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임상실습교육의 만족도와 관련요인 분석 - 한방재활의학을 중심으로 - (The Analysis of Satisfaction with Clinical Training and the Related Factors - Especially in Oriental Rehabilitation Medicine -)

  • 조현우;황의형;신병철;설재욱;홍진우;신상우;이현엽;허광호;신미숙
    • 대한예방한의학회지
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    • 제16권2호
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    • pp.1-15
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    • 2012
  • Objectives : The aim of this study is to analyze satisfaction with clinical training in the department of oriental rehabilitation medicine and the related factors. Methods : All the students in the graduating class of school of Korean Medicine, Pusan National University must be trained for 2 weeks in the department of oriental rehabilitation medicine according to clinical training guideline including Objective Structured Clinical Examination(OSCE) and Clinical Performance Examination (CPX). After completing clinical training, we distributed questionaries to them about a reflex of the object of study, usefulness, difficulty, satisfaction and preference. And then, we analyzed the related factors including descriptive statistics, frequency analysis and correlation analysis by SPSS 18.0. Results : In general, a reflex of the aim of study($7.88{\pm}1.31$), satisfaction with contents($8.17{\pm}1.20$) and difficulty($5.53{\pm}0.99$) were evaluated respectively. The better a reflex of the aim of study is, the higher satisfaction with contents is(P<0.01, r=0.836). Chuna was highly estimated, whereas pharmacopuncture was not. In OSCE, a reflex of the aim of study($8.07{\pm}1.07$) and usefulness($8.13{\pm}1.16$) were highly evaluated. The preference for physical examination of the lumbar spine was highly estimated, whereas applying splint was not. Facilities and equipment($7.88{\pm}1.11$), contents of clinical training($7.25{\pm}1.79$), the handout($7.00{\pm}1.59$) and time scheduling($5.48{\pm}1.71$) were evaluated respectively in general composition of clinical training. There is no difference related to specialty, sex and age among students. Conclusions : Clinical training program in the department of oriental rehabilitation medicine can be highly estimated from the viewpoint of difficulty and satisfaction.

Genetic Analysis of Ultrasound and Carcass Measurement Traits in a Regional Hanwoo Steer Population

  • Hwang, Jeong Mi;Cheong, Jae Kyoung;Kim, Sam Su;Jung, Bong Hwan;Koh, Myung Jae;Kim, Hyeong Cheol;Choy, Yun Ho
    • Asian-Australasian Journal of Animal Sciences
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    • 제27권4호
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    • pp.457-463
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    • 2014
  • Ultrasound measurements of backfat thickness (UBF), longissimus muscle area (ULMA) and marbling score (UMS) and carcass measurements of carcass weight (CW), backfat thickness (BF), longissimus muscle area (LMA), and marbling score (MS) on 7,044 Hanwoo steers were analyzed to estimate genetic parameters. Data from Hanwoo steers that were raised, finished in Hoengseong-gun, Gangwon-do (province) and shipped to slaughter houses during the period from October 2010 to April 2013 were evaluated. Ultrasound measurements were taken at approximately three months before slaughter by an experienced operator using a B-mode real-time ultrasound device (HS-2000, FHK Co. Ltd., Tokyo, Japan) with a 3.5 MHz linear probe. Ultrasound scanning was on the left side between 13th rib and the first lumbar vertebrae. All slaughtering processes and carcass evaluations were performed in accordance with the guidelines of beef grading system of Korea. To estimate genetic parameters, multiple trait animal models were applied. Fixed effects included in the models were: the effects of farm, contemporary group effects (year-season at the time of ultrasound scanning in the models for UBF, ULMA, and UMS, and year-season at slaughter in the models for CW, BF, LMA, and MS), the effects of ultrasound technicians as class variables and the effects of the age in days at ultrasound scanning or at slaughtering as linear covariates, respectively for ultrasound and carcass measures. Heritability estimates obtained from our analyses were 0.37 for UBF, 0.13 for ULMA, 0.27 for UMS, 0.44 for CW, 0.33 for BF, 0.36 for LMA and 0.54 MS, respectively. Genetic correlations were strongly positive between corresponding traits of ultrasound and carcass measures. Genetic correlation coefficient between UBF and BF estimate was 0.938, between ULMA and LMA was 0.767 and between UMS and MS was 0.925. These results suggest that ultrasound measurement traits are genetically similar to carcass measurement traits.

