• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제32권4호
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• pp.334-347
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• 2006

The aim of this study is to evaluate the reasonableness of the medical fee on oral and maxillofacial surgery field according to surgeon's opinions and actual conditions. The medical fee has significant influence on hospital income, the supply and distribution of medical manpower, quality and facilities of medical services. Questionnaire survey was sent to 86 oral and maxillofacial surgeons who worked more than 3 years in general hospital. Among them, 25 doctors replied the 109 answers survey and the average of treatment time and physician work relative value on each category was calculated. And the health insurance cost (that has been applied since 2003) was compared with the questionnaire results. And finally we investigated items that health insurance system did not include in oral and maxillofacial field but actually performed in oral and maxillofacial surgery clinic. The result was that the medical fee did not properly reflect physician work relative value of actual treatments. In case of complicated extraction, work relative value needed 3.5 times enhancement of present value. For simple impacted tooth extraction 1.8 times, for impacted tooth extraction including odontomy 1.7 times, and for fully impacted tooth more than 2/3 of it located into the alveolar bone, 1.8 times enhancement needed. In respect of the present physician work relative value, hemimandibulectomy with neck lymph node dissection for the malignancy is appropriated as 3.3 times of open reduction and internal fixation for the mandibular fracture, but the questionnaire result showed 25 times discrepancy. In conclusion, this research shows the need for intervention that health insurance included items and legal relative medical value must act in union with treatment in clinic to reduce the imbalance between them.

• Journal of Radiation Protection and Research
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• 제36권1호
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• pp.28-34
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• 2011

세기조절방사선치료(Intensity Modulated Radiotherapy, IMRT)의 정도관리를 위해서 독립적인 방법으로 선량검증을 하는 것은 중요하다. 독립적 선량검증을 위해 팬톰과 이온전리함을 이용한 측정 방법이 보편적으로 이루어지지만 많은 시간과 노력이 요구된다. 본 연구에서는 세기조절방사선치료 시 시간에 따른 다엽콜리메이터의 움직임을 기록한 dynalog 파일을 이용하여 치료계획에서 도출된 총 실제 플루언스와 실제 치료 시의 모니터유닛(monitor unit, MU) 공간분포를 비교함으로써 간편한 세기조절방사선치료 정도관리 기술을 개발하였다. DICOM RT plan 파일로부터 총 실제 플루언스를 추출하고 MATLAB 코드를 이용하여 실제 치료 시 MU 공간분포를 dynalog 파일로부터 계산하였다. 개발된 방법의 효용성을 검증하기 위해 단계별조사기법과 동적조사기법으로 치료 받은 각 5명의 환자 데이터를 후향적으로 분석하였다. 분석 방법은 상용프로그램(Verisoft 3.1, PTW, German)에서 제공하는 감마인덱스를 사용하였다. 분석 결과 실제 치료 시의 MU 공간분포와 치료계획 상의 MU 공간분포 일치도가 평균 $97.8{\pm}1.33$%로 높은 일치도를 나타냈다. MU 공간분포 재구성의 정확도는 동적조사기법보다 단계별조사기법이 평균 1.4% 높았다. 본 연구에서 개발된 기술을 통해 세기조절방사선치료의 선량검증을 효과적으로 수행할 수 있다. 또한 분할치료 시 선량보정에 적용함으로써 맞춤형치료(adaptive radiotherapy)를 위한 기초자료로 사용될 수 있을 것이다.

