• Title/Summary/Keyword: 범위 고찰

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The Prognostic Indicies of Pneumocystis Carinii Pneumonia in Immunocompromised Patients other than Acquired Immune Deficiency Syndrome (비 AIDS 면역 결핍 환자들에서 발생한 주폐포자충 폐렴의 예후인자)

  • Park, Wann;Kim, Yoo-Kyum;Lee, Jin-Seong;Ahn, Jong-Jun;Hong, Sang-Bum;Shim, Tae-Sun;Lim, Chae-Man;Lee, Sang-Do;Kim, Woo-Sung;Kim, Dong-Soon;Kim, Won-Dong;Koh, Youn-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.4
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    • pp.805-812
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    • 1998
  • Background: Among the variety of opportunistic infections, pneumonia comprises the major morbidity in immunocompromised patients. Pneumocystis carnii pneumonia (PCP) and cytomegalovirus (CMV) pneumonia are common infectious illness of immunocompromised hosts. Although there are many reports regarding to the co-infection of PCP and CMV diagnosed by bronchoalveolar lavage (BAL) fluid examination, the effects of CMV co-infection on the outcome of PCP is still controversial. The purpose of this investigation is to evaluate the effects of CMV detected by BAL fluid examination on the clinical course of PCP in the immunocompromised patients other than human immunodeficiency virus infection. Method: Ten patients with PCP were enrolled and retrospective analysis of their medical records were done. HIV infected persons were excluded. The PCP was diagnosed by BAL fluid examination with Calcofluor-White staining. CMV was detected in BAL fluid by Shell-vial culture system. Chest radiographic findings were reviewed. We used Fisher's exact test and Mann-Whitney U test for statistical analysis of data. Results: The underlying disorders of patients were idiopathic pulmonary fibrosis (n=1), renal transplantation (n=4), necrotizing vasculitis (n=l), systemic lupus erythematosus (n=1), brain tumor (n=1), chronic myelogenous leukemia (n=1), unidentified (n=1). There were no difference in clinical course, APACHE III score, arterial blood gas analysis, white blood cell count, lymphocyte count, serum albumin concentration, chest radiographic findings and mortality between patients with PCP alone (n=4) and those with CMV co-infection (n=6). Univariate analysis regarding to the factors that associated with mortality of PCP were revealed that the application of mechanical ventilation (p=0.028), the level of APACHE III score (p=0.018) and serum albumin concentration (p=0.048) were related to the mortality of patients with PCP. Conclusion: The clinical course of PCP patients co-infected by CMV were not different from PCP only patients. Instead, accompanied respiratory failure, high APACHE III score and poor nutritional status were associated with poor outcome of PCP.

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Ecophysiological Interpretations on the Water Relations Parameters of Trees(VIII) - The Hydraulic Architecture of Quercus mongolica (수목(樹木)의 수분특성(水分特性)에 관(關)한 생리(生理)·생태학적(生態學的) 해석(解析)(VIII) - 신갈나무의 수분통도성(水分通導性) 구조(構造) -)

  • Han, Sang Sup;Kim, Sun Hee
    • Journal of Korean Society of Forest Science
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    • v.85 no.1
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    • pp.120-129
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    • 1996
  • This study was carried out to investigate the hydraulic architecture such as relative hydraulic conductivity, Leaf specific conductivity(LSC), Huber value, Specific conductivity of the stem, branch and Junctions of stem-to-branch in Quercus mongolica trees. The hydraulic architecture of various hydraulic conductivities of stem and branch was described. The results obtained were summarized as follows : 1. The range of relative hydraulic conductivity was $2.5526{\times}10^{-12}$ to $1.2260{\times}10^{-10}m^2$ in stems, $1.6279{\times}10^{-11}$ to $6.8378{\times}10^{-11}m^2$ in branches. The relative hydraulic conductivities increased with decreasing diameter of stem and branch. The relative hydraulic conductivity of one-year-old terminal shoots were two times greater than that of the lateral shoots. 2. LSC value was larger at the top than at the base in stem. LSC is much smaller in branches than in stem ; especially smallest at branching part. 3. Hydraulic conductivities of the branching part appeared the different values with the 4 type and 4 type. Relative hydraulic conductivity, LSC, Specific conductivity and mean vessel diameter in type branching part were larger in stem than in branch part, but not found in the branching part of Y type. 4. LSC and Specific conductivity of stem increased with decreasing diameter, but Huber value slowly increased with decreasing diameter ; especially highest at less than 1cm diameter. 5. LSC, Huber value, and mean diameter of vessels were larger at 1-year-old leader shoots than at lateral shoots. 6. The mean vessel diameter in various parts of a tree decreased with decreasing diameter of stem, but the number of vessels per unit area($mm^{-2}$) increased reversely. Mean vessel diameter in stem decreased sharply at earlywood and slowly at latewood with decreasing diameter of stem.

