• Title/Summary/Keyword: Fundamental Factors

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A study on Soeumin's disease symptom based on the diaphoretic therapy and the purgative therapy of Shanghanlun (상한론(傷寒論)중 한(汗), 하법(下法)을 중심(中心)으로 한 소음인(少陰人) 병증론(病症論) 고찰(考察))

  • Lee, Byung-No;Kim, June-Ki;Choi, Dall-Yeong
    • The Journal of Dong Guk Oriental Medicine
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    • v.9
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    • pp.95-110
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    • 2000
  • The main purpose of this study is to lay the groundwork of mutual assistance between Shanghanlun and Sa-sang Constitutional Medicine by looking into their differences and similarities in the concept and the medical treatment in the diaphoretic therapy and the purgative therapy. The study compared Shanghan Jomun quoted in Soeumin. Dongyi-Soose-Bowon with Je-ma, Lee's Theory of Medicine. And its conclusion is the following: 1. Both Shanghanlun and Sa-sang Constitutional Medicine connote the concept of pathogenic factors in the Nae-Kyung Medicine as the medicinal substances. And both of them have the fundamental structure of exterior-to-interior movements in the symptoms of disease to appear when pathogenic factors penetrate into the bodies. 2. Sa-sang Constitutional Medicine has treated the causes and the mechanism of disease in the symptoms of disease differently from other therapies: focusing on the body's constitutional symptom of disease. namely Soeumin's lack of the Yang-Qi and the poor Ascending Yang, not an attack on pathogenic factors as a interior-exterior symptom. Therefore Ascending-yang Supplying Qi, which fills up the lacking parts of the body and keeps the balance of the body fitted in one's constitution, has been used rather than the diaphoretic and purgative therapy. 3. As Shanghanlun and Sa-sang Constitutional Medicine have the similarities in the interior-to-exterior structure, pathogenic factors. and the notion of diaphoresis and purgation, they do so in the principle of the medicinal substance and the therapy. However, there are actually differences of carrying out the diaphoretic and purgative therapy and other treatments between Shanghanlun and Sa-sang Constitutional Medicine by the reason of the dissimilarities in the mechanism of disease and focal points.

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Ship Collision Risk Assessment and Sensitivity Analysis for Sea-crossing Bridges (해상교량에 대한 선박충돌 위험도 평가 및 민감도 분석)

  • Bae, Yong Gwi;Lee, Seong Lo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.5
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    • pp.1753-1763
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    • 2013
  • In the design phase of sea-crossing bridge projects, ship collision problem is mostly participated in decision of substructure section and it would be performed by risk assessment and impact simulations. Ship collision risk is assessed by probability model which is similar to method II of Guide Specification and Commentary for Vessel Collision Design of Highway Bridge(AASHTO, 2009). However, several factors used in the applicable code are limited to inland waterways or have many local characteristics. Accordingly, it should be needed judgement of engineer or referred to related criteria, research finding. In this study risk assessment for In-cheon bridge and review of existing substructure's impact risk and resistance capacity are performed using the 2010's ship passage data. And then consideration regarding to presumption and applied instance of factors needed for risk assessment and related research findings are performed on the basis of AASHTO Guide's Method. As a result of study, adequate variable region of factors needed for risk assessment is defined and sensitivity analysis for appropriate region is performed. Consequently, factors that should be applied carefully or needed for direct analysis of local data are confirmed. This research could be fundamental material to risk assessment related to design for sea-crossing bridge taken into account ship collision.

Assessing the Factors Influencing Patient Satisfaction after Receiving Laser in situ Keratomileusis (LASIK) (라식수술 후 환자만족도에 영향을 미치는 요인)

