• 대한통합의학회지
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• 제9권1호
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• pp.23-31
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• 2021

Purpose : To compare the immediate effects of air stacking maneuver using resuscitator bags and balloons. Methods : Twenty healthy young adults participated in this study. Forced vital capacity (FVC) and peak cough flow (PCF) tests were performed at pre-intervention, and then, the maximum insufflation capacity (MIC), forced expiratory volume in 1 s (FEV1), FEV1/FVC, peak expiratory flow (PEF), and peak cough flow (PCF) were measured using the air stacking maneuver via resuscitator bags and balloons. Interventions were randomly performed, and a 40-min break was provided between interventions. The evaluation process in this study was conducted in accordance with the guidelines of the American Thoracic Society (ATS) 2019. To compare the three outcomes measured at pre-and post-interventions, repeated measures analysis of variance was performed. Results : A significant difference was found in the MIC, FEV1, PEF, and PCF after the air stacking maneuver using resuscitator bags and balloons, whereas no significant difference was observed between resuscitator bags and balloons. Conclusion : No significant difference was found in the immediate effect of the air stacking maneuver using resuscitator bags and balloons in this study. Air stacking maneuver using balloons can increase the success rate of the techniques by providing visual feedback on the amount of air insufflation when performed with balloon blowing exercise. Balloons are cheaper and easier to buy compared to manual resuscitator bags; therefore, education on the air stacking maneuver using balloons will have a positive effect on pulmonary rehabilitation.

• 대한치과기공학회지
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• 제32권4호
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• pp.369-386
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• 2010

Purpose: This study aims to present practical data available for the effective health management and improvement for the dental technicians by exploring the interrelationships between general characteristics of dental technicians and seven health related habits like drinking, smoking, breakfast, and snacks among the others(alameda 7). Methods: Out of the random selection of the registered dental offices of Dental Technicians Association of Korea, 2,000 working dental technicians were asked to fill out the questionnaire from January 19 to April 30, 2009. We collected the 1,502 sheets of the questionnaire and took frequency analysis, crosstabulation, t-test, and analysis of variance using SPSS Win 12.0 program. Results: Among the seven health related habits, 54.9% of the subject answered 'never do exercise' in the question of exercise habits, which is the most problematic of all. Hours of sleep and BMI were found to be quite low. Of the general characteristics, sex proved statistically significant to all the seven habits(p<.001). Marital status, job title, and health check-up showed statistical significance in six items among the seven habits. Age, monthly income, job position showed statistical meanings in five items among the seven habits. The frequency of break showed statistical significance in four items among the seven habits. Working environment showed statistical significance only in the item of hours of sleep among the seven habits(p<.05). Conclusion: This study proved that it is vital to educate the dental technicians to learn the right habits for enhancing their health and quality of life and motivate them to practice those habits.

• The Journal of Korean Physical Therapy
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• 제15권2호
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• pp.168-181
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• 2003

The purpose of this study was to investigate the effects of circuit weight training(CWT) on isokinetic muscle strength and body composition in elderly. The subjects who engaged in this experiment exercised at 40$\%$ of 1-RM, 12 repetitions, followed by 15 sec as the subject moved to the each break training program which was consist of the circuit of 10 stations performed on 3 set a day, circuits 3 days a week during 10 weeks. The assessment of isokinetic factor was in concentric flexors and extensors of right and left knee joint. Tests were performed on the Cybex 770 Isokinetic Dynamometer and body composition were estimated the three parts of chest, abdomen and anterior thigh by using skinfold caliper, calculated the average and followed by Seri and Brozek way. Statistical analysis were performed using analysis of variance paired t-test, accepting level for all significant was above $\alpha$=.05 and $\alpha$=.01. Following is as a result of 10 weeks circuit weight training. 1. At the $60_{\circ}$ /sec, the right and left knee isokinetic concentric flexors and extensors peak torque increased significantly (p < .01). 2. At the $180_{\circ}$ /sec, the right and left knee isokinetic concentric flexors and extensors peak torque increased significantly (p < .01). 3. At the $60_{\circ}$ /sec, the right and left knee isokenetic concentric flexors and extensors average power increased significantly(p < 0.5, p < .01) and at the $180_{\circ}$ /sec, the right extensors didn't show any statistical significant. 4. At the $60_{\circ}$ /sec, the right and left knee Isokinetic concentric flexors and extensors total work increased significantly(p < .05, p < .01) but at the $180_{\circ}$ /su right concentric flexors didn't show any statistical significant. 5. The body composition changed significantly(p < .01). These results suggest that 10 weeks circuit weight training increases the peak torque, average power, total work significantly and decreases the $\%$body fat significantly.

