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Analysis of Menarche Experience and Raising of Need of Menarche Education (성인의 초경경험분석에 따른 국민학생을 위한 초경교육의 필요성 제기)

  • Kim, Jeong-Eun
    • Women's Health Nursing
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    • v.1 no.2
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    • pp.222-243
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    • 1995
  • The purpose of this study was to develop concrete and in-depth knowledge about menarche and to raise the need of menstrual education. The data were collected from purposively sample 34 women from twenties to forties from April 27 to October 10, 1994. Semi-structured intensive interviews were done and these qualitative data were analysed with "Ethnograph" computer program. The results of the study were as follows : 1. The experience of menarche could be classified into two main groups, which were positive and negative response to menarche. The negative experiences were to be shameful, tearful, scared of the phenomena and thought as a kind of punishment for guilt or confused menarche with other symptoms of diseases. On the contrary, the positive experiences were to be proud of physical maturity and to think that is was wonderful, miraculous and to perceive it as a warm experience. 2. The experience of menarche was influenced by various factors. They were the knowledge about menstruation, the quality and amount of informations, the time of menarche, the environmental factors, the response of significant others toward menarche. The experience of menarche could be positive or negative according to these factors. 3. The previous information sources about menstruation could be significant others, school education and mass-media. The significant others were mothers, sisters, friends and the person in charge of school sex education such as school nurses, home economics, military drill and athletics of teachers. And mass-media included sex education booklets, nursery tales, TV programs, and publicity activities of sanitary napkin companies. 4. The opinions of the subjects about the proper time of menarcheal education could be grossly classified into two groups. The first was active approach toward children when they were in elementary school. The second was passive approach which postponed the time until the child ask about it, because it would be awkward for them to discuss about the topic. 5. The participants thought that the ideal methods of menarche education would be systematic school education programs, open discussion with daughters, audio-visual teachings, or practical education in everyday life. 6. The contents of the menarche education based on the participants' opinions, would be positive details about meanings and functions of menstruation. And it would be desirable if the attitudes of the person in charge of education could be positive, open-hearted, and favorable toward menstruation.

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The Results of Surgical Treatments in the Peripheral Nerve Injuries (말초신경 손상 후 수술적 치료에 대한 고찰)

  • Chung, Moon-Sang;Park, Jin-Soo;Seo, Joong-Bae;Park, Yong-Bum
    • Archives of Reconstructive Microsurgery
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    • v.5 no.1
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    • pp.121-127
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    • 1996
  • Peripheral nerve injury occurs mostly by trauma and is usually associated with fracture of bone and joint, muscular injury and tendon injury and it also evokes paralysis and anesthesia. When treatment of peripheral nerve injury is considered,, the modality of treatment is decided by the general condition of the patient, type of injury, associated injuries and the condition of wound. To get the maximum results, surgical treatment and reconstruction and rehabilitation should all go in hand-in-hand. From January 1985 to December 1994, we observed 61 patients that had operation without reconstruction due to peripheral nerve injury with a follow-up period of more than 1 year. Among the 61 patients, 44 were men(72%) and 17 were women(28%). Follow-up period was average 19 months. Age distribution was mostly in their twenties with a mean age of 28 years. Time interval of operation after injury was average 11 months. Trauma was the main cause of peripheral nerve injuries with a proportion of 87%. 31 patients had neurorrhaphy, in which case 14 patients had stay suture and 17 patients did not. 14 patients had nerve graft, and 16 patients had neurolysis. We used our scales to compare the results of surgery on the basis of British Research Council System. We gave scores to every sensory and motor scale to estimate functional improvement and emphasized on motor functional improvement. The total score = sensory score + ($2{\times}motor$ score). We considered 8-9 points as excellent, 6-7 points as good, 2-5 points as fair, 0-1 points as poor result. We considered excellent and good as much improved. Excellent and good results were obtained in 13 out of 14 neurorrhaphy with stay suture(93%), 12 out of 17 neurorrhaphy without stay suture(71%), 6 out of 14 nerve graft(43%), 12 out of 16 neurolysis(75%). Among the patients with neurorrhaphy done within 3 months, 11 out of 14(86%) showed improvement, but among the patients after 4 months 3 out of 17(76%) showed improvement. 84% of improvement was observed in the patients with time interval from injury to surgery within 3 months, and 64% in the patients with time interval after 4 months. In the aspect of age, 77% with the age below 20 years, 70% with the age between 21 and 30 years, 66% with the age above 31 years showed improvement. We conclude that considering degree of injury, time interval from injury and age with the adequate method of treatment, we can obtain good results from surgery.