  • Cho, Woo-Hyun;Kim, Ji-Yoon;Choi, Yoon-Chung;Lee, Jong-Ho;Lee, Je-Myung;Kang, Hye-Young
    • Journal of Preventive Medicine and Public Health
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    • v.37 no.2
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    • pp.111-119
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    • 2004
  • Purpose : To identify those factors influencing the post-operative satisfaction in myopia patients receiving laser in situ keratomileusis (LASIK) Methods : This study included 288 consecutive patients who received LASIK between July and December 2001 from two eye clinics located in Seoul and Pusan. Factors that were considered to influence post-operative satisfaction included pre-operative baseline characteristics, pre-operative expectation for treatment outcomes, and treatment outcomes. Before undergoing LASIK, study subjects were asked to rate the degree of their expectation for the improvement of visual functions and symptoms after LASIK on a 5-point Likert-type scale: where 1 referred to 'somewhat worse,' 2 to 'no change,' 3 to 'somewhat improved,' 4 to 'improved,' and 5 to 'very improved.' Self-administered questionnaire was used to evaluate baseline visual functions and symptoms on a 5-point scale before LASIK. At 6 months after LASIK, the evaluation was repeated to measure treatment outcomes in terms of the difference in the score before and after LASIK. Post-operative satisfaction was also measured at 6 months on a 5-point scale. Multiple regression analysis was performed to examine the independent relationship between influencing factors and postoperative satisfaction. Results : A total of 171 patients (59.4%) participated in the 6-month follow-up investigation. The average expectation scores for the improvement in visual functions and symptoms were 3.8 and 3.4, respectively. The average score for the 7 questions assessing satisfaction was 4.0. The results of the regression analysis showed that the post-operative satisfaction increased with improvement in the visual function ($\beta$=0.16, p<0.05) and symptoms ($\beta$=0.25, p<0.05), the degree of preoperative refractive error ($\beta$ =0.26-0.67, p<0.05) and in male patients ($\beta$=0.31, p<0.1). The pre-operative expectation was not a statistically significant factor in explaining postoperative satisfaction in the regression model. Conclusion : The finding from this study was that patients with very severe myopia tended to be more satisfied with the treatment than those with mild myopia, which implies that LASIK can be more beneficial to those suffering from a severe visual condition. Patient satisfaction was also significantly affected by the treatment outcomes experienced after LASIK. This suggests that improving the clinical outcome is the most fundamental requirement for the improvement of patient satisfaction.

Cross-sectional and Comparative Study between First Attack and Reattack Groups in Acute Stroke Patients - Multi-Center Trials (급성기 중풍환자의 재발군과 초발군에 대한 단면조사연구 - 다기관 임상연구)

  • Lee, In-Whan;Gwak, Ja-Young;Cho, Seung-Yeon;Shin, Ae-Sook;Kim, Na-Hee;Kim, Hye-Mi;Na, Byung-Jo;Park, Seong-Uk;Jung, Woo-Sang;Moon, Sang-Kwan;Park, Jung-Mi;Ko, Chang-Nam;Cho, Ki-Ho;Kim, Young-Suk;Bae, Hyung-Sup
    • The Journal of Internal Korean Medicine
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    • v.30 no.4
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    • pp.696-707
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    • 2009
  • Objective : We designed this study to investigate differences between stroke reattack and stroke first attack group to establish fundamental data and prevent a secondary stroke. Methods : 826 subjects were recruited from the patients admitted to the department of internal medicine at Kyung Hee University Oriental Medical Center, Kyung Hee University East-West Neo Medical Center, Kyungwon University Incheon Oriental Medical Center, Kyungwon University Songpa Oriental Medical Center and Dongguk University Ilsan Oriental Medical Center from 1 April 2007 to 31 August 2009. We compared general characteristics, classification of diagnosis, subtypes of cerebral infarction, risk factors, Sasang constitution, diagnostic classifications between stroke reattck and stroke first attack groups. Results : 1. In general characteristics, age differed significantly between the reattck and first attack groups. 2. Classification of diagnosis differed significantly between reattck and first attack groups. 3. In risk factors, hypertension, diabetes mellitus, alcohol drinking, and stress were significantly different between reattck and first attack groups. 4. Diagnostic classifications were significantly different between reattck and first attack groups. Conclusion : To prevent recurrence of stroke, education on stroke risk factors associated with recurrence is needed. In addition, those who are diagnosed as Dampness-Phlegm need to be well-controlled.

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사회복지사 개인간 갈등 형성요인에 관한 연구

  • Kim, Gyo-Jeong
    • 한국사회복지학회:학술대회논문집
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    • 2004.10a
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    • pp.223-250
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    • 2004
  • In this paper, the proposing a fundamental data for a systematic and effective organizational management by examining the extent of the levels of conflict perceiving among individuals of social welfare workers in the Busan community social welfare center, a social welfare organizations, and investigating the related influencing factors are the purpose of the study, The summary of this study is as follows. At first, it is dysfunctional when the level of conflict is either exceedingly high or low in the interrelational conflict aspect. However, the social welfare workers' working in the community social welfare center, the extent of individual conflict is relatively low as 2.37 out of 5 points. Secondly, the multi-regression analysis is operated for controlling the population sociological factors and measuring the effectiveness of the conflict factors to the level of conflict. The influencing factors affects the result in the order of greater extent are communication factor, leader's flexibility of leadership factor, spontaneity among personality, confidentiality. As a result, Not like the case that in the technological bureaucratic organizations such as the enterprises or industrial organizations, in the human service organizations including social welfare organizations, these technological bureaucratic paradigm does not applying directly since the material of organization is composed of humans who are given moral values. Therefore, this paradigm should be put as a presupposition of the conflict management strategy. And, the communication among colleagues, learning a reasonable problem solution method, or the chances of education or training for establishing a sound human relationship should be prepared in order to lower the level of the conflict among individuals in the community social welfare department. Furthermore, professional education programs are needed for not only supporting an effective supervision and consultation(consultation with superiors and colleagues), but also, working with confidentiality and pride as a professional.