• The Journal of Korean Physical Therapy
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• 제15권4호
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• pp.398-411
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• 2003

The purpose of this study was to investigate the effects of circuit weight training(CWT) on isokinetic muscle strength and body composition in elderly. The subjects who engaged in this experiment exercised at $40\%$ of 1-RM, 12 repetitions, followed by 15 sec as the subject moved to the each break training program which was consist of the circuit of 10 stations performed on 3 set a day, circuits 3 days a week during 10 weeks. The assessment of isokinetic factor was in concentric flexors and extensors of right and left knee joint. Tests were performed on the Cybex 770 Isokinetic Dynamometer and body composition were estimated the three parts of chest, abdomen and anterior thigh by using skinfold caliper, calculated the average and followed by Seri and Brozek way. Statistical analysis were performed using analysis of variance paired t-test, accepting level for all significant was above ${\alpha}=.05$ and ${\alpha}=.01$. Following is as a result of 10 weeks circuit weight training. 1. At the $60_{\circ}$ /sec, the right and left knee isokinetic concentric flexors and extensors peak torque increased significantly(p<.01). 2. At the $180_{\circ}$ /sec, the right and left knee isokinetic concentric flexors and extensors peak torque increased significantly(p<.01). 3. At the $60_{\circ}$ /sec, the right and left knee isokenetic concentric flexors and extensors average power increased significantly(p<.05, p<.01) and at the $180_{\circ}$ /sec, the right extensors didn't show any statistical significant. 4. At the $60_{\circ}$ /sec, the right and left knee Isokinetic concentric flexors and extensors total work increased significantly(p<.05, p<.01) but at the $180_{\circ}$ /sec right concentric flexors didn't show any statistical significant. 5. The body composition changed significantly(p<.01). These results suggest that 10 weeks circuit weight training increases the peak torque, average power, total work significantly and decreases the $\%$body fat significantly.

• 한국의료질향상학회지
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• 제1권2호
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• pp.60-72
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• 1994

Background: The number of outpatients visiting large university teaching hospitals has increased drastically with the introduction of a nationwide health care insurance in 1989 and the improvement of the socio-economic status of the population. This resulted in long waiting times for services, particularly prescribed drugs, which have been patients' chief complaints. Hospitals have tried to solve the problem with limited success because their approach lacked comprehensive research. The objective of this study is to investigate associations between waiting times and variables defining a total work system. Methods: Data for the outpatient pharmacy department in a tertiary care university teaching hospital located in Seoul was analyzed to achieve the study objective. Associations of pharmacy system variables -- work load, work force, pharmacist work schedule, machine problems, and inventory control -- with mean and 99th percentile of waiting times were examined by the hierarchical stepwise regression method. Day was a unit of the analyses. Results: The regression models explained 65.8% of variance in the mean waiting time and 61.34% in the 99th percentile of waiting times. The break-down of the printer for drug envelops, Automatic Tablet Counters (ATCs), and main computer system lasted longer than 30 minutes increased the mean for 7.7 minutes, 4.5 minutes, and 7.0 minutes, respectively, and the 99th percentile for 14.8 minutes, 9.0 minutes, and 15.7 minutes, respectively. Concerning the work force, study results showed that there were significant differences in the productivity of pharmacists with work experience more than three years, one to three years, and less than one year, and showed that peak time aid work by pharmacists at job assignments other than the outpatient pharmacy, part-time pharmacists, and the installation of ATCs were effective in reducing waiting times, Finally, study findings indicated that the operational policy of work assignment and rotation schedule, supply and inventory of drugs at work tables, and readiness for undisrupted work during the work hours could have a significant effect on waiting times. Conclusion: The study results indicated that efforts to reduce waiting times for prescribed drugs should be geared toward every components of the pharmacy work system ranging from work schedule of pharmacists and supply of dugs at work tables. These findings should provide hospital managers with right directions in battling the problem.

