• The Korean Journal of Pain
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• 제6권2호
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• pp.231-236
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• 1993

Clonidine, a centrally-acting antihypertensive agent known to reduce central sympathetic outflow and modulate presynaptic transmitter's release, has shown to suppress central noradrenergic hyperactivity induced by immobilization stress in animals, by decreasing the MAC of halothane and the dose of narcotics required to prevent reflex cardiovascular response to noxious stimuli, and to have potent analgesic properties in humans. These characteristics suggest that clonidine might be a useful adjunct to the anesthetic management of patients with preexisting hypertension. Accordingly, we determined the clinical efficacy and safety on analgesia, sedation and hemodynamic stability in the perioperative period. Thirty patients(ASA physical status II-III) with a history of arterial hypertension, scheduled for elective orthopedic surgery were randomly assigned to two groups. We applied CPA-clonidine patch($6.9\;mg/cm^2$, 0.2 mg delivered daily) or placebo patch to each groups, 48 hours prior to induction of anesthesia. Antihypertensive medication was continued until the morning of the scheduled surgery. All patients received premedication of atropine and lorazepam, and induced anesthesia with thiopental and succinylcholine, and maintained with enflurane and 50% nitrous oxide, while sustaining the BP and pulse rate at acceptable range. For the relief of pain postoperatively, diclofenac and fentanyl were administered intramuscularly on demand. The results were as follows: 1) The change of hemodynamic responses in clonidine group was less compared to the placebo group. 2) Intraoperative anesthetic requirement for enflurane in clonidine group were significantly lower than placebo group. 3) Postoperative analgetic requirement in clonidine group were significantly lower than placebo group. In clonidine group, 5 cases out of 15 cases were required no analgetics, and the incidence of administration of additional fentanyl was decreased to 5 cases, comparing with 10 cases in placebo group.

• 지역사회간호학회지
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• 제7권1호
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• pp.154-169
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• 1996

Parish nursing is a community health nursing role developed in 1983 by Lutheran chaplain Granger Westberg. An increasing emphasis on holistic care, personal reseponsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment and nurturance of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The autors conducted a study on pastor's expectations from parish nurses. Results of this study will be useful to those instrumental in planning, initiating, supporting, and evaluating a parish nurses program The research was done on 130 pastors in Taegue and Kyong Sang Buck Do, of various ages ranging from their 20's to 60's: and pastoring churches of various sizes, ranging from under 100 to over 300 members. 94.6% agreed that they needed a parish nurse on their staff; and 86.2% said they wanted to start a parish nurse program in their churches if certain basic conditions were met. The pastors responded that some would hire the nurses on a full-time basis(22.3%), a part -time basis (37.7%) or use volunteer nurses (40%). The pastors said they would expect the following from a parish nurse: health counselling (80.0%) regular health check-ups (78.5%) health care for the elderly (78.5%) health information and education (72.3%) hospice care (72.3%) visiting sick church members at home (69.2%) arranging and training volunteers to help the seek (59.2%) health care for expectant mothers (50.0%) introducing and taking people to health care facilities (46.2%) The pastors were surveyed about specific areas of health education they would want the parish nurse to teach(for example, high blood pressure and heart disease prevention and management(76.2%) ; stress management(74.6%); and diabetes prevention and management(73.8%). The pastors were surveyed about specific areas of health counselling they would expect the parish nurse to do (for example, drug abuse, (73.1), alcohol abuse(64.6%), marriage conflict(60.0%), recovery after the loss of a loved one(56.9%), and women's conflict with parents-in-law(53.8%). The pastors were surveyed about types of things they would want included in regular health check-ups, what they would want a parish nurse to do on home visits, and what they would want included in home care for the elderly. They were also surveyed on what kind of spiritual care they would like parish nurses to give. Most (90.7%) wanted their parish, parishioners to be involved in the parish nurses program as volunteers, and in a variety of ways(such as visiting sick in their homes(68.5%) and helping with housework(63.1%) and taking sick people to health facilities(60%). Parish nurses role, activities, and boundaries of practice should be continuously monitored and refined and a 'case manager' should be conceptualized as an additional or all-encompassing role. An initial parish / community needs and readiness assessment should be done prior to establishing a program to detemine if the congregation is ready, willing, and able to support such a position for at least a 2 to 3 year period.

