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한국판 간질성 방광염 증상지수/문제지수(ICSI/ICPI-K)의 평가 (Evaluation of the Interstitial Cystitis Symptom Index and Problem Index-Korean Version)

  • 손행미;김증임
    • 여성건강간호학회지
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    • 제14권4호
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    • pp.290-296
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    • 2008
  • Purpose: The O'Leary Symptom Index and Problem Index(ICSI/ICPI) have been used widespread in clinical studies and research. This research was aimed to determine the reliability and validity of the ICSI/ICPI-K that was translated into Korean. Methods: The research design was a methodological study to test the measurements. Subjects were 301 elderly women in Seoul, Chungnam and Gyungbuk. They were recruited through a formal announcement and they responded after informed consent. Data was analyzed with SPSS 15.0. The internal consistency was assessed by Cronbach's alpha coefficient and the criterion validity was assessed by Pearson correlation with the Geriatric Depression Scale(GDS) and inter-subscales. Results: The elderly women were on average 74.3 years old. As to the reliability of the scale, ICSI/ICPI-K had a Cronbach alpha of .832. In addition, the results showed that ICSI/ICPI-K was valid through the Pearson correlation. That is, the ICSI-K and ICPI-K had a significant relationship with GDS(r=.295; r=.374, respectively) and strong correlations of subscale to subscale(ICSI-K & ICPI-K: r=.676). The most common symptom of the lower urinary tract by the ICSI/ICPI-K was nocturia 249(83.3%) followed by frequency 187(62.8%), urgency 148(49.8%). and pelvic pain 71(23.9%) in the elderly women. Conclusion: We can conclude that the ICSI/ICPI-K is reliable and valid in Korean elderly women. It needs to be evaluated in the clinical area.

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비정부기구를 통한 남북한 구강보건의료 교류의 현황과 전망 (Current status and prospects of oral health services exchange from South and North Korea through nongovernmental organizations)

  • 한동헌;신터전;명훈;이승표;김종철
    • 대한치과의사협회지
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    • 제53권10호
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    • pp.705-711
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    • 2015
  • South Korea's oral health care non-governmental organizations (NGOs) have played a crucial role in South-North relations, although a formal intergovernmental relationship is difficult to establish and also easily breaks down. Humanitarian assistance by NGOs in the oral health care sector is an area that receives wide support from South Korean society for its urgency and for its appeal to humanity. This humanitarian assistance started in the late 1990's and continued to grow until the late 2000's. This assistance continued throughout the tension between the two administrations that resulted in a radical decrease in overall assistance from South Korea to North Korea. However, concerns remain about the transparency and efficiency of NGO activities. In this article, the NGOs and their major activities are delineated, and South Korean legislation is examined. A current act, the Law on the Development of South and North Korean Relations serves as a basis for governmental regulation and support of NGO's. Humanitarian assistance in the oral healthcare area is directly related to the oral health of the North Korean people, and it should not be influenced by political changes. Long-term planning and close discussions between NGOs, their North Korean counterparts, and the South Korean government are needed. NGOs need to overcome their shortcomings such as a lack of expertise and shortage of financial support. For this, NGOs must improve their administration transparency and professionalism.

20세기말 패션 디자인에 나타난 신표현주의적 이미지에 관한 연구

  • 이효진
    • 복식
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    • 제40권
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    • pp.5-23
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    • 1998
  • The main purpose of this study was intended to analyze the image of N대-Expressionism represented in the late of 20th century fashion design. By the late 1960s and the early 1970s. the prevailing notion of modernity, which had pushed the limits of art beyond previous boundaries, had begun to lose its urgency. Critics called the new pluralistic era which the West was entering Post-Modern. Furthermore, the predominance of America and the New York scene is diminishing, and artistic leadership is now international. Post-Modernism dialectcally made denial of Modernism as likely as New Image Painting and Decorative Pattern Painting Art in 1970's and it was availed as a dialectcal means for the pre-diction of new comings that would be appeared at painting art in 1980's. New Image Painting has been called as Neo-Expressionism. The N대-Expressionists selected human's feature because appeared flankly, directly irregular agitation in the visual effect and they believed human's destructive and amputate body was cruelty. So they express it on the surface canvas. Under the these background, the image of Neo-Expressionism was represented in the late of 20th century fashion design such as the upside-down image of human feature, the image as ameditation on German myth and history, culture, the ecletic image is made of use a mixture of material. The properties of composition, line, color, texture, and form, common to all plastic art, are now more readily recognized and historically valued in every work. That is, individuality, humanity, and the human condition have been at the core of most Western art and Fashion design. Especially Fashion design has been one of the principal instruments used to examine our nature and to promote the notion of growth, self-understanding, and change.

