• 한국콘텐츠학회논문지
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• 제13권2호
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• pp.370-377
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• 2013

외상성 뇌손상(TBI)은 외부적 충격에 의해 뇌가 손상되는 것을 의미한다. 이로 인해 주의력, 기억력, 추론력, 집행기능, 화용언어 등이 전반적으로 저하된다. 본 연구에서는 외상성 뇌손상 환자의 인지-화용언어 능력 평가도구(CAPTBI)를 개발한 후, 그 신뢰도 및 타당도를 구축하고, 정상군과 환자군 간 변별에 유용한 인지-화용언어의 하위 영역들이 무엇인지를 분석하였다. 연구 대상은 정상군 226명, TBI 환자군 62명으로 평균 연령은 각각 43.95(${\pm}11.92$), 46.37(${\pm}11.87$)세, 남녀 비율은 각각 110:116, 48:14였다. CAPTBI는 내적일관성 신뢰도와 검사-재검사 신뢰도가 높았고, 내적 구성타당도와 공인타당도가 입증되었다. 또한, 두 집단은 CAPTBI 총점 및 9개 하위 영역 모두에서 유의미한 차이를 보여 CAPTBI가 집단 간 변별에 유용한 것으로 입증되었다. 두 집단 간 변별에 기여하는 하위 영역은 조직화 능력, 기억력, 집행기능, 지남력, 문제해결력, 화용언어, 추론력, 주의력, 시지각력 순으로 높았다. CAPTBI의 판별기능 적중률은 95.5%로 전체 집단 사례 중 정상군의 97.3%, 환자군의 88.7%를 정확히 판별하였다. 이에 따라, CAPTBI는 TBI 환자의 인지-화용언어 능력 평가도구로서 신뢰도와 타당도가 높고, 정상군과 환자군 간 변별에 유용한 도구임을 확인하였다.

• 한국산학기술학회논문지
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• 제10권11호
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• pp.3418-3426
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• 2009

본 연구의 목적은 비외상성 심정지 환자에게 적용하는 심폐소생술에 대한 현장업무 프로토콜의 유용성을 검증하는 것이다. 연구는 2008년 5월 1일부터 동년 6월 27일까지, 전라남도와 전라북도에 소재한 J, K대학에 재학 중인 응급구조과 학생 150명을 대상으로 하였다. 비동등성 대조군 전.후 유사 실험 설계(nonequivalent control group pretest-posttest design)를 사용하여, 실무적합성 검증을 실시하였다. 현장업무 프로토콜을 적용한 실험군과 기존의 심폐소생술을 적용한 대조군으로 나누어, 각 프로토콜 항목들의 소요시간을 비교하여 통계 분석하였다. 연구 결과, 5개항목(의식상태 평가, 기도유지, 인공호,,흡 2회 실시, 순환 확인, 심폐소생술 5주기 실시)을 제외한 나머지 18개 항목에서 3초 이상 수행시간이 단축되었다. 60초 이상의 단축을 보인 항목은 6개로, 기관삽관 튜브 고정(78.70초), 말초정맥로 확보(64.45초), 의식상태 재평가, 동공반사 확인(110.05초), 목동맥 확인(112. 55초), 활력징후 평가(85.7초)였으며, 전체시간은 110.85초가 단축되었다. 실험군과 대조군의 프로토콜 적용에 따른 사전.사후 변화에서 전체시간(t=-6.580, p=.000)은 통계학적으로 유의하게 감소한 것으로 나타났다. 따라서 비외상성 심정지 환자의 심폐소생술에 대한 현장업무 프로토콜은 정확하고 신속한 의사결정을 지원할 수 있는 지침으로 활용될 수 있으며 응급의료 서비스를 향상시킬 것으로 사료된다.

• 한국소프트웨어감정평가학회 논문지
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• 제15권2호
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• pp.111-119
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• 2019

존 스마트그리드 기기 인증 체계는 DCU와 검침 FEP 및 MDMS에 집중되어 있으며 스마트미터에 대한 인증체계는 확립되지 않은 상황이다. 현재 몇몇 암호칩이 개발되었지만, 낮은 강도의 단순 암호화 수준에 머물러 있어 PKI 인증체계를 완성하기에는 어려움이 있다. 스마트그리드는 기존 전력망과 달리 개방형 양방향 통신을 기반으로 함에 따라 정보보안 취약성이 높아지면서 사고 위험 증가하고 있다. 하지만 스마트미터에는 PKI가 적용되기 어려워, 조작한 패킷을 보내 운영시스템에 거짓 정보 전송으로 시스템 정지 등의 사고가 발생할 가능성 존재한다. 하드웨어 제약사항이 많은 스마트미터에 기존 PKI 인증서를 발급할 경우 인증 및 인증서 갱신이 어렵기 때문에 스마트미터의 열악한 성능(Non-IP 네트워크, 프로세서, 메모리 및 저장소 공간 등)에서도 작동 가능한 초경량 암호 인증 프로토콜을 설계 구현하였다. 실험 결과 Cortex-M3 환경에서도 경량 암호 인증 프로토콜을 빠른 시간 내에 수행 할 수 있었으며, 앞으로 스마트그리드 산업에서의 더 안전한 보안성을 갖춘 인증 시스템을 마련하는데 도움을 줄 수 있을 것으로 기대한다.

• 한국방재학회:학술대회논문집
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• 한국방재학회 2007년도 정기총회 및 학술발표대회
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• pp.462-467
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• 2007

Recently, in Korea vehicle market, the proportion of SUV is increasing. However Korea SINCAP(Side Impact New Car Assessment Program) doesn't reflect this circumstance. This paper focused on improvement of Korea SINCAP by comparing IIHS(Insurance Institute of Highway Safety) side impact test protocol with Korea SINCAP.

