• 여성건강간호학회지
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• 제28권3호
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• pp.210-221
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• 2022

Purpose: The purpose of this study was to construct a hypothetical model based on Meleis and colleagues' Transition Theory and a literature review to explain women's menopausal transition, constructing a modified model considering previous studies and model fit and testing the effects between variables. Methods: With a correlational survey design, middle-aged Korean women aged 40 to 64 years who had experienced menopausal symptoms were recruited and filled out a self-administered study questionnaire. Measures included menopausal symptoms, resilience, social support, menopause management, menopause adaptation, and quality of life. The data were analyzed using SPSS 24.0 and AMOS 24.0. Results: The model fit indices were considered acceptable: 𝛘²/degree of freedom=2.93, standardized root mean residual=.07, comparative fit index=.90, and parsimonious normed fit index=.73. All eight direct-effect paths-from menopausal symptoms to support and adaptation, from support to adaptation and resilience, from resilience to adaptation and management, from management to quality of life, and from adaptation to quality of life-were significant. The explanatory power of the menopause transition model was 63.6%. Conclusion: Women who experience menopausal symptoms may be able to maintain and improve their quality of life if menopause management and menopause adaptation are successful through resilience and social support. Future research is needed to confirm whether strengthening facilitation as a nursing intervention strategy may promote healthy response patterns.

• 한국간호교육학회지
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• 제28권2호
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• pp.204-217
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• 2022

Purpose: This study was conducted to determine the factors affecting a hypothetical model of testing for general hospital nurses' job embeddedness. Methods: Data were collected from August 20 to September 19, 2021, by a self-administered questionnaire answered by 428 general hospital nurses. The data were analyzed by SPSS and AMOS. Results: Nine of the hypothetical model's 12 hypotheses were supported by the data collected from all participants. The test results indicate that ego resilience, subjective career success, and recovery experience from job stress directly affect participants' job embeddedness. Nurses' work environments were reported to affect ego resilience and subjective career success, while at the same time ego resilience and subjective career success affected the participants' job embeddedness. Work-life balance was found to affect ego resilience and ego resilience affected subjective career success, and at the same time subjective career success directly affected participants' recovery experiences from job stress and job embeddedness. Of these variables, subjective career success had the strongest direct effect on participants' job embeddedness. Work-life balance affected the participants' recovery experiences from job stress, and their recovery experiences from job stress were found to directly affect job embeddedness. Conclusion: These results suggest that different management strategies to enhance hospital nurses' job embeddedness should address nurses' ego resilience, subjective career success, and recovery experiences from job stress.

• 근관절건강학회지
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• 제29권3호
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• pp.141-150
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• 2022

Purpose: This study aimed to investigate the effects of rehabilitation programs with coaching exercise (CE) or home exercise (HE) on shoulder pain, muscle strength, and daily living functions (DLF) in patients with shoulder impingement syndrome. Methods: With quasi-experimental design, thirty patients (15 CE and 15 HE) participated in rehabilitation programs for 12 weeks. At first, data were collected for pain and DLF using questionnaires with testing muscle strength and range of motion. Then, subjects were allowed to receive training on rehabilitation with structured training materials. CE group visited sports center three times a week at P hospital and HE group did self-exercise at home. Data were analyzed using SPSS program. Results: After 12 weeks, both groups showed statistically significant changes in improving pain, muscle strength, and DLF. Compare to HE group, CE group showed a statistically significant improvement in shoulder pain (p=.021), muscle strength in internal rotation (p=.001) and abduction (p=.013) and DLF (p=.012). Conclusion: Rehabilitation programs for patients with shoulder impingement syndrome were effective to improve pain, muscle strength, and DLF. Although CE would bring the better effects, it is possible to apply HE through structured education to patients who are difficult to visit hospitals.

