• 치위생과학회지
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• 제13권3호
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• pp.254-263
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• 2013

본 연구는 국내 치과의료기관 감염관리 평가지표를 도출하고 타당성을 검증하고자 하는 연구로서 평가지표의 구성단계, 개발단계, 검증단계로 설계되었으며, 평가지표 구성단계에서 이론적 고찰과 모형의 적용, 평가지표의 개발단계에서 국내 치과병원 감염관리담당자를 대상으로 양적, 질적방법의 예비조사와 관련 전문가를 대상으로 설문조사와 면접조사가 실시되었으며 신뢰도, 안면타당도와 내용타당도검증을 실시하였고 전국의 치과병원 감염관리담당자 121명을 대상으로 감염관리 평가지표 항목에 대한 가중치 조사 및 현장 적용의 문제점을 확인하였다. 평가지표 검증 단계에서는 탐색적 요인분석과 경로분석을 통해 구성타당도를 확인하였다. 이상의 모든 통계적 처리는 PASW Statistics 18.0 프로그램과 AMOS 5.0 프로그램을 이용하였다. 연구의 결과로 국내 치과병원 감염관리 평가지표는 구조, 과정, 결과 영역이 수립되었으며 구조 영역에서 5개 평가요인에서 21개의 세부 평가지표가 도출되었고, 과정 영역에서 8개 평가요인에서 32개의 세부 평가지표가 도출되었으며, 결과 영역에서 1개 평가요인에서 5개의 세부 평가지표가 도출되어, 각 영역에서 총 14개의 평가요인과 58개의 세부 평가지표가 도출되었다. 또한 상관성이 성립되는 8개 평가요인에 대한 경로분석 결과 '표준주의지침($x_1$)', '감염관리지원체계($x_2$)', '내외부적 특성($x_3$)'은 다른 변수들에 영향을 주는 외생관측변수이고 '표준감염관리($y_1$)', '기구 장비관리, 손씻기($y_2$)', '환경감염관리($y_3$)', '개인보호장구($y_4$)', '세탁물 및 폐기물관리($y_5$)' 등은 다른 변수들로부터 영향을 받는 내생관측변수로 작용함을 알 수 있었다. 본 연구에서는 우리나라 치과의료기관 실정에 맞는 감염관리 표준을 위해 평가지표를 개발하고자 하였으며 개발된 치과의료기관 감염관리 평가지표를 통해 국내 치과의료기관 감염관리 체계 활성화 및 감염관리 우선순위 결정에 기여하고자 한다. 향후 치과의료기관 감염관리의 질적 제고를 위하여 감염관리 평가제도 및 인증제도 활성화를 제안하며 향후 지속적인 연구와 관심이 필요하다.

• Journal of Preventive Medicine and Public Health
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• 제7권1호
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• pp.1-28
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• 1974

