• 제목/요약/키워드: hands-on

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수족냉증의 임상연구에 관한 문헌적 고찰 - 국내에 출판된 논문을 중심으로 - (Literature Review on clinical studies for cold hypersensitivity of hands and feet -Focusing on journals published in Korea)

  • 이해솔;한인식;선승호;김근엽;고호연;김태훈;이진무;장준복;송윤경;고성규;최유경;정종진;고유미;정금란;전찬용
    • 대한예방한의학회지
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    • 제21권1호
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    • pp.83-93
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    • 2017
  • Objectives : This study's aim is to investigate clinical studies of cold hypersensitivity of hands and feet (CHHF) published in Korea and to explore the direct of future research. Methods : We searched clinical studies of CHHF using the database, such as DBpia(http://www.dbpia.co.kr/), NDSL(www.ndsl.kr), OASIS(http://oasis.kiom.re.kr), and RISS(www.riss.kr). The search words were 'cold hypersensitivity(冷症)' and 'syncope(厥證)'. Inclusion criteria were randomized controlled trials (RCTs), non RCTs, Before and after clinical study (B&A) about CHHF. Selection journals and data extraction were conducted by HS Lee and SH Sun independently. Results : Total twenty-one articles were selected finally. RCTs, non-RCTs, and B&A were 3, 12, and 6, respectively. The topics for CHHF were classified into three categories: effect of treatment (n=2) characteristics (n=11), and diagnosis (n=8). Conclusions : This results showed that RCT about CHHF and treatment effect of cold hypersensitivity of hands and feet were small in number. Further systemic and larger studies about CHHF will be needed.

치위생 실습실에서 치위생과 학생의 감염에 관한 태도 연구 (A study on dental hygiene department students' attitude toward infection in a dental hygiene workshop)

  • 김은희;김설악
    • 한국치위생학회지
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    • 제9권4호
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    • pp.849-863
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    • 2009
  • Objectives : This study was to study dental hygiene department students' management of infection and their attitude toward infection. Methods : This study was conducted from August 24, 2009 to September 20, 2009. 269 sophomore and junior college students enrolled in the department of dental hygiene from schools located in Gyeonggi-do and Gangwon-do participated in the study. A self-administered questionnaire survey was conducted. Results : 1. As for dental hygiene department students' recognition of the causes of infectious diseases, 80.7% of the respondents said hepatitis B was the infectious disease highly likely to occur in laboratories. 35.3% was correct about the antecedent variables of infection in the workshop, 24.9% about the oral symptoms of HIV and 18.6% about the diseases induced by HBV. The recognition rates were generally low. 2. About whether the respondents ask patients questions about infectious diseases, 80.7% of them answered Yes, but only 56.2% of them said they do so every time, and 17.8% of them said they never do so. 3. As far as washing hands to prevent infectious diseases is concerned, 97.4% of the respondents said hand washing helps prevent infection. 72.5% of them said they wash their hands every time before they practice on a patient, while 84.0% of them said they washed their hands after the lab practice. 90.7% said they use liquid soap containing anti-microbial agents, and 81.8% of them said they use paper towels. 4. With regard to protective gear for prevention of infectious diseases, 98.9% of the respondents said it is desirable to use disposable protective gear for each patient. When it comes to what they actually used as protective gear, 91.1% said aprons, 89.2% gloves, and 87.7% masks. However, a low percentage of the respondents actually use goggles and replace masks when they got damp, 11.2% and 24.2% respectively. Conclusions : As for treating the surface of equipments to prevent infectious diseases, most of the respondents exhibited a high recognition rate. Relative fewer respondents actually treat the surface of equipments than those respondents who are aware of the need to do so. A high percentage of the respondents also said they use alcohol sponge to treat the surface of each equipment in order to prevent infectious diseases.

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여고생의 문제행동에 따른 성태도 유형 및 성관련 경험에 대한 연구 (Study on the Sexual Attitudes Type and Sexual Experiences as Regards Risk Behaviors in Girls High School Students)

