• International Journal of Industrial Entomology and Biomaterials
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• 제20권1호
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• pp.29-35
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• 2010

To compare the quality of manufactured goods distributed in the domestic markets, 6 isolates of Dongchongxiacao products, namely, 4 Paecilomyces tenuipes specimens (J2P, 901A, 901B, and 901C), 1 Cordyceps militaris specimen (901D), and 1 Cordyceps sinensis specimen (CI-1), were analyzed for their physicochemical properties and sequence-structure relationships. P. tenuipes (J2P), a kind of Dongchongxiacao, was successfully inoculated on silkworms by percutaneous infection of Rural Development AdminstraionNam et al., 1999); fruiting bodies were then formed on the complete surface of the pupa. Since P. tenuipes (J2P) from silkworm larva was also proved to have remarkable pharmacological activities, it has been produced in bulk and has been successfully sold to buyers in the Korean market. Additionally, imitation products such as 901A, 901B, 901C, 901D, and CI-1 were sold simultaneously, resulting in deterioration of product quality. This research focuses on establishing quality standards to discriminate between the original and imitation products circulating in the market. The products obtained for the experiments included J2P, 901A, 901B, 901C, 901D, and CI-1; proximate analysis was performed for these products. The hosts and methods of conidia inoculation for proliferation of mycelia differed among the products. P. tenuipes (J2P) was proliferated in live silkworm larvae, and dead silkworm pupae were used to produce 901A, 901B, and 901C. On the other hand, 901D was produced on hulled rice medium. Quality analysis of C. sinensis revealed that CI-1, which was imported from China, smelled bad and proved to be a counterfeit with the fruiting body glued to the insect by twigs. The results of the proximate analysis of 901A, 901B, 901C, and 901D were similar to those of J2P with respect to the moisture content. Otherwise, J2P contained higher crude protein than 901A, 901B, 901C, and 901D, but contained very low fat. C. militaris (901D) and C. sinensis (CI-1) had low crude protein content-12.79% and 9.78% respectively-as compared to that of J2P, which was 62.38%. In contrast to the crude ash content of 6.4% in J2P, the crude ash content of CI-1 was 18.51% and this specimen was found to contain many impurities. phylogenetic analysis of P. tenuipes revealed that the sequence similarity of J2P, 901B, and 901C was in the range of 92.3~92.7%. Additionally, differences in the sequences were found at the positions 65 bp, 436 bp, 441 bp, 463 bp, etc.

• 유기물자원화
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• 제12권3호
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• pp.63-75
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• 2004

본 연구는 자원화시설 중에서 공공자원화시설을 대상으로하여 시설의 설치에 있어서 일반항목으로 분류되는 설치현황, 운영현황을 파악하여 문제점을 제시하고, 개선방안을 도출하기 위하여 수행되었다. 현재 설치되어 있는 시설은 퇴비화>사료화>혐기성>하수병합>퇴비사료병합으로서 사료화보다 퇴비화가 많은 것은 초기에 사료화방법으로 설계했으나, 수요처의 미확보로 퇴비화의 시설로 전환한 것 때문으로 추측되었다. 아직까지 사료관리법 및 비료관리법에 의하여 생산업등록을 하지 않은 곳이 다수 있었으며, 음식물쓰레기 자원화시설이 각종 기초시설과 같은 입지를 사용하면서도 침출수 및 악취, 에너지 측면에서 연계처리를 하는 곳이 적었다. 현재 설치되어 있는 일부의 자원화시설은 7년이 경과, 노후되어 있는 것으로 조사되었으며, 시설을 운전하는 전문인력 부족 등으로 인하여 년간 300일 이상의 정상운전 이루지지 않고 있는 시설이 많은 것으로부터 주기적인 소수선, 대수선 필요한 것으로 조사되었다. 음식물쓰레기 처리는 전체 처리시설에서 계획량 대비 약 87%의 반입율을 보여주고 있어 계획처리용량의 처리를 위한 대책마련이 필요한 것으로 판단되었다. 자원화시설의 설치비용을 조사한 결과, 50톤 미만에서 1억을 상회하는 곳이 다수 관찰되었으며, 50톤 이상에서 낮은 설치비용을 보였다. 전체적으로 적게는 1-2천만원, 높게는 2억원/톤까지 조사되어 시설기준의 정비와 함께 자원화시설의 설치비용에 대한 산출기준의 마련이 시급한 것으로 판단된다. 운영비가 시설의 규모 및 처리방법에 따라서 많은 차이가 있는 것으로 운영비의 합리화를 위한 노력이 필요하며, 시설의 설치와 운영에서 경제성을 확보할 수 있는 적정 처리 규모의 계획이 중요한 것으로 확인되었다.

