• 제목/요약/키워드: S-102

검색결과 2,385건 처리시간 0.042초

연희지역 아파트주부의 건강관리실천의 결정요인분석에 관한 조사연구 (A Study on the Decisive Factors in Personal Health Maintenance Practice of Housewives Living in Younhi Area Apartments)

  • 김인숙
    • 대한간호학회지
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    • 제8권2호
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    • pp.89-102
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    • 1978
  • Owing to the development of modern science, prolonging man's life, the sudden increase of population and betterment of the standard of living has increased health needs. In order to fulfill these health needs, more active plans for developing health should be made. Health education is one of the methods at hand that can improve the health behavior of the community and the individual through the contact of individuals with their groups. Proper understanding of the characteristics of the sampled group and participation of individuals within the community for the development of their health plan are needed for efficient health education. This study was attempted for the purpose of presenting some data helpful for pre-paring the fundamentals of a health education plan that can improve personal health maintenance practice of a community through efficient health education by investigating the relationship between the response of subjects to personal health maintenance practice and selected decisive factors in personal health maintenance practice. The subjects for this study were a systematic sample of 120 housewives selected from 600 housewives from B Zone Apt. Younhi-3-Dong in Seoul. Data was collected for 4 days from May 16th to May 19th, 1578 through personal interviews with questionnaires by well trained interviewers. Percentage, t-test and stepwise multiple regression analysis by use of EDPS were employed for statistical analysis. Results of this study can be summarized : 1. General characteristics of subjects Subjects over 20 and below 40 years of age formed 62.5% of the toed and the rest were subjects of 40 years and upward. 76.7% of the subjects have less than 4 children. 51.3% of the subjects had completed at least the senior high school course. 2. The response of subjects to personal health maintenance practice. Ratios of personal health maintenance practice to the maximum score for each category are as follows; 84.1% in the category of population and family planning, which was the highest ratio; 82.4% in the prevention of accidents; 68.0% in control of communicable disease; 67.8% in personal health care and habits of daily life, 64.3% in mental health and 52.5% in control of parasites, which was the lowest. 3. The response of subjects to selected decisive factors. in personal health maintenance practice. The arithmetic mean of the score for each decisive factor was as follows: the mutual relation between family members marked 18.33, which is under 73,3% of the maximum score; the degree of interest in health marked 34.48, 70.0% of the maximum score: the degree of utilization and demand for health care facilities marked 25.79 or 64.5% of the maximum score and health maintenance of the family marked 11.58, 43.6% of the maximum score. 4. The relationship between personal health maintenance practice and general characteristics of subjects. 1) There was a significant difference in the numbers of children. (t = 1.83, d.f. =117, p< 0.1) 2) There was a significant difference in the contact rates with mass-media, (t = 5.02, d.f. = 118, p< 0,05) 5. The multiple correlation between personal health maintenance practice and their selected decisive factors. 1) The factor“the degree of interest in health”could account for personal health maintenance practice in 43.6% of the sample. (R = 0.6602, R²= 0,4359, F = 91.1678, p< 0.001) 2) When the factor,“health maintenance of family”is added to this, it accounts for 51.2% of personal health maintenance practice. (R = 0.7158, R²= 0.5124, F = 61.4653, p< 0.001) 3) When the factor,“mutual relations between family members”is also included, it accounts for 53.7% of personal health maintenance practice. (R = 0.7324, R²= 0.5365, F = 44.7509, p< 0.001) 4) When the factor, “the degree of utilization and demand for health care facilities”is included, it accounts for 55.1% of personal health maintenance practice. (R = 0.7421, R²= 0.5507, F = 35.2430, p< 0.001).

