• 제목/요약/키워드: Field demonstration

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라만분석기를 이용한 LNG 품질 분석 실증 연구 (A Study on LNG Quality Analysis using a Raman Analyzer)

  • 이강진;주우성;고유진;모용기;이승호;김용철
    • Korean Chemical Engineering Research
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    • 제62권1호
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    • pp.70-79
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    • 2024
  • 라만분석기는 분자가 가지는 고유 진동에 빛을 조사하여 발생하는 빛의 산란이 생기는 "라만효과"를 이용하여 분자 구분과 성분 분석을 할 수 있는 분석기로, 천연가스 산업에서도 LNG(액화천연가스) 수출 및 수입 기지 외에 벙커링 및 탱크로리 분야에서도 폭 넓게 사용 중이다. 본 연구에서는 실제 현장 조건하에서, LNG 성분 분석 및 주요 물성(발열량, 기준밀도 등)을 산출하기 위해 LNG 수입기지에 라만분석기를 설치, 운영하였으며, 측정된 LNG 성분 및 발열량을 기존 검증되어 운영 중인 가스분석기에 의해 분석된 성분 및 발열량과 비교하였다. 시험 결과 라만분석기는 매우 빠르고 안정되게 LNG 성분 및 발열량을 측정하였으며, LNG 거래의 기준이 되는 발열량을 기존 가스분석기 결과값과 비교시에도 적정 오차 기준 내에 있는 것을 확인하였다. 추가적으로 본 연구를 통해 얻은 측정 결과는 관련 표준(ASTM D7940-14)의 정확도 기준을 만족하였고, 국외 대규모 실증 사례와의 비교 시에도 유사한 결과를 산출하였다.

전을(錢乙)의 의학사상(醫學思想)에 관(關)한 연구(硏究) (A Study on Qian Yi(錢乙)'s Medical Though)