The writers have conducted the investigation to assess the nutritional status of young rural Korean children aged from 0 to 4 years old in August 1971. The survey areas were Kaejong-myon. Daeya-myon, Okku-gun, Jeonra-bukdo, Korea. These survey areas were typical agricultural plain areas. The total numbers of children examined were 2,706 comprising 1,394 male and 1,312 female. The weight, height, and chest circumference of children were measured and means and standard deviations. were calculated for each measurement. In addition, the nutritional status of each child was classified by the four levels of malnutrition and the Gomez classification, The examination of red blood cell count, haematocrit value, and intestinal parasite infection were carried out at the same time. In general, recent work tend to suggest that environmental influences, especially nutrition, are of great importance than genetic background or other biological factors for physical growth and development. Certainly the physical dimensions of the body are much influenced by nutrition, particularly in the rapidly growing period of early childhood. Selected body measurements can therefore give valuable information concerning protein-calory malnutrition. Growth can also be affected by bacterial, viral, and parasitic infection. For the field workers in a developing country, therefore, nutritional anthropometry appears to be of greatest value in the assessment of growth failure and undernutrition, principally from lack of protein and calories. In order to compare and evaluate the data obtained, the optimal data of growth from the off-spring of the true well-fed, medically and socially protected are needed. So-called 'Standards' that have been compiled for preschool children in Korea, however, are based on measurement of children from middle or lower socio-economic groups, who are, in fact, usually undernourished from six months of age onwards and continuously exposed to a succession of infective and parasitic diseases. So that, the Harvard Standards which is one of the international reference standards was used as the reference standards in this study. Findings of the survey were as follows: A. Anthropometric data: 1) Comparing the mean values for body weight obtained with the Korean standard weight of the same age, the rural Korean children were slightly haevier than the Korean standard values in both sexes. Comparing with the Japanese children values, the rural Korean children were slightly haevier in male and in the infant period of female but lighter in female of the period of 1 to 4 years old than Japanese children. 2) Comparing the mean values for height obtained with the Korean standard height of the same age, the rural Korean children were taller than the Korean standard values except the second half of infatn period in both sexes. Comparing with the Japanese children, the rural Korean children were slightly smaller than Japanese children except the first half of infant peroid in both sexes. 3) Mear values of chest circumference of rural Korean children obtained were less than the Korean standard values of the same ages in both sexes. B. Prevalence of Protein-Calory Malnutrition: Children examined were devided into two groups, i. e., infant(up to the first birthday) and toddler (1 to 4 fears old). 1) Percentages of four levels of malnutrition: a) When the nutrtional status of each child was classified (1) by body weight value, the percentages for male and female of children attained standard growth were 52.8%(infant 83.3%, toddler 44.4%) and 39.7% (infant 74.5%. toddler 30.5%), the first level of malnutrition were 31.9%(infant 13.7%, toddler 36.9%) and 31.7%(infant 15.3%, toddler 36,0%), the second level of malnutrition were 12.3%(infant 1.7%, toddler 15.3%) and 23.3% (infant 7.7%, fodder 27.5%), the third level of malnutrition were 2.7%(infant 0.7%, toddler 3.2%) and 4.6%(infant 1.8%, toddler 5.3%) the fourth level of malnutrition were 0.3% (infant 0.7%, toddler 0.2%) and 0.7% (0.7% for infant and toddler) respectively. (2) by height value, the percentages for male and female of children attained standard growth were 80.3% (infant 97.3%, toddler 75.6%) and 75.1% (infant 96.4%, toddler 69.5), the first level of malnutrition were 17.9% (infant 2.0%, toddler 22.3%) and 23.6% (infants 3.6%, toddler 28.8%), the second level of malnutrition were 1.2% (infant 0.3%, toddler 1.5%) and 1.1% (infant 0%, toddler 1.4%), the third level of malnutrition were 0.4%(infant 0.3%, toddler 0.5%) and 0.2%(infant 0%, toddler 0.3%), the fourth level of malnutrition were 0.1%(infant 0%, toddler 0.1%) and 0% respectively. (3) by body weight in relation to height, the percentages for male and female of children attained standard growth were 87.9% (infant 77.6%, toddler 87.9%) and 78.2% (infant 77.4%, toddler 78.2%), the first level of malnutrition were 12.2% (infant 18.4%, toddler 10.6%) and 18.2% (infant 17.9%, toddler 18.3%), the second level of malnutrition were 1.9%(infant 3.3%, toddler 1.5%) and 3.0%(infant 3.3%, toddler 2.9%), the third level of malnutrition were 0.1%(infant 0%. toddler 0.1%) and 0.5% (infant 0%, toddler 0.6%), the fourth level of malnutrition were 0.1%(infant 0.7%, toddler 0%) and 0.3% (infant 1.5%, toddler 0%) respectively. b) When the nutritional status of each child according to the mother's age at perturition, i. e., young aged mother (up to 30 years old), middle aged mother (31 to 40 years old) and old aged mother (41 years or above) was classified (1) by body weight, among infants and toddlers, at each year of age, with increasing the mother's age, there was an increase in percentage of subjects underweight. This tendency of increasing percentage of underweight was more significant in the infant period than the toddler period. (2) by height value, no significant differences between each mother's age group were found. c) When the nutritional status of each child according to the birth rank, i. e., lower birth rank (first to third) and higher birth rank (fourth or above) was classified (1) by weight value, children of higher birth rank were slightly more often underweight than those of lower birth rank, but not significant. (2) by height value, no differences were found between children of lower and higher birth rank. 2) Gomez Classification: When the nutritional status of each child was classified a) by body weight value, the percentages for male and female of children. attained standard growth were 53.1% (infant 82.6%, toddler 44.9%) and 39.2% (infant 73.4%, toddler 30.1%), the first degree of malnutrition were 39.4% (infant 14.7%, toddler 46.2%) and 47.1% (infant 21.9%, toddler 53.8%), the second degree of malnutrition were 7.3%(infant 2.3%, toddler 8.6%) and 12.9% (infant 4.0%, toddler 15.2%). and the third degree of malnutrition were 0.2%. (infant 0.3%, toddler 0.2%) and 0.8% (infant 0.7%, toddler 0.9%) respectively. b) by height value, the percentages for male and female of children attained standard growth were 80.8% (infant 97.0%, toddler 76.3%) and 73.8%(infant 95.6%, toddler 68.0%), the first degree of malnutrition were 18.5% (infant 2.7%, toddler 22.9%) and 24.6% (infant 4.4%, toddler 30.0%), the second degree of malnutrition were 0.6%(infant 0.3%, toddler 0.7%) and 0.5% (infant 0.1%, toddler 0.7%), and the third degree of malnutrition were 0.1%(infant 0%, toddler 0.1%) and 1.1% (infant 0%, toddler 1.3%) respectively. C. Results of clinical laboratory examination: 1) Red blood cells: The ranges of mean red blood cell counts for male and female were $3,538,000/mm^3\;to\;4,403,000/mm^3\;and\;3,576,000/mm^3\;to\;4,483,000/mm^3$ respectively. The lowest red cell counts were seen at the age of 0-3 months for male and 1-2 months for female. 2) Haematocrit value : The ranges of haematocrit value of male and female were 35.1% to 38.8% and 34.7% to 38.8% respectively. The lowest haematocrit values were seen at the age of 2-3 months for male and 1-2, months for female. 3) The prevalence rates of intestinal parasites for male and female children with Ascaris lumbricoides were 34.1% (infant 18.8%, toddler 38.1%) and 36.0%(infant 18.4%, toddler 40.7%), with Trichocephalus trichiuris were 6.8% (infant 2.9%, toddler 7.9%) and 9.0% (infant 3.0%, toddler 10.6%), with Hookworm were 0.3% (infant 0.5%, toddler 0.2%) and 0.3% (infant 0.5%, toddler 0.3%), with Clonorchis sinensis were 0.4%(infant 0%, toddler 0.5%) and 0.1%(infant 0%, toddler 0.1%) respectively.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제1권1호
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• pp.56-78
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• 1998

