• 기본간호학회지
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• 제6권3호
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• pp.452-463
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• 1999

This study was performed to inquire into recognition of cold and heat application. The subjects in the study were 429 adults who were collected by disproportional quota sampling according to age, sex. The instrument was 36 questions that constitured closed questions and semiopened questions that encluded general characteristics, recognition of cold and heat applications. and what will you do when requested cold and heat applications on abdomial and perineal areas. Data were collected from september 25 to October 25, 1998. Data was analysed by SPSS/win, into frequency, Pearson correlation, t-test, ANOVA. The results were following. 1) The subjects consisted of male and female who was from teenage to fifty year old above. According to general characteristics, who endureed moderate cold-heat application, had constitutional fever, good sweat, and taked a cold bath accationally. And the woman think that their body were more cold than man. and the number of cold bath was less than man. Woman felt more harder than man that endured exposing cold. According to the recognitions of cold-heat applications, the 61.9% of the subjects think that cold application is more positive, and the 61.7% of the subjects think that heat application is more positive. 2) The subjects think that oral cavity, abdomen, back, extremes must be warm. 3) The percents of cold or heat application at abdomen were 77.4%, 86.5% respectely and the percents of cold or heat application at perineum were 56.9%. 93.6% respectely. With the above results. we know that the subjects have the fixed perceptions that each body part has to maintain its temperature. especially, they think that postpartum care is correlated with cold-heat application. So when we intervent nursing care, we also must regard their recognitions of cold and heat applications. and we need to educate and explain correctly about cold-heat application.

• 한국응급구조학회지
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• 제8권1호
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• pp.33-45
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• 2004

The study is designed to develop an educational CD-Title for Basic Life Support. The study is conducted from July to December, 2002, Based on the course of program development suggested by Dick and Cray. the study followed the planning, development, education and evaluation of a program. The developed CD-Title consists of 8 parts. 1. Intro include Introduction, Adult CPR, Child CPR, Infant CPR, Adult Foreign-Body Airway Obstruction, Infant Foreign-Body Airway Obstruction, and Exercise in Menu at Right of screen. 2. Introduction consist of death process at cardiac arresst, chain of survival, introduction of CPR, respiratory & ciculatory anatomy and physiology. 3. Adult CPR consist of assessment responsiveness, activating EMS system, position victim, opening a airway, checking for breathing, rescue breathing, checking for sign of circulation, chest compression, 1 person & 2 persion adult CPR video. 4. Child & Infant CPR consist of, causes, assessment responsiveness, position victim, opening the airway, checking for breathing, rescue breathing, checking for sign of circulation, chest compression, activating EMS system, child & infant CPR video. 5. Adult Foreign-Body Airway Obstruction include assessment responsiveness, activating EMS system, position victim, opening a airway, checking for breathing, 2 rescue breathing, reopening the airway, 2 rescue breathing, finger sweep, 5 abdominal thrusts, unresponsiveness adult Foreign-Body Airway Obstruction video. 6. Infant Foreign-Body Airway Obstruction consist of, causes, assessment responsiveness, position victim, opening the airway, checking for breathing, 2 rescue breathing, reopening the airway, 2 rescue breathing, checking foreign-body object in oral cavity of victim, 5 back blow, 5 chest thsusts, activating EMS system, video. 7. 32 exercise consist of 8 Adult CPR, 12 Child & Infant CPR, 5 Adult Foreign-Body Airway Obstruction, 7 Infant Foreign-Body Airway Obstruction. Every part consist of animations to trigger students interests. This CD-Title will be useful education for first responders and lay rescuers.

• 동의생리병리학회지
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• 제16권3호
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• pp.588-593
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• 2002

Paraquat, one of the potent herbicides, causes fatal damage to many vital organs, when orally ingested, resulting in circulatory failure, respiratory distress syndrome, and a few other serious problems, but there is no known specific antidote against it. Of the possible problems related to paraquat intoxication, oliguric acute renal failure, which has been known to develop within 24 or 48 hours after intoxication, are notoriously life-threatening. So we attempted to investigate the clinical characteristics and progress of paraquat-induced acute renal failure and the therapeutic possibilities of herbal medicines. All of the fifteen subjects were treated with intravenous fluid injection of 5% dextrose saline or 10% dextrose water in conjunction with herbal medicines which were used for oral administration or gargling. Gamdutang, a decoction of Semen Glycin(黑豆 200g) and Radix Glycyrrhizae(甘草 100g) with addition of other herbs when necessary, was administered orally. At the same time, gargling fluid, consisted of Chinese ink(墨汁), char-frying powder of Rhei Rhizoma(大黃炒炭末), Succus phyllostachyos(竹瀝), was used to detoxify the oral cavity. Serum levels of Blood Urea Nitrogen(BUN) and Creatinine reached its peak on the third day of hospitalization, but then decreased and fell within the normal range on the 7th day and remained there. Serum levels of Na+ and K+ decreased down below the lower limits of normal range on the 7th day and on the 3rd day, respectively. Then they returned back within normal limits. Mean urine output on the 1st day of hospitalization was 1,050ml and it continuously increased to reach more than 2,000ml on the 14th day. From that day on, it stayed over 2,000ml. Fifteen cases of acute renal failure caused by paraquat intoxication were treated with combined treatments of oriental and western medicine in our hospital. However, we think that it is necessary to study further about the way to combine oriental and western medicine, to find out a more effective treatment method.