• 문화기술의 융합
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• 제4권1호
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• pp.57-65
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• 2018

일부 치위생과 학생들의 교정치료 실태 및 효과에 영향을 미치는 요인을 파악하여 교정환자들의 협조도 및 환자관리에 필요한 기초자료를 제공하고자 한다. 연구방법: 본 연구는 2016년 9월부터 12월까지 일부 치위생과 학생을 대상으로 연구목적과 설문지 작성법을 설명한 후 연구 참여에 동의를 얻어 자기기입식으로 설문지가 작성되었다. 최종 430부를 분석하였으며, 본 자료는 PASW Statistics 18.0을 사용하여 분석하였다. 연구결과 및 결론: 교정치료 시작 시기는 대학생 때가 34.4%, 교정치료 기간은 2~3년 미만이 36.9%, 교정치료를 시작하게 된 동기는 내적동기가 62.3%로 가장 높았다. 교정치료 효과에 영향을 미치는 요인은 환자의 협조도가 가장 높았고, 병원의 규모가 가장 낮았다. 치과의사 전공 여부와 치과위생사의 진료 업무, 교육 및 상담과의 관계가 .521로 가장 높은 양의 상관과계를 보였으며(p<0.001), 학년이 높을수록, 임상실습과 치과 아르바이트 경험이 있을수록 환자의 협조도가 높았고, 학년이 높을수록, 치과치료와 교정치료 경험이 있을수록 가족의 협조도는 낮았다. 이에 만족도가 높은 결과를 이끌어내기 위해서는 교정환자들의 협조가 중요함을 강조하고, 환자 개개인에 맞는 전략적인 프로그램 개발이 필요하다.

• 대한예방한의학회지
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• 제24권1호
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• pp.27-35
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• 2020

Objectives : The purpose of study was estimation of adverse events [AEs] scale relating herbal medicine in Korea using Korean Medicine Utilization and Herbal Medicine Consumption Survey (National statistics No. 117087). Methods : Using microdata of Korean Medicine Utilization and Herbal Medicine Consumption Survey 2017, the number of inpatients and outpatients who experienced AEs was calculated. The microdata included AEs of all treatment methods that have been performed by visiting Korean medical institutions for one year, so set up the data into three models; model A (in case all treatments were only herbal medicine for one year), model B (in case herbal medicines were a part of all treatment methods in 1 year), model C (in case herbal medicines were a part of treatment methods at least one time in 1 year). The proportion of patients who experienced AEs during the last 1 year was calculated and then, the number of AEs relating herbal medicine was estimated. Results : A total of 1,010 outpatients and 904 inpatients were included in Korean Medicine Utilization and Herbal Medicine Consumption Survey 2017. The number of patients who had experienced AEs in the past 1 year was 0 in the model A, 9 in the model B (5 for outpatients, 4 for inpatients), and 19 in the model C (10 for outpatients, 9 for inpatients). By consideration for the complex sample survey, estimating the number of AEs relating herbal medicine, the model A was 0, the model B was 36,457 patients (0 to 75,526 patients), and the model C was 84,830 patients (26,314 to 143,347 patients). Conclusion : From the results of this study, it was possible to estimate the scale of AEs relating herbal medicines in Korea, suggesting that it is necessary to understand the actual condition of AEs and establish its management system.

• 상하수도학회지
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• 제32권3호
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• pp.211-220
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• 2018

The water containing soluble manganese may cause problems such as discolored water, unpleasant taste, fouling or scaling of pipes in water distribution system, and so on. Conventional water treatment processes using sand filtration or sedimentation after oxidation, however, cannot often meet manganese standard for drinking water. Two types of oxidants, potassium permanganate ($KMnO_4$) and sodium hypochlorite (NaOCl), were utilized at the same time for manganese oxidation, and then the precipitated manganese oxides were removed by low pressure membrane filtration in this study. In batch experiments, the multiple injection of both oxidants showed more effective manganese removal than did the single injection using either of them. Moreover, the deterioration of manganese removal at low temperature was less serious for the multiple injection than that for the single injection. Manganese removal by the continuous system of oxidation by multiple injection combined with membrane filtration was higher than those by batch experiments at the same oxidation conditions. In addition, less membrane fouling was observed for membrane filtration with oxidation during continuous membrane filtration than membrane filtration without oxidation. These results indicate that the oxidation by multiple injection coupled with membrane filtration was efficient and applicable to actual water treatment for manganese removal.

