• Title/Summary/Keyword: Standard Scale

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PET/CT 검사에서 18F-FDG 투여 후 음악 청취 여부에 따른 SUV변화와 환자의 만족도에 관한 고찰 (Consideration on the Satisfaction of Patients and SUV Variation According to Whether or not to Listen to Music after 18F-FDG Injection)

  • 박수영;윤선희;김화산;김현기
    • 핵의학기술
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    • 제17권2호
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    • pp.37-43
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    • 2013
  • PET/CT검사는 목적장기 및 조직에 집적된 방사성의약품의 표준섭취계수(SUV, standardized uptake value)를 객관적 지표로 이용하여, 인체 내 각 장기의 생리화학반응에 대한 정성 및 정량분석이 가능하다. 본 연구는 PET/CT검사를 하는 환자에게 $^{18}F-FDG$ (fluororodeoxyglucose) 투여 후 안정 상태 유지 중 음악 청취 여부에 따른 SUV의 변화를 분석하고, 음악 청취가 안정을 취하는 환자의 주관적 만족도에 어떠한 영향을 미치는지 평가하였다. 2011년 4월부터 2013년 2월까지 서울성모병원과 부천성모 병원을 내원한 원발성 암 환자 중 $^{18}F-FDG$ PET/CT를 시행 하고, 추적검사를 통해 진료 받는 108명(평균연령 $55.61{\pm}12.41$세, 남자 48명, 여자 60명)을 대상으로 하였다. $^{18}F-FDG$ 투여 후, 1시간 안정 시 환자의 음악 청취 여부에 따라-최초 검사 시 음악 청취 없이 안정을 유지(A:최초 검사), 추적 검사 시 음악 청취를 하면서 안정을 유지(B: 추적 검사)-두 가지 그룹으로 분류하였다. 검사 종료 후 간 우엽의 중앙과 뇌의 3곳(전두엽, 후두엽, 측두엽)에 관심영역을 설정하여 SUV를 측정 후 SPSS software version 12.0K for window (SPSS Inc., Chicago, IL)를 이용해 paired t-test를 실시하여 통계적 유의성을 검증하였다(P>0.05). 또한 음악 청취 여부에 따른 고객만족도를 평가하기 위하여 1:1 설문지 조사법을 시행하였고 설문지는 Likert 5점 척도를 이용해 작성하여 단순빈도, 백분율, 평균값, 표준편차를 분석하였다. 음악 청취 여부에 따른 SUV의 변화는 관심영역 4곳 모두 유의하지 않은(전두엽 P=0.611, 후두엽 P=0.499, 측두엽 P=0.717, 간 P=0.334: P>0.05) 것으로 나타났으며, 고객만족도는 실험 A는 3.95점, 실험 B는 4.37점(5점 만점 기준)으로 실험 A에 비해 실험 B의 경우 0.42점 높게 나타나 실험 B에서 환자들이 더욱 만족하는 것으로 나타났다. $^{18}F-FDG$를 이용한 PET/CT 검사 시 방사성의약품 투여 후 음악청취는 SUV에 영향을 미치지 않고 심리적으로 편안 한 상태를 주어 환자의 만족도를 향상 시킬 수 있는 것으로 사료된다.

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뇌졸중 환자를 대상으로 한 병원 환경에서의 작업 기반 양측성 상지 훈련 프로토콜 개발 (Development of a Occupation-Based Bilateral Upper Extremity Training Protocol in a Medical Setting for Stroke Patients)

