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      • 子宮內藏置와 發癌性

        金知和,裵炳胄 中央醫學社 1975 中央醫學 Vol.28 No.4

        As Meyer and Mishell stated, histologically evidence of chronic nonbacterial endometritis persists for long period in endometrial specimen obtained from IUD users. It is generally accepted that this reaction in the endometrial cavity is main causative factor for the contraceptive effect of the IUD. Since the effect of all known carcinogenes in human is delayed, however, with a long patency period of about a decade, it will not be possible to make a definite statement on this point until substantial numbers of women have worn IUD's for a long period. At persent time, there is no evidence that IUD causes cancer in woman. Many long term studies have shown that there is no clinical evidence that the IUD causes an increased incidence of carcinoma of the endometrium and cervical carcinoma. Causative factors of uterine carcinoma, causative factors for the contraceptive effects of IUD, histopathologic changes in uterine specimens obtained from IUD users and some other problems retated to the effect of IUD are also discussed.

      • 牛脂 및 菜種油 添加 給食이 흰쥐의 營養에 미치는 影響

        金知和 이화여자대학교 가정대학 가정관리학과 1976 家政大學 敎授 論文集 Vol.1976 No.1

        A study was carried out on the nutritional effects in rats for feeding diets containing 5% or 20% of fat, beef tallow or rape oil for 12 weeks. The experimental animals, 240 albino rats, a pure strain that have been kept with the stock diet for 2 weeks right after weaned were used, and their initial body weight for the experiment were about 80g. The animals were divided into 32 groups according to dietary condition and feeding periods. And any animal which showed unusual appearance during the study were excluded. The results obtained were summerized as follows: 1. The body weight of the experimental dietary group animals were generally lower than that of the control group throughout the study period. 2. The weight of organs, liver, kidney, spleen, and heart in the experimental dietary group animals have shown no difference from the control group up to 8 weeks of experimental period, but they have shown lower than that of the control group thereafter. 3. The hematocrit value and hemoglobin contents in the experimental dietary group animals have shown higher level than that of the control group up to 8 weeks, but they have shown no difference with the control group thereafter. 4. It has been no significant difference in nitrogen contents in the liver between the experimental period. 5. The total cholesterol contents in liver and serum, and free form cholesterol in the serum of the high rape oil dietary group animals have shown significantly high level than that of the control group throughout the experimental period. 6. The total cholesterol contents in the aorta of the high rape oil dietary group animals have shown high rape oil dietary group animals have shown significantly high level than that of the control group throughout the experimental period. It might be able to state through the above conclusion, the diet containing 10% fat has shown better nutritional effect on rats than either 5% or 20% fat diets. It is also implying that the high rape oil diet has some effects on animal growth and cholesterol metabolism in rats.

      • KCI등재
      • KCI등재

        발달장애인을 위한 공유차량 관리사 교육프로그램 개발 및 적용 효과 평가

        김지화,김라경 이화여자대학교 특수교육연구소 2021 특수교육 Vol.20 No.4

        연구목적: 본 연구의 목적은 공유차량 관리사 직무를 분석하여 발달장애인을 위해 직무를 조정하고 교육프로그램을 개발하여, 발달장애인의 공유차량 관리사 직무기술 습득에 미치는 효과를 평가하는데 있다. 연구방법: 발달장애인 성인 3명이 연구에 참여하였으며 ABA(유지) 설계를 사용하여 직무기술 향상 정도를 측정하였다. 공유차량 관리사 교육프로그램을 개발하기 위하여 공유차량 관리사 직무분석을 통한 직무명세서를 작성하였으며, 스마트폰 애플리케이션, 비디오 모델링, 시각적 단서, 반응촉진법과 같은 다중요소중재법을 활용하여 지역사회 내에서 중재하였다. 연구결과: 첫째, 발달장애인을 위한 공유차량 관리사 교육프로그램으로 직업기초교육 2회기와 직무기술교육 6회기를 포함한 총 8회기로 구성된 교육프로그램을 개발하였다. 둘째, 공유차량 관리사 교육프로그램을 적용한 결과, 3인 모두 공유차량관리 기술이 향상되었으며 셋째, 습득된 기술은 중재 종료 후에도 유지와 일반화가 되었다. 결론: 산업사회의 변화에 따라 등장한 공유차량 관리사 직무교육프로그램을 개발하여 발달장애인에게 적용한 후, 공유차량 관리 기술이 향상되는 것을 확인하였다. Purpose: The purpose of this study was to analyze the jobs of the car-sharing managers, modify their job tasks, and develop educational programs aimed at improving the car-sharing management skills for people with developmental disabilities. Method: Three adults with developmental disabilities participated in the study, and the degree of job skills improvement was measured using an ABA design. A job performance evaluation table for car-sharing managers was developed as a measurement tool for the job skills. Multi-factor intervention methods such as smartphone applications, video modeling, visual cues, and response promotion methods were used within the community. Results: First, a car-sharing manager educational program for people with developmental disabilities was developed. It consisted of eight sessions; two vocational basic education sessions and six job-related technical education sessions. As a result of applying car-sharing managers’ program, all the three improved their car-sharing management skills, and the acquired skills were maintained and generalized. Conclusion: The car-sharing manager educational program which focused on new jobs emerging from the fourth industrial revolution improved the car-sharing management skills of the three adults with developmental disabilities.