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목재(木材) 소비량(消費量) 조사(調査) (Principal Conclusions of Timber Consumption Survey)

  • 심종섭;이용대
    • Journal of the Korean Wood Science and Technology
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    • 제10권3호
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    • pp.194-195
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    • 1982
  • Recommendaton: These are the highlights of the findings of the Timber Consumption Survey carried out by the Project in 1966, and covering consumption for the period from 1961 to 1965. The survey was oriented towards consumption for structural, commercial and industrial purposes and existing estimates for local (village-level) consumption as fuel and the like were adopted. A full report on the survey was submitted to the Bureau of Forestry in 1966. Long-term Trends: After allowance for anticipated population increase, this ten year's increase in industrial wood consumption represents a gain of about 30% in per capita consumption (from 0.0913 cu.m. per capita to 0.118 cu.m. per capita). This is only about half the expected general economic growth of about 75% (7% per annum). It is therefore likely (a) that the 1975 estimate is conservative, (b) that the consumption demand beyond 1975 may be expected to build up at a greatly increased rate. Estimated income elasticity coefficients are high, and with expected ir,creases in prosperity and population, the consumption is expected to rise to 10 million cu. meters by the year 2,000. Consumption Pattern: The breakdown of industrial consumption (1965) is given in Table 4-2, showing sawnwood consumption as the most important in 1965. The upward trend in all sectors over the 1961-65 period is expected to continue. The general consumption pattern is expected to change through 1975 with a sharp increase in the relative importance of pulp products (to 30% of total consumption) offset by declining relative importance of sawlogs. The following recommendations follow from the study: (i) Industrial forests. - A programme of establishment of consolidated industrial forests should be initiated as a matter of urgency. (ii) Fuelwood forests - Properly sited, protected and managed fuelwood forest, worked on a 20-year rotation, should be established as a nation wide basis. (iii) Hardwood utilization - Detailed investigations are required into the use of indigenous hardwoods for the pulp, particle board and hardboard industries. (iv) Mining timber - Preservation treatment of all mining timber should be enforced by law. (v) Sawmills - Licencing restrictions should be enforced to reduce the number of small, inefficient sawmills. b. Extension work should be undertaken bv government to improve sawmilling practices.

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다중 역전사 중합효소 연쇄 반응(Multiplex RT-PCR)을 이용한 인간배아 줄기세포 및 유도만능 줄기세포의 효과적인 분화 양상 조사 (Effective Application of Multiplex RT-PCR for Characterization of Human Embryonic Stem Cells/ Induced Pluripotent Stem Cells)

  • 김정모;조윤정;손온주;홍기성;정형민
    • Reproductive and Developmental Biology
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    • 제35권1호
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    • pp.1-8
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    • 2011
  • Techniques to evaluate gene expression profiling, such as sufficiently sensitive cDNA microarrays or real-time quantitative PCR, are efficient methods for monitoring human pluripotent stem cell (hESC/iPSC) cultures. However, most of these high-throughput tests have a limited use due to high cost, extended turn-around time, and the involvement of highly specialized technical expertise. Hence, there is an urgency of rapid, cost-effective, robust, yet sensitive method development for routine screening of hESCs/hiPSCs. A critical requirement in hESC/hiPSC cultures is to maintain a uniform undifferentiated state and to determine their differentiation capacity by showing the expression of gene markers representing all three germ layers, including ectoderm, mesoderm, and endoderm. To quantify the modulation of gene expression in hESCs/hiPSC during their propagation, expansion, and differentiation via embryoid body (EB) formation, we developed a simple, rapid, inexpensive, and definitive multimarker, semiquantitative multiplex RT-PCR platform technology. Among the 9 gene primers tested, 5 were pluripotent markers comprising set 1, and 3 lineage-specific markers were combined as set 2, respectively. We found that these 2 sets were not only effective in determining the relative differentiation in hESCs/hiPSCs, but were easily reproducible. In this study, we used the hES/hiPS cell lines to standardize the technique. This multiplex RT-PCR assay is flexible and, by selecting appropriate reporter genes, can be designed for characterization of different hESC/hiPSC lines during routine maintenance and directed differentiation.