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축사 악취저감을 위한 바이오필터 충전재의 악취제거 특성 (Characteristics of Bed Media for Reducing Odor from Livestock Facilities)

  • 한원석;장동일;방승훈;이승주
    • 한국축산시설환경학회지
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    • 제9권2호
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    • pp.93-102
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    • 2003
  • 본 연구에서는 충전 재료의 악취흡착 능력을 구명하기 위하여 흡착능력 실험용 칼럼을 설계하고 제작하였으며, 제작되어진 칼럼으로 단일 충전재와 혼합충전재에 대하여 악취흡착 능력 실험을 수행하였다. 그리고 선발된 충전재의 악취제거 미생물균주의 정착성을 구명하기 위한 정착실험을 수행하였으며, 선발된 혼합충전재에 악취제거 미생물균주를 접종하여 악취제거 성능실험을 수행하였다. 그 연구 결과는 다음과 같다. 1. 악취흡착, 제거실험용 실험실용 Biofilter system을 설계, 제작하였으며 충전 칼럼은 설계시의 설정과 같이 내부압력과 기밀성은 문제점이 없는 것으로 나타났다. 2. 단일충전재는 암모니아 180 ppm과 황화수소 20 ppm의 악취가스에 대하여 단위체적당 악취가스 제거량은 각각 왕겨는 0.054 $\ell/\textrm{cm}^3$, 0.016$\ell/\textrm{cm}^3$, 볏짚은 0.01$\ell/\textrm{cm}^3$, 0.04$\ell/\textrm{cm}^3$, 코코넛은 0.158$\ell/\textrm{cm}^3$, 0.010$\ell/\textrm{cm}^3$, 펄라이트는 0.014 $\ell/\textrm{cm}^3$, 0.020$\ell/\textrm{cm}^3$, 하이로드볼은 0.004$\ell/\textrm{cm}^3$, 0.003$\ell/\textrm{cm}^3$, 소나무수피는 0.112$\ell/\textrm{cm}^3$, 0.015 $\ell/\textrm{cm}^3$,로 나타났으며, 혼합충전재는 암모니아 200 ppm과 황화수소 20 ppm의 악취가스에 대하여 단위체적당 악취가스 제거량은 각각 혼합재료 1은 0.045$\ell/\textrm{cm}^3$, 0.014$\ell/\textrm{cm}^3$, 혼합재료 2는 0.079$\ell/\textrm{cm}^3$, 0.016$\ell/\textrm{cm}^3$, 혼합재료 3은 0.123$\ell/\textrm{cm}^3$, 0.017$\ell/\textrm{cm}^3$, 혼합재료 4는 0.031$\ell/\textrm{cm}^3$, 0.015 $\ell/\textrm{cm}^3$, 혼합재료 5는 0.055$\ell/\textrm{cm}^3$, 0.016$\ell/\textrm{cm}^3$, 혼합재료 6은 0.111$\ell/\textrm{cm}^3$, 0.020$\ell/\textrm{cm}^3$,로 나타났다. 3. 단일충전재의 악취흡착 능력은 실험결과 암모니아는 코코넛, 소나무수피, 왕겨에서 흡착 능력이 우수하게 나타났으며, 황화수소는 펄라이트, 왕겨, 소나무수피에서 상대적으로 우수한 것으로 나타났으며, 혼합충전재는 암모니아의 경우 코코넛과 펄라이트의 비율이 7:3인 혼합 재료 3번과 소나무수피와 펄라이트의 비율이 7:3인 혼합 재료 6번에서 다른 혼합 재료에 비하여 우수한 것으로 나타났다. 4. 코코넛과 소나무수피의 경우 암모니아 가스에 대한 흡착 능력은 거의 비슷한 것으로 사료되며, 코코넛의 경우 전량을 수입에 의존하고 있다는 점에서 국내 조달이 용이하며, 구입 비용도 적게 소요되는 소나무수피를 사용하는 것이 경제적이라고 사료된다. 5. 마지막으로 악취제거 미생물균주를 접종한 소나무수피 50%와 펄라이트 30%의 혼합재료를 24시간 동안 장기간 운전 실험을 수행한 결과 암모니아 99.06%, 황화수소 96.61%의 제거 효율을 보였다.