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Application of An Ecological Engineering Approach in Evaluating Protected Area at Local Scales (생태계 보호지역 평가에서 생태공학 도입과 활용)

  • Koo, Kyung Ah
    • Journal of Environmental Impact Assessment
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    • v.29 no.2
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    • pp.144-155
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    • 2020
  • This research developed an approach to identify ecologically important areas at local scales and explained how the results of this approach could contribute to extend the protected areas in the Republic of Korea (ROK). While most developed countries have considered various biotic and abiotic factors, ecological processes, migration routes, habitat connectivity, ecosystem services, and etc. to determine the protected areas, ROK has considered a few factors focusing on biodiversity, landscape, and the habitats of endangered organisms. However, for sustainable management of our nature, we need comprehensive understanding of various ecosystem factors and interactions among them at local scales in designating protected areas. Forthis, we developed a conceptual model based on the ecological engineering approach and then explained how the results of this approach could contribute to extend the protected areas. In particular, we considered future land-use and climate change in determining the priority areas for novel protected areas. Our research suggested an effective methodology 1) to include various ecosystem factors and 2) to consider future environmental changes as well as current environmental conditions in finding the ecologically important areas and prioritizing these areas. However, our approach has limitations on the real-world applications due to the lack of fundamental information and data on our ecosystems. To improve the effectiveness of our approach in the real-world applications, we need various long-term ecological research results, environmental and ecological monitoring data, and both current and future spatial environmental data.

A Study on Air Pollution and Thermal Factors in Underground Shopping Center of Pusan Area (부산시내 지하생활권의 공기오염도와 온열인자에 관한 조사연구)

  • Choi, Sung-Yong;Moon, Deog-Hwan;Lee, Jong-Tae;Song, In-Hyuk;Lee, Cha-Eun;Lee, Sung-Min
    • Journal of Preventive Medicine and Public Health
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    • v.27 no.3 s.47
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    • pp.505-516
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    • 1994
  • For the purpose of preparing the fundamental data on air pollution in underground shopping center and also contributing to the health improvement of residents, the authors measured the level of $SO_2,\;NO_2,\;TSP,\;CO,\;CO_2$ and also some related factors as air temperature, air movement, relative humidity and mean radiation temperature at inside and outside of underground shopping center in Pusan from January to February and from July to August 1994. The results were as follows : 1. The mean concentration of CO within the underground shopping center was $3.1{\pm}1.3ppm$ in winter and $2.1{\pm}0.9ppm$ in summer. There was a negative correlation (p<0.01) between inner CO concentration and temperature in summer and no correlation between inner CO concentration and outer CO concentration in underground shopping center 2. The mean concentration of COE within the underground shopping center was $876{\pm}353ppm$ in winter and $757{\pm}125ppm$ in summer. There was a negative correlation (p<0.01) between inner $CO_2$ concentration and air movement in summer and positive correlation (p<0.05) between inner $CO_2$ concentration and outer $CO_2$ concentration in underground shopping center. 3. The mean concentration of $SO_2$ within a underground shopping center was $0.036{\pm}0.019ppm$ in winter and $0.040{\pm}0.013ppm$ in summer. There was a positive correlation(p<0.01) between inner $SO_2$ concentration and temperature in summer and positive correlation between inner $SO_2$ concentration and outer $SO_2$ concentration in summer and winter in underground shopping center. 4. The mean concentration of $NO_2$ within a underground shopping center was $0.052{\pm}0.038ppm$ in winter and $0.042{\pm}0.016ppm$ in summer. There was a no correlation between inner $SO_2$ concentration and thermal factors in summer and winter and low correlation between inner $SO_2$ concentration and outer $SO_2$ concentration in underground shopping center 5. The mean concentration of TSP within a underground shopping center was $430{\pm}214{\mu}g/m^3$ in winter, $366{\pm}73{\mu}g/m^3$ in summer, and very in excess of the atmospheric environmental quality standards of Korea ($150{\mu}g/m3{\downarrow}$). There was low correlation between inner TSP concentration and temperature in summer and high correlation between inner TSP concentration and outer TSP concentration in underground shopping center.

