• 한국치위생학회지
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• 제10권3호
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• pp.513-522
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• 2010

Objectives : This study aimed to determine self-esteem and oral health impact profile (OHIP) of orthodontic patients to get data necessary for the process of consultation, education, and treatment for those patients who hoped to get orthodontic therapy in order to see effects of orthodontic therapy on personal life in consideration of general characteristics of those patients under orthodontic therapy. methods : A self-administered questionnaire was used among 232 outpatients under orthodontic therapy from October to November 2009, obtaining the following results. Results : 1. As for general characteristics of respondents, those under 19 years of age constituted 46.6%; the unmarried comprised 85.8%; and students constituted 53.4%. 2. Most respondents were getting orthodontic therapy for beauty (41.8%) and dental health (40.5%). Family (54.3%) contributed to their decision to get orthodontic therapy; parents or siblings (62.5%) were bearing the treatment expenses. 3. Females were getting orthodontic therapy for an aesthetic purpose (50.3%), and male for the purpose of dental health (44.6%) (P<0.01). 4. OHIP was slightly higher among males ($4.10{\pm}0.61$) than among female ($4.00{\pm}0.78$), and was highest among those 19 years old and under ($4.17{\pm}0.67$); the older they were, the lower it was significantly (P<0.05). Most of them were earning 3 to 4 million won ($4.22{\pm}0.72$); the married ($4.05{\pm}0.74$) constituted higher percentage. As for occupation, students ($4.13{\pm}0.66$) comprised the highest percentage. 5. Self-esteem was higher among males ($3.83{\pm}0.47$) than among females ($3.80{\pm}0.50$), and was highest among those 25 to 29 years old ($3.92{\pm}0.46$). Most of them were earning more than 5 million won ($3.91{\pm}0.42$), which was statistically significant (P<0.01). The married ($3.91{\pm}0.54$) constituted higher percentage than the unmarried ($3.80{\pm}0.48$); office managers ($3.95{\pm}0.55$) comprised the highest percentage. 6. As for correlation between variables effecting OHIP of orthodontic patients, there was negative correlation in age (r=-0.225) and positive correlation in occupation (r=0.122). As for correlation between variables effecting self-esteem of orthodontic patients, there was negative correlation in occupation (r=-0.130) and positive correlation n income (0.126), while there was positive correlation (r=0.202) between OHIP and self-esteem of orthodontic patients. Conclusions : Younger orthodontic patients who were students showed higher OHIP, and professionals earning more showed higher self-esteem. Orthodontic patients with higher OHIP showed higher self-esteem. Therefore, it is necessary to develop a program based on OHIP and self-esteem in consulting and treating orthodontic patients; since it is considered that orthodontic therapy will improve appearance, enhance self-confidence, and have positive effects on interpersonal relationships and quality of living, researches are necessary on constant changes in psychological properties.

• 한국산학기술학회논문지
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• 제18권5호
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• pp.318-329
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• 2017

이 연구는 스포츠에 참여하는 대학생들의 신체적 자기개념과 자기효능감의 관계를 요인별 중요도에 따라서 위계적으로 분석하는 것에 목적이 있다. 연구 대상자는 비확률 표본추출법 중 편의표본추출법을 이용하여, 경북 S시에 소재한 4곳의 대학교에 재학 중인 대학생 377명을 표집하였다. 총 354부를 분석하여 사용하였다. 분석 프로그램은 SPSS 22.0 프로그램을 이용하여 다음과 같은 결과를 얻었다. 첫째, 자기효능감의 자기 조절효능감 요인을 향상시키기 위한 신체적 자기개념의 요인으로 자기 존중감, 지구력, 건강, 유연성 요인 순으로 긍정적인 영향을 미치는 것으로 나타났으나, 신체적 자기개념 요인 중 신체활동 요인을 높게 지각할수록 자기 조절 효능감에 부정적인 영향을 미치는 것으로 나타났다. 둘째, 자기효능감과의 자신감과 신체적 자기개념과의 관계에서는 자기 존중감, 건강, 근력 순으로 긍정적인 영향을 미치는 것으로 나타났다. 셋째, 과제 난이도 선호와 신체적 자기개념과의 관계에서는 지구력이 좋을수록 긍정적인 영향을 미치는 것으로 나타난 반면, 신체활동을 높게 지각할수록 과제 난이도 선호에는 부정적인 영향을 미치는 것으로 나타났다.