• 한국산학기술학회논문지
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• 제19권10호
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• pp.352-360
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• 2018

본 연구는 대학생의 인권감수성을 향상시키기 위해 인권감수성 수준과 인권인식 유형을 살펴보는데 있다. 연구방법은 인권감수성 수준을 파악하기 위해서는 설문지 자료를 활용하여 t검증과 분산분석을 실시하였고, 인권인식 유형을 살펴보기 위해서는 Q방법론을 통한 Q요인분석을 실시하였다. 연구결과, 인권감수성의 수준은 3학년과 4학년이 1학년과 2학년보다 높았고, 종교별로는 기독교가 높은 것으로 나타났다. 단과대학별에서는 사회과학대학 학생들이 가장 높은 인권감수성을 보여주었으며, 봉사를 한 학생들이 봉사교육을 실시하지 않은 학생들보다 인권감수성이 높은 것으로 나타났다. 장기기증 등록을 한 학생들이 하지 않은 학생들에 비해, 인권교육을 받은 학생들이 받지 않은 학생들보다 인권감수성이 높은 것으로 나타났다. 인권인식 유형과 관련해서는 총 4개의 유형으로 구분되었고, 유형 1은 인권에 대한 이상적인 개념을 지니고 있으며 도덕적 판단을 중심으로 생각하는 특성을 보이는 '보편적인 사회윤리형', 유형 2는 사회적 규범을 벗어날 생각이 없고 삶 속에서 인권으로 인해 실리적인 혜택을 박탈당하기를 원하지 않는 '실리적 현실형', 유형 3은 기본적인 인권에 대한 개념을 지니고 있고 개인의 권리를 위해서 사회의 규범을 어겨서는 안 된다고 생각하는 '사회체제 유지형', 유형 4는 인권을 지키기 위해서는 기존의 사회적 규범을 벗어나 행동하지만, 그 행동이 사람들과 관계를 배제하는 것은 아님을 보려주는 '개인권리보호의 사회계약형'으로 나타났다. 본 연구의 결과가 인권에 대한 개인의 맥락에서의 인지적 교육에만 구한되지 않고 개인의 삶과 연결될 수 있는 사회적인 관점의 가능성을 찾는데 기여하기를 기대한다.

• 한국운동역학회지
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• 제31권1호
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• pp.72-78
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• 2021

Objective: The purpose of this study was to investigate relations and effectiveness about mountain climbling exercise with different level of support surfaces by analyzing heart rate and EMG data. A total of 10 male college students with no musculoskeltal disorder were recruited for this study. Method: The biomechanical analysis was performed using heart rate monitor (Polar V800, Polar Electro Oy, Finland), step-box, exercise mat, and EMG device (QEMG8, Laxtha Inc. Korea, sampling frequency = 1,024 Hz, gain = 1,000, input impedance > 1012 Ω, CMRR > 100 dB). In this research, step-box were used to create different surface levels on the upper body (flat surface, 10% of subject's height, 20% of subject's height, and 30% of subject's hight). Based on these different conditions, data was collected by performing mountain climbing exercise during 30 seconds. Subjects were given 5 minutes of break to prevent muscular fatigue after each exercise. For each dependent variable, a one-way analysis of variance with repeated measures was conducted to find significant differences and Bonferroni post-hoc test was performed. Results: The results of this study showed that exercise intensity was reduced statistically as increased surface level on the upper body. Muscle activity of the upper rectus abdominis and biceps femoris for 30% of surface level was significantly higher than the corresponding values for flat surface. However, the opposite was found in the rectus femoris. In general, muscle activity of the lower rectus abdominis, erector spinae, external oblique abdominis, and gluteus maximus increased when surface level increased, but the differences were not significant. Conclusion: As a result, the increase in surface level of the body would change muscle activity of the upper body, indicating that different surface level of the upper body may cause significant effect on particular muscles to be more active during mountain climbing exercise. Based on results of this study, it is suggested to set up an appropriate surface level to target particular muscle to expect an effective training. It is also important to set adequate surface levels to create an effective training condition for preventing exercise injuries.

