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건망(健忘)의 변증분형(辨證分型)에 대(對)한 연구(硏究) (A Bibliographic Study on the Types of Differential Diagnosis of Amnesia)

  • 최용준;성강경;문병순
    • 대한한의학회지
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    • 제17권1호
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    • pp.374-406
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    • 1996
  • This study has been carried out to investigate the types of differential diagnosis of amnesia. The results are as follows; 1. Amnesia has various types of differential diagnosis(辨證分型) ; deficiency of both the heart and spleen(心脾兩虛型), deficiency of the heart(心虛型), deficiency of the kidney(腎虛型), breakdown of the coordination between the heart and the kidney(心腎不交型), mental confusion due to phlegm(痰迷心竅型), accumulation of stagnant blood(蓄血型), internal injury by seven emotion (七情所傷型). 2. The type of deficiency of both the heart and spleen(心脾兩虛型) occurs when the heart and spleen is injured by overthinking(思慮過度), The symptoms are heart palpitation(心悸), continuous palpitation(??), insomnia(少寐), hypochondric discomfort(心煩), dream disturbed sleep(多夢), being easy to be scared(易驚), dizziness(眩暈), these are caused by blood deficiency of the heart(心血不足), poor appetite(飮食不振), loss of appetite(納?), short breath(氣短), sense of turgid abdormen(腹部膨滿感), loose stool(泥狀便), these are caused by deficiency of the spleen(脾虛), lassitude and weakness (身倦乏力), lassitude of the extremities (四肢無力), dim complexion (面色少華), pale lips(舌質淡), thready and feeble(脈細弱無力), these are caused by deficiency of both qi and the blood(氣血虛損). The remedy is nourishing the heart-blood(養心血) and regulating the spleen(理脾土). I can prescribe the recipes such as Guibitang(歸脾湯), Gagambosimtang(加減補心湯), Seongbitang(醒脾湯), Insin-guisadan(引神歸舍丹), Insamyangyoungtang(人蔘養榮湯), Sojungjihwan(小定志丸), Yungjigo(寧志膏), Palmijungjihwan(八味定志丸), etc., 3. The type of deficiency of the heart(心虛型) occurs when the heart-blood is injured by the mental tiredness(神勞) and so blood cannot nourish the heart. The symptoms are amnesia(健忘), short breath(氣短), heart palpitation(心悸), perspire spontaneously(自汗), facial pallidness(顔面蒼白), pale lips (舌質淡白), feeble pulse and lassitude(脈虛無力), intermittent pulse(結代脈). The remedy is nourishing the hart and blood and allaying restlessness(補心益血安神). I can prescribe the recipes such as Chenwangbosimdan(天王補心丹), Jeongji-hwan(定志丸), Gaesimhwan(開心丸), Youngjigo(寧志膏), Chilseonghwan(七聖丸), Baegseogyoungtang(白石英湯), Oseohwan(烏犀丸), Yangsinhwan(養神丸), Guisindan(歸神丹), Bogsinsan(茯神散), Jinsamyohyangsan(辰砂妙香散), Cheongeumboksinsan(千金茯神散), Samjotang(蔘棗湯), jangwonhwan(壯元丸), Sa gunjatang(四君子湯) minus rhizoma atractylodis macrocephalae(白朮) plus rhizoma acori graminei(石菖蒲), radix polygalae(遠志), cinnabaris(朱砂), etc. 4. The type of deficiency of the kidney(腎虛型) occurs when the kidney-qi and kidney-essence is deficient(腎氣腎精不足) and so it cannot nourish the brain. The symptoms arc amnesia(健忘), ache at the waist and lassitude in the lower extremities(腰산腿軟), dizziness and tinnitus(頭暈耳嗚), emmission and premature ejaculation(遺精早泄), burning sensation of the five centres(五心煩熱), flushed tongue(舌紅), rapid and small