• Title/Summary/Keyword: 밀착 상의

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Geographical Characteristics and Patients' Determinants of Online Referrals : A Case Study of Choongbook, Korea (온라인 협진에 대한 지리적 특성과 환자의 결정에 관한 연구 : 충청북도 사례를 중심으로)

  • Park, Soo-Kyung
    • Journal of the Korean association of regional geographers
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    • v.17 no.5
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    • pp.617-637
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    • 2011
  • This study employs qualitative approaches to examining geographical characteristics and patients' determinants of online referrals in terms of regionalization. In this light, I conducted interviews with 20 patients receiving online referrals in Choongbook, Korea, and investigated their behaviors regarding these referrals between July and August 2009. I found that many patients who suffered from various levels of illness preferred tertiary care centers outside of Choongbook and did not enjoy their experience with the local medical institutions as the online referral service sites. This result might be because patients choose online referrals for psychological considerations such as quality and level of health care services, personal stakes in online referral service sites, acceptability and credibility of good tertiary care centers, and easy access to and use of medical institutions. Meanwhile, immediate benefits with regard to the technological value of online referrals, such as convenience, utility, and original purpose associated with regionalization, did not influence patients' decision-making. Therefore, the social and public networks affiliated with online referrals plus the effect of Korean medical laws play hostage to private decisions made by citizens, who prefer high-level medical institutions. Accordingly, the technological contribution of online referrals does not halt the outflow of patients from local, tertiary care centers. Especially, the existing health care system and patients' behaviors are deeply related to referrals in the online system. To protect regionalization, the improvement of health care services from the present state of affairs is required.

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A Study on the Activation Factors of Voluntary Community Activities in Neighborhood Parks - Based on the People Who Love Chamsaem in Sejong City - (근린 생활권 공원에서의 자발적 공동체 활동의 활성화 요인에 관한 연구 - 세종시 '참샘을 사랑하는 모임'을 대상으로 -)

  • Kim, Woo-Joo;Lee, Cha-Hee;Sung, Jong-Sang
    • Journal of the Korean Institute of Landscape Architecture
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    • v.46 no.2
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    • pp.37-51
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    • 2018
  • Recently, urban parks are required to actively participate with residents in order to strengthen social functions and maintain sustainable management. This study analyzed the formation process of volunteer resident groups (Chamsamo) in the neighborhood parks in which local residents can participate in an ongoing basis based on the solidarity of a daily living space. The important factors in the activation of resident activity are derived from 5 aspects including resources, local area, resident group capacity, resident group role, and public support. The results of the study are as follows. 1) Life-friendly resources: It was important to find life-friendly resources such as 'Chamsaem' in the park. The combined resources of continuous human activities provided various benefits to the residents. This has led to stronger attachment and community activities to continue to utilize attractive resources in the park. 2) Sharing Common Daily Spaces and Expansion: As the Chamsamo activities were centered around the neighborhood, the network of activists in the local community expanded. This led to continued resident interest and favorable participation as well as to the regional expansion of Chamsamo activities. 3) Park management as part of everyday life: Park management became a part of everyday life, and pleasant park management was facilitated by utilizing the talents of the residents, who carried out diverse activities and constantly streamlined their hard labor. 4) Chamsamo's Leadership Linking Residents and the Public Sector through Leading Park Management Activities: Chamsamo served as a middle leader in linking the public sector and its users. 5) Role and Support of the Public Sector: In order to be able to sustain the activities of residents, the government's willingness to support the resident-led activities of the park in planning and operating the public sector was required. In the public management system of the park, support for residents' activities such as financing, education, and consulting was necessary.