• 대한물리치료과학회지
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• 제16권3호
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• pp.67-74
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• 2009

Background: Various functional factors should be incorporated during assessment and intervention for patient rehabilitation. Stable respiratory function is one of required factors for functional restoration. To maximize respiratory physical therapy intervention outcome, it is required to understand clinical features of respiratory diseases and physical therapy approaches. Methods: Previous studies were systematically reviewed through computerized search. Methodological qualities of selected studies were evaluated and the levels of recommendations were determined. Results: Assessment for respiratory pattern and thoracic mobility is of importance to improve cardiopulmonary fitness during physical reconditioning. Application of optimal therapeutic protocol can increase thoracic mobility and respiratory function. Interdisciplinary communication is critical during rehabilitation for respiratory patients. Health care provider should have professional knowledge and experience for cardiopulmonary fitness and obligation to endeavor for patients' respiratory rehabilitation. It is necessary to standardize therapeutic intervention, and rehabilitative respiratory exercise should be applied to confirm the effects of intervention. Conclusion: Respiratory diseases that may reduce patients' quality of life and cardiopulmonary fitness should be resolved through physical therapy approaches. Through conducting research, effect of evidence-based and patients' function-oriented intervention can be determined.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2007년도 춘계학술대회 논문집
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• pp.589-593
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• 2007

Due to sustainable development, international environmental regulations have been reinforced continuously. Especially, Kyoto protocol related to energy consumption affects to national production system seriously. Even if railroad is the most environmental- friendly transportation, it is necessary to improve its environment. Life cycle assessment (LCA) is a representative tool to evaluate the environment impacts of a product. In the EU's railroad companies, the recycling efficiency and the waste emissions of rolling stocks have improved considering their environment impacts with LCA from a design step. Also, the LCA system of Korean electric motor units has been developed to build an environmentally sound railroad as one of national transportation core technology R&D projects. Therefore, the introduction of LCA will be required to decrease environmental impacts released from rolling stocks in the future.

• 환경영향평가
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• 제5권1호
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• pp.1-13
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• 1996

This paper examined public participation in the final Environmental Impact Statement(EIS) in terms of institutional procedures and content analysis. By reviewing EIS Draft Manual and related laws and regulations, seven problems were identified in the system. The content of public participation in 14 EISs were analyzed by a developed protocol, most results of which were similar to the identified seven problems. In conclusion, this paper suggested that the systematic problems should be improved to activate more efficient public participation.

• BMB Reports
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• 제46권7호
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• pp.335-337
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• 2013

Scientists planning research that involves the use of animals are required by international and/or national law to examine the possibilities for the implementation of Replacement, Reduction and/or Refinement (the Three Rs principles of Russell and Burch) in experiments for research, testing, and education. There are two Korean laws legislating humane use of animals and ethical review prior to animal experiments. This report reviews current practice of the literature search by the researchers and protocol review by the Institutional Animal Care and Use Committees on the Replacement, Reduction and Refinement alternatives in Korea. The promotion and protection of the laboratory animals are one of the core competencies of investigators exploring the ethical conduct of research and good science.

• 한국간호교육학회지
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• 제3권2호
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• pp.193-206
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• 1997

Because the oral mucositis is often inevitable in acute leukemia patients during chemotherapy, the efforts must be made to keep these leukemia patients from oral mucositis. So we tried to develop two oral care protocols for reducing the level of oral mucositis during cytotoxic therapy through literature review and our clinical experience. This quasi-experimental study was performed to compare the prohpylatic value of these oral care protocols. Thirty-nine subjects were assigned to one of three groups. The first group performed bivon-normal saline gargling protocol, the second group performed chlorhexidine gargling protocol, and the last contrast group kept traditonal gargling protocol. The Oral Assessment Guide(OAG), the Beck's perception of oral comfort were used to assess oral status and subject's oral discomfort during chemotherapy. Each subjects were observed daily from the start of the chemotherapy until Absolute Neutrophil Count (ANC) reached $1,000/mm^3$. It continued about 2-4 weeks. The data was analyzed by ANCOVA and Kruskal-Wallis one way ANOVA, chi-sqare, survival analysis. The results were as follows : The contrast group showed significantly highest mean score of the OAG and Beck's perception of oral discomfort among three groups from second week to third week. However chie-test and survial analysis showed that the incidence of severe mucositis were not significantly different among three groups. Conclusively we recommend that nurses who care acute leukmia patients use bivon-normal saline gargling protocol be careful to occur severe mucositis during chemotherapy.

• Nuclear Engineering and Technology
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• 제44권8호
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• pp.897-910
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• 2012

Inappropriate communications can cause a lack of necessary information exchange between operators and lead to serious consequences in large process systems such as nuclear power plants (NPPs). In this regard, various kinds of taxonomies of inappropriate communications have been developed to prevent inappropriate communications. However, there seems to be difficult to identify inappropriate communications from verbal protocol data between operators. Because the existing taxonomies were developed for use in report analysis, there is a problem of 'uncertainty'. In consequence, this paper proposes a new taxonomy of inappropriate communications and provides some insights to prevent inappropriate communications. In order to develop the taxonomy, existing taxonomies for four industries from 1980 to 2010 were collected and a new taxonomy is developed based on the simplified one-way communication model. In addition, the ratio of inappropriate communications from 8 samples of audio-visual format verbal protocol data recorded during emergency training sessions by operating teams is compared with performance scores calculated based on the task analysis. As a result, inappropriate communications can be easily identified from the verbal protocol data using the suggested taxonomy, and teams with a higher ratio of inappropriate communications tend to have a lower performance score.