• 성인간호학회지
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• 제12권2호
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• pp.267-277
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• 2000

The purpose of this study was to help the women with stress urinary incontinence lead more comfortable life, by letting them to do pelvic muscle exercise and to learn by direct experience the effect that urinary incontinence is controlled. The research design was a one-group pretest-posttest design. The subjects were 16 middle-aged women(over 38) with stress urinary incontinence. The study was conducted from August 1, to October 11, 1999. Women trained themselves for muscular strength and endurance, every the other day for each exercise for six weeks at home(that means each exercise for more than three days a week) in the pelvic muscle exercise program which was developed by Dougherty et al., and filled out exercise participation card every week. They visited laboratory once a week to get visual feedback, by means of Perineometer, of how the pelvic muscle exercise was going on. Stress Urinary Incontinence Scale that Lee, Young-Sook revised and supplemented Hendrickson's original scale was used for measuring the frequency and situation scores of urinary incontinence, "30 minute pad test" was carried out for measuring the amount of urinary incontinence, and Perineometer was used for measuring maximum vaginal contraction pressure. Percentage, mean, standard deviation and Wilcoxon signed ranks test were used for data analysis by means of SPSS/PC+ WIN 9.0 program. The results were summarized as follows : The hypothesis 1 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the weekly degree of urinary incontinence would reduce compared to before the exercise was supported. The hypothesis 1-1 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the weekly frequency of urinary incontinence would reduce compared to before the exercise was supported (p=.003). The hypothesis 1-2 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the situation scores of urinary incontinence would reduce compared to before the exercise was supported(p=.044). The hypothesis 2 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the amount of urinary incontinence would reduce compared to before the exercise was supported(p=.001). The hypothesis 3 that after carrying out pelvic muscle exercise program on women with stress urinary incontinence, the maximum vaginal contraction pressure would increase compared to before the exercise was supported (p=.012). These results suggest that pelvic muscle exercise program has an effect on women with stress urinary incontinence in the degree and amount of urinary incontinence and maximum vaginal contraction pressure. So it is judged that training women with stress urinary incontinence for pelvic muscle exercise is an effective nursing intervention strategy in order to care urinary incontinence.

• Asian Pacific Journal of Cancer Prevention
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• 제14권8호
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• pp.4567-4570
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• 2013

Background: Nasopharyngeal carcinoma (NPC) is the commonest radiocurable cancer in Malaysia. This study aimed to determine the treatment outcomes and late effects of radiotherapy for NPC patients treated in University Malaya Medical Centre (UMMC). Materials and Methods: All newly diagnosed patients with NPC referred for treatment to the Oncology unit at UMMC from 2004-2008 were retrospectively analyzed. Treatment outcomes were 5 years overall survival (OS), disease free survival (DFS), cause-specific survival (CSS), locoregional control (LRC) and radiotherapy-related late effects. The Kaplan-Meier method was used for survival analysis and differences in survival according to AJCC stage was compared using the log-rank test. Results: A total of 176 patients with newly diagnosed NPC were treated in UMMC during this period. Late presentation was common, with 33.5% presenting with T3-4 disease, 84.7% with N1-3 disease and 75.6% with AJCC stage 3-4 disease. Radical RT was given to 162 patients with 22.7% having RT alone and 69.3% having CCRT. The stipulated OTT was 7 weeks and 72.2% managed to complete their RT within this time period. Neoadjuvant chemotherapy was given to 14.8% while adjuvant chemotherapy was administered to 16.5%. The 5 years OS was 51.6% with a median follow up of 58 months. The 5 years OS according to stage were 81.8% for stage I, 77.9% for stage II, 47.4% for stage III and 25.9% for stage IV. The 5 years overall CSS, DFS and LRC were 54.4%, 48.4% and 70.6%, respectively. RT related late effects were documented in 80.2%. The commonest was xerostomia (66.7%). Other documented late effects were hearing deficit (17.3%), visual deficit (3.1%), neck stiffness (3.1%), dysphagia (3.4%), cranial nerve palsy (2.5%), pneumonitis (0.6%) and hypothyroidism (1.2%). Conclusions: The 5 years OS and LRC in this study are low compared to the latest studies especially those utilizing IMRT. Implementation of IMRT for NPC treatment should be strongly encouraged.

