• 제목/요약/키워드: serious case

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기초 과학 원리 이해를 위한 기능성 게임의 활용: 사이언스 히어로즈 게임 개발의 사례 (Application of Serious Games for Science Education in Elementary/Middle Schools: A case of Science Heroes Game Development)

  • 백승호;박지영;지형근;한정현
    • 한국게임학회 논문지
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    • 제14권6호
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    • pp.89-98
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    • 2014
  • 본 논문에서는 초등학생, 중학생의 기초 과학 원리의 이해를 위한 기능성 게임의 활용과 그 결과에 대해 기술한다. 우리는 기능성 게임을 통한 자연스러운 과학 원리의 체득을 위하여 초등학교 3~6, 중학교 1~3학년의 과학 교육과정을 분석하여 게임에 적합한 학습 콘텐츠 및 커리큘럼을 구성하였다. 이렇게 작성된 커리큘럼을 바탕으로 과학 교육용 기능성 게임 '사이언스 히어로즈'을 개발함으로써 실제 교육현장에서 추상적, 시간-공간적인 이유로 학습이 어려운 부분에 대해 교수-학습 과정을 도울 수 있도록 하였다. 본 연구에서는 개발된 게임에 대해 현직 과학 교과 교사들의 기능성 게임 평가 테스트를 수행하여 본 게임을 통한 실제 교육현장으로 적용 가능성 및 보완점을 알아보았다.

중대재해 처벌등에 관한 법률상 안전사고의 현황과 대응방안 -건설 산업을 중심으로- (Cases of Safety Accidents and Response under the Serious Accident Punishment Act -Focusing on the Construction Industry-)

  • 최민규
    • 한국중재학회지:중재연구
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    • 제33권2호
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    • pp.23-52
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    • 2023
  • In this thesis, the domestic and foreign legislative background and legislative process of the Serious Accident Punishment Act were reviewed, and the Serious Accident Punishment Act in Korea was reviewed. In 2022, more safety accidents occurred in the construction industry than in other fields, and in particular, the most deaths occurred in the 'fall' type. In April 2023, regarding two criminal first-instance trial cases, the courts all sentenced guilty, and in one case, the representative of the company(CEO) was sentenced to imprisonment and was arrested. In response, the management side expresses the opinion that the punishment is excessive and there is a concern that corporate management will shrink, while the workers side(Union) argues that the responsibility of the business operator or manager should be strengthened by heavier punishment. As a countermeasure to overcome rationally, we present a plan in terms of legislation and resolution process. In other words, we present a review of the amendment to the Serious Accident Punishment Act and the Court Organization Act. In addition, guidelines for the a safety and health system must be implemented, and if an accident occurs, it must be dealt with reasonably. As a result, safety accidents in the construction industry should drastically decrease and safety culture should be properly established.

국내 교육용 기능성게임 활성화를 위한 해외 사례 연구 (Suggestions for Vitalizing Korean Educational Games Industry Based on Case Study Analysis)

  • 권정민
    • 한국게임학회 논문지
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    • 제18권6호
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    • pp.17-28
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    • 2018
  • 2009년 이후 정부 주도로 기능성게임 활성화에 대한 노력이 있어왔음에도 불구하고, 실현이 잘 안된 이유 중 하나는 정부의 지원이 개별 게임에 대한 지원으로 집중되어 기능성게임이 자랄 수 있는 생태를 개발하지 못했기 때문으로 보인다. 본 연구에서는 미국 페어팩스 카운티의 사례를 통해 기능성게임을 생태의 중심으로 보기보다는, 생태 안에 포함된 하나의 요소로 보고 그에 맞는 전략을 실행해야 함을 주장하였다. 기능성게임 생태의 개발을 위해서는 하드웨어 인프라 구축, 소프트웨어 지원, 그리고 휴먼웨어에 대한 고려가 있어야 한다. 또한 책임 있는 테크놀로지 사용과 같은 디지털시민교육에 더욱 힘써야 한다. 게임에 대한 거부감을 없애기 위해서는 책임 있는 플레이에 대한 교육이 더 강조될 필요가 있다.

