• 대한치과교정학회지
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• 제30권1호
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• pp.83-89
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• 2000

레진 강화형 글래스 아이오노머 시멘트의 접착 강도를 알아보고, 타액 오염이 접착제의 종류에 따라 접착 강도에 어떠한 영향을 미치는지 관찰하여 봄으로써 임상적 효용성을 알아보기 위하여 본 연구를 시행하였다. 교정 치료를 목적으로 발거된 소구치에 교정용 복합 레진 접착제로 Ortho-One, 레진 강화형 글래스 아이오노머 시멘트로는 Fuji Ortho LC, Vitremer, Advance를 사용하여 통상적인 과정의 브라켓 접착을 하였으며, 타액 오염군은 타액 오염후에 건조 한 뒤 브라켓을 접착한 후 증류수에 침적하고 $37^{\circ}C$ 항온조에 24시간 보관하였다. 만능시험기로 인장 접착 강도를 측정하여 다음과 같은 결과를 얻었다. 1. 통상의 방법으로 브라켓을 부착한 경우 인장 접착 강도는 Ortho-One군에서는 $7.68\pm1.76$ 이었으며, Advance군에 서는 $7.87\pm2.80$, Fuji Ortho LC군에서는 $4.99\pm2.53$, Vitremer군에서 는 $2.80\pm0.88$ MPa 나타났다. 타액 오염시킨 경우 인장 접착 강도는 Ortho-One군에서 는 $4.12\pm1.67$, Advance군에서는 $5.37\pm0.68$, Fuji Ortho LC군에서는 $4.41\pm1.61$, Vitremer군에서는 $2.60\pm1.10$ MPa 로 나타났다. 2. 타액 오염시킨 경우 Fuji Ortho LC와 Vitremer는 거의 영향이 없었고 (p>0.05), Ortho-One과 Advance는 큰 폭의 접착 강도 저하 현상을 나타냈다 (p<0.05). 3. Advance와 Ortho-One, Fuji Ortho LC는 만족할 만한 인장 접착 강도를 나타내어 브라켓 접착시 임상적 유용성이 있으리라 생각된다.

• 한국항공우주학회지
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• 제46권3호
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• pp.237-243
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• 2018

본 연구에서는 고 전진비 조건의 로터에 대해 전진비 변화에 따른 허브 진동하중의 변화를 예측하고, 블레이드에서 발생하는 구조하중 예측 및 조화 분석을 통하여 구조하중 변화를 고찰하였다. 로터 전진비는 0.40부터 0.71까지 범위를 가지며, NASA에서 수행한 풍동시험 결과에 대해 수치묘사 연구를 수행하였다. 검증한 결과를 토대로 허브 진동하중 및 블레이드 모멘트를 예측하였다. 허브 진동하중은 최초에 증가하다가 전진비가 0.5 이상의 경우에는 변화가 거의 없음을 보여주었다. 블레이드 구조하중은 전진비가 증가할수록 진폭의 크기가 증가하며, 블레이드 모멘트의 조화 분석을 수행한 결과 플랩 모멘트는 3/rev, 래그모멘트는 4/rev의 영향이 매우 크다는 점을 확인하였다. 이는 전진비가 증가할수록 2차 플랩과 2차 래그 모드의 고유진동수가 각각 3/rev와 4/rev에 근접하기 때문인 것으로 파악되었다.

• Journal of Hospice and Palliative Care
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• 제23권2호
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• pp.71-84
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• 2020

Purpose: The purpose of this systematic review and meta-analysis was to investigate the effects of advance care planning on end-of-life decision-making. Methods: Databases including RISS, KISS, KMbase, KoreaMed, PubMed (MEDLINE), Embase, and CINAHL were searched for studies that examined the effects of advance care planning interventions. The inclusion criteria were original studies in English or Korean; adults ≥18 years of age (population); advance care planning (intervention); completion of advance directives (AD) or advance care planning (ACP) (outcomes); and randomized or non-randomized controlled trials (RCTs and non-RCTs, respectively) (design). Study quality was measured using the checklists of the Joanna Briggs Institute. Meta-analyses were conducted with the Comprehensive Meta-Analysis program. Results: Nine RCTs and nine non-RCTs were selected for the final analysis. The effect sizes (ES) of the outcome variables in nine RCTs were meta-analyzed, and found to range from 0.142 to 0.496 for the completion of AD and ACP (ES=0.496, 95% CI: 0.157~0.836), discussion of end-of-life care (ES=0.429, 95% CI: -0.027~0.885), quality of communication (ES=0.413, 95% CI: 0.008~0.818), decisional conflict (ES=0.349, 95% CI: -0.059~0.758), and congruence between preferences for care and delivered care (ES=0.142, 95% CI: -0.267~0.552). Conclusion: ACP interventions had a positive effect on the completion of AD and ACP. To apply AD or ACP in Korea, it is necessary to develop ACP interventions that reflect aspects of Korean culture.