아동중심 집단놀이치료 프로그램이 위축성향 유아의 일상적 스트레스, 불안, 또래상호작용 및 뇌파변화에 미치는 효과 (The Effects of Child-Centered Group Play Therapy Program on the Withdrawal of Children's Daily Stress, Anxiety, Peer-Interaction and EEG Variation)

  • 이유선;한유진
    • 한국보육지원학회지
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    • 제11권1호
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    • pp.249-267
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    • 2015
  • 본 연구는 아동중심 집단놀이치료 프로그램이 위축성향을 보이는 유아의 일상적 스트레스, 불안, 또래상호작용 및 뇌파변화에 미치는 효과를 알아보기 위해 진행되었다. 연구 대상은 유치원 교사에 의한 아동행동평가척도인 K-CBCL에서 임상범위에 해당되는 만 3세-5세의 위축유아 12명이었다. 이 유아들은 실험집단 6명, 통제집단 6명으로 나눈 뒤 실험집단 유아에게 주 2회 35분씩 총 12회기의 아동중심 집단놀이치료를 실시하였고, 통제집단 유아에게는 아무런 처치를 하지 않았다. 아동중심 집단놀이치료의 전과 후를 비교하기 위해 프로그램 사전-사후에 일상적 스트레스척도, 불안척도, 또래 상호작용척도 및 뇌파검사를 한 후 결과처리를 위해 맨 휘트니(Mann-Whitney-U)검증과 윌콕슨(Wilcoxon)검증을 실시하였다. 아동중심 집단놀이치료 종료 후 실험집단 유아의 일상적 스트레스, 불안은 감소하였고 긍정적 또래상호작용과 뇌파의 정서지수가 유의미하게 증가하였다. 그러나 통제집단 유아에게는 아무런 변화가 나타나지 않았다. 이 연구결과는 아동중심 집단놀이치료가 위축성향을 보이는 유아의 정서적인 어려움을 다루는데 효과적인 접근방법의 기초자료를 제공해 주었다는 점에서 의의가 있다.

여대생에게 실시한 지지교육이 유방자가검진 교육에 미치는 영향과 자기효능과의 관계연구 (The Impact on Supportive Education on the Effectiveness of Breast Self-examination among College Women and Correlate to Self-Efficacy)

  • 이미화;최인희
    • 성인간호학회지
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    • 제13권3호
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    • pp.397-408
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    • 2001
  • Currently, breast cancer ranks third among women' s cancers, and as its incidence is increasing, the incidence age is also becoming lower. Therefore it is necessary to address breast cancer for women in their twenties. As there is no way presently to prevent breast cancer, it is imperative that women take available interventions against predisposing factors. It is thus advisable that women acquire the necessary skills to recognize their own health status. The purposes of this study were to identify the effects of education on breast self-examination (BSE) through supportive education among college women during the period from August 2000 to February 2001, and to attempt to design an effective BSE educational program. The first class was implemented through lectures, pamphlets, videotapes, breast palpation on cloths, demonstration and practice for identification of breast masses through palpation using breast model. Supportive education was implemented bimonthly to the experimental group, and effects of the education between experimental and control groups were compared 6 months later. The results of this study are summarized as follows: 1. The effects on supportive education of college women in BSE 1) The mean score of retained knowledge about breast cancer and BSE was 30.88 in the experimental group, and 29.66 in the control group and significantly greater in the experimental group than in the control group (t= -2.062, p= 0.041). 2) Frequency of BSE practice was significantly greater in the experimental group than in the control group($\chi^2=0.045$, p=0,012). 3) The mean accuracy score in BSE practice was 19.10 in the experimental group, and 18.29 in the control group; accuracy was higher in the experimental group than in the control(t= -2.035, p= 0.444). 4) The mean score of self-efficacy was 35.05 in the experimental group, and 31.22 in the control group. The experimental group mean score was higher(t=-3.016, p=0.003). 2. There was a statistically significant correlation between self-efficacy and accuracy of BSE(r=0.447, p=0.000), knowledge of breast cancer and BSE(r= 0.306, p=0.000) and frequency of BSE(r=0,259, p=0,002) but no significant correlation between knowledge of breast cancer and BSE and frequency of BSE (r=0.071, p=0.403). On the basis of this study, periodic supportive education can increase knowledge of breast cancer and BSE, frequency of BSE, accuracy of BSE and self-efficacy. Suggestions: 1. There is a need to compare the effects of individual programs to acquire BSE behaviors in the young. 2. Further research is needed to test the continuity of the effects of BSE education.

