• 설비공학논문집
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• 제29권1호
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• pp.29-37
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• 2017

Hospitals contribute to energy consumption and have a negative environmental impact. This study aims to find how meaningful energy performance, reflecting good energy management and design, can be planned for hospital buildings, a category encompassing complex buildings with different setups and large differences between them. Energy-consumption characteristics were surveyed throughout Korea to establish statistical energy models. Findings confirm that different hospital departments have hugely different energy-demand profiles. Energy efficiency and energy-saving potentials on HVAC systems are presented. The energy performance analysis can be applied to a wide range of problems in energy-system design and planning, including simulations and optimizations of community energy systems.

• 인터넷정보학회논문지
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• 제3권1호
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• pp.91-99
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• 2002

많은 기업 및 기관들이 그들의 업무정보를 인터넷을 통해 공유함에 있어서 얼마나 원하는 정보를 정확하게 그리고 신속하게 검색할 수 있는가에 대한 관심이 높아지고 있다. 따라서 업무정보의 신속한 저장, 검색 및 관리를 지원하기 위한 디렉토리 서버의 표준으로 LDAP 프로토콜이 제안되었고 이미 세계적 표준으로 자리 잡아 가고 있는 실정이다. 하지만 기존의 LDAP 프로토콜만으로는 서버의 과부화 및 데이터 동기화 등의 문제에 효과적으로 대처하기 어렵다. 본 연구에서는 LDAP의 등장 배경 및 특징에 대해 살펴보고 LAP 운용환경에서 발생할 수 있는 서버의 과부하와 데이터 동기화 문제를 해결하기 위하여 서버 독려형 방식의 아키텍쳐를 제안하고 그 특징을 기술한다. 특히 서버 독립형 방식은 기존의 LDAP 아키텍쳐 위에 설계되었기 때문에 확장성과 이식성도 함께 보장할 수 있다는 장점이 있다.

• Spatial Information Research
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• 제11권4호
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• pp.453-464
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• 2003

지식정보사회에 있어 국가의 경쟁력은 유용한 지식과 정보가 얼마나 효율적이고 효과적으로 유통될 수 있는가에 따라 결정된다. 이에 정부는 제2차 국가GIS구축 기본계획을 수립하고 '지리정보의 전 국민 인터넷 유통 및 활용'을 목표로 국가지리정보유통망을 구축하고 있다. 그러나 각 부처별로 생산 구축한 지리정보를 유통하고자 하는 노력들이 동시에 진행되고 있어 다양한 경로로 여러 유통망에 접근해야 하는 문제가 제기되었다. 그러나 모든 시스템의 특성 및 환경에 부합하는 일원화된 연계방안을 제시하는 것은 어려운 일이다. 따라서 본 연구에서는 국가지리정보유통망과의 연계를 위해 고려해야 하는 사항이 무엇인지 연계 요소를 도출하고, 각 연계 요소별로 유형화한 연계방안을 제시하여 국가지리정보유통망과의 연계에 필요한 기준을 마련하였다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제39권1호
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• pp.9-13
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• 2013

Objectives: Bisphosphonates (BP) are widely used in medicine for inhibiting bone resorption; however bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a major side effect of BP. To date, there have been no specific reports on the incidence of BRONJ among Koreans. This study investigated the preliminary results from a nationwide survey of BRONJ in the Departments of Oral and Maxillofacial Surgery (OMFS) at individual training hospitals. Materials and Methods: A total of 15 OMFS departments (10 from dental schools, 4 from medical schools, and 1 from a dental hospital) participated in a multi-centric survey. This study assessed every BRONJ case diagnosed between January 2010 and December 2010. The patient age and BP type were evaluated. Results: A total of 254 BRONJ cases were collected. The majority of BRONJ cases were associated with oral BP therapy, while 21.8% of the cases were associated with intravenous administration. Alendronate was the drug most frequently related to BRONJ (59.2% of cases), followed by risedronate (14.3%) and zolendronate (17.0%). The average age of BRONJ patients was $70.0{\pm}10.1$ years, with a range of 38-88 years of age. With the number of BP patients in Korea reported to be around 600,000 in 2008, the estimated incidence of BRONJ is at least 0.04% or 1 per 2,300 BP patients. Conclusion: The results suggest that the estimated incidence of BRONJ in Korea is higher than the incidence of other countries. Future prospective studies should be carried out to investigate the exact epidemiological characteristics of BRONJ in Korea.