• Parasites, Hosts and Diseases
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• 제56권4호
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• pp.379-383
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• 2018

The present study was performed with morphological and molecular analysis (cox1 and nad1 mitochondrial genes) to identify the proglottids of spirometrid tapeworm found in the stool of an African lion, Panthera leo, in the Serengeti plain of Tanzania. A strand of tapeworm strobila, about 75 cm in length, was obtained in the stool of a male African lion in the Serengeti National Park ($34^{\circ}$ 50' E, $02^{\circ}$ 30' S), Tanzania, in February 2012. The morphological features of the adult worm examined exhibited 3 uterine coils with a bow tie appearance and adopted a diagonal direction in the second turn. The posterior uterine coils are larger than terminal uterine ball and the feature of uteri are swirling rather than spirally coiling. The sequence difference between the Spirometra species (Tanzania origin) and S. erinaceieuropaei (GenBank no. KJ599680) was 9.4% while those of S. decipiens (GenBank no. KJ599679) differed by 2.1% in the cox1 and nad1 genes. Phylogenetic tree topologies generated using the 2 analytic methods were identical and presented high level of confidence values for the 3 major branches of the 3 Spirometra species in the cox1 gene. The morphological and molecular findings obtained in this study were nearly coincided with those of S. ranarum. Therefore, we can know for the first time that the African lion, Panthera leo, is to the definitive host of this tapeworm.

• 한국식품영양과학회지
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• 제34권9호
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• pp.1381-1387
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• 2005

체중조절을 희망하는 여대생 18명을 대상으로, 자의적 행동수정을 위한 상담프로그램과, 개별${\cdot}$그룹별 운동프로그램으로 구성된 복합식 체중조절 프로그램에 참여하도록 하여 활용도에 대해 조사하였다. 대상자는 대구${\cdot}$경북 지역에 거주하는 평균 연령 21.3세, 평균 신장 161.8cm의 여대생이었으며, 체질량지수(BMI)에 따라 과체중군(25 $\le$ BMI<27)과 비만군(BMI$\ge$27)으로 구분하였다. 대상자들의 초기 평균 체중과 체질량지수는 각각 71.56 kg, $27.25 kg/m^2$였으며, 프로그램 참여 동기는 대다수가 외모에 대한 자신감 결여 때문이었다. 9주간의 체중조절 프로그램으로 과체중군은 3.28 kg, 비만군은 3.0 kg의 체중감소가 있었으며, 체지방은 과체중군에서 $1.61\%$, 비만군에서 $0.8\%$ 감소하였다. 총콜레스테롤과 LDL-콜레스테롤은 과체중군에서 유의적 (p<0.05)으로 감소하였으며, 최대산소섭취량 또한 체중조절 프로그램 종료후 과체중군에서 2.71 mL/kg/min 증가하였다. 비만군은 체중조절 과정을 통해 열량섭취량이 권장량 대비 $109.2\%$에서 $86.5\%$로 감소하였으며, 식사속도, 간식섭취 및 식사중 TV시청 빈도의식 행동 평가점수가 높아졌다. 본 자율적 체중조절프로그램은 과체중군의 체중감량에 효과가 있을 것으로 추측되나 비만군은 자율적 운동에 소극적인 성향을 나타내고 있어, 비만정도에 따라 체중조절 프로그램의 구성과 진행을 달리할 필요성이 있겠다.

