• 한국보육지원학회지
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• 제9권5호
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• pp.201-228
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• 2013

본 연구는 유아기 자녀를 둔 북한이탈주민 어머니의 영어교육에 대한 실태와 어려움을 알아보는 것이 목적이다. 연구대상은 유아기 자녀를 둔 북한이탈주민 201명이며, 영어교육의 실태에 대한 설문지와 심층면담을 통해 자료를 수집하고 분석하였다. 연구결과, 첫째, 대부분의 북한이탈주민 어머니는 자녀에게 영어교육을 실시하고 있었으며, 만 3세 이전에 영어교육을 시작하는 경우가 많았다. 영어교육을 시키는 가장 주된 이유는 같은 또래들이 영어교육을 받고 있기 때문인 경우가 많았다. 자녀의 영어교육을 위한 도움제공은 10분 미만이 가장 많았고, 유아 혼자 복습을 하게하거나, 숙제를 강조하는 경우가 많은 것으로 나타났다. 둘째, 북한이탈주민 어머니들이 자녀에게 영어교육을 시킬 때의 어려움은 비용부담, 정보부족, 영어교육을 시킬 시간부족, 불만족스러운 영어교육 순으로 나타났다. 자녀의 한 달 영어교육비용은 3만원 미만이라는 응답이 가장 많았으며, 영어교육을 위한 지출은 가계에 부담이 된다는 응답이 많았다.

• 농업과학연구
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• 제44권1호
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• pp.123-132
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• 2017

Nowadays, many people suffer from stress because of their jobs, studies, traffic, etc. Daily stress may cause many diseases (Garrett, 1991). One of the methods for reducing stress is experiencing a natural environment (Frumkin, 2001). Cibodas botanical garden (CBG) is one of the most famous travel destinations in Bogor, Indonesia. CBG has the potential for tourism activities. However, an economic assessment is required to verify their sustainability. The research objectives of this study were to identify the characteristics of tourism utilization in CBG, to analyze the economic tourism value of CBG, and to measure the effectiveness of traveling to a natural environment for reducing stress. The research method used was the survey. This study used three data analysis methods: (1) descriptive analysis which was used to identify the characteristics of tourists, (2) travel cost method (TCM), and (3) contingent valuation method (CVM). Results showed some differences in the characteristics of foreign and domestic tourists respondents in age, educational background, income level, number of dependents, and the frequency of their visits. CBG has a high economic value, amounting to IDR (Indonesian Rupiah) 5,508,932,605,405 or approximately USD (United State Dollar) 413,000,000. WTP (Willingness to Pay) of domestic tourist respondents was IDR 29,702 or USD 2.2 per visit, while the value of foreign tourist respondents reached IDR 39,700 or USD 2.9 per visit. Respondents found it preferable to pay more for tickets (WTP value) than to buy medication to reduce their stress.

• Journal of Preventive Medicine and Public Health
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• 제9권1호
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• pp.31-37
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• 1976

This study was conducted for the purpose of obtaining basic information on the patterns of medical care expenditures, and identifying some determinants of medical care expenditures in the rural Korea. Nine guns were chosen from the eight provinces, excluding Cheju island. One gun in each province and two villages were selected from the each myon or ub within the selected guns. The total number of households was 1,789 and the sample size was 9,826 non-institutionalized people. Followings are the major findings of the study : 1) Medical care expenditures increase proportionally with age in terms of cost per patient, per episode of illness, per treated case, and per person. Averagely, it cost 2,756 won per patient, 2,614 won per spell of illness, 4,361 won per treated case, and 413 won per person. 2) Medical care expenditures increase proportionally with educational level of patients. College graduates spent the most, 4,726 won per patient, 5,987 won per treated case, and 670 won per person. 3) The male spent a little more than the female in terms of per patient, per episode, and per person. For example, a male spent 23 won more than a female. 4) Those who were suffering from illnesses longer than 1 year spent three times more than that had illnesses of less than 1 year duration. 5) The simple correlation coefficient between activity restriction and medical care expenditures was the highest among others, 0.491. The next was 0.294 between duration of illness and medical care expenditures. 6) Attempts are made to identify the explanatory variables in medical care expenditures. Thirty one per cent of the variances in tile expenditures can be accounted for by the selected 15 predictors. Those predictors belonged to clinical renditions, such as activity restriction, duration of illness, and nature of conditions, are proved to be the most potent independent variabes. Level of education and monthly family income are also significant in terms of beta coefficient. Further studies are called for to unreveal the determinants of medical expenditures.

