• Title/Summary/Keyword: reaching time

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암성통증관리지침 적용 전후 긴급진료실 내원 환자의 통증관리 비교 (Comparison of Pain Management between before and after the Application of Guidelines in Cancer Emergency Room)

  • 원영화;김연희;박정윤
    • 종양간호연구
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    • 제12권3호
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    • pp.230-236
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    • 2012
  • Purpose: This study was to investigate the effect of the application of cancer pain management guidelines on pain management among patients in Cancer Emergency Room. Methods: This study was a retrospective descriptive study. Before application, data were collected by analyzing the Electronic Medical Record in Cancer Emergency Room in September, 2011, and after application in February, 2012. The subjects of this study consisted of 231 patients (pre-application group 83, post-application group 148), who stayed over 24 hours and complained of pain higher than Numeric Rating Scale score 4. The post-test was conducted after educating the nurses about the application of the pain management guidelines in the Electronic Medical Record. Results: This survey showed that, as the cancer pain management guidelines were applied for cancer patients with above moderate pain, the pain intensity decreased, the number of patients reaching the treatment goal score increased. Furthermore, the estimated time to reach the treatment goal decreased significantly. Conclusion: Pain intensity of the cancer patients was decreased through regular pain assessments by nurses and the medication of analgesics according to the cancer pain management guidelines. Therefore, it is necessary to develop the pain management program and to provide the physicians and nurses with intensive education about the pain management guidelines for systematic and effective pain management.

Non-specific Immune Response of Rainbow Trout (Oncorhynchus Mykiss) by Dietary Heat-inactivated Potential Probiotics

  • Choi, Sang-Hoon;Yoon, Taek-Joon
    • IMMUNE NETWORK
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    • 제8권3호
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    • pp.67-74
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    • 2008
  • Background: The effects of the dietary administration of two heat-inactivated whole bacteria from the Vibrionaceae family, singly or combined, on innate immune response of the rainbow trout were studied. The two bacteria (Pdp11 and 51M6), which were obtained from the skin of rainbow trout, showed in vitro characteristics that suggested they could be considered as potential fish probiotics. Methods: The fish were fed four different diets: control (non-supplemented), or diets supplemented with heat-inactivated bacteria at $10^8$ cfu/g Pdp11, $10^8$ cfu/g 51M6 or with $0.5{\times}10^8$ cfu/g Pdp11 plus $0.5{\times}10^8$ cfu/g 51M6 for 4 weeks. Six fish were sampled at weeks 1, 2, 3 and 4, and then the main humoral (natural haemolytic complement activity and serum peroxidase content) and cellular innate immune responses (leucocyte peroxidase content, phagocytosis, respiratory burst and cytotoxicity) were evaluated. Results: The serum peroxidase content and the natural haemolytic complement activity increased with time, reaching the highest values in the third and fourth weeks of feeding, respectively. The phagocytic ability of specimens fed the mixture of the two inactivated bacteria was significantly higher than in the controls after 2 and 3 weeks of treatment. The same activity increased significantly in rainbow trout fed the Pdp11 diet for 2 weeks or the 51M6 diet for 3 weeks. Respiratory burst activity was unaffected by all the experimental diets at all times assayed. Cytotoxic activity had significantly increased after 3 weeks in fish fed the 51M6 diet. Conclusion: Our results demonstrated the usefulness of incorporating inactivated probiotic bacteria into fish diets.

Auction 알고리즘을 이용한 Shape Based 방식에 의한 PCB 자동 배선에 관한 연구 (A Study on the PCB automatic routing by shape based method using the auction algorithm)