• 한국의학물리학회지:의학물리
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• 제16권3호
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• pp.148-154
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• 2005

망막에서 나오는 활동전위와 같이 복잡한 신경망을 거쳐 처리되는 전기신호를 분석하기 위해서는 기존의 단일 전극 기록법으로는 어렵다. 단일 전극을 통한 활동전위의 기록은 개개의 신경세포 특성을 알아내는 데에는 유용한 방법이나 신경세포 간의 시간적, 공간적인 관계는 알아낼 수 없다는 한계를 가지고 있으므로 이같은 한계를 극복하기 위하여 다채널 전극을 이용한 신경신호 기록방법이 최근에 개발되어 널리 이용되고 있다. 다채널전극 기록 방식인 MEA60 시스템은 세포 밖에 위치한 60개의 전극이 생체신호를 동시에 기록한다. 세포 fi에 위치한 각각의 전극이 포착한 신경 신호는 하나의 망막신경절세포 반응이라기보다는 여러 세포의 반응이 동시에 기록될 가능성이 높다. 그러므로 여러 세포의 반응이 함께 기록된 신호로부터 각각의 세포로부터 나오는 파형을 구분하는 작업이 반드시 필요하다. 본 연구에서는 다채널 전극으로 기록한 망막 신경절세포 신호로부터 MATLAB을 이용하여 활동전위 파형을 검출하고 분류하는 과정을 구현하여 보았다. 이러한 분류과정은 추후 진행되는 신호분석방법인 자극 후 시간 히스토그램(poststimulus time histogram, PSTH), 자기상관관계(autocorrelogram), 상호상관관계(cross-correlogram)를 보기 위하여 반드시 거쳐야 하는 전처리(preprocess) 과정이다. 본 연구에서는 MATLAB을 이용한 파형 구분 프로토콜을 확립하였을 뿐만 아니라 이러한 프로토콜이 신경절 세포의 활동전위 파형을 검출하는 데 유용한 방법임을 입증하였다

• 한국콘텐츠학회논문지
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• 제20권2호
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• pp.60-81
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• 2020

본 연구는 기술 융합형 웹툰 이용자의 수용의도에 영향을 미치는 요인들을 알아보기 위해 확장된 기술수용 모델을 통해 살펴보고자 하였다. 연구를 위해 기술 융합형 웹툰 이용 경험이 있는 설문 응답자 114명을 대상으로 설문조사를 실시하였다. 이후, 위계적 회귀분석을 실시하여 변인 간 관계를 분석하였다. 총 13개의 가설, 1개의 연구문제를 설정하여 연구를 진행하였다. 연구 결과를 요약하면 다음과 같다. 첫째, 실재감의 하위 요인인 상호작용성, 몰입은 인지된 유용성에 정적인 영향을 미쳤다. 둘째, 인지된 유용성은 기술 융합형 웹툰 이용 의도에 정적 영향을 미치는 것으로 확인되었다. 셋째, 기술 융합형 GUI 척도를 탐색적 요인분석한 결과 하위 요인으로 효율성, 간결성, 일관성이 추출되었다. 마지막으로 실재감의 하위 요인인 시각적 생동김은 인지된 용이성에 유의미한 영향을 주는 것으로 확인되었다. 이 같은 연구 결과는 기존의 멀티미디어 기술적 요소만을 검증하는 연구가 아닌, 인간의 감정이나 심리적 요인을 통해 기술 융합형 웹툰의 이용의도에 영향을 미치는 변수를 파악하였다는 점에서 학술적 의의를 찾을 수 있다.

• 한국콘텐츠학회논문지
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• 제16권1호
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• pp.370-381
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• 2016

본 연구는 언론보도에 의한 초상권 침해 관련 판결의 추이와 승패 여부, 원인 등 초상권 침해를 둘러싼 언론소송 특성을 고찰하기 위한 것으로 최종심 판결이 처음 나오기 시작한 1990년부터 2014년까지 언론보도에 의한 초상권 침해 관련 판결 81건을 전부 수집해 판결문을 분석했다. 분석결과 언론을 상대로 제기된 초상권 침해 관련 소송의 최종심 재판 결과가 처음 나온 것은 1990년이다. 1990년대에는 주로 선정적 보도가 많았던 월간잡지를 대상으로 하는 초상권 분쟁이 많았으나 2000년대 들어서는 방송을 대상으로 한 초상권 침해분쟁이 크게 늘어났다. 2000년 이후에는 초상권 관련 언론소송의 71% 가량이 방송에 집중됐다. 방송의 영향력이 커진데다 영상을 필수로 하는 방송의 특성상 초상권 침해 소지가 높았기 때문이다. 특히 2005년 "언론중재법"이 시행된 후 초상권 관련 소송이 급격히 늘어난 것은 주목할 만한 현상이다. 초상권 관련 언론소송 81건 가운데 언론사가 승소한 사건은 23건으로 언론사 승소비율은 28. 4%에 그쳤다. 이는 법원이 언론매체의 특수성을 고려하기보다는 일반인의 초상권 보호를 우선으로 고려한 결과로 분석된다. 하지만 원고가 공인인 경우 언론사 승소율이 52. 9%에 달해 일반인 경우의 언론 승소율 22%보다 월등히 높아 언론사를 상대한 초상권 소송에서 공인이 일반인에 비해서 불리했던 것으로 나타났다. 이는 1997년 이후 활발하게 논의되기 시작한 공인 이론의 적용으로 공인에 대한 언론의 감시기능을 법원이 인정한 것으로 볼 수 있다.