  • 오준환;김기욱;박현국
    • 한국의사학회지
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    • 제14권2호
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    • pp.109-152
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    • 2001
  • Throughout this paper, I adjusted the study of 'Qian Yi'(錢乙)'s Medical Thought, and the following is the summary. 1. 'Qian Yi' wrote 'Xiao Er Yao Zheng Zhi Jue'("小兒藥證直訣", edited by 誾季忠), and there were 'Shang Han Lun Zhi Wei'("傷寒論指微"), 'Ying Ru Lun', however those are loss of the record. 2. Qian Yi's 'Zhi Jue'("直訣") was influenced by 'Lu Xin Jing', yet if we compare the quality of 'Sheng Li, Byeng Li, Bang Jae'(生理, 病理, 方劑), 'Lu Xin Jing' cannot be the foundation of 'Zhi Jue'. He took over 'Nei Jing, Shang Han Lun, Jin Gui Yao Lue, Shen Long Ben Cao Jing, Tai Ping Sheng Hui Fang'("內經", "傷寒論", "金?要略", "神膿本草經", "太平聖惠方") and put them together to the direct clinical experiences of pediatrics. 3. There is no reference regarding the difficulties of pediatric diagnosis and diseases in 'Huang Di Nei Jing'("黃帝內經") Before 'Bei Song'(北宋), regardless of the lack of data related to pediatric diseases, 'Qian Yi' established the pediatric system in 'Xiao Er Yao Zheng Zhi Jue' for the first time. 4. In his diagnosis of the pediatric diseases, he 'Si Zhen He Can'(四診合參), also considered in the eye exam seriously. In addition, he closely combined 'Wu Zang Bian Zheng'(五臟辨證), and diagnosis the pediatric diseases. 5. 'Wu Zang Bian Zheng', what Qian established method was based on 'Zheng Ti Guan'(整體觀) in 'Huang Di Nei Jing'. It was based on clinical experiences and established the perspectives of 'Tian Ren Xiang Ying'(天人相應). First of all, he pinpointed 'Zhu Zheng'(主證) clearly. Secondly, he pinpointed the relationships to symptoms and then, he distinguished a generic character of 'Xu, Shi, Han, Re'(虛, 實, 寒, 熱). Finally, he made an induction from genealogical pediatric physiology. 6. 'Qian Yi' took a serious view of 'Ban Zhen'(斑疹), the inadequate field in those days. At that time, he criticized on the habituation of the misuse of medication. He treated separately which 'Ji Jing'(急驚) as 'Liang Xie'(凉瀉) and 'Man Jing'(慢驚) as 'Wen Bu'(溫補). He proposed 'Cong Gan Zhu Feng, Xin Zhu Jing'(從肝主風, 心主驚) theory and formulated 'Jing Feng'(驚風) theory as well. 7. As an opponent of a tendency to misusage of medicine, 'Qian Yi' made out a prescription with pliant medicine. He emphasized on the treatment to 'Gong Bu Shang Zheng, Bu Bu Zhi Xie, Xiao Bu Jian Shi'(攻不傷正, 補不滯邪, 消補兼施) because he had so lucid demonstration to 'Xu Shi Han Re'(虛實寒熱) of the five viscera in the field of 'Bang Yak'(方藥). 8. There were no pediatrics schools at that time, however, the pediatrics was being made up gradually by 'Jin Yuan Si Da Jia'(金元四大家) who was influenced by 'Qian Yi'. He raised an objection to medical treatment using pliant medicine. 'Qian Yi' applied 'Qu Xia'(驅下) treatment using 'Han Liang'(寒凉) medicine. 'Han Liang Pai'(寒凉派) is greatly influenced by Qian. 'Chen Wen Zhong'(陳文中) had a great impact on 'Han Liang Pai' who used a 'Zao Shu Wen Bu'(燥熟溫補) medicine for treatment. Since 'Song Jin'(宋金), he had a tremendous influence on pediatrics treating patients in both 'Han Wen'(寒溫) ways. 9. 'Qian Yi' had an influence on his medical thoughts on future generations, especially to 'Wan Quan'(萬全) of 'Ming Dai', 'Wu Tang'(吳塘) of 'Qing Dai'(淸代) and 'Yun Shu Jie'(?樹珏) of 'Min Guo'(民國). 'Wan Quan' is an advocate of 'You Yu, Bu Zu Zhi Shuo'(有餘, 不足之說)of 'Xiao Er Wu Zang'(小兒五臟) that he revealed Qian's 'Wu Zang Bian Zheng'(五臟辨證). 'Wu Tang' disclosed Qian's 'Xiao Er Ti Zhi Shuo'(小兒體質說) and 'Xiao Er Ke'(小兒科)'s 'Yong Yao Lun'(用藥論), therefore, he uncovered pediatric physiological characteristics through the advocate of Qian's 'Zang Fu Rou Ruo, Ji Gu Nen Qie, Yi Xu Yi Shi, Yi Han Yi Re' (臟腑柔弱, 肌骨嫩怯, 易虛易實, 易寒易熱). 'Yun Shu Jie' developed intrinsic relationships among time, symptom and 'Tian Ren Xiang Ying Guan'(天人相應觀), What 'Qian Yi' stated about them. And also, he developed Qian's 'Di Huang Wan'(地黃丸), 'Xie Qing Wan'(瀉靑丸), 'Yi Huang San'(益黃散) clinical usages as well. 10. Regarding Qian's 'Wu Zang Xu Shi'(五臟虛實), it has an influence on 'Zhang Yuan Su'(張元素)'s 'Zang Fu Bing Ji Bian Zheng'(臟腑病機辨證). 'Di Huang Wan', 'Xie Qing Wan', 'Xie Xin Tang'(瀉心湯), 'Yi Huang San', 'Xie Huang San'(瀉黃散) are the standard prescription of 'Wu Zang Bu Xie'(五臟補瀉). It is under the influence of Qian's treatment. Besides, 'Qian Yi' took a serious view of 'Xiao Er'(小兒)'s 'Pi Wei'(脾胃). 'Qian Yi' had an impact on 'Li Dong Yuan'(李東垣) one of the member of 'Bu Tu Pai'(補土派). 'Di Huang Wan', which placed great importance on 'Bu Yi Shen Yin'(補益腎陰), had a great impact on 'Da Bu Yin Wan'(大補陰丸) and 'Jin Yuan Si Da Jia' as well. 11. In a theory of Qian's 'Wu Zang Bian Zheng', though it had been stated clearly in 'Wu Zang Bian Zheng', but he neglected in 'Liu Fu Bian Zheng'(六腑辨證). In prescription field, The problem with the medicine is that it is either toxic or mineral, therefore, we are not able to use those medicine in a clinical testing at the present time.

