• 제목/요약/키워드: cover of degree d

검색결과 24건 처리시간 0.019초

병실내 소음도와 환자와의 관계 (A Study of the noise level in hospital and the Count-Measure against the noise)

  • 김명호;차일환
    • Journal of Preventive Medicine and Public Health
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    • 제6권1호
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    • pp.43-49
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    • 1973
  • 서울시내 4개 종합병원에 대한 병실내 소음원을 조사 측정하고 상호영향관계를 검토하였다. 입원환자 171명을 무작위 추출하여 소음에 대한 반응도를 조사하여 측정된 소음과 비교 검토하였다. 결과적으로 거주지역에 위치한 2개의 병원은 유선방송의 스피커소리와 방문객에 의한 소음이 크고 상업지역에 위치한 2개의 병원은 교통소음이 크게 환자의 불평대상이 되고 있다는 결과를 얻었다. 그러나 61%의 환자들은 가정과 분리된 병원생황의 영향으로 약 60dB (A)의 음악 또는 기타소리를 원하고 있었다. 이런점을 고려하여 다음과 같은 방법으로 소음을 감소시킬 수 있을 것이다. 1. 보호자이외의 방문객수 및 체류시간을 단축시킨다 2. 병원내의 유선방송을 폐지시키고 무선통신방법을 활용한다. 부득이한 경우 사무실 위주로 방송한다. 3. 차량의 정지, 출발 그리고 가속시에 발생하는 소음의 영향을 감안하여 서울시당국에서 병원주위도로를 통행하는 차량에게 적당한 행정조치를 하고 고가도로 건설을 피하게 한다. 4. 병실내 환자의 기호에. 따라 들을 수 있는 청취장치를 (이어폰을 사용)하여 Masking Effect로 소음을 음폐토록 한다. 5. 도로변에 인접할 병실은 가능한한 사무실로 사용하고 병실로 사용시는 이중창을 장치하도록 한다.

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Contrast-Enhanced High-Resolution Intracranial Vessel Wall MRI with Compressed Sensing: Comparison with Conventional T1 Volumetric Isotropic Turbo Spin Echo Acquisition Sequence

  • Chae Jung Park;Jihoon Cha;Sung Soo Ahn;Hyun Seok Choi;Young Dae Kim;Hyo Suk Nam;Ji Hoe Heo;Seung-Koo Lee
    • Korean Journal of Radiology
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    • 제21권12호
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    • pp.1334-1344
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    • 2020
  • Objective: Compressed sensing (CS) has gained wide interest since it accelerates MRI acquisition. We aimed to compare the 3D post-contrast T1-weighted volumetric isotropic turbo spin echo acquisition (VISTA) with CS (VISTA-CS) and without CS (VISTA-nonCS) in intracranial vessel wall MRIs (VW-MRI). Materials and Methods: From April 2017 to July 2018, 72 patients who underwent VW-MRI, including both VISTA-CS and VISTA-nonCS, were retrospectively enrolled. Wall and lumen volumes, signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR) were measured from normal and lesion sites. Two neuroradiologists independently evaluated overall image quality and degree of normal and lesion wall delineation with a four-point scale (scores ≥ 3 defined as acceptable). Results: Scan coverage was increased in VISTA-CS to cover both anterior and posterior circulations with a slightly shorter scan time compared to VISTA-nonCS (approximately 7 minutes vs. 8 minutes). Wall and lumen volumes were not significantly different with VISTA-CS or VISTA-nonCS (interclass correlation coefficient = 0.964-0.997). SNR was or trended towards significantly higher values in VISTA-CS than in VISTA-nonCS. At normal sites, CNR was not significantly different between two sequences (p = 0.907), whereas VISTA-CS provided lower CNR in lesion sites compared with VISTA-nonCS (p = 0.003). Subjective wall delineation was superior with VISTA-nonCS than with VISTA-CS (p = 0.019), although overall image quality did not differ (p = 0.297). The proportions of images with acceptable quality were not significantly different between VISTA-CS (83.3-97.8%) and VISTA-nonCS (75-100%). Conclusion: CS may be useful for intracranial VW-MRI as it allows for larger scan coverage with slightly shorter scan time without compromising image quality.

전주 완산칠봉 이팝나무 자생지의 생육환경으로 본 자연유산 가치 분석 (Analysis on the Growth Environment of Chionanthus retusus Community at the Wansanchielbong in Jeonju)

  • 김연
    • 한국전통조경학회지
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    • 제28권4호
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    • pp.85-97
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    • 2010
  • 본 연구는 전주시 완산칠봉 이팝나무 자생 군락지의 토양환경 및 식물상 그리고 식생구조에 대하여 파악해 보고, 이를 토대로 현재 시보호수로 지정되어 있는 현재의 자연유산적 가치를 제고하고자 시도되었다. 전주 완산칠봉 이팝나무 자생지의 토양산도는 pH 5.69였으며, 유기물함량은 평균 4.98%로 비교적 양호한 것으로 나타났다. 한편, 식생과 식물상을 볼 때 비록 단위 규격은 월등한 규모는 아니지만 수고 2m 이상의 이팝나무 개체수는 107그루에 이르고 있을 뿐만 아니라 수고 2m 이하의 관목과 치수는 63그루가 확인되는 등 순수 단일 군락으로서의 종조성을 보이고 있는 점도 매우 주목할 만하다. 뿐만 아니라 어린 치수에서부터 거의 노거수로 분류되는 개체까지 다양한 영급의 수목이 함께 자생하는 것으로 보아 지속가능성 또한 매우 높은 실정이다. 그리고 이팝나무가 자생하는 완산칠봉은 역사적 순교지이기도 하며 전주십경 중 하나인 곤지망월(坤止望月)의 주대상으로 서의 역사성도 함께 간직하고 있다. 이와 같이 도심지내 자생 희귀 수종인 이팝나무가 안정된 군락을 이루고 있음은 국내에서 그 예를 찾아보기 어렵다. 그러나 도심내 한복판에 존재하기 때문에 교란과 훼손의 위협은 물론 토지이용의 요구 또한 지속적으로 받고 있었기 때문에 현재 전주시 보호림의 지정 차원에 머물 것이 아니라 장차 최소한 시 도 기념물로 지정되어 적극적인 보호대책이 강구되어야 할 것이다. 더불어 본 조사 자료가 완산칠봉 이팝나무 자생지의 합리적인 보전 및 생태적 관리방안 전략 수립에 기초 자료로 활용되기를 기대한다.

