• 한국인터넷방송통신학회논문지
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• 제12권6호
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• pp.25-32
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• 2012

본 논문은 군 교육의 학습 능력 향상을 위하여 스마트폰을 이용한 학습 어플리케이션인 M-러닝 스마트교관 콘텐츠를 설계 및 구현하였다. 학습자 스스로 시간과 공간의 제약에서 벗어나 빠르고 정확하게 학습할 수 있다는 것을 목표로 하여, 각 과목 별 부분학습과, 반복학습, 전체학습을 쉽고 빠르게 선택하여 효율적으로 학습할 수 있도록 m-Bizmaker를 이용한 어플리케이션을 설계하였다. 실험은 군부대 2개 중대원을 대상으로 응급처치과목에 대한 평가를 실시하여, 기존의 전통적 집체 교육 방법을 비교 집단으로, 제안한 콘텐츠를 적용한 교육 방법을 실험 집단으로 선정하여 실험하였다. 본 논문에서 제안한 스마트교관 학습 어플리케이션을 이용한 학습효과의 검증을 위하여 비교대상, 실험대상 각 49명을 대상으로 비교하였으며, 그 결과 p<.005 수준에서 두 집단 간에 유의미한 차이가 있음을 확인하였다. 따라서 본 논문에서 제안한 스마트교관 어플리케이션을 활용한 수업이 사후 성취도 향상에 기여함을 입증하였다.

• 한국응급구조학회지
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• 제13권3호
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• pp.19-28
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• 2009

Purpose : This study compared before and after emergency patient evaluation education of the 1st graders at the department emergency medical technology(EMT) students, and analyzed its effects on patient evaluation ability after education. The aims of this study was to develop effective educational program and to provide basic materials for its educational method. Methods : This study was carried out by 66 first graders attending the department of emergency medical technology(EMT) at a college in G province and data were collected from Apr. 1 to 2, 2009. The questionnaire consisted of knowledge of emergent patient evaluation, academic self-efficacy, and technical performance after emergent patient evaluation education. We analyzed the influence of knowledge and academic self-efficacy on accurate technical performance with SPSS 14.0 version. Results : 1. In knowledge score, it was 9.27 before education and increased to 35.19 after education and that there was statistically significant difference. In academic self-efficacy, task difficulty preference scored 2.73 before education and 3.97 after education, self-control efficacy scored 2.84 before education and 4.05 after education, self-confidence scored 2.45 before education and 4.21 after education. There were statistically significant increases after education. Technical performance scored 0.00 before education, but it scored 18.78 after education and there was statistically significant increase after education. 2. In sex as one of general characteristics, self-confidence which was sub-factor of academic self-efficacy scored higher in male students(4.28) than in female students(4.10). There was statistically significant difference(p < 0.05). 3. Knowledge had positive correlation with self-control efficacy which was the sub-factor of academic self-efficacy(r = 0.249, p < 0.05) and self-confidence which is the sub-factor of academic self-efficacy had the positive correlation with technical performance(r = 0.258, p < 0.05). 4. Self-confidence which was the sub-factor of academic self-efficacy(B = 0.372, p < 0.05) had statistically significant influence on technical performance. ability of self-confidence to explain technical performance(R2) was 11.10%. Conclusion : From the results of this study, it is necessary that EMT students should learn professional first aid, accurate patient evaluation through self-efficacy development.

• 멤브레인
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• 제12권4호
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• pp.240-246
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• 2002

방사선과의 상호작용에 의하여 섬광이 발생하는 무기형광체(inorganic fluor)인 cerium activated yttrium silicate(CAYS)를 폴리설폰 고분자막에 함침시킴으로써, 형광 용액의 도움 없이 방사능 오염도를 측정할 수 있는 새로운 측정막을 제조하였다. 막의 제조는 두 가지 공정으로 나누어진다. 우선 고분자와 용매의 균일한 1차 제막용액을 유리판 위에 제막 후 용매증발을 통해 폴리설폰 고분자막이 생성되도록 하였다. 고형화된 폴리설폰 필름 표면에 CAYS가 분산된 고분자 제막용액을 2차로 도포시킨 후, 비용매 욕조에 침지시키는 상전환 공정을 이용하거나 용매의 증발을 통한 유리화에 의해 2차 용액의 고형화를 유도함으로써 함침막을 제조하였다. 이렇게 제조된 막의 형상은 치밀한 구조를 지니는 고분자 지지체와 이에 완전히 고착된 CAYS함침막의 이중구조를 지니게되며, 지지체 부분은 막의 안정성을 2차 제막에서 생성된 부분은 기능성의 향상을 이룰 수 있는 구조적 특성을 지닌다. 제조된 함침막에 방사성핵종을 직접 도포하여 방사성핵종의 탐지 특성을 측정하였을 때 효율적인 탐지 특성을 지니는 것으로 확인되었다.