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보건지소 공중보건 일반의사의 업무수행정도와 수련개선방안 (Assessment of the Activities of General Physicians in Health Subcenters and a Scheme to Improve the Training Program)

  • 박정한;천병렬;우극현
    • Journal of Preventive Medicine and Public Health
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    • 제19권2호
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    • pp.193-202
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    • 1986
  • 공중보건 일반의사들의 업무수행 정도와 진료, 예방 및 보건증진 사업 수행에 필요한 기본적인 수기의 수행능력을 평가하고 그들의 업무 수행능력을 향상시키기 위한 교육 개선 방안을 마련하기 위하여 1982년과 1983년에 배치된 공중보건 일반의사들 가운데 남부 4개도(경북, 경남, 전북, 전남)에서 출신학교별로 비슷한 비율로 120명을 무작위로 뽑아 1984년 1월 9일에서 2월 10일 사이에 설문지를 이용한 집단면담을 하였다. 면담에 응한 97명 가운데 본 조사에 필요한 자료를 제시할 수 있었는 86명으로 부터 얻은 자료를 분석하였다. 보건지소의 진료실적은 2종 보험실시 지역이 1일 평균 $30{\sim}40$명으로 환자가 많으나 그외 지역은 $3{\sim}4$명으로 매우 저조하였다. 또한 예방 및 보건증진사업을 적극적으로 추진한다고 답한 사람은 조사대상자의 2%에 불과했다. 63가지 기본적인 임상수기 가운데서 자신있게 할 수 있다고 한 사람이 50%이상인 것은 근육주사, 정맥주사, 외상치료와 같이 간단한 것으로 12가지에 불과했고 임산부관리, 응급환자처치, 예방 및 보건증진 사업등에 필요한 수기에 자신이 있는 사람은 10%도 못 되었다. 국립보건원에서 실시하고 있는 공중보건 일반의사들의 실무교육이 현지 사정과 맞지 않는것이 많아 실무에 큰 도움이 안 된다고 했으며, 도립병원이나 지방 종합병원에서 받은 임상수련이 실무에 많은 도움이 된다고 한 사람은 38.8%였으며, 별도움이 안된 이유 가운데 전문의가 없거나 있어도 무관심하여 수련지도가 부족한 탓이라고 한 사람이 48.4%로 가장 많았다. 공중보건일반의 실무교육은 교육내용을 실무종사자들의 의견을 수렴하여 현지 사정에 맞도록 개선해야할 것이며, 실무종사자들 가운데 유능한 사람을 강사로 활용하고, 국립보건원에 모아 교육시키는 것보다 전국을 몇개의 지역으로 나누어 지방에서 교육을 시키는것이 효과적일 것이다. 임상실습은 4개월이 적당할 것으로 생각되며, 수련기간 동안에 필수적으로 익혀야 할 수기를 수첩으로 만들어 실습사실을 지도전문의에게 확인 받게하며, 보건사회부에서는 수련지도에 관한 지침을 마련하여 수련병원에 배부하고 수련상황을 평가하도록 한다. 최소한 기본 4과에 전문의를 갖춘 병원을 수련병원으로 선정하여야 할 것이다. 공중보건 일반의사들이 현지에서 당면하는 문제해결을 도우고 사업추진을 위한 동기를 유발하기 위해 보수교육이 필요하며 이를 위해 보건사회부는 재정 및 행정적 지원을 하는 것이 좋겠다. 도를 몇개지역으로 나누어 지역마다 지도위원회를 구성하여 공중보건 일반의사들을 순회지도 하고 자문에 응하도록 하는 것이 좋을 것으로 생각된다.

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우리 나라 농촌지역(農村地域)에 부합하는 1차(次) 보건의료전달체계(保健醫療傳達體系) 정착구현(定着具現)에 관한 연구(硏究) -마을 보건임원(保健任員) 개발(開發)- (A Study on Implementation of Primary Health Care Delivery System meet to Rural Area in Korea -Village Health Voluntary Worker Development-)