  • 우경환;이천희
    • 정보처리학회논문지A
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    • 제8A권3호
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    • pp.269-278
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    • 2001
  • 자동배선 시스템의 배선영역 모델링 방법은 그리드와 논 그리드 방식을 사용하고 있다. 그리드 방식은 PCB상에 전기적, 물리적 요소들이 적다 할지라도 보드와 그리드의 크기에 제약을 받기 때문에 자동배선 속도를 감소시키는 단점을 가지고 있다. 따라서 메모리 용량을 증가 시키게 된다. 논 그리드 방식(Shape based type)은 영역처리 방식을 사용하며, 배선영역에서 그리드 방식보다 44.2% 메모리 감소효과가 있다. 따라서 Via 수는 55.5%의 감소 효곽가 있으며, 총 배선 시간도 기존 PCB시스템보다 83.3% 향상되었다. 본 논문에서는 단일 원점에서 여러 목적지에 가장 빠르게 도달 할 수 있고 최단 경로 문제를 해결하는 auction 알고리즘을 적용한 Shape based 방식에 의하여 메모리 낭비 없이 빠른 속도로 자동 배선할 수 있는 PCB 자동 배선 시스템을 개발하였다. 또한 본 시스템은 IBM Pentium 컴퓨터 Windows 환경에서 Visual C++언어로 개발하였으며 다른 PC 와도 호환성을 가질수 있도록 개발 하였다.

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국내 설계.감리 등 용역보증제도 현황 및 개선방안 연구 (A Study on the Improvement of Engineering and Construction Supervision Guarantee System in Korea)

  • 이용희;최재호
    • 한국건설관리학회논문집
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    • 제12권3호
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    • pp.53-61
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    • 2011
  • 정부는 1990년대 대형건축물의 붕괴사고가 잇따르고 건축물의 사고로 인한 인적, 물적 손해에 대한 보전책이 불충분하다는 지적에 따라 '국가계약법'상에 일정규모 이상의 용역이나 건설공사에 대하여 의무보험에 가입하도록 하였다. 특히 2002년에 설계 및 감리 등의 기술용역 분야를 위한 보증제도가 도입된 후 여러 운영상의 문제점이 표출되고 있으나 이에 대한 구체적인 현황 분석 및 개선방안을 마련하기 위한 연구는 매우 미흡한 상황이다. 본 논문은 델파이 방법을 사용하여 기술용역 보증제도와 관련된 주요 제도 및 운영상의 문제점을 도출하고 이에 대해서 주요 보증시장 참가자인 발주청, 용역사, 보험사의 보험업무 실무담당자를 대상으로 설문조사를 실시하여 개선방안을 도출하였다. 주요 정책적 대안으로는 신용평가에 근간을 둔 보증한도의 조정, 비효율적인 연대보증인 제도의 폐지, 제3자 인적손해의 담보범위 포함과 보험가입금액의 상향, 보험 기간의 연장 및 기타 제도정비사항을 제시하였다. 제안된 개선방안들에 대한 이해당사자간에 공감대 형성은 국내 건설 산업계의 건전한 발전으로 이어질 것으로 기대해본다.

Effects of Lifestyles, Dietary Habits, Food Preferences and Nutrient Intakes on Sensitivity to and Preference for Salty Tastes of Korean Women

  • Lee, Hong-Mie
    • Journal of Community Nutrition
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    • 제8권4호
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    • pp.185-192
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    • 2006
  • This study was performed to investigate factors affecting sensitivity and preference for salty tastes of Korean adult females. Sensitivity and preference for salty tastes were determined as detection threshold concentration of NaCl solution and the optimally-preferred NaCl concentration of the bean sprout soup, respectively. A self-administered questionnaire was used to obtain the information regarding general characteristics, self diagnosis of stress, health-related lifestyle practices, dietary habits and food preferences. Dietary intake using 24-hours recall and blood pressure were measured. Salty taste detection thresholds and optimally-preferred NaCl concentrations were 0.0197% and 0.357%, respectively. There was a significant positive correlation between the optimally-preferred salt concentration and age, despite no significant correlation between either sensitivity or preference for salty taste and sodium intake, which was 3,605mg/day. Those who had bread or cereal with milk as breakfast instead of a traditional Korean meal and those who preferred jjigae to soup had significantly higher NaCl preferences for bean sprout soup. Going to bed after midnight and skipping meals (${\geq}3/week$) decreased salty taste sensitivity without reaching statistical significance. Self awareness of one's own health, recent weight changes, family history of hypertension, sleep quality, getting-up time, rate of eating and other food preferences did not affect either perception. Stress level, TV watching, BMI and sodium intake did not have significant correlation to sensitivity or preference. Further research including a large number of well-controlled subjects and more accurate measurement of sodium intake should be directed to find other factors affecting salt preference and sensitivity in order to decrease Na intake and related diseases.