회음부 암성통증에 대한 외톨이 신경절 블록과 상 하복 신경총 블록 -증례 보고- (Blockade of Ganglion Impar and Superior Hypogastric Plexus Block for Perineal Cancer Pain -Case report-)

  • 한승연;윤덕미
    • The Korean Journal of Pain
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    • 제12권2호
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    • pp.238-241
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    • 1999
  • Intractable pain arising from disorders of the viscera and somatic structures within the pelvis and perineum often poses difficult problems for the pain pratitioner. The reason for this difficulty is that the region contains diverse anatomic structures with mixed somatic, visceral, and autonomic innervation affecting bladder and bowel control and sexual function. Clinically, sympathetic pain in the perineum has a distinctly vague, burning, and poorly localized quality and is frequently associated with the sensation of urgency. Although various approaches have been proposed for the management of intractable perineal pain, their efficacy and applications are limited. Historically, neurolytic blockade in this region has been focused mainly on somatic rather than sympathetic components. The efficacy of neurolytic ganglion impar block has been demonstrated in treating perineal pain without significant somatovisceral dysfunctions for patient with advanced cancer in 1990. The introduction of superior hypogastric plexus block in 1990 demonstrated its effectiveness in patients with cancer related pelvic pain. In our report, five patients had advanced cancer (rectal caner 3; cervix cancer 1; metastases to sacral portion of renal cell cancer 1). Localized perineal pain was present in all cases and was characterized as burning and urgent with 9~10/10 pain intensity. After neurolytic block of ganglion impar, patients experiened incomplete pain reduction (7~8/10), as determined by the VAS (visual analogue scale), and change in pain site. We then treated with superior hypogastric plexus block, which produced satisfactory pain relief (to less than 4/10), without complication.

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자원공유 수단으로서의 전문 데이터베이스 (Full-text databases as a means for resource sharing)

  • 노진구
    • 한국도서관정보학회지
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    • 제24권
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    • pp.45-79
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    • 1996
  • Rising publication costs and declining financial resources have resulted in renewed interest among librarians in resource sharing. Although the idea of sharing resources is not new, there is a sense of urgency not seen in the past. Driven by rising publication costs and static and often shrinking budgets, librarians are embracing resource sharing as an idea whose time may finally have come. Resource sharing in electronic environments is creating a shift in the concept of the library as a warehouse of print-based collection to the idea of the library as the point of access to need information. Much of the library's material will be delivered in electronic form, or printed. In this new paradigm libraries can not be expected to su n.0, pport research from their own collections. These changes, along with improved communications, computerization of administrative functions, fax and digital delivery of articles, advancement of data storage technologies, are improving the procedures and means for delivering needed information to library users. In short, for resource sharing to be truly effective and efficient, however, automation and data communication are essential. The possibility of using full-text online databases as a su n.0, pplement to interlibrary loan for document delivery is examined. At this point, this article presents possibility of using full-text online databases as a means to interlibrary loan for document delivery. The findings of the study can be summarized as follows : First, turn-around time and the cost of getting a hard copy of a journal article from online full-text databases was comparable to the other document delivery services. Second, the use of full-text online databases should be considered as a method for promoting interlibrary loan services, as it is more cost-effective and labour saving. Third, for full-text databases to work as a document delivery system the databases must contain as many periodicals as possible and be loaded on as many systems as possible. Forth, to contain many scholarly research journals on full-text databases, we need guidelines to cover electronic document delivery, electronic reserves. Fifth, to be a full full-text database, more advanced information technologies are really needed.