  • 구연철;위자형;황선정;최삼섭
    • Journal of Preventive Medicine and Public Health
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    • 제12권1호
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    • pp.13-23
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    • 1979
  • A study was carried out from October 1977 to September 1978 in order to develope health care delively system which will meet to rural area in Korea. For the study objective a model of health care delivery system of Myun (township) area was developed which is adopted the net-work of village health voluntary worker who will play the role of bridge for communication related with health and illness between families or village people and health subcenter, and :he model health care delivery system net-work was set in the area of Soodong Myun, Yangju Gun. which is the rural health demonstration area of Ewha Womans University since 1972. The activities and attitude of 22 village health voluntary workers were observed and analized. during the study period. The results are as follows; 1. For the field activities of village health voluntary workers. a guide line which is described with specific behavioral objectives was developed and used for not only training of the workers but also evaluation of their field activities. 2. During the study period, the number of 971 village people were served primary health care service by village health voluntary worker and the service was classified largely into symptomatic medications (92%) and preventive measures (8%). 3. Comparative percentage of the number of 894 symptomatic cases cared by village health voluntary workers to 5,695 cases of patient treated by Soodong Health Subcenter during the same period was 15.7%. 4. Annual utility rate of village health voluntary worker by Myun total people was 16.1% but utility rate by Rie was varied from 38.2% to 2.8% which shown there were considerable differences in each Rie. In order to settle the village health care service, the obstructive factors of utility should be detected and their counter measure must be taken. 5. As the health need of village people increases, it is expected that the supplement of drug excluding present sit basic drugs is inevitable, but considering the ability of village health voluntary worker, the selection of additional drugs and education, plan should be carefully studied. 6. It is desirable that a financial resource for supplementary purchase of first aid kit, drugs and materials whould be alloted from village public fund like Saemaeul Women's Club fund, which has already practiced in a few villages in the study area. 7. As pointed out by village health voluntary workers, in order to improve the village health, village leaders should be in the center of it and the cooperation of whole village people is a core of healthful village development, and it is reasonable that the health subcenter backs up these voluntary health activities by village people in techniques. 8. It seems effective that a supplementary education for village health voluntary worker be accomplished by a planned education through regular meetings like worker's monthly meeting and irregular post guide when Myun Health Workers can handle the problems found during the round trip of villages. 9. It is desirable that village health voluntary workers, who are recommended by a civil voluntary organization like Saemael Woman's Club, are charged by natural villagc unit, are given a function of village health care service and used through basic education at health subcenter. 10. It is advisable that the village health voluntary worker's service is compensated not by a form of money, but by other way such as an exemption of medical fee of worker herself or her families in health subcenter can be one method. 11. Daily health activities of each village health voluntary worker should be reported to health subcenter by biweekly or monthly in order to get not only for basic data of the program but also for evaluation the program. It is recomandable that the report form should be simple and clear enough for village health voluntary worker to fill it effectively. 12. Village health care service should be developed into a Saemaeul Movement in which village people actively participate. For this, the appointed function of village health voluntary worker should be absorbed into those of living Environment Betterment Section or Family Planning Section of Saemaeul Women's Club or it is desirable that establish a new section, Village Health Promoting Section and make it involve the appointed functions of those sections mentioned above.

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1980년대 민중미술론의 기원과 형성 (The Origin and Formation of Korean Public Art Theories in the 1980s)