• 한국지역사회생활과학회지
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• 제20권3호
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• pp.397-411
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• 2009

The use of local product foods and fresh-cut products, the dietitian's recognition, the required items and the quality for school foodservice was investigated to increase the consumption of high-quality agricultural products. Data from 578 elementary schools, 228 middle schools and 116 high schools were collected by school foodservice personnels in each regional Education Administration in Gyeong-gi province. The first criteria of buying food materials was reliability/safety for all school foodservice. The second criteria were the origin of the product and freshness/ripeness for elementary and middle schools and high school, respectively. The most important consideration for selecting a supplier was the quality of the material. The appearance/status of the food was the first factor for buying food materials. The origin and the seasonality were very important for buying farm products. Dietitians in Gyeong-gi province recognized the local products, and used them weekly. The advantages of using local products were the quick supply, freshness and safety. On the other hand, the disadvantages were the lack of information and the uncertainty of supply. Sixty eight percent of the subjects had experienced the high-quality agricultural products in school meals, but the frequency was low. The main reasons for not servicing high-quality agricultural products were the high cost and the lack of trust on the quality. Among fresh-cut products, seasonings and root vegetables were purchased most frequently, but leaf vegetables was 5.7% only. The purchase of fresh-cut products was not frequent, but usually satisfied. The advantages of fresh-cut products were the reduced workload and waste, but the reason for not using them were poor hygiene and the high price. The diverse supply system and the promotion of the local product foods would be necessary since the most food materials were purchased through suppliers. In addition, the problems related to the high cost and distrust should be resolved to expand the consumption of the high-quality agricultural products and the fresh-cut vegetables. The institutions for certifying the quality should be needed to increase the confidence of these products.

• 문화기술의 융합
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• 제6권1호
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• pp.63-68
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• 2020

최근 급격한 미디어의 변화에 따라 이에 부합하는 리터러시 교육의 필요성이 증가하고 있다. 하지만 증가하는 필요성에 비해 리터러시의 효율성에 대한 충분한 연구가 이뤄지지 않았던 것이 사실이다. 예를 들면 통합적 미디어 리터러시가 청소년 학습에 미치는 효과에 대한 연구와 같은 실증적 접근 등을 들 수 있겠다. 이에 본 논문은 기존 영상교육과는 차별화되는 멀티미디어 교육을 연구대상으로 삼고 청소년들에게 텍스트와 비디오와 사운드 등을 융합한 교육에 대한 결과를 학습 효과적 측면에서 연구했다. 멀티미디어 교육이 과연 청소년들의 학습에 긍정적 영향을 미치는 지에 대한 학문적 탐구다. 연구방법으로 양적 조사와 질적 조사를 병행한 결과, 멀티미디어 교육은 학습능력 향상에 유의미하다는 결론을 얻었으며 이를 바탕으로 멀티미디어를 활용한 교육으로 언어 교육과 같은 외연 확대와 동시에 실습 위주의 학습자 참여 교육을 제시했다. 이와 같은 여러 가지 교육정책에 대한 제언은 멀티미디어 교육이 단지 기존교육의 보조수단이 아니라 전인적 인격을 달성하는 교육의 핵심으로서 모든 학습활동의 중심으로 자리할 수 있다는 자신감으로 확산될 것이다.

• 예술인문사회 융합 멀티미디어 논문지
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• 제9권5호
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• pp.811-821
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• 2019

사람에 대한 이미지 메이킹은 외모나 인상, 자신감 등 자신을 표현할 수 있는 다양한 요소들을 개선하는 방법이다. 사람들은 이미지 메이킹을 위하여 전통적인 방법으로서 거울이나 카메라를 이용하여 자신의 모습을 확인하거나 발표 연습을 수행한다. 최근에는 스마트 미러가 여러 분야에서 널리 활용됨에 따라 스마트 미러가 거울을 대신하여 이미지 메이킹 도구로 사용하고자 하는 시도가 빈번하게 등장하고 있다. 스마트 미러는 쉽게 접근이 가능하다는 거울의 특성을 가질 뿐만 아니라 카메라나 마이크 등 다양한 기기를 부착할 수 있으므로 이미지 메이킹 서비스를 제공하기 위한 도구로서 적합하다. 본 논문에서는 사용자에게 이미지 메이킹 서비스를 제공하는 스마트 미러 소프트웨어인 BuddyMirror와 이를 유연하게 동작시키기 위한 전용 모바일 앱의 개발에 대하여 기술한다. BuddyMirror는 사용자의 요청에 따라 발표준비, 모의면접, 스타일링 서비스를 제공하고 전용 모바일 앱과의 연동 기능을 제공한다. 이를 위하여, 본 논문에서는 개발된 새로운 서비스를 널리 사용되는 스마트 미러 개발 플랫폼인 MagicMirror의 모듈로서 구현하고 동작시키기 기법을 설명한다. 전용 모바일 앱은 사용자가 이미지 메이킹 서비스를 제공 받기 위해 발표 자료를 스마트 미러에 전달하거나 촬영된 영상을 다운로드하는 기능을 제공한다.

