• 한방비만학회지
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• 제24권1호
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• pp.68-75
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• 2024

Objectives: This study was aimed to evaluate changes in blood pressure, pulse rate and body weight of overweight or obese patients after two weeks of taking Gamitaeeumjowee-tang. Methods: A retrospective chart review was conducted for patients with auscultatory blood pressure records who visited the clinic after two weeks from the first visit between July 8, 2019 and August 30, 2019. Results: A total of seventy-two patients were included. There were significant differences in systolic blood pressure (121.69±14.3 mmHg to 117.37±12.3 mmHg, P=0.002) and pulse rate (78.56±9.3 bpm to 82.99±9.0 bpm, P<0.001). There was no significant difference in diastolic blood pressure. There were significant differences in body weight (76.28±13.5 kg to 73.41±13.1 kg, P<0.001) and body mass index (28.82±4.4 kg/m² to 27.75±4.3 kg/m², P<0.001). Conclusions: In this study, blood pressure tended to decrease and pulse rate slightly increased after two weeks of taking Gamitaeeumjowee-tang. It is necessary to notice the possibility of pulse rate increase and the plan of action when using Gamitaeeumjowee-tang. Additional well-designed investigations are needed.

• 대한방사선치료학회지
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• 제25권1호
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• pp.15-24
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• 2013

목 적: 본원에서는 전신조사방사선치료 시 양 팔을 몸에 붙이고 누워있는 환자에게 좌우 양방향으로 방사선을 조사한다. 누운 자세는 기준점 두께에 대하여 신체 다른 부위와 두께 차이가 크기 때문에 보상체의 제작이 필요하고, 기준 깊이(Umbilicus) 처방선량에 대하여, 양팔(Arms)로 가려지지 않은 흉부와 복부 전면(Anterior)은 최대 20%까지의 선량차이가 나는 고 선량 영역이 된다. 이에 본 연구에서는 전신조사방사선치료 시 고 선량 영역과의 선량 차이를 줄일 수 있는 Isodose Structure를 이용한 Field-in-Field (FIF) Technique의 유용성을 평가 하고자 한다. 대상 및 방법: 인체모형등가팬텀(Rando Phantom, Alderson Resarch Laboratories Inc. Stamford. CT, USA, With Arm)으로 전산화단층촬영모의치료기의 영상을 획득하여 FIF와 납(Pb) 보상체를 이용한 전산화치료계획(Eclipse, version 10.0, Varian, USA)을 수립하였다. 두 치료계획의 흉부와 복부 부위의 선량분포를 비교하고, 수립된 치료계획을 이용하여 인체모형등가팬텀에 선량을 조사한 후, 열형광선량계(thermoluminescence dosimeter, TLD)와 필름(Film)을 이용하여 측정하였다. 결 과: 두 치료계획을 비교해 본 결과 기준깊이 처방선량에 대하여 팔로 가려지지 않은 흉부와 복부 전면의 선량차이는 FIF에서는 106~107%, 납 보상체를 이용한 치료계획에서는 114~124%였다. 열형광선량계를 분석한 결과로 FIF에서는 104~107%, 납 보상체를 이용한 치료계획에서는 110~117%의 기준깊이 처방선량과의 선량차이가 나왔다. 결 론: 본 실험에서 인체모형등가팬텀에 양 팔을 제작하여 치료 계획 및 선량을 조사해 보았다. 양 팔의 투과 유무에 따라 약 7~17%의 선량차이가 발생 하였다. 4단계의 FIF 기법으로 3차원 치료계획을 수립하여 전신에 약 95~107%의 균등한 선량 분포를 확인하였고 ${\pm}10%$ 이내의 선량 균일성을 유지 할 수 있을 것으로 분석 되었다. FIF 기법을 이용한 3차원 치료 계획은 환자 전신에 조사되는 선량을 미리 분석 할 수 있는 치료 계획으로 기존 치료 방법보다 균등한 선량의 전달이 가능할 것으로 사료된다.