  • 최열
    • 미술이론과 현장
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    • 제7호
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    • pp.37-64
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    • 2009
  • The theories of Korean Public Art originated by the artists who were against dictatorship and they associated with democratic politicians. They criticized the Fine art that were supported by the dictatorship and gave their efforts for restoration of 'resistance paintings(against dictatorship)', 'proletarian painting', 'realism painting'. In addition, they participated new social ideology(democracy) movement and demonstrated for their rights in arts. These became the main kernel the public art theory was initiated. The public artists splitted into several different parts and participated in the democratic social movement as well as the art movement for freedom. They opened various art exhibitions within different genre, diverse space for various art section such as an exhibition hall, a factories, a university, or a congregation square. Furthermore, the public art theorists published their divergent views through newspaper/broadcasting or unauthorized printed materials. Most of the public artist and the theorists kept their relationship strongly until 1985, the time when 'National Arts Association' started. In 1983 and 1984, they were clearly separated into two parts; artists(move only in art museums) and activists(move in public spaces like school, convention square etc). Their ideological separation also took out national problems. The division; professional artists and armatures, became the social issue as a social stratification matter. And in creating method, there are also other conflicts; critical realism, and public realism as well as western painting and traditional one. These kinds of separation and conflicts made different Public artists associations, under divergent names; 'Reality and Speak'(R&S), 'KwangJu Art Association', 'Durung', 'Dang(Land)', and 'Local Youth Students Association'. In addition, their ideology and pursuit toward art movements were very difference. However, the differences and conflicts weakened When the oppression of democratic education from new dictatorship(Pres. Jun, Doo Hwan) came out. In August. 1985 the government opened to the public so called, 'The draft of School stabilization law'(Hankwon Anjung Bup) to control the teachers' rights and that initiated bigger street demonstration and conflicts between police and educators. In November.1985, assembly meeting of National Arts Association in democracy opened as 'ONE' combined organization. In this presentation, I'd like to summarize the stream of art movement until 1984, and clarify the main art theories that lead the Public Art Movements in 1980s. The main theories in 1980s are crucial because they become the origin of public art theories. This presentation started with O,youn's "Hyunsil Dong In the first declaration" and explained the absent of practice in 1970s. In addition, Won, Dong Suk 's theory was mentioned as all over struggles in theories before 1980s. GA and R&S 's founding declarations in 1970s were the start of public art theorists' activities and this article reported the activities after the declarations. First, realism base on the consciousness of reality. Second, practice art democratization based on the ideology. Third, the subject of public art movement based on understanding people's social stratification structure. Fourth, the matters of national forms and creative ways in arts based on showing reality. Fifth, the strong points in arts that the practitioners accepted. About the public art theories around 1984, I discussed the dividing point of public art theories that were shown in 'generation theory', 'organization theory', and 'popularization theory' by the practitioners. The public realism theory that subjects the contradiction of reality and point out the limits of critical realism not only showing the new creative ways but also giving the feeling of solidarity to the public art activist groups. After that, public art movements expressed 'Dismentlement of Capitalism' and 'Public revolution'. In addition, the direction of public art movements were established strongly. There were various opinions and views during the start and formation of the public art theories. The foundation of theorists activities derived from the practitioners who had the concept based on stratification and nationalism. The strong trend of group division spreaded out by practitioners who opened art work together in factories, universities, squares and rural areas. Now many lively active practitioners are gone to the other field not related with arts, and others join into professional art field not public art one with unknown reason. The theorists have the same situation with the practitioners. It means to me that theory always have to be based on the practice.

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추후관리가 필요한 만성질환 퇴원환자 가정간호 시범사업 운영 연구 (An Operations Study on a Home Health Nursing Demonstration Program for the Patients Discharged with Chronic Residual Health Care Problems)

  • 홍여신;이은옥;이소우;김매자;홍경자;서문자;이영자;박정호;송미순
    • 대한간호학회지
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    • 제20권2호
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    • pp.227-248
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    • 1990
  • The study was conceived in relation to a concern over the growing gap between the needs of chronic patients and the availability of care from the current health care system in Korea. Patients with agonizing chronic pain, discomfort, despair and disability are left with helplessly unprepared families with little help from the acute care oriented health care system after discharge from hospital. There is a great need for the development of an alternative means of quality care that is economically feasible and culturally adaptible to our society. Thus, the study was designed to demonstrate the effectiveness of home heath care as an alternative to bridge the existing gap between the patients' needs and the current practice of health care. The study specifically purports to test the effects of home care on health expenditure, readmission, job retention, compliance to health care regime, general conditions, complications, and self-care knowledge and practices. The study was guided by the operations research method advocated by the Primary Health Care Operations Research Institute(PRICOR) which constitutes 3 stages of research : namely, problem analysis solution development, and solution validation. The first step in the operations research was field preparation to develop the necessary consensus and cooperation. This was done through the formation of a consulting body at the hospital and a steering committee among the researchers. For the stage of problem analysis, the Annual Report of Seoul National University Hospital and the patients records for last 5 years were reviewed and selective patient interviews were conducted to find out the magnitude of chronic health problems and areas of unmect health care needs to finally decide on the kinds of health problems to study. On the basis of problem analysis, the solution development stage was devoted to home care program development asa solution alternative. Assessment tools, teaching guidelines and care protocols were developed and tested for their validity. The final stage was the stage of experimentation and evaluation. Patients with liver diseases, hemiplegic and diabetic conditions were selected as study samples. Discharge evaluation, follow up home care, measurement and evaluation were carried out according to the protocols of care and measurement plan for each patient for the period of 6 months after discharge. The study was carried out for the period from Jan. 1987 to Dec. 1989. The following are the results of the study presented according to the hypotheses set forth for the study ; 1. Total expenditures for the period of study were not reduced for the experimental group, however, since the cost per hospital visit is about 4 times as great as the cost per home visit, the effect of cost saving by home care will become a reality as home care replaces part of the hospital visits. 2. The effect on the rate of readmission and job retention was found to be statistically nonsignificant though the number of readmission was less among the experimental group receiving home care. 3. The effect on compliance to the health care regime was found to be statistically significant at the 5% level for hepatopathic and diabetic patients. 4. Education on diet, rest and excise, and medication through home care had an effect on improved liver function test scores, prevention of complications and self - care knowledge in hepatopathic patients at a statistically significant level. 5. In hemiplegic patient, home care had an effect on increased grasping power at a significant level. However. there was no significant difference between the experimental and control groups in the level of compliane, prevention of complications or in self-care practices. 6. In diabetic patients, there was no difference between the experimental and control groups in scores of laboratory tests, appearance of complications, and self-care knowledge or self -care practices. The above findings indicate that a home care program instituted for such short term as 6 months period could not totally demonstrate its effectiveness at a statistically significant level by quantitative analysis however, what was shown in part in this analysis, and in the continuous consultation sought by those who had been in the experimental group, is that home health care has a great potential in retarding or preventing pathological progress, facilitating rehabilitative and productive life, and improving quality of life by adding comfort, confidence and strength to patients and their families. For the further studies of this kind with chronic patients it is recommended that a sample of newly diagnosed patients be followed up for a longer period of time with more frequent observations to demonstrate a more dear- cut picture of the effectiveness of home care.