인력수급 대책을 위한 치과기공사의 보건지소 진출에 관한 연구 - 2012년 틀니보험화 정책을 중심으로 - (The study on the entry of dental technicians in the public health center for a manpower supply and demand plane (Centering around a denture insurance policy in 2012))

  • 이종도;김정숙;박광식
    • 대한치과기공학회지
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    • 제32권4호
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    • pp.417-433
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    • 2010
  • Purpose: This study evaluated the manpower planning of dental technicians. Methods: Methods : Survey was conducted regarding subject's general characteristics, characteristics of dental technician's occupational view and working conditions, and reason to enter into branches of the public health enter. The survey sample consisted of 323 dental technicians (221 male/ 102 female). Survey was conducted for one month from August 1 to September 1 in 2010. Following results were obtained. Results: 1. Regarding general characteristics of the subjects, there was a slight male predilection with 68.4%. Subjects in their 40s occupied the highest proportion of 32.2%. Majority of subjects worked in the big cities (71.5%). Favored working places were dental laboratory (57.6%) and dental hospital or dental clinic (19.5%). Although no position is available in the public sector such as public health center or health care civil servant, 9.3% preferred working in the public health center. Public sector is more favored than 2-year technical colleges or dental supply and equipment companies. In respect to education, 57% of the subjects graduated college. 67.8% were married. Subjects who specialize in the porcelain or all-ceramic were 57.9%. With regard to current position, head of the dental laboratory was most common. 2. Following occupation characteristics were found. Economic reason took the highest proportion when deciding their occupation (39.9%) followed by gaining social experience (36.5%). Majority of the subjects (76.5%) wanted to work as dental technicians until their retirement. 71.5% pursuit to become a manager of the dental laboratory. 76.1% agreed on opening a dental technician position in the public health center. Regarding an authority to lead developing the dental technician position in the public sector, majority of the subject chose ministry of health and welfare (35.6%) and Korean dental technologist association (34.7%). Employment (average, 30%) and turnover rate (average, 36.5%) of dental technology college graduates ranged from 40% to 60%. Most important factors for the employment were practical experience (41.2%) and competency (34.4%). With regard to job satisfaction, so-so as 46.7% and satisfactory was 42.7% 3. In respect to the reason for opening a position in the public health center, 'It is needed to continue denture rogram for elderly patients' obtained the highest score (4.14 point). 'Institutional devices are required to open a position for dental technicians as a public healthcare provider' received high score (4.11 point). 4. Concerning the working conditions, 'professional knowledge is required' received the highest score (4.23) followed by 'too short maternity and parental leave' (4.21). 5. Relationship between general characteristics of the subjects and favor of working in the public health center was investigated. Significant differences were found according to the current and favored working area, favored occupation, education level, marital status, and specialty. Working in the public health center was favored by following subjects: working in mid- or small-sized cities (4.16 point, p<0.05); PhD degree-holder (4.59 point, p<0.01). 6. Among general characteristics of the subjects, significant difference of working conditions was found in the following factors: gender; working areas; favored working areas; favored working positions, and education level. Majority of subjects favored working in big cities and currently work in big cities although satisfaction was comparatively low (3.75 score). 7. Future plan to work in public health center was evaluated according to occupational characteristics. Subject's intention to work in the public healthcare center was significantly affected by opening of dental technician position, leading authority, average turnover rate, and factors affecting employment. Working in the public health care center was favored by the following subjects: Dental technicians who actively supported opening of the dental technician position (4.34 point, p<0.001); subjects who thought the Korean dental technologist association is responsible for the opening of positions in the public sector (4.26 point, p<0.001); and subjects who thought that attitude and character are important for the employment (p<0.001). 8. Concerning difference of working conditions according to the occupational characteristics, significant difference was demonstrated by factors such as a reason to choose to be a dental technician, work plan, pursuing position, responsible authority, average employment rate, and job satisfaction. High standard of working conditions was required in subjects who selected to be a dental technician for the leisure time after work (s.05 point, p<0.01), who planted to work until their marriage (4.25 point, p<0.001), and who pursuit to be a manager (3.98, p<0.05). 9. In respect to influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.068 and age affected the working condition with significant difference according to the pvalue. 10. Regarding influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.335 and work plan, opening of dental technician position in the public sector, and responsible authority had significant influence over the subject's intention to work in the public health center according to the p-value. 11. With regard to the influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.091 and reason to choose to be a dental technician, work plan, and responsible authority significantly affected subject's working conditions. Conclusion: Korean society is becoming a super-aged society according to several statistics. As aged population is rapidly increasing, national health insurance plans to cover denture for senior citizen over 75 years old from 2012. Therefore, dental technicians are urgently needed in the public health centers all over the nation. Many subjects in this study planed to work until their retirement and recognized dental technician's expertise. Ministry of health and welfare and Korean dental technologist association should co-operate each other to prepare foundation and institutional devices for dental technicians to advance into the public health center. This will improve oral health of the population. This study showed urgency of medical facilities and services which meets increasing number of aged population and welfare of the population.