• 한국재난정보학회 논문집
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• 제9권4호
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• pp.503-510
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• 2013

최근 기후변화로 국지성 집중호우가 증가하고 있으며 이로 인한 산사태 발생도 증가하고 있는 추세이다. 또한 도시주거지역에서 발생한 산사태로 인하여 인명 및 재산피해가 증가하고 있다. 그러나 이러한 산사태를 대비하기 위한 표준매뉴얼은 작성되어 있지 않으며, 산림청에서 작성한 예방 대응 행동매뉴얼도 미흡한 실정이다. 이에 본 논문에서는 산사태 발생 및 피해 특징을 알아보고 방재 관련 전문가들을 대상으로 산사태 대비 SOP 작성을 위해 산사태 SOP 필요도와 활용도를 조사하였으며 활용 시 문제점을 알아보았다. 또한 산사태 주요 세부항목의 중요도를 알아보고, 산사태 SOP 활용을 위한 요구사항을 조사하였다. 조사결과는 대부분의 전문가들이 산사태 SOP의 필요도는 높다고 응답하였으나 활용도는 낮았으며 산사태 SOP 활용시의 문제점은 다양한 피해상황의 미반영과 기관의 역할별 재난관리 단계별 규정의 어려움이 나타났다. 또한 산사태 SOP 작성 시 주요 세부항목 중요도에서는 산사태 발생에 따른 비상대응계획, 대피 및 행동요령에 대한 지침, 산사태 재난 대비 훈련 및 교육, 산사태 재난 방송 실시 및 정보 제공에 대한 절차 수립, 유관기관 및 민간단체와의 협조 및 지원체계 등이 가장 중요하다고 응답되었다. 마지막으로 산사태 SOP 활용을 위한 요구사항은 이를 사용할 수 있는 전문 인력의 확충, 법 제도적 강화, SOP 습득을 위한 교육 및 훈련 등 2차적인 요소에 대한 중요성이 나타났다.

• 한국건설관리학회논문집
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• 제17권4호
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• pp.49-56
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• 2016

최근 모듈러 건축물 관련 연구가 활발하게 진행되고 있으나, 실제 건설산업에서 모듈러 건축물을 활용한 건축공사의 발주는 아직 활성화되지 못하고 있다. 이에 대한 여러 가지 원인들이 분석되고 있으나 그 중 중요한 것은 모듈러 건축물은 기존 현장중심의 건설생산체계를 공장제작-운송-현장설치 새로운 체계로의 전환을 요구하고 있다는 것이다. 하지만 국내 공공공사의 기존 발주방식은 전기통신공사업 등 개별법에서 분리발주를 의무화하고 있기 때문에 모듈러 건축물 장점을 살릴 수 있는 새로운 건설생산체계를 수용하기 어렵다. 따라서 기존 발주방식은 모듈러 건축물을 현장중심의 공사로 분리발주(건축 토목, 전기, 통신, 소방 등) 계약할 수밖에 없고, 건축 토목공사의 계약 범위 안에서 모듈러 유닛을 물품으로 구매할 수밖에 없기 때문에 이러한 분리발주로 인한 모듈러 건축물의 공장제작 비율을 저하시키고 공사비 상승, 품질저하 등의 문제를 발생시켜서 모듈러 건축물의 장점을 발휘하지 못하도록 하는 장애요인이 된다. 본 논문에서는 모듈러 건축물에서 요구하는 새로운 건설생산체계를 적극적으로 수용할 수 있는 새로운 발주방식을 개발하여 제안하고자 한다.