  • 김선호;김정란;박혜연;한아름;김종배;박지혁
    • 재활치료과학
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    • 제9권1호
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    • pp.24-44
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    • 2020
  • 목적 : 임상 적용에 있어 효율적 적용이 가능한 작업 기반 양측성 상지 훈련을 위해 작업기반 중재의 활동 선정과 양측성 상지훈련의 주요 전략을 기본으로 한 프로토콜을 개발하는 것이었다. 연구 방법 : 델파이 기법을 활용한 연구의 절차는 총 3단계의 연구 과정으로 진행하였다. 첫 단계는 개방형 설문 개발 단계로 문헌고찰을 통해 1차 초안을 마련하고 초안을 바탕으로 한 예비연구를 통해 개방형 질문을 개발하였다. 두 번째 단계는 델파이 조사로, 개방형 델파이 설문을 통해 얻은 전문가들의 응답을 바탕으로 훈련 프로토콜로서의 적절성을 리커트 5점 척도로 제시하였다. 설문조사를 통해 얻은 평균 및 표준편차, 안정도, 수렴도, 합의도, 내용 타당도 비율 분석을 통해 항목의 수정 및 삭제 등의 과정을 거쳐 항목을 도출하여 재구성하여 실시하였다. 세 번째 단계는 프로토콜의 완성 단계로 연구자 간 토의를 거쳐 최종 도출된 프로토콜 내용에 대하여 재 조직화를 통해 병원 기반의 작업 기반 양측성 상지 훈련 프로토콜을 완성하였다. 결과 : 작업 기반 중재 선정 영역에서 3영역, 9항목, 양측성 상지 훈련 영역에서 4영역, 81항목의 프로토콜이 완성되었다. 결론 : 본 연구를 통해 병원 기반으로 이루어지고 있는 현재 상황에서 작업 기반 활동을 중재로 사용할 수 있도록 작업치료 전문가들의 의견을 종합한 근거 기반의 방법을 제시하며, 양측성 상지 훈련 또한 구체적인 방법 제시를 통해 임상에서의 효율적으로 적용할 수 있도록 할 수 있다는 점에서 의미가 있다.

조산사의 라마즈 산전교육에 대한 중요성 인식과 수행정도 및 저해요인에 관한 연구 (Midwives' Perceptions of the Importance of Teaching the Lamaze Method of Childbirth Preparation, Their Practice of it and Inhibiting Factors.)

  • 윤귀람;조미영
    • 모자간호학회지
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    • 제2권1호
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    • pp.21-33
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    • 1992
  • This study was done to investigate how importantly midwives thought of Lamaze Method of Childbirth, how satisfactorily they performed their Lamaze Method of Childbirth and what inhibited their activities from being performed if not done satisfactorily. The subjects of this study were 76midwives at midwifery in Pusan, Deagu, Kyungnam and Kyungbok. Data were collected by using questionaire from Sep. 1 to Sep.30, 1991. The measurement tools was maded by the researcher based on Kim's scale for prenatal nursing activities. The statistical analysis was done with based statistical values likes frequencies, means, standard deviations and advanced methods such as Pearson's correlation coefficient, 1-test, F-test, F-test by using SPSS package program. The results of this study can be summarized as follows ; 1. The results of Investigating perception according to importance degree and performance degree of Lamaze Method of Childbring showed that midwives were slightly below both perception according to importance(2.17) and performance(2.16) of Lamaze Method of Childbirth 2. Inhibiting factors of Lamaze Method of Childbirth were abscence of husband(3.08), lack of teaching room(2.71), and lack of books or literature of Lamaze Method (2.58). 3. There appears to be a positive relation between perception according to importance degree and performance degree of Lamaze Method of Childbirth (r=0.69, P<0.01). There appears to be a negative relation between perception according to importance degree and inhibit factors of performance (r=-0.38, P<0.01). There appears to be a negative relation between performance and inhibit factors of performance (r=-0.22. P<0.01). 4. The item of highest perception defree in prenatal education is 1st, Consultation about sexual life (2.53), End, illustration of the importance of a bath and perinal cleanliness and Avoidance of excessive respiration method and also its comfortable application during uterine contractility(2.45). The item of lowest perception degree is about pregnant symptom sign and predicted date of birth (E.D.C.). On the other hand, The item of highest performance degree is education about nurtrition during pregnacy. 2nd, Illustration of the Importance of a bath and perineal cleanness(2.45). The lowest one is leaching the pregnant woman and her family about the role of husband and her family and also teaching the couple to learn exercise and respiration method (1.84). Though importance perception degree and performance degree is low. Midwives who wert subject in this research shoves that they perform general items concerning prenatal education well. 5. In the relationship between perception according to importance degree of Lamaze Method of Childbirth and the general characteristics of subjects, the differences in mean number of visiting pregnacies for 1 month. 6. In the relationship between performance degree of Lamaze Method of Childbirth and the general characteristics of subjects, the differences in age, marriage, and mean number of visiting pregnancies for 1 month. With the above information we see the importance of midwife prenatal care education and high correlation between performance degree and perception degree. When Lamaze prenatal education is well performed the number of pregnant woman who have follow-up, check-ups increase. Therefore in this research we can validity that there is a relation between Lamaze prenatal education and patient follow-up. This research showes in a situation where if one does not maximally perform a prenatal education there is a possibility that the popular use of midwife activities may encounter obstacles so the education to save new knowledge and training for prenatal education is needed as a function of Lamaze prenatal education, when a special Lamaze education is well performed for the pregnant woman, who follows-up at amidwife clinic. With the above conclusion we can suggest : 1. Continued research which minimized obstacles to Lamaze prenatal education is needed. 2. The official method of midwives is necessary.