• 간호행정학회지
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• 제3권1호
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• pp.119-133
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• 1997

Continuing shift service of clinical nurses can be not only the cause of occupational dissatisfaction by being connected with the change of circadian rhythm and the burden of duties to be applicable to such changes. But also of inviting the lowering of nursing quality by being affected to the resignation of the nurses as the threat to the health of the nurses. This study has selected 500 nurses at random under non-probability sampling who have been serving by shift in 7 general hospitals which have over 400 sickbeds for the purpose of cross-sectional survey design from Sep. 7 through 20, 1996. Standardized modification of the CMI has been used which was designed for Koreans with Cornell Medical Index developed by Broadman and his fellow workers as the study device. The structure of the device was composed of 35 questions on physical appeal(Chronbach's ${\alpha}=8507$) and 22 questions of mental appeal(Cronbach's ${\alpha}=.8166$ totalling 57 questions. The collected data has been computerrized by using SPSS. General character, present symptom, perceived symptom and others are sought by practical number and percentage, and the health condition comparison followed by general characters was conducted by t-test and ANOVA. The post test was by Duncan's test by the level of p<.05. 1) The items of the answer that they have the physical symptom presently by 50% or over of the nurses were as "Do you often have spells of severe dizziness", "Are your eyes often red or inflamed", "Does press or pain in the head often make like miserable", "Are your ankles often badly swollen", "Do pains in the back make it hard for you to keep up with your work". 2) The items of the answer by over 50% of the nurses as the mental symptom at present were "do you fell bad when criticized?", "Do you get angry when everything is against your will?", "do you get angry when ordered to do this and that?", "do you feel uneasy by such a trifle thing?", "do you tremble or are you freightened by sudden sound?". The mental and physical symptoms which have appeared presently in connection with the shift service have been agreed with each other. But the physical condition has been worse than the mental one. 3) In the physical health conditions followed by demosociological character, there were the significant differences by sex, religion and place of residence(p<.05), and in the mental health conditions, there were the significant differences by age, marital status, residence place and the required time for attending hospital(p<.05). 4) There was significant difference by the degree of satisfaction about the duty in both the physical and mental health conditions. In short, the higher the degree of duty satisfaction, the better the health conditions. 5) There were the significant difference according to the times of night duty and whether they take the drug or not or the kinds of the drugs in the physical health conditions related with the characters of night shift. Mental health conditions in the night shift case showed significant differences according to their taking drug or not or the kinds of the drugs(p<.05). I can confirm that the nurses have been affected continuously by the shift service mentally and physically. The maintenance of the physical and mental health of the nurses and its promotion are very important problem to guarantee the quality nursing in the performance of the nursing service continuously and effectively, so the hospital should make every effort to improve the duty conditions by finding out the causes affecting to their health. In the nursing management viewpoint, I think that elevating the satisfaction degree about the duty would be a great help to the promotion of physical and mental health conditions. But what is most important is that the nurses themselves should take care of themselves in maintaining the good conditions in their service in the hospital.

• 한국중재학회지:중재연구
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• 제26권4호
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• pp.3-41
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• 2016