연구목적: 만성 B형 간염의 간조직 소견은 진단 및 예후의 평가 뿐아니라 치료여부의 결정 및 치료효과의 평가를 위해서 중요하고, 이는 좀 더 객관적, 구체적, 포괄적으로 새롭게 분류할 필요성이 있다. 우리나라 소아의 만성 B형 간염의 빈도는 높을 것으로 추정되는데 아직 이에 대한 병리조직학적 고찰은 거의 없는 상태이다. 이에 저자들은 점수로 평가한 최근의 반정량적 분류 방법(Ludwig 분류법)을 전통적으로 이용되어온 De Groute의 분류법과 비교하여 연관성을 밝히고, 반정량적 분류법이 좀 더 객관적으로 예후를 예견하고 형태학적 변화를 감시하는 유용한 방법임을 소개하고자 하였다. 대상 및 방법: 서울대학교병원 소아과에 입원하여, 간조직 생검을 받은 만성 B형 간염 환아 99명을 대상으로 병리조직 소견과 병록지 고찰을 시행하였다. B형 간염 표식자로는 HBsAg, anti-HBs, HBeAg, anti-HBe, anti-HBc(IgG, IgM), HDV를 방사면역측정(radioimmunoassay)을 이용하여 검사하였다. 간생검조직은 전통적인 De Groute의 병리조직학적 분류법과 병리조직학적 변화를 문맥강 및 문맥강 주변의 염증(Portal/Periportal activity), 간소엽 내 염증(Lobular activity), 섬유화(Fibrosis)로 나누어 각각의 정도를 0에서 4로 점수화(Numerical scoring)한 Ludwig의 체계에 따라 분류하였다. 두가지 분류법 간의 연관성과, 병리조직 소견에 따른 빈도, 연령 및 성별 분포, 임상적 특징, 생화학적 및 혈청학적 검사 소견을 비교 조사하였다. 또한 간세포암 5례는 따로 분류하여 임상적 고찰을 시행하였다. 결 과: 1) 총 99례 중 남아 83례, 여아 16례였고, 연령별 분포는 1년 5개월에서 16년 4개월까지였으며, 평균연령은 9.4세였다. 병리조직형별 연령 및 성별분포에는 차이가 없었다. 2) 병리조직형별 분포는 정상 조직 소견 2례, 만성 소엽성 간염 2례, 만성 지속성 간염 22례, 경도 만성 활동성 간염 40례, 중등도 만성 활동성 간염 19례, 고도 만성 활동성 간염 1례, 간경변을 동반한 만성 활동성 간염 7례, 간경변증 1례, 간세포암 5례였다. 두가지 분류법은 높은 연관성을 보였으나 간경화의 경우는 연관성이 떨어져서, 간조직내 염증과 섬유화는 따로 분리하여 평가하거나, 섬유화의 중량이 필요함을 알 수 있었다. 3) 간세포암을 제외한 94례 중 66례(70%)가 신체검사에서 우연히 발견된 경우였으며, 2례는 전신 부종이 주소로서 B형 간염과 관련된 막성 사구체 신염이 동반되어 있었다. 그 외는 비특이적인 간염증상을 주소로 내원하여 진단되었다. 내원시 임상 증상으로는 이피로성, 식욕부진, 오심, 구토, 복통, 복부팽만, 체중감소, 발열, 진한 소변색, 황달, 비출혈, 부종, 혈뇨 등이 있었고, 이학적 소견으로는 간장비대, 비장비대, 우측 상복부통이 있었다. 병리조직형별 임상증상, 이학적 소견 및 그 빈도에는 차이가 없었다. 4) 총 99례 중 가족력상 어머니에 B형 간염의 병력이 있는 경우가 54례, 아버지가 12례, 형제들의 경우가 25례 있었으며, 그 외의 동거 가족에서 가족력이 있는 경우는 17례 있었고, 가족력이 없는 경우는 28례였다. 가족 중 간경화가 있는 경우는 9례였고, 간세포암도 2례에서 있었다. 어머니가 만성 활동성 간염으로 사망한 례가 1례 있었고, 형제가 전격성 간염으로 사망한 경우도 1례 있었다. 병리조직형별 가족력의 차이는 없었다. 5) 간기능 검사소견을 보면, AST와 ALT의 평균은 각각 $151{\pm}158$ U/L, $215{\pm}221$ U/L이고, 병리조직형별로는 조직 염증소견이 심할수록 유의하게 높은 것을 알 수 있었다. 그러나 병리조직형별로 중복되는 부분이 많아 AST, ALT치로 조직형을 예측하는 것은 어려웠다. Ludwig의 분류와 간기능 검사치와의 관계를 보면, 혈청 알부민은 섬유화가 진행할수록 유의하게 감소하는 것을 관찰할 수 있었고, ALT, AST는 간조직내 염증 및 섬유화가 심할수록 유의하게 증가하는 것을 관찰하였다. 6) Prothrombin time은 조직형이 심할수록 유의하게 길어졌고, 특히 간경화가 진행될수록 나빠지는 것을 관찰할 수 있었다. APTT(activated partial thromboplastin time)도 조직형이 심할수록 길어지는 것을 관찰할 수 있었으나, 통계적 유의성은 없었다. 반정량적 방법에 의한 분류와의 관계를 보면, Prothrombin time과 APTT는 간조직내 염증 및 섬유화가 심할수록 길어지는 것을 관찰하였으나, 통계적 유의성은 없었다. 7) IgM anti-HBc는 검사가 이루어진 80명 중 1명에서만 양성이었고, HDV는 검사가 이루어진 83명 중 양성인 경우는 한 례도 없었다. HBeAg은 간생검 당시 81례에서 양성이였고, 이 후 평균 $41.8{\pm}31.3$개월간의 추적 중에 HBeAg 음전을 보인 경우는 50례가 있었고, 1년 음전율은 37%였다. 병리조직형별로는 조직형이 심할수록 음전시까지의 기간이 짧은 것을 관찰할 수 있었다. 8) 간세포암 5례의 남녀 분포는 남아 4례, 여아 1례이고, 평균연령은 $10.4{\pm}3.1$세(7세~13세 6개월)였다. 모두에서 HBsAg양성, HBeAb양성과 어머니의 만성 B형 간염의 가족력이 있었다. 간세포암 주변 조직 소견은 1례를 제외하고는 모두에서 간경화의 소견을 보였다. 추적 중 혈청 AFP의 증가로 조기발견된 1례는 종양절제술 후 항암요법으로 추적 중에 있고, 그 외에는 모두 수술 후 항암요법 혹은 방사선요법을 병행하여 시행했으나 사망하였다. 결 론: 만성 B형 간염의 간손상 정도는 임상증상이나 생화학적 검사소견으로 평가할 수 없었고, 간조직검사에 의한 병리조직학적 분류가 필요하였다. 이는 De Groute의 분류와 잘 연관되는 반정량적 Ludwig 방법에 의해 좀 더 포괄적, 구체적, 객관적으로 분류할 수 있었고, 후자는 예후를 예견하고, 형태학적 변화를 감시하며, 통계적으로 분석하는 데 유용한 방법임을 시사하였다.