• 대한간호학회지
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• 제38권6호
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• pp.822-830
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• 2008

Purpose: The purpose of this study was to analyze effects of a community-based case management program for clients with hypertension living in the community. Methods: The research design was a one group pre and post-test design with 30 participants with hypertension who agreed to participate in the 8-12 week case management program provided by case managers from the National Health Insurance Corporation in 2002. Data were collected three times, before and after the case management services, and 6 months later. Outcomes included changes in blood pressure, knowledge of hypertension and daily life practices, including alcohol consumption, smoking, exercise, and medication adherence. Results: Repeated-measures ANOVA and post-hoc tests of means revealed significant differences before and after service for systolic blood pressure, daily life practices (monitoring body weight and BP, low salt and cholesterol and high vegetable diet, and stress-relief practices), and exercise. The goal for medication adherence was attained after service. Significant improvements from baseline to 6 months after service were observed in measures of salt and vegetables in diet. There were no significant differences on hypertension knowledge, alcohol consumption or smoking behavior between before service and after, and at 6 months. Conclusion: The findings provide preliminary evidence that case management intervention can have positive outcomes on BP control, daily life practices, exercise, and medication adherence for clients with hypertension. However, additional interventions are needed to sustain long-term effects.

• 대한본초학회지
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• 제20권3호
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• pp.29-41
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• 2005

Objectives : The use of natural products with therapeutic properties is as ancient as human civilisation and, for a long time, mineral, plant and animal products were the main sources of drugs. Catalposide, the major iridoid glycoside isolated from the stem bark of Catalpa ovata G. Don (Bignoniceae) has been shown to possess anti-microbial and anti-tumoral properties. Heme oxygenase-1 (HO-1) is a stress response protein and is known to play a protective role against the oxidative injury. In this study, we examined whether catalposide could protect Neuro 2A cells, a kind of neuronal cell lines, from oxidative damage through the induction of HO-1 protein expression and HO activity. We also examined the effects of catalposide on the productions of tumor necrosis $factor-{\alpha}\;(TNF-{\alpha})$ and nitric oxide (NO) on RAW 264.7 macrophages activated with the endotoxin lipopolysaccharide. Methods : HO-1 expression in Neuro 2A cells was measured by Western blotting analysis. NO and $TNF--{\alpha}$ produced by RAW 264.7 macrophage were measured by Griess reagent and enzyme-linked immunosorbent assay, respectively. Results : The treatment of the cells with catalposide resulted in dose- and time-dependent up-regulations of both HO-1 protein expression and HO activity. Catalposide protected the cells from hydrogen peroxide-induced cell death. The protective effect of catalposide on hydrogen peroxide-induced cell death was abrogated by zinc protoporphyrin IX, a HO inhibitor. Additional experiments revealed the involvement of CO in the cytoprotective effect of catalposide-induced HO-1. In addition, catalposide inhibited the productions of $TNF--{\alpha}$ and NO with significant decreases in mRNA levels of $TNF--{\alpha}$ and inducible NO synthase. Conclusions : Our results indicate that catalposide is a potent inducer of HO-1 and HO-1 induction is responsible for the catalposide-mediated cytoprotection against oxidative damage and that catalposide may have therapeutic potential in the control of inflammatory disorders.

• Journal of Acupuncture Research
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• 제27권1호
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• pp.87-100
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• 2010

Background : Recently a discussion about Qi including a study about the effect or the theory of acupuncture is getting prevailing in various angles. In most of studies about acupuncture stimulus, 'Filiform acupuncture'(毫鍼) is used. A study about Nine kinds of acupuncture(九鍼), except 'Filiform acupuncture'(毫鍼) has not been reported yet, and there is no study about using a special acupuncture made for controling Qi either. Objectives : 'Dong Chu Gold Chim(DCG-chim, 東樞金鍼)' can be used for patients who are scared of a pain because it is a medical Qi-gong tool and non-invasive stimulus one. To assess a effect of Qi-gong operation using DCG-chim objectively Methods : The present study was performed to elucidate the effects of DCG-chim stimulation of an acupuncture point Baihui($GV_{20}$) on the Electroencephalogram(EEG). Twenty healthy subject were treated with DCG-chim one time accompanied by the light and vertical pressure and EEG were measured during five minutes for three times (before, during and after treatment). The EEG results of DCG-chim treatment were compared with those of 'Filiform acupuncture(毫鍼)'. Results : EEG power spectra changed significantly after both kind of acupuncture stimulation. Significant increase of $\alpha$ wave and decrease of $\beta$ wave were observed but interestingly, Mid-$\beta$ and SMR of $\beta$ wave which mean the state of concentration were increased with statistically significant. According to these results, DCG-chim stimulation of Baihui($GV_{20}$) seems to lead to relaxation with antianxietic effect and improvement of concentration at the same time. Conclusions : It would be expected that the doctor can apply DCG-chim for treating anxiety, tension, symptom caused by stress and also can use it clinically for patients who have needlphopia or children as a non-invasive procedure. It is suggested that additional studies about the effect of DCG-chim on other acupuncture points and comparison study about the effect of DCG-chim with those of the finger-pressure treatment using other tool should be done in the future.