palse(脈細數). The remedy is nourishing the kidney and strengthen the essence(補腎益精). I can prescribe the recipes such as Gagamgobonhwan(加減固本丸), Jeongjihwan(定志丸), Gongseongchlmjungdan(孔聖枕中丹), Yugmigihwanghwan(六味地黃丸) plus ra-dix polygalae(遠志), fructus schizandrae(五味子), Yugmigihwanghwan(六味地黃丸) plus radix polygalae(遠志), fructus schizandrae(五味子), rhizoma acori graminei(石菖蒲), semen zizyphi spinosae(酸棗仁), Palmihwan(八味丸) plus fructus schizandrae(五味子), semen zizyphi spinosae(酸棗仁). etc., 5. The type of breakdown of the coordination between the heart and the kidney (心腎不交型) occurs when the heart-fire(心火) and kidney-fluid(腎水) are imbalanced. The symptoms are amnesia(健忘), hypochondric discomfort(心煩), insomnia(失眠), dizziness and tinnitus(頭最耳嗚), feverish sensation m the palms and soles(手足心熱), emmision(遺精), ache at the waist and lassitude in the lower extremities(腰?腿軟), flushed tongue(舌紅), rapid pulse(脈數). The remedy is coordinating each other(交通心腎). I can prescribe the recipes such as Gangsimdan(降心丹), Jujaghwan(朱雀丸), Singyotang(神交湯), Simsinyang- gyotang(心腎兩交湯), Yugmihwan(六味丸) plus fructus schizandrae(五味子), radix polygalae(遠志), Yugmihwan(六味丸) plus fructus schizandrae(五味子), radix polygalae(遠志), rhizoma acari graminei(石菖蒲), semen zizyphi spinosae(酸棗仁), etc., 6. The type of mental confusion due to phlegm(痰迷心竅型) occurs when the depressed vital energy(氣鬱) create phlegm retention(痰飮) and phlegm stagnancy(痰濁) put the heart and sprit(心神) out of order. The symptoms arc amnesia(健忘), dizziness(頭暈), chest distress(胸悶), nausea(惡心), dull(神思欠敏), dull and slow facial expression(表情遲鈍), tongue with yellow and greasy fur(舌苔黃?), sliperry pulse(脈滑). The remedy is removing heat from the heart to restore consciousness and dispersing phlegm(淸心化痰開竅) I can prescribe the recipes such as Gamibogryeongtang(加味茯?湯), Goa-rujisiltang(瓜蔞枳實湯), Jusaansinhwan(朱砂安神丸), Dodamtang(導痰湯) plus radix saussurea(木香), Yijintang(二陳湯) plus succus phyllostachyos(竹瀝), rhizoma zingiberis(生薑) Ondamtang(溫膽湯) plus rhizoma acori graminei(石菖蒲), rhizoma curcumae aromaticae(鬱金), etc., 7. The type of accumulation of stagnant blood(蓄血型) occurs when the blood is accumulated in the lower part of body. The symptoms are amnesia(健忘), chest distress(胸悶), icteric skin(身黃), rinsing the mouth but don't wanting eat(漱水不欲燕), madness(發狂), black stool(屎黑), pain in the lower abdomen(小腹硬痛). The remedy is dispersing phlegm and absorb clots (化痰化瘀), I can prescribe the recipes such as Jeodangtang(抵當湯), Daejeodanghwan(代抵當丸), Hyeolbuchugeotang (血府逐瘀湯) plus rhizoma acori graminei (石菖蒲), rhizoma curcumae aromaticae(鬱金), Jusaansinhwan(朱砂安神丸) plus rhizoma curcumae aromaticae(鬱金), radix polygalae(遠志), semen persicae(桃仁), cortex moutan radicis(收丹皮), etc., 8. The type of internal injury by seven emotion(七情所傷型) occurs when the anger injures the will stored in the kidney(腎志). The symptoms are amnesia(健忘), heart palpitation(心悸). hot temper(易怒), being easy to be scared(善驚), panic(易恐). The remedy is relieving the depressed liver and regulating the circulation of qi(疏肝解鬱). I can prescribe the recipes such as Tongultang(通鬱湯), Sihosogantang(柴胡疏肝湯) plus rhizoma acari graminei(石菖蒲), rhizoma curcumae aromaticae(鬱金), etc.

