• 제목/요약/키워드: Case record

검색결과 667건 처리시간 0.027초

조선시대 혼인사치의 금제에 관한 고찰 (A Study on the Taboo of Marriage Luxury of Chosun Period)

  • 김경희
    • 복식문화연구
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    • 제6권1호
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    • pp.1-13
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    • 1998
  • As for the taboo of dress and its ornaments which was applied to only populace one-sidedly mainly under the power structure of feudalistic centralization of government like Chosun dynasty, the aspect of taboo was diversified all the more by having relation with various phenomenon of social structure characteristics, and the taboo items to be given in accordance with the flow of time shows the diversity. Especially, the structure of dress and its ornaments in Chosun period showed the side of social position relation and luxury control, and the taboo of dress and its ornaments which was derived from the current thought about China was given frequently. To respect the frugal virtue and moderate the life has relation with the stream of the times in individuals or nations. And, that it is externalized is dress and its ornaments. As the luxury about dress and its ornaments was serious in accordance with times, it appeared by having relation with whole economic question of nations. Then, this researcher thought this by relating this to the culture of customs. This researcher thought that the luxury about clothing gets to go to extremes and the law and order collapses, according as public morals get to be very lax. And, it can be said that the way to be able to control this is that the customs should be thoroughly obeyed and that the system to be able to play the role of braking is taboo. So, this researcher thinks that it is significant to examine the achievement which has contributed toward the life of dress and its ornaments by successive kinds on the basis of a true record of the Vidynasty and other all sorts of literatures about the real situation of prohibition order which has been from the first king to Kojong at the last period of nation. The criticism and taboo about luxury which have been discussed at Chosun period may be subdivided into some kinds in accordance with the subjects. But, in this tests, as it sis the real situation that the case to be due to the lavish necessary articles for marriage which is coming to fore as our social problem nowadays is increasing remarkably, this researcher tries to examine the taboo about the marriage luxury at Chosun period in the order of successive generations. Thus, before examining the taboo of marriage luxury, this researcher tries to examine about the taboo of textile luxury and study the taboo of marriage luxury, as the marriage luxury governs almost everything of textile luxury and it is regarded as the origin of marriage luxury, especially. And, this researcher tries to study as to how was the penal regulations based on it at the same time.

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방화석고보드 부착이 섬유혼입 고강도 콘크리트 모의 기둥부재의 내화특성 및 잔존내력에 미치는 영향 (Combined Effect of Fireproofing Gypsum Board on Residual Strength and Fire Resistance of Fiber Addition High Strength Concrete-Model Column)

  • 양성환
    • 한국건축시공학회지
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    • 제12권4호
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    • pp.442-450
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    • 2012
  • 본 연구는 50 MPa급 고강도 콘크리트 모의 기둥부재를 대상으로 PF섬유 혼입 및 방화석고보드를 부착하므로써, 내화특성 및 잔존내력에 대하여 검토하였다. 먼저, 모체 콘크리트의 기본 물성은 모두 목표 범위를 만족하는 것으로 나타났다. 내부 온도이력은 방화석고보드가 미부착된 경우 온도가 다소 높게 나타나는 경향을 보였고, 방화석고보드가 부착된 경우는 섬유 혼입율이 증가할수록 온도가 점차 낮게 분포되었다. 상호관계로는 시간이 경과할수록 섬유가 혼입된 경우에서 낮은 온도분포를 나타내었으며, 보드가 부착되었을 때 더욱 낮은 온도 경향을 확인할 수 있었다. 한편, 외관성상은 PF 0 %에서 심한 파괴 폭렬 현상이 발생하였으며, 섬유혼입율이 증가할수록 탈락 현상은 방지되었으나, 색상 변질 및 다수의 균열이 발견되었고, 보드가 부착된 경우는 혼입율이 증가할수록 외관이 양호해지는 경향을 나타내었다. 잔존 압축강도로 보드 미부착 PF 0 %에서는 강도측정이 불가능하였으며, 섬유혼입율이 증가할수록 강도는 증가하였으나, 약 30~40 %의 강도저하 현상을 나타내었고, 보드 부착 PF 0 %의 경우 강도측정은 가능하였으나 약 80 % 가량 강도가 저하하였으며, 섬유혼입율이 증가할수록 저하폭은 감소하여 약 10~20 %의 강도 저하만을 나타내었다. 이상을 종합하면, PF섬유 혼입 및 방화석고보드 부착을 개별적으로 사용하는 것보다는 두 가지 방법을 복합적으로 적용할 때 내화성능 향상에 있어서 보다 효과적일 것으로 분석되었다.