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Effects of Protein and Carbohydrate Supplements on Feed Digestion in Indigenous Malaysian Goats and Sheep

  • Darlis, N. Abdullah;Halim, R.A.;Jalaludin, S.;Ho, Y.W.
    • Asian-Australasian Journal of Animal Sciences
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    • 제13권4호
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    • pp.464-469
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    • 2000
  • Experiments were conducted to determine the effects of soybean meal (SBM) as a source of protein and sago meal (SM) as a source of carbohydrate on in situ and in vivo digestibility of dietary components in four male goats (Kambing Katjang) and four male sheep (Malin) weighing 25-35 kg. Rumen volume, as well as rumen fluid dilution rate were also determined. The animals were housed in single pens with individual feeding and drinking troughs and each animal was fitted with a rumen fistula. They were fed two diets : chopped rice straw+200 g soybean meal (SBM), and chopped rice straw+190 g soybean meal+300 g sago meal (SBM+SM). Rice straw was offered ad libitum. The supplements were isonitrogenous (80 g crude protein/animal/d), but the proportions of dry matter (DM), organic matter (OM), crude fibre (CF), neutral detergent fibre (NDF) and acid detergent fibre (ADF) were lower in the SBM supplement (191, 165, 11, 40, 15 g/animal/d for DM, OM, CF, NDF and ADF, respectively) than in the SBM+SM supplement (445, 423, 25, 102, 38 g/animal/d for DM, OM, CF, NDF and ADF, respectively). Two animals from each species were fed either supplement in a cross-over design in two periods. Each period lasted for four weeks. In situ and in vivo digestibility studies were carried out, followed by the determination of rumen volume and rumen fluid dilution rate. The results showed that straw DM and total DM intakes of goats (average of $48.7g/kg\;W^{0.75}$, $72.7g/kg\;W^{0.75}$, respectively) were significantly (p<0.01) higher than sheep (average of $3.56g/kg\;W^{0.75}$, $61.6g/kg\;W^{0.75}$, respectively), but OM, N and GE intakes were not significantly different between the two animal species. When the effect of supplements was compared, animals fed SBM+SM supplement had significantly (p<0.001) higher DM, OM and GE intakes than animals fed SBM supplement. Potential degradabilities of rice straw DM were significantly (p<0.01) higher in goats (average of 48.8%) than in sheep (average of 46.1 %). The supplements had no significant effect on the potential degradabilities of DM, OM and NDF, but they had a significant (p<0.05) effect on the degradation rates of DM and NDF. The addition of sago meal in the diet reduced the degradation rates of DM and NDF of rice straw in the rumen. Potential degradability of DM of soybean meal was not significantly different between animal species as well as between supplements. Sago meal was highly degradable. At 24 h of incubation in the rumen, 90-95% of DM loss was observed. There was a significant interaction between animal species and supplements in the in vivo digestibility of ADF and GE. In animals fed SBM supplement, the in vivo digestibility of ADF was significantly (p<0.05) higher in goats ($50.6{\pm}4.22%$) than in sheep ($44.4{\pm}3.21%$), but digestibility of GE was significantly (p<0.05) higher in sheep ($70.2{\pm}1.93%$) than in goats ($63.0{\pm}3.07%$). The digestibility values of CP and OM were significantly (p<0.05) higher in sheep when compared to goats. Animals fed SBM+SM supplement showed significantly (p<0.05) higher DM and OM digestibility values than animals fed SBM supplement, but digestibility values of CP were significantly (p<0.05) higher in animals fed SBM supplement. Differences in in vivo digestibility values of CF and NDF were not significantly different between animal species or supplements. Water intake, rumen volume ($1/kg\;W^{0.75}$), rumen fluid dilution rate and mean retention time were similar between the two animal species. However, rumen fluid dilution rate and mean retention time was significantly (p<0.01) affected by supplements. Animals fed SBM+SM had faster rumen fluid dilution rate and consequently shorter mean retention time.