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Reproducibility of Regional Pulse Wave Velocity in Healthy Subjects

  • Im Jae-Joong;Lee, Nak-Bum;Rhee Moo-Yong;Na Sang-Hun;Kim, Young-Kwon;Lee, Myoung-Mook;Cockcroft John R.
    • International Journal of Vascular Biomedical Engineering
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    • 제4권2호
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    • pp.19-24
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    • 2006
  • Background: Pulse wave velocity (PWV), which is inversely related to the distensibility of an arterial wall, offers a simple and potentially useful approach for an evaluation of cardiovascular diseases. In spite of the clinical importance and widespread use of PWV, there exist no standard either for pulse sensors or for system requirements for accurate pulse wave measurement. Objective of this study was to assess the reproducibility of PWV values using a newly developed PWV measurement system in healthy subjects prior to a large-scale clinical study. Methods: System used for the study was the PP-1000 (Hanbyul Meditech Co., Korea), which provides regional PWV values based on the measurements of electrocardiography (ECG), phonocardiography (PCG), and pulse waves from four different sites of arteries (carotid, femoral, radial, and dorsalis pedis) simultaneously. Seventeen healthy male subjects with a mean age of 33 years (ranges 22 to 52 years) without any cardiovascular disease were participated for the experiment. Two observers (observer A and B) performed two consecutive measurements from the same subject in a random order. For an evaluation of system reproducibility, two analyses (within-observer and between-observer) were performed, and expressed in terms of mean difference ${\pm}2SD$, as described by Bland and Altman plots. Results: Mean and SD of PWVs for aorta, arm, and leg were $7.07{\pm}1.48m/sec,\;8.43{\pm}1.14m/sec,\;and\;8.09{\pm}0.98m/sec$ measured from observer A and $6.76{\pm}1.00m/sec,\;7.97{\pm}0.80m/sec,\;and\;\7.97{\pm}0.72m/sec$ from observer B, respectively. Between-observer differences ($mean{\pm}2SD$) for aorta, arm, and leg were $0.14{\pm\}0.62m/sec,\;0.18{\pm\}0.84m/sec,\;and\;0.07{\pm}0.86m/sec$, and the correlation coefficients were high especially 0.93 for aortic PWV. Within-observer differences ($mean{\pm}2SD$) for aorta, arm, and leg were $0.01{\pm}0.26m/sec,\;0.02{\pm}0.26m/sec,\;and\;0.08{\pm}0.32m/sec$ from observer A and $0.01{\pm}0.24m/sec,\;0.04{\pm}0.28m/sec,\;and\;0.01{\pm}0.20m/sec$ from observer B, respectively. All the measurements showed significantly high correlation coefficients ranges from 0.94 to 0.99. Conclusion: PWV measurement system used for the study offers comfortable and simple operation and provides accurate analysis results with high reproducibility. Since the reproducibility of the measurement is critical for the diagnosis in clinical use, it is necessary to provide an accurate algorithm for the detection of additional features such as flow wave, reflection wave, and dicrotic notch from a pulse waveform. This study will be extended for the comparison of PWV values from patients with various vascular risks for clinical application. Data acquired from the study could be used for the determination of the appropriate sample size for further studies relating various types of arteriosclerosis-related vascular disease.