Stressful Life Events and Risk of Colorectal Cancer: A Case-Control Study of Iran

  • Azizi, Hosein;Esmaeili, Elham Davtalab
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권6호
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    • pp.2403-2407
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    • 2015
  • Background: Very few analytical studies are available on any association between stressful life events (SLE) and colorectal cancer (CRC), at least in Iran. The aim of this case control study was to determine the association between stressful life events (SLE) and colorectal cancer. Materials and Methods: This study was conducted in four hospital colonoscopy units in Tabriz city of Iran including 414 participants aged 40-75 years: 207 cases with CRC confirmed by pathology and colonoscopy findings and 207 controls free of neoplastic conditions were selected (from the same hospitals at the same period for the cases and after matching for age and sex). Stressful life events were assessed using a 43-item Holmes and Rahe Life Events Questionnaire. Multivariate logistic regression was used to estimate adjusted odds ratios for SLE and risk of CRC. Results: The stressful life event mean score in the case group was 141.3, in contrast to 63.8 in the control group (p<0.011). After adjusting for confounders, death of dear ones increased the risk of CRC (OR: 2.49; 95%CI: 1.41-5.13). Other types of stressful life events (family and husband disputes, serious occupational problems, unemployment of > 6 months, and Serious financial problems) were also associated with CRC, but without statistical significance. Conclusions: According to our findings, it seems that SLE may increase the risk of CRC.

의료사고에서의 형사책임 -원내감염사고의 해결을 향하여- (The Criminal Liability of Physicians in the Case of Medical Accidents)

  • 우츠미 토모코
    • 의료법학
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    • 제19권2호
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    • pp.3-40
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    • 2018
  • 예전부터 일본에서 의료사고가 형사사건으로 취급되는 경우는 드물었다. 하지만 요코하마시립대학병원과 같은 중대한 의료과오가 발생한 이후 검사가 의료과오를 기소하는 태도를 보이고 있다. 의료사고는 의료관계자간 역할분담의 형태가 과실 인정에서 중요한 하나의 요소가 된다. 요코하마시립병원사건에서는 환자의 동일성확인에 관하여 의료관계자 사이에 역할분담이 확립되지 않은 경우에는 관계자 전원이 환자의 동일성을 확인하여야 할 의무가 있다고 하였다. 또 사이타마 의과대학병원사건에서는 치료에 신중할 필요가 있는 중대한 증례에 관해서는 그 증례를 담당하는 주치의 뿐 만 아니라 대학병원의 과장도 치료방침에 관하여 확인할 의무가 있다고 하였다. 현립 오오노병원사건에서 무죄판결이 내려진 이후는 형사소추에 신중을 기할 필요가 있다는 목소리가 강해지고 있다. 이러한 상황 속에서 후생노동성은 의료사고방지를 위해 의료사고조사제도를 도입하여 의료사고에 제3자기관에 의한 검증의 강화를 도모하고 있다.

폭우시 산사태 특성에 관한 연구 (암종에 따른 특성 연구) (A study on the characteristics of landslide in heavy rainfall (a study by rock types))

  • 이수곤;박지호;선건규
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2003년도 봄 학술발표회 논문집
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    • pp.131-136
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    • 2003
  • Landslide is a natural disaster frequently noticed In korea during monsoon season in flicting nationwise damages on human lives, properties, transportation networks, construction sites, etc. This study is about landslide characteristic in rainfall. This study selects seven sites that occured in 2001 and 2002. So elect areas divide and studied special quality by carcinoma by igneous rock, metamorphic rock, sedimentary rock. According to study finding, because igneous rock area is very thin into 1m interior and exterior soil layer, failures happened much rock and soil interface. There was place that depth of soil layer becomes about 2∼3m being area that receive serious weathering case of metamorphic rock. Therefore, at collapse much debriflow occurrence expect. Case that sedimentary rock area is broken through stratification looked. When see such results, it may become many helps to study characteristics of landslide occurrence area grasping collapse special quality by rock type.

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유미복막증이 동반된 복부장기 손상 (Abdominal Organ Injuries with Chyloperitoneum after Blunt Tauma: A Case Report)

  • 김영환;정윤중;홍석경
    • Journal of Trauma and Injury
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    • 제25권3호
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    • pp.105-108
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    • 2012
  • Chyloperitoneum or chylous ascite after trauma is a rare condition. It can develop after direct injuries of lymphatic vessels or cisterna chyli. Though isolated chyle duct injury has sometimes been reported, chyloperitoneum is generally accompanied by various kinds of damage to other intraabdominal organs. There's still no established therapeutic protocol regarding the treatment of chyloperitoneum when it is accompanied by the serious injuries of intraabdominal organs. We describe a 66-year-old male with serious intraabdominal organ injuries after blunt trauma. In our case, chyloperitoneum developed due to the injuries to the mesenteric lymph vessels and compression of cisterna chyli by hematoma around aorta.