비스테로이드소염제로 인한 궤양 합병증 예방을 위한 비스테로이드소염제 사용 현황 및 적절성 평가 (Evaluation of NSAID Usage and Appropriateness for Prevention of NSAID-Related Ulcer Complications)

  • 조정원;이은숙;신완균
    • 한국임상약학회지
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    • 제22권3호
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    • pp.211-219
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    • 2012
  • Nonsteroidal antiinflammatory drugs (NSAIDs) are used in the treatment of extensive diseases related to various symptoms; inflammation, pain and fever. NSAIDs work by blocking prostaglandin synthesis, but adverse drug events (ADEs) have been increasing dramatically such as gastrointestinal bleeding, perforation and stenosis, a kind of serious ADEs. Therefore, NSAID-related ulcer complication guidelines have been announced containing various risk factors and symptoms. Thus, this study aims to evaluate of NSAID usage and appropriateness for prevention of NSAID-related ulcer complication based on American journal of gastroenterology (AJG) guideline 2009. Further, the study suggests Korean guideline for prevention of NSAID-related ulcer compared to AJG guideline. For this study, data was collected through electronic medical record (EMR) at Seoul national university of Bundang hospital. The primary end point was a composite of NSAID-related ulcer risk factor, types of NSAIDs, co-prescribed NSAID ulcer prevention drugs and NSAID-related ulcer after taking NSAID. The risk factors include over 65 years, high dose NSAID, previous ulcer history and taking drugs (e.g. aspirin, anticoagulant and steroid) causing ulcer. If a patient has 3 or 4 factors, that patient was classified high risk group. And if 1 or 2 factors that patient was classified moderate risk group. The patient who has no risk factor was in low risk group. I studied 8,120 patients who received NSAID from 1 January 2009 to 31 December 2009. High risk group was 16(0.2%), moderate risk group was 4,364(53.7%), and low risk group was 3,740(46.1%). The results show that high risk group should be prescribed COX-2 inhibitors with ulcer prevention drugs, and moderate or low risk group need traditional NSAIDs with ulcer prevention drugs. This may be different with 2009 AJG guideline because AJG guideline suggested taking COX-2 inhibitor alone in moderate group or taking traditional NSAID alone in low risk group could get higher ulcer complication. The results indicated that choosing preventive drug is important in case that how many risk factors the patients have. The proper drugs would be helpful for safe and effective NSAID usage in each patient group.

진료기록감정 및 그 판단에 대한 법적 고찰 - 의료민사책임을 중심으로 - (A Legal Study On Expert Opinion of Medical Records and the Judgment - Focus on Medical Civil Liability -)

  • 백경희
    • 의료법학
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    • 제20권1호
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    • pp.83-107
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    • 2019
  • 의료사고에 대한 분쟁의 해결을 위해, 법원은 통상 진료기록에 대하여 의학전문가에게 그의 의학에 관한 전문적 지식이나 그 지식을 이용한 판단을 보고하게 하는 감정(鑑定) 절차를 진행하고 있다. 의료사고에 대한 감정의 결과는 전문가에 대한 참고 의견으로 증거방법의 하나에 불과하다. 그러므로 원칙적으로 법원이 그 결과에 대하여 기속되어야 하는 것은 아니지만, 법원이 의료사고의 구체적 경위를 비롯하여 의료과실과 인과관계가 존재하는지 여부에 관하여 의학적 판단인 감정결과를 온전히 배제할 수는 없다. 따라서 의료사고에 대한 분쟁에서 진료기록감정이 차지하는 비중은 높고 법원 등의 심증 형성에 중요한 영향을 미치고 있다. 본고에서는 의료사고에서 감정의 의의와 기능을 살펴본 뒤, 현행법상 진료기록감정의 양상으로 이루어지고 있는 법원에서의 진료기록감정절차와 한국의료분쟁조정중재원의 의료사고에 대한 감정절차를 각각 유형별로 고찰한다. 또한 우리나라 판례에서 진료기록감정회신에 대하여 어떠한 태도를 취하고 있는지, 외국의 제도로 일본의 경우를 살펴보아 우리나라에의 시사점을 알아보고자 한다. 특히 우리나라의 진료기록감정절차가 지니고 있는 진료기록감정회신의 공정성에 관한 문제, 진료기록감정절차의 지연으로 인한 소송의 지연에 관한 문제 등에 대한 개선점을 제시하고자 한다.