• 대한간호학회지
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• 제19권1호
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• pp.24-39
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• 1989

This study was conducted to investigate the present situation and problems related to the use of nursing diagnosis in practice. The data were obtained from 332 subjects (27 director of nursing service, 302 staff nurses) who worked in university hospitals in Korea from July through August 1988 using a mailed questionnaire. Data were analyzed by frequency, X$^2$ test and t-test. The findings were as follows ; 1, Clinical use of nursing diagnosis by directors of nursing service and staff nurses. 1) The majority of the nursing departments (88.9%) conducted group education on nursing diagnosis during the last 5 years and 81.5% of them kept a record format for nursing diagnosis : 88.9% of them had had prior experience with the nursing diagnosis. 2) Most of nurses (97.0%) had received education on nursing diagnosis. 2. Factors related to the clinical use of nursing diagnosis in nursing service departments and by staff nurses. 1) The one factor related to the use of nursing diagnosis in the nursing service department was the existence of a record. 2) Factors related to the use of nursing diagnosis by the staff nurses were the organization style of the nursing service department, group education during the last 5 years, existence of a record, the attitude of the director of nursing service, and prior experience of the use of the nursing diagnosis as characteristics of nursing service department and educational experience of nursing diagnosis as a character of nurse. 3. Problems with the use of nursing diagnosis. 1) The primary problem was the lack of time and personnel (mean : 3.757) ; the second problem was the lack of knowledge and will to use nursing diagnosis in practice by the staff nurses(mean : 3.546). 2) There was no significant difference in problems expressed by the director of nursing services and the nurses. The majority of nurses who worked in the university hospitals expressed interest in and concern about the use of nursing diagnosis. Most of the nurses had had education about on nursing diagnosis but use in practice was limited. The primary problem was lack of time and manpower. Strategies for improving use of the nursing diagnosis in practice : 1) Strengthening the education about nursing diagnosis and a holistic approach to understanding human beings. 2) Develop protocols for the use of nursing diagnosis. 3) Eliminate the language barrier regarding nursing diagnosis by translation into in Korean. 4) Decentralization of the nursing service to promote accountability by individual nurses for use of nursing diagnosis.

• Asian-Australasian Journal of Animal Sciences
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• 제23권4호
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• pp.430-436
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• 2010

The objective of the present studies was to develop and validate a system for isolation, purification and extended culture of pigment-producing cells in alpaca skin (melanocytes) responsible for coat color and to determine the effect of alpha melanocyte stimulating hormone treatment on mRNA expression for the melanocortin 1 receptor, a key gene involved in coat color regulation in other species. Skin punch biopsies were harvested from the dorsal region of 1-3 yr old alpacas and three different enzyme digestion methods were evaluated for effects on yield of viable cells and attachment in vitro. Greatest cell yields and attachment were obtained following dispersion with dispase II relative to trypsin and trypsin-EDTA treatment. Culture of cells in medium supplemented with basic fibroblast growth factor, bovine pituitary extract, hydrocortisone, insulin, 12-O-tetradecanolphorbol-13-acetate and cholera toxin yielded highly pure populations of melanocytes by passage 3 as confirmed by detection of tyrosinase activity and immunocytochemical localization of melanocyte markers including tyrosinase, S-100 and micropthalmia-associated transcription factor. Abundance of mRNA for tyrosinase, a key enzyme in melanocyte pigment production, was maintained through 10 passages showing preservation of melanocyte phenotypic characteristics with extended culture. To determine hormonal responsiveness of cultured melanocytes and investigate regulation of melanocortin 1 receptor expression, cultured melanocytes were treated with increasing concentrations of ${\alpha}$-melanocyte stimulating hormone. Treatment with ${\alpha}$-melanocyte stimulating hormone increased melanocortin receptor 1 mRNA in a dose dependent fashion. The results demonstrated culture of pure populations of alpaca melanocytes to 10 passages and illustrate the potential utility of such cells for studies of intrinsic and extrinsic regulation of genes controlling pigmentation and coat color in fiber-producing species.

