• 제목/요약/키워드: standard index

검색결과 2,047건 처리시간 0.03초

췌장염 환자의 복통 호전을 위한 전침 및 이침 치료 예비 임상연구 프로토콜 (A Clinical Study of Electroacupuncture and Auricular Acupuncture for Abdominal Pain Relief in Patients with Pancreatitis: A Pilot Study)

  • 강하라;이연선;김혜련;김은정;김경호;김갑성;정찬영;이준규
    • Korean Journal of Acupuncture
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    • 제34권1호
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    • pp.47-55
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    • 2017
  • Objectives : The purpose of this study is to evaluate the feasibility of further acupuncture research as an effective alternative and safe treatment for abdominal pain control in patients with pancreatitis. Methods and Results : This study is an open-label, assessment-blind, parallel designed pilot clinical trial. Thirty participants will be assigned to the acupuncture group(n=15) and usual care group(n=15). All patients will receive the conventional standard-of-care(SOC) therapy, but only the experimental group will receive acupuncture therapy six times a week, and the duration of acupuncture therapy will be held up to 12 weeks or until the pains are to be resolved. For the conventional SOC therapy, painkiller will be given. In treatment group, the subjects will receive the identical SOC therapy in combination with electroacupuncture therapy on twelve acupuncture points(LI4, PC6, SP6, GB39, ST36, ST37), and auricular acupuncture therapy on five auricular acupuncture points(Sympathetic, Shen Men, Abdomen, Pancreas gall, and Spleen). The primary outcome will be measured using the visual analogue scale(VAS), and the secondary outcome will be measured using the painkiller demand, quality of life index and severity of pancreatitis by abdominal computed tomography(CT). Assessments will be made at baseline and at week 1, 4, 8 and 12. Results of abdominal CT will be evaluated at baseline and at week 12. Conclusions : The result of this trial will provide a basis for the effectiveness and safety of acupuncture treatment for abdominal pain in patients with pancreatitis.

공공 주택건설사업의 현장환경관리 업무요소 도출 및 수행주체 분석 (Identification of On-site Environmental Management Factors and Analysis of Responsible Parties in Public Housing Construction Sites)

  • 손정락;송상훈;전명훈;박성식
    • 토지주택연구
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    • 제4권4호
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    • pp.383-393
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    • 2013
  • 저탄소 녹색성장 및 친환경 트렌드는 미래 지구환경 보존의 핵심 개발지표이며, 정부도 제3차 건설환경기본계획을 발표하면서 녹색건설기술 및 고품질 건설환경 구현을 위해 체계적이고 다양한 추진방향을 제시하고 있다. 그러나 아직까지도 생산단계인 건설과정에서의 저탄소 및 친환경적 노력은 미흡한 실정이다. 이에 본 연구에서는 공공 주택건설 현장의 친환경성 제고를 위해 기본적으로 시행되어야 할 활동인 현장의 환경관리 업무요소를 도출하고, 각각의 업무요소에 대한 합리적 수행주체와 프로세스를 제시하였다. 본 연구결과는 향후 체계적인 현장 환경관리를 위해 필요한 수행업무를 파악하고, 수행주체 및 역할분담, 업무수행 프로세스를 합리화하는데 매우 유용한 자료가 될 것이다. 본 연구결과를 실무에 적용하기 위해서는 연구결과로 제시하고 있는 단위업무의 수행주체 및 수행프로세스별 명확한 업무분장에 대한 협의가 반드시 필요하며, 이와 아울러 환경관련 각종 제도 및 기준 현실화가 필수적이다. 이러한 적극적 이행노력과 더불어, 향후 환경관리활동 수행과정 및 결과에 대한 평가방법, 환경요인별 환경문제 발생 시의 기술적 해결방법에 대한 검토도 추가적으로 연구되어야 할 것이다.

