• 제목/요약/키워드: guidance control

검색결과 900건 처리시간 0.028초

성인병의 예방과 치료를 위한 영양과 운동처방 I. 비만과 당뇨병에 미치는 영향 (Exercise Prescription and Dietary Modification for Prevention and Treatment of Chronic Degenerative Disease I. On Obesity and Diabetes)

  • 백영호;전병학
    • 생명과학회지
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    • 제9권2호
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    • pp.222-230
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    • 1999
  • 비만증이란 체내에 지방이 과도하게 축적된 상태이고, 당뇨병이란 혈당을 조절하는 insulin의 부족 혹은 작용 결함으로 인한 질환이다. 비만과 당뇨병의 일반적인 원인으로는 유전, 과식, 운동부족, 스트레스 등이 있다. 비만 및 당뇨병 환자는 섭취 열량을 줄이고 신체에 영양공급이 균형있게 이루어 지도록 균형잡힌 식생활을 해야 하며 고열량식품의 섭취를 줄여야 한다. 일반적인 운동 지침은 운동전 의학적 진단과 병력 검사가 우선되어야 하며, 점진적으로 운동강도를 높여야 한다. 비만과 당뇨병의 예방 및 치료를 위해서는 일반적으로 유산소 운동(조깅, 수영, 테니스, 에어로빅 댄스 등)을 60~80$\%$ HRmax(50~70$\%$ $Vo_2$ max)강도로, 15~60분, 주 3~6회 하는 것이 적당하다. 특히 당뇨병 환자는 유형에 따른 처방을 다소 달리해야 하며, 운동중 탄수화물이 든 간식을 하고 인슐린 활동이 최고에 달했을 때 운동을 중지하며 운동 후 저혈당 발생의 가능성에 대비하여 혈당을 높이기 위한 탄수화물 15~20g 분에 해당하는 식품을 섭취한다. 비만과 당뇨병 환자의 치료에 있어서 운동요법은 식이요법과 병행해서 이루어지는 것이 더욱 효과적이다

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영국 보험법 상 보험자의 보험금지급의무와 관련한 주요 쟁점 - 2015년 보험법 상 개정내용을 중심으로 - (Main Issues on the Insurer's Duty of Payment of Insurance Claim in English Insurance Law -Focused on the Revised Provisions in Insurance Act 2015 -)

  • 신건훈;이병문
    • 무역상무연구
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    • 제76권
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    • pp.125-145
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    • 2017
  • Where an insurer has unreasonably refused to pay a claim or paid it after unreasonably delay, the existing law in England does not provide a remedy for the insured. Accordingly, the insured is not entitled to damages for any loss suffered as a result of the insurer's unreasonable delay. This legal position differs from the law in Scotland and most major common law jurisdictions. LC thought that the legal position in England is anomalous and out of step with general contractual principles. LC considered that a policyholder should have a remedy where an insurer has acted unreasonably in delaying or refusing payment of claim, and, therefore, recommended a statutory implied term in every insurance that the insurer will pay sums due within a reasonable time and breach of that term should give rise to contractual remedies, including damages. More detailed recommendations of LC are as followings. First, it should be an implied term of every insurance contract that, where an insured makes a claim under the contract, the insurer must pay sums due within a reasonable time. Secondly, a reasonable time should always include a reasonable time for investigating and assessing a claim. Although a reasonable time will depend on all the relevant circumstances, for example, the following things may need to be taken into account, that is, (1) the type of insurance, (2) the size and complexity of the claim, (3) compliance with any relevant statutory rules or guidance, and (4) factors outside the insurer's control. Thirdly, if the insurer can show that it had reasonable grounds for disputing the claim(whether as to pay or not, or the amount payable), the insurer does not breach the obligation to pay within a reasonable time merely by failing to pay the claim while the dispute is continuing. In those circumstances, the conduct of the insurer in handling the dispute may be a relevant factor in deciding whether the obligation was breached and, if so, when. Fourthly, Normal contractual remedies for breach of contract should be available for breach of the implied term to pay sums due within a reasonable time. Finally, In non-consumer insurance contracts, the insurer should be permitted to exclude or limit its liability for breach of the obligation to pay sums due within a reasonable time, unless such breach was deliberate or reckless, and such an insurer's right to contract out will be subject to satisfying the transparency requirements.