This paper reviews the problems on the arbitral awards enforcement in the 2016 Korean Arbitration Act. In order to get easy and rapid enforcement of the arbitral awards, the new arbitration act changed the enforcement procedure from an enforcement judgement procedure to an enforcement decision procedure. However, like the old arbitration act, the new act is still not arbitration friendly. First of all, there are various problems in the new act because it does not approve that an arbitral award can be a schuldtitel (title of enforcement) of which the arbitral award can be enforced. In this paper, several problems of the new act are discussed: effect of arbitral award, approval to res judicata of enforcement decision, different trial process and result for same ground, possibility of abuse of litigation for setting aside arbitral awards and delay of enforcement caused by setting aside, infringement of arbitration customer's right to be informed, and non-internationality of enforcement of interim measures of protection, inter alia. The new arbitration act added a proviso on article 35 (Effect of Arbitral Awards). According to article 35 of the old arbitration act, arbitral awards shall have the same effect on the parties as the final and conclusive judgement of the court. The proviso of article 35 in the new act can be interpret two ways: if arbitral awards have any ground of refusal of recognition or enforcement according to article 38, the arbitral awards do not have the same effect on the parties as the final and conclusive judgement of the court; if arbitral awards have not recognised or been enforced according to article 38, the arbitral awards do not have the same effect on the parties as the final and conclusive judgement of the court. In the case of the former, the parties cannot file action for setting aside arbitral awards in article 36 to the court, and this is one of the important problems of the new act. In the new act, same ground of setting aside arbitral awards can be tried in different trial process with or without plead according to article 35 and 37. Therefore, progress of enforcement decision of arbitral awards can be blocked by the action of setting aside arbitral awards. If so, parties have to spend their time and money to go on unexpected litigation. In order to simplify enforcement procedure of arbitral awards, the new act changed enforcement judgement procedure to enforcement decision procedure. However, there is still room for the court to hear a case in the same way of enforcement judgement procedure. Although the new act simplifies enforcement procedure by changing enforcement judgement procedure to enforcement decision procedure, there still remains action of setting aside arbitral awards, so that enforcement of arbitral awards still can be delayed by it. Moreover, another problem exists in that the parties could have to wait until a seventh trial (maximum) for a final decision. This result in not good for the arbitration system itself in the respect of confidence as well as cost. If the arbitration institution promotes to use arbitration by emphasizing single-trial system of arbitration without enough improvement of enforcement procedure in the arbitration system, it would infringe the arbitration customer's right to be informed, and further raise a problem of legal responsibility of arbitration institution. With reference to enforcement procedure of interim measures of protection, the new act did not provide preliminary orders, and moreover limit the court not to recognize interim measures of protection done in a foreign country. These have a bad effect on the internationalization of the Korean arbitration system.

• Journal of Chest Surgery
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• 제32권6호
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• pp.510-517
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• 1999

배경: 신생아나 조기영아에서 전폐정맥연결이상은 아직도 외과적으로 쉽게 치료되지 않는 심기형 중 하나이다. 본 연구는 조기 영아기에 외과적으로 교정된 중요한 다른 심기형이 동반되지 않은 전폐정맥연결이상 환아들의 조기 및 중기 성적을 분석하기 위해 시행되었다. 대상 및 방법: 1993년 1월부터 1998년 8월까지 본 교실에서 외과적으로 교정술을 시행받은 전폐정맥연결이상 환아들중 조기 영아 15명의 의무기록을 후향적으로 분석하였다. 남아가 8명, 여아가 7명이었으며 나이는 생후 4일에서 3.5개월(중심나이 생후 22일)이었다. 체중은 1.75 kg에서 4.9kg(평균체중 3.54 kg)이었다. 심기형을 형태별로 보면 심장상부형이 11례, 심장형이 3례, 심장하부형이 1례였다. 6례(40%)에서 폐정맥환류의 협착이 있었다. 13례에서 수술방법으로 완전순환 정지법을 사용하였고 심장상부형과 심장하부형은 우심방 뒤에서 측방으로 접근하여 공통폐정맥과 좌심방을 문합하였는데 매우 가는 비흡수사인 polypropylene 사를 이용하여 연속봉합을 이용하였다. 결과: 1명의 환아가 술후 17일째 패혈증으로 사망하여 수술사망율은 6.7%였다. 이 환아는 술전 인공호홉이 필요하였던 상심실형의 신생아였다. 두명의 만기사망이 있었는데 그 중 1명은 수술 3년 후 집에서 급사하였는데 원인을 알 수 없었고 다른 한명은 술후 폐정맥협착으로 재수술을 시도하고 좋은 상태로 퇴원하였으나 재수술 3개월후 재발된 폐동맥고혈압으로 사망하였다. 두명의 환아에서 폐정맥협착으로 첫 수술 5개월, 10개월후에 각각 재수술이 시행되었다. 이 중 한명은 현재 계속되는 폐동맥고혈압은 있으나 비교적 좋은 상태로 잘 지내고 있다. 만기사망 및 재수술 환아 3명을 제외한 11명(78.6%)의 환아는 25.8$\pm$20.4개월(0.5개월에서 67개월)의 평균 추적기간동안 심초음파검사상 폐정맥환류의 협착이나 폐동맥고혈압의 증거없이 모두 NYHA class I으로 잘 지내고 있다. 결론: 조기 영아에서의 전폐정맥연결이상은 비교적 낮은 수술사망율로 교정 될 수 있었으나 술후 폐정맥 혹은 문합부협착증이 2례(14.3%)에서 발생하였고 재수술의 결과도 좋지 못하였다. 그러나 술후 폐정맥환류에 협착이 없었던 환아들의 상태는 매우 양호하였다.