119 구급대원의 직무만족도와 이직의도와의 관계 (The Relationship Between The Job Satisfaction and The Turnover Intention of 119 Emergency Medical Technicians)

  • 배기숙
    • 한국응급구조학회지
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    • 제14권1호
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    • pp.65-80
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    • 2010
  • Objective : The objective of this study was to survey the job satisfaction and turnover intention of 119 emergency medical technicians who are fire fighters and, at the same time, provide emergency patients with first aid, to examine the correlation between their job satisfaction and turnover intention, and to provide basic materials for the human resource management of 119 emergency medical technicians. Method : The survey was conducted with 152 119 emergency medical technicians working at fire stations in an area of Gyeonggi-do during the period from July 15 to September 14, 2009. Job satisfaction was measured with a tool developed by Kim Sun-sim and Kwon Hye-ran (2002) based on the Index of Work Satisfaction, and turnover intention with the tool developed by Becker (2002) and translated and used by Cho Yeong-sook (2002). The questionnaire was composed of 11 questions on general characteristics, 35 on job satisfaction, and 4 on turnover intention, so a total of 50 questions. The reliability of the questionnaire was Cronbach's ${\alpha}=0.922$ for job satisfaction and Cronbach's ${\alpha}=0.854$ for turnover intention. Using SPSS 14.0, we obtained frequencies, percentages, means, and standard deviations, and performed independent two-sample t-test, one-way ANOVA, and Pearson correlation analysis, and Cronbach's ${\alpha}$. Results : 1) The mean score of the 119 emergency medical technicians' job satisfaction was 2.71, and that of their turnover intention was 2.64. By area of job satisfaction, the mean score was 3.44 for the area of job itself, 2.92 for the interaction area, 2.67 for the organizational demand area, 2.64 for the autonomy area, 2.14 for the wage area, and 1.91 for the working condition area, showing that emergency medical technicians were generally satisfied with their job itself but not with their working condition. 2) As to difference according to the 119 emergency medical technicians' general characteristics, statistically significant difference was observed in job satisfaction according to license type (F = 4.729, p < .010), and in turnover intention according to position (F = 3.768, p < .025). 3) The 119 emergency medical technicians' job satisfaction and turnover intention was in a negative correlation with each other (r = -.44, p < .000) in general, and by the sub-areas of job satisfaction, the correlation with turnover intention was high in order of the autonomy area (r = -.42, p = .000), interaction area (r = -.42, p = .000), job itself (r = -.35, p < .000), organizational demand area (r = -.30, p = .000), wage area (r = -.23, p = .000), and working condition area (r = -.21, p = .008). Conclusion : The 119 emergency medical technicians' job satisfaction showed a negative correlation with their turnover intention. This suggests that turnover intention can be reduced by improving job satisfaction. Furthermore, 119 emergency medical technicians' job satisfaction was high with the job itself, showing their high pride in their job, but was low with working condition and wage. Thus, it is necessary to enhance their job satisfaction by improving the 24-hour work system through supplementing manpower, compensating for overtime works, adjusting work hours per week, etc. These results are expected to be useful in making human resource management plans to lower turnover intention by enhancing 119 emergency medical technicians' job satisfaction.

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도동 측백나무군락지의 식물상 및 보전방안 (Conservation Methods and Vascular plants of Oriental Thuja Community in Dodong, Daegu)

  • 최병기;임정철;이창우
    • 한국전통조경학회지
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    • 제33권3호
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    • pp.72-83
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    • 2015
  • 천연기념물 제1호인 도동 측백나무군락지에 대한 식물상 연구를 통하여 측백나무와 함께 지역 고유의 식생을 구성하는 식물종의 다양성을 발굴하고, 생태학적 특성을 분석하여, 국가식생/식물자원의 가치를 고찰하고자 하였다. 본 연구를 통하여 밝혀진 도동 측백나무림의 식물상은 67과 147속 199종 16변종, 4품종, 219분류군으로 확인되었다. 출현종 가운데 멸종위기종은 확인되지 않았으나, IUCN 기준의 취약종인 모감주나무와 약관심종인 측백나무, 가침박달의 분포가 확인되었다. 연구지역은 지질학적 연구에서 비석회암지역으로 분류되고 있으나, 측백나무를 포함한 부싯깃고사리, 금털고사리, 돌좀고사리, 산조팝나무, 분꽃나무, 청가시나무 등의 호석회식물이 다소 많은 수(15종)가 분포하고 있으며, 털개살구, 털조록싸리, 큰구와꼬리풀, 개나리(식재기원) 등 한국 특산식물도 4분류군이 분포하고 있어, 지역 종급원 형성에 중요한 서식처의 하나로 판단된다. 귀화식물은 큰닭의덩굴, 소리쟁이, 물냉이, 미국가막사리, 개망초 등의 분포가 확인되었으며, 귀화율과 도시화지수가 3.6%와 2.2%로 대구지역에 비해 매우 낮은 수치를 보였으며, 귀화식물에 의한 지역 생태계의 교란위협 정도는 높지 않은 것으로 판단된다. 본 연구지역은 측백나무가 고유의 식생경관을 구성하고 있다는 점뿐 아니라 국내에서 자생하는 측백나무림의 최남단분포지라는 것에서 큰 의미를 가지며, 서식처를 반영한 고유한 지역식물 구성종들이 독특한 종조성을 형성하고 있어 생태학적 보존가치가 높이 평가되었다. 나아가 측백나무 자생지의 서식처에 대한 질적 가치를 훼손하지 않는 보존방안의 필요성을 제기하였으며, 지속가능한 보전을 위한 방안들을 고찰하였다.