1일 섭취식품수와 영양균형에 관한 조사연구 一일부 도시.농촌 임신부를 대상으로- (A Study of Relation Between Number of Daily Food Intake and Nutritional Balance)

  • 강지용;위자형;박정선
    • Journal of Preventive Medicine and Public Health
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    • 제20권2호
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    • pp.352-361
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    • 1987
  • During the period of May 10 to June 6, 1987, we have conducted the survey about the number of the food daily taken and the intake of nutrition of the 83 pregnant women who have registered at Sudong Myun and Mikum-myun, Yangchu-gun which are demonstration area of the public health and medicine of the College of Medicine, Ewha Women's University, and of the 100 pregnant women who have been to the University Hospital attached to the above School. The result of the survery is as follows: 1) Among the above pregnant women, primigravida constituted 91 women and multigravida 92 women. As for the month of pregnancy, those who have been pregnant for ten months numbered 43 women (23.5%), which was the highest number. As for age, those who were 25 to 29 years old constituted 63.9% , which was the highest in percentage. 2) As for the level of education, those who graduated from high school constituted 49.2%, which was the highest in percentage. As for occuptation, those who were entirely in charge of household affairs as housewives were 89.6% , which comprised most of the jobs held by the above women. 3) As for the composition of a family in environmental food and nutrition, one generation was 68.3%, and two member family was 42.6% which was the highest. As for those taking rare of cooking and serving meals, housewives constituted 95.1%. 4) As for the economic situation of dietary life, those who were in the highest level (A level), were 47.0% in an urban area and 41.0% in a rural area, which were the highest in percentage. 5) The food which the above people selected after being pregnant was fruit not only in an urban area, but also in a rural area. And in terms of the percentage of fruit, an urban area and a rural area showed 44.0% and 54.2% respectively. As for milk, and urban area and a rural area showed 28.0% and 8.4% respecitively, which disclosed that the rate of a rural area was much lower than that of an urban area. 6) As for the number of food intake, 10-14 was 54.0% in an urban area, which was the highest. And 5-9 was 73.5% in a rural area, which was the highest. 7) As for the composition of food taken according to the number of food taken, meat showed the lowest rate in 5-9 group. (p<0.05) As the number of food taken increased, the rate of food taken (points) increased (2.4). Milk and milk products showed a low rate in 5-9 group and 15-19 group (p<0.05). Fruit intake showed a similar rate in all groups. As for vegetables, the rate of intake was high, as the number of food taken increased. Cereals showed a similar rate in all groups. Ans the points of intake was high. As for fat, the rate of intake was high, as the number of food taken increased. 8) In 5-9 group in the number of food intake, energy was 79.9% of RDA, protein was 64.9%, fat was 90.0%, carbohydrate was 81.6%, iron was 83.0%, calcium was 71.1%, vitamin A was 94.3%, vitamin $B_1$ was 77.8%, vitamin $B_2$ was 79.2%, and vitamin C was 88.2%, so that it showed the lowest sufficiency rate RDA. 15-19 group maintained the balance in energy and all nutrients nealy. In 20-24 group, fat was 142.4%, vitamin $B_2$ was 105.6% and vitamin C was 102.2%, so that it exceeded RDA.

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청베도라치, Pictiblennius yatabei의 산란습성(産卵習性), 난발생과정(卵發生過程)및 부화자어(孵化仔魚)의 형태(形態) (Morphology of Larvae, Egg Development and Spawning Behavior of the Blenniid Fish, Pictiblennius yatabei (Jordan et Snyder))