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Clarifying the concept of praxis in Family and Consumer Science Education -In focusing of the concept of phronesis in Aristotle's Nicomachean Ethics- (아리스토텔레스의 덕론에 기초한 가정과교육에서의 실천 개념 고찰을 위한 시론 (I) -실천적 지혜(phronesis)와 다른 덕과의 관계에 대한 논의를 중심으로-)

  • Yoo, Tae-Myung
    • Journal of Korean Home Economics Education Association
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    • v.19 no.2
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    • pp.13-34
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    • 2007
  • This study approached the concept of practical or praxis in Family and Consumer Science based on the review of the concept of phronesis in Aristotle's Nicomachean Ethics. Aristotle divided human soul into rational part and irrational part. A virtue related with rational part is intellectual virtue and a virtue related with irrational part is moral virtue. Rational part is divided into calculative part and scientific part. Phronesis is one of an intellectual virtue in calculative part of soul. Aristotle defines phronesis as a state of soul that issues in praxis. Phronesis in narrow sense is a virtue which leads to praxis and it is differ from either sophia or techne. Phronesis in broad sense it includes both praxis and poiesis. Phronesis is closely related with moral virtue. Because moral virtues are habits according to right reason, hence right reasons should be considered, and this is intellectual virtue. It is called for attention that what the concept of practical or praxis in Family and Consumer Science Education should be for the determination of the relation with Practical Arts and Technology. This study proposed a tentative conceptualization of praxis and phronimos in context of Family and Consumer Science Education.clothing planning and the most categories(83.3%) had connections of repetitions. In the clothing material section, categories evaluated as gaps and developments were 55.6% and 44.4%. The clothing construction.

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A Case Study on the Growth of Learners through the Changemaker TEMPS Program (체인지메이커(Changemaker) TEMPS 프로그램을 통한 학습자의 성장에 대한 사례연구)

  • Kim, Nam Eun;Heo, Young Sun
    • Journal of Korean Home Economics Education Association
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    • v.31 no.3
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    • pp.91-116
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    • 2019
  • The purpose of this study is to examine the meaning of Changemaker education and to investigate the significance of Changemaker education in home economics education through a study of growth of learners applying the TEMPS program. To this end, first, the concept of Changemaker education was defined. Changemaker education is an education that changes society in a positive direction through a process of thinking about, learning about, making, and participating(playing) in various problems that we face in real life and drawing out solutions and share he solutions with others. Second, in this reasearch, the direction of Changemaker education is to make them interested in social problems and solve it and to make both the family and the career life happy and healthy by collaborating with other people. The scope of the contents is defined as "the selection of the content elements of the five domains of the child family, diet nutrition, clothing, housing and consumer life". As a way of teaching, we suggested that the TEMPS phase is followed so that the session purpose is achieved. Third, the Changemaker program consists of five steps of TEMPS among the five key ideas of Changemaker education. T(Thinking) is the step of understanding the problem and thinking about how to solve it, and E(Education) is getting the background for the next step. M(Making) is a step to create a target for problem solving, and P(Participation) and P(Play) are steps to Participation and enjoy. S(Share) is a step of changing the society through the result display, SNS sharing, and class presentation. In this study, 12 programs for middle school and 15 programs for high school were developed on the basis of TEMPS level. Each of the programs consists of 2 to 12 unit hours, which add up to 68 hours in the middle school program and 68 in high school. The learners who participated in the Changemaker program for one year (March 2, 2018~December 31, 2018) will experience improvement in many aspects including the linkage of life and education, practical ability, self-directed learning, self-esteem, sense of achievement and self-reflection, sensory observation, and so on.

Effect of Metal Addition and Silica/Alumina Ratio of Zeolite on the Ethanol-to-Aromatics by Using Metal Supported ZSM-5 Catalyst (금속담지 ZSM-5 촉매를 사용한 에탄올로부터 방향족 화합물 제조에 관한 제올라이트의 금속성분 및 실리카/알루미나 비의 영향)

