• 한국습지학회지
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• 제13권1호
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• pp.1-11
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• 2011

우리나라는 1990년대 이후 겨울에서 봄철로 이어지는 시기에 지역적으로 만성적인 가뭄이 계속되고 있고, 특히 2001년에는 기상관측이래 때 이른 무더위와 극심한 가뭄으로 전국적으로 피해를 입었다. 가뭄에 대한 경제적인 손실은 홍수에 비해서 2~3배정도 달하고 있으며 미국 해양기상청(NOAA)이 선정한 20세기 최대의 자연재해 중 세계 각지에서 발생한 4개의 가뭄이 상위 5위안에 랭크된 바 있고, 미국 국립가뭄경감센터(NDMC)에서 발표한 통계재해 유형별 연평균피해액 중 가뭄피해가 가장 큰 것으로 분석되었다. 국내에도 2001년 봄 가뭄 시 국내총생산 성장률 0.45% 소비자물가 0.31% 상승하는 등 가뭄에 의한 경제적인 손실과 영향력은 막대하였음에도 불구하고 홍수 등에 대비해서는 수해방지종합대책 등 국가차원의 사전대책을 마련하여 시행하고 있는 반면, 가뭄에 대해서는 종합적인 사전예방대책보다는 응급복구 위주로 되어 있고 가뭄상황을 객관적으로 표현할 수 있는 지표도 명확하지 않아 이에 대한 체계적인 연구가 시급한 실정이다. 본 연구에서는 RCM 강수모의 자료를 이용하여 표준강수지수(SPI)를 산정하여 가뭄의 변동성을 평가하였다. 또한 산정 되어진 표준강수지수를 이용하여 가뭄의 시공간적인 변동성 분석을 실시하여 2015년대, 2045년대 및 2075년대로 나누어 가뭄지수의 주성분 분석을 통하여 현재와의 차이점을 확인하였다.

• 보건행정학회지
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• 제28권3호
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• pp.195-196
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• 2018

The Korean Academy of Health Policy and Management (KAHPM) has shown remarkable achievements in the field of health policy and management in Korea for the last 30 years. The KAHPM consists of experts in various fields of health policy and management, and has been the leading academic discussion forum for health policy agendas of interest to the public. Health Policy and Management (HPM), the official journal of the KAHPM, published the first issue of volume 1 in October, 1991 and is publishing the second issue of volume 28 as of 2018. Currently, it is one of Korea' main journals in the field of health policy and management. HPM has published a special issue in commemoration of the 30th anniversary of the KAHPM. The HPM invited authors, including former presidents of the KAHPM and current board members, to write about main issues in health policy and management. Although the HPM tried to set up an invited author on all subjects in the health policy and management field, 19 papers are published, that completed the peer review process by August, 2018. The authors of the special issue of the 30th anniversary of the KAHPM include six former presidents, a senior professor, and 12 board members. The subjects of this issue are reform of the healthcare delivery system, health insurance and medical policy, reform of health system governance, the role of National Health Insurance Service (NHIS), the Korea Institute for Health and Social Affairs (KIHASA) and the National Evidence-based healthcare Collaborating Agency (NECA), ethical aspects of health policy change, regional disparities of healthcare, healthcare accreditation, new healthcare technology evaluation system, globalization of the healthcare industry, the epidemiological investigator system, the quarantine system, safety and disaster, and official development assistance. There are some remaining topics to deal with for the KAHPM: aged society, anti-smoking, non-infectious disease, suicide, healthcare resources, emergency medical care, out-of-pocket money, medical fee payment system, medical aid system, long-term care insurance, industrial accident compensation insurance, community-centered health welfare system, and central government and local government of health. The HPM will continue to publish review articles on the main topics in health policy and management. This is because the KAHPM, which has been the leading academic society of Korea's health policy and management for the last 30 years, feels responsible for continuing its mission for the next 30 years.