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중년기 남성의 스트레스와 갱년기 증상 (A Study on the Relationship between Stress and Climacteric Symptoms of Midlife Men)

  • 정연강;이재온;한경임
    • 지역사회간호학회지
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    • 제13권3호
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    • pp.513-522
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    • 2002
  • This study investigated stress and the extent of climacteric symptoms in mid-life men, and examined their relationship in order to better understand the stress and climacteric symptom experiences of mid-life men, and thereby attempted to offer basic materials for the development of a health improvement program that may help increase the quality of life of mid-life men. Three hundred mid-life men whose ages were between 40 and 59 and resided in the Seoul area were subjects of this study. The data were analyzed with the SAS PC program using descriptive statistics to analyze subjects' general characteristics and variables of stress and the extent of climacteric symptoms of the subjects. The relationship between stress and climacteric symptoms were examined by the Pearson Correlation Coefficient, and stress and the extent of climacteric symptoms in relation to the general characteristics were analyzed by T-test and ANOVA. The study conclusions are as follows: 1. Subjects general characteristics The average, age of the subjects was 46 and 47.0% of them reported ages between 40 and 45. Of the subjects, 98% were married. In marriage satisfaction, those who were generally satisfied with their married life comprised 62.0% of the subjects. In terms of level of education, 95.7% were educated above the high school level. In occupational background, 59.7% had occupations related to technologies. As for religion, 42.7% had no religion. In number of children, 67.3% had 2 children. In residential status, 79,3% were living in their own homes. In terms of living arrangements, 87.7% of the subjects were living in the form of nuclear families. 2. Stress and the extent of climacteric symptoms The level of stress was scored as $2.94{\pm}0.74$, and considering that the overall examination score is $27.16{\pm}1.32$, the subjects' stress level was not viewed as particularly high. The average score of the extent of climacteric symptoms was $35.37{\pm}0.27$. The extent of sub-domains of climacteric symptoms included skeleton symptoms ($39.37{\pm}2.81$), joint pain ($39.16{\pm}3.66$), vasomotor symptoms ($35.39{\pm}3.01$), other symptoms ($36.99{\pm}3.02$), psychological symptoms ($34.68{\pm}3.01$), urogenic symptoms ($35.03{\pm}3.27$), and cardiovascular symptoms ($33.70{\pm}2.78$). 3. General characteristics in relation to the stress level The subjects' general characteristics that were significantly related to the level of stress were marriage status (F=4.38, p=.001), marriage satisfaction (F=4.56, p=.001), educational background (F=2.68, p=.012), and age (F=2.48, p=.033). 4. General characteristics in relation to the level of climacteric symptoms The subjects' general characteristics that were significantly related to the level of climacteric symptoms were educational background (F=3.26, p=.007), age (F=2.58, p=.027), marriage status (F=2.62, p=.025), and marriage satisfaction (F=2.78. p=.032). 5. The correlation between stress and climacteric symptoms The subjects' level of stress and climacteric symptoms were significantly related to each other (r=0.578, p=0.000). The subjects' level of stress was correlated with sub-domains of the climacteric symptoms including psychological symptoms (r=0.579, p=0.000), joint pain (r=0.479, p=0.000), skeleton symptoms (r=0.477, p=0.000), other symptoms (r=0.467, p=0.000), vasomotor symptoms (r=0.4615, p=0.000), cardiovascular symptoms (r=0.458, p=0.000), urogenic symptoms (r=0.401. p=0.000). In summary, the climacteric symptoms suffered by mid-life men are positively correlated with their level of stress. In addition, the climacteric symptoms were affected by the level of stress.

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A bilayer diffusion barrier of atomic layer deposited (ALD)-Ru/ALD-TaCN for direct plating of Cu

  • Kim, Soo-Hyun;Yim, Sung-Soo;Lee, Do-Joong;Kim, Ki-Su;Kim, Hyun-Mi;Kim, Ki-Bum;Sohn, Hyun-Chul
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2008년도 하계학술대회 논문집 Vol.9
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    • pp.239-240
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    • 2008
  • As semiconductor devices are scaled down for better performance and more functionality, the Cu-based interconnects suffer from the increase of the resistivity of the Cu wires. The resistivity increase, which is attributed to the electron scattering from grain boundaries and interfaces, needs to be addressed in order to further scale down semiconductor devices [1]. The increase in the resistivity of the interconnect can be alleviated by increasing the grain size of electroplating (EP)-Cu or by modifying the Cu surface [1]. Another possible solution is to maximize the portion of the EP-Cu volume in the vias or damascene structures with the conformal diffusion barrier and seed layer by optimizing their deposition processes during Cu interconnect fabrication, which are currently ionized physical vapor deposition (IPVD)-based Ta/TaN bilayer and IPVD-Cu, respectively. The use of in-situ etching, during IPVD of the barrier or the seed layer, has been effective in enlarging the trench volume where the Cu is filled, resulting in improved reliability and performance of the Cu-based interconnect. However, the application of IPVD technology is expected to be limited eventually because of poor sidewall step coverage and the narrow top part of the damascene structures. Recently, Ru has been suggested as a diffusion barrier that is compatible with the direct plating of Cu [2-3]. A single-layer diffusion barrier for the direct plating of Cu is desirable to optimize the resistance of the Cu interconnects because it eliminates the Cu-seed layer. However, previous studies have shown that the Ru by itself is not a suitable diffusion barrier for Cu metallization [4-6]. Thus, the diffusion barrier performance of the Ru film should be improved in order for it to be successfully incorporated as a seed layer/barrier layer for the direct plating of Cu. The improvement of its barrier performance, by modifying the Ru microstructure from columnar to amorphous (by incorporating the N into Ru during PVD), has been previously reported [7]. Another approach for improving the barrier performance of the Ru film is to use Ru as a just seed layer and combine it with superior materials to function as a diffusion barrier against the Cu. A RulTaN bilayer prepared by PVD has recently been suggested as a seed layer/diffusion barrier for Cu. This bilayer was stable between the Cu and Si after annealing at $700^{\circ}C$ for I min [8]. Although these reports dealt with the possible applications of Ru for Cu metallization, cases where the Ru film was prepared by atomic layer deposition (ALD) have not been identified. These are important because of ALD's excellent conformality. In this study, a bilayer diffusion barrier of Ru/TaCN prepared by ALD was investigated. As the addition of the third element into the transition metal nitride disrupts the crystal lattice and leads to the formation of a stable ternary amorphous material, as indicated by Nicolet [9], ALD-TaCN is expected to improve the diffusion barrier performance of the ALD-Ru against Cu. Ru was deposited by a sequential supply of bis(ethylcyclopentadienyl)ruthenium [Ru$(EtCp)_2$] and $NH_3$plasma and TaCN by a sequential supply of $(NEt_2)_3Ta=Nbu^t$ (tert-butylimido-trisdiethylamido-tantalum, TBTDET) and $H_2$ plasma. Sheet resistance measurements, X-ray diffractometry (XRD), and Auger electron spectroscopy (AES) analysis showed that the bilayer diffusion barriers of ALD-Ru (12 nm)/ALD-TaCN (2 nm) and ALD-Ru (4nm)/ALD-TaCN (2 nm) prevented the Cu diffusion up to annealing temperatures of 600 and $550^{\circ}C$ for 30 min, respectively. This is found to be due to the excellent diffusion barrier performance of the ALD-TaCN film against the Cu, due to it having an amorphous structure. A 5-nm-thick ALD-TaCN film was even stable up to annealing at $650^{\circ}C$ between Cu and Si. Transmission electron microscopy (TEM) investigation combined with energy dispersive spectroscopy (EDS) analysis revealed that the ALD-Ru/ALD-TaCN diffusion barrier failed by the Cu diffusion through the bilayer into the Si substrate. This is due to the ALD-TaCN interlayer preventing the interfacial reaction between the Ru and Si.