• 수산경영론집
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• 제50권1호
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• pp.1-15
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• 2019

Offshore trap fishery managers have payed in advance to attract excellent fishing crew in the minium grantee lay system. This practice can intensify competition among fishery management bodies and increase the burden of fishery manager about income tax and four social insurance programs. The purpose of this study is to identify the problems of advance payment practice in terms of fishery manager in offshore trap fishery. The main results of this study are as follows. First, under the TYPE 1 model, which is the current wage payment manner, there is a risk that fishery manager will not able to return the prepayment paid in advance when the income of fishery management bodies decrease. Second, the TYPE 2 or the TYPE 3 model which reduces or abolishes advance payment can alleviate the burden of fishery manager relative to the deduction of redemption amount, incentive to induce artificial expenses, income tax and four social insurance programs. In conclusion, advance payment practice in offshore trap fishery is placing a heavy burden on the fishery manager. In order to solve these problems in the future, we need to find solutions through similar case studies.

• 한국임상약학회지
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• 제31권2호
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• pp.145-152
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• 2021

Background: The Life-Sustaining Treatment Decision-Making Act has allowed anyone aged 19 or older to sign an Advance Directive not to receive life-sustaining treatment when they are in the 'death process'. Recently, the Korean Pharmaceutical Association announced to raise awareness of the Advance Directive to the general public through community pharmacies across the country. This study aimed to investigate the public's willingness to accept pharmacist's consultation regarding the Advance Directive and to present future directions to pharmacists Methods: This cross-sectional questionnaire study using 16-items was conducted in adults, Study subjects were recruited by convenience sampling method during August 5-15, 2020. Results: Of 460 respondents, 51.7% were younger than 30-year-old and 58.7% were not in the healthcare field in terms of job or major. 60.2% knew about the Advance Directive and 81.7% agreed the necessity to sign when healthy. 50.0% had the willingness to consult with pharmacists on the Advance Directive for well-dying and 80.4% preferred verbal explanation together with written information. Simple linear regression analysis results showed a significant relationship between trust in pharmacists or satisfaction with pharmacist's communication and willingness to use pharmacist' consultation on the Advance Directive (1-point increases in values measured on a five-point scale are associated with 0.464 and 0.486 increases, respectively.) Conclusion: This study suggests that pharmacists need to improve the public's trust and communication capability to satisfy with public's demands on well-dying service.

• 한국엔터테인먼트산업학회논문지
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• 제14권6호
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• pp.181-190
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• 2020

본 연구는 간호대학생의 사전연명의료의향서에 대한 지식, 태도 및 호스피스 인식정도에 관한 연구로 연명의료결정법 시행 이후 간호 대학생들의 연명의료의향서에 대한 지식정도를 확인하여 향후 윤리적 갈등상황에서 올바르고 현명한 문제해결 능력을 갖추고자 하며 적극적인 대처로 간호 전문직 향상에 기여하고자 시도되었다. 그리고, 사회적 합의를 바탕으로 제정된 일명 연명의료결정법 시행 이후, 연명의료의향서제도에 대한 지식을 간호 대학생들에게 확인하였다는데 의의가 있으며 본 연구결과로 간호 대학생들의 사전연명의료의향서에 대한 지식, 태도, 호스피스 인식정도가 서로 상관관계가 있는 것으로 확인되었다. 이에 본 연구를 기반으로 간호 대학생들이 향후 다양한 실무현장에서 임종환자 간호와 연명의료에 대한 두려움보다는 대상자에 대한 긍정적인 대처 능력을 향상시키는 데 기초자료로 활용될 수 있을 것으로 기대된다.