• Journal of Chest Surgery
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• 제12권4호
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• pp.442-449
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• 1979

Although anoxic cardiac arrest produces a dry, quiet field, the ability of the myocardium to withstand the anoxic insult is uncertain. The current growth of interest in the use of various cardioplegic solutions ` has resulted in the development of a number of different solutions. In this study, 51 consecutive cases of elective open heart surgery with the aid of extracorporeal circulation were reviewed retrospectively to compare two methods of myocardial preservation. All of these open heart operations had been performed, using hemodilution principle under the moderate hypothermia at the Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kyungpook National University from December, 1975 to July, 1979. In the 31 consecutive cases that form the anoxic arrest group, the operations were done with intermittent aortic cross-clamping and topical cardiac hypothermia. The heart was cooled topically by cold normal saline, which was converted to ice slush before application to the pericardial sac. Twenty of 51 consecutive cases were assigned to the cold cardioplegic method [the cardioplegic group], in which two kinds of cold cardioplegic solutions [Young solution and G IK solution] were infused into the aortic root proximal to the aortic cross clamp for myocardial preservation. Mean total aortic cross clamp times were 43 minutes in the anoxic arrest group and 67 minutes in the cardioplegic group. In the post-operative period, spontaneous regular heart beatings were recovered in 80 percent of the cardioplegic group as opposed to 25.7 percent of the anoxic arrest group. Ventricular fibrillation requiring DC shock was seen in 32.3 percent of the anoxic arrest group and 10 percent of the cardioplegic group. In the cardioplegic group, mean CPK-MB was one positive value on the first post-operative day, and mean LDH 1 was elevated to 51 0 units/ml on the 2nd post-operative day. These results indicate that protecting the myocardium with cold cardioplegia is superior to use of the anoxic cardiac arrest.

• 한국농촌건축학회논문집
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• 제11권3호
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• pp.1-9
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• 2009

Through 'Local Theme Science Museum' aid program that is one of emphasis promotion strategic project by 2007 'Science.Technology.Cultural Project Plan', raises status of scientific technique by national core ability because all people expand base that understand and support scientific technique, and forms a social atmosphere which is scientific technique is important which scientific technique can be spread widely on national life and society whole, and proceeds target that expand local science museum facilities by a base of local science culture spreading and popularization. Accordingly, to plan balanced regional development and utilize to an advanced base of local science culture spreading because offer a science culture experience opportunity to local inhabitants, 'Local theme science museum' project is doing for that establish more 100 science museums for national.public.private institution in whole country until 2012 year. Support 39 projects to 2008 from 1999 thereby, in January, 2009, 13 'Local theme science museum' is opened and operated. This study examined arrangement preferentially about 'Science.Technology.Cultural Project Plan' that is background of 'Local theme science museum' project. Since surveying science museum which is on opening and operation at the present and analyzed actual conditions and facilities and investigated specification necessity and direction of 'Local theme science museum'. Hereafter, to seek plan for propriety of project by characteristic and difference of 'Local theme science museum' is purpose of this study. Now, need set and promotion of following specification direction for right activation of proceeding 'Local theme science museum' by each area. First, differentiation of theme and justifiability of building, Second, propriety of site position, Third, maximization of synergy effect by mixing concept of 'Specialized Economic Zone for Regional Developmental Policy' and Ecomuseum's 'Theme center'.

• 한국화재소방학회논문지
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• 제33권5호
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• pp.109-117
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• 2019

화재발생의 직접적인 원인 제공자들이 그 화재로 인한 피해자들에게 손해배상을 할 능력이 없으면 피해자들은 소방기관에 국가배상책임을 물어 피해구제를 받으려는 경향이 있다. 2가지 국가배상 사례 분석에서 화재로 인한 손해와 소방공무원의 화재예방 또는 소방특별조사 활동과 관련된 과실 사이에 인과관계가 있으면, 법원은 소방기관에서 피해자에게 손해를 배상하도록 판결함을 알 수 있었다. 2017년 12월 26일 「소방기본법」이 개정되어 '소방활동에 대한 면책' 조항이 마련되었지만 면책을 받으려면 그 활동의 불가피성이 입증되어야 하는데, 화재예방이나 소방검사 활동은 구조·구급활동과 달리 그 활동의 불가피성을 입증하기가 쉽지 않으므로 화재와 관련된 국가배상 청구 소송은 줄어들지 않을 것으로 예측된다.

• 의료법학
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• 제23권1호
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• pp.37-80
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• 2022