• 한국전산구조공학회논문집
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• 제32권6호
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• pp.383-390
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• 2019

본 논문에서는 AISC 표준 단면을 설계 변수로 하는 캔틸레버 타입 헬리데크 모델의 유전 알고리즘 최적설계를 소개한다. AISC 표준 단면을 단면 형상별로 분류하고 단면적 순으로 정렬한 후 정수 단면 번호를 부여하여 설계 변수로 최적설계를 수행하였다. 이 과정을 통하여 이산화된 설계 변수를 가지는 최적설계 문제를 해결하기 위해 유전 알고리즘을 적용하였다. 또한, 제약조건으로 허용응력 및 허용응력비 검사 조건을 모두 고려하여 구조물의 구조 안정성을 고려한 설계를 수행하였다. 최적설계 과정중 매 반복계산 마다 수행되는 구조 해석 시간을 단축시키기 위해 선형 중첩법을 사용하였고, 이를 통해 구조해석 시간을 약 75% 감소시킬 수 있었다. 또한 헬리데크 최적설계의 경량 효과를 높이기 위해 부재 그룹 세분화를 하였고, 그 결과를 선행 연구 모델, 기존의 부재 그룹 모델과 비교하였다. 그 결과 선행연구 대비 약 30톤의 부재를 절감할 수 있었으며, 구조적으로도 보다 안전한 헬리데크 설계를 얻을 수 있었다.

• 한국산학기술학회논문지
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• 제21권1호
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• pp.409-416
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• 2020

전세계적으로 다양한 규모의 지진이 계속하여 발생하고 있으므로 원자로용 격납구조가 구조적인 건전성을 유지하기 위해서는 내진성능의 확보가 필수적이다. 따라서 소형 원자로용 모듈화 격납구조의 경우에도 내진성능의 분석이 필요하다. 본 연구에서는 소형 원자로용 모듈화 격납구조의 내진성능 분석을 위해 콘크리트 모듈 간 접촉면과 긴장재를 반영한 유한요소 모델을 작성하여 고유진동해석과 지진해석을 수행한다. 이를 통해 입력지진파에 의한 모듈화 격납구조의 변위, 응력 및 연결부 접촉면 갭 크기의 변화특성을 분석한다. 그리고 긴장력, 연결부 접촉면 마찰계수 및 입력지진파의 변화가 내진성능에 미치는 영향을 분석한다. 비교를 위해 일체화 격납구조의 내진성능도 분석한다. 긴장재의 긴장력과 모듈 연결부 접촉면의 마찰력에 의한 합성효과로 모듈화 격납구조는 발생 가능성이 가장 높은 1, 2차 고유모드에서 일체화 격납구조와 유사한 횡방향 동적거동을 한다. 긴장재의 긴장력과 연결부 접촉면의 마찰력에 의한 합성효과가 충분히 발휘될 경우, 연결부를 갖는 모듈화 격납구조에서도 일정수준 이상의 내진성능이 확보된다. 연결부 접촉면 재질을 마찰계수가 더 큰 재료로 바꿀 경우 추가적인 내진성능 향상이 기대된다.

• Restorative Dentistry and Endodontics
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• 제21권2호
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• pp.619-627
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• 1996

There are increasing use of composite resin in the posterior teeth and the new indirect inlay technique was introduced for compensating much troubles faced in direct technique. Many researchers insisted that overall properties of restorative materials were enhanced by an additional curing but this technique still has a problems about using cement material. Resin inlay obtains retention force from friction and another adhesion to tooth structure. A shape of cavity preparation was noted but studies about cement thickness and bond strength with cavity divergency are rare. The purpose of this study is to assess the effect of cavity divergency on cement thickness and bond strength of resin inlay. Cavities, which divergency was $6^{\circ}$, $16^{\circ}$, and $26^{\circ}$ in each group, were prepared and their divergency was verified by Adobe Photoshop program through the image capture with stereo microscope and FlexCam. Inlays were fixed into the cavities with a resin cement, Superbond and were handled under chemical (in 75% ethanol for 24 hrs.) and thermal stress (500 cycles from $5^{\circ}$ to $55^{\circ}C$). MXT 70 (x400) was used for measuring the cement thickness and bond strength was evaluated with a universal testing machine. Following results were obtained : 1. The cement thickness in Mean (S.D.) were; 35.58 (10.31)${\mu}m$ in $6^{\circ}$ group, 35.97 (10.49)${\mu}m$ in $16^{\circ}$ group, and 41.43 (9.33)${\mu}m$ in $26^{\circ}$ group. But there was no significant difference between groups. 2. The bond strength in Mean (S.D.) were ; 33.18 (5.53)kg in $6^{\circ}$ group, 23.47 (13.40)kg in $16^{\circ}$ group, and 19.75 (10.48)kg in $26^{\circ}$ group. $6^{\circ}$ group showed significantly higher value compared to $16^{\circ}$ and $26^{\circ}$ groups (p<0.05). Although the results of this study indicate $6^{\circ}$ divergency will be good for resin inlay, cavity preparation with this type will have lots of difficulties in manufacturing, try-in, and cementation procedures, such as deformation. So it is concluded that $16^{\circ}$ divergent cavity preparation is recommended in resin inlay technique.

