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2018 한국형 공황장애 치료지침서 : 초기 및 유지 약물치료 전략 (Korean Guidelines for the Treatment of Panic Disorder 2018 : Initial and Maintenance Treatment Strategies for the Pharmacological Treatment of Panic Disorder)

  • 김민경;이재헌;김민숙;김원;문은수;서호준;구본훈;양종철;이강수;이상혁;김찬형;유범희;서호석
    • 대한불안의학회지
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    • 제14권2호
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    • pp.53-62
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    • 2018
  • Objective : The Korean Association of Anxiety Disorders developed Korean guidelines for treatment of panic disorder (PD) 2018. In this paper, we discussed the consensus among psychiatrists, regarding initial and maintenance treatment strategies for pharmacological treatment of PD in Korea. Methods : Based on current treatment guidelines published by the American Psychiatric Association, the National Institute for Clinical Excellence, and the Canadian Psychiatric Association, we developed questionnaires pertinent to initial and maintenance treatment strategies for pharmacological treatment of PD. Seventy-two experts in PD answered questionnaires. We classified expert opinions into three categories, first, second, and third-line treatment strategies, by analyzing the 95% confidence interval. Results : Antidepressants, benzodiazepine anxiolytics, and cognitive-behavioral therapy (CBT) were recommended as treatments of choice (ToC), and first-line strategies for initial treatment of PD. Escitalopram, paroxetine, sertraline, and venlafaxine were preferred from among many anti-panic drugs. Mean starting dose of anti-panic drugs for initial treatment of PD was relatively lower, than that for other psychiatric illnesses such as major depressive disorder. In the case of maintenance treatment of PD, antidepressants and CBT were selected as ToC and first-line strategies. Patients were typically examined every four weeks during treatment, to review effectiveness and side effects of the drug. Pharmacotherapy was generally continued for one year or more. Conclusion : This study provides information about consensus among Korean experts regarding pharmacological treatment strategies for patients with panic disorder.

모바일 증강현실 기반 사출성형공정 관리시스템 (An Injection Molding Process Management System based on Mobile Augmented Reality)

  • 홍원표;송준엽
    • 한국정밀공학회지
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    • 제31권7호
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    • pp.591-596
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    • 2014
  • Augmented reality is a novel human-machine interaction that overlays virtual computer-generated information on a real world environment. It has found good potential applications in many fields, such as training, surgery, entertainment, maintenance, assembly, product design and other manufacturing operations. In this study, a smartphone-based augmented reality system was developed for the purpose of monitoring and managing injection molding production lines. Required management items were drawn from a management content analysis, and then the items were divided into two broad management categories: line management and equipment management. Effective work management was enabled by providing those working on the shop floor with management content information combined with the actual images of an injection molding production line through augmented reality.

Analysis on Liveability of Multi-Family Housing Blocks in Seoul, Korea: A Focus on Comparison with Multi-Household Housings

  • Shin, Eunha;Kim, Heungsoon
    • Architectural research
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    • 제19권3호
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    • pp.63-70
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    • 2017
  • The purpose of this study was to examine the effect of housing units assembled as complexes on residential satisfaction. Two analyses were performed to examine residential satisfaction of Multi-Family Housing Blocks (MFHB; complex) and Multi-Household Housing (MH; non-complex). The residents from both housing types were surveyed on nine categories of questions regarding residential satisfaction and one on overall satisfaction from their experiences. First, the t-test results between MFHB and MH suggest that MFHB has insufficient effect in terms of improvement over MH, as their satisfaction differences are either insignificant or uncontrollable. Second, the common factors affecting Overall Satisfaction of MFHB and MH are Maintenance and Residential Environments.

Analysis of River Channel Morphology and Riparian Land Use Changes Using Aerial Photographs and GIS

  • Park Geun Ae;Lee Mi Seon;Kim Hyeon Jun;Kim Seong Joon
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2004년도 Proceedings of ISRS 2004
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    • pp.566-569
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    • 2004
  • This study is to trace the change of stream shape using the past series of aerial photographs, and to compare the land use changes of riparian area along the stream. For the Gyeongan national stream, aerial photographs of 1966, 1981 and 2000 were selected and ortho photographs were made with interior orientation and exterior orientation, respectively. As apparent changes of the stream, the consolidated reaches of stream with levee construction were straightened and their stream widths were widened. Especially the stream width of inlet part of Paldang lake was widened almost twice because of the rise of water level by dam construction in 1974. The land use maps (1966, 1981,2000) of riparian areas were also made, respectively and classified into 6 categories (water, forest, agricultural land, urban area, road, sandbar) by digitizing. The area of forest and agricultural land decreased and urban area increased as the stream maintenance was performed.