• 한국토양비료학회지
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• 제5권2호
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• pp.1-38
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• 1972

우리나라 답토양(畓土壤)에 대(對)한 토지(土地)의 합리적(合理的) 이용(利用), 토지기반조성(土地基盤造成) 및 생산성 향상(向上) 그리고 토양(土壤)에 관(關)한 조사연구(調査硏究)의 방향(方向)을 뒷받침하기 위(爲)하여 김제만경평야(金堤萬頃平野)에 분포(分布)하고 있는 답토양(畓土壤)에 대(對)한 형태(形態) 및 이화학적(理化學的) 특성(特性) 그리고 그와 수도수량(水稻收量)과의 관계(關係)를 구명(究明)하고 이를 기초(基礎)로 하여 답토양(沓土壤)의 분류법(分類法)과 적성등급구분(適性等級區分)을 시안(試案)하였는 바 그 결과(結果)를 요약(要約)하면 다음과 같다. 1. 답토양(畓土壤)의 형태(形態), 이화학적(理化學的) 특성(特性) 및 그와 수도수량(水稻收量)과의 관계(關係) 김제(金堤) 만경평야(萬頃平野)에 분포(分布)하고 있는 15개(個) 답토양통(畓土壤統)에 대(對)하여 이들 토양(土壤)의 형태(形態), 이화학적(理化學的) 특성(特性)을 보면 다음과 같다. 토양단면(土壤斷面)의 발달정도(發達程度)를 보면 공덕(孔德), 김제(金堤), 만경(萬頃), 백구(白鷗), 봉남(鳳南), 부용(芙蓉), 수암(水岩), 전북(全北), 지산(芝山) 및 호남통(湖南統)는 B(Cambic B)층(層)이 있고 극락(極樂)과 화동통(華東統)은 Bt(Argillic B)층(層)이 있으나 광활(廣活), 신답(新踏) 및 화계통(華溪統)에는 B층(層) 혹(或)은 Bt층(層)이 없다. 특(特)히 공덕(孔德) 및 봉남통(鳳南統)은 흑니층(黑尼層)이 심토(心土) 하부(下部)에 개재(介在)되여 있다. 토양단면(土壤斷面)의 토색(土色)을 보면 공덕(孔德), 광활(廣活), 백구(白鷗) 및 신답통(新踏統)은 대체(大體)로 청회색(靑灰色), 암회색(暗灰色)을 띄우고 김제(金堤), 만경(萬頃), 봉남(鳳南), 부용(芙蓉), 수암(水岩), 전북(全北), 지산(芝山) 및 호남통(湖南統)은 회색(灰色), 회갈색(灰褐色)을 띠우며 극락(極樂), 화계(華溪) 및 화동통(華東統)은 표토(表土) 및 표토하부(表土下部)의 회색(灰色)을 제외(除外)하고 황갈색(黃褐色), 갈색(褐色)을 띠운다. 토양단면(土壤斷面)의 토성(土性)을 보면 공덕(孔德), 극락(極樂), 김제(金堤), 봉남부용(鳳南芙蓉), 호남(湖南) 및 화동통(華東統)은 식질(埴質)이고 백구(白鷗), 전북(全北) 및 지산통(芝山統)은 식양질(埴壤質) 혹은 미사식양질(微砂埴壤質)이며 광활(廣活), 만경(萬頃) 및 수암통(水岩統)은 미사사양질(微砂砂壤質) 그리고 신답(新踏) 및 화계통(華溪統)은 사질(砂質) 혹은 석력사질(石礫砂質)이다. 표토(表土)의 탄소함량(炭素含量)은 0.29%~2.18% 범위(範圍)에 있으나 1.0~2.0%인 것이 많으며 표토(表土)의 전질소함량(全窒素含量)은 0.03%~0.24% 범위(範圍)에 있다. 이들은 심토(心土) 혹은 기층(基層)으로 갈수록 감소(減少)되는 경향(傾向)이나 불규칙적(不規則的)이다. 표토(表土)의 탄질비(炭窒比)는 4.6~15.5 범위(範圍)인데 8~10인 것이 많으며 심토(心土) 및 기층(基層)에서는 표토(表土)에 비(比)하여 그 범위(範圍)가 커서 3.0~20.25이다. 토양반응(土壤反應)은 pH4.5~8.0 범위(範圍)에 있으나 광활(廣活) 및 만경통(萬頃統)을 제외(除外)하고는 모두 산성(酸性)이다. 염기치환용량(鹽基置換容量)은 표토(表土)에서는 5~13 me/100g 범위(範圍)이며 심토(心土) 및 기층(基層)에서는 사질토양(砂質土壤)을 제외(除外)하고 모두 10~20 me/100g 범위(範圍)에 있다. 염기포화도(鹽基飽和度)는 공덕(孔德) 및 백구통(白鷗統)을 제외(除外)하고는 모두 60% 이상(以上)이다. 표토(表土)의 활성철함량(活性鐵含量)은 0.45~1.81% 범위(範圍)이고 역환원성(易還元性)망간은 15~148ppm 범위(範圍)이며 유효규산은 36~366ppm 범위(範圍)에 있다. 이들 3성분(成分)의 용탈(溶脫) 및 집적(集積)은 토양배수(土壤排水), 토성조건(土性條件)에 따라 다르지만 대체(大體)로 10~70cm 범위(範圍)에 집적(集積)하고 있으나 규산(珪酸)은 경우(境遇)에 따라 철(鐵), 망간 보다 깊은 층위(層位)에 집적(集積)되여 있다. 