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효소 전처리를 통한 슬러지 저감 (Sludge reduction by Enzyme Pretreatment)

  • 김정래;심상준;최수형;염익태
    • KSBB Journal
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    • 제19권2호
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    • pp.93-97
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    • 2004
  • 본 연구는 환경 문제점으로 대두되고 있는 슬러지의 효과적인 저감을 위한 방법으로서 효소를 이용하여 슬러지상 유기물의 가용화율을 높여서 소화조 내에서 미생물의 소화효율을 높이기 위한 것이다. 효소에 의한 슬러지의 가수분해 효율을 높이기 위하여 소량의 오존 (0.02 g $O_3$/g SS, 0.03 g $O_3$/g SS)으로 슬러지를 처리한 후 다양한 효소로 슬러지의 가수분해를 유도함으로써 슬러지의 SCOD를 높여 유기물의 가용화를 향상 시켰다. 여러 가지 효소 중 (Protease, $\alpha$-amylase, glucosidase, lipase)에서 protease가 가장 높은 슬러지의 가수분해 효율을 나타내었다. 오존과 효소로 전처리를 실시한 경우 오존 처리만 한 슬러지에 비해 SCOD 증가량이 높게 나타났으며, 단일 효소보다는 복합 효소를 사용했을 때 유기물의 가용화에 더 효과적임을 확인할 수 있었다. 또한, 효소 전처리시, 효소의 최적온도 조건 (50-6$0^{\circ}C$)을 맞추어 주었을 경우가 상온에서 효소 전처리를 실시했던 경우에 비해 SCOD값이 1.5-2배 정도 증가하여, 더 높은 가수분해 효율을 보였다. 반면, 소화반응에 있어서는, 효소 전처리를 실시한 슬러지와 효소 전처리를 실시하지 않고 오존전처리만을 실시한 슬러지의 소화반응을 비교해 본 결과, 효소전처리를 실시한 슬러지의 SCOD 및 TCOD의 감소량이 오존처리만 실시한 슬러지에 비해 높게 나타났으며, 단일효소보다도 복합효소에서 높은 SCOD와 TCOD의 감소량을 나타내었다. 따라서, 슬러지를 효소로 전처리하는 것은 슬러지 저감에 효과적으로 작용할 수 있을 것으로 기대되며, 이러한 슬러지의 효소 전처리 방법은 다양한 다른 슬러지 처리방법과 함께 슬러지 처리효율을 향상시키기 위한 방법으로 유용하게 이용될 수 있으리라 기대된다. 건전한 환경관리를 위한 유역관리기술 개발의 방향 등을 정리하도록 한다.O와 DABA에 반응하는 자외선 조사에 따른 $^1O_2$의 생성은 taurine의 영향을 받지 않았다. GSH와 MPG는 HOCl의 변성 작용을 뚜렷하게 억제하였다. 이상의 결과로 부터 hyaluronic acid의 변성을 포함한 조직 구성성분의 산화성 손상에 있어서 taurine의 보호 작용은 산소 유리 라디칼에 대한 제거 작용과 관계없으며 HOCl과 $NH_2Cl$에 대한 제거 작용 그리고 taurine과 HOCl 또는 $NH_2Cl$의 복합체 형성에 기인할 것으로 시사된다. Taurine의 치올 기가 HOCl과 $NH_2Cl$에 의한 변성에 부분적으로 보호 작용을 나타 낼 것으로 추정된다.경(製麴72時間頃)의 활성(活性)은 보리쌀국(麴), 밀가루국(麴), 찹쌀국(麴), 고구마국(麴)의 순이었다.험 결과 오전용 사료는 관행적인 산란계 배합사료에서 Ca공급제를 제외한 것을 급여하고, 오후용 사료는 Ca공급제를 3배 첨가한 T2처리로 15:00~16:00시에 교체급여를 하면 사료섭취량 감소와 사료비 절감면에서 바람직할 것으로 사료되며, 고에너지-고단백질-저Ca의 분말사료와 저에너지-저단백질-고Ca의 펠렛사료를 혼합급여하면 산란계의 사료섭취 량과 사료비를 절감할 수 있었으며, 오전사료와 오후사료 별도급여의 번거로움을 피할 수 있는 사양체계로 기대가 되나 보다 더 많은 연구가 필요하다.ericin) which has an amino acid composition suitable for many used in cosmetics, textile finishing agents, animal feeding, etc. The degumming process using electrolytic water is available to reduce treatment