• 한국과학교육학회지
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• 제37권2호
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• pp.347-358
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• 2017

본 연구에서는 중등 예비 화학교사가 사범대학의 삶과 교육을 통해 발달시켜가는 교사 전문성을 실천적 지식(PPK)의 관점에서 분석함으로써 예비 화학교사 교육을 위한 시사점을 도출하고자 하였다. 서울 소재 사범대학에 재학 중인 5명의 예비 화학교사가 실행 공동체(CoP) 활동을 통하여 사범대학 삶과 교육에 대한 반성적 논의에 참여하였으며, 논의의 내용을 분석한 결과 예비 화학교사의 실천적 지식의 5가지 영역 중 교과내용 지식은 방대한 화학 지식으로 편극화된 경향이 있고, 교육과정 지식은 교육과정 자료들을 비판적으로 선택 분석 응용하는 수준으로 이어지는 데 한계가 있는 것으로 나타났다. 교수 학습 지식에서는 특히 탐구실험 지도력이 부족하며, 교수 학습환경 지식은 사범대학-지역사회 간 연계부족, 교육 관련자들과의 소통의장 부족으로 인해 발달에 제한이 있는 것으로 나타났다. 한편 예비 화학교사들은 교직에 목적을 두지 않는 주변인들로부터 부정적인 영향을 받고 있었고, 교사로서의 신념을 충분히 숙고할 수 있는 대화의 장이 학과 내 부족하여 교사자신관련 지식을 충분히 함양하지 못하는 것으로 나타났다. 예비 화학교사의 실천적 지식 향상을 위해서는 무엇보다 교사자신관련 지식을 강화시킬 필요가 있으며, 이를 위해 예비교사 현직교사 교수자 지역사회 담당자 교육행정가 교육 연구자 등이 함께 하는 전문적 학습공동체의 운영이 효과적일 수 있다. 또한 교과내용 지식의 깊이와 방향성에 대한 제고, 교육과정을 비판적으로 검토하고 재구성해볼 수 있는 기회의 제공, 탐구실험 지도력 향상을 위한 교과내용실험 과목의 개선, 교육봉사 활동의 개선이 예비 화학교사의 실천적 지식 함양에 도움이 될 수 있음을 제언한다.

• 한국보건간호학회지
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• 제3권1호
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• pp.74-100
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• 1989