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Speaker-Adaptive Speech Synthesis based on Fuzzy Vector Quantizer Mapping and Neural Networks (퍼지 벡터 양자화기 사상화와 신경망에 의한 화자적응 음성합성)

  • Lee, Jin-Yi;Lee, Gwang-Hyeong
    • The Transactions of the Korea Information Processing Society
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    • v.4 no.1
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    • pp.149-160
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    • 1997
  • This paper is concerned with the problem of speaker-adaptive speech synthes is method using a mapped codebook designed by fuzzy mapping on FLVQ (Fuzzy Learning Vector Quantization). The FLVQ is used to design both input and reference speaker's codebook. This algorithm is incorporated fuzzy membership function into the LVQ(learning vector quantization) networks. Unlike the LVQ algorithm, this algorithm minimizes the network output errors which are the differences of clas s membership target and actual membership values, and results to minimize the distances between training patterns and competing neurons. Speaker Adaptation in speech synthesis is performed as follow;input speaker's codebook is mapped a reference speaker's codebook in fuzzy concepts. The Fuzzy VQ mapping replaces a codevector preserving its fuzzy membership function. The codevector correspondence histogram is obtained by accumulating the vector correspondence along the DTW optimal path. We use the Fuzzy VQ mapping to design a mapped codebook. The mapped codebook is defined as a linear combination of reference speaker's vectors using each fuzzy histogram as a weighting function with membership values. In adaptive-speech synthesis stage, input speech is fuzzy vector-quantized by the mapped codcbook, and then FCM arithmetic is used to synthesize speech adapted to input speaker. The speaker adaption experiments are carried out using speech of males in their thirties as input speaker's speech, and a female in her twenties as reference speaker's speech. Speeches used in experiments are sentences /anyoung hasim nika/ and /good morning/. As a results of experiments, we obtained a synthesized speech adapted to input speaker.

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A Study on the Training Course for Teachers Holding Additional Job of School Health Nursing in Kyeong Nam Province (양호겸직교사 연수과정에 관한 연구 -경상남도를 중심으로-)

  • Kang, Young-Sil;Cheong, In-Sook
    • Journal of Korean Public Health Nursing
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    • v.3 no.2
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    • pp.133-142
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    • 1989
  • The purpose of this paper is to provide the basic information concerning school health nursing activities in schools lacking in a school nurse, and the degree of satisfaction of trainess to the training course of school health nursing. The data for this study were collected by means of questionnaire from 150 teachers(100 of primary school and 50 of middle school)who attended the training course superintended by the Board of Education of Kyeong Nam Province from July 27 to August 6 in 1987. The main results of this study can be summarized as following; 1. General characteristics of the trainees: The majority of the trainees (71.3%) were in the age of twenties, 86.5% graduated from four-year teachers' college, 63.5% had less than five-year experience as a teacher. 2. 60.5% of the trainees were actually offering school health nursing services. 67.8% decided voluntarily to participate in the training course, and 62.7% attended the course for the purpose of obtaining health knowledge. 3. Only 4.2% of schools established appropriate health organization, and 34.5% were equipped with nursing clinic. But the main reason school health nursing activities were not performed very well was the insufficient supply of needed medicines and related materials. 4. School health nursing services in schools lacking in a school nurse were offered mainly by the teacher holding additional job of school health. class teacher and atheletic teacher. But the sanitary management for school meal services and community health activities were not carried out at all in many schools. 5. As a whole, trainees were satisfied with training program. But some subjects of the course did not satisfy them because those ones were so theoretical without any practice. 6. Many trainees wished the training course to be more concentrated on case studies which are helpful to solve actual problems. 7. 75% of trainees answered to have decided to perform school health nursing activities more actively than before. 8. Any significant relationship can not be found between trainees' general characteristics and their attitude to school health nursing activities after the training course. Only one factor-motivation to attend the training course-had the statistical significance of 8.7%.

