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Dose and Image Evaluation of Pediatric Head Image according to CT Scan Mode and kVp Changes (CT Scan Mode와 관전압 변경에 따른 소아 두부 영상의 선량 및 영상평가)

  • Byeong-Je Kim;Dong-Hyun Kim
    • Journal of the Korean Society of Radiology
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    • v.17 no.6
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    • pp.801-808
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    • 2023
  • In order to minimize radiation exposure and secure diagnostic value images during CT examination of the head of children, the usefulness of volume axial mode is evaluated through comparison and analysis of exposure dose and images of volume axial mode, high pitch mode, and helical mode. Image evaluation and dose evaluation were performed in CT high pitch mode, helical mode, and volume axial mode for infants under the age of 1 according to the voltages of 70, 80, and 100 kVp tubes. The image evaluation was conducted by comparing image quality by setting ROI for each image, calculating SNR and CNR, using ONE-WAY (ANOVA) to evaluated statistical significance, and cross-examining the dose evaluation using DLP values displayed in the Dose Report. When inspected using volume axial mode, DLP values were generally low, and SNR and CNR values differed by ROI and kVp. When volume axial mode evaluated the quality of the image compared to other scan modes, the difference is not uniform. For the reason, certain modes are not considered excellent, but the exposure dose was reduced the most in terms of dose. In addition, the point that the volume axial mode can be examined at its original location, short scanning time and needless of table movement is useful for CT tests for children under 1 year of age with high radiation sensitivity.

A Clinical Study on Vocal Cord Paralysis (성대마비의 임상적 고찰)

  • 조승호;김형주;김민식;서병도
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.73-73
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    • 1993
  • A series of 112 patients with vocal cord paralysis seen over the seven-year period(1986-1992) were analysed. The results were as follows ; 1. By sex distribution, the males were 71 cases(63.4%) and the females were 41 cases(36.6%). By age distribution, most of the cases were evenly distributed from the 4th decade to the 8th decade. 2. In the laterality of the paralysed vocal cord, 90 cases(80.4%) were in the left side and in position, most cases(76 cases;67.7%) were paramedian. 3. In etiology, most of the cases were neoplasm(46 cases;41.1%) followed by unknown origin(31 cases;27.7%). 4. In all 112 cases, 12 cases were managed by operations. 5. Spontaneous recovery was found in 11 patients, 8 cases were recovered within 2 months and the others were within 4 months.

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The effects of childhood-adolescence trauma on the suicidal ideation in adults: Focusing on moderating effects of posttraumatic growth (성인의 아동청소년기 외상경험이 자살생각에 미치는 영향 : 외상 후 성장의 조절효과를 중심으로)

  • Park, Eun A;Cho, Hye Chung;Lee, Jae Kyeong
    • Korean Journal of Social Welfare Studies
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    • v.47 no.3
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    • pp.223-249
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    • 2016
  • The purpose of this study was to investigate moderating effect of posttraumatic growth between childhood-adolescence trauma and suicidal ideation. 151 adults in their 20's to 40's were utilized by analyzing moderated multiple regression. The major findings of this study were as follows ; First, the study showed significant relationship between childhood-adolescence trauma and suicidal ideation. To be specific, the more childhood-adolescence trauma increased, the more suicidal ideation increased. Second, the results presented that posttraumatic growth moderated relationship between childhood-adolescence trauma and suicidal ideation. The more childhood-adolescence trauma increased, the more suicidal ideation strongly increased in group of lower posttraumatic growth. Whereas, the more childhood-adolescence trauma increased, the more suicidal ideation mildly increased in group of higher posttraumatic growth. Based on these findings, it was suggested that intervention for people who have childhood-adolescence trauma and practical strategy for posttraumatic growth are needed in social welfare practice.

Major Principles and Changes of Zero Tolerance Policy on School Violence in USA (미국 학교폭력에 대한 무관용정책의 변화와 시사점)

  • Chung, Ilhwan;Kim, Younghwan
    • Korean Journal of Comparative Education
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    • v.22 no.4
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    • pp.25-49
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    • 2012
  • Coping with the problems of school violence, weapon and drug abuses, 'zero tolerance policies' have been adopted in the United States since the 1980's. Authorities have been securing the safety and learning-friendly environment of the school, imposing predetermined penalties on any case of school violence or disruption. It is reported that the school violence rate drops accordingly. However, the policies are criticized for their rather escalating effect due to severe punishments on minor offenses, evidencing no effectiveness worthwhile. As alternatives, 'graduated systems of discipline' meeting minor misbehaviors with less severe consequences or 'early response model' are suggested, without abandoning those main rules of zero tolerance policies. Recently Korean government tries to take charge of school violence, issuing some nation-wide measures such as 'the Comprehensive Measures to Stop School Violence'. This article analyzed major principles and changes of the zero tolerance polices of US case, to induce some policy suggestions for the validity of Korean government's measures implemented under the understanding that "little bullying" is also a "crime" to disclose all school violence.

