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직업적응훈련이 장애인의 인지능력에 미치는 효과에 관한 연구
배은지,이문정 대구대학교 특수교육재활과학연구소 2005 再活科學硏究 Vol.23 No.2
The purpose of this study was to evaluate the effects of work adjustment training for improving cognitive abilities of individuals with disabilities. The degree of changing on cognitive abilities was tested on the effects of changes between before and after that the work adjustment training program for individuals with disabilities. The results were utilized as measurement tools for the improvement of work adjustment training for individuals with disabilities. The followings was the findings obtained through date analysis in this paper. First, as the result of t-test, this verified that work adjustment program has positive effects on increasing the attention, discrimination, reasoning, perception and cooperation of students with disabilities. Second, it was found to significantly affect a sub-factor of attention (middle score of the reaction time), a sub-factor of reasoning (the number of correct answer), a sub-factor of discrimination and perception (the accuracy). Also, a sub-factor of coordination (total average time, error time, percentage error time, and ideal range time) were found to significantly like that. On the other hand, it was not found significantly to influence on a sub-factor of attention (the correct), a sub-factor of reasoning (performance speed), a sub-factor of perception and discrimination (perception speed). 본 연구의 목적은 직업적응훈련이 장애인의 인지능력에 미치는 효과를 알아보고자 대구대학교 재활과학대학 직업재활 임상실습실 훈련생들을 대상으로 직업적응훈련프로그램 실시전과 실시후 인지능력의 변화정도를 파악하였으며, 그 결과는 다음과 같다. 첫째, 인지능력 요인 변화에 있어서 직업에서 요구되는 중요한 인지요인인 주의집중력, 변별력, 추리력, 지각력, 협응능력은 긍정적인 변화가 있는 것으로 나타나 직업훈련프로그램이 인지능력 향상에 긍정적인 영향을 미치고 있다. 둘째, 주의집중력의 하위요인인 반응시간의 중앙값과 변별력, 지각력의 하위요인인 정확도, 추리력의 하위요인인 정답수, 협응능력의 하위요인인 총 평균시간 및 평균오류시간, 퍼센트 오류시간, 이상적 범위시간은 유의미한 차이가 나타났으나 그 외의 주의집중력의 하위요인인 정답과 변별력, 지각력의 하위요인인 인지속도, 추리력의 하위요인인 수행시간에서는 통계적으로 유의미한 차이가 나타나지 않아 일부 하위요인은 직업적응훈련프로그램의 효과가 없는 것으로 나타났다.
2급 응급구조사의 성인외상환자에 대한 처치의 적절성 평가
장문수,어은경,김상현,김창섭,송근정,박한규,유지영,최동섭 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2
In Korea, EMT have two classified subgroup of first and second degree : EMT-P, and EMT. For the beginning, authorization of the first EMT was made in this year through the EMT educational program. There are 8 items which EMT can perform the treatment without the supervision by a physician. But there was no previous report of pertinent assesment of treatment performed by the EMT. There upon authors have conducted review of assessment done by the EMT in EC setting, and proposed the following treatment application can be used by EMT at the field of accident. The study materials include adult trauma patient older than 15 years, and sustained trauma within 48 hours before visiting Ewha University DongDaeMoon Hospital Emergency Deparment. The duration of study was from Apr. 1 1995 to Aug. 31 1995. the study was conducted by 5 certified EMT. The EMT's performance was evaluated by the attending Emergency Medicine physician. The result were as followings ; 1. Among the total 5532 ED visiting patients during the study period, 1267 were adult trauma patients who recieved treatment within 48 hours of injury. 2. Among 1222 out of 1267 patients have completed performed survey. 3. Male to female ratio was 2.6 : 1, age distribution was from 15 to 87 years old and mean age was 34.6 years old. 4. The MOI showed : MVA (33.1%), blunt trauma (29.9%), slip down (16.8%), penetrating injury(15.4%), and miscellaneous (5.7 %), burn (3.1%), falling down injury(2.9 %), bite injury(1.1%) in order. 5. There were 437 cases of survey completed by the EMT. For assessment of mental status of 3 different method : AVPU, 5 scale mental status and GCS, were correlated with EM physician with 99.1%, 98.6%, 97.7 %, respectively. 6. For 320 out of 437 cases of survey completed, 319 patients recieved treatment by the EMT within 30 minute and 1 patient between 30 to 60 minute of an ED arrival. 7. For those 437 cases of survey completed, 266 patient (60.9%) had adequate treatment and 54 patients (12.4%) had inadequate treatment. 67 patient (15.3%) did not received treatment but it was adequate inway, and 50 patients (11.9%) did not received treatment even though patient required treatment. In cases of adult trauma patients, EMT's mental status assessment was correlated with EM physician's assessment. But treatment done by EMT without the supervision of EM physician was adequate only in 76.2 %. Therefore, continuous education and assessment of treatment performed by EMT in needed to improve field treatment by EMT future.