Mechanism of resistance acquisition and treatment of macrolide-resistant Mycoplasma pneumoniae pneumonia in children

  • Yang, Hyeon-Jong;Song, Dae Jin;Shim, Jung Yeon
    • Clinical and Experimental Pediatrics
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    • 제60권6호
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    • pp.167-174
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    • 2017
  • Mycoplasma pneumoniae pneumonia (MPP) is one of the most common forms of community-acquired pneumonia in children and adolescents. Outbreaks of MPP occur in 3- to 7-year cycles worldwide; recent epidemics in Korea occurred in 2006-2007, 2011, and 2015-2016. Although MPP is known to be a mild, self-limiting disease with a good response to macrolides, it can also progress into a severe and fulminant disease. Notably, since 2000, the prevalence of macrolide-resistant MPP has rapidly increased, especially in Asian countries, recently reaching up to 80%-90%. Macrolide-resistant Mycoplasma pneumoniae (MRMP) harbors a point mutation in domain V of 23S rRNA with substitutions mainly detected at positions 2063 and 2064 of the sequence. The excessive use of macrolides may contribute to these mutations. MRMP can lead to clinically refractory pneumonia, showing no clinical or radiological response to macrolides, and can progress to severe and complicated pneumonia. Refractory MPP is characterized by an excessive immune response against the pathogen as well as direct injury caused by an increasing bacterial load. A change of antibiotics is recommended to reduce the bacterial load. Tetracyclines or quinolones can be alternatives for treating MRMP. Otherwise, corticosteroid or intravenous immunoglobulin can be added to the treatment regimen as immunomodulators to downregulate an excessive host immune reaction and alleviate immune-mediated pulmonary injury. However, the exact starting time point, dose, or duration of immunomodulators has not been established. This review focuses on the mechanism of resistance acquisition and treatment options for MRMP pneumonia.

불안정한 면에서의 체간 훈련이 뇌졸중 환자의 비례추진력에 미치는 영향 (Effect of Trunk Control Training on Labile Surface on Relative Impulse in the Persons with Stroke)

  • 장상훈;안지현;김진상
    • The Journal of Korean Physical Therapy
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    • 제24권2호
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    • pp.163-169
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    • 2012
  • Purpose: The present study was designed to investigate the effect of trunk control training on the labile surface on relative impulse and balance in stroke patients. Methods: A total of 21 participants were assigned to an experimental group (n=11) or a control group (n=10). In addition to conventional therapy, the experimental group received trunk control training on the swiss ball; 20 minutes, 4 times a week, for 8 weeks. Balance ability was evaluated by FRT (functional reaching test) and TUG (time up and go). In addition relative impulse in 6 areas of the foot (hallux, 1st metatarsal head, 2~3 metatasal head, 4~5 metatasal head, mid foot and heel) were measured using the F-scan system to evaluate locomotion ability during gait. Results: Significant differences in the relative impulse were observed in the areas of the 2~3 metatasal head during gait after exercise in both the control group and experimental group (p<0.05). Also, a significant increase was seen in the hallux after exercise in the experimental group (p<0.05), but no such significant increase was seen in the control group (p>0.05). Significant differences were observed in FRT and TUG in the experimental group but no such significant increase was observed in the control group (p>0.05). Conclusion: These results suggest that trunk control training on labile surface improves the balance in stroke patients and has a positive effect on locomotion ability.

유럽에서의 레이스의 변천과 활용 (Change and Application of Lace in Europe)

  • 이경희
    • 한국의류산업학회지
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    • 제4권1호
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    • pp.19-30
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    • 2002
  • The word 'lace' comes from the Latin, lacium, meaning a knot. There are two broad categories of lace: needlepoint lace and bobbin lace. Lace has enjoyed a multitude of uses, embellishing both liturgical and domestic objects. It has also played a major role in the history of western fashion, adorning the apparel of men as well as women. Lace lappets and cap crowns, cravat ends and veils were made for those who could afford them. Before the end of the sixteen century, more complex techniques were employed. The baroque period, needlepoint lace evolved from the early simple geometric patterns of punto in aria Which enhanced ruffs, to deeply scalloped designs, often referred to as collar lace, and thence to the bold and magnificent relief effects of Venetian gros point. Through the seventeenth century is noted for the infinite variety of its cravat, collar and kerchief, most of them lace trimmed and all artfully contrived for the wearer. The type of sleeve in women's dress reaching just below the elbow, ending in ruffles of lace which was called engageantes. Sometimes the ends of a fichu or headdress decorated of lace. In the nineteenth century, empress Eugenie's love of lace resulted in a marked increase in the use of that lovely, delicate fabrication. It was lavished upon sleeves, hats, capes, and handkerchieves. Entire flounces, parasols, jackets, and shawls of lace were created by skilled lace makers of Europe. By the time this magnificent piece was created, most lace was being produced by machine. Today, the tradition of handmade lace continues, but glorious examples are no longer made. However, the techniques have been taken up and revitalized within the fiber art movement.