• 한국응용과학기술학회지
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• 제38권1호
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• pp.48-59
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• 2021

본 연구는 코로나19 유행 시기 간호대학생의 코로나19에 대한 불안, 위험인식, 정보이해력, 감염예방행위 이행 수준을 파악하기 위해 시도되었다. 본 연구는 서술적 조사연구로 2020년 6월 8일부터 6월 14일까지 간호대학생 224명을 대상으로 온라인을 통해 설문조사를 실시하였다. 수집된 자료는 SPSS 26.0을 이용하여 기술통계, t-test, ANOVA, 상관관계 분석을 하였다. 간호대학생의 불안정도는 6.86점(최대10점)으로 보통 수준이었으며, 위험인식은 8.19점(최대10점), 정보이해력은 3.50점(최대4점), 감염예방행위 수행정도는 4.44점(최대5점)으로 높은 수준이었다. 감염예방행위는 불안정도, 위험인식, 정보이해력이 높을수록 수행정도가 높았다. 코로나19와 같은 신종감염병이 유행할 때는 감염에 대한 불안감과 위험인식이 증가할 수 있으므로 감염병에 대한 충분한 정보제공으로 감염병에 대한 정확한 이해가 필요하다. 신종감염병에 대한 정확한 이해는 철저한 감염예방행위를 향상 시키므로 감염병 전파 위험을 감소시킬 수 있을 것이다.

• 간호행정학회지
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• 제5권3호
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• pp.477-500
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• 1999

Korean labor market has showed remarkable change of the increase in the amount of unemployment and contingent employment since IMF bailout agreement. There is a theoretical position to explain this increase in contingent employment at hospitals with the notion of flexibility. The high flexibility of employment due to the increase of contingent employees is becoming very important part in new business strategy of hospitals. The types of contingent employment of the nurse are part-time employment temporary employment, fixed-term employment, and internship which was introduced in early 1999. Recently, Korean health care industry managers have paid attention to the customer oriented service, rationalization of business administration, service quality control so that they can adjust their business to outer environment. Especially their efforts concentrate on the wage reduction through efficient and scientific control of man power because wage shares about 40% of total cost. This dissertation aims at verifying the phenomena of the contingent employment of the nurse and analyzing the related factors and problems. To rephrase these aims in ordinal: First, verifying the phenomena of contingent employment of the nurse. Second, verifying the problems of that phenomena. Third, analyzing the related factors of the contingent employment of the nurse. To accomplish these research goals, a statistical survey was executed. in which 384 questionnaires-66 for manager nurses, 318 for contingent nurses - were given to nurses working at 66 hospitals-which have at least 100 beds-in Seoul. Among them, 187 questionnaires-38 from manager nurses, 149 from contingent nurses'- 'were returned. Then, the data coded and submitted to T-test, $X^2$ -test, variance analysis(ANOVA), correlation analysis, multiple regression analysis, Logistic Regression with SAS program. The research results of the contingent nurses are followings: 1. The average career term at the present hospital 8.4 months: duty-on days per month are 24.2 days: working time per day is 7.9 hours. These results showed little difference from regular nurses. 2. Their wage level is about 70% of regular nurses except for internship nurses whose wage level is 41% of regular nurses. To break down the wage composition, part-time nurses and internship nurses get few allowance and bonus. And contingent nurses get very low level of additional pay except for fixed-term nurses who are under similar condition of employment to regular nurses. These results show that hospital managers are trying to reduce the labor cost not only through the direct way of wage reduction but through differential treatment of bonus, retirement allowance, and other additional pay. 3. The problem of contingent employment: low level of pay; high level of turn-over rate: weakening of union; low level of working condition: heavy burden of work; inhuman treatment. The contingent nurses consider these problems more seriously than manager nurses do. What manager nurses regard problematic is the absence of feeling-belonged and responsibility of the contingent nurses. 4. The factors strongly related with the rate of the number of contingent nurses for the number of regular nurses; gross turn-over nurses; average in-patients per day; staring wage of graduate from professional college: the type of hospital ownership; the number of beds; the gap between gross newcomer nurses and gross turn-over nurses. The factors related with their gross wage per month; the number of beds; applying of health insurance; applying of industrial casualty insurance; applying of yearly-paid leave; the type of hospital ownership; average out-patients per day; gross turn-over nurses. The meaningful factors which make difference by employment type: monthly-paid leave; physiological leave. The logistic regression analysis using these two factors shows that monthly-paid leave is related with the type of hospital ownership; the number of beds; average out-patient per day, and physiological leave is related with the gross newcomer nurses; gross turn-over nurses; the number of beds.