  • Kim, Han-Gyu;Yang, Yoon-Cheol;Jeong, Kwang-Eun;Kim, Tae-Wan;Jeong, Soon-Yong;Kim, Chul-Ung;Jhung, Sung Hwa;Lee, Kwan-Young
    • Korean Chemical Engineering Research
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    • v.51 no.4
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    • pp.418-425
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    • 2013
  • The catalytic conversion of ethanol to aromatic compounds ETA was studied over ZSM-5 heterogeneous catalysts. The effect of reaction temperature, weight hourly space velocity (WHSV), and addition of water and methanol, which are the potential impurities of bio-ethanol, on the catalytic performance was investigated in a fixed bed reactor. Commercial ZSM-5 catalysts having different Si/$Al_2$ ratios of 23 to 280 and modified ZSM-5 catalysts by addition of metal (Zn, La, Cu, and Ga) were used for the activity and stability tests in ETA reaction. The catalysts were characterized with ammonia temperature programmed desorption ($NH_3$-TPD) and nitrogen adsorption-desorption techniques. The results of catalytic performance revealed that the optimal Si/$Al_2$ ratio of ZSM-5 is about 50~80 and the selectivity to aromatic compounds decreases in the order of Zn/La > Zn > La > Cu > Ga for the modified ZSM-5 catalysts. Among these catalysts from the ETA reaction, Zn-La/ZSM-5 showed the best catalytic performance for the ETA reaction. The selectivity to aromatic compounds was 72% initially and 56% after 30 h over the catalysts at reaction temperature of $437^{\circ}C$ and WHSV of $0.8h^{-1}$.

Nitrite Accumulation Characteristics According to Hydraulic Retention Time and Aeration Rate in a Biological Aerated Filter (생물여과 반응기에서 수리학적 체류시간 및 폭기량에 따른 아질산 축적 특성)

  • Yoon, Jong Moon;Kim, Dong Jin;Yoo, Ik-Keun
    • Korean Chemical Engineering Research
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    • v.44 no.2
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    • pp.200-206
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    • 2006
  • In a biological aerated filter (BAF) packed with ceramic media (void fraction of BAF=0.32), nitrite accumulation was studied with the variation of hydraulic retention time (HRT) and superficial air velocity. Synthetic ammonium wastewater and petrochemical wastewater were fed at a constant load of $1.6kgNH_4^+-N/m^3{\cdot}d$. Ammonium removal rate was mainly affected by the superficial air velocity in BAF, but nitrite ratio($NO_2-N/NO_x-N$) in the effluent was dependent on both HRT and superficial air velocity. For a fixed HRT of 0.23 hr (corresponding to the empty bed contact time of 0.7 hr) ammonium removal rate was 73/90/92% and nitrite ratio was 0.92/0.82/0.48 at the superficial air velocity of 0.23/0.45/0.56 cm/s, respectively. When HRT is increased to 0.9 hr with superficial air velocity ranging from 0.34 to 0.45 cm/s, the ammonium removal rate was 89% on average. However nitrite ratio decreased significantly down to 0.13. When HRT was further increased to 1.4 hr, ammonium removal rate decreased, thereby resulting in the free ammonia ($NH_3-N$, FA) build-up and nitrite ratio gradually increased (>0.95). Although aeration rate and FA concentration at HRT of 0.23 hr were unfavorable for nitrite accumulation compared with those at HRT of 0.9 hr, nitrite ratio at HRT of 0.23 hr was higher. Taken together, HRT and nitrogen load were found to be critical, in addition to FA concentration and aeration condition, for nitrite accumulation in the BAF tested in the present study.

A Study on Electron Dose Distribution of Cones for Intraoperative Radiation Therapy (수술중 전자선치료에 있어서 선량분포에 관한 연구)

  • Kang, Wee-Saing;Ha, Sung-Whan;Yun, Hyong-Geun
    • Progress in Medical Physics
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    • v.3 no.2
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    • pp.1-12
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    • 1992
  • For intraoperative radiation therapy using electron beams, a cone system to deliver a large dose to the tumor during surgical operation and to save the surrounding normal tissue should be developed and dosimetry for the cone system is necessary to find proper X-ray collimator setting as well as to get useful data for clinical use. We developed a docking type of a cone system consisting of two parts made of aluminum: holder and cone. The cones which range from 4cm to 9cm with 1cm step at 100cm SSD of photon beam are 28cm long circular tubular cylinders. The system has two 26cm long holders: one for the cones larger than or equal to 7cm diamter and another for the smaller ones than 7cm. On the side of the holder is an aperture for insertion of a lamp and mirror to observe treatment field. Depth dose curve. dose profile and output factor at dept of dose maximum. and dose distribution in water for each cone size were measured with a p-type silicone detector controlled by a linear scanner for several extra opening of X-ray collimators. For a combination of electron energy and cone size, the opening of the X-ray collimator was caused to the surface dose, depths of dose maximum and 80%, dose profile and output factor. The variation of the output factor was the most remarkable. The output factors of 9MeV electron, as an example, range from 0.637 to 1.549. The opening of X-ray collimators would cause the quantity of scattered electrons coming to the IORT cone system. which in turn would change the dose distribution as well as the output factor. Dosimetry for an IORT cone system is inevitable to minimize uncertainty in the clinical use.