Biomass Partitioning during Early Growth Stage of Soybean in Response to Planting Time

  • Seong, Rak-Chun
    • 한국작물학회지
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    • 제47권4호
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    • pp.286-291
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    • 2002
  • Seedling establishment of soybean [Glycine max (L.) Merr.] is a critical factor in production system and cultural practices. The objective of this study was to identify the components of soybean seedling developments encompassing planting dates and cultivars that respond to emergence, early growth stage and dry matter accumulation. Three soybean cultivars, Hwangkeumkong, Shinpaldalkong 2, and Pungsannamulkong, were planted at Baegsan silty loam soil. Planting date was May 13, June 3, and June 24 in 2001. Sprinkler irrigation was accompanied with 30mm after seeding for three planting dates. Soybean seedlings were sampled at the growth stages from VE to V5. Days to emergence of soybean seedlings were taken 8 at May 13 and 5 at June 24 plantings. Emergence percentage was over 90 at three planting dates. May 13 planting took 33 days and June 24 planting was 25 days for reaching V5 growth stage. Cotyledon number was decreased after V2. Significant cultivar difference was found in cotyledon dry weight until V2 which differed in seed dry weights at the planting times. Leaf and total dry weights of soybean seedlings were not differed from V1 to V3 among planting dates and cultivars. Leaf water contents were generally ranged 78 to 85%. Branch was appeared from V4. Leaf/stem ratio among cultivars was similar at five growth stages and gradually increased from 2.1 at V1 to 2.8 at V5. The results based on this experiment indicated that seedling establishment of soybean was continued from VE to V3 growth stages affecting mainly by planting date and soil moisture.

방사광을 이용한 Si 웨이퍼 표면불순물 검출감도 향상 (Improvement of detection sensitivity of impurities on Si wafer surface using synchrotron radiation)

  • 김흥락;김광일;강성건;김동수;윤화식;류근걸;김영주
    • 한국진공학회지
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    • 제8권1호
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    • pp.13-19
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    • 1999
  • 방사광을 이용한 전반사 형광 분석법으로 Si 웨이퍼 표면 금속 불순물의 검출능을 향상시켰다. 측정장치는 특정 단색광 에너지만을 선택할 수 있는 모노크로메팅부, 측정챔버안으로 유입되는 방사광은 차폐하고 원하는 크기의 단색광을 선택하는 슬릿부 그리고 Si 웨이퍼 표면에서 전반사에 의해 발생하는 형광 X-선을 검출하는 측정부로 구성되어 있다. 단색광의 에너지는 10.90 KeV로 선택하였고, 최적의 전반사 조건을 확립하기 위하여 소멸시간과 Fe의 형광 X-선의 강도비의 관계를 이용하였다. 기존 X-선원을 이용하여 관찰한 결과와 비교하였을 경우에, 최대 약 50배까지 검출감도를 향상 시킬 수 있었다. 특히, TRXFA(Total Reflection X-ray Fluorescence Analyzer)법으로는 검출하기 어려운 $5\times10^{10}\textrm{atomas/cm}^2$ 수준의 금속오염은 방사광을 이용한 TRSFA(Total Reflection Synchrotron Fluorescence Analyzer)법으로는 충분히 검출할 수 있고, $5\times10^{9}\textrm{atomas/cm}^2$금속 불순물가지 검출할 수 있는 방법 및 장치를 개발하였다. 이를 이용하여 차세대 Si 웨이퍼의 초극미량 금속 불순물 분석에 이용할 수 있는 방법으로 기대된다.

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