Inspite of the lots of studies on the harmfulness of cigarette smoking to the body published by many researchers since 1950, cigarette smoking people are increasing in number especially, cigarette smoking by young and women causes a serious problem. Examining the physiological motives of youth shows that, impulse which the youth want to immitate the adults, alluring curiousity, and defiant physiology of escaping from the norm of traditional groups which has been banned are cooperated well compoundly. As the period of the youth is the one which they accumulate knowledge and charactor by learning as well as the period of growth mentally, and physically they should be rightly educated about smoking before they addicted to smoking and it is desirable for us to make the youth to understand how harmfully the smoking is to effect to their growth and mental soundness simply not as a social norm which they should not smoke. The main motive of this study on the attitude of smoking by the youth is to give basic materials related on this field. For this study, 647 questionnaires were used as studying material which were able to analyze among 720 questionnaires of 2 classes of each grade of 3 high schools among the high schools of boys, girls and co-educated in Seoul from Oct. 21, 1988 through Oct. 26, 1988. Study Instrument are graded in Likert's 5 point from 40 questions which are 20 questions m affirmations and 20 questions in negations after analyzing the factors on 60 simple sentence questions which the students showed in preliminary studies. And these are systemized to be measured from 1 point which means they think smoking IS very bad to 5points which means they think smoking is really good. In these collected materials, technical statistics of frequency. percentage, average, standard deviation are used for general character and smoking attitude, $X^2-test$ for examinning Independant variables of physical. emotional, ethical and other areas pearson's coefficient of correlation for related direction and degree" and step­regression analysis for the degree of relative contribution of all variables which effect smoking attitude. The results of this study are as follows; 1. The smoking attitude of high school boys and girls showed average of 1.78 in physical area, 2.63 in emotional area, 2.61 in ethical area, 2.29 in other area respectively in a negative attitude generally also the negative attitude are expressed most strongly in physical area. I've can also say by this results that smoking is harmful to their health and further more it can be judged that this proves the youth in the period of preparation be adults have a strong curiousity in the emotional, ethical and other areas. 2. The most influential variables in each field as related factors effecting smoking attitude of the student can be explained from 13.2 in physical area the lowest experienced variables to 25.2 in emotional area the highest of degree of smoking experience. The fact that the more the smoking experienced students are increasing in number the higher tendency which accept the' smoking tells as the importance of health education about the population of latest student's smoking as important variables shown equally in each area. Those of grade, age, numbers of smoking people in house are showed meaningful in pure interrelation. Those related to the acceptance of teacher's smoking, sex, mothors education are shown meaningful in opposite interrelations. This means that the' increasing number' of smoking people in grade age, the number of smoker in family have a affirmative attitude. And people who are not interested in teacher's smoking wants to quit it, and whose mother's education is higher have a negative attitude. 3. The most negatively answered questions of the smoking attitude In physical, emotional, ethical and other areas are as belows; Firstly too much smoking is harmful to our health is 1.12 point. Secondly smoking have a ill-effect on pregnancy and embryo is 1.13 point. Thirdly smoking is harmful· to our health is 1.27 point. Fourthly smoking in crowed area with the people such as In a bus or subway should be prohibited is 1.27point. Fifthly smoking can ruin lungs is 1.31 point. And the most affirmatively answered questions are also as below; Firstly we showed smoke depending on time and place is 3.96 points. Secondly smoking is just habit is 3.83 points. Thirdly smoking people seem to be unable and deplorable is 3.69 point. Fourthly smoking should be prohibited by law is 3.56 points. Fifthly high school student's smoking is immitation of adults is 3.52 points.

• 대한한방내과학회지
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• 제16권2호
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• pp.146-177
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• 1995