어머니의 일상적 스트레스와 아동의 인지조절 및 정서조절이 아동의 학교준비도에 미치는 영향 (The Effects of Mother's Daily Hassles, Cognitive Regulation and Emotive Regulation on School Readiness)

  • 박윤조;송하나
    • 한국보육학회지
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    • 제18권1호
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    • pp.27-51
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    • 2018
  • 본 연구는 어머니의 일상적 스트레스, 아동의 인지조절과 정서조절이 아동의 학교준비도에 미치는 직접적인 영향 뿐 아니라 어머니의 일상적 스트레스가 아동의 인지조절과 정서조절을 통해 아동의 학교준비도에 미치는 영향을 살펴보고자 하였고, 아동의 성별에 따른 매개효과의 차이를 검증하고자 하였다. 연구대상은 서울시 송파구, 경기도 용인시 및 분당구의 유치원과 어린이집 4곳에 재원 중인 만5세반 취학전 아동 273명과 그들의 어머니 273명이었다. 본 연구에서 수집된 자료는 SPSS 24.0과 Mplus 6.0($Muth{\acute{e}}n$ & $Muth{\acute{e}}n$, 2010)을 사용해 Pearson의 적률상관분석 및 적합도 지수를 통해 가설의 적합성을 확인하였고, 매개효과를 검증하기 위해서 구조방정식 모형(Structural Equation Modeling: SEM)을 사용하였다. 또한 아동의 성별에 따른 경로의 통계적 유의성 차이를 살펴보기 위해 다중집단분석(multi group analysis)을 실시하였다. 본 연구를 통해 나타난 결과는 다음과 같다. 첫째, 어머니의 일상적 스트레스는 아동의 인지조절 및 정서조절에 직접적으로 부적영향을 미치는 것으로 나타났다. 둘째, 아동의 인지조절은 아동의 학교준비도의 하위요인 중 단체생활을 위한 기본자세 및 학습활동을 위한 능력에 직접적으로 영향을 미치는 것으로 나타났고, 아동의 정서조절은 아동의 학교준비도의 하위요인 중 사회정서적 유능성에 직접적인 영향을 미치는 것으로 나타났다. 셋째, 어머니의 일상적 스트레스는 아동의 인지조절을 매개로 아동의 학교준비도의 하위요인 중 단체생활을 위한 기본자세 및 학습활동을 위한 능력에 영향을 주었으며, 아동의 정서조절을 매개로 아동의 학교준비도의 하위요인 중 사회적 유능성에 영향을 주는 것으로 나타났다. 넷째, 남아의 경우에는 어머니의 일상적 스트레스가 아동의 인지조절에 미치는 영향이 여아의 경우보다 적은 반면에, 인지조절이 아동의 학교준비도의 하위요인 중 단체생활을 위한 기본자세에 미치는 영향은 여아보다 큰 것으로 나타났다.

