• 대한간호학회지
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• 제21권2호
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• pp.129-149
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• 1991

Circadian rhythm is entrained in the 24-hour time interval by periodic factors in the environment, known as zeitgeber. But most rotating work schedules are outside the range of the entrainment of the pacemaker timing the human circadian sleep - wake cycle. It has been postulated that physiological and emotional disturbances occur in most human functions when the circadian rhythm is disturbed. So application of circadian principles to the design of shift schedules can aid in maintaining the temporal integrity of the circadian system and thereby minimize for the shift worker any detrimental consequences of circadian disruption. This study was a quasi-experimental study to test the effect of shift intervals for the clinical nurse on the circadian rhythm. Twenty nurses newly employed in general units of two hospitals were selected as an experimental group and twelve college nursing students as a control group. Both groups were selected according to an established criteria using a purposive sampling technique. Ten subjects were assigned to a weekly shift group and another ten to a biweekly shift group engaged in a semi -continuous shift schedule(sunday off) with a backward direction, that is, morning -evening - night shift. The control group worked a morning shift for 42 days. Oral temperature rhythm, waking tim, sleep - wake cycle, fatigue, and mental performance were measured during the experimental period. The data collection period was from April 30, 1990 to June 10, 1990. MANOVA, paired t-test, ANOVA, and Student Newman Keuls method were used for statistical analysis. The results are summarized as follows. 1. Phase delay in the acrophase of temperature rhythm was shown according to the backward rotating shift. A complete adaptation to work on the night shift was achieved between the sixth and ninth day of the night shift. 2. There was no difference in either waking time or sleep- wake cycle according to the duration of the working day for every shift group. Significant difference was found in the waking time and the sleep -wake cycle for subjects on the morning, evening, and night shift in both of the shift groups(weekly shift group : λ＝0.121, p＜0.01, λ＝0.112, p＜0.01, biweekly shift group : λ＝0.116, p＜0.01, λ＝0.084, p＜0.01). 3. There was no difference in fatigue between the first working day and the last working day for the control group and for the biweekly shift group. In the weekly shift group, physical fatigue was significantly different for the first day and the sixth day of the night shift(t＝-2.28, p＜0.05). Physical fatigue and total fatigue on the first day of the night shift showed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F＝5.79, p＜0.01, F＝4.56, p＜0.05). There was a significant difference between the shift groups and the control group(p＜0.05), Physical fatigue, neurosensory fatigue and total fatigue on the last day of the night shift showed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F＝12.65, p＜0.01, F＝7.77, p＜0.01, F＝9.68, p＜0.01). There was a significant difference between the shift groups and the control group(p＜0.05). 4. No difference in mental performance was seen between the first day and the last day of work in each case. An arithmatic test on the first day of the night shift revealed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F＝3.79, p＜0.05). There was a significant difference between the shift groups and the control group(p＜0.05) . The digital symbol substitution test and the arithmetic test on the last day of the night shift showed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F＝3.68, p＜0.05, F＝5.55, p＜0.01), and both showed a significant difference between the shift groups and the control group(p＜0.05). Accordingly, this study showed that during night duty, the waking time, sleep- wake cycle, and fatigue increased and mental performance decreased compared with morning and evening duty. It was also found that the weekly shift group had a higher fatigue score on the sixth day of night duty as compared to the -first day, but the waking time, sleep- wake cycle, and mental performance revealed no difference for the duration of the night duty or between shift groups, and complete adaptation of temperature rhythm was achieved between the sixth and ninth day of night duty. It is possible to conclude from these results that for intermediate circadian type in a healthy young woman, a biweekly shift system is more compatible with the circadian timing system than weekly shift system.