아동기 과체중 위험 인자로서의 TV시청시간, 사회계층요인, 부모의 과체중 및 부모의 활동수준 (Television Watering, Family Social Class, Parental Overweight, and Parental Physical Activity Levels in Relation to Childhood Overweight)

  • 윤군애
    • 대한지역사회영양학회지
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    • 제7권2호
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    • pp.177-187
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    • 2002
  • This study was done to determine the factors associated with childhood overweight in 721 sixth grade elementary school students, in Busan. The students' heights, weights, waist circumferences and triceps-skinfold thicknesses were measured using standard techniques. Other data were collected using a questionnaire that included information about physical activity, television watching, and the amount of exorcise taken during leisure times, family history of diseases related to obesity: social data including family income, parents'education and occupations, eating behaviors; parental weights and heights; and parental activity levels. Childhood overweight was defined as a body mass index at or above the 85th percentile for age and sex. The prevalence of overweight revealed no significant difference between sexes, (24.2% in boys and 22.03% in girls). The risk of childhood overweight was significantly greater if either the mother or the father were overweight. The odds ratio for childhood overweight associated with maternal overweight was 5.045 (94% CI : 3.262-7.801), and 2.727 (95% CI : 1.764-4.218) was the case for parental overweight. Children having a history of hear diseases had higher odds ratios than those who did not. The odds ratios for overweight associated with income were not different. However, a higher odds ratio for overweight was observed in children whose fathers had only an elementary or middle school education than those whore fathers had a high school or college education. Children whose fathers' occupations were service workers or shopkeepers (OR : 3.314, 95% C = 1.851-5.934) or had no occupation (OR = 3.756, 95% CI : 1.898-7.430) had a treater risk of overweight than those whose fathers'were professionals or once workers. The risk of overweight increased in children having more irregular meal times and faster eating times, rather than those having an intake pattern of high energy and sugar containing floods. The amount of exercise taken during leisure times, and daily physical activity showed no difference between overweight and non-overweight children. However, television watching time, especially on weekends, was greater in overweight children than in non-overweight children. Television watching time was positively correlated with BMI, triceps-skin(31d thickness, waist circumference and waist/height ratio. Therefore, television watching was found to be a useful predictor of overweight in children. Television watching in children was negatively related to paternal activity levels, and positively related to parental television watching time. In fact, fathers whose children were overweight were physically less active than fathers whose children were non-overweight. Parents appeared to be a strong influence on their children's physical activity levels. In conclusion, a low family social class, defined on the basis of the father's occupation or education, parental overweight, increased television watching, and unhealthy physical activity levels in parents were all considered risk factors for childhood overweight. Among these, television watching time and lack of physical activity were considered to be the most important risk factors that could be easily modified for the prevention of and intervention in, overweight in children.

일부 청소년의 체중조절과 관련된 요인에 관한 연구 -자아존중감, 신체만족도 및 중요도, 신체적 특성과 체형에 대한 인식을 중심으로- (The Factors Associated with Weight Control Experiences among Adolescents - Based on Self-esteem, Body-cathexis, Attitudes toward the Body, Anthropometric Characteristics and Perceptions of Body Shape -)

