• 한방재활의학과학회지
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• 제25권4호
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• pp.47-54
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• 2015

Objectives This study aimed to research current trends of acupuncture treatment of whiplash associated disorder (WAD). Methods Clinical studies about acupuncture therapy on WAD were searched in 7 databases. The included studies were classified according to their publication dates, methods, interventions, outcome measures. Interventions were analyzed by accompanied intervention, acupoint, acupuncture retaining time and treatment period. Results 14 articles were included. The number of studies on acupuncture for WAD shows increasing tendency since 1990. The included studies consist of 6 randomized controlled trials (RCTs), 2 non-randomized controlled trials (nRCTs), 2 cohort studies, 1 before and after study, 1 case study and 2 case reports. Most studies used visual analogue scale (VAS) as primary outcome. Conclusions This review demonstrates that further clinical studies need to be carried out under the formal clinical practice guidelines of acupuncture therapy for WAD in order to support clinical treatment objectively.

• 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.

• 대한방사선치료학회지
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• 제31권2호
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• pp.25-31
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• 2019

목 적: 본 연구는 두경부암 환자의 kVCT와 MVCT영상에서 치아 인공물의 체적을 비교하고, MVCT영상에서 치아체적을 얻은 후 kVCT영상에 배정하여 치아체적 및 주변 정상조직의 전자밀도 교정 후 치료계획체적(PTV) 선량변화를 평가하고자 하였다. 대상 및 방법: 본원의 Radixact^® X9에서 세기조절방사선치료를 받은 5명의 두경부암 환자를 대상으로 하였다. 환자의 MVCT영상에서 치아 및 주변 정상조직의 체적을 그린 후 kVCT영상에 영상정합 후 역방향 전산화 치료계획을 실시하였다. 처방선량지수와 선량균질지수를 이용하여 PTV 선량을 평가하였다. 결 과: kVCT영상과 MVCT영상에서 얻은 금속 인공물의 체적을 비교한 결과 평균 3.49±2.61cc, 최대 7.43cc의 차이를 보였다. PTV는 내부 치아가 충분히 포함된 곳으로 제한하였으며, PTV 선량평가 결과 인공물을 보정하지 않은 kVCT의 전산화치료계획의 CI값의 평균은 0.86, MVCT영상을 통해 인공물을 보정 한 kVCT의 CI값은 평균 0.9로 평가되었다. 결 론: 금속 인공물의 보정 없이 전산화치료계획이 이루어졌을 때 PTV의 선량이 저평가 되어 선량 불확실성이 발생됨을 알 수 있었다.

• 박물관보존과학
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• 제25권
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• pp.51-62
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• 2021

국립한글박물관 소장 덕온공주 집안 서대는 2019년 국립한글박물관 특별전시를 위해 소장처의 의뢰로 응급처리를 실시하게 되었다. 처리의 목적은 전시를 위한 원형유지가 우선이었으며, 서대는 훼손이 심하여 형태복원 및 탈락된 띠돈의 고정이 필요했다. 처리 전 서대의 이론적 연구를 통해 구조의 명칭, 시대에 따른 형태의 변화 등을 살펴보아, 보존처리의 방향 및 계획을 수립하는데 기초로 삼았다. 품대 중 서대는 1품의 품계를 가진 사람이 사용하는 품대로 왕의 옥대 다음으로 귀하게 여겨졌던 품대이다. 서대를 장식하는 무소뿔[서각]은 품질에 따라 3가지 양식의 무늬로 구분되는데, 그 중 주변으로 작은 원형의 흑갈색 무늬가 중앙에 밀집한 모습으로 포도문과 유사한 양식으로 고급품에 속하는 질 좋은 서대임을 추정할 수 있다. 또한 버클이 없는 일체형 구조이며, 각이 진 방형의 품대로 19세기 이후 주로 착용되는 품대의 형태와 동일한 것으로 확인 하였다. 이후 보존처리를 시행하는 과정에서 서대의 구조를 확인하여 제작방식을 파악하였으며, 유물과 초상화 자료와의 비교를 통해 시대에 따라 변화되는 서대의 형태적 특징, 그리고 세부 구조 등을 살펴서 보존처리 대상 유물이 19~20세기 제작된 서대의 특징이 나타나고 있음을 한번 더 확인할 수 있었다.

• 한국항해학회지
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• 제11권1호
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• pp.39-65
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• 1987

Since the middle of 1950's, containerization has been rapidly spread over the world in virtue of great merits providing to interensts, and the fundamental changes in port management and prot operations are resulted. As the container terminal is a complex system which is consisted of various subsystems, the treatment for improving the productivity is required in a comprehensive fashion, both in each of its parts and as an integrated system. This paper aims to make an intensive analysis of the Busan Container Terminal system, especially focusing on its subsystems such as ship operation system, storage system and transfer system. First of all, the intrinsic capacity of various subsystems is calculated and it is checked whether the current operation is being performed effectively through the formal analysis. Secondly, the suggestion is presented to improve the operation by considering the throughput that the port of Busan will have to accept in the near future. The results are as follows; 1) As the inefficiency is due to the imbalance between various subsystems at Busan terminal, transfer equipment level must be up to 31% for straddle carrier and 67% transfer crane above all. 2) The yard capacity must be increased by reducing the free dwell time of containers in order to accept the traffic volume smoothly in the near future. 3) The better way to reduce the port congestion is to change berthing rule from the FIFP to the Pre-allocated system by considering the ship arrival pattern.