• 기본간호학회지
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• 제1권1호
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• pp.37-49
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• 1994

The purpose of this study was to measure the oral temperature, skin temperature, and subjective discomfort according to the application time of ice bag on thigh, head, and abdomen. This study was also intended to suggest nursing principles about ice bag application by exploring the recovery time of skin temperature after the removal of ice bag. The design of this study was $8{\times}3$ factorial design with one sample repeated measure. Here, the application time of ice bag(criteria, 5min, 10min, 20min, 30min, 40min, 50min, 60min) and the application site of ice bag(thigh, head, abdomen) were independent variables. The subjects were 10 university woman students, and data collection was made from July, 1 to August 30, 1992. Rubber ice bag halfly filled with ice was covered with towel and applied on thigh, head and abdomen in other three days. Before applying the ice bag, oral temperature and skin temperature were checked for criteria. After ice bag was applied, skin temperature, oral temperature and VAS score were checked at first 5 minutes elapsed, and every 10 minutes until 60 minutes. After that, ice bag was removed, and oral temperature and skin temperature were also measured every ten minutes until 60 minutes. In this study, skin temperature and core temperature were measured by thermistor probe, and subjective discomfort was measured by 200mm VAS (Visual Analogue Scale). Some of the findings were as follows : 1. There were significant differences in skin temperature among the three application sites of ice bag as time go by. It was most decreased to $15.87^{\circ}C$ in thigh, and $19.47^{\circ}C$ in abdomen at 50 minutes after the application of ice bag, whereas $26.1^{\circ}C$ at 40 minutes in head. Before the application of ice bag, skin temperature showed significant differences in three sites, so that they were compared after the criteria was covariated. In other words, there was significantly more decrease of skin temperature in thigh and abdomen than head, after ice bag was applied for 20 minutes and more. 2. There was no significant difference in core temperature among the three application sites of ice bag during the time of application 3. There was no significant difference in subjective discomfort (VAS) among the three application sites of ice bag. 4. After the removal of ice bag, the recovery of skin temperature was significantly different in three sites during first 30 minutes. In head, skin temperature came up to criteria at 30 minutes after the removal of ice bag, but it was not recovered In thigh and abdomen even 60 minutes elapsed. 5. After the removal of ice bag, there was no significant difference in oral temperature among the three application sites of ice bag. 6. There was significant correlation between the skin temperature and VAS score only in thigh. In conclusion, it is suggested that head in more suitable site for the application of ice bag if it is used for the relief of fever or pain. When we apply ice bag on thigh or abdomen for the relief of pain, careful attention is required.

• 한국실내디자인학회논문집
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• 제23권6호
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• pp.95-104
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• 2014

Today, the number of the elderly living alone without any family members is on a sharp rise, and those aged people living alone are making these social issues such as solitary death, depression and suicide more popular. In order to resolve the issues, some of the local governments have been supporting the elderly living alone in common houses that would be used by senior citizens only. This study became interested in this 'carnation house' which has been carried out targeting the elderly living alone in Gyeonggi-do, and selected elementary universal design factors that should be applied to general residential environments of the aged people and analyzed the factors. As a case study, this research investigated four carnation houses as research subjects and came up with these following ideas about how to make improvements. First, the study found out that all the entrances did not have raised letters and that UD has not been satisfactorily applied to both the thresholds and the effective widths, and that is considered something to be fixed. Second, in case of regular rooms and living rooms, none of the rooms failed to have safety doorknobs which should have been installed and plus, thresholds and stepped pulleys need to be removed, Third, it goes the same with the kitchens, and the thresholds should be eliminated while cabinets are secured. In addition, furniture that understands the elderly's measurements should be used. Fourth, in terms of restrooms, they should be designed to be spacious enough not to cause anyone in wheelchairs inconvenience, and the study suggests that the effective widths should be widened and that both the safety doorknobs and the emergency calls must be installed. Basically, after the test on the UD adaptability, the study concluded that the application rates in connection with the adaptability were low which led the study to assume that such result has been gained due to the lack of installation standards in relation to the common living facilities of the elderly. The study now argues that purposes of buildings should be first clarified and then, these detailed space planning guidelines that deal with general characteristics of the aged people should be established.