병원 구성원들의 직종별 조직몰입의 영향요인에 관한 연구 (Factors affecting the Organizational Commitment of Industrial Accident Hospital Employees by Job Category)

  • 방용주;하호욱;손태용
    • 한국병원경영학회지
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    • 제7권4호
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    • pp.24-56
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    • 2002
  • The purpose of this study was to analyze the characteristics of socio-demographic, organizational culture, organizational conflict and organizational commitment, and to examine the interrelation of influential factors in the organizational commitment. The data for this study were collected through a self-administrated survey with a structured questionnaire to 1,027 subjects from several medical doctor staff members, nursing staff members, administration staff members, pharmacist, and technical expert of eleven hospitals. The data were collected by self-reporting questionnaire from July 29 to September 7, 2002. In this analysis frequency test, t-test, ANOVA, multiple regression were used. The main results of this research is as following; 1. According to socio-demographic characteristics the respondents' level of the organizational commitment was higher in a administration staff members than others, for males than females, and for employees aged more than forty, as working for longer time, and as higher level of the working position. 2. According to the organizational culture characteristics the progressive culture, affiliative culture, and task-focused culture among many types of organizational culture were moderately and positively correlated with the level of the organizational commitment while the hierarchical culture was negatively correlated. 3. According to the organizational conflict characteristics as the respondents who got less conflict experience in the organization, their level of the organizational commitment was higher. And, technical conflict experiences were expressed greater than hierarchical conflict experiences. 4. According to the job satisfaction characteristics as his or her satisfaction that is about the promotion, working itself, salary, and fellowship in the organizational was higher, the level of the organizational commitment was higher. The most important factor of the satisfactions was the fellowship among the respondents while the level of job satisfaction for the promotion and salary was average. 5. Overall, according to the result of Multiple Regression as older age and longer working hours, the level of the organizational commitment was higher and as a higher level of the satisfaction for the promotion, working itself, salary, and fellowship in the organization, it caused more effective factors for the organizational commitment. 6. According to the result of Multiple Regression for the doctor staff members in special hospitals rather than general hospitals the hierarchical culture and task focused culture was positively correlated with the satisfaction of working itself while hierarchical conflict factors in the organizational conflict characteristics was negatively correlated with the organizational commitment. For the nursing staff members the affiliative culture and the job satisfaction for the promotion, working itself, salary, and fellowship were positively correlated with the organizational commitment. For the administration staff members as the job satisfaction for the fellowship was positively correlated with the organizational commitment. For medical and pharmacy staff members as more working experience, correlation with the organizational commitment was positive. Besides, as he or she has a high perception of the affiliative culture, it caused statistically more effective factors for the organizational commitment. For the skill and technicians, male worker expressed greater organizational commitment in the organization than female worker. And also older age along with higher education also showed higher organizational commitment. Moreover, the job satisfaction for the fellowship was positively correlated with the organizational commitment. This study identified the major effective factors of the organizational commitment and analyzed the differences among the job category. In that respect, it is significant for the study to be able to provide a reference for managing hospital of industrial accident and organizational development. However, this study has a problem, which is not to identify a valuable model for examining the relationship between organizational factors such as organizational culture, conflict, satisfaction, and commitment. Therefore, further study is needed and strengthened in the field of organizational commitment for hospital for industrial accident.

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의약품 임상시험 종사자 교육 이수자의 지식 수준, 태도, 교육 선택 요인 분석 (An Analysis on the Knowledge Levels, Attitudes, and Factors Affecting the Choices of Those Who Completed the Education of Persons Conducting Clinical Trial Workers)

  • 이윤진;장혜윤;이유미
    • 대한기관윤리심의기구협의회지
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    • 제3권2호
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    • pp.19-27
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    • 2021
  • Purpose: This study aimed to analyze the knowledge levels, attitudes, and factors affecting the choices on the education of the participants who completed their education of persons conducting clinical trial workers, and to assess the problems of the current education system for clinical trial workers, leading to improvements. Methods: Clinical trial workers (including principal investigators/subinvestigators, members of the Institutional Review Board [IRB], clinical research coordinators) who were affiliated to one of the 4 university hospitals running their own clinical trial center and IRB in Daegu and completed their education of persons conducting clinical trial workers were the subjects of this study. One hundred seven online questionnaires were answered from 2021-04-02 to 2021-04-17. Descriptive statistics and Pearson correlation analysis were used to analyze the acquired data. Independent t-test and 1-way analysis of variance were used to analyze the differences in the knowledge levels and attitudes following the characteristics of the education participants. Results: The baseline characteristics of the 107 participants were as follows: the majority of the participants were female (72.0%), were in their 30s (36.4%), had a nursing major (29.0%), were clinical research coordinators (63.6%), had never experienced a principal investigator (79.4%), had participated 3 or more educations (58.9%), had completed their maintenance course (55.1%), had 5 or more years of clinical trial experiences (34.6%). The fields on which participants had low levels of objective knowledge were "types and preparations on audits of clinical trials," "regulations on clinical trials (Pharmaceutical Affairs Act, Korea Good Clinical Practice)." The difficulties that the participants faced were on "annual educations" and "lack of information regarding the educations." Factors that showed significant differences in objective knowledge were sex (p=0.02), number of educations (p=0.004), the curriculum of 2020 (p=0.001). Age (p=0.004), having experienced a principal investigator (p=0.006), number of educations (p<0.001), the curriculum of 2020 (p<0.001), clinical trial career (p=0.001) were factors that significantly affected subjective knowledge. Attitudes toward the education were positively correlated with objective knowledge (r=0.20, p=0.04) and subjective knowledge (r=0.32, p=0.001). Major sources through which information on educations was acquired were "institutional notices," and major factors affecting the choices on the education were "when the education took place" and "where the education took place." "Within the affiliated institution," "Online classes (recorded)" and "IRB and review processes" were each the most preferred place, mode, and content of the education. Conclusion: Knowledge levels varied largely among participants who completed their education of persons conducting clinical trial workers, depending on their characteristics such as the number of educations. Participants also complained about their lack of information on educations. The quality of education may be improved if clinical trial organizations are designated as education facilities. Education programs must be developed considering the knowledge level and demand of the participants. Furthermore, as offline classes may be impossible due to pandemics such as the coronavirus disease 2019, the development of diverse and sophisticated online classes is looked forward to.