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Spectra Responsibility of Quantum Dot Doped Organic Liquid Scintillation Dosimeter for Radiation Therapy

  • Kim, Sung-woo;Cho, Byungchul;Cho, Sangeun;Im, Hyunsik;Hwang, Ui-jung;Lim, Young Kyoung;Cha, SeungNam;Jeong, Chiyoung;Song, Si Yeol;Lee, Sang-wook;Kwak, Jungwon
    • 한국의학물리학회지:의학물리
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    • 제28권4호
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    • pp.226-231
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    • 2017
  • The aim is to investigate the spectra responsibilities of QD (Quantum Dot) for the innovation of new dosimetry application for therapeutic Megavoltage X-ray range. The unique electrical and optical properties of QD are expected to make it a good sensing material for dosimeter. This study shows the spectra responsibility of toluene based ZnCd QD and PPO (2.5-diphenyloxazol) mixed liquid scintillator. The QDs of 4 sizes corresponding to an emission wavelength (ZnCdSe/ZnS:$440{\pm}5nm$, ZnCdSeS:470, 500, $570{\pm}5nm$) were utilized. A liquid scintillator for control sample was made of toluene, PPO. The Composition of QD loaded scintillators are about 99 wt% Toluene as solvent, 1 wt% of PPO as primary scintillator and 0.05, 0.1, 0.2 and 0.4 wt% of QDs as solute. For the spectra responsibility of QD scintillation, they were irradiated for 30 second with 6 MV beam from a LINAC ($Infinity^{TM}$, Elekta). With the guidance of 1.0 mm core diameter optical fiber, scintillation spectrums were measured by a compact CCD spectrometer which could measure 200~1,000 nm wavelength range (CCS200, Thorlabs). We measured the spectra responsibilities of QD loaded organic liquid scintillators in two scintillation mechanisms. First was the direct transfer and second was using wave shifter. The emission peaks from the direct transfer were measured to be much smaller luminescent intensity than based on the wavelength shift from the PPO to QDs. The emission peak was shifted from PPO emission wavelength 380 nm to each emission wavelength of loaded QD. In both mechanisms, 500 nm QD loaded samples were observed to radiate in the highest luminescence intensity. We observed the spectra responsibility of QD doped toluene based liquid scintillator in order to innovate QD dosimetry applicator. The liquid scintillator loading 0.2 wt% of 500 nm emission wavelength QD has most superior responsibility at 6 MV photon beam. In this study we observed the spectra responsibilities for therapeutic X-ray range. It would be the first step of innovating new radiation dosimetric methods for radiation treatment.

인성교육에 대한 중학교 교사들의 인식 조사 (A Survey on Middle School Teachers' Perception of Character Education)

  • 윤옥한;이경란
    • 한국콘텐츠학회논문지
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    • 제17권7호
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    • pp.193-203
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    • 2017
  • 이 연구는 중학교 교사들의 인성교육에 대한 인식을 분석하여 중학교 인성교육에 방향을 제시하는데 목적이 있다. 전국 중학교 교사 161명에게 인성교육 접근방식, 인성교육 문제점, 인성교육에 대한 전반적 견해, 인성교육 프로그램 구성요소, 인성교육 교수 학습 방법, 인성교육 적절한 기간에 대한 인식 자료를 수집하여 빈도분석과 기술통계분석을 실시하였다. 분석결과 첫째, 인성교육 방법은 생활지도와 각 교과교육을 통해서 이루어지기를 희망하였다. 둘째, 인성교육이 제대로 수행되지 않는 점은 상급학교 진학을 중심으로 교육이 이루어지기 때문이다. 셋째, 인성교육에 대한 전반적인 견해는 최근 학생들의 인성에 점점 문제가 많아지고 있어 학교와 가정이 연계한 인성교육이 중요하다. 넷째, 인성 교육프로그램에서 가르쳐야 할 인성구성요소는 배려, 예절, 자기조절, 책임감 등이다. 다섯째, 인성교육을 위한 교수 학습 방법으로 반성(성찰), 상호배우기, 체험식 활동, 학생중심 등 순으로 우선순위가 도출되었다. 여섯째, 인성교육 프로그램 시행의 적절한 기간은 지속적이고 반복적인 교육이 필요함을 공감하면서 학교생활 3년 내내 이루어져야하는 것으로 나타났다. 이를 바탕으로 중학교 인성교육 프로그램 개발 시 시사점으로는 1회성 프로그램으로 개발하는 것 보다 생활지도와 교과교육 내에서 인성교육을 어떻게 구성할 것인지를 고려하는 것이 더 중요하다고 제안하였다.