  • 허은실;강현진;이경혜
    • 대한지역사회영양학회지
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    • 제8권5호
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    • pp.658-666
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    • 2003
  • This study was carried out to investigate among adolescents (total=729) the relationship between their self-esteem, body-cathexis, their attitudes toward the importance of their bodies, their anthropometric characteristics, their perceptions of their body shapes and their experiences with weight control. The results are summarized as follows: The mean values for self-esteem and body-cathexis were generally low, but these values were significantly higher among boys than girls (p<0.01-0.001). However the mean values for their attitudes toward the importance of their bodies were relatively high and were significantly higher among girls than boys (p<0.01). The mean values for Percent Ideal Body Weight (PIBW) and Body Mass Index (BMI) were normal and no significant differences between the genders were observed. The distribution of the PIBW and the BMI values showed a higher rate for normal weights among the girls and a higher rate for underweightedness and obesity among the boys (p<0.01). With regard to their perception of their body image, among the boys, their current figures were almost identical with their idea of an ideal figure, but among the girls, their idea of an ideal figure was thinner than their current figure. The girls were more dissatisfied with their own body image than the boys (p<0.001). Fifty-four percent of the subjects had previous weight control experience, and the girls had significantly more experience than the boys (p<0.001). Their main reason for practising weight control was to lose weight (65.3%) Those who had more weight control experience had lower satisfaction with their body shapes, higher PIBW, higher BMIs or currently had fatter figures. Their standard image of their figures was influenced by TV (40.3%) and friends (36.9%). There was a weakly positive correlation between their self-esteem and their satisfaction with their body shapes, and a weakly negative correlation between their satisfaction with their body shapes and their attitudes toward the importance of their bodies. These results suggest the necessity for an educational program for adolescents as to foster a positive body image. Such a program should consider psychological factors such as self-esteem, satisfaction with body shape and attitudes toward the importance of the body.

구강보건교육 프로그램이 초등학생의 구강보건지식, 구강보건행위 및 구강위생 상태에 미치는 효과 (Effects of Oral Health Education Program on the Oral Health Knowledge, Oral Health Behavior and Oral Hygiene Status of Elementary School Students)

  • 손미향
    • 지역사회간호학회지
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    • 제14권1호
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    • pp.24-35
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    • 2003
  • The purpose of this study was to evaluate the effects of oral health education program on the oral health knowledge, oral health behavior and oral hygiene status of elementary school students. The design of this study is nonequivalent control group pretest-posttest gesign. Data was collected between the 17th of June and 13th of July in 2002, and the Experimental group were 131 students of Y Elementary School. which was one of the two elementary schools in K City, Gyeongsangbuk-do, and the control group was 140 students of C Elementary School, which was similar to Y Elementary School in geographical and economical properties and size. As for research tools, the researcher developed tools of measuring oral health knowledge and oral health behavior by modifying the tools developed by Hye-Kyong Kim (2001), In-hyang Seo (1988), Ho-Youn Lee (2001), Hyeon-ja Jeon (1998). To measure oral hygiene status. the researcher applied a coloring agent to the surface of the teeth after brushing, rinsed the mouth, and calculated colored plaque on the surface of the teeth, which was recorded on a sheet and analyzed using the plaque index. The data analysis was done using frequency, percentage, mean, standard deviation, Chisquare test, t-test, ANCOVA, Two-way ANOVA, Simple main effects, One-way ANOVA, and Duncan. Using with SPSS WIN 10.0. The result of this study are summarized as follows: 1. The hypothesis was supported 'The elementary school students which was given oral health education program will shows higher oral health knowledge, oral health behavior, oral hygiene status then control group' 2. According to the result of verifying the hypothesis, 'The effect of oral health education program will be different between junior and senior' the hypothesis was partly supported To summarize result of this research, the experimental group, to which oral health education was given, was improved in oral health knowledge, oral health behavior and oral hygiene status compared to the control group, so the oral health education program was effective for the oral health of elementary school students.

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지하공간 3차원 지적정보시스템 구축 방안 연구 (Construction Plan of 3D Cadastral Information System on Underground Space)

  • 송명수;이성호
    • 한국지반환경공학회 논문집
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    • 제15권6호
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    • pp.57-65
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    • 2014
  • 최근 들어 지상에서의 건설사업은 녹지공간 조성, 개발공간 부족, 토지보상비 증가 등의 문제로 지상에서 지하공간의 개발로 변화되고 있다. 지하공간의 개발과 함께 지하공간의 지적소유권 관리에 대한 필요성도 중요한 과제로 대두되고 있다. 한편 3차원 지형도, 해도, 지적도는 상호 연계성을 가지고 있어야 하며, 정보의 파악(3차원 위치, 속성 등)도 가능해야 한다. 기존의 공간정보객체등록체계는 자동 ID 체계로 구현되고 있어 상호 연계성 및 정보파악이 불가능하다. 따라서 지하공간의 3차원 입체지적 객체정보의 ID 체계는 객체유일식별자(UFID ; Unique Feature Identification) 기반의 관리가 이루어져야 한다. 즉 객체유일식별자를 공통 연계 ID로 하여 지상, 지표, 지하를 구분코드와 함께 지하공간정보의 심도정보를 포함한 객체정보를 표현할 수 있는 공간정보 통합 ID 체계 구축이 필요하다. 본 연구에서는 지하공간을 구성하는 지하공간정보를 정의 및 분류하고, 3차원 지하공간정보에 대한 지적 정보 DB 구축을 위하여 측량 지적정보의 상호 연계성을 고려한 객체유일식별자 기반의 통합 ID 체계를 개발하였다. 또한 본 연구를 통하여 통합 ID 체계를 기반으로 한 지하공간 지적정보 DB 구축 및 3차원 지적정보시스템 개발 방안을 제시하였다. 본 연구성과는 향후 국토공간정보의 상호 연계성을 고려한 국가 차원의 3차원 입체지적 표준 ID 체계, DB 구축, 시스템 개발의 핵심 기반자료의 역할을 할 것이다.

