• Journal of Chest Surgery
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• 제56권1호
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• pp.42-48
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• 2023

Background: With recent advances in cardiac surgery through minimal access, mini-thoracotomy has emerged as an excellent alternative for cardiac myxoma resection. This study analyzed the surgical results of this approach, focusing on postoperative cerebral embolism and tumor recurrence. Methods: We retrospectively reviewed 64 patients (mean age, 56.0±12.1 years; 40 women) who underwent myxoma resection through mini-thoracotomy from October 2008 to July 2020. We conducted femoral cannulation and antegrade cardioplegic arrest in all patients. Patient characteristics and perioperative data, including brain diffusion-weighted magnetic resonance imaging (DWI) findings, were collected. Medium-term echocardiographic follow-up was performed. Results: Thirteen patients (20.3%) had a history of preoperative stroke, and 7 (11.7%) had dyspnea with New York Heart Association functional class III or IV. Sixty-one cases (95.3%) had myxomas in the left atrium. The mean cardiopulmonary bypass and cardiac ischemic times were 69.0±28.6 and 34.1±15.0 minutes, respectively. Sternotomy conversion was not performed in any case, and 50 patients (78.1%) were extubated in the operating room. No early mortality or postoperative clinical stroke occurred. Postoperative DWI was performed in 32 (53%) patients, and 7 (22%) showed silent cerebral embolisms. One patient underwent reoperation for tumor recurrence during the study period; in that patient, a genetic study confirmed the Carney complex. Conclusion: Mini-thoracotomy for cardiac myxoma resection showed acceptable clinical and neurological outcomes. In the medium-term echocardiographic follow-up, reliable resection was proven, with few recurrences. This approach is a promising alternative for cardiac myxoma resection.

• 한국농촌건축학회논문집
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• 제24권4호
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• pp.125-132
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• 2022

It can be seen that Traditional house of Jeong Si-yeong is located in a place where Saenggi(good energy), which is important in Pungsu(Feng Shui), can be gathered and that energy can be properly maintained. According to the theory of feng shui, a place that is not easily exposed by the surrounding mountains and is well protected by the strong wind was selected, and the main room was placed on the south side so that the sunlight was adequate while facing the north, so that you can live a comfortable life for a long time. Located on such a relatively well-hidden site, it is a location that can cope well with the invasion of Japanese invaders through the sea in the past, and even today, it is seen as a reasonable base that can be properly protected from strong sea winds in reality. On the other hand, if we look at the Hyungguk theory, it was a house built in the late Joseon Dynasty, and we could see the hidden hopes of the nobles at the time. The mountain behind the house is a haebok-type with a crab lying on the seashore, and what the crab symbolizes is the past national exam for official. Considering that the name of the place where the house is located is also Oyat(cucumber tree)-ri, where many cucumber trees closely related to the royal family of the Joseon Dynasty were planted, it seems that the family wished for prosperity by producing many Sadaebu(upper class gentry) in the past and forming a good relationship with the royal family.

• 해양환경안전학회지
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• 제27권6호
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• pp.875-882
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• 2021

통상적으로 직업소음에 의한 청력손실을 최소화하기 위해서는 작업자가 8시간 동안 85 dBA 이상 소음에 노출되지 않도록 권고하고 있다. 이번 연구에서는 실습선박에서 7종류의 담당업무별 작업자들의 소음노출레벨을 측정하였다. 항해 중, 24시간 동안 작업자의 위치하는 A특성등가소음레벨(L_Aeq,i)과 소음장소의 지속기간(h) 및 소음기여도(L_ex,24h,i)를 고려한 소음노출레벨(L_ex,24h)을 측정하였다. 그 결과, 갑판사관 그룹 L_ex,24h=56.1 dB, 갑판부원 그룹은 L_ex,24h=58.9 dB, 실습항해사들은 L_ex,24h=62.0 dB, 취사부원들은 L_ex,24h=64.3 dB, 실습기관사그룹은 L_ex,24h=91.1 dB, 기관사관 그룹은 L_ex,24h=91.1 dB, 그리고 기관부원 그룹은 L_ex,24h=95.1 dB를 나타내고 있다. 따라서 기관 업무를 담당하는 기관사들, 기관부원들 그리고 기관실습생들은 반드시 청력보호구를 착용해야함을 알 수 있었다. 소음이 심한 기관실에서 청력보호구를 착용한다면 기관사관그룹은 L_ex,24h=23.1 dB, 기관부원그룹은 L_ex,24h=24.4 dB 그리고 기관실습생들은 L_ex,24h=21.5 dB의 소음노출레벨을 줄일 수 있을 것으로 추정된다. 또한 실습생들의 거주구역인 제2 강의실 겸 식당구역에 바닥시공을 64 mm, A-60-class 뜬바닥 구조로 개선했다면 실습항해사들의 소음노출도는 L_ex,24h=4.3 dB, 실습기관사들은 L_ex,24h=1.8 dB 정도 추가적인 감소가 있었을 것이다.