• 문화기술의 융합
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• 제6권1호
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• pp.433-439
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• 2020

이 연구는 수심에 따른 공기소모량의 변화를 인간의 특성 및 이론값과의 비교·분석하였다. 실험 결과는 다음과 같다. 첫째, 실험대상자 A·B는 수심에 따라 각각 비슷한 상승률을 보였다. 둘째, 실험대상자 C는 수중 25m에서 공기소모량의 상승률이 유의하게 높게 나타났는데, 그 이유는 깊은 수심의 수압에 신체가 민감하게 반응하여, 호흡이 다른 참여자보다 다소 빨라 공기소모량을 증가시킨 것으로 보인다. 셋째, 실험대상자 D·E는 공기소모량이 전반적으로 유의하게 낮게 나타났다. 이는 D와 E의 연령이 각각 37세, 35세로 실험대상자 중 가장 젊고, 체력이 강건하며, 군 복무 당시 해상의 심해 잠수경험이 풍부하여 나타난 결과로 보인다. 넷째, 실험대상자 분당 평균 공기소모량은 수면과 비교하여 수중 5m는 약 1.45배, 수중 10m는 약 1.85배, 수중 20m는 약 2.8배로 분당 공기소모량이 증가하였다. 이는 구조대원 각자의 경험과 체력, 신체가 수중에서 적응하는 정도의 차이, 그리고 수중 호흡법이 달라서 나타난 결과로 보인다. 마지막으로 실험 평균값과 이론값의 차이는 실험대상자 구조대원 5명 각자의 경험과 체력, 신체가 수중에서 적응하는 정도의 차이 및 수중 호흡법에 따라 이론값보다 많거나 적게 공기를 소모하여서 나타난 결과로 보인다.

• 대한한의정보학회지
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• 제17권2호
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• pp.130-287
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• 2011

"zhenjiusunanyaozhi(鍼灸素難要旨)" is composed of three volumes and published in 1529 by Gao Wu(高武). Gao Wu(高武) is skillful in astronomy, the art of war and the law as well as a medical practitioner in Ming Dynasty. The books he wrote "zhenjiujuying(鍼灸聚英)", "zhizhi(直指)", "douzhenzhengzong(痘疹正宗)", "shexuezhinan(射學指南)", "zhenjiujieyao(鍼灸節要)". "zhenjiusunanyaozhi鍼灸素難要旨" is written by classifying the origin of acupuncture and moxibustion. In other words, it is edited by classifying the contents related to acupuncture and moxibustion out of the ancient Chinese medical book "yellow emperor's canon of medicine and yellow emperor eighty-one difficult" in which are composed of 3 volumes as follows, Volume 1 says the main diseases on "the nine acupuncture needles figure" (九針圖), "the reinforcing and reducing the meridian" (補瀉), "the needle depth" (針刺深淺), "the five shu points - metal, wood, water, fire, earth" (正,滎,輸,經,合) based on 18 chapters in terms of acupuncture in "yellow emperor eighty-one Difficult "難經"", in which it quotes the annotation of "the difficulty by the original meaning "難經本義"" written by Hua Shou(滑壽) in Yuan Dynasty. Volume 2 is composed of 2 parts. Part 1 says the method of treatment on 36 Chapters, the method of acupuncture use in the Linshu "靈樞" and the Suwen "素問" such as "the rule of acupuncture use" (用針方宜), "the nine-pin method" (九針式) and "the nine-pin to only use the time appropriate to consider nature of Heaven, Earth and person" (九針應天地人時以起用) etc., Part 2 says "the five difficult acupuncture(五亂刺)", "the rise and fall of energy and blood(氣血盛衰)". "the pain tolerance(耐痛)" and ect., in which are in terms of method of treatment collected the original texts of 59 chapters on acupuncture to each disease and of 8 chapters on moxibustion in the Linshu "靈樞" and the Suwen "素問". Volume 3 includes 10 chapters in which consist of "the stabbing to disease in 12 meridians (十二經病刺)", "the eight extra meridian disease (寄經八脈病)", "the twelve meridians(十二經脈)", "the fifteen collaterals (十五絡脈), the twelve meridian muscles (十二經筋)", "the acupoint (孔穴)" and etc. This is the book edited comprehensively by classifying the contents on the theory of acupuncture and moxibustion and the circulations of meridians in "yellow emperor's canon of medicine and yellow emperor eighty-one difficult" and there is no case story in particular except his comments in person. This study is for the purpose of helping researching and developing acupuncture and moxibustion and applying their clinical training.