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Stereotactic radiosurgery for brain metastasis in non-small cell lung cancer

  • Won, Yong Kyun;Lee, Ja Young;Kang, Young Nam;Jang, Ji Sun;Kang, Jin-Hyoung;Jung, So-Lyoung;Sung, Soo Yoon;Jo, In Young;Park, Hee Hyun;Lee, Dong-Soo;Chang, Ji Hyun;Lee, Yun Hee;Kim, Yeon-Sil
    • Radiation Oncology Journal
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    • 제33권3호
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    • pp.207-216
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    • 2015
  • Purpose: Stereotactic radiosurgery (SRS) has been introduced for small-sized single and oligo-metastases in the brain. The aim of this study is to assess treatment outcome, efficacy, and prognostic variables associated with survival and intracranial recurrence. Materials and Methods: This study retrospectively reviewed 123 targets in 64 patients with non-small cell lung cancer (NSCLC) treated with SRS between January 2006 and December 2012. Treatment responses were evaluated using magnetic resonance imaging. Overall survival (OS) and intracranial progression-free survival (IPFS) were determined. Results: The median follow-up was 13.9 months. The median OS and IPFS were 14.1 and 8.9 months, respectively. Fifty-seven patients died during the follow-up period. The 5-year local control rate was achieved in 85% of 108 evaluated targets. The 1- and 2-year OS rates were 55% and 28%, respectively. On univariate analysis, primary disease control (p < 0.001), the Eastern Cooperative Oncology Group (ECOG) performance status (0-1 vs. 2; p = 0.002), recursive partitioning analysis class (1 vs. 2; p = 0.001), and age (<65 vs. ${\geq}65$ years; p = 0.036) were significant predictive factors for OS. Primary disease control (p = 0.041) and ECOG status (p = 0.017) were the significant prognostic factors for IPFS. Four patients experienced radiation necrosis. Conclusion: SRS is a safe and effective local treatment for brain metastases in patients with NSCLC. Uncontrolled primary lung disease and ECOG status were significant predictors of OS and intracranial failure. SRS might be a tailored treatment option along with careful follow-up of the intracranial and primary lung disease status.

사회과 교수-학습 방법에서 ICT를 활용한 수행평가 처리 시스템 개발 (The Development of Performance Evaluation Processing System using ICT in to Society Teaching and Learning Method)

  • 이진경;고병오
    • 정보교육학회논문지
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    • 제5권3호
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    • pp.380-388
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    • 2001
  • 정보화시대의 사회에서 교수학습활동의 질을 개선하고 창의성이나 문제해결력 등 고등사고 기능을 신장시키기 위해 질적평가인 수행평가의 필요성이 대두되고 있으나 교육현장의 실정으로는 진정한 의미의 수행평가에 대한 부담과 어려움이 있다. 따라서 본 논문에서는 수업의 한 과정으로서 평가가 이루어질 수 있도록 본 평가 시스템을 설계 및 구현한다. 즉, 수행평가의 이론적인 조사와 평가 유형 및 사회과 교수-학습 방법을 검토하고, 각 모형에 적절한 수행평가 방법을 알아본다. 그 중 사회과에서 가장 널리 활용되고 있는 수행평가 방법중의 하나인 보고서를 중심으로 기본 보고서 양식을 만들고, 이를 활용한 평가 시스템을 설계 및 구현한다. 평가 시스템은 크게 교사 모듈과 학습자 모듈로 구성되었고, 교사 모듈에서는 보고서 양식을 작성하여 학생들에게 제공 및 제출된 보고서를 평가한다. 학습자 모듈에서는 보고서를 작성하여 교사에게 제출하고 자신이 작성한 보고서를 수업시간에 발표하는데 활용할 수 있게 하였다. 따라서 교사는 이미 작성된 보고서를 활용하거나, 스스로 보고서 양식을 작성하여 제시할 수 있으며, 제출된 보고서를 평가한다. 아동은 평가 결과를 확인할 수 있을 뿐 만 아니라 기존의 발표 형식에서 벗어나 ICT를 활용해 발표를 할 수 있다.