• 대한한방소아과학회지
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• 제21권2호
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• pp.35-50
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• 2007

Objectives The purpose of this study was to revitalize pediatric emergency care in oriental medical hospital. Methods The study was composed of 281 pediatric patients who visited emergency room of the ${\bigcirc}{\bigcirc}$ university oriental hospital, from March 2006 to February 2007. Results The age distribution showed that 1 to 3 year's patients(40.6%) are the most New pediatric patients(59.1%) were more than who received medical treatment in this place. The seasonal distribution of between month's section and the 24 solar terms's section made no differences and pediatric patients who visited in emergency room was most in spring, least in autumn. Moreover the changes of season's patients were more than others. Pediatric patients who visited during the weekends and holidays(50.9%) were more than during the weekdays(49.1%). Systemic division of the major problems were the digestive symptoms(44.5%) and nervous symptoms(30.6%), respiratory symptoms(12.5%), musculoskeletal symptoms(5.3%), dermatological symptoms(1.8%), cardiovascular symptoms(0.7%) and others(4.6%) followed. The time interval between arrival and onset : within 6 hours were the most(54.5%). Pediatric patients who had digestive, nervous, musculoskeletal diseases within 6 hours were the most, but in the case of patients who had respiratory diseases, most of them were visited within 48 hours. Acting and herb-med treatment(77.9%) were the most in medical treatments. Pediatric patients(69.0%) who didn't revisit in this hospital after treatment in emergency room were more than who revisited(29.9%). Conclusions Pediatric patients who visited in emergency room of oriental medical hospital were most not acute form of a serious diseases, patients most visited in disease prefer to oriental medicine; such as dyspepsia, convulsions, crying, ankle sprain. Further studies will be needed for the actual circumstance's reflecion from this hospital and other oriental hospitals nearby or other western emergency rooms for the accurate studies.

• 상하수도학회지
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• 제23권5호
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• pp.557-564
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• 2009

A combined sewer system can quickly drain both storm water and sewage, improve the living environment and resolve flood measures. A combined sewer system is much superior to separate sewer system in reduction of the non-point source pollutant load. However, during rainfall. it is impossible in time, space and economic terms to cope with the entire volume of storm water. A sewage system that exceeds the capacity of the sewer facilities drain into the river mixed with storm-water. In addition, high concentration of CSOs by first-flush increase pollution load and reduce treatment efficiency in sewage treatment plant. The aim of this study was to develope a processing unit for the removal of high CSOs concentrations in relation to water quality during rainfall events in a combined sewer. The most suitable operational design for processing facilities under various conditions was also determined. With a designed discharge of 19.89 m/min, the removal efficiency was good, without excessive overflow, but it was less effective in relation to underflow, and decreased with decreasing particle size and specific gravity. It was necessary to lessen radius of vortex separator for increasing inlet velocity in optimum range for efficient performance, and removal efficiency was considered to high because of rotation increases through enlargement of comparing height of vortex separator in diameter. By distribution of influent particle size, the actual turbulent flow and experimental results was a little different from the theoretical removal efficiency due to turbulent effect in device.

• 멤브레인
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• 제5권4호
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• pp.129-136
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• 1995