• 한국응급구조학회지
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• 제13권3호
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• pp.77-90
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• 2009

Civil complaints and lawsuits filed in the process of providing emergency medical service include fall accident on the way of carrying the patient, transfer consent, refusal and rejection of rescue request, range and behavior restriction of emergency medical technicians, false registry of logbook, neglect of duty and emergency patient, and violation of traffic laws on the way of dispatch to the scene of accident. This study suggested the measures by cases as follows. 1. The accidents on the way of carrying a patient could be divided into fall of patient and fall by paramedic's mistake. In the former case, damages caused by the ambulance's shaking must be notified to the patient and guardian and recommended to fasten seat belt, in the latter case, the plan of patient's posture, route of transport, rescue and equipments should be comfirmed before fixing the patient. 2. Transfer consent must be made as implied when the patient is unconscious under delusion and was not able to consent physically, and paramedic must take an action by his judgment and record details of services on logbook. 3. When a patient refused to transfer, get 'confirmation of transfer refusal' and inform him of refusal. Paramedic should receive the signature. In addition, in case of refusal, transfer request should be made after hearing doctor's opinion and it should be notified to transfer request and superintendent of fire station after making 'confirmation of transfer refusal'. 4. Emergency medical technicians should perform their duties within the range of services prescribed by Article 41 of Law of Emergency Medical Service and Article 33 of Its Enforcement Regulations and shall not make announcement of death. In case of reporting the death to guardian, it is desirable to use record data like ECG results. 5. The best way to have protection from legal problems is making and keeping the exact records of accident and patient. Paramedic should not mention his subjective opinion about the accident-related matter. He must record correctly and keep the original medical records. 6. As emergency medical technicians are responsible for taking care of emergency patients, they must contact a briefing room when they meet a difficult situation suddenly due to vehicle stop or treatment of other patients and then must have support from neighboring hospital and other safety centers. 7. Since the ambulance operator is responsible for safety and careful driving of ambulance, he must be careful when he violates traffic regulations unavoidably. The operator should drive slowly below 10km/h at an intersection and pass it after getting way from general vehicles driving from all directions.

• 한국응급구조학회지
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• 제13권3호
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• pp.29-40
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• 2009

Objective : This study is an experimental study which is designed to examine the differences between knowledge and self-confidence before and after theory education(CPR PPT material) based on guidelines of CPR and emergency cardiac treatment of American Heart Association(AHA, 2005) and video self-instruction program for the general public by Korean Association of Cardiopulmonary Resuscitation(KACPR), trace CPR performance ability after CPR and AED education and investigate the accuracy of artificial respiration and chest compression, and know the difference in CPR performance abilities including AED. Methods : Subjects of this study include ground crews and staffs at M airport in G province equipped with emergency equipments for CPR according to Art. 47, Sec. 2 of Emergency Medical Law, airport police, rent-a-cops, security guard, quarantine officer, custom officer, and communication, electricity, civil engineering, facility management staff, airport fire fighting staff, air mechanic, traffic controller, and airport management team among airport facility management staffs. They were given explanation of necessity of research and 147 of 220 subjects who gave consent to this research but 73 who were absent from survey were excluded were used as subjects of this study. of 147 subjects, there were 102 men and 45 women. Results : 1) Knowledge score of CPR was $6.18{\pm}0.87$ before instruction and it was increased to $15.12{\pm}1.78$ after instruction, and there was statistically significant difference. 2) Self-confidence score in CPR was $3.16{\pm}0.96$ before instruction and it was increased to $7.05{\pm}0.75$ after instruction, and there was statistically significant difference. 3) Total average score in CPR performance ability after instruction was 7.46 out of 9, performance ability was highest in confirmation of response as 144(97.95%), follwed by request of help as 140(95.25%) and confirmation of respiration as 135(91.83%), and lowest in performing artificial respiration twice(gross elevation of chest) as 97(65.98%). Accuracy of artificial respiration(%) was $28.60{\pm}16.88$ and that of chest compression(%) was $73.10{\pm}22.16$. 4) Performance ability of AED after instruction showed proper performance in power on by 141(95.91%) and attaching pad by 135(91.83%), hand-off for analyzing rhythm showed 'accuracy' in 115(78.23%) and 'non-performance' in 32(21.77%), delivery of shock and hand-off confirmation showed 'accuracy' in 109(74.14%) and 'inaccuracy' in 38(25.86%), and beginning chest compression immediately after AED was done by 105(71.42%).