김진호,문준성,문선중,이지은,최재원,은미정,천경아,조인호,윤지성,원규장,이경희 신덕섭,이형우 영남대학교 의과대학 2005 Yeungnam University Journal of Medicine Vol.22 No.2
Central diabetes insipidus (DI) is a syndrome characterized by thirst, polydipsia and polyuria. Langerhans cell histiocytosis is one of the etiologies of DI. Recently we experienced a central DI associated with Langerhans cell histiocytosis. The 44 years old female patient complained right hip pain polydipsia and polyuria. We carried out water deprivation test. After vasopressin injection, urine osmotic pressure was increased form 109mOsmol/Kg to 327mOsmol/Kg (300%). Brain MRI showed a thickened pituitary stalk and at hot bone CT.CT guided biopsy revealed abnormal histiocytes proliferation and abundant lymphocytes, The final diagnosis was central DI associated with systemic Langerhans cell histiocytosis invading hip bone, L-spine and pituitary stalk. Desmopressin and etoposide chemotherapy were performed to the patient.
이주연,이무석,윤진상,양종철,문지웅,정해원,은성종 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.6
Objectives : The purpose of this study was to investigate the stress coping strategies and psychological charactehstics, such as combined psychopathology and tendency of symptom interpretation, in patients with somatization disorder. Methods : Thirty patients meeting the criteria of DSM-IV somatization disorder were compared with thirty controls. We evaluated the subjects using Symptom Checklist-90-Revised (SCL-90-R), Somato-Sensory Amplification Scale (SSAS), Symptom Interpretation Questionnaire (SIQ), and The Ways of Stress Coping Questionnaire (SCQ). Independent t-test and Pearson correlation analysis were used. Results : From the results of SCL-90-R subscales, the scores of somatization, obsession-compulsion, depression, anxiety, and psychoticism were significantly higher in patients with somatization disorder than nonnal controls. Somatization disorder patients had greater amplification of physical sensation in SSAS and significantly higher score in physical interpretation of SIQ compared with psychological or environmental interpretation, In the SCQ of somatization disorder patients, we observed generallylower levels of total coping scores than the control group and significant positive correlation between passive coping style of SCQ and psychological interpretation of SIQ. Conclusion : These results show that patients with somatization disorder have various psychopathology, greater amplification of physical sensation, physical interpretation tendency of symptoms, and insufficient copying strategy.
Effects of Nano Particles Attached onto a Heat Transfer Surface in the Thermal-Hydraulic System
Mun, Ji Eun,Kim, Woo Joong,Kong, Jeung Ri,Kim, Nam Jin Trans Tech Publications, Ltd. 2018 Key Engineering Materials Vol.775 No.-
<P>This work experimentally explored the influence of nano-fouling, and it was also compared and analyzed CHF, flow boiling heat transfer coefficient, contact angle, and surface roughness. The working fluids in this study were used as purewater and a 0.01 vol% oxidized MWCNT nanofluid. The flow velocity conditions are established at 0.5, 1.0, and 1.5 m/s. Also, the nanoparticles of oxidized graphene were deposited on a heat transfer surface, and artificial spray coating times for nano-fouling are established at 0, 120, 180, and 240 sec. As the results, it was found that the superheated temperature to the CHF extremely increased in case of nano-fouling, it is caused by physical damage of heat transfer system. The flow boiling heat transfer coefficient in an oxidized graphene nanofluid increased up to 24.29% without any treatment on the heat transfer surface, but the coefficient in case of nano-fouling decreased down to 16.26% more than in the purewater.</P>
양지혜 ( Ji Hye Yang ),박진영 ( Jin Young Park ),윤희인 ( Hee In Yoon ),김소미 ( So Mi Kim ),성준기 ( Jun Ki Sung ),전지은 ( Ji Eun Jeon ),허지은 ( Heo Ji Eun ),김현경 ( Hyun Kyung Kim ),문소정 ( So Jung Mun ),김남희 ( Nam Hee Kim 한국치위생과학회 2012 치위생과학회지 Vol.12 No.5
The aim of this study was to investigate the effects of dental plaque control depending on the detergent foods. Study design was a nonequivalent control group design. Study subjects were 14 males (38.8%) and 22 females (61.1%), the age of 20.6 years old. It was conducted from March 7 to June 13, 2012. The Patient Hygiene Performance index (PHP index) was measured as a dependent variable. Detergent foods were cucumber, pear, carrot, and peach. The PHP index of detergents foods were compared using ANOVA. Paired t-test was performed. SPSS ver. 18.0 was used for the data analysis. All detergent foods which cucumber (2.85±1.01), pear (2.82±0.93), peach (2.48±1.12), and carrot (2.75±0.68) was a significant decrease in plaque index (p<0.05). However, there was no significant difference among detergent foods. Detergent foods are effective in dental plaque control. However, no difference was shown depending on the detergent foods.