Toxic epidermal necrolysis induced by lamotrigine treatment in a child

  • Yi, Youngsuk;Lee, Jeong Ho;Suh, Eun Sook
    • Clinical and Experimental Pediatrics
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    • 제57권3호
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    • pp.153-156
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    • 2014
  • Toxic epidermal necrolysis is an unpredictable and severe adverse drug reaction. In toxic epidermal necrolysis, epidermal damage appears to result from keratinocyte apoptosis. This condition is triggered by many factors, principally drugs such as antiepileptic medications, antibiotics (particularly sulfonamide), nonsteroidal anti-inflammatory drugs, allopurinol, and nevirapine. Lamotrigine has been reported potentially cause serious cutaneous reactions, and concomitant use of valproic acid with lamotrigine significantly increases this risk. We describe a case of an 11-year-old girl with tic and major depressive disorders who developed toxic epidermal necrolysis after treatment with lamotrigine, and who was diagnosed both clinically and pathologically. Children are more susceptible to lamotrigine-induced rash than adults, and risk of serious rash can be lessened by strict adherence to dosing guidelines. Unfortunately, in our case, the patient was administered a higher dose than the required regimen. Therefore, clinicians should strictly adhere to the dose regimen when using lamotrigine, especially in children.

Deep Neck Infection Caused by Infected Dentigerous Cyst: A Case Report

  • Kim, Gyeong-Mi;Oh, Ji-Su;You, Jae-Seek;Moon, Seong-Yong;Choi, Hae-In
    • Journal of Oral Medicine and Pain
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    • 제46권4호
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    • pp.150-154
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    • 2021
  • Deep neck infection (DNI) is a potentially serious pathology that can lead to serious complications and high rate of mortality. Since DNI affects the cervical spaces, which can compromise airway, aggressive antibiotic administration and prompt surgical drainage are essential for recovery. Although most causes of DNI are known to be dental infections, developmental cysts such as dentigerous cysts are relatively few causes. In this case, we report a rare patient with severe deep neck space infection caused by infected third molar with dentigerous cyst.

비만처방에서의 안전한 마황사용 지침 (The Safety Guidelines for use of Ma-huang in Obesity Treatment)

  • 송미영;김호준;이명종
    • 한방비만학회지
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    • 제6권2호
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    • pp.17-27
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    • 2006
  • Objectives : Ma-huang (Ephedra sinica) is frequently prescribed for obesity management in oriental medicine. The main component is ephedrine alkaloids which can have serious adverse side effects such as heart attack, stroke, sudden death. There are no scientific guidelines for Ma-huang usage in the safe treatment of obesity in oriental medicine. We reviewed published studies on its safety to make evidence based guidelines. Methods : We searched electronic databases up to May 2006. We limited evidence to controlled trials for efficacy or safety, case reports for safety, and studies for Ma-huang contents analysis. Results and Conclusions : In clinical trials for weight loss, Ma-huang and ephedrine promote modest short-term weight loss but have no serious adverse effects, have only a few adverse effects associated with increased risk of psychiatric, autonomic, gastrointestinal symptoms and heart palpitations. In case reports, there have been serious adverse effects including stroke, heart attack, and death using typical doses of ephedrine or no associated illness. There are factors related to serious adverse effects, such as overuse, lack of standardization, individual sensitivity, and interactions with other drugs. Studies relating to these factors should be analyzed for safe use of Ma-huang and ephedrine. After analyzing related studies, we suggest guidelines for Ma-huang usage. We propose that the dosage should be within 4.5-7.5g per day for up to 6 months for generally healthy individual. It's use is contraindicated in individuals with heart disease, thyroid disease, diabetes mellitus, hypertension, psychiatric disorders, glaucoma, urination disorders, enlarged prostate, persons using MAOIs, methyldopa and sympathomimetic agents.

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