각(各) 토양통(土壤統)의 주요특성(主要特性)은 해안(海岸)에서 부터 거리에 따라 점변(漸變)하고 있으며 점토(粘土), 유기탄소(有機炭素) 및 pH는 해안(海岸)으로 부터 내륙(內陸)으로 옮겨가는 거리와 다음과 같은 상관(相關)이 있다. y(표상(表上)의 점토함량(粘土含量)) = $$-0.2491x^2+6.0388x-1.1251$$ y (심토(心土) 및 표토하부(表土下部)의 점토함량(粘土含量)) = $$-0.31646x^+7.84818x-2.50008$$ y(표토(表土)의 유기탄소함량(有機炭素含量)) = $$-0.0089x^2+0.2192x+0.1366$$ 로서 내륙(內陸)으로 갈수록 높아지는 경향(傾向)이며 y(심토(心土) 및 표토하부(表土下部)의 pH) = $$0.0178x^2-0.4534x-8.353$$ 로서 내륙(內陸)으로 갈수록 낮다. 토양(土壤)의 형태(形態) 및 이화학적(理化學的) 특성(特性)에 있어 특기(特記)되는 것은 토양(土壤)의 발달도(發達度), 토색(土色), 모재(母材)의 다원적(多元的) 퇴적(堆積), 유기물층(有機物層)의 개입(介入), 토성(土性) 및 토양반응(土壤反應) 등(等)이였으며 이들은 답토양(畓土壤)의 분류(分類)에서 고려(考濾)되여야 할 사항(事項)이였다. 토양(土壤)의 몇가지 특성(特性)과 수도수량(水稻收量)과의 관계(關係)에서 토양배수(土壤排水)가 약간양호(若干良好) 내지(乃至) 불량(不良)한 식질토(埴質土), 양질토(壤質土) 그리고 유효심도가 낮은(50cm) 식질토(埴質土)들은 수량(收量)이 대부분(大部分) 10a당(當) 375kg 이상(以上)이며 사질토(砂質土), 배수(排水)가 양호(良好)한 식질토(埴質土), 유효심도가 낮은 양질토(壤質土) 및 함염토(含鹽土)들은 수량(收量)이 대부분(大部分) 10a당(當) 375kg미만(未滿)이다. 수도수량(水稻收量)에 영향(影響)을 미치는 토양(土壤)의 형태적(形態的) 특성(特性)은 토양배수(土壤排水), 토성(土性), 유효심도, 표토(表土) 및 표토하부(表土下部)의 회색화(灰色化) 그리고 염농도(鹽濃度) 등(等)이며 이들은 답토양(畓土壤)의 적성등급구분(適性等級區分)에서 고려(考慮)되여야 할 사항(事項)이였다. 2. 답토양(畓土壤)의 분류(分類) 및 적성등급구분(適性等級區分) 답토양(畓土壤)의 분류기준(分類基準)은 토양(土壤) 자체(自體)가 가지고 있는 성질(性質)에 근거(根據)를 두었다. 토양분류단위(土壤分類單位)는 토양대군(土壤大群), 토양군(土壤群), 토양아군(土壤亞群), 토양계(土壤系) 그리고 토양통(土壤統)의 5단계(段階)를 두고 분류(分類)의 기본(基本) 단위(單位)는 토양통(土壤統)으로 하였다. 토양분류(土壤分類)에 있어 형태적(形態的) 특성(特性)의 차이(差異)를 결정(決定)하기 위(爲)하여 2종류(種類)의 특징토층(特徵土層) 즉(卽) 숙성토층(熟成土層) 및 반숙토층(半熟土層)을 설정(設定)하여 이들의 유무(有無) 및 종류(種類)를 토양대군(土壤大群)의 분류기준(分類基準)으로 하였다. 토양군(土壤群) 및 토양아군(土壤亞群)의 분류(分類)에 있어 고려(考慮)되여야 할 특징적(特徵的) 토양특성(土壤特性)은 우선(于先), 토색(土色), 염농도(鹽濃度), 표토(表土) 및 표토(表土) 하부(下部)의 회색화(灰色化), 토사(土砂)의 다원적(多元的) 퇴적(堆積) 그리고 유기물층(有機物層)의 개입(介入)으로 하였으며 토양계(土壤系)의 분류(分類)에서 고려(考慮)한 토양특성(土壤特性)은 토양반응(土壤反應), 토성(土性) 및 석력함량(石礫含量)에 근거(根據)를 두어 분류(分類)하는 한편 이들에 대(對)한 정의(定義)를 내렸다. 그리고 필자(筆者)의 시안(試案)과 기존(旣存)의 분류안(分類案)을 상호비교(相互比較)하여 검토(檢討)하였다. 답토양(畓土壤)의 적성등급구분(適性等級區分)은 인위적(人爲的) 작용(作用)에 의(依)한 가변성(可變性)이 적은 토양특성(土壤特性)을 토대(土臺)로 하였으며 등급구분단위(等級區分單位)는 등급(等級) 및 아급(亞級)의 2단계(段階)를 두었다. 등급(等級)은 토양(土壤)의 잠재생산력(潛在生産力)이 어느 주어진 단위(範圍)에서 같고 토지이용(土地利用) 및 관리(管理)의 난이(難易)를 고려(考慮)한 토양조건(土壤條件)에 따라 1급(級)에서 4 급지(級地)까지의 4 등급(等級)으로 구분(區分)하였고 아급(亞級)은 동일등급내(同一等級內)에서 중요(重要)한 제한인자(制限因子)로 하였으며 그 인자(因子)는 경사(傾斜), 저염(低濕), 사질(砂質) 석력(石礫), 염해(鹽害), 미력(美熟)이다. 이들 등급(等級) 및 아급(亞級)을 각각(各各) 정의(定義)를 하였으며 아울러 분류시안(分類試案)과의 연관성(連關性)을 검토(檢討)하였다. 김제(金堤) 만경평야(萬頃平野)의 15개(個) 답토양통(畓土壤統)의 분류(分類) 및 적성등급(適性等級) 구분시안(區分試案)을 종합(綜合)하여 보면 다음과 같다.

