• 제목/요약/키워드: Rising Time

검색결과 982건 처리시간 0.031초

실험실에서 사육한 버들치의 산란습성(産卵習性) 및 초기생활사(初期生活史) (Early Life History and Spawning Behavior of Chinese Minnow, Rhynchocypris oxycephalus Reared in the Laboratory)

  • 한경호;노병을;오성현;박준택;조재권;성기백
    • 한국어류학회지
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    • 제11권2호
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    • pp.177-183
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    • 1999
  • 1997년 5~6월 경상남도 산청군에 위치한 경호강 중류에서 채집된 버들치의 친어들을 실험실에 설치된 수조에서 사육하던 중 산란습성(産卵習性)과 초기생활사(初期生活史)에 관하여 관찰하였다. 버들치의 산란기(産卵期)는 자연상태에서 5~6월(月)이며, 성숙한 어미들은 수조 내 작은 모래와 자갈 사이로 파고 들어가 산란(産卵)하였으며, 수정(受精)된 란(卵)은 모래 속, 자갈 표면에 불어 있었다. 란(卵)의 크기는 1.70~1.90 mm(평균 1.80 mm n=20)로 유구(油球)는 없었다. 부화(孵化)는 평균 사육수온 $19{\pm}0.5^{\circ}C$에서 수정(受精) 후(後) 88시간 40분부터 시작되어 90시간만에 완료되었다. 부화(孵化) 직후(直後)의 자어(仔魚)는 전장(全長) 4.87~5.02 mm(평균 4.94 mm)로 입과 항문은 열려 있지 않았다. 부화(孵化) 후(後) 6일째 자어(仔魚)는 전장(全長) 6.32~6.56 mm (평균 6.44 mm)로 난황(卵黃)이 거의 흡수되어 입과 항문이 열려있었으며, 먹이를 섭이(攝餌)하기 시작하였다. 부화(孵化) 후(後) 13일째 자어(仔魚)는 전장(全長) 6.74~6.91 mm (평균6.82mm)로 등지느러미가 생길 부분이 융기하기 시작하였고, 근절(筋節)은 11+23=38개였다. 부화(孵化) 후(後) 25일째는 전장(全長) 8.45~8.60 mm (평균 8.52 mm)로 등지느러미와 뒷지느러미가 분화하기 시작하였으며, 성장이 다소 빨라지고, 배색말단(背索末端)은 $45^{\circ}$로 위로 굽어져 있었다. 부화(孵化) 후(後) 60일째의 개체는 전장(全長)이 16.39~16.57 mm (평균 16.43 mm)로 모든 지느러미 줄기가 정수에 달하였지만, 복부 쪽에 막상(膜狀)이 아직 남아 있었다. 부화(孵化) 후(後) 80일째의 치어(稚魚)들은 전장(全長)이 18.69~18.87 mm (평균 18.76 mm)로 몸 전체에 작은 반점이 형성되었으며, 몸의 형태, 체색 및 옆줄이 완전하게 형성되어 성어(成魚)에 닮아 있었다.

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과로로 인한 업무상 질병의 산재보상 인정기준에 관한 연구 (A Study on the Clauses of the Work-Related Disease due to Overwork in the Workmen's Compensation Law)