모바일 채널을 활용한 협동적인 마케팅 전략: OB 맥주 신제품 모바일 캠페인 (A Cooperative Marketing Strategy using Mobile Communications: The New OB Mobile Campaign)

  • 이중엽;김범수;안중호
    • 경영정보학연구
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    • 제7권1호
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    • pp.153-171
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    • 2005
  • 모바일을 활용한 마케팅의 장점 중의 하나는 고객에게 도달하는 채널을 다양하게 가져갈 수 있고, 보다 직접적인 마케팅을 구현할 수 있다는 점에 있다. 이는 마치 고객까지 이어지는 길을 넓혀 원활한 소통을 가능하게 하고, 거리를 단축시켜 시간을 줄이는 것과 유사하다. 국내 모바일 광고 시장은 태동기인 2001년 14억 원을 시작으로 2004년 400억 원을 넘어서는 급성장을 하고 있다. 영국 조사기관 OVUM은 2005년 세계 모바일 광고 시장이 160억 달러에 이를 것으로 전망하였다. 그러나 한편으로는, 모바일 인프라 구축과 확산에 비하여 이의 효과적 활용 부족이 많이 지적되고 있다. 특히 휴대폰 가입자 중 모바일 인터넷을 사용하는 인구가 급속히 증가하고 있는 상황에서 이를 이용한 기업의 적극적인 활용 전략이 더욱 요구되는 시점이다. 본 연구는 모바일 채널의 특징, 개인화 가능성, 일인 매체성, 공간 비제약성, 시간자유성 등을 고려한 기업에서의 전략적인 활용 방안을 예시하고 비교하며, 기업 모바일 마케팅 전략의 효과적인 운영 방안을 분석하였다. 특히, AIDMA의 단계축소효과와 다양한 채널 연계를 통한 고객접점의 극대화라는 두 가지를 중심으로 기존에 시행된 모바일 마케팅 사례를 분석 정리하였다. 또한 국내에서 이루어진 대표적인 모바일 마케팅 사례로서, OB맥주 모바일 마케팅을 위의 두 가지 특징과 참여업체들간의 협동적인 채널 구성을 통한 win-win 마케팅 전략으로 그 효과를 소개한다.

중국 연변지역 조선족 아동의 보건의료 및 건강상태 비교 - 한국 경남 거제지역과의 비교 - (A Comparative Study on Physique and Health status of Elementary School Children between Ethnic Koreans in the People's Republic of China and Kojae Area in Korea)

  • 남은우;이규식;리챠요쳉;류황건;배성권;박금옥
    • 농촌의학ㆍ지역보건
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    • 제21권1호
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    • pp.21-45
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    • 1996
  • The purpose of this study is to compare the health status of Korean and Chosun-Jok elementary children. To accurately achieve the purpose, a survey was conducted in Yanbian area in China and Kojae in Korea during the period of June 15 to July in 1995. This survey was performed by using two survey methods. The first was the parents' survey method. It asked structured questions about their children. The second method focused on the actual health of the children. It used the collection of children's physical records in school. Guided by the school teachers, each child distributed the questionnaires to their parents. We used stratified-cluster sampling method to determine subjects. 1,083 questionnaires of 1,749 were used to analyze the data (666 questionnaires were incomplete and were not used in the analysis). Each questionnaire matched the data of their physical record. : Body Weight, Body Height, Chest-Circumstance, Eyesight, Dental Health. Using the data, we compared the BMI(Body Mass Index) the Koreans and Chosun-Jok in China. The results of this study were as follows : Comparing the general average physique of contained body height, body weight and chest circumstance of Korean and Chosun-Jok, the general physique of Chosun-Jok is inferior to that of Korean regardless of age and sex. Meanwhile, the average physical constitution of Korean compared the Chosun-Jok (i.e. eyesight and dental hygiene), revealed that the physical constitution of Chosun-Jok is superior to that of Korean without concern of age and sex. Average BMI of Chosun-Jok is lower than that of Koreans. But, it seemed that most of the students in both groups maintain an adequate health level. In the case of children from 10 to 12 years old, females are superior to males through all data contained of the body weight, the chest circumstance, and the body height. It seems that females and males have a different maximum growth age. Most of the parents preferred a good physique as a good health condition for their children. The physique of each child was affected with some variables, including the number of family members, and the educational level of the parents. According to the above results, the students' physique in Korea is superior to that of Chosun-Jok in China. But, Koreans are inferior to Ethnic Koreans in China in the students' physical constitution. In conclusion, we consider Chosun-Jok in China to maintain an adequate health level in their physique and physical constitution.