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하악 제3대구치와 하악 우각부 골절과의 상관관계에 대한 연구 (A STUDY OF CORRELATION BETWEEN MANDIBULAR ANGLE FRACTURE AND THE MANDIBULAR THIRD MOLAR)

  • 박선혜;최준영;김성일;유준열;임대호;신효근;고승오
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제35권6호
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    • pp.420-425
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    • 2009
  • Purpose: The aim of this study is to analyze the correlation between incidence of mandibular angle fracture and eruption state of mandibular third molar using clinical and radiographic findings. Materials and Methods: The data were obtained from the clinical and radiographic records of 205 patients who visited the Department of Oral and Maxillofacial Surgery, Chonbuk National University Hospital for treatment of the mandibular fracture. Panoramic radiographies were taken for radiographic examination and the mandibular third molars were classified according to age, gender, position and eruption state. Data were analyzed by a chi-square statistics. Results: In this study, the incidence of mandibular angle fracture had a tendency to be greater when a mandibular third molar was present(p>0.05), but there was not a statistically significant difference. Of the 255 cases with a mandibular third molar, 67 had an angle fractures. Of the 155 cases without a mandibular third molar, 138 had not angle fracture. And the incidence of mandibular angle fracture was high at class BII(by Pell & Gregory system)(p<0.05). Conclusion: Although there was not a statistically significant difference, mandibular third molar was more susceptible to mandibular angle fracture. When the reduction of mandibular angle fracture, it was recommended that mandibular third molar should be extracted especially in case of pericoronitis, periodontitis and other infections.

한국 영.유아의 대소변 가리기 훈련습성에 관한 일 연구 (STATISTICAL STUDY ON HABITUAL METHODS Of TOILET TRAINING FOR INFANT AND TODDLER)

  • 최경자
    • 대한간호학회지
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    • 제3권3호
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    • pp.119-132
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    • 1973
  • This study observed on habitual methods of toilet training for infants and toddlers in Korea thru 300 mothers at four medical institutions Ewha Woman′s University Hospital, Ewha Maternal and Child Health Center, Severance Hospital and Seoul National University Hospital) with a design to analyze beginning time, duration of period, methods employed, motives, equipments used, special terminology used for the subject training. The main purpose of this study was to generalize the proper methods of toilet training, and also to contribute a better psychological education for the mother and child. The results obtained from this study were as follows; 1. Majority of (67.3%) observed were in the age category between 30 and 40 years, and dominant numbers (64.7%) were housewives with high level of education and from middle class family background. 2. In the most cases (85%), toilet training was carried out by mothers(including wives who had a job) while more than half of mothers (53.7%) maintained their important motive for the training was "due to having high regard for cleanliness" 3. As for the time of beginning toilet training: finding indicated that starting period was decided (70%) at inconsiderate desertion of each mother. whereas, only minority group (30%) represents the cases where mother started the training when they consider tile child was physically and psychologically randy. Also greater number (77.7%) started bladder training prior to that of bowel. 4. It is noticeable that in course of training a large number of mothers (48.3%) applied strict training method when the child proper talenting, and the more rigid and strict in tile training. the more malformation of personality of the infant and toddler were seen after the training period (P<0.01). 5. Over the half of the total cases denoted (bowel 54.3%, bladder 67.7%) starting period before one year and in most cases (bowel 79.3%, bladder 729)the training was accomplished within 12 month, and therefore it was noted that earlier start(before 1 year) shortened the training period (with 12 month) . There was no significant difference between male and female infants in both starting period and duration of period in bladder training, however, in bowel training there was a tendency that female started earlier(7-12 months needed, 51.4%) than tile male (13-18 months needed, largest number 41.4%), and also in cases of female the period for needed for training were shorter than the cases of male. 6. Many a number (bowel 50.3%, bladder 97.7%) employed the method of continuous talenting at regular interval in accordance with that of child′s habit formed before training. Equipment used were various kinds, however, pieces of paper for male (45.5%) and piss pot or bedpost (42.3%) for female were common, on the other hand, "Eung-ga" for defecation (52.3%) and "Shii" for the urination (95.3%) were most standard expression that used during the training period.