  • 김용헉;명정구;한경호;강충배
    • 한국어류학회지
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    • 제4권2호
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    • pp.44-54
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    • 1992
  • 1991년(年) 6월(月), 경상남도 통영군 산양면 저도 어류양식장 가두리 부이 아래에 유착한 진주담치, Mytilus edulis와 굴, Crassotrea gigas 패각(貝殼)을 계속 관찰하던 중 성숙한 친어(親魚)들의 산난습성(産卵習性)을 관찰(觀察)할 수 있었고, 패각(貝殼)의 내면에 자연 산란한 난(卵)의 발생과정(發生過程)및 부화(孵化)한 자어(仔魚)들을 사육하면서 형태발달을 관찰하였다. 1. 산란기(産卵期)의 수컷은 눈 위의 피변(皮弁)이 더욱 가늘어 길어지고, 패각(貝殼) 내에서 산난(産卵)한 난(卵)을 보호하며, 산난(産卵)한 난군(卵群)은 좌우 양쪽 패각(貝殼)내면에 한층을 이루어 부착되어 있다. 2. 수정난(受精卵)은 침성점착난(沈性粘着卵)으로 난경(卵徑)이 0.72~0.80mm(n=50)로 담황색(淡黃色)과 자주색의 많은 소유구(小油球)를 가지고 있으며, 사육수온 평균 $23.3^{\circ}C$에서 배체(胚體) 형성(形成)후 102~105시간만에 부화(孵化)한다. 3. 부화직후(孵化直後) 자어(仔魚)는 평균전장 3.08mm로 입과 항문이 열리기 시작하며 근절수(筋節數)는 6+27~28=33~34개이다. 흑색소포(黑色素胞)는 주둥이, 두정부(頭頂部), 가슴지느러미 기저부분 및 복부에 출현하며 꼬리부분의 배쪽 정중선의 좌우에는 각각 일렬로 약 20개가 있다. 4. 부화후(孵化後) 7일째의 자어(仔魚)는 평균전장 4.67mm로 난황과 유구가 완전하게 흡수되고 처음으로 꼬리지느러미 원기(原基)가 출현한다. 5. 부화후(孵化後) 9일째는 평균전장 5.35mm로 척색말단(脊索末端)이 위로 굽어지고, 부화후(孵化後) 13일째의 후기자어(後期仔魚)는 평균전장 6.65mm로 두부(頭部)가 커지고 체고(體高)는 높아진다.

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An Analytic Case Study on the Management of an Upper-level General Hospital(2010-2012)

  • Park, Hyun-Suk;Lee, Jung-Min;Baek, Hong-Suck;Lee, Jun-Ho;Park, Sang-Sub
    • 한국임상보건과학회지
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    • 제2권1호
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    • pp.1-16
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    • 2014
  • Purpose. For a more efficient hospital management, this study aims to provide basic data so that the hospital management and staff in charge of hospital administration may systematically classify and collect hospital information, by analyzing the ordinary characters of an upper-level general hospital system and its common-type balance sheet, common-type profit and loss statement and financial ratio. Methods. By using information about an upper-level general hospital in C Province, provided by Alio(www.alio.go.kr), a public organization information provision site, Health Insurance Review & Assessment Service(www.hira.or.kr) and Ministry of Health and Welfare(www.mw.go.kr), this study analyzed 3 year's data from 2010 to 2012 and provided basic data by analyzing the ordinary characters of an upper-level general hospital system, and its common-type balance sheet, common-type profit and loss statement and financial ratio. Results. After analyzing the ordinary characters, common-type balance sheet, common-type proft and loss statement and financial ration of this general hospital, based on the 2010 to 2012 data, this study came to the following conclusions. Firstly, out of all the 1,069 hospital staff, there were 272 doctors working for 24 medical departments, out of whom the majority was 33 physicians. Most of the nurses were third-class ones, and about 2,000 outpatients and 600 inpatients on average were treated per day. Secondly, as a result of analyzing the common-type balance sheet, this study discovered that intangible assets out of fixed assets accounted for 41%, the majority, out of which usable and profitable donation asset buildings were of great importance, and the liquid assets increased more in 2012 than 2011. In the financial structure, the ratio of liquid liabilities was over 50% out of all the liabilities in 2012, and the ratio of purchase payables was high as well. The ratio of fixed liabilities reached up to 40%, out of which the retirement benefit appropriation fund was quite high. The capital was over 80%, but the surplus was in a deficit state. Compared to the capital, the ratio of total liabilities was about 90%, which indicates the financial structure of this general hospital was vulnerable. Thirdly, as a result of analyzing the common-type profit and loss statement, this study found out that the medical profits from inpatients were higher than profits from outpatients. The material cost was related to the medical quality of this general hospital, and it was as high as 30% out of the total costs and was about 45% of the labor cost. This general hospital showed 10% in the ratio of non-medical profits, and it seemed because of government subsidies. The ratios of medical profits and current net income were gradually changing for the better in 2012, compared to 2011. Lastly, as a result of analyzing the financial ratio, it was found that the liquidity ratio kept decreasing, from 110.7% in 2010 and 102.0% in 2011 to 77.2% in 2012. Besides, it was analyzed that the liquidity ratio and the net working capital ratio greatly decreased, while the quick ratio and the liquid ratio kept decreasing. Conclusions. 1. It is necessary to take the risk management into more consideration, and particularly, it is needed to differentiate and manage the levels of risk in detail. 2. By considering the fact that investments into hospital infrastructures were mostly based on liabilities, it is needed to deal with the scale of losses when evaluating risks. 3. By reflecting the character that investments into hospital infrastructures were based on liabilities, it is necessary to consider the ratio of ordinary profits as well as the ratio of operating profits to sales, and it is also important to consider sales productivity factors, such as the sales amount per a sickbed, by comparing them with other hospitals. As for limitations of this study, there may be some problems in terms of data interpretation because of the lack of information about the number of inpatients and the number of outpatients per year, which are needed for the break-even point analysis. Besides, to suggest a direction for the improvement of hospital management through analyses, non-financial factors should be reflected, such as the trend of economy, medical policies, and politic backgrounds. However, this study only focused on the common-type balance sheet, common-type profit and loss statement and financial ratio, so this study is actually limited to generalizing all the factors by analyzing public data only.