  • 손정남
    • 여성건강간호학회지
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    • 제9권2호
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    • pp.113-127
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    • 2003
  • The purpose of this study is to identify the relationship between sexual attitude and risk behaviors, between risk behavior and sexual experiences in Korean girls high school students. The subjects for this study were 522 girls, who were samples from a target population of 63,375 11th grade students from 200 regular high schools and 70 vocational high schools in Seoul. The data were collected from June 22 to July 18, 2002. A structured questionnaire was used that included measurement of general characteristics, sexual attitudes, risk behaviors and sexual experiences. The data were processed with the SAS program, which uses descriptive statistics, t-test, and ANOVA in its an alyses. The results of this study are as follows : 1. The frequency of sexual experience is as follows ; 'holding hands' had the highest percentage, 57.4 7%, followed in order by 'arms around' 50.19%, 'act of embracing' 50.19%, 'kiss' 37.74%, 'french kiss' 30.84%, 'touch breasts' 8.62%, 'touch sexual organs' 3.26%, 'coitus' 2.30%, 'contraception' 0.77%, 'pregnancy' 0.19%, 'abortion' 0.19%, and 'prostitution' 0.19%. 2. The score of conservatives types was significantly different depending upon exposure to pornographic material and drinking. In comparison, the score of permissiveness types was significantly different depending upon exposure to pornographic material, drinking, and running away from home. But the score of pleasure seeking types was not significantly different than that of the risk behaviors types. 3. There was statistically significant difference in the sexual experience depending upon exposure to pornographic material, drinking, smoking, and running away from home. 4. In the relationship between sexual attitude types and sexual experience, there was a negative correlation between the conservatives types and sexual experiences such as 'holding hands', 'arms around', 'act of embracing', 'kiss', 'french kiss', 'touch breasts', 'touch sexual organs', and 'coitus'. There was a positive correlation between the permissiveness types and sexual experiences such as 'holding hands', 'arms around', 'act of embracing', 'kiss', 'french kiss', 'touch breasts', 'touch sexual organs', and 'coitus'. There was also a positive correlation between the pleasure-seeking types and sexual experiences such as 'touch sexual organ', 'contraceptions', 'pregnancy', and 'prostitution'. Based on the finding of this study, this society should develop a integrated program to prevent risk behaviors and sexual experiences in girls high school students.

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("동의보감"에서 도인 홍화 (桃仁 紅花)를 사용한 처방에 대한 형상의학적 고찰 (Examination of the Applications of Semen Persicae and Flos Carthami in the herbal Perscriptions Appeared in the book of ${\ulcorner}$Donguibogam${\lrcorner}$ according to Hyungsang Medicine)

  • 강경화;이용태
    • 동의생리병리학회지
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    • 제20권6호
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    • pp.1431-1441
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    • 2006
  • Following conclusions were drawn from the examination of the usage of semen persicae and fols carthami from the view of Hyungsang Medicine. Semen persicae is used to vitalize the blood flow and eliminate the blood stagnation of the whole body in ${\ulcorner}$Donguibogam${\lrcorner}$, and therefor it is used for the blood flow of the heptal meridian and sometimes the intestinal meridian. Flos carthami is applied to vitalize the blood flow, remove obstructions in meridians, eliminate the blood stagnations, and stop the pain in ${\ulcorner}$Donguibogam${\lrcorner}$, therefore used in such symptoms of blood flow of the heptal meridian as amenorrhea, spasm of muscles, and coldness of the genitals. Also is applied in those cases of exhaustion, perspiration, and in digestive remedies which belong to the symptoms of cardiac blood flow. And it is used for dryness of the skin in which case the blood should be developed and malaria for the elimination of the blood stagnation and production of new blood. The combination of semen persicae and flos carthami is applied to eliminate the blood stagnation and stimulate menstrual discharge in uterus, as well as in the cases of lumbago and stomachache due to blood stagnation, blood stasis, mass in the abdomen, and abdominal distention. This combination is also used for the eyes, ears, numbness, and paralysis of hands and feet for the purpose of making the flow of the meridian smooth, and for diabetes, dryness of the skin, malaria, anal itching and pain for the purpose of eliminating the mass and renewing the tissues. The combination is diversly used in the book of ${\ulcorner}$Special lectures on clinical cases${\lrcorner}$ for the aftereffects of traffic accident, constipation, diabetes, dryness of the skin, paralysis of hands and feet, numbness of finger of hand and foot, and especially used frequently with prescription of Yijintang and Samultang combined in the cases of numbness. The prescription is used in Hyungsang medicine when the uterus, the external appearance(axis), hands and feet, heart, and the stomach is not good for the vitalization of the flow of the 12 meridians. It was though difficult to find extinguishing differences between the two herbs in the clinical cases applied in the book of ${\ulcorner}$Special lectures on clinical cases${\lrcorner}$.