이 논문에서는 현행 응급의료에 관한 법률이 규정하고 있는 응급의료에서의 설명·동의의 원칙과 응급의료거부죄를 검토함으로써 응급의료종사자의 환자에 대한 생명보호 의무가 환자의 자기결정권 보장보다 중요한 경우에 한하여 응급의료거부죄가 성립함을 제시한다. 응급의료에서도 일반 의료상황과 마찬가지로 의료행위 시행 전 환자에게 응급의료의 필요성이나 방법 등에 관하여 설명하고 동의를 받아야 함이 원칙이다. 다만, 설명·동의 절차를 예외적 방법으로 이행하거나 생략할 수 있음에도 그 절차 준수를 이유로 응급의료를 거부·기피한 응급의료종사자는 응급의료거부금지에 따른 행정처분과 행정벌을 부담하게 된다. 즉, 설명·동의 절차 생략 가능성에 관한 판단에 따라 응급의료거부죄가 성립할 수도 있는 것이다. 환자가 미성년이거나 의사결정능력이 없는 경우 그 법정대리인이 환자의 의학적 이익에 반하는 결정을 하더라도 법정대리인의 의견이 무조건적으로 존중되는 것은 아니다. 미성년 환자도 원칙적으로 자신의 신체에 관하여 결정할 권리가 있고, 법정대리인의 결정 역시 환자의 최선의 이익을 위한 것일 때 유효하기 때문이다. 환자가 치료를 거부하는 상황에서도 원칙적으로 응급의료종사자의 생명보호의무가 더 우선한다. 그러나 현행법은 여러 예외 상황에 대해 명문의 규정을 두고 있지 않아 응급의료 현장에서 그 해석에 어려움이 있다. 한편, 우리 대법원 및 하급심 판례는 응급의료종사자의 응급의료의무와 설명의무 사이의 이익형량이 불가피한 상황에서 환자의 생명상실이 문제되는 경우 설명의무보다 응급의료를 시행하여 환자의 생명을 보호하여야 할 의무가 우선이고, 예외적으로 사전에 치료 여부·방법에 대해 환자의 진지한 숙고가 있었던 경우 환자의 자기결정권이 응급의료의무와 대등하게 고려될 수 있다는 취지로 설시하고 있으므로, 이를 체계적으로 정리하고자 한다. 나아가 현행법의 해석만으로 해결이 어려운 부분에 대하여는 1) 미성년자에 대한 응급의료의무 조항 신설, 2) 응급환자의 의사결정능력 판단 기준을 의학적 내용을 중심으로 수정·보완, 3) 응급처치시 의료인의 추가 동의가 불요함을 명시, 4) 복수의 의견 충돌이 있는 경우에 대한 제도적 보완, 5) 응급의료 중단시 벌칙조항 신설 등 입법 과제를 제시한다.

• 대한공업교육학회지
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• 제32권1호
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• pp.55-72
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• 2007

이 연구의 목적은 전기 전자 통신 분야 특성화고등학교의 학교에서 일터로의 전이를 개선하기 위해 SWOT 분석 기법을 적용하여 실제적인 방안을 도출하는 것이다. 이 목적을 달성하기 위해 전국의 12개 특성화고등학교의 교육과정을 분석하였고, 전문교과 담당교사 192명을 대상으로 설문조사를 하였다. 이 연구의 결과는 SO전략, ST전략, WO전략, WT전략으로 도출되었고, 이를 통하여 정부, 시 도교육청, 단위학교별로 다음과 같은 결론을 얻을 수 있었다. 첫째, 정부에서는 특성화고등학교 졸업자를 위한 병역특례 제공, 특성화고등학교장을 위한 CEO연수 강화, 현장실습을 확대하는 제도를 마련해야 한다. 둘째, 시 도교육청에서는 직무연수의 행 재정적 지원 강화, 산업체 초빙교사의 인력풀 제공, 지역 산업체의 인력수요와 지역사회의 요구에 따른 학과 개편을 추진해야 한다. 셋째, 단위 학교에서는 특성화 학과에 부합하는 학교 교육목표 제시, 지역 성장산업과 연계한 전문교과 편성, 이를 위한 인정교과서의 활용과 진로교육을 강화시켜야 한다.

• 한국식품과학회지
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• 제42권2호
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• pp.142-146
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• 2010

미배아 발효로부터 얻은 GABA 시료를 이용하여 양성대조군으로 사용된 우유와 doxylamine succinate, 음성대조군으로 사용된 caffeine, 일반대조군으로 사용된 증류수와 함께 실험군인 GABA 시료를 농도별로 투여하여 실험을 수행하였다. 멜라토닌 함량을 측정한 결과, 대조군의 $2.607{\pm}0.410\;pg/mL$에 비해 GABA 60 mg/mL 투여군은 $3.243{\pm}0.154\;pg/mL$, GABA 120 mg/mL 투여군은 $3.425{\pm}0.182\;pg/mL$, 우유에 녹인 GABA 120 mg/mL 투여군은 $3.464{\pm}0.205\;pg/mL$으로 나타났다. 반면에 GABA 시료의 섭취 기간에 따른 멜라토닌 호르몬의 누적효과는 유의성이 없었다. 세로토닌 함량을 측정한 결과 대조군의 $4.73{\pm}0.67\;ng/mL$에 비해 GABA 60 mg/mL 투여군은 $4.71{\pm}1.22\;ng/mL$, GABA 120 mg/mL 투여군은 $5.37{\pm}0.96\;ng/mL$, 우유에 녹인 GABA 120 mg/mL 투여군은 $6.34{\pm}0.59\;pg/mL$으로 대조군의 평균값과 같거나 비교적 높은경향을 보였으며 농도별로 유의성이 있음을 확인하였다. 특히, GABA 120 mg/mL 투여시 멜라토닌과 세로토닌 모두 시판되는 수면보조제보다 높은 것으로 나타났다.

• 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.