• 대한간호학회지
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• 제53권1호
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• pp.12-27
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• 2023

Purpose: This study aimed to develop a scale to measure distress in patients with ischemic stroke and verify its validity and reliability. Methods: Preliminary items were developed from literature review and in-depth interviews. The final preliminary scale was confirmed through a content validity test of eight experts and a preliminary survey of 10 stroke patients. The participants for psychometric testing were 305 stroke patients in the outpatient clinic. Validity and reliability analyses included item analysis, exploratory and confirmatory factor analysis, convergent validity, known-group validity, and internal consistency of the scale. Results: The final scale consisted of 17 items and 3 factors. The three distinct factors were 'self-deprecation, worry about future health, and withdrawal from society' and this structure was validated using a confirmatory factor analysis. Convergent validity was supported by comparison with the Center for Epidemiologic Studies Depression Scale (r = .54, p < .001) and Brief Illness Perception Questionnaire (r = .67, p < .001). Known-groups validity was verified by dividing groups according to 'duration since diagnosis' (t = 2.65, p = .009), 'presence of sequela' (t = 10.16, p < .001), and 'awareness of distress' (t = 12.09, p < .001). The internal consistency of the scale using Cronbach's α for the total items was .93. Conclusion: The Ischemic Stroke Distress Scale is a valid and reliable tool that reflects stroke distress effectively. It is expected to be used as a basic tool to develop various intervention strategies to reduce distress in ischemic stroke patients.

• 대한간호학회지
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• 제52권6호
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• pp.564-581
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• 2022

Purpose: This study aimed to evaluate the validity and reliability of the Korean version of the Readiness for Practice Survey (K-RPS). Method: The English Readiness for Practice Survey was translated into Korean using the Translation, Review, Adjudication, Pretesting, and Documentation (TRAPD) method. Secondary data analysis was performed using the dataset from the New Nurse e-Cohort study (Panel 2020) in South Korea. This study used a nationally representative sample of 812 senior nursing students. Exploratory and confirmatory factor analyses were also conducted. Convergent validity within the items and discriminant validity between factors were assessed to evaluate construct validity. Construct validity for hypothesis testing was evaluated using convergent and discriminant validity. Ordinary α was used to assess reliability. Results: The K-RPS comprises 20 items examining four factors: clinical problem solving, learning experience, professional responsibilities, and professional preparation. Although the convergent validity of the items was successfully verified, discriminant validity between the factors was not. The K-RPS construct validity was verified using a bi-factor model (CMIN/DF 2.20, RMSEA .06, TLI .97, CFI .97, and PGFI .59). The K-RPS was significantly correlated with self-esteem (r = .43, p < .001) and anxiety about clinical practicum (r = - .50, p < .001). Internal consistency was reliable based on an ordinary α of .88. Conclusion: The K-RPS is both valid and reliable and can be used as a standardized Korean version of the Readiness for Practice measurement tool.

• Composites Research
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• 제19권6호
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• pp.23-31
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• 2006

나노허니컴 구조물의 영률, 굽힘 탄성 계수. 공칭파괴강도를 구하였다. 양극산화 알루미늄은 잘 정렬된 나노허니컴 구조물의 일종으로서 공정이 간단하고, 높은 종횡비, 자가 정렬된 기공구조를 가지고 있고, 기공의 크기를 조절할 수 있다. 원자현미경으로 외팔보 굽힘 시험을 수행하였고 나노-UTM을 이용한 3점 굽힘 실험결과와 비교하였다. 또한 나노-UTM으로 인장시험을 수행하였다. 나노허니컴 구조물의 한쪽 면은 막혀 있어서, 일반적인 샌드위치 구조물의 면재에 비유될 수 있다. 하지만 이러한 막힌 면은 굽힘 강도 증가에 영향을 끼치지 못하고 균열선단으로 작용한다는 것을 알 수 있었다. 본 연구로 나노허니컴 구조물을 설계하는데 기초적인 물성을 제공하고자 한다.