• 보건교육건강증진학회지
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• 제23권4호
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• pp.155-171
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• 2006

Objective: The purpose of this study was to apply the Basic CPR(Cardiopulmonary resuscitation) training education program and identify its effects on knowledge of Basic CPR and skills of Basic CPR in second grade high school students. Methods: The training program was conducted for 16 weeks between March 26 and July 9, 2005 using a non-equivalent control group pretest-post test design by dividing 60 students in a half for both the experimental group and the control group. General characteristics, the effect of the education were evaluated with $x^2-test$, t-test, ANCOVA, Repeated Measure ANOVA and Bonferonni with SPSS 11.0/pc. Result: After the CPR education program application, knowledge score in the experimental group increased to 20.57 right after the education from 9.32, the score measured before the training, 19.11 after 8 weeks and 18.29 after 12 weeks. On the contrary, the control group's score showed no significant before the training. According to the result of knowledge score comparison between the experimental and control group at each point in time, the experimental group had a significantly high score in knowledge at every point(p<0.001). In the effect durability for knowledge of the training education program in process time after the training program in the experimental group, the durability of effect was identified despite the elapsing time. Scores of skills for Basic CPR increased from 1.21, the score measured before the training program, to 30.07 right after the education, 23.50 after 8 weeks and 17.57 after 12 weeks in experimental group. On the contrary, the control group showed an immaterial increase. According to the result of skill score comparison between the experimental and control group at each point in time, the experimental group had a significantly high score in skill at every point(p<0.001). The score for skill increased significantly right after the education compared to the score prior to the education. Conclusions: These findings suggest that Basic CPR training education program facilitate knowledge of CPR and skill of CPR in high school students. Therefore, it would be necessary to include the Basic CPR training program in high school education curriculum. However, the effect of Basic CPR knowledge maintains for a few period, and the effect of maintaining the skill is shorter than the maintenance of knowledge so regular reeducation is considered to be needed.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제27권5호
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• pp.447-452
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• 2001

Hyperbaric oxygen therapy(HBO) is defined as breathing 100% oxygen while in an enclosed system pressurized to greater than on atmosphere(sea level). This increased oxygen delivery furthers your body's ability to kill germs and to increase healing. HBO is a supplemental therapy to be used in addition to the current medical and surgical therapy you are receiving. HBO typically is used to complement treatments of medical problems such as bone infections, complication of radiotherapy, and certain chronic, non-healing wounds. On an emergency basis, the chamber also is used to treat problems such as carbon monoxide poisoning and the decompression sickness. We analysed stastically cases which are treated by hyperbaric oxygen therapy in point of oral and maxillofacial region on the Kangnam General Hospital for aid in comprehension and application of this therapy. Total 760 patients were treated at Gangnam General Hospital from July 1996 to September 1999. They were classified by region to Decompression sickness(DCS), Carbon monoxide poisoning(CO), General surgery(GS), Orthopedics(OS), Oral and Maxillofacial surgery(OMFS), others. Patients of Oral and Maxillofacial surgery were divided by diseses to Osteomyelitis, Osteoradionecrosis, Reconstruction, Bone graft, Difficult wounds, others. The results were as follows. 1. This institute conducts HBO therapy for DCS which takes up 62% and 10.5% for OMF region. 2. In OMF region, Osteomyelitis is 40%, Osteoradionecrosis is next, Bone graft, and Reconstruction is a row. 3. According to our precious study, HBO has been frequently conducted in OMF region compared to past, however, it is less actively conducted in this area for research than other conturies. Therefore, We need further application to the clinical use.

• 대한임상독성학회지
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• 제13권1호
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• pp.50-54
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• 2015

Podostroma cornu-damae is a rare species of fungus belonging to the Hyocreaceae family. Its fruit body is highly toxic, as it contains trichothecene mycotoxins. The morphology is similar to that of immature Ganoderma lucidum, making identification difficult for non-experts. We experienced such a case of a 56- year-old male who picked and consumed podostroma cornu-damae, and consumed. Later that day, he developed digestive system symptoms, including nausea, vomiting, and abdominal pain. He presented to the emergency room (ER), there were no abnormal physical findings, symptoms improved after gastric lavage, and the patient voluntarily discharged himself on the same day. The following day, as the symptoms gradually deteriorated, he was admitted via the ER. He was presented with severe pancytopenia, alopecia, desquamation of skin, and acute renal failure. He recovered without any complications after conservative care, antibiotics therapy, and granulocyte colony stimulating factor administration. The most commonly reported complications of podostroma cornu-damae intoxication were reported pancytopenia, infection, disseminated intravascular coagulation, acute renal failure, etc. since Prevention is especially important because its toxicity can be lethal and there is no particular treatment to date, prevention is especially important. Promotion and education for the public are needed.