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치과위생사 국가시험 개선을 위한 조사연구 (A Study for the Improvement Subjects of the Korean Dental Hygienists' Licensing Examination)

  • 김숙향;장종화;오상환
    • 치위생과학회지
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    • 제9권3호
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    • pp.353-360
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    • 2009
  • 본 연구는 현행 치과위생사 국가시험의 효율적인 개선방안을 마련하기 위한 기초자료로 활용하기 위해 시도되었다. 2008년 7월 l일부터 20일까지 치과병의원, 대학(교), 보건(지)소에 근무하고 있는 치과위생사 1,428명에게 직접 및 우편조사방법으로 설문조사를 실시하여 응답이 완전한 1,048부(73.4%)를 빈도 및 카이제곱 검정으로 통해 분석을 수행하였다. 1. 현행 국가시험이 치과위생사 국가시험의 목적에 타당한지를 문의한 결과 '그렇지 않다'는 응답이 292명(28.5%)으로 '그렇다'는 응답 210명(20.5%)보다 높았다. 2. 국가시험과목이 치과위생사 현상의 기본 임무 수행능력 평가에 타당한지에 대해 문의한 결과, '그렇지 않다'는 응답 404명 (39.5 %)이 '그렇다'는 응답 165명(16.2%)보다 높은 수준이었다. 3. 국가시험 과목에 변화가 필요한지를 문의한 결과, '그렇다'는 응답이 680명(66.9%)으로 '그렇지 않다'는 응답 99명(9.8%)에 비해 매우 높았다. 4. 국가시험의 문항 수에 대해서는 현행 문항 수가 '적절하지 않다'는 응답이 353명(34.6%)으로 '적절하다'는 응답 232명 (22.7%)보다 높게 나타나 문항 수의 변화가 요구되었다. 5. 국가시험의 문항형태를 문제해결력과 종합적인 사고능력으로 변경해야 하는가에 대한 문의에서 '필요하다'는 응답이 669명 (65.4%)으로 '필요하지 않다'는 응답 106명 (10.4%)보다 매우 높았다. 6. 현행 국가시험이 국제화를 뒷받침할 수 있는지에 대해 '그렇지 않다'는 응답이 624명(61.3%)으로 '그렇다'는 응답 83명(8.2%)에 비해 매우 높았다. 7. 국가시험과목의 변화방향을 문의한 결과, '과목 통합에 의한 문제해결형 문제 강화'에 대한 응답이 463명(45.4%)로 가장 높았다. 8. 통합과목으로 시험 시행시기에 대해서는 '임상근무자'는 2010년, '교육기관 근무자'는 2012년에 시행되기를 희망하고 있었다(P<0.05). 9. 실기시험 방식에 대해서는 '수정되어야 한다'는 응답이 647명 (67.3%)로 나타났다. 10. 치과위생사 실기시험 방식은 '환자를 통한 임상시험'이 628명(63.6%)으로 가장 높았고, 다음으로 '컴퓨터 모의시험'에 대한 응답이 219명(22.2%)으로 나타났다. 이상의 결과에서 치과위생사들은 현행 치과위생사 국가시험이 개선되기를 희망하고 있기에 문제해결형 통합과목 형태로 국제화를 뒷받침할 수 있는 새로운 문항개발이 이루어져야 된다고 제시된다.