• 한국건설관리학회논문집
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• 제9권4호
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• pp.182-192
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• 2008

BTL 사업은 공공시설물에서 민간의 자본과 기술력을 통해 높은 성과를 낼 것으로 기대되고 있지만, VE의 최적 설계안을 선정하고 건물의 유지관리 비용 예측에 사용되는 LCC 분석은 다수의 복잡한 문제점을 가지고 있어 제한적으로 적용되고 있다. 본 연구의 목적은 국내의 BTL 사업에서 LCC 분석의 문제점을 분석하고 그 해결방안을 제안하는 것이다. 이를 위해 BTL 사업에서 주요 사업대상인 교육시설을 중심으로 LCC 분석을 두 가지 수준(대안선정 LCC와 건축 LCC)으로 구분하고, 이들의 주요 특징을 고찰하였다. 그리고 6가지 측면(비용분류체계, 수선정보, 생애주기, 비용의 시간적 가치, 수선정보 데이터베이스, LCC 분석모델)에서 사례연구를 통해 4가지 주요 문제점과 해결방안을 도출하였다. 이 연구의 결과는 민간과 공공분야 참여주체들의 중장기적인 계획과 실행에 의해 해결될 수 있을 것이다.

• 한국인터넷방송통신학회논문지
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• 제21권5호
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• pp.41-46
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• 2021

사교육의 발달과 교육환경의 변화로 인하여 학원홍보와 학생과의 커뮤니티 및 모바일 환경에서 학원관리의 다양한 업무 사항에 대하여 학원관리시스템의 필요성이 대두되고 있다. 하지만 학생들의 등하교에 따른 출석관리와 후원자에게 공지사항 전달 및 강사 관리 등, 기존의 학원 업무를 위해 개발된 솔루션들은 대형학원 위주로 특화되고 전문화되어 있어 중소규모의 학원에는 사용이 어렵고, 비용이 고가이기 때문에 대부분의 학원에는 적합하지 못하고 학원들의 다양한 요구사항을 반영할 수 없는 문제점이 존재한다. 따라서, 본 논문은 학원의 일반적인 업무에 대한 요구사항을 추출하고, 추출된 요구사항을 분석 및 정의하여 학사행정 및 매니저관리, 출결관리, 학생관리 등 학원업무 최적화된 기능을 기반으로 신속 정확한 정보처리와 신뢰도 향상 및 업무 처리 비용을 절감할 수 있는 B2M 기반의 학원관리시스템을 설계하였다.

• 대한치위생과학회지
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• 제4권2호
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• pp.1-7
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• 2021

Background: To identify the factors that affect the current status and satisfaction of people with disabilities at community oral care centers. Methods: A structured self-administered survey, including five questions on facility environment, five on usage procedure, four on medical skill, four on care cost, three on friendliness, and three on satisfaction, was administered to 218 residents of the G-disabled community care center. It comprised a Likert 5-point scale (strongly agree, 5 points; agree, 4 points; moderate, 3 points; disagree, 2 points; not at all, 1 point). The reliability of the measurement tool was 0.932 for Cronbach's α. Results: The evaluation of community oral care centers for the disabled showed that the environment was hygienic (4.42±0.73), reservation system was well maintained (4.18±0.95), and the dentist-in-charge was satisfied with the treatment (4.37±0.62). The participants agreed that the details were sufficiently explained (4.29±0.71). However, in terms of medical expenses, the score of "have fully heard the explanation of medical expenses and reductions" was 3.88±0.92. The factors affecting satisfaction were sex, final educational background in the facility environment, usage procedure, and medical skill. Conclusion: To increase the satisfaction of people with disabilities at community oral care centers, it is necessary to establish a facility environment and service according to the patients' need and increase the reduction or exemption benefits between different treatment cost categories. Oral health management policies for the disabled should be developed based on these factors, so that the oral care of vulnerable groups in blind spots can be maintained.

• Journal of Microbiology and Biotechnology
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• 제32권4호
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• pp.437-446
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• 2022

In this study, to obtain icaritin with high pharmacological activities from icariin, which has a content ratio of over 58% in the total flavonoids of Epimedium herb, a special Epimedium flavonoid-glycosidase was produced, purified and characterized from Aspergillus sp.y848 strain. The optimal enzyme production was gained in a medium containing 5% (w/v) wheat bran extract and 0.7% (w/v) Epimedium leaf powder as the enzyme inducer, and strain culture at 30℃ for 6-7 days. The molecular weight of the enzyme was approximately 73.2 kDa; the optimal pH and temperature were 5.0 and 40℃. The enzyme Km and Vmax values for icariin were 15.63 mM and 55.56 mM/h. Moreover, the enzyme hydrolyzed the 7-O-glucosides of icariin into icariside II, and finally hydrolyzed 3-Orhamnoside of icariside II into icaritin. The enzyme also hydrolyzed 7-O-glucosides of epimedin B to sagittatoside B, and then further hydrolyzed terminal 3-O-xyloside of sagittatoside B to icarisiede II, before finally hydrolyzing 3-O-rhamnoside of icarisiede II into icaritin. The enzyme only hydrolyzed 7-O-glucoside of epimedin A or epimedin C into sagittatoside A or sagittatoside C. It is possible to prepare icaritin from the high-content icariin in Epimedium herb using this enzyme. When 2.5% icariin was reacted at 40℃ for 18-20 h by the low-cost crude enzyme, 5.04 g icaritin with 98% purity was obtained from 10 g icariin. Also, the icaritin molar yield was 92.5%. Our results showed icaritin was successfully produced via cost-effective and relatively simple methods from icariin by crude enzyme. Our results should be very useful for the development of medicines from Epimedium herb.

