• Pediatric Infection and Vaccine
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• 제28권2호
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• pp.118-123
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• 2021

세균 감염에서 적절한 항생제를 선택하려면 배양검사가 매우 중요하다. 저자들은 복부 연조직 감염의 농양을 혈액배양병을 사용하여 시행한 배양검사에서 Actinomyces radingae와 Clostridium ramosum이 배양된 증례를 경험하여 보고하고자 한다. 이전에 건강하였던 13세 남자 환자가 배꼽주변에 발생한 통증, 발적 및 발열을 주소로 응급실에 내원하였다. 환아는 복부 수술 및 외상의 병력은 없었다. 컴퓨터 단층 촬영에서 배꼽주위에 농양을 동반한 피부 연조직염이 확인되었고 선천성 기형은 없었다. 초음파 유도 흡인을 하여 8.5 mL의 화농성 농양이 흡인되었고, 농양은 혈액배양병을 이용하여 배양하였다. 농양 배양검사에서 A. radingae와 C. ramosum이 확인되었다. 감염증의 원인이 드문 세균일 가능성이 있는 경우 농양 배양을 할 때 일반적인 농양배양의 방법 보다는 혈액배양병을 사용하는 것이 원인균이 분리될 가능성을 높이고 더 빨리 확인할 수 있을 것으로 사료된다.

• 한국디지털건축인테리어학회논문집
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• 제10권3호
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• pp.39-46
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• 2010

Recently, in rural areas have been occurred closed school due to reduce children of people who consider educational environment. In July 2009 statistic, Closed school are ut to 3,348; sale process(61%), lease(25%), neglect(14%). Closed school are not only local community education, but also to act as cultural and historical role. First of all, it will be utilized public facilities as well as welfare facilities for local residents. In this study suggests the welfare facility where is remodelled as good case so that it will use as a data when closed school need remodeling. The main contents is as follows; it is set the slope next to the school building, a classroom is remodelled 2 triple rooms which are installed Ondol and a toilet, teacher's room is converted into the canteen, corridors are converted into the kitchen. Having good condition in the area, close school is appropriate to use welfare facility and also effective to convert teacher's space into normal space, canteen, kitchen. Finally, developed 2~5 composition type of elderly facility.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2004년도 추계학술대회 논문집
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• pp.81-87
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• 2004

The purpose of this study is to explore the patterns of domestic space usage. A questionnaire survey and interview are adopted in this study, and 426 residents living in apartment with 3 bedrooms, stairway access, and 3-bay style in the City of Seoul, Busan and Gwangju. The major findings of this study can be summarized as follows: The most typical activities in the Anbang are ${\ulcorner}$sleeping and getting dressed${\lrcorner}$, ${\ulcorner}$family communication and T.V.watching${\lrcorner}$, and ${\ulcorner}$private affairs${\lrcorner}$. The most typical activities in the living room are ${\ulcorner}$family interaction${\lrcorner}$, ${\ulcorner}$entertaining guest with meals${\lrcorner}$, ${\ulcorner}$children's private affairs${\lrcorner}$, ${\ulcorner}$private affairs${\lrcorner}$, ${\ulcorner}$hobby activities${\lrcorner}$, ${\ulcorner}$clothes management${\lrcorner}$, ${\ulcorner}$couple interaction${\lrcorner}$, and ${\ulcorner}$occasions${\lrcorner}$. The representative patterns of activities in dining-kitchen is ${\ulcorner}$food preparation${\lrcorner}$.

• 한국화재소방학회논문지
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• 제17권1호
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• pp.1-7
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• 2003

통상 소형 건물이나 일반주택은 자동화설비 대신 수동식소화기에 의존하고 있어서 사람이 없거나 노약자만 있을 시에는 화재에 매우 취약하다. 이에 대한 대책으로 발생한 화재를 초기에 자동으로 진압할 수 있도록, 자동감지장치가 탑재된 경제성 있는 자동식소화기가 개발되었다. 본 논문에서는 이에 대한 소화 특성을 현장 화재시험을 통하여 규명하고 그 실용화 방향을 제시하였다. 실험 결과, 제반성능은 우수하였으나, 열감지부인 이융성금속의 작동시간이 공간크기에 따라 크게 변화하고 5분을 초과하는 경우도 발생하므로, 이를 $ 12\m^2$이내의 공간에 대하여 작동시간을 3분 이내로 단축하기 위해서는 용융온도가 더욱 낮은 금속을 사용하고, 설치 위치도 1.5 m 이하보다는 천장부로 하는 것이 바람직한 것으로 나타났다.