• Journal of Chest Surgery
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• 제19권3호
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• pp.443-448
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• 1986

Aortic dissection is a serious disease that mortality does not approach to zero despite of medical and surgical improvement. Recently two cases of aortic dissection were treated with good results by the two other methods. Case 1 [57-Y-0-Male]; Chief complaint was chest pain radiating to the back. Preoperatively he was controlled by Minipress, dichlotride, & sodium nitroprusside. Aortography showed DeBakey Type III aortic dissection extending from just below the Lt. subclavian artery to the proximal portion of the origin of the renal artery. Through the midline long incision Flow reversal & Thrombo-exclusion method was used, and bypass course was proximal anastomosis at the ascending aorta - through the Rt. thoracic cavity - midportion of the diaphragm - posterior to the liver, stomach, & pancreas - distal anastomosis at the abdominal aorta proximal to its bifurcation. Bypass graft was preclotted 20 mm Dacron Woven Graft, and the aortic arch between the Lt. subclavian artery & Lt. common carotid artery was divided and meticulously sutured. Control aortogram which was done at 4th postoperative month revealed obstruction of the false lumen by thrombosis, and complications were not noticed. Case 2 [53-Y-0-Male]; Chief complaint was chest pain radiating to the abdomen. DeBakey Type III aortic dissection which was similar to the case 1 was detected by the aortography, and involvement of the Lt. subclavian & common carotid arteries was suspicious. Through the Lt. posterolateral thoracotomy the Ringed Intraluminal Sutureless Graft, No. 22 mm, was inserted from just below the Lt. common carotid artery to the midportion of the descending thoracic aorta under total circulation arrest using a F-F bypass, and the Lt. subclavian artery was ligated. Postoperatively hospital course was uneventful with antihypertensive drugs, and any specific complications were not noticed.

• 대한후두음성언어의학회지
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• 제10권2호
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• pp.119-123
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• 1999

Background and Objectives : Conditions such as muscle atrophy, stretching of strap muscles, and continued craniofacial growth factors have been cited as contributing to the changes observed in the vocal tract structure and function in elderly speakers. The purpose of the present study is to compare F$_1$ and F$_2$ frequency levels in elderly and young adult male and female speakers producing a series of vowels ranging from high-front to low-back placement. Material and Methods : The subjects were two groups of young adults(10 males, 10 females, mean age 21 years old range 19-24 years) and two groups of elderly speakers(10 males, 10 females, mean age 67 years : range 60-84 years). Each subject participated in speech pathologist to be a speaker of unimpared standard Korean. The headphone was positioned 2 cm from the speakers lips. Each speaker sustained the five vowels for 5 s. Formant frequency measures were obtained from an analysis of linear predictive coding in CSL model 4300B(Kay co). Results : Repeated measure AVOVA procedures were completed on the $F_1$ and $F_2$ data for the male and female speakers. $F_2$ formant frequency levels were proven to be significantly lower fir elderly speakers. Conclusions : We presume $F_2$ vocal cavity(from the point of tongue constriction to lip) lengthening in elderly speakers. The research designed to observe dynamic speech production more directly will be needed.

• Tuberculosis and Respiratory Diseases
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• 제49권5호
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• pp.644-648
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• 2000

저자들은 고열을 동반한 피부 궤양과 폐의 다발성 공동을 보인 환자를 항결핵제로 치료하였으나 반응하지 않아 피부와 폐의 조직 검사를 시행한 결과 괴사성 육아종성 확인하고 c-ANCA 검사 Wegener 육아종증으로 확진하여 cyclophosphamide와 methylpredni-solone으로 치료하여 임상적 호전을 보인 예를 보고하는 바이다.