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지방기록물관리기관 설립의 방향과 방법 (Establishment and Operation of the Local Government Archives: Recommendations)

  • 지수걸
    • 기록학연구
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    • 제21호
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    • pp.247-281
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    • 2009
  • 16개 광역자치단체는 2006년 10월에 개정된 "공공기록물 관리에 관한 법률" 따라 소관 기록물의 영구보존 및 관리를 위하여 영구기록물관리기관을 설치 운영해야 한다. 국가기록원은 위의 개정 법률에 따라 각각의 광역자치단체에, 2006년 말까지 기록물관리 전문요원을 배치하고, 2007년 말까지 지방기록물관리기관 설치 운영계획을 수립할 것을 지시했으나, 2009년이 한참 지난 현재까지도 제대로 된 지방기록관은 하나도 설립되지 않았다. 국가기록원이나 시도의 현장 실무자들은 인력과 예산이 문제라고 말한다. 그러나 이보다 더 큰 문제는 왜 지방기록물관리기관을 설립해야 하는지, 어떤 기능과 역할을 수행하는 기관을 설립해야 하는지, 기본적인 문제의식이 모호하다는 점이다. 이런 문제의식 가운데, 이 글에서는 먼저 '지방기록관리의 현황과 과제', '기록관 설립 추진 실태', '기록관 설립계획의 문제점 등을 개괄적으로 정리한 뒤, 제대로 된 '지방기록관' 설립을 위해 우리가 어떠한 노력을 기울여야 할 것인지, 그 대안을 제시해 보고자 노력했다. 이 글의 핵심요지는 첫째, 지방기록관을 설립하기 전에 각각의 광역자치단체는 분야별 전문요원을 선발함과 동시에 적절한 구성과 방식으로 '지방기록관리위원회'를 설립하여, (1) 지방기록관 설립 추진(최고 의사결정 기구) (2) 전문요원 양성 프로그램 운영 계획 수립 (3) 지방기록문화운동 활성화 계획 수립 (4) 지방기록관 운영에 관한 제반 사항 심의 결정 (5) 지역 사정 및 주민 요구에 부합하는 '장기발전계획' 수립 등의 업무를 수행해야 한다는 것, 둘째, 각 자치단체별로 보존서고나 시설 등을 따로 설립하는 것보다는 성남, 대전, 부산에 존재하는 권역별 서고와 시설을 공동으로 활용해야 한다는 것, 셋째, 설립 이후 각각의 지방기록물관리기관은 (1) 법령에 규정된 해당 지역의 통상적인 기록관리 업무 (2) 해당 지방에서 생산된 모든 보존기록물에 대한 실태조사와 구체적인 평가 업무 (3) 민간기록을 포함한 각종 의미있는 지방기록의 수집 및 정리, 공개 및 활용 업무(수집 및 활용계획 수립 업무) (4) 지방기록문화운동의 매개 혹은 후원 업무 등을 수행해야 한다는 것 등이다.

한국 재래계의 HNF4α 유전자 내 SNP와 성장과의 연관성 분석 (Association of SNPs in the HNF4α Gene with Growth Performance of Korean Native Chickens)

