• 한국태양에너지학회 논문집
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• 제29권6호
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• pp.81-87
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• 2009

The purpose of this study is to evaluate of the outdoor thermal environment by building scale and block type as variable factors. In this study, 18 cases of office in central business district that have different condition are compared about their surface temperature, HIP(Heat Island Potential), and MRT(Mean Radiant Temperature). They are simulated with 3-dimension numerical simulation software named Hoyano-model. The output results contain visualized distribution chart and numerical data. The results of evaluation are as follows. (1)The surface temperature of the building becomes higher as building coverage ratio is higher but floor area ratio is lower. In same conditions, unified block type is maximum $3.2^{\circ}C$ higher than divided block type. (2)HIP shows different daily pattern as block type. During daytime, divided block type is much higher than unified block type but after sunset, it is changed. (3)MRT shows different distribution pattern as sunlight moves expecially at noon. (4)As the results of this study, cases that have high floor area ratio condition show lower surface temperature by tendency to stay low indoor temperature in office building and big rate of windows on building surface.

• 환경영향평가
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• 제27권1호
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• pp.33-55
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• 2018

생물다양성 감소의 가장 주요한 원인으로 외래생물의 유입이 지적되고 있으며, 특히 침입외래종으로 인한 서식지 파괴, 경제적 손실, 인체 피해 등이 가속화되고 있다. 국내에 유입된 외래생물은 2167종으로 생태계위해성평가를 통해 위해성이 높은 꽃매미(Lycorma delicatula), 붉은불개미(Solenopsis invicta), 뉴트리아(Myocastor coypus), 갯줄풀(Spartina alterniflora) 등 21종이 생태계교란 생물로 지정되어 있다. 국내에 유입될 경우 생태계에 부정적인 영향을 줄 수 있는 위해우려종은 생태계위해성심사를 통해 127종이 지정되어 있다. 이처럼 외래생물을 목록화하여 유입을 사전에 예방하고, 유입된 외래생물에 대한 피해를 최소화하기 위해 생물다양성 보전 및 이용에 관한 법률이라는 국가차원의 관리제도가 마련되었으나, 위험도에 따른 체계적인 관리체계 구축이 부족한 실정이며, 위해성 예측시 평가기준 및 분류군별 생태적 특성을 반영한 위해성평가표가 개발되어야 할 것이다.

• Child Health Nursing Research
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• 제8권3호
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• pp.302-312
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• 2002

This descriptive exploratory study was conducted to analyze the results of developmental screening test using DDST and the follow-up diagnostic evaluation in one public health center, and to evaluate the feasibility of developmental screening in nursing. Samples were 373 children under 6 years who visited the public health center. Mothers' satisfaction on the developmental clinic was also determined. Summaries of the results were as follows:v 1. 0.5% of children in height and 1.9% of children in weight were included in below 3 percentile of Korean children's growth chart, but none of them showed developmental delay. 2. The results of DDST showed 92.1% of subjects were classified as normal, 3.7% as abnormal, and 4.2% as questionable among 354 children. 3. Most of children who showed the abnormal development at the first DDST were confirmed having the developmental delay at the follow-up diagnostic evaluation. On the other hand, most of children who showed the questionable development at the first DDST revealed having the normal development in follow-up screening test. 4. The result of the DDST was influenced by the birth order of the subject and delivery type. 5.The mean satisfaction score by mothers on developmental clinic was 4.35 in 5 Likert scale. In conclusion, we could certain the feasibility and usefulness of developmental screening in community and child care nursing. To fulfil the increasing needs of mothers with infants on the child development, nurses have to provide anticipatory guidance and parent education in addition to the developmental screening test. We hope to expand the developmental screening in nursing field not only of clinical setting but also of community.

• Ocean Systems Engineering
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• 제8권1호
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• pp.1-20
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• 2018

The target area of the proposed study, Mamaia beach, is a narrow stretch of sand barrier island that sits between the Siutghiol Lake and the Black Sea. In the northern part of the bay, is located the Midia Port, where between 1966 and 1971 a long extension of 5 km of the offshore was built. Because of this extension, the natural flow of sediments has been significantly changed. Thus, the southern part of the Mamaia Bay had less sand nourishment which meant that the coast was eroding and to prevent it a protection of six dikes was built. After approximately forty years of coastal erosion, the south of the Mamaia Bay had in 2016 a new protection scheme, which includes first of all the beach nourishment and a new dike structure (groins scheme for protection) to protect it. From this perspective, the objective of the proposed study is to evaluate the effectiveness of the old Master plan against the new one by modeling the outcome of the two scenarios and to perform a comparison with a third one, in which the protection dikes do not exist and only the artificial nourishment has been done. In order to assess the wave processes and the current patterns along the shoreline, a complex computational framework has been applied in the target area. This joins the SWAN spectral phase averaged model with the 1D surf model. Furthermore, new UAV technology was also used to map out, chart and validate the numerical model outputs within the target zone for a better evaluation of the trends expected in the shoreline dynamics.