• 디지털융복합연구
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• 제12권6호
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• pp.145-154
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• 2014

주의력결핍 및 과잉행동장애(ADHD)는 아동기에 나타나기 시작하는 신경발달장애로서 성인이 되어서도 지속되는 경우가 많다. 성인의 3-4% 정도가 ADHD 증상을 보이지만 극히 일부만이 정상적인 진단과 관리를 받고 있다. ADHD 증상을 보이는 학생들은 대개 심각한 학업성취도 저하를 보이는데, 학교 교사들은 바로 이런 ADHD 증상여부를 의심하게 되는 첫 번째 관찰자가 되기도 한다. 교실 안에서 ADHD 학생들을 효과적으로 지도하기 위해서는 이들에 대한 긍정적 태도 구축이 우선되어야 한다. 본 연구에서는 학교 교사들을 위해 ADHD 관련 교육 및 교사지원방안 등에 관한 정보를 제공할 수 있는 웹사이트 리스트를 제시하고, 이들 국내외 ADHD 정보공유 웹사이트의 운영 현황과 역할에 대해 논의해보고자 한다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권10호
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• pp.6173-6180
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• 2013

Background: Our objective was to determine the knowledge and attitudes of Thai generalists (general physicians) toward palliative terminal cancer care (PC) in a primary care setting. Materials and Methods: We performed a cross-sectional descriptive survey using a self-administered questionnaire. The total number of completed and returned questionnaires was 63, giving a 56% response rate. Data analysis was based on these (Cronbach's alpha=0.82) and percentages and mean values were assessed using the Fisher's exact test to determine the correlation of variables. Results: Overall, attitude and knowledge levels were slightly satisfactory. Results indicated that general physicians had moderate scores in both attitudes (84.1%) and knowledge (55.7%) regarding palliative terminal cancer care. However, they had insufficient knowledge regarding truth telling, pain control and management with morphine, emergency management in terminal cancer care and treatment of fluid intake in terminal stages. Attitude and knowledge scores were statistically correlated (p=0.036). Knowledge scores were further positively associated with being taught palliative care in their medical curriculum (p=0.042). Conclusions: Formal education in palliative care and development of palliative care services are very much needed in Thailand to provide holistic care to terminally ill patients.

• 무역상무연구
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• 제61권
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• pp.191-211
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• 2014

This paper intends to study some problems in the application of UCP 600 in the international trade transactions with China. Generally speaking, China complies with UCP 600 well. Nevertheless, there are some problems in the application of UCP 600 in China owing to the difference in law and practices. There are some problems in the application of UCP 600 in China owing to the difference of practices under Bills of Exchange Act and The Provisions of the Supreme People's Court on Some Issues Concerning the Trial of Cases of Disputes over Letter of Credit. The Act insists on the formal requirements, the consistency between a letter amount and a figure amount, the unconditional payment character of bills of exchange. The Provisions include the recognition of revocable credits, the difference of standard in examining documents, the difference in the treatment of issuing banks in relation to discrepant documents. These aforesaid matters of the Act and the Provisions are inconsistent with the practices under the UCP 600. There are two main problems in the operation of letters of credit in China. One is the lack of concerned parties' practice knowledge in relation to letters of credit in China. The other is the inactive stance of nominated banks in China. There are two main problems in relation to judiciary institutions in China. First, judges in China tend to abuse the injunctions owing to the lack of understanding in relation to letters of credit. Secondly, there are inconsistency in the court ruling in China.

• Korean Circulation Journal
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• 제53권9호
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• pp.594-605
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• 2023

Acute myocardial infarction (AMI) is a major cause of morbidity and mortality in the Asia-Pacific region, and mortality rates differ between countries in the region. Systems of care have been shown to play a major role in determining AMI outcomes, and this review aims to highlight pre-hospital and in-hospital system deficiencies and suggest possible improvements to enhance quality of care, focusing on Korea, Japan, Singapore and Malaysia as representative countries. Time to first medical contact can be shortened by improving patient awareness of AMI symptoms and the need to activate emergency medical services (EMS), as well as by developing robust, well-coordinated and centralized EMS systems. Additionally, performing and transmitting pre-hospital electrocardiograms, algorithmically identifying patients with high risk AMI and developing hospital networks that appropriately divert such patients to percutaneous coronary intervention-capable hospitals have been shown to be beneficial. Within the hospital environment, developing and following clinical practice guidelines ensures that treatment plans can be standardised, whilst integrated care pathways can aid in coordinating care within the healthcare institution and can guide care even after discharge. Prescription of guideline directed medical therapy for secondary prevention and patient compliance to medications can be further optimised. Finally, the authors advocate for the establishment of more regional, national and international AMI registries for the formal collection of data to facilitate audit and clinical improvement.

• Korean Journal of Acupuncture
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• 제24권4호
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• pp.13-24
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• 2007

Objectives : This article aims to give guidance on the conduct and reporting of case series and audits of acupuncture, based on common problems that have arisen in the past. This type of project, and particularly the prospective case series or pre- post-intervention study, may give valuable evidence of the overall effectiveness of acupuncture-for example in different situations and in different conditions- and provides one step in the research pathway before generating an hypothesis. Results & Discussion : The project should be designed with the aim of reducing bias as much as possible. Careful and detailed planning is essential for the project to produce worthwhile results that readers can evaluate and replicate. Ethical issues should be considered and formal approval may be necessary. The patient group should be recruited systematically and baseline data obtained. The treatment given should be systematic and decisions to change or end treatment made explicit. The outcome should be measured in ways that are known to be reliable and valid. Musculoskeletal problems can be evaluated with scales for pain and confirmed by measuring one other symptom such as stiffness or one other aspect such as bothersomeness. Global change scores also provide supporting information, and the MYMOP (Measure Yourself Medical Outcome Profile) measure is popular when patients with different conditions are included. The design of questionnaires for beliefs and attitudes is a specialised area that should not be attempted without expert help. Adverse events should also be recorded. Analysis of the data and the best way of summarising and presenting the results are also discussed.