• 디지털융복합연구
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• 제14권8호
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• pp.363-370
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• 2016

본 연구의 목적은 해부학실습에서 의과대학 학생들의 설명을 도입하여 만족도, 전공과의 연계성, 운영의 적절성, 언어적, 비언어적 의사소통을 포함한 자기평가요인과 학업성취도의 상관관계를 알아보고자 하였다. 의과대학 학생들은 보건관련학과 학생들에게 해부학 실습을 통해 시신의 구조를 설명과 토의를 하였다. 그 직후, 102명의 의과대학 학생들은 자기 평가요인과 의사소통의 영향에 관한 자기기입식 설문을 작성하였다. 연구기간은 2012년 6월부터 9월까지였다. 자료는 빈도 분석, t-test, 변량분석으로 처리되었다. 성별, 나이, 해부학 설명회의 경험에 관계없이 학생들은 자기평가요인의 모든 질문에서 높은 점수를 기록하였다. 그 중에서, 전공과의 연계성, 언어적 의사소통 요인은 학업성취도와 밀접한 관계가 있었다 (p<0.05). 언어적, 비언어적 의사소통 요인 또한 0.580의 높은 상관관계를 보였다. (p<0.01). 해부학 설명 과정은 의과대학 학생들에게 긍정적인 태도로 더 배우려는 기회를 제공하였고, 학업 동기를 부여하였다.

• 한국임상수의학회지
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• 제29권5호
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• pp.384-390
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• 2012

본 연구는 심초음파를 이용한 심박출량 측정의 정확성을 평가하고, 수의학에서 심박출량 측정을 위해 처음 적용되는 Automated Contour Tracking method (ACT method)와 다른 심초음파 측정 방법간의 비교를 위한 목적으로 실시되었다. 따라서 본 연구에서는 흡입마취된 비글견에서 심초음파를 이용한 세가지 심박출량 측정 방법 (modified Simpson's method, left ventricular outflow method 그리고 ACT method)과 절대적 표준법으로 사용되어 오고 있는 열희석법의 성적을 비교 분석하였다. 결과의 검정은 피어슨 상관계수와 선형 회귀 분석법을 사용하였다. 실험에 사용된 실험견은 심혈관계 및 전신상태에 이상이 없는 10마리 비글견이며 호흡마취 유도하에 평가가 실시되었다. 실험은 심초음파법으로 측정한 다음 연이어 열희석법으로 측정하는 순서로 진행되었다. 세 가지 심초음파 측정법들은 모두 열 희석법과 유의적인 상관관계(p < 0.05)에 있음을 알 수 있었고 특히, 세 가지 방법 중에서는 ACT method에서 상관관계가 가장 높음을 확인할 수 있었다. 본 실험에서 심초음파를 이용한 심박출량 측정법은 절대적인 심박출량을 제시하지 못하였다. 하지만 심박출량 측정의 절대적 표준법으로 사용되는 열희석법과 유의적인 상관관계가 있음이 확인 되었으므로 심박출량의 간접적인 정보로 활용함으로써 환자의 마취시에 발생할 수 있는 혈역학적 장애의 발견이나 교정을 위해서 유용하게 사용될 수 있음을 확인하였다.

• 융합정보논문지
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• 제10권11호
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• pp.47-54
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• 2020

본 연구에서는 RFID기반 음식물류폐기물 개별계량 기기의 기존 결제방식을 확장하면서 사용자의 편리성을 고려한 모바일의 NFC방식의 결제 시스템을 제안하고자 한다. 본 연구는 이러한 흐름에 맞춰 기존 RFID기반 음식물 종량기에 NFC를 적용하여 그간의 음식물을 배출하면서 카드분실, 카드 미소지, 미충전으로 인한 다시 들고 가야 하는 문제점과 그간의 내가 배출한 음식물 현황을 확인하기 위해서는 여러가지 번거로운 절차로 인해서 확인할 수 없던 궁금함을 해소하고자 제안을 하게 되었다. NFC의 기능 하나만으로도 그 편리성이 인증이 되었고 이를 계기로 종량기에 도입하고 연구를 하게 되었다. 물론, 교통카드사와 수수료 관련해서 협상이 필요하지만 곧 교통카드 관련 시장 점유율을 본다면 원만한 협상이 이루어질 것으로 본다. 아이폰 NFC 개방으로 NFC방식이 모든 폰에 확대될 것이다. 따라서, 다음 연구에는 최근 코로나19 확산으로 인한 긴급재난지원금 지원제도에 따라 각각의 지급수단으로 지급되고 있는 지역 화폐나 모바일상품권, 카드사와 연계하여 결제시스템을 NFC방식으로 적용하고자 한다.