머신러닝과 3D 프린팅을 이용한 저비용 인공의수 모형 (Low-cost Prosthetic Hand Model using Machine Learning and 3D Printing)

  • 신동욱;염호준;박상수
    • 문화기술의 융합
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    • 제10권1호
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    • pp.19-23
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    • 2024
  • 양손 절단 환자들에게 미용적 목적과 함께 기능적 목적을 갖춘 의수가 필요하며 잔존 근육의 근전도를 이용한 인공 의수에 대한 연구가 활발하나 아직도 비싼 비용의 문제가 있다. 본 연구에서는 저비용의 부품과 소프트웨어인 표면 근전도 센서, 머신러닝 소프트웨어 Edge Impulse, Arduino Nano 33 BLE, 그리고 3D 프린팅을 이용하여 인공의수를 제작하고 성능을 평가하였다. 표면 근전도 센서로 획득하고 Edge Impulse에서 디지털 시그널 프로세싱 과정을 거친 신호들을 이용하여 머신러닝으로 손가락 운동의 종류를 판단하는 훈련을 통해 각 손가락의 굽힘 운동신호를 의수 모델의 손가락들에 전달하였다. 디지털 시그널 프로세싱 조건을 노치 필터 60 Hz, 대역필터 10-300 Hz, 그리고 샘플링 주파수 1,000 Hz로 했을 때, 머신 러닝의 정확도가 82.1%로 가장 높았다. 각 손가락 굴곡 운동간에 혼동될 수 있는 가능성은 약지가 가장 높아서 검지의 운동으로 혼동될 가능성이 44.7 %이었다. 저비용 인공의수의 성공적인 개발을 위해서는 더 많은 연구가 필요하다.

온라인 콘텐츠 협동학습과 개별학습의 Lab실-임상실습 혼합실습교육 연계가 학습성취에 미치는 효과비교 (Comparison of Blended Practicum Combined E-learning between Cooperative and Individual Learning on Learning Outcomes)

  • 최순희;소향숙;최자윤;유성희;윤소영;김명희;송미옥
    • 한국간호교육학회지
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    • 제20권2호
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    • pp.341-349
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    • 2014
  • Purpose: This study was conducted to compare blended practicum with clinical and lab combined e-learning between cooperative and individual group on learning outcomes. Method: A total of 63 junior Nursing students were recruited from C University in G city from May, 2012 to June, 2012. Ten hours lab practicum for two weeks was provided for both two groups during the period of adult nursing practicum. Prior to blended practicum, e-learning was conducted. For cooperative group, two hours off line team learning with a tutor for eight weeks was provided, in other hands, for individual group, any off line team learning was not provided and self study on line was not evaluated by the tutor. Results: The result of ANCOVA showed that critical thinking and self directed learning were significantly improved in the individual group compared to the cooperative group (F=-18.15, p<.001; F=28.12, p<.001). In other hands, clinical competence was significantly higher in the cooperative group than in the individual group (F=16.61, p<.001). Conclusion: Through development of self-leaning facilitating online contents, the blended practicum combined e-learning could be effective in critical thinking, self-directed learning and clinical competence. Further studies about e-learning strategies of off-line learning are still needed.

A Qualitative Case Study of an Exemplary Science Teacher's Earth Systems Education Experiences

  • Lee, Hyon-Yong
    • 한국지구과학회지
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    • 제31권5호
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    • pp.500-520
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    • 2010
  • The purposes of this case study were (1) to explore one experienced teacher's views on Earth Systems Education and (2) to describe and document the characteristics of the Earth Systems Education (ESE) curriculum provided by an exemplary middle school science teacher, Dr. J. All the essential pieces of evidence were collected from observations, interviews with the experienced teacher and his eighth grade students, informal conversations, document analysis, and field notes. The $NUD^*IST$ for MS Windows was used for an initial data reduction process and to narrow down the focus of an analysis. All transcriptions and written documents were reviewed carefully and repeatedly to find rich evidence through inductive and content analysis. The findings revealed that ESE provided a conceptual focus and theme for organizing his school curriculum. The curriculum offered opportunities for students to learn relevant local topics and to connect the classroom learning to the real world. The curriculum also played an important role in developing students' value and appreciation of Earth systems and concern for the local environment. His instructional strategies were very compatible with recommendations from a constructivist theory. His major teaching methodology and strategies were hands-on learning, authentic activities-based learning, cooperative learning, project-based learning (e.g., mini-projects), and science field trips. With respect to his views about benefits and difficulties associated with ESE, the most important benefit was that the curriculum provided authentic-based, hands-on activities and made connections between students and everyday life experiences. In addition, he believed that it was not difficult to teach using ESE. However, the lack of time devoted to field trips and a lack of suitable resource materials were obstacles to the implementation of the curriculum. Implications for science education and future research are suggested.