The purpose of this study was to investigate the relationship between the teeth and Zhang-Fu(臟腑), dental diseases, and the hygiene of the mouth through the literature of oriental medicine. First, the relatonship between the teeth and Zhang-Fu is reviewed as follows: The teeth are influenced by Shen(腎) because they are the end of bone and Biao(標) of Shen. Gingiva is related to Wei(胃) and Da-Chang(大腸) because it is passed by Yangming-Channel(陽明經). The growth and nutrition of teeth depends on Shen. The pathological condition of Shen causes the gingival atrophy, the loose of teeth, dedentition due to aging, withering of teeth, and tartar: whereas the pathological condition of Wei and Da-Chang causes toothache, gingivitis, inflamed gums, bad breath, and gingival hemorrhage. Second, the causes and therapies of dental diseases through the literature can be summarized as follows: The major causes of toothache are the pathogenic condition of wind-heat and wind-cold, the heat syndrome of Wei, the damp-heat of intestine, flaring-up of fire of deficiency type, rotten tooth, etc... The principal causes of dedentition and the shaking and loose of teeth are the deficiency of Shen, and the rest of causes are the damp-heat of Yangming. Gingival atrophy is caused by the deficiency of Shen, whereas the gingival hemorrhage comes from the factors in the pathogenic factor of wind-heat of Yangming-Channel, the heat syndrome of stomach, and the deficiency of Shen. The causes of grinding of teeth during sleeping are stomach-heat, and the delayed dentition and the withering result from the deficiency of Shen-Jing.(腎精) The principal therapies of toothache are removing wind and heat, clearing away heat and prompting diuresis, clearing away the stomach-heat, replenishing vital essence to tonify the Shen, relieving superficial syndrome by wind-cold, and alleviating pain by destroying parasites. For the prescription of the principal therapies, there are Xijio Dihuang Tang, Jiajian Ganlu Yin, Qufeng Wan, Qingwei San, Tiaowei Chenggi Tang Shengong Wan, Liangge San Qingwei Tang Yunu Jian, Liuwei Dihuang Wan Zuogui Yin Bawei Wan Wanshao Dan, Xixin San Badou Wan Gianghuo Fuzi Tang, Jiuzi Tang Badou Wan, etc... The therapies of dedentition and the shaking and loose of teeth are replenishing vital essence to tonify the Shen, and warming and recuperating the Shen-Yang: as the prescription, there are Liuwei Dihuang Wana Zuogui Yin, and Bawei Wan Anshen Wan Wanshao Dan Yougui Wan etc... The therapies of gingival hemorrhage are clearing away the stomach-heat, replenishing vital essence to tonify the Shen, warming and recuperating the Shen-Yang(腎陽), and moisturing and purging intence heat with the prescription of Tiaowei Chenggi Tang Xijiao Dihuang Tang, Liuwei Dihuang Wan Zuogui Yin, Bawei Wan Anshen Wan, and Yunu Jian. The therapy of gingival atrophy is replenishing vital essence to tonify the Shen in the prescription of Liuwei Wan Bawei Wan Ziyin Dabu Wan. The therapies of grinding of teeth during sleeping are clearing away the stomach-heat and purging intense heat, and invigorating the spleen through eliminating dampness in the prescription of Qingwei San, Wumei Wan, etc... The therapy of delaed dentition is replenishing vital essence to tonify the Shen with the prescription of Liuwei Wan Buyin Jian, etc... Third, clinical treatment reports of dental diseases are reviewed as follows: The toothache due to stomach-heat was treated by medical herbs like Gypsum, Natrir Sulfas, Rehmanniae, Schizonepetal Herba, Menthae Folium, Cimicifugae Rhizoma, and Scrophulariae Radix. The therapies of toothache due to flaring-up of fire in deficiency type from deficiency of Shen provided with replenishment of vital essence to tonify the Shen and clean ministerial fire, and the prescription was the kind of Liuwei Wan, which worked very well. The therapy of dedentition and loose of teeth due to deficiency of Shen was done to stablize the teeth as tonifing the Shen with the prescription of Guchi Wan. The rate of imrovement was over 90%. The destruction of periodontal tissue due to periodonititis was cured of dispelling wind, reducing heat, and alleviating pain, It was improved by taking Zizhi Xingiong Tang, Guchi Xiaotong San, Yunii Jian, and Qingwei San about 3-7 days, and the rate of improvement was over 80%. Fourth, the prevention and regimens are reviewed as follows: As a physical and breathing exercise of the teeth, tapping teeth which stimulates the circulation of Qi(氣) and Xue(血) had been used. The tapping time of 14, 17, 36, etc... has been reported, and it should be applied based on the body condition. The medical herbs for gargling and brushing teeth have been used. Specifically, Cimicifugae Rhizoma, Gypsum, Gypsum Fibrosum, and Indigo pulrelrata Lereis have been used to reduce heat, Coptidis Rhizama and Yang Jinggu to eliminate damp-heat, Amomi Semen, Cyperi Rhizoma, Flos Caryophylli, Asari Radix, Piperis Longi Fructus, Santali Albae Lignum, Meliae Fructus, Moschus, Aquillaiae Lignum, and Borneol to promote the circulation of Qi and to relieve pain, Ligustici Radix, Angelice Radix, Rhizoma Nardostachydis, Tribuli Semen to relieve superficial syndrome by means of diaphiresis, and Cnidii Rhizoma, Angelicae sinensis Radix, and Olibanum to promote blood circulation to stop pain.

• 대한간호학회지
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• 제22권4호
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• pp.636-652
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• 1992