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농촌지역 정신보건관리실태: 보건소 지역사회정신보건사업 (Present Conditions of Mental Health Care in Rural Areas: Community Mental Health Program of Public Health Center)

  • 이원영;김동문
    • 농촌의학ㆍ지역보건
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    • 제28권2호
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    • pp.1-14
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    • 2003
  • 이 연구는 농촌지역 정신보건의료서비스의 필요도와 공급수준을 파악하고 일차정신보건시설로서 보건소가 운영하는 정신보건사업을 평가하고자 하였다. 필요도는 유병률과 정신보건서비스 이용률로 한정하여 2001년도에 보건복지부가 주관하여 실시한 정신질환 실태 역학조사 결과를 이용하여 도농간 차이를 비교하였다. 공급수준은 입원 및 요양 병상수와 일차정신보건의료시설의 기초자치 단체별 설치율로 한정하여 전자는 2002년도에 보건복지부 산하 지역사회 기술지원단이 작성한 보고서 결과내용 중 일부를 발췌하였고 후자는 보건복지부의 2003년도 정신보건사업 안내서와 정신보건의료기관 총람의 내용을 토대로 재구성하였다. 농촌지역의 보건소 정신보건사업을 평가하기 위하여 2002년도에 각 기초자치단체가 중앙에 제출한 제3기 지역보건 의료계획서들 중 농촌형지역과 도농복합형지역으로 구분하여 각각 중앙 및 광역자치단체 정부의 지원 여부에 따라 지원한 경우 1-2개, 지원하지 않는 경우 광역자치단체별로 각각 2개소를 무작위 추출하여 정신보건사업내용부문을 사업대상 및 등록, 구조, 과정으로 나누어 정신보건사업안내서에 제시한 기준을 가지고 평가하였고 담당자들이 작성한 정신보건사업의 문제점들을 분석하였다. 이 연구는 2003년 4월 1일부터 5월 10일까지 이루어졌고 그 결과는 다음과 같다. 첫째, 니코틴 장애를 제외한 평생유병률과 일년유병률은 도시지역이 24.9%, 13.2%, 농촌지역이 28.2%, 17.7%이었으며 정신분열증, 주요우울증, 불안장애, 알코올 사용장애 등 주요 정신질환 역시 도시보다 농촌지역이 더 높은 것으로 나타났다. 또한 지난 일년간 정신보건의료서비스 이용률은 전체적으로 8.9%에 불과하였다. 둘째, 입원 및 요양 병상수는 2001년 현재 인구 천명당 0.97병상이며 요양시설을 포함할 경우 1.27병상으로 세계 보건기구가 권장하는 인구 천명당 1.0병상, 그리고 병상 감소정책을 추진하고 있는 유럽이 0.93병상임을 고려할 때 양적으로 부족하지는 않다. 그러나 광역자치단체간 편차가 큰 것으로 나타났는데 서울, 인천, 울산 등 대도시지역이 충북, 충남, 경남, 전남지역의 1/6내외수준이었다. 셋째, 일차정신보건의료시설의 기초자치단체 충원율을 살펴보면, 정신과 의원은 광역시 및 특별시형은 100%인 반면 농촌형지역 89곳 중 15곳(16.9%)만이 설치되어 있었으며 사회복귀시설은 전반적으로 낮았으며 농촌지역의 충원율이 7.9%로 가장 낮은 것으로 나타났다. 보건소 정신보건사업에 대한 중앙 및 광역자치단체의 지원율이 광역시 및 특별시형이 42%인 반면 농촌형지역은 22.5%인 것으로 나타났다. 다섯째, 농촌형지역과 도농복합형지역 모두에서 지원을 받지 않은곳이 자체예산을 추가로 확충하지 않아 사업인력 및 예산이 매우 취약하고 중앙정부가 제시하는 기본사업에 대한 충실도가 매우 낮은 것으로 나타났다. 이상의 결과를 종합해볼 때 농촌지역이 도시지역에 못지 않게 정신보건의료서비스에 대한 필요도가 높으나 서비스 이용률은 매우 낮았으며 도시지역에 비해 농촌지역의 일차정신보건의료시설들이 매우 부족한 것으로 나타났다. 또한 일차정신보건의료시설로서 보건소가 도시지역 보다 농촌지역에서 더 중요한 역할을 수행해야 하나 중앙의 지원율은 오히려 농촌지역 보다 도시지역이 더 높았고 지원을 받지 않는 보건소의 정신보건사업프로그램은 매우 형식적으로 진행되고 있었다. 앞으로 중앙정부는 일반의료서비스에 있어서 농어촌의료서비스 개선정책을 추진하듯이 정신보건정책에 있어서도 이러한 고려가 필요하다.