Motion-Primitives에 의한 한국수화 생성시스템의 개발 (Development of Korean-Sign Language Generating System based on Motion-Primitives)

  • 김태수;전중창;최경애
    • 한국멀티미디어학회논문지
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    • 제4권3호
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    • pp.238-246
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    • 2001
  • 복지형 정보단말 장치로 청각장애인과 건청인사이의 커뮤니케이션을 지원하기 위한 수화 생성시스템이 개발되었다. 이 시스템에서는 신체의 각 부위의 움직임을 주목한Motion-Primitives에 기초로 하여 컴퓨터그래픽(CG) 애니메이션으로 수화 단어 동작을 생성하고 있다. 기존의 수화 생성시스템은 수화 단어를 생성할 때 손 모양이나 손과 어깨의 움직임을 제어하기가 어려워 수화 단어를 생성하는데 많은 시간이 소요되었다. 또한 수화 통역을 위해서는 수화단어가 5000단어 이상이 필요하기 때문에 수화단어 데이터 베이스를 구축하는 것도 큰 문제로 대두되고 있다. 따라서, 본 논문에서는 종래의 시스템보다 수화단어 구축에 있어서 다양한 움직임의 경로를 유연하게 만들수 있는 Motion-Primitives에 의한 새로운 시스템을 제안한다. 이 제안한 시스템을 적용하여 실제로 청각장애인을 대상으로 수화단어 100단어에 대하여 평가실험을 행한 결과 종래의 시스템으로 평균 76%의 인식 율을 얻을 수 있었던 것에 비하여 새롭게 제안한 시스템은 82%의 양호한 인식 율을 얻을 수 있었다.

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손바닥피부주름을 이용한 전층피부이식술 (Full Thickness Skin Graft Using Palmar Crease)

  • 최요안;최환준;김준혁;이영만
    • Archives of Plastic Surgery
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    • 제38권6호
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    • pp.829-835
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    • 2011
  • Purpose: The two major concerns in skin grafting are poor color match in the recipient site and the donor site morbidity. And, glabrous skin on the palmar aspect of the hands and plantar aspect of the feet attributes define the skin on the palm and fingers sole as functionally and aesthetically different from skin on other parts of the body. When there is a glabrous skin defect, it should be replaced with similar skin to restore function and aesthetics. The palmar crease areas were used to minimize these problems. The purpose of this study is to present the precise surgical technique of the full thickness skin graft using distal palmar and midpalmar creases for aesthetic better outcome for hand injuries. Methods: From May 2006 to April 2010, 10 patients with 11 defects underwent glabrous full thickness skin grafting of finger defects. Causes included seven machinery injuries, two secondary burn reconstructions, and one knife injury. Donor sites included ten glabrous full thickness skin graft from the distal palmar crease and one from the midpalmar crease. Results: Follow-up ranged from 3 months to 24 months. All glabrous skin grafts demonstrated complete taking the recipient sites and no incidence of the complete or partial loss. The donor site healed without complications, and there were no incidences of significant hypopigmantation, hyperpigmentation, or hypertrophic scarring. Conclusion: The important aspects of this method involve immediate return of glabrous skin to the defect site and restoration of the recipient site's crease by simple primary closure from adjacent skin. The glabrous skin of the palm provides the best tissue match for the reconstruction of the hands, but only a limited amount of tissue is available for this purpose. Full thickness skin grafting using palmar crease of the defects is the ideal way of reconstructing glabrous skin to restore both function and aesthetics and minimize donor site morbidity.

산업재해로 인한 수부손상환자의 물리치료에 관한 연구 (A Study on the Physical Therapy and Rehabilitation Service to the Hand Injury Patients of Industrial Accidents)

  • 김희라;김명준
    • 대한물리치료과학회지
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    • 제10권2호
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    • pp.246-257
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    • 2003
  • Even though the automation of industrial machinery has dramatically increased, most industries still require human hands for the production of goods. Our hands are essential to our existence. For this reason, hand injuries caused by industrial accidents have become an important issue lately. Most hand injuries are external wounds and constitute 38.6% of disabling industrial accidents. This significant statistic cannot be ignored by rehabilitation programs. The rate of success in operations of finger and hand injuries has increased, but relatively less consideration has been given to physical therapy, rehabilitation, research, or systematic installment in terms of welfare, which would help the injured carry on the nominal life they lived before their injury. Therefore, it is necessary to study systematically all related aspects to provide patients with physical therapy, rehabilitation, and social welfare, in order to restore their social, professional, and economical capabilities. Physical considerations, functional usability, and cosmetic restoration, as well as the patients' mental state must be addressed. The results of the study shows several problems. Medical appliances, manpower, and the environment of the treatment rooms are very poor. The patients cannot receive treatment early enough nor enough treatment because of too many patients for too few physical therapists. Close cooperation between physical therapists and doctors, nurses, or related departments is lacking. Furthermore, it is irrational that industrial accident premiums for the exert; e treatment of hand injury patients are not itemized. Lack of recognition of the importance of specialty in hand injury therapists leads to the lack of professionalization of systematic hand injury treatment In order to solve these problems, the professonalism of physical therapy should be acknowledged and particular treatment courses should be available and/or required. Based on the understanding of the hand injury patients' needs, new theories of physical therapy should be developed and modem medical appliances and facilities should be available, in order to provide the patients with qualitative medical treatment, which then will facilitate the patients' recovery.

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