근대 부산에서 대정공원의 성립 과정과 공간 구성에 관한 연구 (A Study on the Establishment Process and Spatial Composition of TaiSho Park in Modern Busan)

  • 강영조
    • 한국전통조경학회지
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    • 제31권2호
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    • pp.92-102
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    • 2013
  • 대정공원은 운동장과 휴양 위락 시설을 겸비한 운동공원이다. 1910년 당시 부산 이사관 카메야마가 대만으로 이동할 때 그를 기념하기 위한 도시 시설로써 운동장의 건립에 관한 최초의 발의자는 당시 경제인들이었다. 하지만 운동장 건립은 카메야마의 죽음 이후인 1915년 무렵부터는 타이쇼 천황의 즉위 기념사업으로 진행하게 된다. 1917년 부산 부윤의 제안으로 운동장 건립이 본격화하고, 부지 선정 작업에 들어간다. 부지 선정지 후보를 두고 논의되는 과정을 살펴보면 운동장 부지 선정의 조건으로 먼저 운동장에 합당한 유효 부지 면적, 시가지와의 거리 다시 말해서 접근성, 그리고 예산이었다. 수차례의 논의와 실제 부지 조사의 결과, 전염병원이 이전하고 난 뒤 소학교가 들어오기로 한 부지를 공원 부지로 선정한다. 대정공원의 공사비는 모두 부산부민들의 기부금으로 마련하게 된다. 지역 상공인과 회사, 관공서, 지역별로 기부금 모금 위원회를 구성하여 조직적으로 모금하였다. 그 결과, 공사비 전액을 부민의 기부금으로 조성하게 된다. 대정공원은 크게 운동공간과 휴양, 위락 공간으로 구성되어 있었다. 공원의 세 방향에 입구를 두고, 외주는 식재를 하였다. 야구장은 공원의 중앙부에 자리 잡았고, 테니스 코트 2곳도 마련하였다. 일본 스모장도 공원의 북쪽에 마련하였다. 대정공원은 한국 근대 최초의 체육공원이었다. 그리고 공사비 전액을 주민의 모금으로 조성한 것이 특징이다. 1910년 당시 부산에서 운동장을 건립해야만 했던 이유를 밝히는 것이 남은 연구 과제다.

