• Nuclear Engineering and Technology
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• 제56권7호
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• pp.2875-2880
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• 2024

The development of nuclear power plants is in three phases. The first phase is a consideration before the decision on the NPP construction program is approved, the second phase is the preparatory work for making contracts and preparing for the construction of NPP after the NPP construction policy is approved, and the third phase is contracting, licensing and building the first NPP. As a volcanically active country, Indonesia contains over 130 active volcanoes that are part of the Pacific Ring of Fire. The volcanic aspect is one of the safety factors considered while deciding the location of an NPP. Research on the potential of natural external risks to the determination of nuclear power plants in Indonesia, including the volcanic aspect, has been conducted based on the safety reference or safety guide of the IAEA and the Nuclear Energy Regulatory Body (BAPETEN) Regulation. Due to technological advancements, safety needs have evolved so the existing Indonesia National Standard (SNI) must be updated to comply with BAPETEN regulations. The substance in SNI 18-2034-1990 relating to volcanic features seems less relevant in actual conditions, given that more complete and exact criteria for determining a site guarantee the safety and health of residents and surrounding the environment site. The study intends to conduct a gap analysis of volcanic issues in SNI and volcanic regulations. The method used is identification requirements for volcanic aspects in SNI 18-2034-1990 about Determining Site of Nuclear Reactor Guidance with BAPETEN Chairman Regulation (BCR) number 4 of 2018 about Nuclear Installation Site Evaluation Safety Provisions and BCR number 5 of 2015 about Evaluation of Nuclear Installation Sites for Volcanic Aspects, and analysis uses a qualitative method of inductive techniques. The outcome of this research applies to suggesting a revision of SNI number 18-2034-1990, especially the volcanic aspect.

• Journal of Korean Neurosurgical Society
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• 제47권5호
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• pp.345-351
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• 2010

Objective : In this study, the Mindfulness Based Stress Reduction (MBSR) program was applied to patients presenting with depression and anxiety after surgery from spontaneous subarachnoid hemorrhage (SAH) and the effects were assessed. Methods : The subjects were patients admitted for cerebral aneurysm rupture and treated by means of surgery from March to December, 2007. More than 6 months had passed after surgery, without any special lesions showing up on computed tomography (CT), and the Glasgow outcome scale (GOS) was 5 points. Among patients with anxiety and depression symptoms, 11 patients completed the program. The MBSR program was conducted once a week, 2.5 hours each, for 8 weeks. The evaluation criteria were : 1) the Beck Depression Inventory (BDI): it measures the type and level of depression, 2) the State-Trait Anxiety Inventory : the anxiety state of normal adults without mental disorder, and 3) Heart Rate Variability (HRV) : the influence of the autonomous nervous system on the sinoarterial node varies continuously in response to the change of the internal/external environment. Results : The BDI value was decreased from 18.5 ${\pm}$ 10.9 to 9.5 ${\pm}$ 7.1 (p = 0.013) : it was statistically significant, and the depression level of patients was lowered. The state anxiety was decreased from 51.3 ${\pm}$ 13.9 to 42.3 ${\pm}$ 15.2; the trait anxiety was reduced from 50.9 ${\pm}$ 12.3 to 41.3 ${\pm}$ 12.8, and a borderline significant difference was shown (p = 0.091, p = 0.056). In other words, after the treatment, although it was not statistically significant, a decreased tendency in anxiety was shown. In the HRV measurement, standard deviation normal to normal (SDNN), square root of the square root of the mean sum of squared differences between adjacent normal to normal intervals (RMSSD), and total power (TP) showed significant increase, Physical Stress Index (PSI) showed a significant reduction, and thus an improvement in the homeostatic control mechanism of the autonomic nervous system was ween. Conclusion : The MBSR program was applied to the patients showing anxiety and depression reaction after SAH treatment, and a reduction in depression symptoms and physiological reactions were observed. The application of the MBSR program may be considered as a new tool in improving the quality of life for patients after surgery.