A Study on the Educational Gap and Supporting Policy in USA (미국의 교육격차와 지원정책 분석)

  • Kim, Hyun-Wook;Chung, Il-Hwan
    • Korean Journal of Comparative Education
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    • v.28 no.1
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    • pp.89-115
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    • 2018
  • The aims of this study are to clarify the reality of the educational gap and supporting policy in USA, and to get the implications for improving the educational gap in Korea. The differences of parents' academic background and income make the differences of children's academic abilities. Especially, economic income difference rather than racial difference makes education gap. This tendency has gradually been fixed problem in USA society. The United States is making efforts to alleviate the educational gap based on the ESSA, and the educational support policy for rural areas has been greatly expanded. The ESSA has more practically changed its existing support through the Rural Education Achievement Program. In order to solve the educational gap based on the U.S. case, we discussed differentiated educational goals for each region, strengthened support for marginalized areas, disparities in educational expenses by region, and regular monitoring of rural areas and schools with low educational achievement.

Analysis on the Water Level Variation due to Remaving the Singok Submerged Weir in the Lower Han River (한강하류부 신곡수중보 철거에 따른 수위변화 분석)

  • Park, Jae Hyeun;Lee, Jong Jin;Park, Chng keun
    • Proceedings of the Korea Water Resources Association Conference
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    • 2015.05a
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    • pp.101-101
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    • 2015
  • 1986년 한강종합개발사업으로 대규모 준설이 실시되고, 수위가 낮아지면서 발생한 문제점을 해결하고자, 1988년 김포대교 직하류 지점에 신곡수중보를 건설하였다. 당시 수중보의 설치목적은 취수시설 유지를 위한 수위유지가 주요기능이었으나, 30년이 지난 지금 생활용수 취수시설은 잠실 수중보 상류로 모두 이전하였고, 농업용수와 일부 공업용수 등의 일부 시설만이 남아 있어 신곡수중보 시설의 필요성 및 현재 기능에 대한 재평가가 필요한 시점이다. 신곡수중보 철거시 변화하는 한강 본류의 수위를 모의하기 위해 수리학적 모형인 HEC-RAS를 이용한 부정류 모의를 실시하였다. 모형의 보정을 위해 저수기를 대표하는 2014년 4월부터 5월까지 45일간과 풍수기를 대표하는 2014년 8월부터 9월까지 45일간을 모의하였다. 조위영향을 받고 있는 강화대교 관측수위를 기점수위로 선정하고, 팔당댐 유량을 유량조건으로 모의하였으며, 본류구간의 전류, 행주대교, 한강대교 지점의 실측수위와 모의결과는 잘 일치하는 것으로 나타났다. 신곡수중보 철거시 평가를 위해 팔당댐 방류량이 최소가 되는 조건과 한강의 갈수량, 저수량, 계획홍수량 등 유량조건 변화에 따른 한강 본류수위를 비교하였다. 보 철거시 서해안의 조위영향이 잠실수중보 직하류지점까지 영향을 미치고, 일시적인 수위하강 현상이 발생하는 것으로 모의되었다. 보 철거에 의해 감조하천으로 변화되는 구간에서는 전반적인 유속이 증가하여, 현재 문제가 되고 있는 신곡수중보 직상류 및 지천 합류부 주변의 퇴적문제와 수질 문제개선에 도움을 줄 것으로 예상된다. 또한 신곡수중보 상류지역에서 잠실수중보 하류까지 발생하는 수위변화와 수면폭변화는 간조대 형성에 유리한 조건을 제공하여 한강변의 퇴적지 면적 증가 및 생태계 서식처 제공에 도움을 줄 것으로 기대된다. 다만 신곡수중보 하류지역의 수위는 현재보다 전반적인 상승이 예상되어 장항습지 면적이 일부 감소할 것으로 예상되지만, 홍수시 침식 및 퇴적이 가장 활발히 발생하므로 하상변동 등에 대한 면밀한 평가가 필요하다. 또한 홍수기 신곡수중보 구조물에 대한 평가 결과에서는 철거 시 한강 본류의 하천 수위가 일부 하강하는 것으로 모의되어 하천을 횡단하는 구조물이 홍수위 상승에 기여한다고 판단되므로 대안마련을 위한 종합적인 평가가 필요하다.