소아의 흉수 치료에 있어서 유로키나제 효과 (The effectiveness of urokinase in treatment of pleural effusion in children)

  • 남가연;박희주
    • Clinical and Experimental Pediatrics
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    • 제50권7호
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    • pp.660-664
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    • 2007
  • 서 론 : 유로키나제는 폐렴을 동반한 흉수 환아에서 흉관삽입술로도 배액이 어려운 경우 흉막강내로 주입함으로서 치료에 도움을 줄 수 있는 약제로 알려져있으나 소아를 대상으로 하여 유로키나제 사용에 대한 연구는 적고 아직 그 안정성과 효용성에 대한 보고도 미미한 실정이며, 국내에서 소아를 대상으로 한 보고는 거의 없는 실정이다. 방 법 : 2002년부터 2006년 7월까지 흉수 치료로 폐쇄식 흉관 삽입술을 시행하고 흉부 초음파 및 CT상 격막형성이 관찰된 29명의 환아를 대상으로 하였다. 폐쇄식 흉관 삽입술 시행하고 유로키나제 사용한 군(A군, 14명)과 유로키나제를 사용하지 않은 대조군(B군, 15명)을 후향적으로 조사하여 Mann-Whitney test, Fisher's exact test를 이용하여 비교하였다. 결 과 : 총 29명 중 A군과 B 군의 성별, 연령에 있어서의 차이는 없었다. 폐쇄식 흉관 삽입 기간동안의 총 흉수 배액량은 두군에서 통계적으로 유의한 차이를 보이지 않았고(P=0.776), 흉관 삽관 후 첫째날의 배액량은 통계적인 유의한 차이는 없었으나 둘째날과 셋째날은 통계적으로 의의있게 A군에서 배액량이 많았다(Day 1; P=0.371, Day 2: P=0.049, Day 3: P=0.048, respectively). 발열 일수, 항생제 사용 일수, 총 흉관 삽관 기간, 총 입원일수는 양군에서 통계적으로 유의한 차이를 보이지 않았다. 치료 종결 후 늑막 비후를 보인 경우, 내과적 치료 실패하여 수술이 필요했던 경우, 흉관의 위치 조정이나 흉관의 재삽입이 필요했던 경우는 A 군에서 1명, B군에서는 8명으로 A 군에서 통계적으로 의의있게 합병증의 빈도가 낮았다(P=0.014). 결 론 : 유로키나제의 사용으로 초기 효율적인 흉수의 배액이 가능하였고 흉막의 비후, 수술적 치료가 필요한 경우 흉관의 재삽입 또는 위치조정이 필요한 경우 등의 빈도가 더 낮아 유로키나제가 격막 형성된 폐렴성 흉수 환아의 치료에 안전하고 유용한 방법이었다.

제한 절개를 통한 관혈적 정복 및 내고정술을 이용한 경골 Pilon 골절의 치료 (Limited Open Reduction and Internal Fixation of the Tibial Pilon Fractures)

  • 강충남;김종오;김동욱;고영도;고상훈;유재두;황준호
    • 대한족부족관절학회지
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    • 제1권2호
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    • pp.102-111
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    • 1997
  • 저자들은 1993년 9월부터 1996년 5월까지 본원 정형외과에 입원하여 Pilon 골절로 치료받고 1년 이상 추시 가능하였던 19례(18명)를 대상으로 다음과 같은 결론을 얻었다. 1. Ovadia와 Beals의 분류상 제1형이 2례, 제2형이 3례, 제3형이 10례, 제4형이 1례, 제5형이 3례였고, 제3형이 53%로 가장 많았으며, 교통사고와 추락손상 등 고에너지 손상에 의한 골절이 16례로 전체의 약 84%를 차지하였다. 2. 손상의 정도가 비교적 적은 제1형과 제2형에서는 모두 양호 이상의 임상결과를 나타내었으며, 제4형과 5형에서는 손상의 정도가 심하고 이로인한 정확한 정복의 어려움으로 인해 보통 이하의 성적을 나타내었다. 3. 합병증은 외상후 관절염이 6례로 가장 많았으며 손상정도가 심한 3형 이상에서 정확한 정복이 이루어지지 않은 경우에 발생하였으며, 방사선학적 평가가 보통이하였던 제3형 3례에서 부정 유합이 발생하였으나 임상결과와의 연관성은 없었다. 4. 저자들은 제한된 관혈적 정복 및 내고정술로 연부조직의 합병증을 현격히 줄일 수 있었으며, 손상의 정도가 적고 정확한 정복이 가능한 경우, Pilon 골절의 좋은 치료 술식의 하나라고 사료된다.