• 부모자녀건강학회지
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• 제4권1호
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• pp.35-55
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• 2001

Recently attention has been focused on the effects of early intervention, or its lack, on both normal and preterm infants. Particularly numerous studies suggest that premature infants are not necessarily understimulated but instead are subjected to inappropriate stimulation. Developmental support and sensory stimulation have become clinical opportunities in which nursing practice can impact on the neurobehavioral outcome of premature infants. Developmental care has been widely accepted and implemented in neonatal intensive care units across the country. Increasingly, attention and concern in caring for low-birth-weight infants and premature infants has led clinicians in the field to explore the effects of a complex of interventions designed to create and maintain a developmentally supportive environment; to provide age-appropriate sensory input; and to protect the infant from inappropriate, excessive and stressful stimulation. The components of developmental care include modifications of the macro-environment to reduce NICU light and sound levels, care clustering, nonnutritive sucking, and containment strategies, such as flexed positioning or swaddling. Sensory stimulation of the premature infants is presented to standardize the modification of a developmental intervention based on physiologic and behavioral cues. The most appropriate type of stimuli are those that are sensitive to infant cues. Evaluation of infant physiological and behavioral responds to specific intervention stimuli may help to identify more appropriate interventions based on infants' cues. A critical question confronting the clinician is that of determining when the evidence supporting a change in practice is sufficient to justify making that change. There are acknowledged limitations in the current studies. Many of the studies examined had small sample sizes; used nonprobability sampling; and used a phase lag design, which introduces the possibility of threats to internal validity and limits the generalizability of the results. Although many issues regarding the effects of developmental interventions remain unresolved, the available research base documents significant benefits of developmental care for LBW infants in consistent outcomes, without significant adverse effects. Particularly, although the individual studies vary somewhat in the definition of specific outcomes measured, instrumentation used, time and method of data collection, and preparaion of the care providers, in all studies, infants receiving the full protocol of individualized developmentally supportive care had improvements in some aspect of four areas of infant functioning: level of respiratory or oxygen support, the establishment of oral feeding; length of hospital stay, and infant behavioral regulation. In summary, based on the available literature, individualized developmental intervention should be incorporated into standard practice in neonatal intensive care. And this implementation needs to be coupled with ongoing research to evaluate the impact of an individualized developmental care programs on the short- and long-tenn health outcomes of LBW infants.

• 말소리와 음성과학
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• 제12권2호
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• pp.63-72
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• 2020

본 연구는 동영상을 기반으로 일상생활에서 녹화한 아동 및 성인의 발화를 자동으로 분석해주는 SUDA(smart utterance deep analyser) 하이브리드 앱 개발에 관한 것이다. 특히, 아동과 부모가 원하는 시간 및 장소에서 상호작용하는 장면을 촬영하여 업로드할 수 있고 시간의 흐름에 따라 데이터를 계속 축적하여 이를 관찰하고 분석할 수 있도록 도울 수 있다. SUDA는 안드로이드폰, 아이폰, 태플릿 PC 기반에서 구동되며, 대용량의 동영상을 녹화 및 업로드할 수 있고, 사용자의 목적(일반인, 전문가, 관리자)에 따라 차별화된 기능을 제공할 수 있다. 전문가 모드에서는 자동화된 시스템과 협업하여 대상자의 발화를 말·언어적인 측면(비유창성, 형태소수, 음절수, 단어수, 말속도, 반응시간 등)에서 세부적으로 분석할 수 있다. 즉, SDUA 시스템이 대상자의 발화를 반자동으로 전사 및 분석하면, 언어치료사가 이를 검토하고, 보완하여 의사소통장애 진단과 중재 시 활용할 수 있다. 일반인(부모)의 경우, 전문가가 분석한 결과를 그래프 형태로 제공 받아 모니터링 할 수 있고, 관리자는 발화 분석, 영상삭제 등 전체 시스템을 관리할 수 있다. 본 시스템은 발화 분석의 반자동화로 치료사와 연구자의 부담을 줄여주고, 부모가 자녀의 발화를 기반으로 하여 말·언어발달에 대한 정보를 쉽고 다양하게 제공 받을 수 있다는 점에서 임상적 의의가 있다. 또한, 한국형 말더듬아동 진단 및 중재에 적용할 수 있는 종단데이터를 구축하고, 말더듬 회복 예측 요인들을 찾는 기초자료로 활용하고자 한다.