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Research Study on the Marriage View of Partial Unmarried Women -Seen at the Side of Family Health- (일부 미혼여성의 결혼관에 대한 조사연구 - 가족보건 측면을 중심으로 -)

  • Lim, Jin;Kim, Cho-Kang
    • Korean Journal of Health Education and Promotion
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    • v.9 no.1
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    • pp.48-65
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    • 1992
  • The purpose of this study is to examine the influence that the marriage view of unmarried women have on future marriage, and to study which meaning this result have in the family health. Thus, for the study purpose which corresponds with it, the question survey was made, by making 500 unmarried women in the twenties in Seoul, from Aug. 16, 1991 to Sept. 5, 1991. And, as for the concrete survey contents, the idea on the marriage and family, marriage tiem, marriage selection, and the family planning after marriage etc. were center. As for the result examined in accordance with this, the data analysis was made by use of SPSS. And, as a result of the analysis, following conclusion was obtained. 1. About the necessity of marriage, 72.2% among the whole respondents had the affirmative attitude. On the other hand, the negative attitude about the necessity of marriage showed as 8.9%. This result is higher than 4.6% of Japan. Thus, it can be regarded as what reflected the tendency that the spinsterhood is increasing, with the decrease of the necessity about the marriage of the unmarried women of our nation recently. 2. Desiring marriage time is average 26.93 years old. Thus, it foreshowed that the late marriage tendency would continue. The relevancy to this late marriage was high (P<.001), in case that the age is high, and that the education level of parents is low (P<.01), and in case of the lone father and mother(P<.001) 3. The age difference with the spouse at the time of marriage is average 3.1 age. Thus, it was the tendency that 0.2 age was narrowed than the recent data of Statistics Agency. And, the difference appeared narrow, in case that the age of respondent is high and the level of education is high(P<.001). The selection condition of spouse showed the tendency to take a serious view of individual rather than family clan, in the oder of character, health and job etc. In addition, as for the selection method of spouse, the tendency to prefer love marriage to marriage made up by a go-between. And, in case of the respondent whose age is low, education level is high, both parents are in existence (P<.001), number of brother is small, education level of parents is high, it showed to prefer the love marriage(P<.05).

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A Study on the Relationship between Self Effcacy and Self Care Behavior in Patients with Pulmonary Tuberculosis (폐결핵 환자가 지각한 자기효능과 자가간호행위와의 관계에 관한 연구)

  • Jung Young Ju;Kim Jung Hyo
    • Journal of Korean Public Health Nursing
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    • v.10 no.2
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    • pp.90-102
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    • 1996
  • This study is a descriptive survey research to investicate the relation between the performance of self-care behavior and degree of self-efficacy by evaluating them respectively. The subjects were consisted of seventy nine tuberculosis patients registered in two different public health care centers in the city of Kwangju from April 1st to 30th June, 1995. The results were as follows : 1) Demorgraphically, the proportion of males was$(59.5\%)$, the highest proportion of age group was twenties with $(31.6\%)$, the higest proportion of the patients graduated high school. the married was much more than the single$(51.9\%)$. The highest proportions in each variables were as followes : middle class in economic status with $70.9%$, the jobless in job status with $26.6\%$. the duration less than 6 months in ailing duration with $63.3\%$. The patients of $60.8\%$ and $74.7\%$ showed no family history and received no health education respectively. 2) The average drgree of self-care behavior was 3.44 points (1-5 points). 3) The average dregee of recognized self efficacy was 78.18 points(10-100points). 4) The recognized self efficacy showed close relationship with the performance of self-care behavior (r=0.6378. p<0.001) 5) The points of performance of self-care nursing behavior showed statistical significance in the variables of martial status. duration of treatment and economic status. (F=3.142. p<0.05), (F=3.701. p<0.05). (F=6.213. p<0.01) 6) The point of self efficacy showed statistical significance in the variables of sex. degree of education and marital status. (F=5.438. p<0.05), (F=4.28. P<0.01), (F=2.899, p<0.05) These results suggest as follows: 1) It is necessary to develop a program to improve the ability of self health care for the family member as well as the patient. 2) It is necessary to do further study on much more variables that influence on the performance of self-care behavior by expanding the number of subjects and duration of study. and to evaluate the self efficacy with time interval.