• 한국산업보건학회지
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• 제16권3호
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• pp.193-201
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• 2006

This study was performed to investigate employee exposures to waste anesthetic gases, such as enflurane and sevoflurane in operating rooms of general surgical, children's and dental clinics of a large hospital located in Seoul and to analyze factors affecting the concentrations of waste anesthetic gases. The results of the study are summarized below. 1. Based on results of personal and area samples for airborne enflurane, all of the employees investigated in this study were exposed to airborne enflurane concentrations below the ACGIH-threshold limit value (TLV) of 75 ppm. 2. However, based on results of personal samples for sevoflurane, employees of two (2) out of eleven (11) operating rooms were exposed to sevoflurane concentrations in excess of the NIOSH recommended exposure limit (REL) of 2 ppm. A similar trend was found in the area samples. 3. To investigate the source of sevoflurane emissions, airborne sevoflurane concentrations were measured on an anesthesia machine, a drug cabinet and a desk. It was indicated that the geometric means were 0.93 ppm, 0.83 ppm and 0.72 ppm, respectively. 4. Factors affecting waste anesthetic gas concentrations were the age of anesthesia machine, the volume of operating room and the extent of ventilation (p<0.05). 5. It is recommended that the use of anesthesia equipments be properly controlled, the operating room be well ventilated, and the airborne concentrations of anesthetic gases be continuously monitored.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제22권3호
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• pp.262-269
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• 2019

Purpose: As the importance of breastfeeding has been reinforced, human milk is often stored for practical reasons. Therefore, we evaluated optimal storage and processing methods for human milk from a nutritional standpoint. Methods: Human milk samples were collected between June 2017 and February 2018. Also, data about maternal information were collected. Human milk was analyzed for macronutrients and caloric content. The samples were subdivided into groups for nutrient analysis. The control group (fresh milk) was not stored or processed. The other groups (9 groups) consisted of samples analyzed based on different storage temperatures (room temperature, refrigerated, frozen), defrosting methods (bottle warmer, room temperature thawing, microwave oven), and storage period (1 week, 1 month, 2 months) and compared with the control group. Results: There was no statistically significant difference in the nutrient content of human milk among the collected samples. A significant change in the content of macronutrients in milk samples was observed under storage condition at different temperatures for 1 week with subsequent thawing with bottle warmer compared to fresh milk. Under storage at $-20^{\circ}C$ for 1 week with subsequent thawing with different defrosting methods, a significant change in the content of macronutrients in milk samples was observed compared to fresh milk. After storage at $-20^{\circ}C$ for different periods and thawing with a bottle warmer, a significant change in macronutrient content in milk samples was observed compared to fresh milk regardless of the storage period. Conclusion: Unlike previous guidelines, changes in macronutrient content in milk samples were observed regardless of the method of storing and thawing. Apparently, it is proposed that mothers should feed fresh human milk to their babies without storing.

• 한국산학기술학회논문지
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• 제11권9호
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• pp.3510-3516
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• 2010

본 논문은 유아에게 동물의 모습과 습성, 울음소리, 특징 및 한글과 영어 등을 학습하게 하기 위하여 다양한 동물이 있는 동물원을 대상으로 시스템을 개발하였다. 유아가 관심 있는 동물의 전면에 인형을 위치하면, 동물의 울음소리, 모습 등을 동물원 모형에 연결되어 있는 디스플레이 장치를 통하여 학습할 수 있다. 동물원은 현재의 동물원의 모양을 축소하여 각 동물 우리에 동물을 인식할 수 있는 센서를 부착한다. 부착된 센서는 각각 고유의 ID를 가지고 있으며, 유아인형이 접근 하게 되면 인식하고 처리기에 고유 ID를 전송하게 된다. 전송된 ID는 데이터베이스에서 전송된 ID값과 일치하는 콘텐츠를 검색하게 되고, 검색된 콘텐츠는 Output 장치를 통하여 출력되게 된다. 또한 인형이 동물우리에 근접하였을 경우 멀티미디어 효과를 통하여 동물의 울음소리 및 기본적인 학습을 할 수 있도록 하였으며, 한글, 영어, 수셈 학습을 동시에 할 수 있도록 구성하였다.