• 한국터널지하공간학회 논문집
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• 제18권2호
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• pp.143-154
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• 2016

최근 국내 빈번하게 발생되고 있는 지반함몰 현상의 원인, 현황, 대책에 대하여 지반공학적인 접근 방법으로 조사하였다. 국내 발생된 지반함몰은 대부분 터널 굴착 공사와 지중매설관의 손상에 의한 것으로 나타났다. 용산역과 석촌 지하차도 지반함몰 사례와 같이, 굴착 공사 중 지반함몰은 지하수와 토사의 과다 유출이 주된 원인으로 나타났다. 특히, 충적층과 같은 연약지반에서의 기계식 굴착 시, TBM 굴착이 멈춘 지점에서 지반함몰 위험이 큰 것으로 나타났다. 서울시에서 발생된 지중매설관 손상으로 인한 지반함몰 사고를 종합하였을 때, 시공 시의 부주의, 노후화, 연약지반에서의 관의 부등침하 등이 지반함몰의 원인으로 나타났다. 터널 굴착 공사에 의한 지반함몰은 공사 시 발생되는 지하수, 토사의 이동에 대한 모니터링을 통해 대비할 수 있다. 지중매설관 손상으로 인한 지반함몰은 지중매설관의 생애주기 분석 및 유지관리 혹은 관 상부의 토압 분산 및 토압 지지력 증대를 통하여 대비할 수 있을 것으로 판단된다.

• 한국음향학회:학술대회논문집
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• 한국음향학회 2001년도 추계학술발표대회 논문집 제20권 2호
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• pp.233-236
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• 2001

일반적으로 스피커를 동작시키게 되면, 스피커 보이스 코일에 열이 발생하게 되고, 열에 의한 보이스코일의 저항의 증가가 나타나게 되는데, 기존의 연구는 저음용 스피커(Woofer) 만을 대상으로 스피커의 음향특성 변화들에 관해 수행되었다. 그러나, 현대의 스피커는 A/V시스템분야의 발전에 따라 고음재생의 충실도가 강조되고 있는 경향이므로, 고음용 스피커(Tweeter)에 대한 열 발생의 영향을 조사하였다. 본 연구에서는 고음용 스피커의 입력전력에 따른 특성 변화를 조사하고, 입력전력의 증가로 인한 보이스코일(voice coil)의 저항 증가에 따른 고음용 스피커의 특성변화에 관해 실험하였다. 그리고, 스피커의 진동에 의한 펌프(pump) 역할을 이용하는 냉각용 구멍을 뚫어 스피커의 특성변화를 검토하였다. 실험대상으로는 직경 25mm의 돔(Dome)형 진동판을 가진 고음용 스피커와 이 스피커의 후면 중심부에 구멍을 뚫어 열 방출구가 형성된 3종의 시료를 대상으로 특성변화를 비교$\cdot$측정하였다. 여기에서, 사용된 시료는 국내 Y사의 판매용 고음용 스피커로 제품의 원 상태인, 구멍이 없는 것을 기준시료로 하고, 이와 동일한 제품들의 후면에 각각 직경 5mm, 10mm, 15mm의 구멍을 가공하여 비교시료로 하였다. 기준 및 비교시료의 스피커 특성을, 한국산업규격 KS C 6027의 측정법에 따라, 입력 1W 상태에서 기준시료의 사양을 측정하였고[1], 입력을 0.5W, 1W, 2W, 4W, 8W, 16W로 가하여, 시료별 입력증가에 따른 스피커의 주파수 응답특성, 임피던스(Impedance), 조화 왜(Harmonic Distortion)의 변화율 측정을 통해 스피커의 특성변화 정도를 검토하였다. 향후, 본 연구의 결과는 고음용 스피커의 특성 열화에 대한 예측 및 개선 방안을 제시하는 기본 자료로 활용이 가능할 것으로 사료된다.용하여 현금흐름예측을 할 수 있는 Model을 제시하였다. 특히 건설공사의 현금흐름 예측의 중요한 요소인 Cash-Out에 대하여, 공사비 구성요소인 자재, 노무, 중기, 외주, 경비등 각 Resource의 보할(Weights)을 실 공사원가에 따른 보할의 변화와 Resource들의 Time Lag를 적용 기존 연구자의 Model과 다른 Model을 제시하였다. 또한 기존 연구자들의 Model과 비교하여 편리성, 정확도 및 신뢰성이 높은 Model임도 증명하였다.세대까지도 발현수준이 유지될 것으로 판단된다. 이러한 연구결과는 계통으로 확립된 형질전환 동물에 부여된 새로운 유전형질은 지속적으로 후대로 유전될 수 있음을 제시한다.잖⨀瘀Ā퀇Āゑ잖⨀Ā퀇Ԁ￿™잖⨀䌀Ā퀇ĀꄏĀꀏꄏĀꀏ₱?⨀Ā Ԁ￿䂱?⨀ऀĀ耀Ā삱?⨀؀Ā Ā?⨀ጀĀ耀Ā?돀ꢘ?⨀硩?⨀ႎ?⨀?⨀넆돐쁖잖⨀쁖잖⨀／ࠐ?⨀焆덐瀆倆Āⶇ퍟ⶇ퍟ĀĀĀĀ磀鲕좗?⨀肤?⨀⁅Ⴅ?⨀쀃잖⨀䣙熸ጁ↏?⨀