• 한국임상약학회지
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• 제8권1호
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• pp.35-46
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• 1998

A retrospective study was conducted to evaluate the appropriateness of total parenteral nutrition (TPN) for 200 hospitalized adult patients in Samsung Medical Center from January 1st in 1995 to June 31st in 1997. Standard criteria were modified and determined from those stated by AJHP (American Journal of Health System Pharmacy) and ASPEN (American Society of Parenteral and Enteral Nutrition). The justification for indications was appropriate in $35\%,\;44\%,\;and\;32\%$ of the patient's in 1995, 1996, and 1997, respectively, without significant improvement over the last two and half years. Before and during the administration of TPN, several monitoring indicators were well documented, and monitoring frequencies were increased over two and half years period. However, the majority of the monitoring indicators were not found in the standard criteria range of $90\%$. The monitoring indicators for electrolyte balance, $PO_4$ and Mg, were not measured appropriately and resulted in the complications which could have been prevented. The indicator for lipid tolerance, triglyceride and the indicator for hemorrhagic incidence, prothrombin time (PT), were not well documented in comparison with other indicators. The indicators for the improvement in nutritional status, albumin and total protein, were appropriate in $90\%$ of the patients. Determination of TPN formula was based on the laboratory data and chart reviews, and it was appropriate in $98\%$. But the administration of lipid and vitamin K for the prevention of essential fatty acid deficiency and hemorrhage, respectively, was not carried out appropriately when the administration of TPN was prolonged, lasting more than 7 days. When a patient returned to oral or enteral feeding, TPN was terminated. However, increase in albumin level or weight was rarely observed. In conclusion, healthcare professionals should all work as a team and active participation to provide optimized nutrition support for partners.

• 한국재난정보학회 논문집
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• 제9권1호
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• pp.1-10
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• 2013

본 연구의 주 목적은 최근 증가하고 있는 과하중 트럭의 운행에 대한 도로의 성능 평가에 대한 역학적-경험적 가이드라인을 개발하는 것을 목적으로 한다. 본 연구에서는 두 가지 가이드라인을 제시하고 있다. 첫 단계 가이드라인은 도로 평가 도표를 이용하여 최적의 도로경로를 찾고 그 도로에 대한 추가 실험이나 분석이 필요한지 판단하는 기능을 하고 있다. 그 다음 단계에서는 OTRA 프로그램을 이용하여 도로가 과하중 트럭의 운행이 지속된 공용 기간 동안 구조적 성능을 발휘하는지에 대한 검토를 하고, 또한 필요하다면 아스팔트 덧씌우기 층두께를 산정할 수 있는 기능을 갖고 있다.

• 한국임상약학회지
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• 제9권1호
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• pp.35-43
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• 1999

Over the last 50 years, a number of antibiotic agents have been developed and clinically used in the area of infectious diseases. Due to antimicrobial resistance problems and increasing health care costs, the rational use of antibiotics has been required. As a drug of choice to treat infections caused by MRSA, vancomycin has been extensively prescribed since the late 1970's. Recently, reports of vancomycin-resistant organisms such as VRE and VRSA have been increased to draw medical concerns. The objectives of this study were to evaluate the rational use of vancomycin and the appropriateness of the Restrictional Program of Antibiotic Utilization (RPAU) which has been operated at Samsung Medical Center. A retrospective chart review was performed in 132 hospitalized patients treated with vancomycin in the surgery departments from. January to June 1998. The guidelines of ASHP and HICPAC for vancomycin were modified and used as our criteria to determine the vancomycin DUE. In one hundred out of the patients, uses of vancomycin were approved by the Department of Infectious Diseases (DID) based on the RPAU. Vancomycin was appropriately used in $62.5\%$ of the 100 patients according to the criteria of justification of use, while $60.0\%,\;60.0\%,\;79.0\%,\;and\;51.0\%$ of the patients showed appropriate according to those of lab reports such as applicable culture obtained, pretreatment SCr, WBC and serum drug concentration monitoring, respectively. Although the rest 32 patients were not approved to receive vancomycin by the DID, twenty two percent continued receiving vancomycin treatment. This might result from the fact that the RPAU was started not before the use of antibiotics but in the middle of antimicrobial therapy. Continual education should be provide to the related health professionals and the RPAU should be simultaneously modified in order to increase the rate of appropriate uses of antibiotics.