• 대한임상독성학회지
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• 제21권2호
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• pp.135-142
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• 2023

Purpose: In patients with glufosinate poisoning, severe neurological symptoms may be closely related to a poor prognosis, but their appearance may be delayed. Therefore, this study aimed to determine whether the Acute Physiology and Chronic Health Evaluation II (APACHE II) score could predict the neurological prognosis in patients with glufosinate poisoning who present to the emergency room with alert mental status. Methods: This study was conducted retrospectively through a chart review for patients over 18 years who presented to a single emergency medical center from January 2018 to December 2022 due to glufosinate poisoning. Patients were divided into groups with a good neurological prognosis (Cerebral Performance Category [CPC] Scale 1 or 2) and a poor prognosis (CPC Scale 3, 4, or 5) to identify whether any variables showed significant differences between the two groups. Results: There were 66 patients (67.3%) with good neurological prognoses and 32 (32.8%) with poor prognoses. In the multivariate logistic analysis, the APACHE II score, serum amylase, and co-ingestion of alcohol showed significant results, with odds ratios of 1.387 (95% confidence interval [CI], 1.027-1.844), 1.017 (95% CI, 1.002-1.032), and 0.196 (95% CI, 0.040-0.948), respectively. With an APACHE II score cutoff of 6.5, the AUC was 0.826 (95% CI, 0.746-0.912). The cutoff of serum amylase was 75.5 U/L, with an AUC was 0.761 (95% CI, 0.652-0.844), and the AUC of no co-ingestion with alcohol was 0.629 (95% CI, 0.527-0.722). Conclusion: The APACHE II score could be a useful indicator for predicting the neurological prognosis of patients with glufosinate poisoning who have alert mental status.

• Korean Journal of Radiology
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• 제21권7호
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• pp.812-828
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• 2020

Objective: To provide an evidence-based guide for the MRI interpretation of complete tumor response after neoadjuvant chemoradiation therapy (CRT) for rectal cancer using visual assessment on T2-weighted imaging (T2) and diffusion-weighted imaging (DWI). Materials and Methods: PubMed MEDLINE, EMBASE, and Cochrane Library were searched on November 28, 2019 to identify articles on the following issues: 1) sensitivity and specificity of T2 or DWI for diagnosing pathologic complete response (pCR) and the criteria for MRI diagnosis; 2) MRI alone vs. MRI combined with other test(s) in sensitivity and specificity for pCR; and 3) tests to select patients for the watch-and-wait management. Eligible articles were selected according to meticulous criteria and were synthesized. Results: Of 1615 article candidates, 55 eligible articles (for all three issues combined) were identified. Combined T2 and DWI performed better than T2 alone, with a meta-analytic summary sensitivity of 0.62 (95% confidence interval [CI], 0.43-0.77; I² = 80.60) and summary specificity of 0.89 (95% CI, 0.80-0.94; I² = 92.61) for diagnosing pCR. The criteria for the complete response on T2 in most studies had the commonality of remarkable tumor decrease to the absence of mass-like or nodular intermediate signal, although somewhat varied, as follows: (near) normalization of the wall; regular, thin, hypointense scar in the luminal side with (near) normal-appearance or homogeneous intermediate signal in the underlying wall; and hypointense thickening of the wall. The criteria on DWI were the absence of a hyperintense signal at high b-value (≥ 800 sec/mm²) in most studies. The specific algorithm to combine T2 and DWI was obscure in half of the studies. MRI combined with endoscopy was the most utilized means to select patients for the watch-and-wait management despite a lack of strong evidence to guide and support a multi-test approach. Conclusion: This systematic review and meta-analysis provide an evidence-based practical guide for MRI assessment of complete tumor response after CRT for rectal cancer.