  • 양송이;최소영;홍민욱;김훈;곽경록;이효정;정동기;손시환;홍영호;이성진
    • 한국가금학회지
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    • 제45권4호
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    • pp.253-260
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    • 2018
  • $HNF4{\alpha}$ 유전자는 인간의 지질 수송 및 대사에 관여하는 간 전사인자로써, 닭의 지방 축적에 관련된 잠재적 후보유전자로 선정하였다. 선행연구에서 보고된 $HNF4{\alpha}$ 유전자 내 A543G SNP은 외래 육계뿐만 아니라, 외래 육계와 유전적 차이를 가지는 한국 재래계의 생시체중과 생체중에 유의적 연관성을 보인 바 있으나, 해당 SNP의 정확한 위치는 보고된 바 없다. 따라서 본 연구에서는 sequencing을 통하여 A543G SNP의 정확한 위치를 파악하고, A543G SNP의 주변 부위의 한국 재래계의 산육형질에 유의적 연관성이 있는 SNP을 파악하고자 하였다. Genomic DNA는 128수의 한국재래계의 혈액을 이용하여 추출하였으며, PCR 뒤 sequencing에 사용되었다. Sequencing 결과, 증폭범위 내에서 총 14개의 SNP가 탐색되었으며, 이 중 $HNF4{\alpha}$ 유전자의 intron 4 상에서 기존에 보고되지 않은 1개의 새로운 SNP를 발견하였다. 확인된 14개의 SNP 중 rs731246957과 rs736159604가 재래계의 생시체중 및 생체중에 유의적 연관성(P<0.001)을 보였다. rs731246957은 닭의 20번 염색체의 5,566,970번째에 위치하며, 선행논문에서 체중과의 연관성이 보고된 A543G SNP인 것으로 확인되었으며, 기존의 연구결과와 유사한 결과를 얻을 수 있었다. 반면에 선행논문에서 닭의 성장형질과의 연관성이 보고된 적 없는 rs736159604 SNP는 GG 유전자형 그룹이 GA, AA 유전자형 그룹에 비해 꾸준히 높은 체중 관측치를 보였으며, 특히 40주령의 체중은 다른 유전자형 그룹에 비해 약 1.8배 높게 관측되었다. 뿐만 아니라 신규 발견한 SNP의 T allele을 가지는 계군이 G allele을 가지는 계군보다 성장면에서 고능력을 보이는 것을 확인하였다. 따라서 본 연구결과는 한국재래계의 산육형질과 연관된 후보유전자로써 $HNF4{\alpha}$ 유전자의 기초정보를 제공하며, 해당 유전자내 특정 단일염기의 변이가 재래계의 체중 관련 유전자 마커로 유용하게 활용 가능할 것을 시사한다.

보물 도기 말머리장식 뿔잔의 제작 기법 연구와 보존처리 (Study on Manufacturing Techniques and Conservation for Earthenware Horn Cups with a Horse Head Decoration(Treasure))

  • 권오영;함철희;유지아;김한슬;박창열
    • 헤리티지:역사와 과학
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    • 제55권1호
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    • pp.51-61
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    • 2022
  • 도기 말머리장식 뿔잔은 부산광역시 동래구 복천동 제7호 무덤에서 출토되었다. 뿔을 본떠 흙으로 만든 것으로 액체를 담아 사용된 것으로 생각되며 신라·가야 지역의 무덤에서 여러 형태의 뿔잔이 다수 출토되었다. 뿔잔 2점이 한 쌍으로 출토되었으며 크기는 서로 다르지만 전체적인 형태와 제작 기법은 거의 동일하다. 이번 처리를 마친 유물은 발굴된 두 개의 뿔잔 중에 큰 형태에 해당하며 구연부를 중심으로 말머리장식 쪽으로 균열이 두 군데에 있었으며 소실된 편도 관찰되었다. 뿔잔은 말의 가슴을 바닥에 닿게 하고 이를 중심으로 한쪽은 말머리를 장식하고 반대쪽은 원추형의 뿔잔 입구가 있고 뒤쪽에 2개의 다리를 붙여 뿔잔의 균형을 맞춘 U자형의 형태이다. 뿔잔의 표면은 물레로 성형하고 말머리와 연결된 부분은 깎아 다듬은 자국이 있다. 말머리의 형상은 간결하게 귀·눈·코와 입 등 특징을 잘 파악하여 사실적으로 표현했으며 색은 회색이다. 이 연구에서는 비파괴 상태조사를 통하여 내부 구조를 알아보는 등 제작 특성을 알아보고자 하였다. C·T영상을 통하여 제작 기법을 알아보고 상태를 진단하여 과학적 보존처리를 통해 유물을 안정화 하였다. 보존상태 정밀진단 결과, 구연 두 곳에 결손부분이 있고 균열이 연장된 것을 확인하였다. 이 중 한 곳은 균열에 이격이 더해진 상태로 접합이 된 상태였다. 과거 접합이 이루어진 재료를 수습하여 적외선 분광분석을 실시한 결과, 질산셀룰로오스계 수지가 사용된 것을 알 수 있었다. 따라서 이번 보존처리는 과거의 재료를 제거하고 균열의 확산을 방지하는 데 중점을 두고 진행하였다. 보존처리 전 상태조사 및 과학적 조사를 실시하여 도기 말머리장식 뿔잔(보물)에 대한 자료를 확보하고, 이를 바탕으로 효과적인 보존처리 방안 모색, 기존 접착제의 안전한 제거 및 복원 재료의 가역성을 고려하여 선택하고 보존처리는 전문가 자문회의를 통해 최상의 방법으로 실시하였다.