• Restorative Dentistry and Endodontics
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• 제22권2호
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• pp.670-679
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• 1997

The pH changes in 4 small cavities prepared at the facial inner dentin and lingual outer dentin of the cervical and apical portion of root filled with calcium hydroxide pastes were investigated. Forty extracted permanent teeth with single canal were instrumented with step-back method, and then 4 small cavities were prepared. Two inner dentin cavities were cut a distance of about 1.0mm from the canal wall and two outer dentin cavities were cut to a depth of about 0.5mm from the root surface. Root canals and prepared cavities were flushed with 17% EDTA, and then irrigated with 5% NaOCl to remove smear layer. Teeth were randomly divided into four groups. Control group was not filled and the remaining other groups were filled with mixture of calcium hydroxide and distilled water, Vitapex$^{(R)}$ paste and Pulpdent$^{(R)}$ paste respectively. The pH change of the dentin in each cavity was measured at 0, 1, 3, 7, 14, 21, 28, 60, 90 days with pH microelectrode(WPI Co., USA). The results were as follows : 1. The groups obturated with Pulpdent$^{(R)}$ paste and Aqueous calcium hydroxide produced the increased pH level at 1 day and maintained plateau over next 3weeks and decreased after 3weeks. 2. The group obturated with Vitapex$^{(R)}$ paste observed no significant pH change until 2weeks and slight increased pH at 3weeks and sequential increasing after 3weeks. But, the pH in the group obturated with Vitapex$^{(R)}$ paste remained significantly below the pH measured in the other two experimental groups(P<0.05). 3. All experimental groups showed pH level similar to control group after 28 days. 4. The pH of outer dentin is slightly higher than that of inner dentin. There is no significant difference in pH level between apical and cervical dentin throughout the duration of the experiment, though apical dentin showed slightly higher pH than cervical dentin at 1 day(P<0.05).

• Geomechanics and Engineering
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• 제35권1호
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• pp.29-39
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• 2023

As the intensity of urban underground space development increases, more and more tunnels are planned and constructed, and sometimes it is inevitable to encounter situations where tunnels have to underpass the river embankments. Most previous studies involved tunnels passing river embankments perpendicularly or with large intersection angle. In this study, a project case where two EPB shield tunnels with 8.82 m diameter run parallelly underneath a river embankment was reported. The parallel length is 380 m and tunnel were mainly buried in the moderate / slightly weathered clastic rock layer. The field monitoring result was presented and discussed. Three-dimensional back-analysis were then carried out to gain a better understanding the interaction mechanisms between shield tunnel and embankment and further to predict the ultimate settlement of embankment due to twin-tunnel excavation. Parametrical studies considering effect of tunnel face pressure, tail grouting pressure and volume loss were also conducted. The measured embankment settlement after the single tunnel excavation was 4.53 mm ~ 7.43 mm. Neither new crack on the pavement or cavity under the roadbed was observed. It is found that the more degree of weathering of the rock around the tunnel, the greater the embankment settlement and wider the settlement trough. Besides, the latter tunnel excavation might cause larger deformation than the former tunnel excavation if the mobilized plastic zone overlapped. With given geometry and stratigraphic condition in this study, the safety or serviceability of the river embankment would hardly be affected since the ultimate settlement of the embankment after the twin-tunnel excavation is within the allowable limit. Reasonable tunnel face pressure and tail grouting pressure can to some extent suppress the settlement of the embankment. The recommended tunnel face pressure and tail grouting pressure are 300 kPa and 550 kPa in this study, respectively. However, the volume loss plays the crucial role in the tunnel-embankment interaction. Controlling and compensating the tunneling induced volume loss is the most effective measure for river embankment protection. Additionally, reinforcing the embankment with cement mixing pile in advance is an alternative option in case the predicted settlement exceeds allowable limit.