• 감성과학
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• 제20권4호
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• pp.79-88
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• 2017

감성이 중요시되고 있는 시대가 발전함에 따라 미래 시대에 필요한 인재를 양성하기 위한 교육 분야에서도 감성과학과 관련된 교육이 요구되는 시점이다. 본 논문은 초등학교 저학년 학생을 위한 감성과학을 학습할 수 있는 융합인재교육 프로그램을 개발하고 수업에 적용해봄으로써, 가능성과 효과적인 방법을 제안하고자 한다. 이를 위하여 첫째, 감성과학을 교육하기에 적합한 융합인재교육(STEAM) 방식을 채택하여 초등학교 1~2학년을 대상으로 한 '도형으로 만드는 마음'을 개발하였다. 감성과학 관련 STEAM의 이론적 배경과 벤치마킹을 실시하고, 초등학교 해당 학년 교과서를 기반으로 한 구체적인 수업 내용과 활동 및 교재와 키트 등을 개발하였다. 둘째, 개발된 프로그램을 두 학급에 시범적으로 적용하여 만족도 조사와 교사 인터뷰 등을 통해 결과를 분석하였다. 분석 결과는 전체 만족도 평균은 매우 높게 (4.40/5) 나왔으며 특히, '수업 참여도'에 대한 만족도가 높은 것으로 분석되었다. 셋째, 분석 결과를 바탕으로 개발한 프로그램에 대한 가능성과 가치, 한계점 등을 논한다. 본 연구 결과는 과학에 대한 직접적인 이해가 어려운 초등학교 저학년을 대상으로 감성과학에 대해 쉽고 흥미롭게 접근할 수 있는 교육 프로그램이라 할 수 있다. 이러한 교육을 통해 감성과학을 효과적으로 이해하고, 감성 중심 시대를 선도할 인재를 양성하는데 도움이 될 것으로 기대한다.

• 예술인문사회 융합 멀티미디어 논문지
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• 제9권10호
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• pp.763-774
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• 2019

협업 시스템은 협업을 위한 그룹 구성 및 데이터 관리 등의 기능을 제공하여 참여자간의 협업을 지원하는 시스템으로 최근에는 협업 과정 및 결과의 신뢰성을 보장하기 위하여 블록체인 기반의 협업 서비스에 대한 연구가 진행되고 있다. 협업을 수행하는 응용 영역의 다양성과 협업 그룹을 이루는 참여자들의 성격에 따라 협업을 수행하는 절차가 여러 가지 형태로 이루어진다. 이러한 절차가 목적하는 협업의 결과물을 차질 없이 도출하기 위해서는 적절한 협업의 과정을 미리 명세하여 참여자들이 그 과정에 대하여 이해하고 동의하면서 협업을 수행하는 것이 바람직하다. 본 논문에서는 이더리움 블록체인 기반 협업 서비스 환경에서 워크플로우 명세를 이용하여 유동적인 협업 과정을 제어하기 위한 방법에 대하여 제안한다. 제안된 방법에서는 지정된 작업의 실행 흐름을 위한 워크플로우에 대한 명세를 이더리움 스마트 컨트랙트에 저장하고, 저장된 워크플로우에 대한 명세를 이용하여 작업 과정을 제어한다. 이를 위하여, 본 논문에서는 JSON을 이용하여 간단하게 작업 과정을 명세할 수 있는 기법인 JSFlow와 이를 활용하기 위한 이더리움 라이브러리를 소개한다.