• 대한가정학회지
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• 제33권1호
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• pp.1-18
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• 1995

This study examined the confronting problems in home economics and its historical and philosophical causing background, and suggested the future direction for home economics and home economics education. This study, hoped to help home economics overcoming its chaotic situation, and to establish academic characteristics through a philosophical consistency: 1. What are the significant problems which home economics has confronted, and the consequences of those problems\ulcorner 2. What are the fundamental caues of the problem\ulcorner 3.What should be the nature of home econimics to be able to overcome the confronting problems and what can be proposed for the future of home economic\ulcorner Each research question was addressed by analyzing Journal articles, theses, philosophical studies in the field. The results were as follows; 1. such problems as the ambiguity in research focus and the nature of academic charateristcs, and the limitation of research method have resulted fragmentation and specialization in the field, and the lack of philosophical research. Also they led home and family. Moreover each problem brought chaos into curriculum of home economics and that of home economics deucation. 2. The philosophical causing backgrounds of present problems are western ideas such as pragmatism, positivism, Social Darwnism and Korean ideas such as Confucian tradition, Practical Science movement in the 19th century, and modernization and industrialization from the middle of 20th century. Along with influencing historical situation these backgrounds have distorted home economics to be technical science oriented. 3. To solve these problems academic characteristics of home economics must be reestablished as practical science and as profession. This study proposed following for the future of home economics and home economics education: (1) For the future of home economics, first, it needs to recover the unity as one academic field with its focus on family by overcoming fragmentation and specialization trend in the field. Secondly, philosophical and historical studies must be carried o for the unity of all specialized field in home economics. Thirdly, home economics must try to reestablish and reflect in pratice its acadimic characteristics as practical science and as profession. (2) For home economic eduation, first, it should not be the instrument for idelogies of powerful social systems. And teacher education for home economics teachers must inclued principles of home economics and philosophy and history of home economics enabling teachers to achieve purposes of home economics. Secondly, its curriculum contents should be composed of practical ones beyond technical ones.

• 영재교육연구
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• 제21권4호
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• pp.1033-1053
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• 2011

본 연구는 역사적 발견을 이루어낸 과학자 가운데 멘델(Mendel, Gregor Johann, 1822-1884)의 과학적 사고과정을 활용하여 과학영재교육프로그램을 개발하고, 이 프로그램을 학습한 학생들의 문제발견 및 가설설정 능력의 변화를 측정하여, 프로그램의 효과성을 검증하는데 목적을 두었다. 이를 위해 먼저, 멘델이 유전법칙을 확립하는 과정에서 나타낸 과학적 사고과정을 분석하여 특징적 탐구요소를 추출하였다. 추출된 탐구요소 가운데 문제발견과 가설설정을 적용한 프로그램으로서 완두를 활용한 모의실험탐구중심의 과학영재교육프로그램을 개발하였다. 개발한 과학영재교육프로그램은 대학교 부설 과학영재교육원 소속 중학교 1, 2학년 학생 19명(남학생 11명, 여학생 8명)을 대상으로 적용되었다. 적용한 결과, 학생들은 문제발견 능력의 하위요소 융통성, 정교성, 독창성이 신장되었고, 가설설정 능력의 논리성도 신장되었다. 이에 개발된 과학영재교육프로그램은 중학교 과학영재로 선발된 학생들의 문제발견 및 가설 설정 능력을 향상시키는데 효과가 있는 것으로 고찰되었다.

• 대한토목학회논문집
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• 제36권1호
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• pp.157-167
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• 2016

본 연구는 판교택지 개발사업 시행 시 지구단위계획에 반영된 공유외부공지의 확보규정이 지정취지에 맞게 조성되었는지를 조사해 봄으로서 그 실효성과 개선점을 도출하는 것을 목적으로 하였다. 서판교지역의 단독 주택지를 대상으로 하되 다가구주택과 1층의 상업시설이 허용되는 이주자택지 중 2열의 필지 중앙에 지정되어 있는 가구에(30개 가구, 221필지) 한하여 전수조사를 진행하였다. 대상으로 한 가구에 지정된 공유외부공지는 도로변에 지정된 건축선에 의해 생기는 전면공지와는 위치와 성격이 다르고 가구 내부에 위치하여 일반인에게 잘 노출되지 않는다. 또한 서판교 지역은 경사지에 조성되어 있어 외부공간의 연속성에 제한이 있는 것으로 조사되었다. 가구 단부에서 도로와 만나는 필지는 보행과 유리한 조망으로 대부분 상업시설의 확장공간으로 사용되거나 주차장으로 사용되고, 내부 필지의 공유외부공지는 방치된 조경 공간, 상업시설의 창고, 보조 주방 등으로 사용되는 예가 많아 환경 정비가 요구된다. 건축물의 이격 거리 확보로 인한 가구 내 환기, 채광에는 긍정적인 효과가 있는 것으로 판단되었고 레벨차이를 적극적으로 이용한 사례도 조사되었다.