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내륙컨테이너운송체계에 대한 선호도 분석 - 부산지역 업체들을 대상으로 - (An Analysis on the Preference of Domestic Container Transport Systems)

  • 유주영;남기찬;이면수;김태원
    • 한국항해항만학회지
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    • 제32권5호
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    • pp.387-394
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    • 2008
  • 국내 컨테이너 운송은 국제 해상운송에 비하여 운송비용이 높을 뿐만 아니라 다양화되고 있는 운송 수요 니즈를 충족시키지 못하는 실정이다. 그럼에도 불구하고 수요자의 니즈를 파악하여 적정 운송체계 구축을 위한 노력은 극히 부족한 실정이며 특히 국내의 수출입 관문 항만인 부산항을 중심으로 하는 컨테이너 내륙운송시스템에 관한 연구는 그 중요성과 시급성에도 불구하고 제대로 이루어지지 않고 있다. 이에 본 연구는 컨테이너 운송의 실제 수요자이자 담당자인 화주, 포워더, 선사, 운송업체들의 의향을 조사하고, 이를 바탕으로 기존 공로 및 철도 운송 수단과 대체 수단으로 볼 수 있는 연안해운과 내륙운하를 포함한 운송수단에 대해 운송수단 선택시 중요하게 작용하는 선택속성과 속성별 선호도를 분석하는 것을 목적으로 한다.

델파이법을 적용한 암연구수준의 평가 (An Application of Delphi Method to the Assessment of Current Status of Cancer Research)

  • 강영호;윤석준;강길원;김창엽;유근영;신영수
    • Journal of Preventive Medicine and Public Health
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    • 제31권4호
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    • pp.844-856
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    • 1998
  • Globally, cancer research has been considered one of the most important field of biomedical researches. Recently, in Korea, there are increasing concerns about cancer research and the development of national cancer control programme. For the efficient investment in cancer research at the national level, strategic approach is needed based on the nationwide information about current status of research. However even the basic data on cancer research have not been systematically collected, and are not available when necessary. The aim of this study is to assess current status of cancer research. For this purpose, this study applied two round Delphi method in which fifteen experts in cancer research fields participated. They rated each items on the initial list at the first round, and modified their responses at the second round. Panels responded that pathogenesis of cancer, research & development of cancer drug, and oncogene, etc. are the most urgent and important research Holds. They assessed national level of cancer research as being 49.6% of the world highest level. Coefficient of variation tended to be lowered with the iteration. Predictive stability was evaluated to be lower in items of urgency than in items of importance and research level. Although this study shares the same limitations in the selection of the experts with many other Delphi studies, it provides a primary data that would be required to plan the national strategy of the cancer research.

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Variations in the Hospital Standardized Mortality Ratios in Korea

  • Lee, Eun-Jung;Hwang, Soo-Hee;Lee, Jung-A;Kim, Yoon
    • Journal of Preventive Medicine and Public Health
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    • 제47권4호
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    • pp.206-215
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    • 2014
  • Objectives: The hospital standardized mortality ratio (HSMR) has been widely used because it allows for robust risk adjustment using administrative data and is important for improving the quality of patient care. Methods: All inpatients discharged from hospitals with more than 700 beds (66 hospitals) in 2008 were eligible for inclusion. Using the claims data, 29 most responsible diagnosis (MRDx), accounting for 80% of all inpatient deaths among these hospitals, were identified, and inpatients with those MRDx were selected. The final study population included 703 571 inpatients including 27 718 (3.9% of all inpatients) in-hospital deaths. Using logistic regression, risk-adjusted models for predicting in-hospital mortality were created for each MRDx. The HSMR of individual hospitals was calculated for each MRDx using the model coefficients. The models included age, gender, income level, urgency of admission, diagnosis codes, disease-specific risk factors, and comorbidities. The Elixhauser comorbidity index was used to adjust for comorbidities. Results: For 26 out of 29 MRDx, the c-statistics of these mortality prediction models were higher than 0.8 indicating excellent discriminative power. The HSMR greatly varied across hospitals and disease groups. The academic status of the hospital was the only factor significantly associated with the HSMR. Conclusions: We found a large variation in HSMR among hospitals; therefore, efforts to reduce these variations including continuous monitoring and regular disclosure of the HSMR are required.