• 대한간호학회지
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• 제20권2호
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• pp.227-248
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• 1990

The study was conceived in relation to a concern over the growing gap between the needs of chronic patients and the availability of care from the current health care system in Korea. Patients with agonizing chronic pain, discomfort, despair and disability are left with helplessly unprepared families with little help from the acute care oriented health care system after discharge from hospital. There is a great need for the development of an alternative means of quality care that is economically feasible and culturally adaptible to our society. Thus, the study was designed to demonstrate the effectiveness of home heath care as an alternative to bridge the existing gap between the patients' needs and the current practice of health care. The study specifically purports to test the effects of home care on health expenditure, readmission, job retention, compliance to health care regime, general conditions, complications, and self-care knowledge and practices. The study was guided by the operations research method advocated by the Primary Health Care Operations Research Institute(PRICOR) which constitutes 3 stages of research : namely, problem analysis solution development, and solution validation. The first step in the operations research was field preparation to develop the necessary consensus and cooperation. This was done through the formation of a consulting body at the hospital and a steering committee among the researchers. For the stage of problem analysis, the Annual Report of Seoul National University Hospital and the patients records for last 5 years were reviewed and selective patient interviews were conducted to find out the magnitude of chronic health problems and areas of unmect health care needs to finally decide on the kinds of health problems to study. On the basis of problem analysis, the solution development stage was devoted to home care program development asa solution alternative. Assessment tools, teaching guidelines and care protocols were developed and tested for their validity. The final stage was the stage of experimentation and evaluation. Patients with liver diseases, hemiplegic and diabetic conditions were selected as study samples. Discharge evaluation, follow up home care, measurement and evaluation were carried out according to the protocols of care and measurement plan for each patient for the period of 6 months after discharge. The study was carried out for the period from Jan. 1987 to Dec. 1989. The following are the results of the study presented according to the hypotheses set forth for the study ; 1. Total expenditures for the period of study were not reduced for the experimental group, however, since the cost per hospital visit is about 4 times as great as the cost per home visit, the effect of cost saving by home care will become a reality as home care replaces part of the hospital visits. 2. The effect on the rate of readmission and job retention was found to be statistically nonsignificant though the number of readmission was less among the experimental group receiving home care. 3. The effect on compliance to the health care regime was found to be statistically significant at the 5% level for hepatopathic and diabetic patients. 4. Education on diet, rest and excise, and medication through home care had an effect on improved liver function test scores, prevention of complications and self - care knowledge in hepatopathic patients at a statistically significant level. 5. In hemiplegic patient, home care had an effect on increased grasping power at a significant level. However. there was no significant difference between the experimental and control groups in the level of compliane, prevention of complications or in self-care practices. 6. In diabetic patients, there was no difference between the experimental and control groups in scores of laboratory tests, appearance of complications, and self-care knowledge or self -care practices. The above findings indicate that a home care program instituted for such short term as 6 months period could not totally demonstrate its effectiveness at a statistically significant level by quantitative analysis however, what was shown in part in this analysis, and in the continuous consultation sought by those who had been in the experimental group, is that home health care has a great potential in retarding or preventing pathological progress, facilitating rehabilitative and productive life, and improving quality of life by adding comfort, confidence and strength to patients and their families. For the further studies of this kind with chronic patients it is recommended that a sample of newly diagnosed patients be followed up for a longer period of time with more frequent observations to demonstrate a more dear- cut picture of the effectiveness of home care.