• 한국우주과학회:학술대회논문집(한국우주과학회보)
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• 한국우주과학회 1993년도 한국우주과학회보 제2권2호
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• pp.17-17
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• 1993

The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70${\pm}$1.32mmHg/min)compared to CF dialyzers(4.32${\pm}$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500,550,570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500,550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100,300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.

• 대한의용생체공학회:의공학회지
• /
• 제6권2호
• /
• pp.1-8
• /
• 1985

The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70$\pm$1.32mmHg/min)compared to CF dialyzers(4.32$\pm$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500, 550, 570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500, 550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100, 300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3, 000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.SpO2 with Plethysmograph.

• 한국습지학회지
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• 제18권4호
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• pp.474-480
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• 2016

본 연구에서는 지구적 차원에서 생물다양성의 성립 배경과 그동안 일어난 변화 그리고 기후변화가 생물다양성 및 인간에 미치는 영향을 밝히고 그 영향을 줄이기 위한 대안을 제시하였다. 생물다양성은 생명체의 풍부한 정도이며, 생물을 구분하는 모든 수준에서의 다양성을 종합적으로 의미한다. 즉, 생물다양성은 유전자, 종 그리고 생태계 전반과 그들의 상호작용을 아우른다. 이는 생태계의 기반을 구성하며, 모든 사람들이 필수적으로 의존하는 서비스를 제공한다. 그럼에도 불구하고 오늘날 생물다양성은 주로 인간 활동에 의해 점점 더 위협받고 있다. 지구상의 생물은 생명이 탄생한 이래 약 40억년의 역사를 통해 다양한 환경에 적응하고 진화한 결과, 약 1000만 내지 3000만종으로 추정되는 다양한 생물이 존재하게 되었다. 생물다양성을 구성하는 무수한 생명들은 각각의 고유한 특성을 가지고 있으며 다양한 관계 속에 얽혀 있다. 우리들이 현재 생활하고 있는 지구의 환경도 이러한 생물체의 방대한 연관성과 상호작용에 의해 긴 세월 동안 만들어져 왔으며, 인류도 하나의 생물로서 다른 생물들과 관계를 맺으며 살아가고 있다. 이러한 주위의 생물들이 없다면 사람도 살아갈 수 없다. 그러나 인류는 최근 수 백 년 간 과거의 평균 멸종속도를 1000배 가량이나 가속시켜 왔다. 우리는 미래 세대의 풍요로운 삶을 위해서라도 생물다양성을 보전하는 한편, 지속가능하게 이용할 책임이 있다. 우리나라는 세계 어느 국가보다도 빠른 경제 성장을 이루어왔으나, 동시에 이는 남북으로 길게 뻗은 반도 국가라는 지리적 특성에 의해 본래 풍부했던 생물다양성을 빠르게 소실시키는 결과를 야기하였다. 한국인은 오랫동안 농업, 임업 그리고 어업을 해오는 과정에서 자연과의 공존을 통해 독특한 고유의 문화를 창조하였다. 그러나 근래 서구문명의 유입과 과학 기술의 발전 과정에서 이러한 자연과의 관계는 멀어지게 되었으며, 자연과 문화 사이의 조화로운 조합에 의해 창출된 고유한 풍토는 점점 더 사라지고 있다. 한국의 인구는 세계 인구가 지속적으로 증가하는 것과는 반대로 점차 줄어들 것으로 예측되고 있다. 이 시점에서 우리는 인구 감소에 의한 자연의 회복에 발맞추어 급속한 인구 증가 및 경제 성장으로 인해 훼손된 생물다양성을 복원할 필요가 있다. 지구상에 생명이 탄생한 이래 다섯차례의 대멸종이 있었다. 현대의 대멸종은 매우 급속히 진행되고 있으며, 인간 활동에 의한 영향이 주요 원인인 점에서 이전의 것과 구분된다. 기후변화는 실제로 일어나고 있으며, 생물다양성은 이러한 변화에 매우 취약하다. 만약 생명체가 변화하는 환경에서 '진화를 통한 적응', '생존가능한 다른 지역으로의 이주' 등과 같은 생존 방법을 찾아내지 못한다면 이들은 절멸할 것이므로, 기후변화가 지속된다면 생물다양성은 극도로 훼손될 수 밖에 없다. 따라서 우리는 이러한 훼손정도를 최소화하기 위해 기후변화가 생물다양성에 미치는 영향을 보다 적극적이고 심도있게 파악할 필요가 있다. 생물계절의 변화, 식생 이동을 비롯한 분포 범위의 변화, 생물 간 상호작용의 부조화, 먹이 사슬 이상에 기인한 번식 및 생장률 감소, 산호초 백화현상 등이 기후변화에 미치는 영향으로 등장하고 있다. 질병의 확산, 식량 생산 감소, 작물 경작지 범위 변화, 어장 및 어업시기의 변화 등은 인간에 대한 영향으로 나타나고 있다. 기후변화 문제를 해결하기 위해 우선, 우리는 온실 가스 배출량을 감소시켜 기후변화 완화를 시도할 필요가 있다. 그러나 현재 우리가 온실가스 배출을 당장 멈추더라도, 기후변화는 당분간 지속될 전망이다. 이런 점에서, 기후변화 적응 전략을 준비하는 것이 더 현실적이 될 수 있다. 생물다양성에 대한 기후변화 영향의 지속적 모니터링 및 보다 적합한 모니터링 체계 구축이 선행과제가 될 수 있다. 생물다양성이 성립할 수 있는 생태적 공간의 확보, 이동 보조 및 남북을 이어주는 수평 및 저지대와 고지대를 이어주는 수직적 생태네트웍이 기후변화에 따른 생물다양성의 적응을 돕는 대안으로 추천될 수 있다.

• 마케팅과학연구
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• 제20권2호
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• pp.110-122
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• 2010