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<명의류안(名醫類案)>에 나타난 감정으로 유발된 질환 및 심리치료 의안(醫案)에 관(關)한 연구(硏究) (A Study on the Disease induced by Emotional Problem and the Psychotherapeutic Medical Records in Mingyi-leian (Classified Medical Records of Famous Doctors))

  • 김성욱;한윤승;김근우;구병수;김주호
    • 동의신경정신과학회지
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    • 제17권1호
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    • pp.17-35
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    • 2006
  • Objects : In the present study, we translated Mingyi-leian into modern Korean, and studied the medical records about the disease induced by emotional problem and the psychotherapy in Mingyi-leian for find the possibility of application that established researches did not studied. Methods : It was 197 cases that related to psychotherapy and emotional problem called Seven Passions(七情). We studied these records by statistical methods. Results : The anger(怒) was the most numerous cause into classified to Seven Passions in 197 cases. In the order of frequency of emotional causes, it was worry(憂), surprise(驚), lust(思), fear(恐), sorrow(悲), joy(喜) that classified into Seven Passions. The most disease induced by emotional problem was internal trauma(內傷), 11 cases. There was very numerous diseases induced by emotional problem except internal trauma. In ratio of the sexes, it was 104 cases in female and 93 cases in male from 197 cases. But the number of all case records about male were more than about female in Mingyi-leian, so female ratio was two times to male ratio. Specially, the percentage of cases about disease due to anger high in female. In ratio of the Seven Passions, the anger was most frequent cause of diseases due to emotional problem in 197 cases, and mostly caused bleeder's diseases. In oral medical treatments, various prescriptions were used. On the whole, the ratio of prescriptions about venting grudges(解鬱) records are mostly application of compatibility and incompatibility with the and warmly strengthening(溫補) were high. Psychotherapeutic medical Five Elements(五行) relation. But it also has psychotherapeutic medical record made by detailed and correct analysis can equal to modern psychotherapy, it is worth refer to clinic. Conclusions : Mingyi-leian and its medical records about the disease induced by emotional problem and the psychotherapeutic records have sufficient meaning to not only modern neuropsychiatric physicians but also physicians of all medical fields to treat disease of this kind.

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중환자실 내 병원성 폐렴 치료를 위한 Piperacillin/Tazobactam의 용량에 따른 효과와 안전성 비교 (Comparison of Piperacillin/Tazobactam Dosing (13.5 g/day vs. 18 g/day) for the Treatment of Hospital-Acquired Pneumonia and Ventilator-associated Pneumonia in Intensive Care Unit)

  • 강정은;이경아;김재송;김수현;손은선
    • 한국임상약학회지
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    • 제28권3호
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    • pp.167-173
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    • 2018
  • Background: In July 2016, the Infectious diseases society of america and the american thoracic society (IDSA & ATS) published a guideline recommending piperacillin/tazobactam (Pip/Tazo) 18 g/day as the anti-pseudomonal dose for the treatment of pathogenic pneumonia. After the guideline was published, the Pip/Tazo dose used for the treatment of pathogenic pneumonia was changed from 13.5 g/day to 18 g/day in a superior general hospital intensive care unit (ICU). In this study, we analyzed the effectiveness and safety of the new dose. Methods: Adult patients aged ${\geq}19years$ who were diagnosed with pneumonia in ICU and who received Pip/Tazo for 7 days or more from September 1, 2015 to May 31, 2017 were included in the study. The electronic medical record (EMR) was retrospectively analyzed. Results: At baseline, there was a significant difference between 44 patients treated with 13.5 g/day and 31 patients treated with 18 g/day of Pip/Tazo. The 18 g/day-treatment group comprised more elderly patients than the 13.5 g/day-treatment group (p=0.028). The results of the treatment-effects analysis showed no significant difference between the two groups. In case of safety data, there were significant differences in two parameters related to blood count, namely hemoglobin (p=0.016) and platelet count (p=0.011). Conclusion: Based on the significant difference in baseline age, there is a possibility that high-dose Pip/Tazo showed improved therapeutic effect. However, when high-dose Pip/Tazo was used, the blood cell count was found to drop from the reference value more frequently. Therefore, blood cell count should be monitored carefully when high-dose Pip/Tazo is administered.