• 간호행정학회지
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• 제4권2호
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• pp.475-487
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• 1998

This is a study to search for the ethical basis for valid informed consent of organ donors. It is an admirable action that a person give his own body part or organ as a gift to another person. The organ for transplantation can be removed only when the donor consents voluntarily to donation. It is recently proposed as the need for organ transplantation is increased that organs can be harvested although the consent of deceased cannot be obtained. This may raise many moral issues because human beings all have an unalienable right to control their own bodies. The principle of autonomy is usually regarded as an ethical basis for informed consent. However, some people criticize that the principle of autonomy requires a person and his decision to be autonomous (but there are many patients who aren't autonomous due to their confusion or unconscious condition in a clinical situation). or this principle can foster indifference to patients needing help: thus respect for principles of care and beneficence is necessary. When we consider the complexity of making a decision about organ donation. the principle of autonomy should be replaced by the principle of respect for individual autonomy. as expressed by Childress (1990). This principle requires the care givers to respect the client's individual decisions. The elements of informed consent are threshold elements: competence to understand and decide. voluntariness in deciding: information elements: disclosure of material information. recommendation of a plan. understanding of disclosure and recommendation: and consent elements: decision in favor of a plan. authorization of the chosen plan. In cases of living donors. the elements of competence and voluntariness are more important than the others. So only an adult can give a recipient his own body part. but it should be forbidden to harvest from minors or protected adults (i.e. developmentally disabled person However. when organs are removed from a cadaver donor. we ought to respect the donor's decision. So we ought to try to seek donor cards or any documents expressing the donor's opinion about organ transplant. All health care givers ought to disclose donor information about organ transplantation clearly enough for the donor to understand it and to be able to weigh the harms and benefits. We are going to propose 'the subjective standard' as the ethical standard of disclosure. This standard will assure that patients have enough information to be able to decide autonomously from their own position. Care givers have to consider the method of disclosure because donors can be influenced by it positively or negatively, Establishment of the Hospital Committee is recommended. because medical professionals will have a chance to discuss the procedure of decision and the validity of harvesting a organ from a person.

• 한국직업건강간호학회지
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• 제10권1호
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• pp.24-40
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• 2001

This study is to observe the effectiveness of the applied model and to present the improvement plan and directions for development for the case management practical model suitable for the actual condition of Korea Labor Welfare Co. and needs of the industrial injury patients. The concrete purpose of this study is: First, observe the difference of stressor experience and experience degree between the experimental group and the comparative group. Second, observe the difference of stress of the experimental group and the comparative group. Third, find out how the stress affects the support degree and satisfaction degree. Fourth, present the improvement plan of case management model, which can promote the psychosocial rehabilitation of the industrial injury patient based on the research results. The outline of the main research results identified in this study is as follows. The stressors the industrial injury patients perceived are health problems, family matters, the problems concerning hospital recuperation (hospital staff and environmental problems), economical problems, problems of coming back to society, problems with companies, problems with Korea labour Welfare Co. and other problems. And the experience of stressor was prominently lower in experimental group than comparative group in the whole problem, health problem, problems with Korea Labour-Welfare Co. and other problems. The stressor experience degree was conspicuously lower in experimental group in the whole problem experience degree, health problem experience degree, problem with Korea Labour Co. experience degree and other problem experience degree. Besides whether or not the case management is applied is having a prominent affect on the primary factor affecting the stressor experience degree, therefore the patients applied with case management has less stressor than the patient who didn't. The difference of degree of tension experienced by the stressor in both groups, the degree of stress, was not conspicuous in statistics so it shows that the application of case management in this research has not affected the degree of tension. The field which had been the most help was emotional support in help level the experimental group perceived through applying case management about industrial accident patients and recuperation, compensation problem, medical treatment problem, family matters has been helpful in this order. The help level of the whole problem was in higher level than the middle value. The stress factor which affects the case management problem settlement is the whole body of stress. The satisfaction level of help through applying case management was highest in emotional support and family matters, recuperation problem, company problem, compensation problem, and medical treatment problem was the next highest. The satisfaction level of the whole problem was higher than the middle value. The stress factor affecting the satisfaction level of help is the whole body of stress. Therefore to reduce the stress level of industrial accident patients and for them to come back to local societies, we need to reinforce the continuance and responsibility of case management model, increase staff, reinforce the role of counsel and medical treatment, intervene in the patient's plan of leaving the hospital, develop social support system and the need to establish After Care Center.