A Experimental Study on the Structural Performance of Column Spliceswith Metal Touch Subjected to Axial Force and Bending Moment (압축력과 휨모멘트를 받는 메탈 터치된 기둥 이음부의 구조성능에 대한 실험적 연구)

  • Hong, Kap Pyo;Kim, Seok Koo;Lee, Joong Won
    • Journal of Korean Society of Steel Construction
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    • v.20 no.5
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    • pp.633-644
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    • 2008
  • The structural framework design uses high-strength bolts and welding in column splices. However, for the column under high compression, the number of the required high-strength bolts can be excessive and the increase of welding results in difficulty of quality inspection, the transformation of the structural steels, and the increase of erection time. According to the AISC criteria, when columns have bearing plates, or they are finished to bear at splices, there shall be sufficient connections to hold all parts securely in place. The Korean standard sets the maximum 25% of the load as criteria. Using direct contact makes it possible to transfer all compressive force through it. The objective of this study is to examine the generally applied stress path mechanism of welded or bolted columns and to verify the bending moment and compression transfer mechanism of the column splice according to metal touch precision. For this study,22 specimens of various geometric shapes were constructed according to the change in the variables for each column splice type, which includes the splice method, gap width, gap axis, presence or absence of splice material, and connector type. The results show that the application of each splice can be improved through the examination of the stress path mechanism upon metal contact. Moreover, the revision of the relative local code on direct contact needs to be reviewed properly for the economics and efficiency of the splices.

Production and Mechanical Properties of Mg-Zn-Ce Amorphous Alloys by Dispersion of Ultrafine hcp-Mg Paticles (hcp-Mg 입자분산형 Mg-Zn-Ce계 비정질합금의 제조와 기계적 성질)

  • Kim, Seong-Gyu;Park, Heung-Il;Kim, U-Yeol;Jo, Seong-Myeong;Kim, Yeong-Hwan;Inoue, A.;Masumoto, T.
    • Korean Journal of Materials Research
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    • v.4 no.8
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    • pp.847-854
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    • 1994
  • An amorphous single phase and coexistent amorphous and hcp-Mg phases in Mg-Zn-Ce system were found to form in the composition ranges of 20 to 40% Zn, 0 to 10% Ce and 5 to 20% Zn, 0 to 5% Ce, respectively. A $Mg_{85}Zn_{12}Ce_{3}$ amorphous alloy containing nanoscale hcp-Mg particles was found to form either by melt spinning or by heat treatment of melt -spun ribbon. The particle size of the hcp-Mg phase can be controlled in the range of 4 to 20 nm. The mixed phase alloy prepared thus has a good bending ductility and exhibits high ultimate tensile strength($\sigma_{B}$) ranging from 670 to 930 MPa and fracture elongation($\varepsilon_{f}$) of 5.2 to 2.0%. The highest specific strength($\sigma_{B}$/density =$\sigma_{s}$)$3.6 \times 10^5N \cdot m/kg$. It should be noted that the highest values of flB, US and ?1 are considerably higher than those (690MPa,$2.5 \times 10^5N \cdot m/kg$and 2.5%) for amorphous Mg-Zn-Ce alloys. The increase of the mechanical strengths by the formation of the mixed phase structure is presumably due to a dispersion hardening of the hcp supersaturated solution which has the hardness higher than that of the amorphous phase with the same composition.

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Morphological and Cellular Characteristics of Aerial Roots in the Epiphytic American Ivy (Parthenocissus sp.) (착생식물 기근의 형태 및 세포학적 특성)

  • Yim, Ji-Eun;Kim, In-Sun
    • Applied Microscopy
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    • v.32 no.4
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    • pp.329-337
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    • 2002
  • The morphology and cellular characteristics of adventitious roots, viz aerial roots, in the epiphytic American Ivy were examined to reveal structural changes of the aerial root upon surface attachment. Immature aerial roots were composed of parenchyma cells with dense cytoplasm containing plastids, however, the upper and lower epidermis were not distinguished. At early development, electron-dense substances (EDS) were constituents of much of the aerial root tissue, but the distribution of EDS varied within the tissue. The deposits appeared most concentrated in the superficial cell layers, with lesser amounts in cell layers closer to the cortex. Electron micrographs revealed that EDS deposits were always found in the vacuole, and were mainly associated with the tonoplast. While most of them occurred in the vacuole as small spherical deposits adjacent to the tonoplast, some deposits were oddly shaped or larger in size. Many of the vacuoles eventually filled with EDS, but the EDS content in those vacuoles decreased substantially after initial attachment to the surface. When the vacuoles became almost empty, cells near the epidermis already exhibited irregularity in outline. Subsequent breakdown of cellular components took place in the cells while they were still attached to the surface. This study suggests the potential role of EDS as substances involved in the surface attachment of the plant, however, further studies must be conducted to reveal the nature of EDS and the effects of EDS storage within these vacuoles.