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Empirical Equations for the Analysis of the Time Dependence of the Luminance Properties of LCD Panels and Backlights for TV Applications

  • Ryu, Jin-Sun;Kim, Su-Jin;Park, Seung-Mi;Ko, Jea-Hyeon
    • Journal of Information Display
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    • 제11권2호
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    • pp.39-44
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    • 2010
  • The time dependences of the luminance properties of 55-inch CCFL and LED backlights and 32-inch FFL backlights with LCD panels were investigated during the warm-up time from the cold start. The long-term luminance maintenance curve of a standard CCFL was examined in a time window up to 5000 hours. These two time dependences are important characteristics from the viewpoint of initial picture quality and lifetime reliability, respectively. Empirical equations were suggested for the analysis of the time dependence of these luminance data. These approaches are expected to be helpful in predicting the luminance properties of backlights based on the luminance data obtained in a limited time window.

일 도시지역 갱년기 여성들의 폐경관리 수행에 관한 조사 연구

  • 김태임
    • 혜화의학회지
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    • 제7권1호
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    • pp.957-969
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    • 1998
  • This study was designed to describe the management of menopause of the climacteric-women. The subjects of this study were 95 climacteric-women in Taejon city. The instrument used for this study was Management of Menopause Scale developed by Song(1997). The data were collected from December 1997 to June 1998. The data were analyzed by using the SPSS(PC+) program. The information was obtained by use of Mean, Standard Deviation, Pearson correlation coefficient and ANOVA. The results were as Follows; 1. Among the categories of management of menopause, dietary management($3.74{\pm}1.25$) was the highest and management of exercise and activity ($3.35{\pm}0.93$), self contorl($3.13{\pm}1.21$), management of professional health maintenance($2.75{\pm}1.32$), management of sex life($2.11{\pm}1.92$) were in order. 2. On considering the relationship between the climacteric-women's management of menopause and their general characteristics, age(r=-0.38, P=0.00) and educational background(F=4.8247, P=0.00) were statistically significant.

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A Review on Intelligent Compaction Techniques in Railroad Construction

  • Oh, Jeongho
    • International Journal of Railway
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    • 제7권3호
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    • pp.80-84
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    • 2014
  • The purpose of this paper was to review Intelligent Compaction (IC) techniques, which is regarded relatively new to the railroad roadbed construction activity. Most of civil structures are built on roadbed that supposed to provide adequate load bearing support to the upper structure through the qualified compaction process. However, it is not uncommon for structure failure attributed to inadequate compaction control take place in field sites. Unlike traditional compaction control method to check field density at several locations, IC techniques continuously measure various compaction quality indices that represent compaction uniformity. In this paper, a series of literature review relevant to IC techniques was conducted to provide concise summary on the following categories: 1) background of IC technique; 2) Summary of IC vendors and basic principles; 3) modeling of IC behavior, and 4) case study along with correlation between IC with other measurements. In summary, IC technologies seem to be promising in future railroad construction to achieve better compaction quality control so that the serviceability of railroad can be ensured with minimizing rehabilitation and maintenance activities.

풍력발전기 및 풍력발전단지 신뢰성 평가 국제 표준화 (International Standardization of Reliability Assessment for Wind Turbines and Wind Farms)

  • 김석우
    • 풍력에너지저널
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    • 제9권4호
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    • pp.5-8
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    • 2018
  • Optimum performance and reliable operation of wind turbines and/or wind farms are crucial parameters for stakeholders such as OEMs, operators, owners and investors. The efficiency and life time of wind power heavily depends on operation and maintenance efforts. Every manufacturer or owner wants to have wind turbines with high reliability, which can be defined as the probability that a wind turbine will perform its designed function for a certain period of time under stated conditions. In this regard, IEC WG26 is now developing a technical specification defining information categories from which reliability metrics can be identified and reported.