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폐색전증 진단에서 나선식 전산화 단층촬영 혈관조영술의 임상적 유용성 (The Clinical Usefulness of Spiral CT Angiography in the Diagnosis of Pulmonary Thromboembolism)

  • 김우규;임병성;김미영;황홍곤
    • Tuberculosis and Respiratory Diseases
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    • 제47권5호
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    • pp.669-680
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    • 1999
  • 연구배경: 폐색전증은 조기진단으로 신속한 치료를 요하는 치명적인 질환으로 관심여부에 따라서는 비슷한 조건의 병원규모라 하더라도 진단율이 상이한 차이를 나타내는 것으로 알려져있다. 폐색전증 진단에서 나선식 전산화 단층촬영 혈관조영술은 높은 민감도와 특이도를 나타낸다고 알려져있다. 저자들은 폐색전증에서 나선식 전산화 단층촬영 혈관조영술의 2, 3차원 영상소견과 진단적 가치를 평가하였고, 나선식 전산화 단층촬영 혈관조영술과 폐관류 스캔을 비교하였다. 방 법: 1997년 9월에서부터 1998년 8월까지 20명의 환자에서 나선식 전산화 단층촬영 혈관조영술을 시행하였고, 이 중 14명의 환자에서 폐관류 스캔을 동시에 시행하여 그 임상적 기록과 함께 분석하였다. 또한 색전의 위치에 따른 혈관 분포 및 동반된 폐실질의 변화를 분석하였다. 결 과: 폐색전증의 색전의 위치에 따른 분포양상을 보면, 좌측 혜(n=103) 보다 우측 폐(n=129)에, 좌 우측폐의 상엽과 중엽을 합친 것(n=101)보다 하엽(n=116)에 많은 빈도를 보였고, 세분절이하로 갈수록 많은 빈도를 보이는데 하엽에서는 5 번째에서 감소되는데, 이것은 세분절이하 혈관 색전에서 나선식 전산화 단층촬영 혈관조영술의 낮은 발견율 및 동반된 폐경색과 무기폐 등이 주로 하엽에 생기기 때문에 가려진 것으로 생각된다. 나선식 전산화 단층촬영 혈관조영술로 폐색전증 진단시, 1명에서 위음성을 보여 95%(19명/20명)의 발견율을 보였고, 급성 및 만성 소견이 각각 16명, 3명이었고, 폐경색, 무기폐, 흉막삼출이 각각 9명(45%), 4명(20%), 6명(30%)이었다. 결 론: 2, 3차원 영상이 포함된 나선식 전산화 단층촬영 혈관조영술은 폐색전증에서 비침습적인 진단 방법으로 1) 폐실질을 포함하여 색전의 전체적 분포를 용이하게 알 수 있으며, 2) 진단시 높은 발견율을 보이며, 3) 비교적 급성과 만성의 구분이 되고, 4) 동반된 폐실질의 변화와 흉막삼출을 보는데 유용한 진단방법이며, 5) 폐관류 스캔 소견과 높은 연관성을 보였다. 제한점으로는 세분절이하에서 인지 장애(perception error)가 있다. 또한, 만성 폐쇄성 폐질환, 천식, 결핵 등이 동반된 호흡기 질환에서는 색전이 나선식 전산화 단층촬영 혈관조영술에서 간과(missing) 될 수 있다.

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지역 모바일 앱 1인 창조기업의 성공요인에 관한 실증분석 : 사회적 자본의 조절효과를 중심으로 (An Empirical Study on Successful Factor of Local Mobile App One-Person Creating Company : The Moderating Effects of Social Capital)