• 대한소아치과학회지
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• 제31권3호
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• pp.527-533
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• 2004

저점도의 레진을 복합레진 수복물 위에 도포하는 것은 미세누출방지와 변연 완전성(integrity) 유지를 위한 한 방법이다. 하지만 장기간 관찰하면, 수복물은 저작압에 의한 영향을 받게 되는데, 저점도의 레진으로 수복물 변연부를 재접착(rebonding)하였을 때 저작압에 의한 응력에 견디면서 계속하여 수복물에 긍정적인 영향을 주는지에 대한 연구는 미흡한 실정이다. 본 연구는 부하순환(load cycling) 하에서 제V급 수복물의 미세변연누출에 대한 재접착제(rebonding agent)의 효과를 알아보고자 하였다. 40개의 건전한 소구치의 협면에 제V급 와동을 형성하고 제조사의 지시대로 광중합복합레진으로 수복하였다. 20개씩 무작위로 나누어 표면전색을 하지 않는 I군과 표면을 산부식 후 재접착한 II군으로 설정하였다. 열순환 후 각 군에서 10개씩의 하위군(A군=No load cycling군, B군=Load cycling군)으로 나누어 이중 B군의 시편에 1 Hz의 속도로 수직력이 4-100N까지 100,000회의 부하순환을 가하였다. methylene blue 용액에 침윤시켜 변연의 미세누출정도를 평가하여 다음과 같은 결과를 얻었다. 1. 교합변연에서는 재접착과 무관하게 유의한 차이가 없었다(IA-IIA군, IB-IIB군)(p>0.05). 2. 치은변연의 경우는 부하순환을 하지 않은 군의 경우 재접착을 한 군(IIA군)이 재접착을 하지 않은 군(IA군)에 비해 더 적은 미세누출결과를 보였다(p<0.05). 3. 치은 변연에서 부하순환을 시행한 군의 경우에는 재접착을 한 군(IIB군)과 재접착을 하지 않은 군(IB군)과 유의차가 없는 비슷한 미세누출의 결과를 보였다(p>0.05).

• 인간행동과 음악연구
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• 제3권1호
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• pp.1-11
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• 2006

미국에서는 1975년 장애아동교육법(Education for All Handicapped Children Act)이 시행되면서 특수교육 프로그램에서 일하는 음악치료사의 역할이 확대되기 시작하였고, 학령기 아동을 위한 음악치료의 역사는 반세기가 넘었다. 우리나라의 경우 2005년에 개정된 특수교육계획에서 특수교육이 필요한 학생의 치료교육에 대한 지원을 확대하고 각 지역 교육청별로 특수교육 지원센터를 두어 치료교육 교사를 배치 시행하는 안을 발표하여 학교 현장에서의 음악치료 보급이 시작되는 단계라 할 수 있다. 이에 본 연구는 2005년 특수교육계획이 시행된 지 6개월 정도 지난 시점에서 초등학교 음악치료와 관련된 특수교사들과 음악치료사들의 의견과 학교 현장에서의 음악치료 현황 및 실태는 어떠한지를 알아보고 그에 따른 개선점이나 문제점을 제시하는 데에 그 목적을 두었다. 이를 위해 본 연구와 관련된 선행 연구들과 문헌들을 조사 검토하고, 2005년 10월 18일부터 11월 2일에 걸쳐 특수교사 65명과 음악치료사 30명을 대상으로 초등학교 특수학급에서의 음악치료 현황과 인식도, 기대도 등에 관한 설문 조사를 실시하여 그 결과를 기술통계 처리하였다. 분석된 결과에 의하면, 특수교사와 음악치료사는 초등학교의 음악치료 필요성에 대해 인식하고 있으며 음악치료의 효과에 대해서도 긍정적인 기대를 보이는 것으로 나타났다. 또한, 음악치료 프로그램의 질을 높이고 체계화하기 위해서는 악기 및 음악치료실의 완비가 무엇보다도 시급한 것으로 나타났다. 이를 위해 국가나 학교 차원에서의 적극적인 행 재정적 지원이 있어야 한다는 지적도 있었다. 특수학교나 특수학급을 비롯한 지역사회 복지관, 조기교육 현장 등 장애아동이 있는 모든 곳에서 치료교육에 대한 학부모들의 요구는 최근 들어 증가하고 있다. 본 연구는 초등학교 현장에서 치료와 교육을 접목시킨 음악치료교육에 대한 전반적인 조사를 통해 초등학교에서 음악치료교육의 필요성을 제시하였다는 데 그 의의가 있다고 하겠다.