일반계 고등학생의 진로 및 직업에 대한 인식과 진로교육 개선방안 (The improvement plan of course education and the recognition about the course&vocation of General high school student)

  • 임병웅
    • 대한공업교육학회지
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    • 제34권1호
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    • pp.171-195
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    • 2009
  • 본 연구의 목적은 진로교육과 직업에 대한 고등학생들의 인식 조사를 통해 효율적인 진로교육 방안을 모색하는데 도움이 되는 것이다. 연구결과 첫째, 대부분의 학생들이 자신의 진로에 대해 생각하고 있었다. 미래에 대한 대화상대로는 친구가 가장 선택했고, 학교 선생님과 상담을 하지 않는다고 응답한 학생이 39.84%로 높게 나타났다. 진로 선택 시 장애가 되는 요인으로는 학업성적을 가장 크게 보고 있었다. 둘째, 많은 학생들이 진로교육의 시작 시기는 '중학교'가 적절하다고 응답했고, 학교가 제공하는 진로교육 자료가 부족하다고 응답한 학생이 76.56%로 높게 나타났다. 학교에서 진로에 대해 많이 배우는 과목은 사회, 영어, 국어, 과학, 수학 순으로 나타났다. 셋째, 학생들은 직업을 선택할 때에는 적성과 능력이 가장 중요하게 고려되어야 한다고 인식하고 있었다. 학생들이 직업에 대한 정보를 습득하는 주요 경로는 매스컴이 52.34%로 가장 높았고, 교사는 20.31%로 나타났다. '좋지 않은' 가정환경의 학생들의 경우 '교사로부터 직업에 대한 정보를 받는다'에서 상대적으로 높은 비율을 보였다. 넷째, 고등학교 진학에 가장 영향을 많이 준 사람으로는 부모님이 46.09%로 높게 나타났다. 진학하고 싶은 상급학교 수준으로는 대학교까지가 65.63%로 가장 높게 나타났으며, 생활형편과 성적이 좋을수록 대학원이상의 진학을 희망하고 있었다. 일반계 고등학교에 진학하는 이유는 '희망하는 직업을 갖기 위해서'라고 응답한 학생이 70.31%로 가장 많았다.

클러치의 장착이 하악의 비틀림회전운동에 미치는 영향 (Effects of Clutch Adaptation on the Mandibular Rotational Torque Movement)

  • 한경수;이규미;허문일
    • Journal of Oral Medicine and Pain
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    • 제24권2호
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    • pp.207-217
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    • 1999
  • This study was performed to investigate the effects of clutch adaptation on the mandibular rotational torque movement in normal people. 69 dental students were selected for the study. Their mean age were 23.6 years and they did not present any signs and symptoms of temporomandibular disorders. $BioEGN^{(R)}$ with $Rotate^{(R)}$ program was used to observe and record the amount of mandibular rotational torque on protrusion, on right excursion, on left excursion, and on comfortable wide opening movement. The natural tooth contact movement and the movement with clutch were performed in the above four each mandibular movement. Clutch was made by the method used in $Pantronic^{(R)}$ clutch fabrication. Distance of slant frontal which was translatory trajectory in frontal plane and degree of rotational torque in horizontal and in frontal plane were recorded. The data obtained were processed with SPSSWIN program and the results were as follows : 1. Distance of slant frontal in each mandibular movement generally increased with clutch. 2. Degree of rotational torque in horizontal and in frontal plane on protrusion and on lateral excursions did not increase with clutch, but the degree on wide opening increased with clutch. 3. Degree of rotational torque in horizontal plane on protrusion and on lateral excursions did not show any difference between right and left side, but the degree in frontal plane on protrusion and on lateral excursions showed significant difference between right and left side. 4. Total amount of rotational torque from right and left sides on protrusion and lateral excursions were not increased with clutch, but the degree on wide opening movement was increased with clutch. And in this case, degree in horizontal plane was larger than that in frontal plane. 5. Correlation between total amount of rotational torque in horizontal plane and that in frontal plane were highly significant on protrusion and on lateral excursions with or without clutch, but the significant correlation on wide opening without clutch became not significant with clutch.

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