  • 김은희
    • 한국직업건강간호학회지
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    • 제6권1호
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    • pp.23-43
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    • 1997
  • The work-related diseases due to continuous overwork are mainly cerebro- and cardio-vascular ones, which is commonly called 'Karoshi', death from overwork. Many factors are capable for Karoshi : occupational stress in relation to technological renovation and industrial rationalization, competitive social structure, and accumulated fatigue accured to long time or irregular working. And its occurence is on the rise. The World Labor Report 1993 released by ILO, pointed out the diseases related to overwork and stress as one of the most important occupational health problem. In Korea, social awareness of Karoshi is at an infant stage, and reliable statistics for its occurence are not compiled in a convenient manner. Despite the rising Karoshi, there are no reliable clauses in workmen's compensation enough to settle down the disputes. Therefore, it is not uncommon that the Labour Ministry and Civil Court find difficulties in reaching an agreement. This study was intended to provide proper compensation and prevention program for workers by suggesting reasonable compensation clauses for the death from overwork. This study consists of two comparative reviews on the compensaton clauses for the death from overwork. One is to review legal standards of Karoshi among three countries, such as Korea, Japan and Taiwan. The other is to investigate the cases of Karoshi in Korea, 121 cases identified at the Labor Welfare Corperation and the Labour Ministrial process of examination and reexamination, and 73 leading cases at the High Court of Justice. The main findings of the study are as follows : 1. Comparisons of comperative review on compensation clauses for the death from overwork among three countries. 1) All of three countries have the same kinds of disease for compensation, which were cerebro-and cardiao-vascular diseases, while for cardiac disease group, Korea has the smaller number of diseases for compensation than Japan. 2) As for the definition of overwork, the three countries share equally that overload for one week prior to collapse is considered as an important factor, but accumulated chronic fatigue is disregarded. 3) As the basis of overwork, in Japan, there is a tendency to move from the conditions of an ordinary healthy adult to those of the individual concerned in Japan, whereas there is no such concern yet in Korea. 4) All the three countries use a common standard of medical judgement in demonstrating causal relationship between a job and a disease. However, Korea is progressive in the sense that in the case of CVA at worksite, the worker himself has no obligation to prove the cause. 2. The results of a comparative review on excutive decisions by Labor Ministry and judicial decisions by the Court in Korea : A judicial decision is based on the legalistic probability, but a excutive decision is not. Therefore, excutive decisions have such restrictions that : 1) TIA (transitory ischemic cerebral attack) and myocarditis are excluded from compensation, and there is little consistency of decision in the case of cause-unknown death. 2) There is a tendency not to compensate for the death from overwork since the work terms such as repeated long-time working, shift work or night-shift work are not considered as overloading. 3) There is a tendency to regard the conditions of a ordinary healthy adult rather than those of the individual concerned(age, existing diseases, health state, etc.) as the comparative basis of overload. 4) There remains a tendency not to compensate for the death from overwork in the case of collapse occuring out of workplace, on the ground of 'on the course of working' and 'in the cause of accident'. Through the study, the fact manifests itself that Korea's compensation clauses for work-related diseases due to overwork are very restrictive. So, it is necessary to extend the Labor Ministry's clauses of compensation for the death from overwork following to the recent changes of other countries and internal judicial decisions. This is very important in the perspective of occupational health that aims at health promotion of workers including prevention of the Karoshi.

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이상기상 조건이 배추의 생육 및 세포조직에 미치는 영향 (Effects of Growth and Cellular Tissue under Abnormal Climate Condition in Chinese Cabbage)

  • 이상규;최장선;최준명;이희주;박수형;도경란
    • 생물환경조절학회지
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    • 제22권2호
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    • pp.87-90
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    • 2013
  • 지구 온난화의 영향으로 우리나라는 지난 30년동안 평균기온이 $0.7^{\circ}C$, 겨울철에는 $1.4^{\circ}C$가 상승하였다. 이러한 온난화로 인하여 우리나라에서는 이상기상 현상이 자주 발생하여 채소작물에 피해가 발생한다. 특히 노지에서 많이 재배되고 있는 고추, 배추 및 무는 온난화로 인하여 정식시기를 점점 앞당겨 정식후 갑작스런 저온이 오면 이들 작물의 피해가 크다. 따라서 본 실험은 저온에 따른 배추의 생육특성과 엽 세포조직에 미치는 영향을 구명하고자 실시하였다. '춘광' 배추품종을 화분에 정식한 후 노지 처리구, 무가온 하우스 및 가온하우스 처리구 등 3처리를 하였다. 그 결과, 정식후 50일의 생육은 노지처리구의 초장, 엽수, 엽록소 및 엽면적이 가온 처리구에 비해서 현저하게 떨어졌고, 특히 생체중의 경우에는 가온 처리구에 비해서 노지와 무가온 하우스 처리구가 1/3 수준으로 현저하게 낮았다. 배추의 잎이 10매 정도 생육이 되었을 때 저온에 따른 배추 잎의 피해증상은 영하 $3.0^{\circ}C$ 조건에서는 배추 겉잎에 약간의 수침증상을 보였으나 회복되었다. 그러나 영하 $7.4^{\circ}C$ 조건의 배추 잎은 수침증상이 심하였으며 회복되지 못하고 황색으로 변하면서 결국 잎이 고사하였다. 피해받은 잎의 엽육세포는 영하 $3.0^{\circ}C$ 조건에서는 울타리조직과 해면조직이 약한 붕괴증상을 보였지만 어느정도 형태를 갖추고 있었는데, 영하 $7.4^{\circ}C$ 조건에서는 세포가 동결된 후 해동되는 과정에서 세포의 막구조가 파괴되어 울타리조직과 해면조직이 완전히 붕괴되었기 때문에 세포 형태를 갖추고 있지 않았다. 따라서 배추 정식후 초기 생육 단계에서 영하 $3^{\circ}C$까지는 비닐이나 부직포로 보온, 토양수분 조절, ABA 처리를 하여 동해를 예방할 수 있으나 영하 $7^{\circ}C$의 저온이 발생하면 세포가 파괴되어 회복하기 어렵기 때문에 다시 심거나 또는 다른 작물로 대체하는 것이 좋을 것으로 사료되었다.