Technical Details Imaging Axillary Lymph Nodes in Breast-Specific Gamma Imaging (유방특이감마영상검사에서 액와부 영상 획득 방법에 대한 연구)

  • Jang, Ji Yeon;Jung, Eun Mi
    • The Korean Journal of Nuclear Medicine Technology
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    • v.16 no.2
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    • pp.115-119
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    • 2012
  • Purpose : The initial Breast-Specific Gamma Imaging (BSGI) protocol included bilateral breast imaging with 2 views of each breast-craniocaudal (CC) and mediolateral oblique (MLO). Furthermore, Axillary lymph nodes view can be acquired easily. The most meaningful prognosis factor for prediction of breast cancer is whether or not the breast cancer has metastasized to the lymph nodes. However, axillary view doesn't conduct in clinical. This article collates a diverse data of BSGI and describes technical details to acquire optimal imaging. Materials and Methods : A retrospective review was performed on 343 patients who had undergone BSGI between May 2011 and March 2012. Patients who had undergone BSGI received intravenous injection of 740 MBq (20 mCi) $^{99m}Tc$-sestamibi. Results : The following contents are the technical details for optimal axillary imaging. $^{99m}Tc$-sestamibi should be administered using an indwelling venous catheter or scalp needle followed by 10 cc of saline to flush to reduce extravasation and vascular trapping. After administration, patients raise their arm over their head and exercise with stress ball for 1 full minute. A lead shield attached to the gamma camera is removed and patients axilla is placed as close as possible to the camera at a $90^{\circ}$ angle. A lead apron is placed across the shoulder to reduce background from other organs. Acquisition time is enough for 120 sec~180 sec. Conclusion : If patients undergo bilateral axillary imaging as a standard with CC, MLO views, it could improve cancer treatment. Result of this study could maximize efficiency axillary imaging of breast cancer patients.

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An electron microscopic study on endocrine cells in the cardiac and fundic regions of the Korean hedgehog(Erinaceus koreanus) (한국산 고슴도치 분문부와 위저부의 내분비세포에 관한 전자현미경적 연구)

  • Lee, Jae-hyun;Lee, Hyeung-sik;Lee, Nam-soo;Kim, Jong-beom
    • Korean Journal of Veterinary Research
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    • v.30 no.4
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    • pp.373-381
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    • 1990
  • Endocrine cells in the cardiac and fundic regions of the Korean hedgehog were studied ultrastructurally. Five types of endocrine cells classified as EC, ECL, $D_1$. G and A-like cells were identified in these regions. EC cells contained pleomorphic granules, 170~500nm in diameter, with high electron density and highly dense bodies in a dense matrix. ECL cells were characterized by the presence of round or oval granules, 220~450nm in diameter, with high electron density. Some granules of ECL cells showed a small amounts of contents or empty. $D_1$ cells contained round and relatively small granules, 140~400nm in diameter, with low to moderate electron density. G cells were characterized by the presence of round or oval granules, 200~400nm in diameter, with moderate electron density. Some granules of these cells showed a narrow halo between the limiting membrane and the granular matrix. A-like cells contained round granules, 170~260nm in diameter, With high electron density. The granules of these cells showed homogeneous matrix surrounded by the tight membrane.