• 디지털융복합연구
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• 제11권9호
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• pp.229-238
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• 2013

병원외 심정지는 오늘날 우리나라의 중대한 보건문제로서, 환자의 퇴원 시 생존율은 3.5%이며, 이 중 1%만이 신경학적 기능을 회복하는 것으로 나타났다. 이처럼 낮은 병원외 심정지 환자의 생존율을 높이기 위해서는 병원 도착 전 환자의 자발적 순환을 회복시키는 것이 매우 중요하다. 따라서 본 연구에서는 질병관리본부의 2009년도 심정지 의무기록 조사 자료를 활용하여 병원외 심정지 환자의 자발적 순환 회복률을 향상시킬 수 있는 요인들에 대한 심층 분석을 수행하였다. 심정지 환자의 자발적 순환 회복에 영향을 미치는 요인은 의사결정나무기법을 적용하여 분석하였으며, 그 결과 도착전 CPR여부, 병원 도착전 심정지 목격여부, 심정지시 활동, 과거력(암/심장질환/뇌졸중), 심정지 발생 장소, 병원전 일반인 CPR여부, 신고~현장 도착까지 걸린 시간, 연령 등이 중요한 요인으로 밝혀졌다. 이 요인들의 조합을 통해 의사결정나무모형으로 분류된 심정지 환자는 총 16개 유형이었으며, 그 중 유형 1의 특징을 갖는 집단의 자발적 순환 회복률(29.6%)이 가장 높게 나타났다. 더불어 비공공장소에서 심정지가 발생한 환자에게 일반인이 CPR을 시행하였을 경우, 심정지 환자의 자발적 순환 회복률이 향상된 것으로 보아 지역주민들에 대한 CPR교육이 중요함을 파악할 수 있었다.

• Journal of Trauma and Injury
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• 제21권2호
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• pp.115-119
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• 2008

Purpose: Abrupt abstinence from alcohol in cause of chronic alcohol addiction can trigger alcohol withdrawal syndrome. The authors studied the effect of post-operative alcohol withdrawal syndrome in patients who require intensive care due to trauma. Methods: For the study group, we selected 70 patients who had undergone emergency surgery from May 2003 to March 2007 due to trauma and who had been treated with prophylactic thiamine. Data was collected retrospectively. We excluded those who extended their hospital stay for other than traumatic causes, those who died within 3 days of surgery after trauma, those who transferred to other institutions, and those who received a psychiatric diagnosis. Patient groups were determined by the existence or the non-existence of withdrawal syndrome. Age, sex, injury mechanism, mortality, complications, durations of hospital stay and intensive care, use of mechanical ventilator, and sedative use were investigated. A Chi-square test and The Mann-Whitney method were used for statistical analysis in this study. Results: Twenty-four (24) patients from the 58 who had an ISS of 16 or more showed alcohol withdrawal syndrome, and men were shown to be affected with the syndrome significantly more than women. Although ISS was higher in the group with alcohol withdrawal syndrome, statistically, the difference was not significant (P<0.08). The total hospital stay in the patient group with alcohol withdrawal syndrome was on average 10 days longer. However, the difference was not significant (P<0.054). The duration of intensive care in the patient group with alcohol withdrawal syndrome was significantly longer (P<0.029). The patients with alcohol withdrawal syndrome showed no significant difference in the duration of mechanical ventilator use (P<0.783), or in the duration of sedative use (P<0.284). Respiratory distress, pneumonia, upper airway infection, sepsis, acute renal failure, and mortality in the alcohol withdrawal syndrome group were investigated, but no statistically significant difference were noted. Conclusion: We found that the duration of intensive care in chronic alcohol abusers was longer due to the development of alcohol withdrawal syndrome. We also discovered that, when the patients overcame the symptoms of alcohol withdrawal syndrome after intensive care, no difference was found in the frequency of developing complications, the morbidity, and the mortality. Therefore, we conclude that intensive care in trauma patients who are chronic alcohol abusers decreases the incidence of complications found in patients with post-operative alcohol withdrawal syndrome and does not adversely impact the prognoses for those patients.