• 월간산업보건
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• 통권8호
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• pp.4-30
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• 1988

Examination of working environments was conducted to get more detailed data about harmful working environments and to make a contribution to more effective management. Study was carried out on 722 factories located in Taegu city and eight counties in Kyungpook Province, Korea, for a period of one year, from February 1 to December 30, 1986. The total number and proportion of workers exposed to harmful material was 37,697, 45.2% among 83,368 workers. The results according to exposed material were as follows: 1. In the case of noise, proportion of exceeding the 8-hour TLV was 59%, Included were nail-cutting in assembly metal manufacturing industry and weaving process in textile. 2. Dust in mill process of coal manufacturing industries exceeded the TLV of second class of dust at all parts and exceeded the TLV at 6% as a whole.: 3. The fields of industry lower than 70 lux of illumination were storage equipment of food, auto-winder of textile, painting of wood wares and coal mixing, and 44% of all cases was lower than standard. 4. As a result of temperature index investigation(WBGT), about 12% of all sujects exceeded limit value. Included parts were rolling machine and reducing room. 5. In the case of organic solvents, TLV was exceeded at about 8%, The parts exceeded TLV according to materials belonged to this category were as follows. 1) Toluene: adhesive work in assembly metal manufacturing 2) Xylene: printing and paint mixing in chemical manufacturing 3) Methyl ethytl ketone: paint mixing in all parts examined and coating machine partially in chemical manufacturing 4) Methyl isobutyl ketone: printing in chemical manufacturing 5) Acetone: vapor polishing in assembly metal manufacturing 6. Among specified chemical materials, the concentration of HC1 in the air in metal assembly manufacturing factory exceeded TLV. in one of three assembly metal manufacturing examined. Others, such as benzene, acetic acid, formic acid, sodium hydroxide, formalin, ammonia, copper, chromate etc. were lower than TLV in its indoor atmospheric concentration. As a whole, the proportion of exceeding TLV was about 0.8% 7. The concentrations of inorganic lead were lower than TLV in all parts examined. The results of this investigation show the fact that current management of working environments is not satisfactory, and so more active management is needed.

• 농약과학회지
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• 제16권1호
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• pp.78-83
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• 2012

국내 농약등록을 위한 어독성시험은 잉어(Cyprinus carpio)와 송사리(Oryzias latipes) 그리고 미꾸리(Misgurnus anguillicaudatus)를 대상으로 하고 있으나, 어독성은 잉어에 대한 독성값으로 평가되어지고 있다. 그러나 잉어는 실내사육이 어렵고 사육환경에 따른 감수성 차이와 한정된 시험시기 등 문제점이 제기되고 있어 시험종에 대한 재검토가 필요하다. 본 연구에서는 잉어와 송사리에 대한 급성독성시험 결과를 이용하여 두 시험종간의 상관성과 감수성을 파악하고 농약 어독성시험을 위해 보다 현실적으로 적합한 시험종을 검토하고자 하였다. 급성독성시험은 국내 등록농약 70종에 대한 시험을 수행하였으며, 48시간 $LC_{50}$값을 산출하여 비교하였다. 그 결과, 잉어와 송사리의 상관계수(R)가 0.8480로 상관성이 높았고 종간 감수성에 있어서 잉어와 송사리의 $LC_{50}$값이 통계적으로 유의한 차이가 없는 것으로 나타났다. 그리고 잉어와 송사리에 대한 $LC_{50}$값을 현재 국내 어독성 분류 방법에 따라 분류하였을 경우, 18종 농약에서 분류 등급의 변동이 발생하였으나 특이한 경향성은 없었다. 그러므로 급성독성의 상관성 및 감수성 측면과 어류 사육에 대한 표준화 측면에서 잉어보다 유리한 송사리에 대해서 독성시험종으로서의 재검토가 필요하다.

• KIEAE Journal
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• 제8권6호
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• pp.3-10
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• 2008