This study identified the impact of childhood cancer on the Korean family. The purpose was to contribute knowledge for family nursing and pediatric hospice care practice with sick children and their families. This descriptive study was conducted during a 6 month period with children who were being treated for cancer at six university hospitals in Seoul. The data were gathered from members of 68 families ; 24(Group A), with a child newly diagnosed with cancer : 27(Group B), with a child under treatment and without complications, and 17 (Group C), with a child in relapse. Medical records, structured questionnaires and interviews were used for data collection. The questionnaires and interview schedules had been used previously in Martinson's research in the USA and China. The findings, conclusions, and suggestions are as follows. 1. The impact of childhood cancer on the family. Members of the family experienced fear, helplessness, guilty feelings, and anger at the time of the initial diagnosis and at relapse. Mothers complained of headache, anorexia and poor appetite, weight loss, sleep disturbance, and bad dreams. Many of the fathers either lost or changed jobs, and all working mothers stopped working. Half the parents reported changes in their marital relationships such as frequent quarrels but also stronger unity. Family members perceived cancer as the most frightening disease. Change in their world view was expressed as living on faith understanding suffering, determining to live a better life, wanting to live an upright life and valuing health as the most important. Religious activities are found most helpful through this difficult experience. Financial debt due to the treatment and care of the sick child, burdened 22 families. The above mentioned impact was most evidant in Group B(those presently undergoing treatment) and Group C(those in relapse). Findings indicate that nursing care should embrace the family of a child who is being treated for cancer. 2. Characteristics of the child with cancer The majority of the children in this sample had a diagnosis of leukemia. Their mean age was 6.8 and the ratio of boys to girls was 1.12 ; 1. The mean hospitalization frequency was 13.5 times and the mean duration of illness was 16.8 months. Most of 1.he children perceived cancer as the most frightening disease ; 32.7% of the children described their sickness as serious. Children in Group C were hospitalized more frequently, stayed in hospital for longer periods, and expressed their sickness as quite serious more often than the other two groups. These findings indicate how much comprehensive pediatric hospice nursing care services are needed along with relevant research and nursing education. 3. Characteristics of the families. The mean age of the father was 39.5 and the mother, 36,6 ; they are in their most productive life period. Mothers especially expressed feelings of financial uneasiness and powerlessness about giving up their jobs, and guilty feelings for not providing enough care and concern to other children due to taking care of the sick one. The burden of caring for the sick child can bring negative changes in family dynamics which they think provoke potential health problems in members of the family These findings suggest a need for nursing support and counselling resources. Findings also suggest the need for ethical inquiry about such questions as who should give information to the child in regard to diagnosis and prognosis, when, and how. Other suggestions included : 1) Quality health care for childhood cancer such as home care and pediatric hospice programs should be established. 2) Special and practical consideration for long-term patients should be made in the present insurance coverage. The reimbursement period for long-term patients should be lengthened. 3) Further in-depth qualitative studies are needed. 4) Education programs including guided practice experience for pediatric hospice care practitioners are needed.

• Korean Chemical Engineering Research
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• 제55권3호
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• pp.322-331
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• 2017

지역난방은 국내에 1985년 처음 도입되었다. 지하 열배관망의 사용연한이 30년 이상 증가함에 따라, 지하에 매설된 열수송 배관 특성상 유지관리가 중요한 문제로 대두되고 있다. 노후화가 진행된 열배관망 유지보수를 위한 정기적인 점검, 운영관리 시 다양한 복합 기술이 필요하다. 특히 현장에서 경제적 관점에서 최적 유지보수 및 교체시점을 도출하기 위하여 의사결정에 활용될 수 있는 모형개발이 요구되고 있다. 본 연구에서는 한국지역난방공사 수도권 5개 지사열 배관망 운영 시 보수이력과 사고성 데이터를 바탕으로 분석하였다. 정성적 분석과 이항 로지스틱 회귀분석의 통계적 기법을 도입하여 파손확률 모델을 개발하였다. 보수이력 및 사고성 자료의 정성적 분석 결과, 파이프라인 손상의 가장 중요한 원인으로 건설 시공불량, 배관의 부식과 자재 불량이 전체의 약 82%를 차지했다. 통계 모델 분석에서는 분류의 분리 점을 0.25로 설정함으로써 열배관 파손 및 비 파손 분류의 정확도가 73.5%로 향상 되었다. 파손확률 모델 수립을 위해 Hosmer와 Lemeshow 검정과 독립변수의 유의성 검정, 모델의 Chi-Square 검정을 통해 모델의 적합성을 검증 하였다. 열배관망 파손의 위험순위 분석결과에 따르면 파손확률을 가장 높이는 경우는 겨울철 서울지역 자동차 도로에 있는 10년 이상 된 250mm이하 배관 Reducer에서 F 건설회사가 시공했던 열배관망으로 분석되었다. 본 연구결과는 열배관망 시스템의 유지관리 및 예방점검, 교체 사업 우선순위를 정할 때 활용 가능하다. 또한 이를 통하여 점검 유지보수 등 사전에 사고예방 계획을 수립하여 대처함으로써 열배관 파손의 빈도를 감소시키고 보다 적극적인 열배관망 관리에 이용할 수 있을 것으로 사료된다.