• 동국한의학연구소논문집
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• 제1권
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• pp.161-191
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• 1992

The purpose of this study is how have the form and theory of the five element theory in the (黃帝內徑) by the investigation of the course of the course of the five element introduced the ancient oriental medicine from ancient oriental philosophy. The following results were obtained. 1. The five elements in (尙書) meaned the uses of water, fire, earth, wood, metal which were important in living. Because these had very important meaning in ancient political and economic society, emphasized to big law(洪範) 2. The five elements in (左傳) and (國語) mean the five uses too, and there are the phases of "five win metal"(火勝金) and "wather win fire"(水勝火), but these only meaned the physical interrelation. 3. In the five circulating factor theory made by Chu Yen(鄒衍) which have the attribute of the five elements, he more reasonably had argued human affairs like that a dynasty become different in step with the circulating five favors. There is the regular annual policy in the (呂氏春秋) which closely connected nature and human living, and attached the various colors, animals, visceras, flavors, sounds, the sexagenary cycle and so on to the five elements. 4. In the (春秋繁露) writed in fore-period of Han(漢) dynasty, the interactions of the five elements are concretely applicated to policy, Dong Jung Soe(童仲舒) had discrived the interactions of the five elements by Dong Lyu Sang Dong theory(同類相動說) and the misfortune theory(災異說), emphasized the sympathy of nature and human. Thought there is many content which are superstitious and contradictory, I concider which that affcted many effects in the formation of five element theory of oriental medicine. In the (淮南子) the order of matters were explained by the five element theory too, as the interrelations of the five elements were explained by the sexagenary ctcle, I assume that the bud of O-Un theory(五運理論). And there was not founded the fullscale intriduction of the five element theory in the Ma Wang Tye(馬王堆) excavated finds, the Mu Yyi medical writings formed the dynasty(武威漢代醫簡) and the documents about Pyun Jak(偏鵲) and Sun U Ie(淳于意). 5. The application of the five element theory in the (Whang Di Nei Qing) (黃帝內徑) is devided into the attachement to the five elements, the interelations of the five elments, and Un Gi theery(運氣論). In the attachment to the five elemeant theory, it made the attachment of the five viseras of (今文尙書) party a standard and attached the sections of a human body, the whole internal organs of sense, the five colors, the five flavors and the five sounds and so on to the five elements. It put to use by means of the apllivation of the interrelation of the five elements in the transferations of the diseases and the relative severeness of a disease in step with change of time and season. Un Gi theory(運氣論) which synthesized by the attachment to the five elements, the inter-relations of the five elements and the climate which observerd from ancient times systematically argued the effects of weather to human. 6. The application of the five elements theory in (黃帝內徑) have the significant what had get rid of irrational factors like that the emotion and action of human could to influense the weather, what had been formes more rational thingking by the obesrvation of human and nature. It is required more reserches about the possibility of the formation of the doctrinal faction bt the geographical effect of the Yon, Je(燕,薺) region, the application of the five element theory in other ancient medical books and the relationship of the five element theory and Yin Yang(陰陽)