• 공학교육연구
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• 제6권2호
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• pp.22-29
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• 2003

하드웨어 설계 교육의 궁극적인 목표는 학생들로 하여금 시스템 설계능력을 갖추도록 배양하는 데에 있다. 그러나 상당수의 기존 교과과정은 설계 자체보다는 개별적인 빌딩 블록의 내부동작 원리의 이해를 중심으로 운영되는 것이 현실이다. 따라서, 학생들의 학습동기 유발에 실패할 뿐만 아니라 정작 현장에서 필요로 하는 시스템적 관점에서의 설계를 충분히 경험하지 못하는 것이 문제점으로 지적된다. 이러한 문제점들을 극복하기 위한 대안으로, 과목의 초기 도입부에 추상화의 수준을 높여서 시스템의 전체 설계를 조망할 수 있도록 하고, 점차로 추상화의 단계를 낮추어서 결국 소자의 동작 원리를 탐구하는데 이르도록 강의의 순서를 역전시킬 필요성이 있다. 본 논문에서는 하드웨어 설계의 입문 과목인 논리설계 교과목을 대상으로 하여, 시스템 수준의 설계표현 및 검증방식을 먼저 소개하고 소자에 대한 세부지식은 후반부에 소개하는 새로운 교육방식을 제안하고 이의 타당성을 검증하기 위해 교내의 동아리를 활용한 비정규 교육과정에 이를 도입한 사례를 소개한다.

• 대한한의학원전학회지
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• 제20권2호
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• pp.175-193
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• 2007

A theory of the school which attach great importance to moxibustion therapy was more developed from 'Ge Hong(葛洪)', 'Wang Tao(王燾)' up to "BianQueXinShu(扁鵲心書)" of 'Dou Cai(竇材)' in Song Dynasty. The first volume of "BianQueXinShu" was described about the principles of health preserving method, diagnosis, treatment related with meridian system, support Yang theory, moxibustion therapy over the 10 chapters and in the continued 3 chapters, explained the symptoms and related moxibustion therapies. The summary is as follows. The Yang energy is the essence of the human body and it is minutely explained in "Hwangdineijing(黃帝內經)". However, the younger scholars after 'Zhang Zhongjing(張仲景)' held different views with "Hwangdineijing" so they didn't control serious diseases. Supporting the Yang energy, it will be possible to human body in good health and long life and perennial youth and longevity. To do like this, the first important thing is a moxibustion, the second is a Taoist hermit medication(丹藥) and the third is well usage of Radix Aconiti Lateralis Preparata. According to the sequence of Yang energy deficiency, the stages of diseases are classified as Ordinary Gi(平氣), Latter deficient state(微虛), The more deficient state(甚虛), Exhausting state(將脫), Exhausted state(已脫) and in the consideration of each stage, it is used gradually with warm-natured berbs, warm-acrid herbs, warm-heated herbs and moxibustion therapy. If it comes to the stage of Exhausted state, the Yang energy is too weak to treat a disease. Therefore it is easy to harm human body with usage the treatment of the Purgationist school theory or the Cold and cool medical school theory, so it is needed a great attention to use these therapies. To summarized the keynote of 'Du Jae''s moxibustion therapy, the one is a minority of selection of points(1$^{\sim}$2 acupuncture points), the second is a majority of moxibustion units(50$^{\sim}$500 units), and the other is a focused selection of points on spleen and kidney(especially Gwanwon, CC4). And in this book, it was explained concretely about the size of moxibustion, according to the experiment with mentioned size, the burning time of moxibustion was almost 4 min 40 sec, so the big size moxibustion was one of the characteristic of moxibustion therapy revealed in this book. Also it was used 'Suseongsan(睡聖散)' - a kind of analgesic herb complexes - to reduce a pain during the usage of moxibustion therapy in this book. To develop the moxibustion theory, it is more investigated in the future that there wasn't significant relation between Gwanwon(CC4) and spleen and kidney meridian in theory, compared to many used Gwanwon(CC4) in the prescription, where as mentioned the importance of spleen and kidney in treatment, that considering the burning time(1 unit - 4 min 40 sec, 12 units an hour, maximum 288 units a day) there were no guidances about meals, sleeping, stool and urine, and that there was no concrete study about the toxicity of 'Suseongsan' as analgesic moxibustion therapy.