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A Study of Keyword Spotting System Based on the Weight of Non-Keyword Model (비핵심어 모델의 가중치 기반 핵심어 검출 성능 향상에 관한 연구)

  • Kim, Hack-Jin;Kim, Soon-Hyub
    • The KIPS Transactions:PartB
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    • v.10B no.4
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    • pp.381-388
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    • 2003
  • This paper presents a method of giving weights to garbage class clustering and Filler model to improve performance of keyword spotting system and a time-saving method of dialogue speech processing system for keyword spotting by calculating keyword transition probability through speech analysis of task domain users. The point of the method is grouping phonemes with phonetic similarities, which is effective in sensing similar phoneme groups rather than individual phonemes, and the paper aims to suggest five groups of phonemes obtained from the analysis of speech sentences in use in Korean morphology and in stock-trading speech processing system. Besides, task-subject Filler model weights are added to the phoneme groups, and keyword transition probability included in consecutive speech sentences is calculated and applied to the system in order to save time for system processing. To evaluate performance of the suggested system, corpus of 4,970 sentences was built to be used in task domains and a test was conducted with subjects of five people in their twenties and thirties. As a result, FOM with the weights on proposed five phoneme groups accounts for 85%, which has better performance than seven phoneme groups of Yapanel [1] with 88.5% and a little bit poorer performance than LVCSR with 89.8%. Even in calculation time, FOM reaches 0.70 seconds than 0.72 of seven phoneme groups. Lastly, it is also confirmed in a time-saving test that time is saved by 0.04 to 0.07 seconds when keyword transition probability is applied.

The Effects on the Level of $\beta-endorphin$ and Pain Threshold according to each TENS and MENS Application (경피신경 자극과 미세전류신경근 자극이 $\beta-endorphin$ 과 동통역치에 미치는 영향)

  • Kim Hyung-Nam;Park Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.9 no.1
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    • pp.103-115
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    • 1997
  • The purpose of this study was to examine the amount of $\beta-endorphin$ and pain threshold according to time sequences in applying experimented TENS and MENS(pre treatment, posttreatment, 25 minutes after the treatment). This test was to aim at showing the effects of the experimental $\beta-endorphin$ and pain threshold applied to the randomly selected twenty healthy men in their twenties. The subjects were divided into two group(ten for TENS and the other ten MENS). The results obtained are as follows : 1. There was no significant difference in the $\beta-endorphin$ between TENS and HENS(p>0.05). There was no difference in the pain threshold at pretreatment and posttreatment(p>0.05), but there was some difference at 25 minutes after the treatment(p<0.05). 2. The group of TENS in the experimental $\beta-endorphin$ had the highest level of $14.40{\pm}3.098$ at posttreatment, but the level decreased a little according to time passed. And in the experimental pain threshold, the level went to the highest plateau of $2.92{\pm}0.483$ at 25 minutes after the treatment. 3. The group of MENS in the experimental $\beta-endorphin$ had the highest plateau of $14.20{\pm}3.967$ at posttreatment, but the level decreased a bit according to time passed also. And in the experimental pain threshold, the level went to the highest plateau of $2.49{\pm}0.617$ posttreatment. 4. There were some differences of the experimental $\beta-endorphin$ in TENS group at pretreatment and posttreatment(p<0.05). There were some differences in the experimental pain threshold between pretreatment and posttreatment as well as between pretreatment and 25 minutes after the treatment(p<0.05) MENS did not influence the experimental $\beta-endorphin$ and pain threshold. This experiment showed that TENS increased the levels of the experimental $\beta-endorphin$ at posttreatment and increased the levels of the experimental pain threshold untill 25 minutes after the treatment. Therefore, the time of sustaining pain in TENS group was longer than that of MENS group. Also, MENS showed that it increased each level of the experimental $\beta-endorphin$ and pain threshold, but these levels were not statistically meaningful.