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Phylogenetic Groups and Virulence Factors of Escherichia coli Causing Urinary Tract Infection in Children (소아 요로감염의 원인 Escherichia coli 균의 계통 분류와 독성인자 분석)

  • Kim, Ji Mok;Cho, Eun Young;Lee, Jae Ho
    • Pediatric Infection and Vaccine
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    • v.22 no.3
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    • pp.194-200
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    • 2015
  • Purpose: Urinary tract infection (UTI) is a common bacterial infection in children and Escherichia coli is a predominant pathogen. The purpose of this study is to evaluate phylogenetic groups and virulence factors of E. coli causing UTI in children in Korea. Methods: From October 2010 to April 2013, urinary E. coli strains were isolated from the 33 pediatric patients of UTI. Multiplex polymerase chain reactions were performed to evaluate the phylogenetic groups and 5 virulence factor genes (fimH, sfa, papA, hylA, and cnf1) of E. coli. Distribution of molecular characteristics of E. coli was analyzed by clinical diagnosis and accompanying vesicoureteral reflux (VUR). Results: Most (84.8%) uropathogenic E. coli were belonged to phylogenetics group B2 and the others (15.2%) were belonged to group D. The virulence factors were distributed as: fimH (100%), sfa (100%), hylA (63.6%), cnfI (63.6%), and papA (36.4%). According to clinical diagnosis, phylogenetic distribution of E. coli strain was 92.3% of B2 and 7.7% of D in acute pyelonephritis and 57.1% of B2 and 42.9% of D in cystitis. Distribution of virulence factors was similar in both groups. In patients with acute pyelonephritis, phylogenetic distribution was similar in VUR and non-VUR group, but proportion of papA genes were lower in VUR group than that of non-VUR group (43.8% vs. 20.0%, P=0.399). Conclusions: This study provides current epidemiologic molecular data of E. coli causing pediatric UTI in Korea and will be a fundamental for understanding the pathogenesis of pediatric UTI.

The Study on the Design Factors of the Groove-Roller Seed Metering Device for Seeder of Foxtail millet & Sorghum

  • Choi, Il Su;Kang, Na Rae;Kim, Young Keun;Jun, Hyeon Jong;Choi, Yong;Kang, Tae Gyoung;Hyun, Chang Sik;Lee, Sang Hee;Kim, Jin Gu;Yu, Seoung Hwa;Chung, Sun Ok
    • Journal of Biosystems Engineering
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    • v.43 no.4
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    • pp.303-310
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    • 2018
  • Purpose: This research was conducted to determine the design factors of a seed-metering device for the development of a seeder. The device allows the seeder to sow precisely one to three seeds of foxtail millet and sorghum. To obtain fundamental information regarding the design of the seed-metering device, examination of the physical properties of foxtail millet and sorghum was conducted. Methods: Based on the results of an adaptability test using an existing seeder with foxtail millet and sorghum, an experimental roller-type seed-metering device was made. The seeding factors considered during the experiment were the width, length, and depth, as well as the shape of the groove in the seed-metering roller. By adapting an analysis of variance, the experimental results of the seeding factors were analyzed. Results: The measured results of the respective lengths and widths of the seeds were 2.11 and 1.64 mm for foxtail millet, and 3.68 and 3.32 mm for sorghum, respectively. The weight of 1,000 seeds was 2.43 g for foxtail millet and 17.5 g for sorghum. The seeds were of an elliptical shape, considering the length and width. A sieve analysis showed that the size distribution of foxtail millet was quite regular whereas that of sorghum was irregular. Conclusions: The seeding results showed that the rates of incorrect planting were low when the groove of the roller-type metering device is an elliptical type. To sow one to three seeds, the groove of roller-type metering devices $2.0mm{\times}4.0mm{\times}1.5mm$ ($width{\times}length{\times}depth$) for foxtail millet, and $4.0mm{\times}8.0mm{\times}3.0mm$ and $4.5mm{\times}8.0mm{\times}3.0mm$ ($width{\times}length{\times}depth$) for Sorghum.

Factors Influencing the Fear of Falling among Community-dwelling Elderly in Korea (지역사회 재가노인의 낙상 두려움 예측요인)

  • Park, Nan Ju;Shin, Yong Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.278-287
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    • 2019
  • This study was conducted to identify the predictors influencing fear of falling in community-dewelling elderly. A secondary data analysis was performed using data of 65 years or older elderly who participating in the 2014 Korean Elderly Survey(Jun. 11th ~ Sep. 4th 2014). Multivariated logistic regression analysis was used to identify the risk factors of fear of falling. 81.5% of the elderly had fear of falling. There were significant factors, sex(OR=2.87, p<.001), education(OR=1.73, p<.001), presence of cohabiting spouse(OR=1.19, p<.001), experience of falling(OR=6.35, p<.001), arthritis(OR=1.83, p<.001), depression(OR=2.25, p<.001), cognitive deficit (OR=1.24, p<.001), instrumental activities of daily living (OR=1.98, p<.001), exercise(OR=1.29, p<.001) and the number of chronic diseases(over 3: OR=2.53, p<.001, 1~2: OR=1.73, p<.001), predicting fear of falling in community-dwelling elderly. Fear of falling was associated with multifactorial condition, and arthritis was an important factor in chronic disease. This study will provide fundamental information on programming and a policy proposal related to fear of falling.