우리 복식에 중국복식이 미친 영향 (Chinese Influences on Traditional Korean Costume)

  • 김문숙
    • 대한가정학회지
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    • 제19권2호
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    • pp.123-133
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    • 1981
  • If we are to define that the traditional costume is a comprehensive expression of the culture, thoughts, and arts of a country, it is needless to say that the traditional costume would have always reflected the social and cultural aspects of the times. In order words, the cultural contemplation of a certain people at some point the history is only possible when we observe the distintive features of the costume worn by the people of respective times. Although the Korean people had the native costume of its own from the times of the Ancient Choson to the Three Kingdoms of Koguryo, Paekche, and Silla, the Chinese influence on Korean traditional costume became somewhat pronounced ever since the Silla strenghtened the political ties with the T'ang dynasty in China, and it came to a climax when the dual structure in Korean native costume, being compounded with the Chinese touch, continued to be prevailed from the era of the Unified Silla to the Koryo and throughout the succeeding Yi dynasty, thereby copying the typical aspects of Chinese pattern in clothing and dresses worn by the ruling classes, namely the goverment officials including the Kings. Therefore, it is our aim to study the pattern of Chinese influence on our traditional costume, as well as social and cultural aspects by way of contrasting and comparing our official outfit system, which had been developing in dualism since the era of the Unified Silla, with that of China, and to trace in part the Korean traditional costume. In comparing our traditional official outfit system with that of China, we have basically concentrated on the comparison of the official outfit systems during the periods of the Three Kingdoms, the Koryo, and The Yi dynasty with that of corresponding era of Chinese history, namely the dynasties of T'ang, Sung, and Ming, and followed the documentary records for the comparison. Koreans had fallen into the practice of worshipping the powerful in China and begun to adopt the culture and institutions of the T'ang dynasty since the founding of the Unified Silla. From this time forth, Korean people started to wear the clothes in Chinese style. The style of clothing during the period of the Koryo Kingdom was deeply influenced by that of the T'ang and Sung dynasties in China, and it was also under the influenced of the Yuan dynasty(dynasty established by the Mongols) at one time, because of the Koryo's subordinative position to the Yuan. At the close of the Koryo dynasty, the King Kongmin ordered the stoppage on the use of 'Ji-Joung', the name of an era for the Yuan dynasty, in May of the eighteenth year of his rule in order to have the royal authority recognized by a newly rising power dominating the Chinese continent, the Mind. Kind Kongmin presented a memorial, repaying a kindness to the Emperor T'aejo of the Ming dynasty in celebration of his enthronement and requested that the emperor choose an official outfit, thereby the Chinese influence being converted to that of the Ming. As a matter of course, the Chinese influence deepened all the more during the era of the Yi dynasty coupled with the forces of the toadyic ideology of worshipping the China, dominant current of the times, and the entire costume, from the imperial crown and robe to the official outfit system of government officials, such as official uniforms, ordinary clothes, sacrificial robes, and court dresses followed the Chinese style in their design. Koreans did not have the opportunity of developing the official outfit system on its own and they just wore the official outfit designated on separate occasions by the emperors of China, whenever the changes in dynasty occurred in the continent. Especially, the Chinese influence had greatly affected in leading our consciousness on the traditional costume to the consciousness of the class and authority. Judging from the results, Koreans had been attaching weight to the formulation of the traditional outfit system for the ruling classes in all respective times of the history and the formulation of the system was nothing more than the simple following of the Chinese system.