• 시큐리티연구
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• 제15호
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• pp.243-264
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• 2008

민간시큐리티산업의 급속한 성장과 함께 이에 걸맞는 시큐리티요원에 대한 전문자격에 대한 제도적인 장치가 정착되어 있지 않다. 개인의 생명 신체 및 재산을 보호하는 역할을 하는 시큐리티요원에 대한 자격제도는 국민의 신뢰와 요원의 자질을 향상시키는 문제로서 반드시 필요한 부분이다. 양질의 시큐리티서비스를 제공하기 위해서는 업무수행에 필요한 요원의 전문성을 갖추는 것이 필요하다. 이를 위한 제도적인 시큐리티자격의 정착은 개인의 사회적인 신뢰와 시큐리티산업의 발전을 유도할 수 있다. 미국과 일본 등에서 시행하고 있는 자격제도는 시큐리티자격제도 마련을 위한 꾸준한 연구와 실무계의 협력을 통해 정착됐는데, 이들은 한국의 시큐리티자격제도 시행에 많은 시사점을 주고 있다. 본 논문에서는 시큐리티요원의 자격제도에 대한 필요성을 강조하고 한국 시큐리티자격제도의 실태를 살펴보고 이와 더불어 한국경비협회가 주관하여 한국시큐리티자격평가원이 제2차에 걸쳐 시행한 신변보호사 자격시험을 중심으로 시행상 도출된 문제점을 분석하여 시큐리티관련 민간경비자격제도의 발전방안을 고찰한다.

• Journal of Acupuncture Research
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• 제20권6호
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• pp.63-79
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• 2003

Objective: It makes a through study on the popularization and usefulness paln of Moxa Combustion, therefore popularizing practical use of that. Methods: It was based on the established treatises and books, in order to studying about the literature of Moxa Combustion Results & Conclusions: It makes a through study on the whole of Moxa Combustion, the results as follows. 1. We explained(illustrated) the origin, history, classification and mechanism(effect) of Moxa Combustion 2. The study of standardization plan of Moxa Combustion for popularization - The thermal stimulation of Moxa Combustion was decided the characteristic pattern of combustion temperature by moxa burning and that makes a measure to grasp the effective action of Moxa Combustion upon human body. Thereupon it is necessary to continue further studies by analysing the characteristic pattern of combustion temperature by moxa burning and there clinical effects in practice. 3. The usefulness of Moxa Combustion - The therapeutic effect of Moxa Combustion are hematopoiesis(increase the blood), analgesic function, increase the immunity, antioxidant activity, diuretic action, control of hormone(endocrine gland), supression of carcinogenesis, increase the self involution(natural healing), decrease of GOT/GPT, Glucose, Cholesterol level.

• 건축역사연구
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• 제9권2호
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• pp.85-100
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• 2000

This paper is a study of the Beaux-Arts discipline of architecture, as it was established during the late nineteenth century in America. It focuses on trio particular modes of vision and representation that were at the heart of the discipline. The paper argues that Beaux Arts vision was centered on what may be called 'planar vision'; a mode of seeing through which the multiple aspects of the architectural design imbedded in the plan were read and re-interpreted. Similarly Beaux-Arts training in drawing required its student to draw within the multiple layers of historical traces; the new design being in effect a new layer placed on often unseen traces of monumental precedent. The theoretical basis of this practice was not based on history but on the concept of composition. Composition, in the French tradition was regarded more a matter of practice than theory. The Anglo-American discourse on composition, on the other hand, formed a body of theoretical literature based on formalist assumptions. There was, however, a fundamental gap between these formalist theories of composition and the 'layered' modes of vision and drawing involved in the design process. This practice leaned more on the modern romantic notion of 'intuition' for its theoretical basis, once again forming an immanent conflict with the mimetic practice of classical and historical architecture. The paper draws a picture of a discipline centered on a 'theory of the plan,' a potentially modern discipline integrated with classical forms and details. It was clearly effective as a practice. However, structured by conflicts between theory and practice, history and form, mimesis and intuition, the Beaux-Arts was unable to defend itself at the philosophical and theoretical level the modernists engaged their attacks on this system. At the same time, the paper poses the question of how different modern architecture is from this system. Is not the 'theory of plan,' in its many transformations and guises, still the central discipline of twentieth century modern architecture, and is it not structured by basically the same kind of conflicts and paradox that were immanent to the Beaux-Arts system.