• Restorative Dentistry and Endodontics
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• 제46권3호
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• pp.36.1-36.11
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• 2021

Objectives: This study aimed to evaluate Emblica officinalis (Indian gooseberry or amla) as an acid etchant and matrix metalloproteinase (MMP) inhibitor, and to compare its effect on the microshear bond strength of composite resin with orthophosphoric acid (OPA) and 2% chlorhexidine (CHX) as an acid etchant and MMP inhibitor, respectively. Materials and Methods: The etching effect and MMP-inhibiting action of amla on dentin samples were confirmed by scanning electron microscopy (SEM) and gelatin zymography, respectively. Dentinal slabs (3 mm thick) from 80 extracted human molars were divided into 10 and 20 samples to form 2 control groups and 3 experimental groups. Groups 1, 2, and 4 were etched with OPA and groups 3 and 5 with amla juice. An MMP inhibitor was then applied: CHX for group 2 and amla extract for groups 4 and 5. Groups 1 and 3 received no MMP inhibitor. All specimens received a standardized bonding protocol and composite resin build-up, and were subjected to microshear bond strength testing. The force at which the fracture occurred was recorded and statistically analyzed. Results: Amla juice had a similar etching effect as a self-etch adhesive in SEM and 100% amla extract was found to inhibit MMP-9 by gelatin zymography. The microshear bond strength values of amla were lower than those obtained for OPA and CHX, but the difference was not statistically significant. Conclusions: Amla has a promising role as an acid etchant and MMP inhibitor, but further studies are necessary to substantiate its efficacy.

• 대한토목학회논문집
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• 제26권1C호
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• pp.53-61
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• 2006

본 논문은 미고결 층상 지반에서 터널을 굴착함으로써 발생하는 응력 재분배 메커니즘을 모형 실험을 통해 규명한 것이다. 미고결 층상 지반을 모사하기 위해서는, 지반재료 자체만으로 자립이 가능케 하여 모형토조와의 마찰을 배제시킬수 있는 알루미늄 봉과 블록을 이용한 2차원 모형 실험을 실시하였다. 지층이 경사진 모형 지반에 대하여 터널 굴착에 따른 지반 변형과 응력 재분배 현상을 계측기를 통하여 각각 측정하였다. 지반변형에 대해서는, 지표면의 침하형상을 측정하여 굴착에 따른 변형 특성을 살펴보았다. 응력 재분배 현상에 대해서는, 터널 작용 토압과 터널 주변부 작용 토압의 변화를 각각 측정하여 상호 검토를 실시하였다. 이러한 실험 결과를 토대로 미고결 층상 지반에서 터널 굴착에 따른 지반의 변형 및 응력 재분배 메커니즘에 대한 상세한 검토를 수행하였다.

• 대한토목학회논문집
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• 제26권4C호
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• pp.275-282
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• 2006

굴착 단면 또는 내부 단면적에 비해 연장이 긴 선형 구조물의 일종인 터널은 다양한 지반조건에서 시공된다. 본 논문은 미고결 층상 지반에서 터널 굴착에 의해 발생하는 터널 작용토압에 대하여 모형실험적 및 이론 해석적 연구를 수행한 것이다. 터널 모형실험은 층상구조를 이루고 있는 지층의 경사각도와 토피고를 변화시키면서 실시하였다. 모형실험에 사용된 지반재료는, 그 자체만으로 자립이 가능케 함으로써 모형토조 벽면과의 마찰을 제거시킬 수 있는 점착력이 배제된 알루미늄 봉과 블록을 이용한 2차원 모형 실험을 실시하였다. 아울러 터널 하중에 대한 이론적 평가식을 새롭게 유도하고, 이를 실험에 의한 터널 하중과 함께 비교하여 그 타당성을 검토하였다.

• 한국심리학회지 : 문화 및 사회문제
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• 제15권4호
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• pp.565-589
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• 2009

본 연구에서는 게임 사용의 부정적 결과에 초점을 둔 선행 연구와 달리, 게임활용의 긍정적 결과로서의 적응적 게임활용도를 측정하는 도구를 개발하고 타당화하였다. 예비조사를 통해 적응적 게임활용 측정 도구를 개발하고, 유층표집을 통해 선정된 전국 중고등학생 600명을 대상으로 본조사를 실시하였다. 연구결과 활력 경험, 생활경험 확장, 여가 선용, 몰입 경험, 자긍심 경험, 통제력 경험, 사회적 지지망 유지 및 확장 등 7개의 요인으로 구성되는 척도의 신뢰도와 시간에 걸친 안정성이 확인되었다. 또한, 척도의 구성타당도, 변별타당도, 및 공인타당도를 확인하였다. 게임 연구의 외연 확장과 관련한 본 연구의 시사점과 장래 연구 방향을 논의하였다.