• 한국조경학회지
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• 제34권3호
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• pp.120-138
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• 2006

A city evolves over time. It grows, transforms, and sometimes degrades. Chuncheon is at a turning point from a city souggling with regulations regarding clean water supply and a military encampment to a masterpiece city with a sustainable vision. The city is getting ready to restructure itself to become a world-famous culture and tourism complex expanding its physical boundary across the Camp Page site and absorbing Jungdo as a major tourist attraction. The landscape in the future blueprint of Chuncheon will play a great role in restructuring urban form. The regenerated in will have a new networked open space system as well as re-evaluated landscape resources. The hybrid theoretical practice called 'landscape urbanism' burgeoning in the fields between 'landscape architecture' and 'urbanism' can guide us in considering the terms of the relationship between a city and landscape when we design a future city Landscape urbanism is considered to be an effective framework by which we can diagnose the current status of a landscape in our contemporary urban design practice in Korea. This paper tries to provide a different perspective from the viewpoint of landscape urbanism to decipher the hidden implications of the social agreement on the role of landscape in urban structure by re-reading eight design proposals presented for the ChunCheon G5 international design competition based on the main principles of landscape urbanism. The G5 design competition is a great opportunity to test out new ideas on a city, demonstrating the relative values among various urban-design professional realms. First, this paper provides an overview of the main ideas of landscape urbanism based on the literature review and case studies. Second, framework categories are suggested in order to extract the explicit and implicit ideas on the landscape. Third, eight proposals are reviewed according to the suggested categories to situate the current landscape design of Korea within the mainstream of contemporary practice of landscape urbanism. Based on the review of eight proposals, the following diagnostic conclusions are made; first, the ideas of landscape urbanism have not been actively introduced in large-scaled urban landscape projects in Korea like Chuncheon G5. Second, it remains to be a big task for landscape professions to be able to participate in design consortiums on an equal footing. Third, In order to introduce and reify the ideas of landscape urbanism in Korea, it is inevitable and critical to test the ideas in both academic fields and professional practices to find the appropriately adjusted model of landscape urbanism.

• 농촌의학ㆍ지역보건
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• 제43권2호
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• pp.97-107
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• 2018

이 연구는 지역사회건강조사에서 고혈압 치료율을 향상시킨 고성군 고혈압등록사업의 성과분석과 질적 연구를 통해 사업의 성공요인과 장애요인을 분석하여, 향후 보건소들이 통합건강증진 사업을 통하여 건강지표를 향상시키고자 하는 욕구를 확산시키기 위해 2018년 4월에 수행되었다. 이를 위해 질병관리본부의 전산시스템 보고자료와 지역사회건강조사 원자료를 확보하여 사업 성과를 분석하였으며, 이 사업을 직접적으로 수행한 8명을 연구대상으로 심층면접을 통하여 질적 연구를 수행하였다. 연구 결과, 건강지표를 변화시킨 성공요인은 첫째, 보건주체의 지표개선 의지, 둘째, 자원을 통합한 규모 있는 사업 추진, 셋째, 업무프로세스의 개선, 넷째, 실적이나 포상이 아닌 지표개선을 위한 지속적인 노력으로 도출되었다. 또한 보건소가 실적이 아닌 지표개선 의지를 유도할 수 있도록 정책적으로 보완해야할 장애요인은 첫째, 획일적인 실적중심의 평가, 둘째, '줄 세우기' 식의 평가와 포상, 셋째, 집단이 아닌 개인적인 통합건강증진 사업의 개념, 넷째, 변화를 두려워하는 담당자의 태도로 도출되었다. 이를 종합하면 보건소는 보건사업의 기본 원칙을 준수하고, 중앙정부는 지역이 주체가 되어 사업을 수행할 수 있도록 지방분권적 정책을 도입해야 할 것이다.