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기후변화 관련 사건에 적용되는 국제투자중재의 투자자 보호 기준 (Standards of Protection in Investment Arbitration for Upcoming Climate Change Cases)

  • 김대중
    • 한국중재학회지:중재연구
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    • 제24권2호
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    • pp.33-52
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    • 2014
  • 기후변화문제는 이미 글로벌 이슈로 부상한 지 오래이지만, 기후변화문제를 각국의 정책으로 이식시키는데 필요한 국제투자법상의 적합한 기준들은 아직 마련되어 있지 않은 실정이다. 최근 ICSID중재에 회부된 Vattenfall v. Germany 사례는 독일 정부의 원전폐쇄 조치에 대한 기후변화 관련 국제투자분쟁의 대표적 사례라고 할 수 있다. 2005년 발효된 교토의정서는 환경오염의 주범인 온실가스를 감소시키는 방안으로 공동이행체제와 청정개발시스템 등의 유연한 메카니즘들을 제안하였다. 교토의정서의 이러한 교토메카니즘들은 이행규칙상, 사적 영역의 투자자들이 각국이 이행하는 교토메카니즘의 규제아래 놓일 수도 있게 함으로써 잠재적으로 투자분쟁의 위험을 지니고 있다고 할 수 있다. 각 국가가 교토메카니즘을 잘 이행하기 위한 배출기준의 더욱 엄격한 규제 등을 한다면 온실가스 감축이라는 글로벌 명제와 상관없이, 정부의 기후변화 조치들조차 수용의 금지라고 하는 국제투자중재의 투자자 보호 원칙들의 잣대 하에 놓일 가능성을 배제할 수 없는 것이다. 수 용의 문제에 있어 이제까지 대부분의 국제투자중재 판정에서 내려진 '침해의 결과(effect-based)'만을 기준으로 적용한다면, 각국 정부들의 배출기준 조정에 대해 투자자들이 자신들의 투자를 유치국 정부가 수용했다고 볼 수 있는 가능성이 생긴다. 투자중재 회부의 두려움으로 인한 각국 정부의 '규제적 위축(regulatory chill)'의 문제도 세계 각국이 기후 변화정책을 강화하는 것을 방해하는 역할을 할 수 있다. 투자 계약상 투자자를 보호하기 위한 정부조치의 '정지조항(stablization clause)'도 투자 유치국의 기후변화 이행과 새로운 입법에 된서리 효과를 가지고 올 것이다. 그리고 현재까지의 투자중재 판정부의 공정하고 공평한 대우 기준(FET)의 적용을 본다면, 교토메카니즘 이전에 탄소 집약적 산업들이 저탄소 운영체제로 가기 위해 투자유치국에 진입할 때, 투자유치국이 적절한 이행을 하는데에 상당한 부담을 줄 수도 있다. 그러므로 Methanex 사건 판정부에서처럼, 수용에 있어서 침해결과만을 볼 것이 아니라, 정부의 규제결정이 의도적으로 외국인 투자자의 투자를 침해할 목적이 아니고 비차별적이며 공공적인 목적이라면 수용의 범주에 포함시키지 않도록 하는 것이 바람직할 것이다. 또한 환경법상의 지속가능한 발전의 원칙을 투자조약이나 투자계약에 포함하도록 하는 것을 고려해 볼 수 있다. 덧붙여 이후부터 정부가 투자자-국가 중재 회부 가능성이라는 부담을 벗어나서 환경규제를 이행하기 위해서는 투자자-국가 중재이외의 다른 적절한 분쟁해결 조항을 입안하여 합의하는 것도 고려해 볼만 하다.