• 한국지역사회생활과학회지
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• 제21권3호
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• pp.365-377
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• 2010

This study examined the changes in sleeping and studying patterns of young students and their mothers after moving to foreign countries. This study analyzed the relational characteristics of Geese Family members which are summarized as follows: 1) Sleeping Pattern: At the early stages of settling into foreign countries, students begin to sleep in the same bedroom with their mothers, who had used to sleep in separate bedrooms back in Korea. This change in pattern may slightly vary according to the age and gender of the students, and type of residence. Relationships between young students and mothers become more tightly coupled. However, relationships between students and fathers become less tightened. 2) Studying Pattern: Students tend to study in the public space such as the living room and dining areas, rather than in their own private rooms. This is because mothers want to support and focus upon their children's study by sacrificing normal family activities. These patterns appear stronger as their period of study in the foreign country becomes shorter and the ages of the students become younger. These studying patterns also contribute to the coupling between mothers and young students. 3) Family Relationships: From the period as Geese Families, the relation between mothers and young students become closer both physically and emotionally. The relation between fathers and children become less close. The role of fathers is degraded to that of supporter or negotiator for the time period of the mothers and child students in the foreign country.

• Archives of Plastic Surgery
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• 제32권1호
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• pp.19-23
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• 2005

Tissue adhesives have gained popularity for quicker and painless closure of lacerations. The use of tissue glue is currently popular for the closure of superficial lacerations, especially in children. Histoacryl $Blue^{(R)}$(2-N-butylcyanoacrylate) is a topical wound closure that precludes the need for foreign bodies to close wounds. The purpose of this study was to compare the applications of Histoacryl $Blue^{(R)}$(HAB) and conventional suture, regarding cosmetic outcome. To compare the short term and long term results of various repair methods, we designed the prospective, randomized, blind study. Patients with laceration undergoing repair were randomly allocated to conventional suture, subcutaneous suture plus HAB, and HAB only groups. The exclusion criterions were large wound that require large tension for repair or avulsion wound. An independent, blinded observer assessed cosmetic result at 7-10 days after repair and 3-9 months postoperatively. Physician's satisfaction with wound appearance was recorded on 100 mm Visual Analogue Scale(VAS)(0=worst, 100=best). The difference in VAS score between conventional suture method and subcutaneous suture plus HAB methods were not significant. Tissue glue being easy to use with no complications and still resulting in equivalent cosmetic outcomes has several benefits. Especially in the case of children, the wound closure with Histoacryl $Blue^{(R)}$ could be a good alternative for repair of laceration in emergency room.

• Journal of Korean Biological Nursing Science
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• 제22권1호
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• pp.45-52
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• 2020

Purpose: The purpose of this study was to investigate the risk factors of intracranial hemorrhage in children with skull fractures from head trauma. Methods: The retrospective study included 205 patients diagnosed with a skull fracture in a pediatric emergency room. Data were analyzed using 𝓍²-test, Fisher's exact test, t-test, and logistic regression analysis with the SPSS/WIN24.0 program. Results: Intracranial hemorrhage was diagnosed in 71 patients. There were statistically significant differences between the hemorrhagic group and non-hemorrhagic group in age group, places of accident, type of accident, location of the fracture, and symptoms. Intracranial hemorrhage by age group was higher in school-age and adolescence than in infancy. The places of accidents of hemorrhage were higher in street and school than in the home. The types of an accident of bleeding were higher in the case of knock and traffic accident than in fall. Symptoms of nausea, headache, and loss of consciousness were associated with higher intracranial hemorrhage. Multivariable logistic regression analysis showed that knock (OR= 3.29, 95% CI= 1.50-7.22), traffic accident (OR= 4.78, 95% CI= 1.31-17.43), nausea (OR= 4.18, 95% CI= 1.42-12.31), and loss of consciousness (OR= 3.29, 95% CI= 1.41-9.50) were risk factors for intracranial hemorrhage. Conclusion: In this study, the risk factors of intracranial hemorrhage were identified in pediatric patients with skull fractures caused by head trauma. It is recommended that the results of this study be used to manage and educate patients, caregivers, and medical staff after head trauma hemorrhage.