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서해 주문도 연안 사질 조하대에서의 해사채취가 중형저서동물 군집에 미치는 영향 연구 (Effect of Sand Extraction on Meiobenthic Community of Jangbong-do in the Eastern Yellow Sea of Korea)

  • 강태욱;민원기;홍재상;김동성
    • 환경생물
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    • 제32권2호
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    • pp.138-152
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    • 2014
  • 본 연구에서는 해사채취가 이루어지지 않았던 해역에서 해사채취에 따른 저서생태계 변화를 모니터링하였다. 인위적인 교란지역, 자연지역 등의 실험 지역을 선정하여 생태계에서의 중형저서동물이 해사채취로 인한 영향을 알아보았다. 연구는 강화도 남쪽에 위치한 장봉도 인근의 수심 20 m 내외의 주문지적에서 실시되었다. 조사지역에서의 해사채취는 2006년 10월 21일부터 2006년 12월 10일까지 $38,000m^3$의 해사를 고정식 방법으로 진행되었다. 조사 지역에서의 시료 채집은 해사채취를 이전에 조사를 실시하고, 시범채취가 시작된 이후 2~7차 조사를 실시하였다. 본 연구에서 중형저서동물은 해사채취로 인한 퇴적상의 변화로 서식밀도와 생체량이 해사채취 기간 동안 크게 감소하는 것을 알 수 있었다. 하지만 해사채취가 종료된 후에는 전체 서식밀도와 생체량 값이 채취 이전의 상태와 비슷한 값으로 다시 나타나는 것을 알 수 있었다. 중형저서동물의 군집 변화를 보면, 해사채취 지역인 정점 M에서는 2006년 10월, 11월, 2007년 1월에 각 160.8, 102.3, 67.4 inds. $10cm^{-2}$로 감소하는 경향을 보였으며, 2007년 8월, 11월, 12월에도 286.4, 231.7, 51.4 inds. $10cm^{-2}$로 동계로 가면서 감소하는 경향을 보였다. 조사 지역을 두 지역 (영향지역, 비영향지역)으로 구분을 하여 분석한 결과, 해사채취가 진행되고 있는 시기에 영향지역의 퇴적물이 해사채취로 인해 평균입도가 세립화되어졌다. 이 시기에 전체 중형저서동물의 서식밀도는 영향지역에서 2개월 전보다 급감하여 132.3 inds. $10cm^{-2}$ 값이 나타났고, 비영향지역에서는 281.5 inds. $10cm^{-2}$로 이전 조사보다 증가하였다. 이 후 2006년 11월부터는 두 지역의 퇴적물 평균 입도 차이가 $0.50{\Phi}$ 이내로 감소하고, 2007년 11월, 12월에서는 거의 차이가 없는 것으로 나타났다. 전체 중형저서동물의 서식밀도에서도 두 지역의 평균 입도 차이가 감소하는 2006년 11월부터는 큰 차이가 나타나지 않고, 그 이후의 서식밀도 역시 큰 차이는 나타나지 않았다. 하지만 CLUSTER analysis와 SIMPROF test 결과, 채취 지역과 인근 주변의 정점들과의 유의한 차이를 보이지는 않았다. 본 연구에서는 해사채취량이 지속적으로 많이 이뤄지지 않고 강한 조류의 영향으로 해사채취 웅덩이가 빠르게 메워졌고, 또한 강한 조류로 인하여 주변 생물의 가입이 빠르게 나타나 해사채취 영향이 크게 나타나지 않은 것으로 사료된다.