20世纪60年代中期, 随着1967年 ${\ll}$产业购买和创造营销${\gg}$的出版, 组织购买行为这一领域的兴起为企业如何在市场中运作提供了新的思维方式, 而不只是为最终用户服务. 无论是 "工业营销" 或 "企业营销"(B-to-B),组织的购买行为仍然是这个领域的核心. 本文探讨了动态因素的影响,影响了几个组织彼此相关的迅速增长的相互依存,反过来会影响组织的购买行为. 文章还提出了一个问题,组织购买行为的概念模型,在一个相互依存的世界是否仍然会在这个充满活力的经营环境中引导研究和管理的思想,. 本文提出并探索三个关于组织相互依存的问题: 1.哪些因素和趋势驱动了组织的相互依存的兴起? 2.在过去半个世纪中发展起来的组织购买行为的主要概念模型仍然适用于今天这个相互依存的组织的世界吗? 3.研究中组织的相互依存的启示是什么? 组织购买行为的实践活动是什么? 考虑到组织关系中驱动组织的相互依存的因素和趋势和5个关键驱动因素有关并影响他们的购买行为:加速全球化, 平整的网络组织, 破坏价值链, 强化政府的介入, 不断细分客户需求. 这五个相通的相互依存和潜在的技术上的优势可以改变组织购买产品和服务的市场中保持竞争力的关系. 在一个客户驱动的营销策略背景下, 这些力量影响三个层次的战略发展: (1)进化的客户需求, (2)产生的产品/服务和解决方案以满足这些需求, 和(3)的组织能力和工艺制定和实施了以满足需求. 组织中相互依存的五个驱动因素在他们影响组织如何购买时不需要独立的操作. 他们可以相互作用和更加有效的影响组织购买行为. 例如,加速了全球化的影响,出现了新的网络进一步破坏传统价值链之间的关系, 从而改变机构购买的产品和服务. 提高政府参与可能会增加成本,因此在其它国家的新兴市场开公司做生意寻求低成本的来源. 这可以减少一国的就业机会增加另一个国家的就业机会, 在另一方面, 从而进一步加速全球化. 第二个主要的问题是相互依存的五个驱动因素对组织购买行为的核心概念模型有什么影响. 考虑三个在 ${\ll}$产业购买和创造营销${\gg}$ 和 ${\ll}$组织购买行为${\gg}$ 书籍中发展的概念模型:组织购买过程, 购买中心,以及购买的情况. 回顾这些核心模型, 作为最初的概念,他们仍然是有效的, 而且不可能改变. 在买家和卖家相互依赖的情况下, 什么会改变买卖双方相互作用的方式. 例如,增加了相互依赖的机会可能导致增加协作以及组织之间的冲突的买卖,从而改变购买过程. 此外,组织中的沟通过程的重要性作为一个成功的购买关系的判断依据将增加. 第三个问题对这些组织购买行为的关系的影响和意义进行了探讨. 以下是本文所考虑到的: 为了增进对网络对组织购买行为的影响的理解,需要增加了解所扮演的角色之间的信任, 增强在网络环境中如何管理组织购买的理解的需要, 需要增加了解在价值网络中的客户需要,并且需要增加了解新兴的商业模式对组织购买行为的影响. 在许多方面,这些从增加的组织的相互依存派生出来的需要是组织购买行为传统概念的扩展. 在1977年,Nicosia 和Wind建议把焦点集中在组织间而不是组织内部观点,自1990年以来, 这个趋势的势头很强. 对于管理者来说,也想在越来越相互依存的世界中生存,他们将需要更好地了解组织如何与另一组织相关的复杂性. 从组织的相互依存的观点已经开始,必须不断地发展提出一种对这些重要的关系改进的理解. 互相依赖的网络观点的转变需要很多学术界人士和实践者从根本上挑战和改变他们商业中的心智模型和组织购买行为模型. 不再只关注购买组织和销售组织之间的关系而应该是网络中所有的相关成员, 包括消费者, 发展者, 供应商和中间者. 我们来看这个例子. 由SAP创造的有众多合作伙伴的网络包含了超过9000个公司和超过一百万的参与者. 互相依赖的进展, 复杂性和不确定的现实和多变的网络需要重新考虑如何做出购买决定. 结果是他们应该关注学术中下一阶段的研究和理论建设并关注有实践者构建的实践模型和实验. 我们希望这样的研究能够展开, 不是孤立在象牙塔里, 也不是限制在商业世界中, 而是学术和实践的结合. 总而言之, 组织之间相互依赖的提高的考虑揭示了组织购买行为的基础模型的持续关联性. 然而在相互依存的世界中来提高这些模型的价值, 学术界和实践者应该提高他们对一下内容的理解 (1)网络的影响; (2)如何更好地管理这些影响的作用; (3)组织之间信任和价值的作用, (4)价值网络中客户需求的演变; (5)组织购买行为的新兴的新商业模型的影响. 为了实现这一目标, 我们需要产业界和学习界更好的合作从而提高我们对在相互依赖的世界中的组织购买行为的理解.

• Journal of Oral Medicine and Pain
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• 제31권4호
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• pp.283-296
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• 2006

과학기술의 발전과 더불어 보건의료분야는 괄목할 성장을 가져왔고 국민생활 수준의 향상과 건강에 대한 관심이 고조됨에 따라 의료서비스의 수요가 급증하고 있다. 이 과정에서 국민의 권리의식의 신장, 의료행위의 본질에 대한 이해부족, 의료기술에 대한 지나친 기대, 상업화된 의료공급체계, 의사의 윤리의식 저하 및 의료법리에 대한 무지 그리고 사회적 불신풍조의 만연, 분쟁해결을 위한 제도적 장치의 결여 등이 요인으로 작용하여 의료사고 및 분쟁이 급증하는 추세이다. 본 연구는 치과관련 단체에서 보유하고 있는 소송과 관련된 자료 및 연세대학교 치과대학병원 구강내과에서 신체감정을 시행한 재판기록을 중심으로 하여 판결전문을 확보할 수 있는 치과 의료사고 판례 중 1994년부터 2004년까지의 민사소송 30례의 판례를 분석하여 다음과 같은 결과를 얻었다. 1. 소송의 연도별 분포에서 2000년 이후 급증하는 추세를 보였다. 2. 소송의 유형별 분포에서 발치와 관련된 소송이 전체의 36.7% 이었다. 3. 소송의 원인을 분석한 결과 불편감, 치료불만족과 관련된 것이 전체의 36.7%, 사망 및 영구손상이 각각 16.7% 이었다. 4. 원고의 소송결과 승소 및 강제조정, 화해권고결정이 60.0% 이었다. 5. 소송에 관련된 병원유형은 치과의원이 60.0%로 가장 높게 나타났다. 6. 소송의 심급별 구성비율에서 2,3심 이상 진행된 경우가 전체의 30.0% 이었다. 7. 손해배상 청구금액은 5천만원 이상 1억원 미만이 36.7%, 1억원 이상이 13.3% 이었고 손해배상 판결금액은 1천만원 이상 3천만원 미만이 40.0%, 1억원 이상이 6.7% 이었다. 8. 소송과 관련된 치과의사수는 2명 이상이 26.7%이었다. 9. 판결까지의 소요기간은 11개월에서 20개월이 46.7%, 21개월에서 30개월이 36.7% 이었다. 10. 의료과실 유무에서는 과실을 판정한 경우가 46.7% 이었고 소송과정에서 신체감정이나 사실조회가 이루어진 경우는 70.0% 이었다. 11. 의사패소 판례(18건)에서 판결의 주안점은 주의의무위반이 72.2% 이었고, 설명의무위반이 16.7% 이었다. 치과 의료분쟁의 경우 치료의 긴급성이 상대적으로 적어 의사의 설명의무 중요성이 폭넓게 요구되며, 주관적인 치료 만족도가 중요시되는 분야이기 때문에 결국 분쟁을 줄이는 방법으로 기술적인 과실도 줄여야 하지만 치과의사와 환자와의 신뢰 관계를 개선하는 것과 의사집단의 자율성(autonomy)의 회복이 중요하다. 그리고 불합리하게 시행되고 있는 의료배상책임보험의 보완과 함께 치과의사단체와 학계가 주도하는 교육 및 의료분쟁시 자문을 구할 수 있는 체계의 확립으로 의료분쟁에 대한 대처가 이루어져야 할 것이다.