뇌졸중 환자의 가정간호요구 (Need Assessment for Home Nursing of Stroke Patients)

  • 강현숙
    • 대한간호학회지
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    • 제27권3호
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    • pp.550-562
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    • 1997
  • Since patients with strokes occupy a high priority among patients for home nursing, the development of guidelines for such nursing is required and the needs of these patients should be reflected in the guidelines. Therefore, this study was done to identify the content and levels of home nursing for patients with strokes and to utilize the data in developing the most effective home nursing guidelines for these patients. The level of A, D. L. and the ability to control upper extremities were measured, and through a questionnaire. the needs for home nursing and related variables were also evaluated. The subjects for the study were 121 patients, 58 inpatients and 63 home care patients who had had a Stroke. Data collection was done from September 1996 to January 1997. The collected data were analyzed utilizing SPSS /PC, and the results are as follows : 1. Home nursing need of inpatients The priority order of home nursing needs for inpatients was : "Training in emergency treatments and how to cope with a stroke"(2.28+1.06), next, "Explanation of diets as limited or recommended", and last, "Nursing care for sleeping Problems". 2. Home nursing need home of patients The priority order of home nursing needs for home patients was : "Care for the paralyzed side" (2, 89+.34), next, "Maintenance of right posture and how to change position" (2.87+.34), and last, "Counseling on sex". 3. Comparison of the levels of home nursing needs between in patients and home patients The results of analyses of home nursing needs according to causes were grouped into seven categories : and t-tests of the seven categories showed significant differences between the two groups in all categories, that is, the level of home nursing needs were significantly higher for home patients than for inpatients in all categories of home nursing. 4. Level of home nursing needs by characteristics The variables that have affected the level of home nursing needs for these patients were sex, profession, level of education, accompanying diseases, paralyzed position. A.D.L. levels and ability levels in coordinating upper extremities. There variables, displayed a reverse correlation with the level of home nursing needs, and the degree of correlation was high. In conclusion, the above results, show there were differences in the priority order of home nursing needs between inpatients and home patients : but the content of home nursing needs wanted by these patients was similar. Meanwhile, the levels of demand for home nursing was exceptionally higher on the part of home patients than inpatients. Although it is realized that nursing guidelines for home nursing needs in all items need to be developed, there is also a necessity to guidelines in accordance with priority orders, and with consideration of the factors that affect the level of home nursing needs. of the factors that affect the level of home nursing needs.

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차량용 모바일 앱의 분류: 융복합 관점의 앱 개발을 위해 (A Classification of Car-related Mobile Apps: For App Development from a Convergence Perspective)

  • 장차오;완리리;민대환
    • 디지털융복합연구
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    • 제15권3호
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    • pp.77-86
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    • 2017
  • 다수의 앱 개발업체가 사업에 어려움을 겪고 있는 상황에서 수익을 높일 수 있는 분야로 본 연구에서는 자동차용 앱을 선정하고, 자동차를 운전하거나 관리하는 용도로 쓰이는 모바일 앱을 분석하여 분류하였다. 총 697개의 자동차용 앱(애플의 앱 스토어에서 273개와 구글 플레이 스토어에서 424개)을 분류한 결과 8개 집단으로 나뉘었는데, 대부분 차량 뉴스 및 정보(28%), 위치 서비스(23%), 대여 서비스(15%), 안전/효율 운전(12%) 집단에 속하였다. 나머지는 매매, 운전자 소통, 유지보수 관리, 경비 관리용 이었다. 하지만, 다수의 앱들이 주 기능면에서 너무 비슷한 경우가 많았고, 단지 소수의 앱만이 둘 이상의 집단에 속할 만큼 다양한 기능을 제공하고 있었다. 분류 체계의 실용성을 높이기 위하여 분류자간 신뢰성 검사를 두 번에 걸쳐 실시한 결과 Cohen's Kappa 값이 0.886과 0.828로 수용할 만한 수준이었다. 본 연구의 결과는 자동차용 앱 개발업체가 기존 앱이 제공하지 않는 기능을 발굴내거나 다기능을 복합한 앱을 개발하는데 유용할 것이며, 향후 유망 앱을 찾기 위한 방안을 연구할 필요가 있다.