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두부 손상환자 가족의 간호요구에 대한 연구 (A Study on Needs of the Families of Head Injury Patients)

  • 조규영;박형숙
    • 기본간호학회지
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    • 제6권3호
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    • pp.414-433
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    • 1999
  • The purpose of this study is to identify the needs which are perceived by one of the familiy members who have head injury parients by traffic accidents in the intensive care units. Subjects were 70 families members of head injury patients admitted to 2 general hospitals NICU located Pusan city, 1 general hospital NICU located Ulsan city from December 1. 1998 to February 28. 1999. For this study, 70 family members were interviewed with aid of a Likert scale which was developed by researcher for this study. For development of the survey instrument, literature review and open questionnaire technique with family members and the nurses working in NICU. The 50needs-items were classified into 7 groups according to the homogeneity of the items with the support of literature review. For the content validity, the instrument was reviewed by 1 nursing professor and the internal reliability of this instrument was Cronbach alpha=0.94 which is highly accepted. Data was analyzed by a SPSS computer program. Data analysis included frequency. percentage, mean, standard variance and t-test or ANOVA. The results were as followings : 1. The general characteristics of head injury patients shows that the male was 74.3%, the female was 25.7% and age distribution shows that the fifty-fifty nine years was 30%, the highest. Of religion the buddhism was the most, The diagnosis distribution shows that epidural hematoma was 32.9% and subdural hematoma was 24.3%. The mentalility distribution shows that semicoma was 31.4% and stupor was 31.4%. Hemiplegia was 42.9% 2. The general charaterisrics of the family needs of head injury patients shows that thirty-thirty nine years was 31.4%, the highest. sex distribution shows that the male was 20%, the female was 80%. Of religion the buddism was the most. 3. The family needs of head injury patients was $3.03{\pm}0.42$, needs for the information of a patient's condition was $3.65{\pm}0.48$, the highest. And needs for the information of care and treatment was $3.48{\pm}0.48$, needs to be supplied with comfortable facilities for family was $3.04{\pm}0.66$, needs to be participate in a patient's care was $2.90{\pm}0.55$, needs to be informed about the available resources was $2.83{\pm}0.59$, needs to be supported emotionally for family was $2.79{\pm}0.55$, needs for religious assistance was $2.51{\pm}0.85$. 4. Examining the family needs of head injury patients according to patient's characteristics, mentality, plegia degree and operation were shown be variables to make an effect on the needs for the head injury patients family. At all, according to severity of head. injury, the family needs of head injury patients was high. 5. Examining the family needs of head injury patients according to their general characteristics, we could know that religion, job. income were shown to be variables to make an effect on the family needs. Through the examination it can be seen that the characteristics of head injury patients and the family needs of head injury patients. In conclusion, the family needs of head injury patients was almost same the family needs of ICU patients. Therefore we must involve the family's care of head injury patients and we must provide exact and repeated explanation, education and support the family of head injury patients. As this study was resulted in selecting the families admitted to NICU of some general hospital, we couldn't stretch the result in our favor. Therefore, continuous studies are suggested.

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해외투자(海外投資)와 지속가능발전 원칙 - 프로젝트 파이낸스의 적도원칙(赤道原則)을 중심으로 - (How to Reflect Sustainable Development, exemplified by the Equator Principles, in Overseas Investment)