본 연구는 에멀젼 액막을 이용한 염색 폐수 내의 염료 이온 제거에 관한 연구이다. Aliquat 336을 함유한 액막과 D2EHPA를 함유한 액막으로 각각 음이온성 염료와 양이온성 염료 제거에 관한 최적 조건을 확립하였으며, 이 조건하에서 실제의 염색 폐수 처리 실험을 행하였다. 직접 염료인 Sirius Red, 반응성 염료인 Reactofix Supra Blue 및 염기성 염료인 Apollo Blue를 대상으로 하여 막상의 계면활성제(Span 80)와 담체(Aliquat 336 or D2EHPA)의 농도, 내수상의 counter ion($Na_2SO_4$) 농도, 그리고 에멀젼 투여량 등을 변화시키며 염료 제거 실험을 행하였다. 반응 5분 후에 추출 평형에 도달하였으며, 각 염료에 대하여 색소 성분의 95% 이상을 제거할 수 있었다. 제막 조건에 가장 큰 영향을 미치는 인자는 담체의 농도로서 일정량 이상의 담체는 막의 물질 전달 저항을 증가시켜 색도 제거 효과를 감소시킴을 알 수 있었다. 또한, 막상의 계면활성제의 양, 내수상의 counter ion의 양 및 투여 에멀젼의 양은 평형 도달 후의 최종 색도보다는 추출 속도에 더 큰 영향을 미침을 알 수 있었다. 실제 염색 폐수를 에멀젼 액막으로 2단계 처리한 결과 550nm에서의 흡광도를 초기 0.53에서 10분 후 0.03까지 낮출 수 있었다.

• 한국콘텐츠학회논문지
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• 제12권8호
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• pp.29-36
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• 2012

CCPM 기법에서는 프로젝트 버퍼의 크기를 결정하기 위해 일반적으로 자르고 붙이는 방법과 루트-제곱하는 방법을 사용한다. 하지만 이러한 방법은 프로젝트의 특성을 고려하지 않고 고정된 공식을 통해서만 계산하기 때문에 버퍼의 크기가 너무 커지거나 작아지는 경우가 자주 발생했다. 본 논문에서는 위의 문제점을 해결하기 위해 이전 작업의 결과를 통계 분석하여 각 작업자에 대한 각 임무의 종류에 따른 작업의 특징을 파악하고 이를 CCPM 기법에 활용하여 해당 특징을 기준으로 버퍼 크기를 산정하는 새 방법을 제시하였다. 몬테카를로 시뮬레이션 환경에서 임무의 수, 임무의 어려운 정도 등의 요소를 반영하여 나온 결과를 비교분석 해서 본 논문에서 제안한 방법이 기존의 방법에 비해 임무 수와 상관없이 안정된 완공확률을 유지할 수 있음을 확인하였다. 또한 특정 작업자가 일찍 완공할 수 있는 임무들의 경우 제안한 방법은 기존 방법보다 버퍼의 크기를 더 단축하는 것을 확인하였다.

• 한국산림과학회지
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• 제3권1호
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• pp.5-9
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• 1963

1. Creosote in treated wood that exposed in open areas of outdoor is gradually lost by elapse of some period of time. This is the interst and important problem relating to decide the effect on the life extension of creosoted wood. As a general preservative losses occurring in wood treated by oil born preservative such as creosote oil are taken place boy the evaporating and washing activities of the exposed surfaces of wood due to the climatic conditions. Accordingly author intend to inspect differences in retention among species showing after creosoted blocks had been treated by evaporating and washing alternately for a definite time in the laboratory. 2. In this study rail road tie woods of Quercus aliena Blume, Fagus crenata Blume and Fraxinus mandchurica Ruprecht which entered into area for treatment at the plant, locating in Suwon, Korea, were selected to the test species. $2{\times}2{\times}2$ centimeter forty small wood blocks for each species were cut, treated by the mixed solution of equal 50% creosote and heavy oil (hot and cold method), and inspected absorption percents. After evaporation and washing treatments alternately to the intervals of definite time had been accomplished, the losses of creosote were inspected. 3. According to the results Quercus Fagus and Fraxinus are showing the values of 37.9, 87.3 and 59.3% in absorption, and these values were reduced into 28.7, 63.8 and 44.4% respectively by evaporating and washing treatments for a definite time. These indicate that losses of ease absorbing species are greater than difficult one and on the contrary difficult are lesser. However above reduced values are calculated to the 24.3, 26.9 and 25.1% when the absorption percents of each species were assumed as 100% retention respectively. Therefore actual differences of losses among species are lesser than those of absorption percents.