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장기요양서비스 수요의 결정요인 (Determinants of Demand for Long-Term Care)

  • 정완교
    • KDI Journal of Economic Policy
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    • 제31권1호
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    • pp.139-167
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    • 2009
  • 본 논문은 65세 이상 고령인구의 수와 노인들의 건강상태 등만을 중심으로 한 기존의 연구에 더하여, 노인장기요양보험제도 제2차 시범사업의 자료를 이용한 계량분석을 통해 장기요양서비스 수요의 결정요인을 분석하였다. 분석 결과에 따르면, 우선 노인장기요양보험제도상 장기요양서비스 이용에 대한 보험 적용 대상자를 정하는 등급판정에 일상생활활동에서의 장애가 노인들이 많이 앓고 있는 고혈압, 관절염, 치매 등의 질환을 통제하고서도 통계적으로 유의한 영향을 미쳤다. 또한 노인들의 건강상태, 여성, 기초생활수급자 여부, 노인가구 형태, 노인가구의 월평균 소득 등이 장기요양서비스이용 및 이용 양태에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 특히, 노인가구의 월평균 소득을 통제하고서도 장기요양서비스를 무료로 이용할 수 있는 기초생활수급 대상 노인들의 재가서비스 이용확률이 높게 나타나는데, 이는 소득과 더불어 장기요양서비스의 가격도 장기요양서비스 이용을 결정하는 중요한 요인임을 의미한다.

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수종(數種)의 침엽수재(針葉樹材)의 로타리 단판(單板) 절삭(切削)과 건조(乾燥) (Rotary Veneer Peeling of Some Softwoods and Its Veneer Drying)

  • 정희석;이남호;여환명;이준호;유태경
    • Journal of the Korean Wood Science and Technology
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    • 제24권1호
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    • pp.34-47
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    • 1996
  • Veneers of two nominal thicknesses, 1.5 and 2.5mm, were rotary peeled from Japanese larch (Larix leptolepis). Dahurian larch (Larix gmelinei) and Radiata pine (Pinus radiata) bolts unheated and heated in the water vat temperature of $66^{\circ}C$ by rising a final temperature at 10cm core of $60^{\circ}C$ to remain core diameter of 11.4cm. 1.5 and 2.5mm thick veneer cut from the heated Japanese larch were significantly thinner than those of the unheated bolt and 2.5mm thick veneer cut from the heated Dahurian larch were significantly thicker than that of the unheated bolt. 1.5mm thick Dahurian larch veneer and 1.5 and 2.5mm thick Radiata pine veneers showed insignificant difference between the unheated and heated bolts, respectively. Check distance on the loose side of 1.5mm thick veneer cut from the heated Radiata pine was significantly wider than that of the unheated bolt. However check distances on the loose side of 1.5 and 2.5mm thick Japanese larch and Dahurian larch veneers and 2.5mm thick Radiata pine veneers showed insignificant difference between the unheated and heated bolts. Also the depth of check on the loose side of three species showed insignificantly difference between the unheated and heated bolts. Arithmatic mean deviation($R_a$) and maximum height($R_{max}$) of the profile on the loose side of dried veneer by preheating the bolt compared with unheated bolts were different among apecies and between veneer thickness. The preheating treatment slightly affected qualities of these thin veneers such as 1.5 and 2.5mm. The yield of 2.5mm thick veneer from the heated radiata pine was significantly higher than that of the unheated bolt. However the yield of 2.5mm thick veneer for other two species and 1.5mm thick veneer for three species showed insignificant difference between the unheated and heated bolts. The yield of 2.5mm thick veneer for three species were higher than those of 1.5mm thick veneer. The average yields of green veneer of Japanese larch. Dahurian larch and Radiata pine were 57.1, 55.1 and 54.0 percent, respectively. Variables such as initial MC. drying time and veneer thickness had strong effect for Japanese larch veneer, less effect for Radiata pine veneer and nuch less effect on final MC for Dahurian larch veneer in jet drying. Correlation between the current MC and the drying time of Dahurian larch with low variation of initial MC was higher than those of Japanese larch and Radiata pine veneer with high variation of initial MC in high temperature drying. Thickness shrinkages of 2.5mm thick veneer for Japanese larch and Radiata pine were higher than those of 1.5mm thick veneers, but shrinkages of Dahurian larch veneer were similar between two nominal veneer thicknesses.