• 의료법학
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• 제14권1호
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• pp.355-401
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• 2013

The first legislation for terminal health-care decision was California's Natural Death Act (NDA) of 1976 that permitted any adult person to execute a directive directing the withholding or withdrawal of life-sustaining procedures. Advance directive legislation has subsequently progressed on a state-by-state basis. By 1992, all 50 states, as well as the District of Columbia, had passed legislation to legalize some form of advance directive. This state legislation, however, has resulted in an often fragmented, incomplete, and sometimes inconsistent set of rules. Statutes enacted within a state often conflict and conflicts between statutes of different states are common. In an increasingly mobile society where an advance health-care directive given in one state must frequently be implemented in another, there is a need for greater uniformity. In 1993, the Uniform Law Commissioners approved the Uniform Health-Care Decisions Act (UHCDA) in order to bring order to the existing chaos. Unfortunately, the Commissioners waited too long to act. By the time the UHCDA was approved, nearly all states had passed legislation governing advance directives. Consequently, the UHCDA has achieved only a limited success, picking up but one or two enactments a year. The UHCDA is currently in effect in around 10 states: Alabama, Alaska, California, Delaware, Hawaii, Kansas, Maine, Mississippi, New Mexico, Tennessee, Wyoming. In these states the previous laws related to the subjects have been all repealed. The overall objective of the UHCDA is to encourage the making and enforcement of advance health care directives including living will or individual instruction, power of health-care attorney and to provide a means for making health care decisions for those who have failed to plan. The U. S. House of Representatives in 1991 enacted the Patient Self-Determination Act (PSDA). The Act stipulates that all hospitals receiving Medicaid or Medicare reimbursement must ascertain whether patients have or wish to have advance directives. The Patient Self- Determination Act does not create or legalize advance directives; rather it validates their existence in each of the states. Now in America, terminal health-care decision or advance directive for health care is common and universal system. The problem, however, is how to let more people use these good tools to make their lives more beautiful and honorable.

• 성인간호학회지
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• 제27권4호
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• pp.449-458
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• 2015

Purpose: The aims of this study were to identify the reported attitudes of older patients with cancer toward advance directives (ADs) and the factors associated with their attitudes toward ADs. Methods: The design was a cross-sectional survey. The age mean of the 130 participants were 70.8, and 66.2% of the participants were male. The data were collected at one university hospital in Seoul, South Korea during the period from October $1^{st}$ to December $5^{th}$ in 2013. The data collecting instruments were the Advance Directives Attitude Survey (ADAS) and questionnaires including socio-demographic and disease-related characteristics, family function. Results: 30.0% of the participants were aware of ADs, only 9% of them had been informed by healthcare providers. Most participants (93.1%) intended to complete ADs. The mean score of ADAS was 48.29. The stepwise linear regression analysis indicated that family function, perceived health status, period of education, and age accounted for a significant percentage (52.0%, p<.001) of the variance in participants' ADAS. The variable with the greatest effect was family function. Conclusion: The findings suggest that family function and attitude of older cancer patients need to be considered for adapting ADs to Korean health care systems. Healthcare providers should include family members in advanced care planning discussions.

• Journal of Microbiology and Biotechnology
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• 제11권2호
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• pp.179-185
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• 2001

Nitrate grown cells of cyanobacterium Plectonema boryanum, transferred to nitrogen stress, evolved nitrogenase catalyzed $H_2$ under microaerophilic condition. Nitrogen ($N_2$) in gs phase, low light intensity, and reducing substances in incubation phase stimulated $N_2$fixation ($H_2\;evolution$). Cyanobacterium grew slowly under microaerobic condition with a low intracellular ammonia pool. Nitrogen sources (${NO_3}^-,{NH_4}^+,\;and\;CH_3NH_3$) inhibited nitrogenase and glutamine synthetase (GS) transferase activity, and methylamine behaved like an ammonical nitrogen source. Depletion of molybdenum (Mo) and addition of tungsten (W) in the incubation medium inhibited $H_2$ evolution, Cyanobacterium was able to take up nitrate and expressed nitrate reductase (NR) activity under microaerophilic condition at an extremely slow rate.

• 한국분무공학회지
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• 제19권1호
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• pp.40-46
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• 2014

Recently rise in oil prices feet the burden on not only diesel vehicle driver but also LPG vehicle driver, and get interested in various way to reduce fuel costs. In this study discuss on exhaust emissions characteristics on driving cycle mode and ignition advance condition change of CNG/LPLI Bi-Fuel vehicle. Experimental test was performed by changing the conditions of fuel (LPG/CNG), spark advance (Base, $10^{\circ}CA$, $15^{\circ}CA$), and driving mode (FTP-75, HWFET, and NEDC). In case of CO emission, in the order of CNG Base, CNG S/A10, S/A15 condition are average reduced -21%, -35%, -29% respectively compared to LPG fuel. The active emission reduction from the initial engine start, spark retard is likely to be beneficial in catalyst warm-up and improve combustion stability rather than spark advance.