• Archives of Plastic Surgery
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• 제49권4호
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• pp.531-537
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• 2022

Wide-awake, local anesthesia, no tourniquet (WALANT) is a technique that removes the requirement for operations to be performed with a tourniquet, general/regional anesthesia, sedation or an anesthetist. We reviewed the WALANT literature with respect to the diverse indications and impact of WALANT to discuss the importance of future surgical curriculum integration. With appropriate patient selection, WALANT may be used effectively in upper and lower limb surgery; it is also a useful option for patients who are unsuitable for general/regional anesthesia. There is a growing body of evidence supporting the use of WALANT in more complex operations in both upper and lower limb surgery. WALANT is a safe, effective, and simple technique associated with equivalent or superior patient pain scores among other numerous clinical and cost benefits. Cost benefits derive from reduced requirements for theater/anesthetic personnel, space, equipment, time, and inpatient stay. The lack of a requirement for general anesthesia reduces aerosol generating procedures, for example, intubation/high-flow oxygen, hence patients and staff also benefit from the reduced potential for infection transmission. WALANT provides a relatively, but not entirely, bloodless surgical field. Training requirements include the surgical indications, volume calculations, infiltration technique, appropriate perioperative patient/team member communication, and specifics of each operation that need to be considered, for example, checking of active tendon glide versus venting of flexor tendon pulleys. WALANT offers significant clinical, economic, and operative safety advantages when compared with general/regional anesthesia. Key challenges include careful patient selection and the comprehensive training of future surgeons to perform the technique safely.

• 한국전자통신학회논문지
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• 제11권10호
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• pp.1009-1016
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• 2016

본 연구에서는 NCS 직무에서 병원행정의 능력단위 요소에 해당하는 진료비 심사청구 수행준거의 내용을 수행할 수 있는 교육용 프로그램을 개발하였다. 프로그램은 VB.Net으로 개발하였으며, 데이터베이스는 ACCESS의 Database를 이용하였다. 프로그램 운영에 의한 학습효과는 첫 번째, 진료내역에 의한 진료비 구성을 이해할 수 있다. 두 번째, 병원종별에 따른 점수당 단가를 숙지할 수 있다. 세 번째, 재료금액과 행위금액을 선택하여 병원종별에 따른 가산율이 적용되는 항목과 적용되지 않는 항목을 구분할 수 있다. 또한 처치 및 수술 등의 의료행위에 대한 야간과 소아에 대한 가산여부와 가산율, 검사의뢰 및 전문의의 가산여부와 가산율을 숙지할 수 있다. 네 번째, 입원 본인일부부담율과 식대 및 특수장비의 본인부담율이 다르게 적용되므로 내역별 본인부담율을 숙지하여 입원내역의 본인부담율을 산정할 수 있다. 다섯 번째, 보험유형에 따른 종별가산율을 숙지할 수 있다. 또한 진료비총액의 계산과정을 이해할 수 있다. 여섯 번째, 병원종별에 따른 본인부담율을 숙지할 수 있으며, 진료비총액에서 본인일부부담금액과 청구금액이 산정되는 계산과정을 이해할 수 있다.

• Asian-Australasian Journal of Animal Sciences
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• 제29권12호
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• pp.1734-1741
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• 2016

This study was conducted to examine the effects of adding phytoncide oil extracted from Korean pine nut cone by-product to the diet of dairy cows on milk yield and compositions, fatty acid characteristics, complete blood count and stress response. A total of 74 Holstein cows were used for 30 days and divided into two groups. Each group was given a basal diet (C) or an experimental diet containing phytoncide additives at 0.016% (T) in feed. The results showed that phytoncide feeding had no effect on milk yield. In addition, there were no observed effects on milk composition, but the ratio of fatty acid in milk was significantly affected by the phytoncide diet, and it showed a positive effect. Not only were the major functional fatty acids, conjugated linoleic acid and eicosapentaenoic acid increased, but also ${\omega}6:{\omega}3$ fatty acid ratio was reduced in milk of T group (p<0.05). In blood analysis, the complete blood count showed no significant difference between C and T group on all parameters. However, the cortisol concentration was significantly decreased in T group compared to control (p<0.05). Taken together, we suggest that phytoncide oil does not have a great influence on the physiological changes, but can be a potential feed additive that improves the milk fatty acid and stress resilience in dairy cows. In addition, it will contribute to the development of feed resource, a reduction in feed cost and a lessening of environmental pollution.