• 산업융합연구
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• 제21권12호
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• pp.55-62
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• 2023

최근 등장하는 랜섬웨어들은 다양한 공격 기법과 다양한 경로를 통해 공격을 수행하고 있어 조기 탐지와 방어에 많은 어려움을 겪고 있으며, 그 피해 규모도 날로 증가하고 있다. 따라서 본 논문에서는 효과적인 랜섬웨어 탐지를 위하여 파일 암호화와 암호화 패턴을 머신러닝 기반으로 하는 감지 기법을 제안한다. 파일 암호화는 랜섬웨어가 공격하는데 필수적으로 사용하는 기능으로 암호 행위와 암호화 패턴을 분석함으로써 랜섬웨어를 탐지하고 랜섬웨어의 특정 변종이나 새로운 유형의 랜섬웨어를 탐지할 수 있기 때문에 랜섬웨어 공격을 식별하고 차단하는 데 매우 효과적이다. 제안한 머신러닝 기반의 암호화 행위 감지 기법은 암호화 특성과 암호화 패턴 특성을 추출하여 머신러닝 기반의 분류기를 통해 각각 학습을 시켜 해당 행위에 대한 탐지를 진행하고 최종 결과는 두 분류기의 평가 결과를 기반으로 앙상블 분류기에서 랜섬웨어 유무를 판별하여 좀 더 정확도를 높였다. 또한, 제안한 기법을 numpy와 pandas, 파이썬의 사이킷런 라이브러리를 사용하여 구현하여 평가지표를 사용한 성능를 평가한 결과 평균적으로 94%,의 정확도와 95%의 정밀도, 93%의 재현률과 95%의 F1 스코어가 산출되었다. 성능 평가 결과를 보면 암호화 행위 감지를 통해 랜섬웨어 탐지가 가능하다는 것을 확인할 수 있었고 랜섬웨어의 사전 탐지를 위해 제안한 기법의 성능을 높이기 위한 연구도 계속해서 진행되어야 한다.

• 대한간호학회지
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• 제30권6호
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• pp.1488-1502
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• 2000

This study, based on current home nursing services, aims at promoting measures for establishing a community-based home nursing system derived from the pilot home nursing demonstration project conducted by the Seoul Nurses Association. The study was based on an analysis of home nursing records from march 1993 to December 1999. The following is a summary analysis, based on individual characteristics of the patients, the organization, which recommended the service for their patients and personnel services. 1. The service has been used by many elderly people 60years of age or older(66.4%). and married people(60.9%). The average number of visits by service personnel for patients of city government was 23.5. This is 2.5 times as many visits by general patients. General patients(20.2%) had only one visit from service personnel, while 65.5% of patients of city government had 10 or more visits. Particularly, for government recommended patients, 72.7% of the patients were recommended by nurses, while only 21.9% where referred to the services by doctors. The main focus of a home nursing service was to maintain present health status (53.4%), and hospice(11.6%). Also to increase hospital-based home nursing services focused on recovery(55.9%) and maintain present health conditions (19.0%). 2. For general patients, 42.0% of patients were suffering from problems related to CVA, 11.3% from high blood pressure, and for patients referred from city, 21.2% from skeletal muscular disease. Results of home nursing services 29.4% of patients were able to recover or maintain their health status, but 48.9% of the patients died. Another main point of community-based home nursing services is medication(6.7%), other basic nursing services(6.1%), special treatment, instructions on how to use medical devices(5.9%), change of physical posture(4.6%), and training on changing physical positions(4.7%). As mentioned above there were some differences between the characteristics of patients who used the pilot home nursing service conducted by the Seoul Nurses Association and those hospital-based service users. The results are believed to be useful to support a community-based home nursing service model. Particularly, patients under medical supervision and patients recommended by government-run health clinics show a higher frequency and longer use of home nursing services compared to general patients or hospital-based home nursing service users. According to the study, nurses accounted for a large number of recommendations for home nursing services. Many patients with CVA, high blood pressure, skeletal muscular disease and bedsores used community-based home nursing services, while others used the service for minor treatments or maintaining their current health status. Based on the study, the researchers make several suggestions to establish a community- based home nursing service system. First, different ways of setting up a community-based home nursing system have to be mapped out based on the evaluation of the pilot home nursing service conducted by the Seoul Nurses Association. Secondly, a new, community-based, home health care nursing service model, and reimbursement payment system have to be developed. This is based on the outcome of the analysis, and implemented policy. Accordingly, efforts are needed to develop a community- based home nursing system with an intermediary role to promote the visiting nursing services of government-run health centers.