  • 박훤일
    • 무역상무연구
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    • 제31권
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    • pp.27-56
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    • 2006
  • Today's financial institutions usually take environmental issues seriously into consideration as they could not evade lender liability in an increasing number of cases. On the international scene, a brand-new concept of the "Equator Principles" in the New Millenium has driven more and more international banks to adopt these Principles in project financing. Sustainable development has been a key word in understanding new trends of the governments, financial institutions, corporations and civic groups in the 21st century. The Equator Principles are a set of voluntary environmental and social guidelines for sustainable finance. These Principles commit bank officers to avoid financial support to projects that fail to meet these guidelines. The Principles were conceived in 2002 on an initiative of the International Finance Corporation(IFC), and launched in June 2003. Since then, dozens of major banks, accounting for up to 80 percent of project loan market, have adopted the Principles. Accordingly, the Principles have become the de facto standard for all banks and investors on how to deal with potential social and environmental issues of projects to be financed. Compliance with the Equator Principles facilitates for endorsing banks to participate in the syndicated loan and help them to manage the risks associated with large-scale projects. The Equator Principles call for financial institutions to provide loans to projects under the following circumstances: - The risk of the project is categorized in accordance with internal guidelines based upon the environmental and social screening criteria of the IFC. - For Category A and B projects, borrowers or sponsors are required to conduct a Social and Environmental Assessment, the preparation of which must meet certain requirements and satisfactorily address key social and environmental issues. - The Social and Environmental Assessment report should address baseline social and environmental conditions, requirements under host country laws and regulations, sustainable development, and, as appropriate, IFC's Environmental, Health and Safety Guidelines, etc. - Based on the Social and Environmental Assessment, Equator banks then make agreements with borrowers on how they mitigate, monitor and manage the risks through a Social and Environmental Management System. Compliance with the plan is included in the covenant clause of loan agreements. If the borrower doesn't comply with the agreed terms, the bank will take corrective actions. The Equator Principles are not a mere declaration of cautious banks but a full commitment of lenders. A violation of the Principles in the process of project financing, which led to an unexpected damage to the affected community, would not give rise to any specific legal remedies other than ordinary lawsuits. So it is more effective for banks to ensure consistent implementation of the Principles and to have them take responsible measures to solve social and environmental issues. Public interests have recently mounted up with respect to environmental issues on the occasion of the Supreme Court's decision (2006Du330) on the fiercely debated reclamation project at Saemangeum. The majority Justices said that the expected environmental damages like probable pollution of water and soil were not believed so serious and that the Administration should continue to implement the project seeking ways to make it more environment friendly. In this case, though the Category A Saemangeum Project was carried out by a government agency, the Supreme Court behaved itself as a signal giver to approve or stop the environment-related project like an Equator bank in project financing. At present, there is no Equator bank in Korea in contrast to three big banks in Japan. Also Korean contractors, which are aggressively bidding for Category A-type projects in South East Asia and Mideast, might find themselves in a disadvantageous position because they are generally ignorant of the environmental assessment associated with project financing. In this regard, Korean banks and overseas project contractors should care for the revised Equator Principles and the latest developments in project financing more seriously. It's because its scope has expanded to the capital cost of US$10 million or more across all industry sectors regardless of developing countries or not. It should be noted that, for a Korean bank, being an Equator bank is more or less burdensome in a short-term period, but it must be conducive to minimizing risks and building up good reputation in the long run.

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등속성 장비를 이용하여 한국고교야구선수 주관절 근력 평가기준치 설정: (서울 및 경기도 중심으로) (Norm-referenced criteria for strength of the elbow joint for the korean high school baseball players using the isokinetic equipment: (Focusing on seoul and gyeonggi-do))

  • 김수현;이진욱
    • 한국산학기술학회논문지
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    • 제18권10호
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    • pp.442-447
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    • 2017
  • 이 연구의 목적은 등속성 장비를 이용하여 고등학교 야구선수들을 대상으로 주관절 근육의 평가 기준치를 설정하는데 있다. 상지에 의학적으로 문제가 없는 고등학교 야구선수 201명을 대상으로 하였다. 주관절 검사는 HUMAC NORM(CSMI, USA) system을 이용하여 굴곡, 신전운동을 부하속도 $60^{\circ}/sec$에서 4회를 실시하였으며, 절대근력(peak torque)와 상대근력(peak torque % body weight)을 측정하였다. Cajori의 5단계(6.06%, 24.17%, 38.30%, 24.17%, and 6.06%)로 구분한 구간추정(interval estimation)방식에 의해 평가 기준치를 나타내었다. 이 연구의 결과에서 각속도 $60^{\circ}/sec$에서 주관절의 절대근력(peak torque) 굴근의 평균은 $37.88{\pm}8.14Nm$ 신근은 $44.59{\pm}11.79Nm$으로 나타났으며, 상대근력(peak torque % body weight) 굴근의 평균은 $50.06{\pm}8.66Nm$ 신근은 $58.28{\pm}12.84Nm$로 나타났다. 각속도 $60^{\circ}/sec$에서 주관절 굴근(flexer)과 신근(extensor)의 절대근력(peak torque)과 상대근력(peak torque % body weight)의 평가기준치는 설정하였다. 이 연구에서 분석 된 결과를 토대로 다음과 같이 결론을 이끌어 냈다. 주관절은 야구선수들에게 가장 많이 발생되는 손상임에도 불구하고 국내외 주관절 근력에 관한 연구가 미비한 실정이다. 주관절 손상을 예방하고 경기력 향상을 위해 상대적 근력 수준과 훈련효과를 보다 객관적으로 평가할 수 있는 근력 척도가 필요하다. 주관절의 절대근력과 상대근력의 평가기준치를 제시함으로서 고교선수, 야구지도자, 선수트레이너, 재활전문가 등에게 손상회복 및 재활 복귀 시 유용하게 자료가 될 것으로 생각되며, 객관적인 임상 평가 데이터로 활용하는 데 매우 유용한 정보라고 사료된다.