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상수리나무 변재(邊材)와 심재(心材)의 열판건조(熱板乾燥)에 관(關)한 연구(硏究) (Study on Press-drying of Sapwood and Heartwood of Oak)

  • 정희석;이필우
    • 한국산림과학회지
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    • 제36권1호
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    • pp.26-32
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    • 1977
  • 저질재(低質材) 건조(乾燥)의 한 방안(方案)으로 상수리나무 판재(板材)를 열판건조(熱板乾燥)하였다. 열판건조조건(熱板乾燥條件)을 변재(邊材)와 심재(心材)의 두께 1.5cm판재(板材)를 열판온도(熱板溫度) $175^{\circ}C$, 압력(壓力) 35psi로 건조(乾燥)항, 건조시(乾燥時) 내부온도(內部溫度), 건조중(乾燥中) 함수율(含水率) 및 건조속도(乾燥速度)의 변화(變化), 건조시간(乾燥時間)과 말기함수율(末期含水率), 건조재(乾燥材)의 치수변화(變化), 건조손상(乾燥損傷) 등(等)을 조사(調査)한 결과(結果)를 요약(要約)하면 다음과 같다. 1. 판재(板材)의 내부온도(內部溫度)는 건조초기(乾燥初期)에 급격히 상승(上昇)하여 얼마동안 일정(一定)하게 유지된 다음 서서히 상승(上昇)하였다. plateau temperature는 심재(心材)가 변재(邊材)보다 높고 유지기간도 길었다. 2. 건조시간(乾燥時間)에 따라 건조속도(乾燥速度)는 감소(減少)하였고 변재(邊材)의 건조속도(乾燥速度)는 logy=-2.7925-0.0811x, (r=-0.976), 심재(心材)의 건조속도(乾燥速度)는 logy=-3.3382-0.0468x (r=-0.976)의 곡선(曲線)을 나타났다. 3. 소요(所要)되는 건조시간(乾燥時間)은 심재(心材)가 변재(邊材)보다 길었고, 변재(邊材)는 초기함수율(初期含水率) 59%에서 말기함수율(末期含水率) 2.5%까지 건조(乾燥)하였는데 45분(分), 심재(心材)는 초기함수율(初期含水率) 64%에서 말기함수율(末期含水率) 3.3%까지 55분(分)이 각각(各各) 소요(所要)되었다. 4. 건조재(乾燥材)의 평균(平均) 두께수축율(收縮率)은 20.4%, 평균(平均) 폭수축율(幅收縮率)은 2.5%이고, 평균(平均) 두께복원율(復元率)은 11.4% 평균(平均) 폭복원율(幅復元率)은 49.4%로서 두께는 폭(幅)보다 수축율(收縮率)은 컸으나 복원율(復元率)은 적었다. 5. 변재(邊材)는 내부할열(內部割裂) 등(等)의 건조손상(乾燥損傷)이 거의 없었으나 심재(心材)는 내부할대(內部割袋)이 심하게 나타났다.