  • 천평욱;정동섭;옥영석
    • 벤처창업연구
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    • 제9권2호
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    • pp.201-219
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    • 2014
  • 대한민국은 실물경제에서 지식경제로, 그리고 창의성과 상상력을 중심으로 하는 창조경제로 패러다임이 변화하고 있다. 창조경제의 핵심인 창조산업은 기술과 정보를 갖춘 개인이 중요한 역할을 수행하는 산업이다. 대한민국의 높은 청년실업률과 경제 양극화 문제를 해결하는 창조산업 중 모바일 앱 산업의 역할을 인식하고, 범국가적인 차원에서 모바일 앱 산업 분야의 1인 창조기업을 지원하는 다양한 정책이 추진되고 있다. 이러한 지원 정책이 모바일 앱 1인 창조기업의 성공적인 창업에 기여할 수 있도록 지역 모바일 앱 1인 창조기업을 대상으로 성공요인에 대한 실증조사를 수행하고 이를 통해 보다 효과적이고 효율적인 지원 방안을 모색하고자 본 연구를 수행하였다. 이 연구에서는 문헌 고찰을 통해 1인 창조기업의 성공요인에 관한 4개의 연구가설을 도출하고, 지역 모바일 앱 1인 창조기업의 실증자료를 기반으로 분석을 하였다. 분석 결과 첫째, 모바일 앱 관련 기술의 발전 속도가 빠르고 이에 따른 새로운 경쟁 제품이 출현할 경우 기업의 매출액과 성장성이 높아지는 경향을 발견할 수 있었다. 둘째, 창업자가 산업 경험을 갖추고 기업 경영과 제품 개발에 필요한 자금을 확보할 경우 정량적인 성과가 높아지는 경향을 발견할 수 있었다. 셋째, 목표 시장에 맞춘 경영 전략을 수행할 경우 성장성이 높아지는 경향을 발견할 수 있었다. 넷째, 이들 환경 동태성, 기업 특성, 경영 전략과 사업 성과의 관계에 네트워크의 강도와 신뢰도가 조절효과로 일부 작용하는 것을 발견할 수 있었다. 이러한 결과는 1인 창조기업의 창업가에게 경험을 축적할 수 있는 방안과 함께 필요한 자금을 적시에 제공할 수 있어야 하고, 다양하고 신뢰할 수 있는 네트워크와 만날 수 있는 기회를 지속적으로 제공해야함을 시사한다. 본 연구를 통해 모바일 앱 분야와 같은 지식 기반 1인 창조기업들을 지원하는 기관에서 기업의 성공 가능성을 높일 수 있는 지원 시책을 수립하는데 활용되길 바란다.

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전년도 생육 억새의 늦은 수확이 당년 생육특성과 수량에 미치는 영향 (Effects of Delayed Harvesting of Miscanthus spp. Risen in the Previous Year on its Current Year'S Yield and Growth Characteristics)

  • 문윤호;이지은;유경단;차영록;안기홍;안종웅;송연상;이경보
    • 한국작물학회지
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    • 제61권3호
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    • pp.215-221
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    • 2016
  • 바이오에너지용 억새의 트랙터 부착 수확기 등 중장비 동원 늦은 수확에 따른 부작용을 구명하기 위해 전년도 생육 줄기의 늦은 수확 시기별 당년 생육특성과 마른줄기 수량을 구명한 결과는 다음과 같다. 1. 시험포장의 지하 10 cm 토양 경도는 맹아시, 맹아기, 맹아종 수확에서 각각 650, 793, 735 kPa로 일정한 경향이 없었으나 지하 20 cm에서는 각각 741, 915, 1,045 kPa로 늦게 수확할수록 단단해 졌다. 2. 이질 3배체에 비해 거대1호가 생육시기별 경수의 변이폭이 컸다. 거대 1호는 수확 시기별로 가장 늦은 맹아종에서 생육중기(5월 22일)에 169개/$m^2$로 가장 많았으나 생육 최성기(7월 22일)에 70개/$m^2$로 급격히 감소하였다. 3. 수확시기가 늦을수록 당년 생성된 지하경이 전년의 것에 비해 가늘어져 맹아종 수확에서 전년, 당년생성 지하경태가 거대 1호는 각각 9.2 mm, 6.7 mm 이질 3배체는 각각 8.5 mm, 8.0 mm였다. 4. 수확시기가 늦을수록 경장이 작아지고 아울러 줄기수량도 감소하였다. 거대1호와 이질3배체의 경장은 맹아시 수확에서 각각 308 cm, 374 cm였으나 맹아종 수확에서는 각각 268 cm, 341 cm로 작아졌다. 줄기 수량 또한 맹아시 수확에서는 각각 1,440 kg/10a, 1,777 kg/10a였으나 맹아종 수확에서는 각각 847 kg/10a, 963 kg/10a로 크게 감소하였다. 5. 출수율은 거대 1호의 경우 맹아시 수확에서 3.9%로 극히 낮았고, 맹아기 및 맹아종 수확에서는 거의 출수되지 않았다. 이질3배체는 맹아시 수확에서 49.6%였고, 맹아기, 맹아종에서도 각각 40.6%, 21.8% 수준을 유지하였다.