의복단서, 지각자변인이 여자한복착용자의 인상형성에 미치는 영향(I) - 의복단서를 중심으로 - (Effect of Clothing cues and perceiver variables on Impression Formation of Female dressed in Korean Dress(Part I) - Focus on Clothing Cues -)

  • 박찬부
    • 복식
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    • 제32권
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    • pp.313-336
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    • 1997
  • Nineteen stimulus photograghs varied in hue and color scheme of one clothing style of Korean dress worn by a female were used to investigate the effect of color color scheme and structure on impression formation for Korean dress. Subjects were 77 male and 86 female undergraduate and graduate students. The stimuli c9onsisted of two sets(cool and warm) of four similar color schemes two sets (cool and warm in Chima color) of five contrasting color schemes and one extra stimulus triad 3 hue base. Structures were de-fined by color schemes of Kit.Korum toward the color schemes of Jokori and Chima. Stimu-lus photogragh selected from Korean dress fashion magazines was managed and varied in hues and color schemes to Kit Korum Jokori and Chima according to Korean Standard Color through scanning and Adobe photoshop 3.0 program and then pictured through slide printer(HR-6000). Each subject assessed 19 stimulus color photographs with incorporated 7 point semantic differential response scale. The data were analyzed by frequency mean factor analysis t-test ANOVA and Scheffe test. Results indicate impression ofrmations are af-fected by clothing cues. 1) Four factors emerged to account for dimensional structure of impressions of female features on Korean dress. These four factors were titled as(1) preference.evaluation (2) individuality.attention (3) youth and (4) friendshio. The preference.evaluation factor was the largest including eleven adjectives and accounting for 29.62% of the variances. 2) Almost every clothing cue(color, color scheme, structure) had some effects on im-pressions formed But the color of Chima did not form the effects on impression of prefer-ence.evaluation factor. The effect of related color scheme was the most influential clothing cue on impressions of preference.evalation factor and friendship factor whereas the ef-fect of contrasting color scheme was the most influential clothing cue on impressions of indi-viduality.attention factor and youth factor. The effect of cool color of Chima was the most influential clothing cue on impression of indi-viduality.attention factor whereas the effect of warm color of Chima was the most influen-tial clothing cue on impressions of youth factor and friendship factor. The effect of Jokori/Chima.Kit.Korum structure was the most influential clothing cue on impressions of pref-erence.evaluation factor and youth factor whereas the effect of Kit.Korum/Jokori.Chima structure was the most influential clothing cue on impressions of individuality.attention factor and friendship factor. 3) The interaction effects were appeared among clothing cues. Significant interaction effects between color schemes(similar and contrasting) and colors of Chima(cool and warm were appeared on impressions of prefer-ence.evaluation factor imdividuality.atten-tion factor and friendship factor, Significant interaction effects between color schemes (similar and contrasting) and structures (Jokori.Chima.Kit.Korum; Jokori.Kit.Koru-m/Chima;Jokori/Chima.Kit.Korum;Kit.Korum/Jokori.Chima) were appeared on impressions of preference.evaluation factor youth factor and friendship factor. Signifi-cant interaction effects between colors(cool and warm) and structures were appeared on impressions of individuality.attention factor youth factor and friendship factor. Sighifi-cant interaction effects between colors(cool and warm) and structures were appeared on impressions of individuality.attention factor youth factor and friendship factor. Significant interaction effects among clothing cues(color color schemes and structures) were appeared on all impression factors. The friendship factor was the most friquently affected impression factor by interaction effects among clothing cues. In summary the clothing was used as nonverbal cues in the effect on impression for-mation of female dressed in Korean dress. it concluded that color schemes worked as cen-tral traits and colors of Chima and structures worked as peripheral traits in the formation of impression of the female clothed in Korean dress. hence organizing our impressions with respect to the parts of the Korean dress in re-lation to the whole holistic perceptual pro-cess Gestalt approach was used and supported.

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