대통 트랩에 유인된 벌류를 이용한 환경 평가법 개발 (Environmental Evaluation by using Hymenoptera Induced by Bamboo Pipe Traps Indicated by Eumenid Wasp (Hymenoptera: Eumenidae))

  • 김종길;최영철;최지영;김삼은;김근영;김정규;이종은
    • 한국응용곤충학회지
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    • 제44권4호
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    • pp.307-315
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    • 2005
  • 호리병벌과를 이용한 생물학적 환경평가 기법을 개발하기 위하여 농업지역 등 충 13개 지역에 대통트랩(nest trap)을 설치한 후 채집된 호리병벌과의 벌류를 분류 동정하고, 채집지의 환경에 따른 서식밀도를 분석하여 환경평가를 위한 유망종을 선발하였다. 시험기간 동안 총 7종이 채집되었으며, 그 중 황슭감탕벌(A. flavomarginatum Smith)이 우점종으로 나타났다. 호리병벌과에 속하는 종들의 영소수는 농업지역의 경우 무비무농약재배지에서 12.8개/m로 관행농업지의 7.2개/m에 비해 많았으며, 자연녹지의 경우 녹지지역(자연녹지도: 4.28)의 경우 13.4개/m로 상업지역(자연녹지도: 1.00, 1.2개/m)에 비해 많았다. 또한 영소수가 많은 지역일수록 종 풍부도 및 다양도 지수는 높게 나타났다. 한편, 농업농촌 생태계 등 자연환경평가 지표중으로 황슭감탕벌, 줄무의감방벌, 먹조롱박벌, 왕가위벌등 4종을 선발하였으며, 이들 종의 출현수 및 총 영소수, 종 다양도 등을 지표로 한 환경등급기준($I{\sim}IV$ 등급)을 설정하였다.

개별공시지가와 주택실거래가의 공간적 불일치에 관한 연구: 공간 단위 임의성 문제(MAUP)의 스케일 효과 탐색 (A Study on the Spatial Mismatch between the Assessed Land Value and Housing Market Price: Exploring the Scale Effect of the MAUP)

  • 이건학;김감영
    • 대한지리학회지
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    • 제48권6호
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    • pp.879-896
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    • 2013
  • 공시지가제 및 주택가격 공시제는 토지나 주택 거래를 위한 지가 정보나 국세 및 지방세의 과세를 위한 기초자료로 폭넓게 활용되고 있지만, 실제 시장에서는 공시가에 비해 낮은 현실화율을 보이고 있다. 본 연구는 이러한 개별공시지가와 주택실거래가 사이의 공간적 불일치에 주목하고 있으며, 특히 개별 공시가격 산정에 적용될 수 있는 임의적 공간 단위의 효과에 초점을 맞추어 다음 두 가지를 살펴보고 있다. 첫째, 개별공시지가, 주택실거래가, 그리고 이들의 가격 차이에 대한 공간적 분포를 집계구 단위를 기반으로 살펴본다. 둘째, 표준지나 표준주택에 대한 가격 산정, 나아가 개별공시지가나 주택가격에 대한 비준표 적용에 영향을 미칠 수 있는 공간 단위 임의성 문제(MAUP)의 스케일 효과를 탐색한다. 서울시를 대상으로 GIS와 통계 소프트웨어를 이용하여 분석하였고, 그 결과 주택실거래가가 개별공시지가에 비해 높은 일부 군집 지역들을 상세한 수준에서 발견할 수 있었으며, 상이한 공간 스케일에 따라 개별공시지가에 대한 지역 특성 변수들의 통계적 결과가 다르게 나타나고 있음을 실증적으로 확인하였다.

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