한·중 FTA와 기(旣)체결 주요 FTA의 원산지 규정과 절차 비교연구 - 미국·EU·ASEAN FTA 중심으로 - (A Comparative Study on the Rules of Origin and Origin Implementation Procedure in KORCHINA FTA and Main Korea's Existing FTAs - Focused on KORUS·KOREU·KORASEAN FTA -)

  • 임목삼;임성철
    • 무역상무연구
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    • 제69권
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    • pp.589-616
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    • 2016
  • The reviewing of an analysis of the Korea-China FTA due to guidance introduced for the new regulations or exceptional regulations compared to the KORUS, Korea-EU, Korea-ASEAN FTA. Commodity sectors in the Korea-China FTA and the KORUS, Korea-EU, Korea-ASEAN FTA(the majority in the country and trade criteria analysis result) compared and analyzed the results, rules of origin and the customs clearance procedures of origin, preferential tariff rate of origin and the origin preferential specific rules are somewhat difference, but customs and trade facilitation regulations are already quite consistent with the Korea customs system. Relatively important research results were as follows. First, the calculation of the regional value content in KORCHINA FTA is that I'm to use the deduction method can comprehensively reflect a regional value ratio, with respect to the materials acquired originating status as the FTA in the US and EU use the product non it's not to consider the value of the originating materials originating materials can be utilized for intermediate goods. Second, even if a non-treaty country in the middle with the exception of direct transport rules, and acknowledge the country of origin are under customs control, there are provisions for the period are temporarily stored in a non-treaty countries separately, that period goods imported into the non-treaty countries and up to three months from the day. If the situation of the occurrence of force majeure be greater than three months, but has so exceed six months. Third, the materials acquired originating status in the Korea-China FTA not to consider the value of non-originating materials used in its products as the KORUS FTA and Korea-EU FTA, that can be utilized originating materials for intermediate goods. It is expected that higher utilization of rules of origin. Meanwhile, Korea-China FTA has provisions to allow requests for preferential tariff applied on imports Customs declaration of intention to apply pre-condition for a preferential tariff applied to the importer. In other words, if the import customs tariff preference when applying post-intention not to advance is to be noted that any preferential treatment to prevent the later application.

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전치부 개교환자의 하악 운동에 관한 연구 (A STUDY ON THE MANDIBULAR MOVEMENT OF ANTERIOR OPENBITE PATIENTS)

  • 곽재영;김광남;장익태
    • 대한치과보철학회지
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    • 제32권2호
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    • pp.281-295
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    • 1994
  • It is very important for the ideal restorations of anterior openbite patients to record the mandibular movement and to harmonize mandibular movement with other organs in stomatognathic systems. This study was designed to compare the mandibular movement of anterior openbite patients with that of normal bite(Angle Class I) patients, to ascertain which components of mandibular movement have differences between two groups, and to use for occlusal treatment of mandibular movement. Saphon Visi-trainer Model 3(Tokyo Shizaisha Co. Japan) and Denar Pantronic(Denar Corp.,U.S.A.) were used to record mandibular movement. Pantronic survey was peformed by using an arbitrary hinge axis according to manufacturer's direction. Twenty-eight adult who have physiologically normal occlusion(Angle Class I) and are free of TM dysfunction were selected as a control group(Group 1). Fifteen adult who are anterior openbite patient and have not anterior guidance function and have posterior interference at protrusion were selected as a experimental group(Group 2). The results are as follows : 1. There was no statistically significant difference between the average immediate and progressive side shift of anterior openbite patients(0.54mm, $7.57^{\circ}$) and those of normal group(0.49mm, $5.96^{\circ}$). 2. The average protrusive and orbiting condylar inclination of anterior openbite patient$(30.87^{\circ},\;32.27^{\circ})$ were significantly lower than those of normal group$(36.11^{\circ},\;39.04^{\circ})$ (P<0.05). 3. In the results of Visi-trainer recordings, the mean for the maximum protrusion, the maximum laterotrusion, the angle of laterotrusion and the angle of protrusion in the horizontal trajectory between group 1 and 2 did not differ significantly. 4. The mean for the angle of protrusion, the maximum opening in the frontal trajectory, the ICP-RCP(A-P) distance and the angle of protrusion in the sagittal trajectory differ significantly(P<0.05). 5. The significant correlation was found between orbiting condylar inclination and protrusive condylar inclination.