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Comparison of Histopathologic Stages of Asymptomatic and Symptomatic Cervical Neoplasm Patients (자궁경부종양에 있어서 증상군과 무증상 검진군간의 병기 비교)

  • Yim, Hyeon-Woo;Lee, Won-Chul;Hwang, In-Young;Kwon, Yong-Il;Park, Jong-Sup;Kim, Hoon-Kyo
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.4 s.63
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    • pp.583-591
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    • 1998
  • Screening is for the early detection and treatment of diseases in prior to development of symptoms, so that more favourable prognosis could be obtained. To evaluate efficiency of screening test for cervical neoplasms, we compared the histopathologic stages of asymptomatic cervical neoplasm patients diagnosed by screening test, with those of symptomatic patients confirmed by pathology. Total 1,120 cases of cervical neoplasm patient, diagnosed at Kang-nam St. Mary's hospital from Jan. 1990 to Dec. 1996, were reviewed by chart, and classified as asymptomatic and symptomatic group based on the presence of subjective symptoms on their hospital visit. Their histopathologic stages were analysed. The results were as follows, 1. From the total of 1,120 patient, asymptomatic group comprised 264 cases (25.5%). Asymptomatic proportion increased 15.3% in 1991 to 34.7% in 1996. 2. Mean age for the occurrence of cervical neoplasm was $44.3{\pm}10.4$ years for the asymptomatic group, and $49.3{\pm}13.2$ years for the symptomatic group, showing statistically significant differences (p=0.001). 3. Among the study subjects, 465 cases(45.0%) had preinvasive lesions and 569 cases(55.0%) had invasive cancers. 4. Percentage of cervical neoplasm patient diagnosed at asymptomatic stages were 45.8% in twenties, 32.0% in thirties, 27.7% in forties, 21.7% in fifties, 18.7% in sixties and 1.8% in above seventies, showing statistically significant differences according to age group(p=0.001). 5. In thirties, 87.2% of the asymptomatic patients were diagnosed as preinvasive lesion and 45.0% of symptomatic patient were diagnosed as preinvasive lesion. With increment of ages, preinvasive lesion proportion were markedly decreased. 6. 76.9% of asymptomatic patients were diagnosed as preinvasive lesion, and 34.0% of symptomatic patients were diagnosed as preinvasive lesion, suggesting screening test at asymptomatic stage can increase preinvasive lesion proportion. 7. preinvasive lesion proportion of asymptomatic patient was highest in thirties(40.4%) and 2nd highest in forties(34.0%). Screening test for cervical neoplasm should be actively carried out from the thirties.

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A Study of Apparel Sizing System for Korean Obese Women (비만여성의 의복치수체계 연구)

  • Yi, Kyong-Hwa
    • Journal of the Korean Society of Clothing and Textiles
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    • v.33 no.12
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    • pp.1979-1990
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    • 2009
  • This study suggests apparel sizing systems for obese women in their twenties to fifties. Size Korea body measurement data were used for sampling the obese subjects by obesity judgment indices. A total of 7 obesity judgment indices frequently used in the clothing field were inspected and the measurement data of 499 females defined as "obese" by over 5 obesity judgment indices were analyzed. The results of the study were as follows: A total of 2,212 female body measurement data for the Size Korea Project were collected. These were compared with the 499 data of the obese women in the study. Except for all heights and some lengths correlating with heights, the measurements of obese women were larger than the entire group of females. Bust girth, hip girth, and height were selected as control dimensions of the outerwear covering the upper body; waist girth and hip girth were selected as control dimensions of the outerwear covering the lower body. In each crosstabulation table, 3cm pitches and 5cm pitches by bust girth, waist girth, and hip girth were compared in the aspects of coverage and coverage efficiency. Finally, sizing charts for outerwear covering the upper body and the lower body of obese women were established in the study through the comparison of the coverage and the coverage efficiency. These Size charts were given by 5cm pitches as final sizing systems. Size number of outerwear covering the upper body was 10 and size number of outerwear covering the lower body was 9. In addition, the body measurements of control dimensions and referable dimensions for making garments are given.