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Parotid Gland Tumors (이하선종양에 대한 임상적고찰)

  • 박혁동;심윤상;오경균;이용식
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.97-97
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    • 1993
  • Primary tumor arises infrequently in the parotid gland and generally, only about 20 to 40 percent of which prove to be malignant. They are characterized by histopathologic diversity, slow tumor growth, significant proportion of patients who have received previous treatment elsewhere. We have reviewed retrospectively 101 cases of parotid gland tumors which were treated for the recent eight years (1985-1992), Non-neoplastic tumor-like lesions were all excluded.

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MCP, Kernel Density Estimation and LoCoH Analysis for the Core Area Zoning of the Red-crowned Crane's Feeding Habitat in Cheorwon, Korea (철원지역 두루미 취식지의 핵심지역 설정을 위한 MCP, 커널밀도측정법(KDE)과 국지근린지점외곽연결(LoCoH) 분석)

  • Yoo, Seung-Hwa;Lee, Ki-Sup;Park, Chong-Hwa
    • Korean Journal of Environment and Ecology
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    • v.27 no.1
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    • pp.11-21
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    • 2013
  • We tried to find out the core feeding site of the Red-crowned Crane(Grus japonensis) in Cheorwon, Korea by using analysis techniques which are MCP(minimum convex polygon), KDE(kernel density estimation), LoCoH(local nearest-neighbor convex-hull). And, We discussed the difference and meaning of result among analysis methods. We choose the data of utilization distribution from distribution map of Red-crowned Crane in Cheorwon, Korea at $17^{th}$ February 2012. Extent of the distribution area was $140km^2$ by MCP analysis. Extents of core feeding area of the Red-crowned Crane were $33.3km^2$($KDE_{1000m}$), $25.7km^2$($KDE_{CVh}$), $19.7km^2$($KDE_{LSCVh}$), according to the 1000m, CVh, LSCVh in value of bandwidth. Extent, number and shape complexity of the core area has decreased, and size of each core area have decreased as small as the bandwidth size(default:1000m, CVh: 554.6m, LSCVh: 329.9). We would suggest the CVh value in KDE analysis as a proper bandwidth value for the Red-crowned crane's core area zoning. Extent of the distribution range and core area have increased and merged into the large core area as a increasing of k value in LoCoH analysis. Proper value for the selecting core area of Red-crowned Crane's distribution was k=24, and extent of the core area was $18.2km^2$, 16.5% area of total distribution area. Finally, the result of LoCoH analysis, we selected two core area, and number of selected core area was smaller than selected area of KDE analysis. Exact value of bandwidth have not been used in studies using KDE analysis in most articles and presentations of the Korea. As a result, it is needed to clarify the exact using bandwidth value in KDE studies.

A Study on the Influence of Affct Based Trust and Cognition Based Trust on Word-of-Mouth Behaviors -Focusing on Friendship Network and Advice Network- (정서기반신뢰와 인지기반신뢰가 구전행동에 미치는 영향 연구 -친교네트워크와 조언네트워크를 중심으로-)

  • Bae, Se-Ha;Kim, Sang-Hee
    • Management & Information Systems Review
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    • v.32 no.5
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    • pp.193-231
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    • 2013
  • As developed IT, Word-of-Mouth(WOM) used varied terms as buzz marketing and viral marketing, and impressed that importance. Despite introduced new marketing tool on managers and professionals, online word-of-mouth including SNS lack of study on social network what based viral in marketing. In social network, patterns of relationship between individuals influence each other individual behaviors. Therefore this research grouped friendship-network and advice-network by characteristics, studied on trust of information source that antecedents of word-of-mouth in network. This study examined that affect- and cognition based trust affect WOM acceptance as WOM behaviors and examined effect of type of product as moderating variable. Additional this literature studied that WOM acceptance affect WOM recommend. To find the Influence of Trust on Word-of-Mouth Behaviors, a survey has done 206 samples(undergraduate students). The results of this study are as following : First, type of trust different friendship network and advice network. Affect-based trust is outstanding in friendship network than in advice network, while cognition-based trust stands out in advice network than another. Second, affect- and cognition based trust positive affect WOM acceptance. Contrary to expectations, what is preconceived trust in network have a similar effect for WOM acceptance regardless of type of trust. Third, WOM acceptance positive affect WOM recommend. Fourth, affect based trust affect WOM acceptance of hedonic product rather than utilitarian product. Upon especially in friendship network terms, affect-based trust has a more effect on WOM acceptance than cognition-based trust. This study has many implications. First, it is important that trust what have an influence WOM acceptance grouped affect- and cognition based trust. Second, it confirmed that trust is antecedents of positive WOM. Third, it is important that network grouped friendship network and advice-network by trust. Fourth, it gave managerial implications that they have to supply WOM through which network by type of product. We This study classified network and trust based on previous study. Then it examined relations between WOM behaviors. Further research could do enrich various things for example various age group, valence of message, quality of information.

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