 ECG와 체온을 측정하도록 설계되었으며, 무선센서 노드를 사용하여 원격지의 병원서버 또는 의사의 PC, PDA에 연결된 베이스스테이션으로 Ad-hoc 네트워크를 통해 환자 또는 노인의 건강정보를 전송하는 시스템 구현에 목적을 두고 있다. 본 시스템을 통해 환자의 의료장비 비용을 절약 할 수 있을 뿐만 아니라 센서 노드는 무선센서네트워크의 강점인 Ad-hoc 통신이 가능하면서 저전력으로 동작하여 배터리의 수명을 연장할 수 있는 특징을 가진다. 또한, 병원의 한층 전체의 환자나 여러 환자가 거주하는 가정 또는 시설에서 하나의 PC(또는 서버컴퓨터)로 시스템 구성이 가능하도록 시스템을 구현함으로서 베이스스테이션에서 멀리 떨어져 있는 환자의 생체 신호도 Ad-hoc 네트워크를 통해 베이스스테이션까지 전송이 가능하였으며, 이동성 제공 및 홈 환경에서 사용자에게 편리함을 가져올 수 있으리라 예상된다.

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미국 대학보건실의 건강증진 서비스 제공체계 - 캘리포니아 주에 소재한 일부 대학의 운영사례를 중심으로 - (Health promotion services of health care center at some universities in California, the U.S.)

  • 김영복;박천만
    • 한국학교ㆍ지역보건교육학회지
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    • 제12권2호
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    • pp.113-127
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    • 2011
  • Background: University health services have provided comprehensive medical care, counseling, health promotion, and public health services to their students and several other local institutions. To their faculty and staff, university health care centers have served occupational health services and employee assistant program. Purpose: We performed this study to review the health promotion services on two kinds of health care center with different style of university formate. Methods: We tried to collect the data by literature review and interview with executive and provider at health care center in University of California at Berkeley and San Jose State University. Results: Our results were as followed. First, students could use the medical services just as they would their regular doctor's office and urgent care center. Second, the health promotion unit offered programs and services for keeping students healthy and safe, including many opportunities for students to get involved in shaping the public health of the campus. Third, the health promotion recommendation offered from ACHA was useful guideline to improve health status of their member in university campus. Finally, the student satisfaction surveys were used for evaluation and quality improvement. Conclusions: The systematic approach to improve health status of students, faculty and staff can use to maintain a state of optimum health among the diverse student community in support of academic excellence. Coupled with health promotion and public health programs, university health service have to reach all segments of the healthy campus community. To achieve study goals in university, the health care center contributes to promote accountability and responsibility for the health and well being of the members in their campus.

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고혈압 환자의 삶의 질 관련 요인: 제 7기 1차년도(2016년) 국민건강영양조사 (Factors Related to Hypertension Patients' Quality of Life: The 7th Korean National Health and Nutrition Examination(1st Year, 2016))

  • 김수이;우상준;정영해
    • 한국학교ㆍ지역보건교육학회지
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    • 제21권1호
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    • pp.61-74
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    • 2020
  • Objectives: This study aims to examine hypertension patients' quality of life by using the data of the 7th Korea National Health and Nutrition Examination Survey (1st year, 2016), identify the factors related to this, and utilize the results as basic data for intervention that can improve hypertension patients' quality of life. Methods: For the research subjects, this study extracted 1,531 patients who were diagnosed with hypertension by a doctor from the total sample of 8,150 participants of the 7th Korea National Health and Nutrition Examination Survey, and selected 1,072 patients with no missing value in the variables to be analyzed as the final research subjects. The SPSS(version25.0) program was used for the analysis of the collected data. Then, this study used a backward elimination multiple regression analysis method that applied complex sample, to examine the factors related with the finally estimated quality of life. Results: The results of this study revealed that hypertension patients' quality of life was related with age, occupation, spouse, household income, weight gain, restriction of activity, subjected health status, perceived stress, and presence of comorbidity. The final model explained 37.0% of the variance (Wald F=30.012 p<.001). Conclusions: When an intervention program is implemented for the improvement of hypertension patients' quality of life in the future, it will be effective to construct the program according to age group, employment, marital status and household income. As for the program operation, patients should get help therefrom to control weight, facilitate activities and relieve their stress, and they should be also motivated to feel healthy. Furthermore, education should be offered so that they appropriately manage their underlying disease at an early stage.