• 농촌계획
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• 제24권3호
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• pp.1-12
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• 2018

This study aims to offer base line data for efficient conflicts control measures by first, analyzing the current situation of the regional comprehensive development project and second, identifying level, type and cause of the conflicts appeared during the development business promotion. For this purpose, theoretical side of this study establishes a basic frame by reviewing the existing researches in order to analyze the characteristics of the conflicts between the participation subjects in the development business, and the empirical side conducts survey and analysis on the awareness on these conflicts. As a result of the analysis, the survey revealed the followings. First, the respondents were aware of the overall promotions of the business quite positively, second, the conflicts were considered as a major obstacle against the development project promotion just as the other negative factors, third, majority of the responses on the seriousness of the conflicts were neutral which meant that the conflicts could be deepened by situations, fourth, most respondents had positive recognition on the needs of conflict control training and its effectiveness, and last but not least, most respondents of the survey revealed their intentions to take parts in trouble shooting from the conflicts. Based on the results above, we were able to extract several elements to consider preparing the countermeasures for the conflicts. First, specific plan should be arranged and institutionalized in order to control the conflicts between the residents at the initial stage of the development business or even before. Second, the specific plan must lower its threshold for easy participation of the residents in that region and make the residents main body of the conflict control. Third, enhanced conflict control education must be provided to the residents of the region where comprehensive development plan is in progress or being prepared.

• 한국실내디자인학회논문집
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• 제26권6호
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• pp.13-23
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• 2017

The purpose of this study is to analyze the expression method according to the planning of townhouse and the healing method that affects residents for communicating with natural environment, in order to propose resident-focused communication with nature for healing. The results are as follows. First, the expression of nature elements can be divided into 'direct' and 'indirect' and healing effects through nature can be divided into 'body' and 'psychology'. The healing method of residents through nature was classified into physical and psychological healing through openness, familiarity, comfort, and stability. Second, as an expression method according to townhouse planning, the arrangement plan induced active communication with nature through the arrangement according to topography and a common garden. In terms of construction plan, a bigger window or door than that of other residential spaces was installed on a wall, ceiling or opening to directly bring the nature of outside visually for more communication. Third, with regard to healing methods of townhouse, 'openness' which reduces depression and increases self-esteem, expands the view of residents. 'Familiarity', the healing method that can relieve the fatigue of eyes and bring psychological warmth and comfort, makes us feel familiar through the pattern and texture of woods and stones that are natural materials. 'Comfort' which heals residents by creating an outside space and bringing the nature elements through a huge window can provide psychological healing such as eased tension in daily life as well as physical healing such as vitamin D synthesis and the recovery of physiological function. Also, 'Stability' gives a comfortable feeling by applying the colors of finishing materials inside or seeing the colors of surrounding nature as it is through big windows. Finally, in order to support the results of this study more objectively, a follow-up study conducting a survey on the residents of townhouse is needed.

• 대한방사선기술학회지:방사선기술과학
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• 제41권6호
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• pp.561-566
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• 2018

Field-in-Field Technique is applied to the radiation therapy of breast cancer patients, and it is possible to compensate the difference in breast thickness and deliver uniform dose in the breast. However, there are several fields in the treatment field that result in a more complex dose delivery than a single field dose delivery. If the patient's respiration is irregular during the delivery of the dose by several fields and the change of respiration occurs, the dose distribution in the breast changes. Therefore, based on the computed tomography images of breast cancer patients, a human model was created by using a 3D printer (Builder Extreme 1000) to describe the volume in the same manner. A computerized tomography (CT) of the human body model was performed and a treatment plan of 260 cGy / fx was established using a 6-MV field-in-field technique using a computerized treatment planning system (Eclipse 13.6, Varian, USA). The distribution of the dose in the breast according to the change of the respiration was measured using a moving phantom at 0.1 cm, 0.3 cm, 0.5 cm amplitude, using a MOSOXIDE Silicon Field Effect Transistor (MOSFET, Best Medical, Canada) Were measured and compared. The distribution of dose in the breast according to the change of respiration showed similar value within ${\pm}2%$ in the movement up to 0.3 cm compared to the treatment plan. In this experiment, we found that the dose distribution in the breast due to the change of respiration when the change of respiration was increased was not much different from the treatment plan.