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Electrochemical Properties of Activated Carbon Supecapacitor Containing Poly(acrylonitrile) Nonwoven Separator Coated by a Hydrogel Polymer Electrolyte (Poly(acrylonitrile) 부직포 분리막에 코팅된 하이드로겔 고분자 전해질을 포함하는 활성탄 수퍼커패시터 특성)

  • Latifatu, Mohammed;Ko, Jang Myoun;Lee, Young-Gi;Kim, Kwang Man;Jo, Jeongdai;Jang, Yunseok;Yoo, Jung Joon;Kim, Jong Huy
    • Korean Chemical Engineering Research
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    • v.51 no.5
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    • pp.550-555
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    • 2013
  • A hydrogel electrolyte consisting of potassium poly(acrylate) (PAAK) (3 wt%) in 6 M KOH aqueous solution is coated on poly(acrylonitrile) nonwoven separator to examine high-rate characteristics of activated carbon supercapacitor adopting the separator. The hydrogel is homogeneously coated on the surface pores of the nonwoven separator. The electrolyte uptake of the PAAK hydrogel maintains for 24 days higher than 230% and the coated separator shows slightly lower ionic conductivity ($2.9{\times}10^{-2}Scm^{-1}$) than that ($3.6{\times}10^{-2}Scm^{-1}$) of using 6 M KOH only. The activated carbon supercapacitor adopting the coated separator shows a specific capacitance higher than $27Fg^{-1}$ at $1000mVs^{-1}$ and a retention ratio higher than 97% after the 1000th cycle. This is due to strong interfacial contact of coated hydrogel electrolyte between the activated carbon electrode and the nonwoven separator.

A Study On Characteristics Of Forged Sealing Made Of Photosensitive Resin (감광성 수지로 제작된 위조 인영의 특성에 관한 연구)

  • Han, Sang-Deog;Jeong, Yang-Kwon;Choi, Jae-Ho
    • The Journal of the Korea institute of electronic communication sciences
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    • v.7 no.6
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    • pp.1385-1391
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    • 2012
  • The authenticity of a document is recognized only when sealing on the document can be recognized to be the same as the original seal of a person who drew up the document. But forge in various ways is prevalent; forge through stamp-copy, forge through photocopying, forge through computer seal sculpture machine, forge through photosensitive resin, etc. Among the methods above, a method of making a forged seal with photosensitive resin panels, which is one of the easiest forging methods, enables making a forged seal the same as the original seal through the work of projecting ultraviolet rays on a resin panel on which negative film is stuck after making it using the original seal. But as research into this reality has not been sufficiently carried on, it is difficult to identify forged sealing through photosensitive resin seals, indeed. For this reason, unless regulations about making forged seals using resin machine for print are enforced, crimes related to forged seals using photosensitive resin are expected to increase in the future. Thus, after stamping 10 resin seals made based on an original seal carved of thick and thin strokes of characters, this paper intends to clarify that there are differences between original sealing and forged sealing through sealing identification method. Consequently, we verified the significant difference in the statistics between original sealing and forged sealing.

A study on digital locking device design using detection distance 13.4mm of human body sensing type magnetic field coil (인체 감지형 자기장 코일의 감지거리 13.4mm를 이용한 디지털 잠금장치 설계에 관한 연구)

  • Lee, In-Sang;Song, Je-Ho;Bang, Jun-Ho;Lee, You-Yub
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.1
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    • pp.9-14
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    • 2016
  • This study evaluated a digital locking device design using detection distance of 13.4mm of a human body sensing type magnetic field coil. In contrast to digital locking devices that are used nowadays, the existing serial number entering buttons, lighting, number cover, corresponding pcb, exterior case, and data delivery cables have been deleted and are only composed of control ON/OFF power switches and emergency terminals. When the magnetic field coil substrates installed inside the inner case detects the electric resistance delivered from the opposite side of the 12mm interval exterior contacting the glass body part, the corresponding induced current flows. At this time, the magnetic field coil takes the role as a sensor when coil frequency of the circular coil is transformed. The magnetic coil as a sensor detects a change in the oscillation frequency output before and after the body is detected. This is then amplified to larger than 2,000%, transformed into digital signals, and delivered to exclusive software to compare and search for embedded data. The detection time followed by the touch area of the body standard to a $12.8{\emptyset}$ magnetic field coil was 30% contrast at 0.08sec and 80% contrast at 0.03sec, in which the detection distance was 13.4mm, showing the best level.