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A Study on the Policy Formation Process of Research Ethics System: Focusing on the United States (연구윤리제도의 형성과정에 관한 연구: 미국을 중심으로)

  • Lee, Song-Ho;Chung, Il-hwan
    • Korean Journal of Comparative Education
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    • v.28 no.6
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    • pp.1-28
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    • 2018
  • Korea is striving to establish a research ethics system, but there is still a disagreement as to the level of government involvement in research ethics. Therefore, this study analyzed the formation process of research ethics system in the United States and sought to derive implications for Korea's research ethics policy. The analysis of the present status of the research ethics policy and laws of the United States showed that i) the establishment of regulatory system is done only after the principles of the research ethics or the guideline are presented first in the academic fields; ii) the responsibility for research ethics is to be shared by the federal government and the research institute, and the primary responsibility for research is given to the research institute and the secondary responsibility to the government; iii) the government has imposed a minimum extent of strong regulation on unethical research; and iv) it is necessary to extend the responsibility of unethical research from the individual level to the structural level.

A Exploratory Study according to the Types of Native Advertising - Focus on the Media Platform (네이티브광고의 유형에 따른 탐색적 연구 - 미디어플랫폼을 중심으로)

  • Yu, Hyun-Joong;Chung, Hae-Won
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.20 no.6
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    • pp.7-14
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    • 2020
  • This study was conducted as an exploratory study to redefine and examine what differences from native advertisements defined in previous studies through analysis of the types and formats of native advertisements appearing on media platform. A total of 159 samples in their twenties, and the results of looking at native ads currently appearing on media platform are as follows. First, native ads were running in the order of YouTube, Instagram, and Facebook. Second, it can be seen that it is being executed as a targeted advertisement for the 20s. Third, we could see that native ads are being executed a lot in the form of content or feed. It can be seen that the evolution of native advertising is being executed centering on content, focusing on fun and interest in the form of video, and its form and type are gradually evolving around the platform.

Exploring inter-media agenda-setting effects: Network agenda-setting model by using big-data analysis (자살 보도에 대한 미디어 간 의제 설정 분석: 빅데이터를 이용한 네트워크 의제 설정 모델 분석을 중심으로)

  • Kim, Daewook
    • Journal of the Korea Convergence Society
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    • v.12 no.5
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    • pp.121-126
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    • 2021
  • Based on network agenda-setting theory, this study attempted to analyze media reports about suicide from 2000 to 2020 in order to find solutions for suicide problem in the Korean society. Results showed that top 10 key words in media were suicide, death leap, death, attempt, supposition, discovery, men, pessimism. Those key words were appeared similarly and contunually in the media. In addition, both newspapers and broadcastings had similar reports trend, so it is plausible to consider inter-media agenda setting relations between newspapers and broadcasings.

2018 심방세동 카테터 절제술 대한민국 진료지침: PART III

  • Lee, Jeong-Myeong;Jeong, Dong-Seop;Yu, Hui-Tae;Park, Hyeong-Seop;Sim, Jae-Min;Kim, Ju-Yeon;Kim, Jun;Yun, Nam-Sik;O, Se-Il;No, Seung-Yeong;Jo, Yeong-Jin;Kim, Ki-Hun
    • International Journal of Arrhythmia
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    • v.19 no.3
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    • pp.285-339
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    • 2018
  • Catheter ablation of atrial fibrillation (AF) is one of the most complex interventional electrophysiological procedures. The success of AF ablation is based in large part on freedom from AF recurrence based on electrocardiography (ECG) monitoring. Arrhythmia monitoring can be performed with the use of noncontinuous or continuous ECG monitoring tools. AF ablation is an invasive procedure that entails risks, most of which are present during the acute procedural period. However, complications can also occur in the weeks or months following ablation. Recognizing common symptoms after AF ablation and distinguishing those that require urgent evaluation and referral to an electrophysiologist is an important part of follow-up after AF ablation. This section reviews the complications associated with catheter ablation procedures performed to treat AF. The types and incidence of complications are presented, their mechanisms are explored, and the optimal approach to prevention and treatment is discussed. Finally, surgical and hybrid AF ablation technology and the indications for concomitant open or closed surgical ablation of AF, stand-alone and hybrid surgical ablation of AF are covered in this section.