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가지에서 온도별 점박이응애 발육특성 및 생명표 통계량 (Effect of Temperature on Development and Life Table Parameters of Tetranychus urticae Koch (Acari: Tetranychide) Reared on Eggplants)

  • 김주;이상구;김정만;권영립;김태흥;김지수
    • 한국응용곤충학회지
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    • 제47권2호
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    • pp.163-168
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    • 2008
  • 가지잎에서 점박이응애의 온도에 따른 발육 특성을 조사한 결과 17, 22, 27, 32, $37^{\circ}C$에서 점박이응애의 사충률은 $27^{\circ}C$를 기준으로 온도가 올라가거나 내려감에 따라 증가하였고, 부화율은 $17^{\circ}C$$37^{\circ}C$에서 낮았다. 발육기간은 온도가 높아짐에 따라 감소하는 경향을 보이고 $37^{\circ}C$에서 5.3일로 가장 짧고, $17^{\circ}C$에서 25.8일로 가장 길었다. 온도와 발육률의 관계를 직선회귀에 의해 분석한 결과 $r^2$값이 0.88 이상으로 본 실험에서 수행한 온도 $17{\sim}37^{\circ}C$범위에서 점박이응애의 발육은 직선회귀에 부합되었다. 발육영점온도는 전체약충기간이 암컷 $12.5^{\circ}C$, 수컷 $12.8^{\circ}C$이었고, 전체약충기간의 유효적산온도는 암컷 80.5,수컷 74.7일도였다. 성충의 수명과 산란기간은 온도가 올라감에 따라 짧아졌고, 암수의 비교에 있어서 암컷이 수컷에 비해 수명이 길었다. 온도에 따른 산란수는 $27^{\circ}C$에서 141.0개로 가장 많았으며, $37^{\circ}C$에서 78.0개로 가장 적어 온도에 따른 변이가 컸다. 온도에 따른 부화율과 암컷의 비율도 $27^{\circ}C$를 정점으로 온도가 높아지거나 낮아지면 감소하였다. 점박이응애의 $R_o$ (순증가율)는 온도가 $27^{\circ}C$를 정점으로 온도가 높아지거나 낮아지면 감소하였고, $r_m$ (내적자연증가율)은 온도가 높아짐에 따라 같이 높아져 $37^{\circ}C$에서 최고치인 0.5652였으며, ${\lambda}$ (기간증가율)도 온도가 높아짐에 따라 높아졌다. DT (배수기간)와 T (평균세대기간)는 온도가 올라감에 따라 감소하였다.

관상동맥 우회술 환자를 위한 Critical Pathway개발 (Development of a Critical Pathway for Patients with Coronary Artery Bypass Graft)

  • 김기연
    • 대한간호학회지
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    • 제28권1호
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    • pp.117-131
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    • 1998
  • The purpose of this study was to develop a critical pathway for case management for patients who have received Coronary Artery Bypass Graft (CABG) because of Ischemic Heart Disease(IHD) which is a factor of rising medical expenses. For this study. a conceptual framework was developed through a review of the literature including six critical pathways which are currently being used in USA. In order to identify the overall service contents required by these patients and to draw up a preliminary critical pathway, 30 cases of medical records of patients who had CABG because of IHD between January, 1995 to June. 1996 at the Cardiovascular Center of Yonsei Medical Center in Seoul were analyzed. An expert validity test was done for the preliminary critical pathway and clinical validity test was also done using seven IHD patients with CABG between November 11 and 23, 1996. After these processes. the final critical pathway was developed. The results of this study are summarized as follows : 1. The vertical axis of the critical pathway includes the following eight items : tests, nutrition, medications, consultations, activity, assessments, treatments, education discharge planning and the horizontal axis includes the time from the start of hospitalization to discharge. 2. Analysis of the 30 medical records indicated that the average length of stay was 20.2days with the average length of stay from hospitalization day to operation day being 6.2 days, and the average length of stay from operation day to discharge day was 13. 9 days. Analysis of the service contents showed that the horizontal axis of the preliminary critical pathway was set from hospitalization to the 14th post operation day and the vertical axis was set to include eight items, the contents which ought to have occurred, according to the time frames of the horizontal axis. 3. As a result of the experts validity, it was found that among the total of 571 items. there was over 83% agreement for 482 items, less than 83% for 89 items, which were then deleted and a revision of the critical pathway was done. 4. A clinical validity test was done using seven IHD patients with CABG. During the process, three patients were deleted because they were out of the criteria the investigator set. Finally, four patients were used. The result of study indicated that only one patient was discharged on the tenth post operation day, which was one day later than the expected day. Three patients were discharged later than the expected day from three days to nine days. All the cases progressed on schedule until the operation day and the first post operation day, but from the second post operation days, there were differences between the critical pathway and the actual practice. The differences came from tests, assessments, and treatments. 5. On the basis of the results of the clinical validity test. the following revisions in the final critical pathway were made : the transfer from ICU to step down ward would be the second post operation day, and the transfer to a general ward, the fifth post operation day, for patients who complained of lack of sleep from the fifth post operation day to discharge, a sleeping pill would be prescribed, skin observations would be performed routinely from immediately after the operation until the third post operation day, and would continue if there was a sign of skin injury on the fourth post operation day, and assessment of chest pain would be done from the third post operation day, and the “stairs climbing” item, expected to be done on the ninth post operation day would be deleted. In conclusion, this critical pathway is partially applicable to the care of patients with CABG but there are some parts needed to be further investigated.