• 한국식품영양과학회지
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• 제36권1호
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• pp.124-130
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• 2007

본 연구에서는 한식당에 대한 외국인 고객의 가격민감성을 측정하였으며, 그 결과 한식당 유형별로 가격민감성이 다르게 측정되어 가격이 각 외식업체의 제품과 서비스의 품질과 가치를 특징짓는 것으로 나타났다. 이에 따라 소비자의 서로 다른 요구에 의해 준거 가격이 복잡해지며, 소비자의 구매 목적에 따라서도 영향을 미치는 것을 알 수 있었다. 특히, 외국인 국적별로 가격민감성을 비교한 결과, 각 세분 시장별로 가격민감성에 차이를 나타냈는데, 전반적으로 일본인이 다른 세분시장에 비해 가격에 민감한 경향을 보이는 것으로 측정되었다. 이러한 가격민감성측정 모델은 다른 타겟 시장의 민감성과 각각의 수용가격범위를 측정할 수 있으므로, 외식업체 운영자들은 어떤 시장이 얼마의 최소한의 가격으로 구매 행동을 하지 않으며, 어떤 시장에 그 가격에 맞는 가치를 제공하도록 노력을 기울일 것인지 파악해야 한다. 또한 가격과 품질사이의 단순한 상관관계에 의해서만 소비자들의 행동을 설명하기 엔 너무 많은 변수들과 상황이 존재하고 있다. 따라서 구매 동기,사회적 환경 등의 요인, 시간제한, 계절적 효과, 물리적 환경, 구매 주체, 분위기 등의 상황적 변수들이 가격 민감 행동과 상호 작용 가능한 잠재적 요인들이므로 가격민감성과의 상관관계 분석도 가능할 것이다. 그러나 가격은 동질적인 제품 또는 동질적인 상황에서 소비되는 제품과 서비스에 대해서는 그 중요성이 떨어지고, 브랜드가 품질의 지각과 가치의 지각, 그리고 구매의도에도 긍정적인 영향을 미치게 되므로 외식기업들은 궁극적으로 이러한 순간에 다른 브랜드와 차별화 될 수 있는 한식 브랜드 요인들을 강조하여 경쟁적인 이익과 이윤을 증가시켜야 함을 잊지 말아야 할 것이다. 이와 함께 소비자의 기호와 욕구를 충족시킬 수 있는 가격과 가치 부여만이 고객 만족과 재 방문, 나아가 충성 고객을 이끌 수 있으며, 외식기업의 이를 활용한 가격전략 수립이 우선되어야 한다.

• 예술인문사회 융합 멀티미디어 논문지
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• 제9권6호
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• pp.773-782
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• 2019

바젤III(Basel III)는 국제결제은행(BIS)이 2010년에 확정한 강화된 재무건전성기준으로 대표적인 규제비율에는 자본적정성, 자산건전성, 유동성 등이 있다. 자본적정성 규제의 측정항목은 BIS자기자본비율, BIS기본자본비율, 단순자기자본비율로 구성된다. 자산건전성 규제의 측정항목에는 고정이하여신비율과 대손충당금적립률이 있으며, 유동성 규제의 측정항목에는 원화 및 외화 유동성커버리지비율 등이 있다. 본 연구는 은행의 건전성감독지표를 도출하고, 재무건전성 관점에서 국내 인터넷전문은행과 시중은행을 비교하여 문제점 도출과 해결방안을 모색해보고자 한다. 연구결과, 국내 인터넷전문은행의 자기자본비율은 시중은행에 비해 낮은 것으로 나타났다. 자본적정성 규제를 고려하여 지속적인 영업을 수행하기 위해서는 추가적인 자본확충이 필수적인 상황이다. 또한 국내 인터넷전문은행은 2019년에 중금리 대출의 만기가 도래하며 연체율과 고정이하여신비율이 높아지는 것으로 나타났다. 바젤I 적용을 받고 있는 인터넷전문은행은 재무건전성은 양호한 수준이나 바젤III 시행에 대비하여 BIS총자본비율과 보통주자본비율을 높여야 할 것이다.