• 대한지역사회영양학회지
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• 제20권6호
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• pp.433-446
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• 2015

Objectives: This study was performed to evaluate the consumer education program for reducing sodium intake based on social cognitive theory (SCT) and investigate consumer perceptions of environmental, cognitive and behavioral factors. Methods: Consumers (n=4,439) were recruited nationwide in Korea to participate in a nutrition education program for reducing sodium intake which was targeted on senior housewives (SH), parents (P), and office workers (OW). Questions regarding main factors of SCT were asked both before and after the education program. Results: SH and P recognized external social efforts and information to reduce sodium including nutrition labeling more than OW. The main barriers to practice reducing sodium intake were limited choice of low sodium food and menu, interference with social relationship when dining with others, and limited information, knowledge and skills. SH had lower barriers to practice reducing sodium intake and OW perceived 'preference to soup or stew' and 'preference to Kimchi, salted fish and fermented sauces' as barriers more than other groups at the baseline. Less than 50% of participants knew the relationship between sodium and salt, sodium in nutrition labeling, and recommended sodium intake. In addition, OW had little knowledge for capability to reduce sodium intake and lower self-efficacy to practice compared with SH and P. After education, positive outcome expectations such as lowering blood pressure, prevention of cardiovascular disease and osteoporosis were increased and barriers to practice reducing sodium intake were decreased in all groups (p < 0.05). The knowledge for behavioral capability and self-efficacy to reduce sodium intake were also improved but OW had still lower scores compared with other groups. Conclusions: These results suggested that nutrition education programs could be an effective tool to impact general population by facilitating awareness and increased capability to reduce sodium intake.

• 한국직업건강간호학회지
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• 제9권1호
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• pp.39-48
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• 2000

Hyperlipemia is the most leading risk factor of cardiovascular disease which is the main cause of death in Korea. However, there is a tendency to neglect the prevention and treatment since it has no specific symptoms. It has been reported that the level of serum-lipid can be lowered by the improvement of eating habits. Therefore, it is highly likely that the development of programs on the improvement of eating habits through behavioral theory is required to the community nursing practice. The theory of planned behavior, which assumes that human behaviors are determined by one's intention to carry out the behavior, can be characterized by the point that behaviors are not only individual factors but also social behaviors relating to subjective norms. It is widely recognized that this theory has a high predictability on health behavior due to it's simplicity clearness, and measurability as well as high quality of being general. Thus, the theory of planned behavior could be useful in developing a model of a health promotion program to the change of behaviors of the risk group of cardiovascular disease. Consequently, based on the theory of planned behavior, the purpose of this study is to develop an intention promotion program of the diet, and then to testify the effects. The sample of this study consisted of 26 industrial workers who had proved hyperlipemia from a medical examination in 1996 (experimental group 13, control group 13). The intention promotion program, which includes education, monitoring, pressure, counselling on the level of individuals, families and organizations, was conducted for 10 weeks The purpose of this program was to promoting intention of the diet through changes of the prerequisite factors of intention such as behavioral belief, outcome evaluation, normative belief and control belief. When it came to data analysis, the ${\chi}^2$-test and Fisher's Exact test were used to compare the general characteristics between the experimental and the control group, an independent t-test for the other variables. ANOVA was used to the test hypothesis, and the Pearson correlation test for variable's correlation. The results of this study can be summarized as follows ; 1) There was a significant increase in the intention(F=18.51, p=.00) of diet in the experimental group. 2) Diets(F=32.51, p=.001) in the experimental group were better carried out than in the control group. 5) There was a moderate correlation between the intention of diet and performance (r=.587. p=.003). From the results, it can be concluded that the intention promotion program is very effective, leading to the change of health promotion behavior. Above all, it is really valuable that the intention promotion program in this study regards health promotion behavior as a social behavior and that intervention was done on the level of family and organization. Consequently, when performing a health promotion program, social approach elevating the intention should go hand in hand in order to make the program effective.