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Socio-economic Status Plays Important Roles in Childhood Cancer Treatment Outcome in Indonesia

  • Mostert, Saskia;Gunawan, Stefanus;Wolters, Emma;van de Ven, Peter;Sitaresmi, Mei;van Dongen, Josephine;Veerman, Anjo;Mantik, Max;Kaspers, Gertjan
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권12호
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    • pp.6491-6496
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    • 2012
  • Background: The influence of parental socio-economic status on childhood cancer treatment outcome in low-income countries has not been sufficiently investigated. Our study examined this influence and explored parental experiences during cancer treatment of their children in an Indonesian academic hospital. Materials and Methods: Medical charts of 145 children diagnosed with cancer between 1999 and 2009 were reviewed retrospectively. From October 2011 until January 2012, 40 caretakers were interviewed using semi-structured questionnaires. Results: Of all patients, 48% abandoned treatment, 34% experienced death, 9% had progressive/relapsed disease, and 9% overall event-free survival. Prosperous patients had better treatment outcome than poor patients (P<0.0001). Odds-ratio for treatment abandonment was 3.3 (95%CI: 1.4-8.1, p=0.006) for poor versus prosperous patients. Parents often believed that their child's health was beyond doctor control and determined by luck, fate or God (55%). Causes of cancer were thought to be destiny (35%) or God's punishment (23%). Alternative treatment could (18%) or might (50%) cure cancer. Most parents (95%) would like more information about cancer and treatment. More contact with doctors was desired (98%). Income decreased during treatment (55%). Parents lost employment (48% fathers, 10% mothers), most of whom stated this loss was caused by their child's cancer (84% fathers, 100% mothers). Loss of income led to financial difficulties (63%) and debts (55%). Conclusions: Treatment abandonment was most important reason for treatment failure. Treatment outcome was determined by parental socio-economic status. Childhood cancer survival could improve if financial constraints and provision of information and guidance are better addressed.

BYOD 환경의 MDM 보안솔루션의 품질평가모델에 관한 연구 (A Study on Quality Evaluation Model of Mobile Device Management for BYOD)

  • 나현대;강수경;김창재;이남용
    • 컴퓨터교육학회논문지
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    • 제17권6호
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    • pp.93-102
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    • 2014
  • 모바일 오피스 환경이 점차 증가하여 스마트폰 태블릿 PC 기기 등 모바일 장비가 기업, 학교, 공공기관 등 장소에 구애 받지 않고 많이 활용되고 있다. 이에 따른 보안 위협도 지속적으로 발생하여 효과적인 보안 관리정책과 기술적 보안이 요구되고 있다. 이러한 BYOD(Bring Your Own Device) 환경에서 기술적인 보안을 위한 해결책으로 네트워크기반통제 솔루션, MDM(Mobile Device Management), MAM(Mobile Application Management), MCM(Mobile Contents Management)등이 출시되어 정보 보안에 활용되고 있다. 그러나 BYOD의 보안 솔루션을 선정함에 있어 표준 가이드라인 및 품질 평가 기준이 미흡하여 품질 평가 모델이 요구되고 있다. 본 논문에서는 최근 가장 범용적으로 사용되고 있는 MDM 솔루션을 선택하여 그 특징을 살펴보고 ISO/IEC25010의 소프트웨어 품질특성에 기반을 두어 제품 속성 분석 및 품질 평가 요소를 도출, 관련 메트릭스를 산출하였다. 품질 평가 모델 검증을 위해 보안점검 항목 및 테스트 수행 방안을 정하고 사례연구를 통하여 메트릭스를 적용하고 분석하였다.