• Imaging Science in Dentistry
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• 제48권4호
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• pp.261-268
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• 2018

Purpose: To determine the impact of an image processing technique on diagnostic accuracy of digital panoramic radiographs for the assessment of anatomical structures in paediatric patients with mixed dentition. Materials and Methods: The study consisted of 50 digital panoramic radiographs of children aged from 6 to 12 years, which were later on processed using a dedicated image processing method. A modified clinical image quality evaluation chart was used to evaluate the diagnostic accuracy of anatomical structures in maxillary and mandibular anterior and maxillary premolar region of processed images. Results: A statistically significant difference was observed between pre and post-processed evaluation of anatomical structures(P<0.05) in the maxillary and mandibular anterior region. The anterior region was found to be more accurate in post-processed images. No significant difference was observed in the maxillary premolar region (P>0.05). The Inter-observer and intra-observer reliability of both pre and post processed images were excellent (>0.82) for anterior region and good (>0.63) for premolar region. Conclusion: The application of image processing technique in digital panoramic radiography can be considered a reliable method for improving the quality of anatomical structures in paediatric patients with mixed dentition.

• 대한후두음성언어의학회지
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• 제32권2호
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• pp.75-80
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• 2021

Background and Objectives Functional aphonia refers to in which by presenting whispering voice and almost producing very high-pitched tensed voices are produced. Voice therapy is the most effective treatment, but there is a lack of consensus for application of voice therapy. The purpose of this study was to examine the vocal characteristics of functional aphonia and the effect of voice therapy applied accordingly. Materials and Method From October 2019 to December 2020, 11 patients with functional aphonia were treated using voice therapy which was processing three stages such as vocal hygiene, trial therapy, and behavioral therapy. Of these, 7 patients who completed the voice evaluation before and after voice therapy was enrolled in this study. By retrospective chart review, clinical information such as sex, age, symptoms, duration, social and medical history, process of voice therapy, subjective and objective findings were analyzed. Voice parameters before and after voice therapy were compared. Results In GRBAS study, grade, rough, and asthenic, and in Consensus Auditory-Perceptual Evaluation of Voice, overall severity, roughness, pitch, and loudness were significantly improved after voice therapy. In Voice handicap index, all of the scores of total and sub-categories were significantly decreased. In objective voice analysis, jitter, cepstral peak prominence, and maximum phonation time were significantly improved. Conclusion The voice therapy was effective for the treatment of functional aphonia by restoring patient's vocalization and improving voice quality, pitch and loudness.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제42권
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• pp.17.1-17.11
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• 2020

Background: To evaluate the facial asymmetry, three-dimensional computed tomography (3D-CT) has been used widely. This study proposed a method to quantify facial asymmetry based on 3D-CT. Methods: The normal standard group consisted of twenty-five male subjects who had a balanced face and normal occlusion. Five anatomical landmarks were selected as reference points and ten anatomical landmarks were selected as measurement points to evaluate facial asymmetry. The formula of facial asymmetry index was designed by using the distances between the landmarks. The index value on a specific landmark indicated zero when the landmarks were located on the three-dimensional symmetric position. As the asymmetry of landmarks increased, the value of facial asymmetry index increased. For ten anatomical landmarks, the mean value of facial asymmetry index on each landmark was obtained in the normal standard group. Facial asymmetry index was applied to the patients who had undergone orthognathic surgery. Preoperative facial asymmetry and postoperative improvement were evaluated. Results: The reference facial asymmetry index on each landmark in the normal standard group was from 1.77 to 3.38. A polygonal chart was drawn to visualize the degree of asymmetry. In three patients who had undergone orthognathic surgery, it was checked that the method of facial asymmetry index showed the preoperative facial asymmetry and the postoperative improvement well. Conclusions: The current new facial asymmetry index could efficiently quantify the degree of facial asymmetry from 3D-CT. This method could be used as an evaluation standard for facial asymmetry analysis.