• 한국콘텐츠학회논문지
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• 제16권1호
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• pp.521-529
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• 2016

본 논문은 예술적 표현을 목적으로 하는 모션그래픽 영상의 역사적 전개과정과 표현양식을 분석하고 그 대표적 단체인 F5와 Semi-Permanent의 활동과 작품의 내용을 통해 모션그래픽에서 예술적 표현의 가치에 대해 논하고자 한다. 컴퓨터의 발달과 함께 디지털 영상제작 환경의 변화로 모션그래픽의 상업적 활용은 빠르게 보편화되었고 대부분의 영상 콘텐츠에서 사용되고 있다. 모션그래픽의 발단은 그래픽디자인이 영상 콘텐츠에 적용되어 나타남과 동시에 애니메이션의 추상적 표현으로부터 전이되어 발생되었다고 볼 수 있다. 이후 그래픽디자인과 애니메이션의 토대 위에 독자적인 장르로서 분류되어 발전되고 있으며 동시대 디자인산업과 콘텐츠 산업의 이해와 발전을 위해 중요한 위치에 있다고 할 수 있다. 더불어 다양한 기법에 대한 실험과 장르의 혼합적 양상이 나타나는 모션그래픽은 디지털 영상미학의 정수를 보여주며 시각이미지의 다양화와 발전에 기여하는 바가 크다고 할 수 있다. 본 논문에서 다루게 될 F5와 Semi-Permanent는 예술적 실험적 성격의 영상을 모션그래픽으로 발표하는 단체이며 이들이 만들어내는 작품의 예술적 전개 방식과 표현 양상을 분석하고 이를 통해 모션그래픽에서 실험적 예술적 표현의 가치에 대해 논의하고자 한다.

• 한국콘텐츠학회논문지
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• 제13권11호
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• pp.492-501
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• 2013

본 연구는 일본 학생들이 필수로 이수하는 과목 중 한국문화에 관한 내용이 가장 많이 언급되는 초등학교 6학년 '사회'와 중학교 '지리'교과서를 대상으로 1980년대부터 현재까지 30여 년간의 한국문화에 관한 서술변화를 고찰하는 것을 목적으로 하였다. 이를 위해 교과서별 한국문화 콘텐츠를 기본적 요소, 독창적 요소, 시대반영적 요소로 분류하고 각각의 요소를 전통과 현대, 표층과 심층으로 재분류하여 각 유형별 등장양상을 살펴보았다. 일본 교과서에는 한복, 김치, 온돌, 고층아파트, 식사예절과 같은 의 식 주를 비롯하여, 수도 서울의 모습과 같은 표층적 기본적 문화요소가 가장 많이 나타나고 있다. 또한, 시기와 상관없이 항상 등장하고 있는 내용은 한국의 의 식 주 문화와 같은 기본적 문화요소가 대부분이다. 시대반영적 요소인 서울올림픽, 한일월드컵, 한류 등도 해당 시기 교과서에 충실히 서술되고 있다. 한국문화 콘텐츠는 2010년대로 올수록 내용과 범위가 확대되는 현상도 나타나고 있다. 또한 이들 콘텐츠의 표현방법도 최근 교과서로 올수록 보다 구체적인 설명 및 시각자료들이 제시되고 있다.

• 성인간호학회지
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• 제12권4호
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• pp.573-583
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• 2000