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독성미만성갑상선종환자에서 방사성옥소(放射性沃素)($^{131}I$)투여후(投與後) 발생(發生)하는 영구적갑상선기능저하증(永久的甲狀腺機能低下症) (Permanent Hypothyroidism after Radioactive Iodine($^{131}I$) Treatment in Diffuse Toxic Goiter)

  • 박선양;이정상;이홍규;고창순;이문호
    • 대한핵의학회지
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    • 제11권1호
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    • pp.39-48
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    • 1977
  • Radioactive iodine(RAI), principally $^{131}I$, effectively controls hyperthyroidism in the majority of patients. The subsequent development of hypothyroidism, however, has been of increasing concern since it was first pointed out by Chapman and Maloof in 1955. And the steady increase of late hypothyroidism during the passage of time was known with its relation with dosage of RAI. The authors have investigated the development of hypothyroidism in 935 patients with diffuse toxic goiter(DTG) who were treated with ($RAI^{131}I$) at the Seoul National University Hospital from 1960 to 1977 to reveal its relation with the number of RAI treatments, dosage of RAI, age of patients and exophthalmos with the following results. 1) The incidence of hypothyroidism by year after RAI therapy among 631 patients with DTG who were treated with single RAI regimen was 7.4%(1 year), 11.8%(2 year), 16.2%(3 year), 22.1%(4 year) and 25.5%(5 year), and that among 163 patients given multiple RAI treatments was 8.6%(1 year), 10.4%(2 year), 13.3%(3 year), 29.1%(4 year), and 54.1%(5 year)respectively showing much higher year1y increments from 4 years after RAI treatment. in comparison with the former. 2) Among 550 patients in the lower dose group treated with single RAI regimen less than 5.0mCi ($Mean{\pm}S.D.:\;4.3{\pm}0.6mCi$), the incidence of hypothyroidism by year after RAI treatment was 6.8%(1 year), 11.4%(2 year), 15.4%(3 year), while among 81 patients in the higher dose group given single RAI treatment not less than 5.5 mCi ($Mean{\pm}S.D.:\;6.3{\pm}0.5mCi$) it was 12.0%(1 year), 15.4%(2 year) and 20.4%(3 year) respectively. However, the duration till euthyroid state after RAI therapy in the two groups was $5.1{\pm}3.6$ months and $4.8{\pm}2.8$ months respectively showing no statistically signficant difference (p>0.1). 4) The incidence of hypothyroidism after RAI treatment in patients younger than 30 years of age was 4.3%(1 year) and 7.7%(2 year); in patients from 30 years to 49 years of age, 5.8%(1 year) and 11.1%(2 year); and in those older than 50 years, 11.0%(1 year) and 14.4%(2 year). The data revealed rising incidence of hypothyroidism with increase of patients' age. 4) Among 116 patients with exophthalmos the incidence of hypothyroidism by year after RAI treatment was 7.1%(1 year) and 12.1%(2 year) while that among 184 patients without exophthalmos was 7.3%(1 year) and 12.2%(2 year) respectively. With the above data the authors could conclude that the hypothyroidism in patients with DTG who were treated by RAI developed more frequently than reported by others in Korea till now, and increased with the passage of time, the yearly increments from 4 years after RAI treatment increasing markedly in the multiple dose group, and the incidence could be reduced by decreasing the administered RAI doe not increasing the duration till euthyroid state after RAI therapy.

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