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우리나라 임가경제조사를 위한 입목자산가치 평가업무 프로세스 분석 (Analysis of Forest Valuation Process for the Forestry Household Economy Survey in Korea)

  • 김영환;원현규;이호상;정세경;신만용
    • 한국산림과학회지
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    • 제97권3호
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    • pp.274-284
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    • 2008
  • 입목자산의 경제적 가치를 평가하기 위해서는 벌채수확을 비롯하여 조림 육림 등과 관련된 많은 투입요소들이 고려되어야만 한다. 특히 임가경제조사를 통한 입목자산가치의 평가를 위해서는 이러한 투입요소들을 지역별/수종별로 표준화하는 것이 요구되며, 따라서 좀더 효율적인 입목자산가치의 평가를 위해서는 각 투입요소들의 조사방법 및 표준화 기준 등을 구체화할 필요가 있다. 또한 지역별/수종별로 표준화된 투입요소들을 이용하여 실제로 입목자산의 가치를 산정하는 방법 및 절차에 대해서도 구체적인 지침을 마련할 필요가 있다. 따라서 본 연구에서는 기존의 평가사례 및 연구문헌들을 토대로 투입요소들의 표준화를 위한 합리적인 대안을 제시하고, 표준화된 투입요소를 이용하여 실제로 입목자산을 평가하는 세부적인 업무내용 및 절차 등을 분석하였다. 분석된 결과들은 네 단계의 자료유형, 즉 시스템 흐름도(system flow chart), 프로세스 흐름도(process flow chart), 상세 흐름도(detail flow chart), 스키머 데이터(skimmer data)의 형태로 제시되었으며, 이러한 분석결과를 토대로 '입목자산가치 평가표'를 산출할 수 있는 프로그램(EnVAST)을 개발하여 임가경제조사에 활용할 수 있도록 하였다.

한국 성인 비만 집단의 탄수화물 급원 식품 섭취 분포 및 노출 위험도: 대규모 한국인유전체 역학 자료 활용 (Distribution and Exposure Prevalence of Carbohydrate-based Food Intake among Obese Korean Adults Based on the Health Examinees (HEXA) Study)

  • 한유리;권성옥;이상아
    • 대한지역사회영양학회지
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    • 제22권2호
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    • pp.159-170
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    • 2017
  • Objectives: The purpose of this study was to estimate the distribution and exposure prevalence of total carbohydrate intake and the carbohydrate-based foods such as rice, noodles, sweet potatoes, sweet drinks, milk and fruits and to characterize intake patterns among obese Korean adults. Methods: Subjects included 137,363 adults aged 40 years or older who participated in a Health Examinees (HEXA) Study. Multiple regression analysis of data from Semi-Quantitative Food Frequency Questionnaire (SQFFQ) identified food sources of carbohydrates. Weight, height and waist circumstance (WC) were measured, and the body mass index (BMI) was calculated. Obesity was defined as $BMI{\geq}25kg/m^2$ and abdominal obesity as $WC{\geq}90cm$ and ${\geq}85cm$ for males and females, respectively. Results: Obese adults appeared to have a higher total carbohydrate intake in the univariate analysis but had eaten less after adjustment for general and lifestyle factors, compared to normal weight adults (OR 0.78, 95% CI 0.73-0.82 for general obesity; OR 0.79, 95% CI 0.74-0.85, for abdominal obesity; P trend < 0.0001, respectively). Based on advance analysis for the food sources of carbohydrates, obese subjects had lower intake of rice (OR 0.86, 95% CI 0.68 -1.09 for general obesity; OR 0.87, 95% CI 0.67-1.13, for abdominal obesity; P trend < 0.0001, respectively) and higher intake of noodles (OR 1.21, 95% CI 1.16-1.27 for general obesity; OR 1.25, 95% CI 1.19-1.32, for abdominal obesity; P trend < 0.0001 respectively). With regard to other food sources of carbohydrates such as milk and fruits, intake was lower among obese compared to normal weight subjects. Conclusions: In the Korean middle-aged and older obesity groups, the intake of carbohydrates and the related foods was lower than in normal weight subjects, except for noodles. We conclude that a higher intake of noodles may enhance weight-gain. Therefore, this study suggested that the guidelines should consider the types of carbohydrate sources and the amount consumed from foods in order to provide proper guidance with regard to control and prevent obesity among Korean adults.