      • KCI등재

        치과위생사의 실내자각증상과 직무스트레스에 관한 연구

        김지화,오나래,정미애 한국자료분석학회 2012 Journal of the Korean Data Analysis Society Vol.14 No.2

        This study was performed in order to arrange basic data necessary for individual development and health promotion in dental hygienists by surveying relationship between the factor of influencing the indoor air quality of dental clinics and the workers' indoor subjective symptoms. It carried out and collected self-administered questionnaire survey from October 1-20, 2011 targeting 210 dental hygienists at , and analyzed on 205 people except 5 people whose responses are unclear. The collected data were analyzed by using SPSS WIN 15.0 program. As a result, by appearance of break-time during working, the dental hygienists, showed high distribution with 67.3%. By appearance of going out of building, the response as saying of sometimes accounted for 54.6%, thereby having possessed more than a half. The next was in order of the inside of 4 times a day with 19.0%, others with 9.8%, and the inside of 10 times a day and all day with 2.4%. As a result of examining about the rate of complaining of indoor subjective symptoms, the whole average was indicated to be 2.45 out of 4-point perfection. First of all, by sphere, the average was the highest in ‘neck symptom’ and ‘eye symptom’ with 2.54, respectively. Out of items, the average was indicated to be the highest in the response as saying of 'coming to weary the eye well' with 3.00. The relationship between indoor subjective symptoms and job stress showed statistically significant correlation with physical environment (r=.259, p<.001), job demand (r=.311, p<.001), relational conflict (r=.172, p<.05), organizational system (r=.158, p<.05), inappropriate compensation (r=.197, p<.01), and job stress (r=.275, p<.001). 본 연구는 치과진료실의 실내 근무환경 특성 및 기계, 재료의 사용빈도를 알아보고 종사자의 실내자각증상과 직무스트레스와의 관련성을 조사하여 치과위생사 개인의 발전과 건강 증진에 필요한 기초자료를 마련하고자 본 연구를 시행하였다. 전국의 종합병원, 치과병원, 치과의원의 치과위생사 210명을 대상으로 2011년 10월 1일부터 20일까지 자기기입식 설문지 조사를 시행한 후 회수하여 응답이 불분명한 5명을 제외한 205명에 대해서 분석하였다. 수집된 자료는 SPSS WIN 15.0 프로그램을 이용하여 분석하였다. 그 결과 근무 중 휴식시간 유무별로는 근무 중 휴식시간이 없는 치과위생사가 67.3%로 높은 분포를 보였고, 건물 밖 외출 여부별로는 때때로가 54.6%로 절반 이상을 차지하였으며, 건물 밖 외출횟수별로는 1회 86.1%로 대부분을 차지하였다. 실내자각증상 평균점수에 대해 살펴본 결과는 4점 만점 중 전체 평균이 2.45로 나타났다. 영역별로는 평균이 ‘목증상’과 ‘눈증상’이 각각 2.54로 가장 높았으며, 문항 중에는 평균이 ‘눈이 잘 피로해진다’가 3.00으로 가장 높게 나타났다. 실내자각증상과 직무스트레스의 관계는 물리환경(r=.259, p<.001)과 직무요구(r=.311, p<.001), 관계갈등(r=.172, p<.05), 조직체계(r=.158, p<.05), 보상 부적절(r=.197, p<.01), 그리고 직무스트레스(r=.275, p<.001)와 통계적으로 유의한 상관관계를 보였다. 치과위생사들은 빌딩관련 건강자각도가 높을수록 물리환경과 직무요구, 관계갈등, 조직체계, 보상 부적절영역에서 직무스트레스가 높은 것으로 나타났다.

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