• 마케팅과학연구
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• 제19권1호
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• pp.23-35
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• 2009

A hypermarket as the one of the most globally standardized retailing format is also the type of store among various types of stores that the most active in expanding into other foreign markets. Recently, as several Korean retailing companies start to penetrate into Chinese market they differentiate themselves with modern facilities and customers service oriented high-end concept. China and Korea as Far East Asian countries share many common values, however precise and careful analysis should be carried out since there may also be critical differences in socio-economic aspects as well as in consumption patterns due to the level of development stages of retail industry among two countries. Even though precise and careful study is crucial on Chinese retailing market and consumers, none of researches and studies on 'how the quality of service dimensional structure is different between Korea and China', and 'what will be the most important and influential service dimensional factors for Chinese consuers compared to the hypermarkets customers in Korea' in order to improve the level of Chinese consumers satisfaction' have been fulfilled At this point of view, this study uses KD-SQS (Rho Eun Jung & Sir Yong Gu, 2008) which is a measure of Korean hypermarkets service quality to set up a hypothesis on Korean and Chinese consumers, and an empirical analysis is conducted. We try to get the answers about how the comparative importance of Service quality dimensions which decides the level of customer satisfaction is different depending on the cultural dimensions and socio-economic factors among two countries, Korea and China. Based upon the results, we try to give a valuable suggestion of what service dimensional factors should be reinforced to improve the level of CS in Chinese retailing market. Hypotheses for this study are as follows : H1. Each dimension of Service Quality significantly affects the level of CS H2. The effect of 'Basic Benefit' in service quality dimensions on the level of CS is greater in China than in Korea H3. The effect of 'Promotion' in service quality dimensions on the level of CS is greater in China than in Korea H4. The effect of 'Physical Aspects'in service quality dimensions on the level of CS is greater in Korea than in China. H5. The effect of 'Personal Interaction' in service quality dimensions on the level of CS is greater in China than in Korea H6. The effect of 'Policy' in service quality dimensions on the level of CS will be greater in Korean than in China H7. The effect of additional convenience in service quality dimensions on the level of CS will be greater in Korean than in China. More than 1,100 data were collected directly from the surveys of Chinese and Korean consumers in order to verify the hypotheses above. In Korea, stores which have floor space of over $9,000m^2$and opened later than year 2000 were selected for the samples, and thus Gayang, Wolgye, Sangbong, Eunpyeong, Suh-Suwon, Gojan stores and their customers were surveyed. In China, notable differences in the income levels and consumer behaviors between cities and regions were considered, and thus the research area was limited to the stores only in Shanghai. 6 stores which have the size of over $6,000m^2$ and opened later than 2000, such as Ruihong, Intu, Mudanjang, Sanrin, Raosimon, and Ranchao stores were selected for the survey. SPSS 12.0 and AMOS 7.0 were used as statistical tools, and exploratory factor analysis, confirmatory factor analysis, and multi-group analysis were conducted. In order to carry out a multi group analysis that decides whether the structure variables which shows the different effects of 6 service dimensions in Korean and Chinese groups is statistically valid, configural invariance, metric invariance, and structural invariance are tested in order. At the results of the tests, 3 out of 7 hypotheses were supported and other 4 hypotheses were denied. According to the study, 4 dimensions (Basic Benefit, Physical Environment, Policy, and additional convenience) were positively correlated with CS in Korea, and 3 dimensions (i.e. basic benefit, policy, additional convenience) were significant in China. However, the significance of the service-dimensions was turned out to be partially different in Korea and China. The Basic Benefit is more influential in deciding the level of CS in china than Korea, however Physical Aspect is more important factor in Korea. 'Policy dimension' did not make significant difference between two countries. In the 'additional convenience dimension', the differences in 'socio-economic factors' than in'cultural background' were considered as more important in Chinese consumers than Korean. Overall, the improvement of Service quality will be crucial factors to increase the level of CS in Chinese market same as Korean market. In addition, more emphases need to be placed on the service qualities of 'Basic Benefit' and 'additional convenience' dimensions in China. In particular, 'low price' and 'product diversity' that constitute 'Basic Benefit' are proved to be comparatively disadvantageous and weak points of Korean companies compared to global players, and thus the prompt strengthening those dimensions would be urgent for Korean retailers. Moreover, additional conveniences such as various tenants and complex service and entertaining area will be more important in China than in Korea. Besides, Applying advanced Korean Hypermaret`s customer policy to Chinese consumers will help to get higher reliability and to differentiate themselves to other competitors. However, as personal interaction, physical aspect, promotions were proved as not significant for the level of CS in China, Korean companies need to reconsider the priority order of resource allocations when they tap into Chinese market.