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병원을 이용하는 임산부들의 산과적 지식정도에 관한 일 조사 연구 (A STUDY TO DETERMINE THE LEVEL OF OBSTETRIC KNOWLEDGE OF PREGNANT WOMEN AND POSTPARTUM MOTHERS)

  • 이선자
    • 대한간호학회지
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    • 제4권3호
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    • pp.81-91
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    • 1974
  • The purpose of this study was to investigate the level of obstetric knowledge of pregnant women and postpartum mothers, and to contribute the data to community health teaching program as well as maternity nursing. 385 pregnant women and postpartum mothers visited at or admitted to Seoul Adventist Hospital were sampled. The results of the study were as follows. 1. 97.9% of the subjects were between the age of 21 to 35, most of them (82.9%) were housewives with high school education and with a middle class family background. 2. The first symptoms of pregnancy were amenorrhea (70.4%), nausea & vomiting (23.9%), change of skin color (1.6%). 3. 77.9% of the subjects did not know how to deal with morning sickness. 4. 52.9% did not know when the sex determination of the fetus-occurs. 5. Concerning the fetus position; 77.1% of them believed it lies head down. head up (12.0%). and not knowing (10.9%). 6. 73.2% recognized the need for a well balanced food during pregnancy. 7. As to the dangerous symptoms during pregnancy: vaginal bleeding was considered the 1st, edema, the and, continuous abdominal pain, the 3rd. 82% of them would confer with physician in case of vaginal bleeding. As to the type of activities restricted by pregnancy: hard exercise was considered first, travel the second, and coitus during 1st and last trimester of pregnancy the 3rd. 8. 82.4% of them visited antenatal clinic at the second or third month of amenorrhea and 88.5% realized the regular physical examination imperative. 9. The purpose of urine test was recognized correctly by 44.7%, blood test: 89.4%, B. P. and weight check ; 69.9%. 10. The need of breast care during pregnancy was recognized by 76.9% of the subject. 11. 75.8% realized that prenatal exercise was needed. The higher the education the better the understanding of the need for it before delivery. 12. The concept of postpartum period was understood correctly by 54.4%. 13. The state of uterus after delivery was understood correctly by 49.1% only. 14, Regarding the management of colostrums: 48.3% knew it was to feed infants, and it was to squeeze and discard 43.4%. 15. Dealing with postpartum exercise; 67.8% answered it was needed, 9.1% not needed, not heard about 23, 1%.

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영종도 삼림식생의 군락생태 (Synecology of the Forest Vegetation of Yeongjongdo)

  • 이호준;김종홍;전영문;정흥락
    • The Korean Journal of Ecology
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    • 제26권5호
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    • pp.223-236
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    • 2003
  • 영종도의 삼림식생은 곰솔군락, 소나무군락, 상수리나무군락, 신갈나무군락, 졸참나무군락, 굴참나무군락, 갈참나무군락, 떡갈나무군락, 소사나무군락, 물박달나무군락의 10개 이차림과 리기다소나무식재림, 아까시나무식재림, 밤나무식재림 등 3개 식재림으로 구분되었다. 상대기여도(R-NCD)에 의한 계층별 우점종은 아교목층에서 상수리나무, 소나무, 굴피나무, 팥배나무, 갈참나무, 관목층에서 진달래, 굴피나무, 졸참나무, 갈참나무, 상수리나무, 초본층에서 그늘사초, 산거울, 진달래, 억새, 주름조개풀 등으로 대부분 건조한 환경에 주로 출현하는 종들로 구성되어 있으며 군락의 층상구조 발달은 빈약하였다. 흉고직경 분포는 각 군락별로 다소 차이가 있었으나 대체로 2∼10 ㎝ 범위의 소경목이 전체의 56%를 차지하였으며 인위적 교란 후 재생과정 중에 있는 식생으로 수령은 40년 이내인 것으로 조사되었다. 군락별 토양환경의 pH는 전체평균값이 4.73(4.53∼5.10)으로 나타났으며, 유기물함량은 산지대에 분포하는 신갈나무군락, 리기다소나무식재림, 밤나무식재림이 산지 능선부나 해안가, 저지의 구릉지에 주로 분포하는 곰솔군락, 소나무군락에 비하여 각각 높게 나타났으며, 유기물함량과 총질소 사이에는 높은 상관관계를 보였다.