Since fire was founded in the world, human races have invented various heating methods. Ondol is traditional heating method in Korea. It is very the important work to trace the history and characteristics of Ondol which originated and was developed in the Korean peninsula. Especially, the study on Ondol will contribute to improving the present heating methods and predicting future ones. In this paper, we shall study through the analysis of documents such as oriental documents, the document of Choseon dynasty, European documents and American documents. In order to discover the origins of Ondol as one of the excellent heating method all over the world, This study aims at identifying the history and characteristics of Ondol in the Korean peninsula, through document analysis. Results of this study are as follows. 1) The first document about Ondol is Sookyongjoo(水經注), Chinese ancient geography book. Contents recorded in the book include the description related to Ondol at Kwankyesa temple which was located at the border land between Gogooryo(ancient Korea) and the northeast of China. 2) Ondol was popular heating method in Gogooryo(ancient Korea) and it was used in not only Gogooryo but also Silla Kingdom and Beakje Kingdom. Thereafter, it was also used widely in Goryo dynasty and Choseon dynasty. Thereby we know that Ondol has been used as a heating method for a long time in the Korean peninsula. 3) Ondol was covered with a floor paper since the beginning of Choseon dynasty. the paper made room clean and impacted on Korean life style. Because the floor was clean and warm, Koreans thus took off shoes and sat on the floor. 4) Ondol was spreaded to Jeju island in Korea before 16th century but wasn't used widely there. The reason was that Ondol was rare high class heating system and the weather was warm in Jeju island. 5) The overspreading of Ondol caused that poor people built roughly Ondol in the last of Choseon dynasty. So, the quality of Ondol gradually became lower and lower. 6) A westerner was impressed by the novelty of Ondol and Frank Lloyd Wright had played an important role to update and spread Ondol widely all over the world. Hailing Ondol as the ideal heating system, Frank Lloyd Wright began incorporating it in his buildings back in the U.S. and even invented a modified ondol system, using hot water running through pipes instead of the hot exhaust through flues.

• 대한가정학회지
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• 제25권3호
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• pp.63-82
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• 1987

This is the forth consecutive study on the 'Standardization of Measurement for Korean Kitchen Work Centers and Cabinets for Future Design Criteria'. The purpose of the present research was (1) to classify homemakers' representative like styles related to the kitchen, (2) to examine homemakers' present concerns on the kitchen space, and (3) to investigate homemakers' desire and preference on the kitchen space. Twenty two hundred homemakers of upper and middle class residing in Seoul, Busan, Daegu, Incheon, Gwangju and Daejeon were selected for the survey and 1,843 among them were used for data analysis. Data were selected for the survey and 1,843 among them were used for data analysis. Data were analyzed using the SAS program package. The statistics used were frequency, percentage, mean, factor analysis, F-test, Duncan's multiple range test, X2-test, cluster analysis. Findings from the research as follows: (1) Four factors were found as indicaters of the life style; values on the household work, desire on social function of the kitchen, degree on cooperation of family members on the household work, and convenient management. It was noticeable that homemakers had positive responses in terms of desire on social function of the kitchen and degree on cooperation of family members on the household work. Homemakers' life styles related to the kitchen space were classified into 6 categories. (2) Relatively a few respondents answered that the kitchens were very well furnished. If, however, the economic conditions become better, substantial number of them wanted to invest for better kitchen following the one for living room. (3) It was found that most respondents preferred the arrangement of space, where dining and kitchen in one space, and a hard wall or soft treatment was between living and dining/kitchen area. (4) Many respondents desired pantry, utility and laundry area be near the kitchen or in the same space with it, thereby forming a utility core in a housing space.

• 대한치과의사협회지
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• 제50권12호
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• pp.763-770
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• 2012

The purposes of this work were to assess the cognition of the registered nurse(RN) on oral and maxillofacial emergency treatment and to compare cognition of the RN with that of the 119 emergency medical technician(EMT). 450 RNs who were working at each of secondary hospitals in Jeju province had responded to the questionnaire. Independent sample t-test and chi-square test were used to assess the state of RN on dental emergency treatment and to compare RN with EMT. The question 'education time on dentistry in formal education' that marked '0 hour' and '1-3 hours' were 73.3% and 20.0%, respectively. The question 'refresher training class on dentistry' that marked '0 hour' and '1-3 hours' were 92.9% and 6.7%, aggregately 99.6%. The results showed low score in the question 'reduction of temporo-mandibular joint(TMJ)'($1.67{\pm}0.857$), 'fixation of dislocated TMJ'($1.70{\pm}0.853$) and 'post-avulsed tooth treatment'($1.78{\pm}0.774$) by 5-point Likert scale. Likewise, the scores were $2.02{\pm}0.806$ in the question 'treatment of maxillofacial trauma', $2.76{\pm}1.061$ in the question 'emergent care of avulsed tooth', $2.70{\pm}1.095$ in the question 'treatment time of avulsed tooth' and $2.79{\pm}1.056$ in the question 'mouth guard', respectively. Compared to EMT, results of RN showed a statistically lower figure(p<0.05) in all items compared except the question 'medicine control', and the question 'doctor care in emergency room' was borderline(p=0.069). From this study, it is necessary for RN and student of nursing science to be educated on the oral and maxillofacial emergency treatment for the initial management of injuries. Authors suggest further co-study and nation-wide research with nursing care.