The purpose of this study was to identify the factors influencing health promoting behavior of the elderly for develop health promoting intervention of old people. The subjects of this study were 167 elderly person over the age of 60, living in rural city in Korea. The data were collected by interview and self report questionnaire, during the period from May, 1999 to August. 1999 The instruments for this study were the PRQ-II by Weinert(1988), the scale of Locus of Control by Wallstone et al(1978), the scale of self efficacy by Sherer & Maddux(1982), 10 points visual analogue scale for the perceived health status and the importance of health, the health promoting behavior scale by Walker et al(1987), and the scales developed by authors for the perceived benefits of health promoting behaviors, and the perceived barriers to health promoting behaviors. The Cronbach 's alpha of these scales were .84 ~.97. The data were analyzed using descriptive statistics, Pearson's correlation coefficients, and stepwise multiple regression. The results of this study were as follows: 1. Among cognitive perceptual factors of the Health Promotion Model by Pender(1987), the scores of the importance of health, the perceived internal control of health, the self efficacy, the perceived health status, and the perceived benefits were significantly positive correlation with the scores of the health promoting behavior of the elderly. In addition, the scores of the perceived barriers were significantly negative correlation with the scores of the health promoting behavior of the elderly. 2. Among modifying factors of the Health Promotion Model by Pender(1987), the pocket money of the elderly, the scores of social support were significantly positive correlation with the scores of the health promoting behavior of the elderly. In addition, ages of old people were significantly negative correlations with the scores of the health promoting behavior of the elderly. 3. Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting behavior was the self efficacy. A combination of the self efficacy, the perceived barriers, the social support, the importance of health, and the perceived internal control of health accounted for 56.2% of the variance in health promoting behavior in the elderly. From the results of this study, we concluded that the Health Promotion Model by Pender will be used to explain health promoting behavior of the elderly. We suggested that the results of this study will be considered in developing health promoting programs of elderly.

• Journal of Acupuncture Research
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• 제33권3호
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• pp.189-195
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• 2016

Objectives : The aim of this study was to compare improvement according to the hospitalization period of patients with neck pain as a result of traffic accidents. Methods : Patients of 59 cases with neck pain induced by traffic accidents were investigated. Based on their hospitalization period, 59 subjects were divided into two groups: A group with a shorter hospitalization period and B group with a longer hospitalization period. Each group was treated by the same therapies including acupuncture, pharmacopuncture, and herbal medicine. To compare the treatment effects of the two groups, the Visual Analog Scale(VAS) was used. Statistical analysis between two groups was assessed using the chi-square test, Mann-Whitney U Test and paired t-test through the SPSS 12.0 Windows program. Results : After admission treatment, both A and B group showed a significant decrease in their VAS scores. In addition, B group, of which the hospitalization period was longer than A group, showed a significant improvement in comparison to A group in its VAS score. Conclusion : This study suggests that pain control is more effectively achieved in patients that received more than 8 days of admission treatment compared to those who received less than 7 days of admission treatment.

• Journal of Korean Neurosurgical Society
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• 제48권5호
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• pp.412-418
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• 2010

Objective : To evaluate the clinical and radiological outcomes of lumbar interbody fusion and its correlation with various factors (e.g., age, comorbidities, fusion level, bone quality) in patients over and under 65 years of age who underwent lumbar fusion surgery for degenerative lumbar disease. Methods : One-hundred-thirty-three patients with lumbar degenerative disease underwent lumbar fusion surgery between June 2006 and June 2007 and were followed for more than one year. Forty-eight (361%) were older than 65 years of age (group A) and 85 (63.9%) were under 65 years of age (group B). Diagnosis, comorbidities, length of hospital stay, and perioperative complications were recorded. The analysis of clinical outcomes was based on the visual analogue scale (VAS). Radiological results were evaluated using plain radiographs. Clinical outcomes, radiological outcomes, length of hospital stay, and complication rates were analyzed in relation to lumbar fusion level, the number of comorbidities, bone mineral density (BMD), and age. Results : The mean age of the patients was 61.2 years (range, 33-86 years) and the mean BMD was -2.2 (range, -4.8 to -2.8). The mean length of hospital stay was 15.0 days (range, 5-60 days) and the mean follow-up was 23.0 months (range, 18-30 months). Eighty-five (64.0%) patients had more than one preoperative comorbidities. Perioperative complications occurred in 27 of 133 patients (20.3%). The incidence of overall complication was 22.9% in group A, and 18.8% in group B but there was no statistical difference between the two groups. The mean VAS scores for the back and leg were significantly decreased in both groups (p < 0.05), and bony fusion was achieved in 125 of 133 patients (94.0%). There was no significant difference in bony union rates between groups A and B (91.7% in group A vs. 95.3% in group B, p = 0.398). In group A. perioperative complications were more common with the increase in fusion level (p = 0.027). Perioperative complications in both groups A (p = 0.035) and B (p = 0.044) increased with an increasing number of comorbidities. Conclusion : Elderly patients with comorbidities are at a high risk for complications and adverse outcomes after lumbar spine surgery. In our study, clinical outcomes, fusion rates, and perioperative complication rates in older patients were comparable with those in younger populations. The number of comorbidities and the extent of fusion level were significant factors in predicting the occurrence of postoperative complications. However, proper perioperative general supportive care with a thorough fusion strategy during the operation could improve the overall postoperative outcomes in lumbar fusion surgery for elderly patients.