• Journal of Trauma and Injury
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• 제25권4호
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• pp.254-260
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• 2012

Purpose: Ongoing treatment and care, as well as initial stabilization, are required for trauma patients. With increasing number of sickest trauma patients and shortage of surgeons, the need for advanced practice nurse to provide and coordinate trauma care has been greater. The purpose of this study is to analyze the effect of hiring a trauma clinical nurse specialist and its influence on the treatment of trauma patients. Methods: Based on the employment of the clinical nurse specialist in December 2010, the patients were divided into two groups: patients admitted from January 1, 2010 to November 30, 2010 and patients admitted from December 1, 2010 to December 31, 2011. Retrospectively, data were collected using electronic medical records. The general characteristics, clinical courses, and ICU re-admission rates, collaboration (transfers to other departments and collaborative surgery) were compared. Results: To have a clinical nurse specialist on the trauma team resulted in a statistically significant reductions in the length of general ward hospital stay (p<0.05), the ICU re-admission rate, (p<0.03), the lead-time before transfer to other departments (p<0.05). Conclusion: The clinical nurse specialist, as a professional practitioner, improved the quality of treatment through early detection and management of problems. In addition, as a coordinator, the clinical nurse specialist maintained a cooperative relationship with multi-disciplinary medical personnel. The trauma clinical nurse specialist contributed to the treatment of trauma patients positively through a decrease in ICU re-admission rate and length of hospital stay.

• 대한치과기공학회지
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• 제34권4호
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• pp.447-455
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• 2012

Purpose: This study was to investigate oral hygiene knowledge and the actual condition of oral care for the students in the public health and non-public health Departments. Methods: The survey sample consisted of 262 randomly selected students. 197 of them are public health-related students and 65 are non-public health-related students. The questionnaires used in this study consisted of 4 items for general information, oral health status of 2 items, 5 items for Oral hygiene knowledge and actual condition of oral care of 5 items. Collected data were analyzed by Frequency Analysis t-test and Crosstabs using SPSS(Statistical Package for Social Sciences) Win 19.0 statistics program. Results: Regarding general characteristics of the subjects, there were 53.8% of first-year student, 26.0% of second-year student and 20.2% of third-year student among 52.3% of males and 47.7% of females. The subjects received less than "100,000" won(13.0%), "100,000-190,000" won (5.0%), "200,000-290,000" won(30.9%), "300,000-390,000" won (33.2%) and more than "400,000" won(17.9%) a month for an allowance. The subjects had 'none' (44.3%), '1'(6.5%), '2'(12.6%), '3'(5.0%), '4'(5.3%), 'more than' 5(0.8%) of dental caries and 'do not know' were 25.6%. The numbers of dental prosthetics were 'no' (35.5%), '1'(13.7%), '2'(17.2%), '3'(10.3%), '4'(11.5%), and 'more than 5'(11.8%). The public health students(84.8%) had a higher positive response rate than the non-public health students(66.2%). The public health students(80.2%) had a higher negative response rate than the non-public health students(78.5%) in the result of onset of gum disease pain awareness. The non-public health students(65.5%) had a higher negative response rate than the public health students(68.3%)) in the result of heredity of gum disease. The t-test showed that public health-related department students(M=8.264, SD=0.821) had more knowledge about oral hygiene than non-public health-related department students(M=8.015, SD=1.082). 'do not use' in the oral care products except toothpaste and toothbrush showed that public health-related department students(60.4%) use the products more than non-public health-related department students(66.2%). Conclusion: In this study, public health-related department students had higher oral hygiene knowledge and actual condition of oral care compared to non-public health-related students, but low in practical action. Due to the lower level of dental care products use in non-public health-related department, a continuous oral care education program is required.

• Journal of Oral Medicine and Pain
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• 제34권2호
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• pp.133-141
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• 2009

평균수명의 연장으로 인한 고령인구의 증가 추세에 맞추어 65세 이상 고령환자의 구강내과 진료실태를 조사하기 위해 2007년 1월 1일부터 2008년 7월 18일까지 조선대학교 치과병원 구강내과에 내원한 만 65세 이상인 600명의 환자의 성별, 연령, 주소, 전신질환, 진단명, 치료, 타 과에서의 의뢰여부 및 의뢰한 과의 종류를 조사하였다. 연령조사에서 65세${\sim}$74세 63.7%, 75${\sim}$84세 32.2%, 85세 이상 4.2%의 비율로 나타났으며, 여성이 남성보다 더 많았다. 환자의 주소로는 구강연조직문제(44.1%)와 구강악안면통증(39.0%)이 주로 많았으며, 전신질환으로는 순환기계 질환(30.1%), 근골격계 질환(16.8%), 내분비계 질환(12.8%), 소화기계 질환(10.1%)이 많았다. 진단명은 구강 내 연조직질환(32.0%)과 측두하악관절장애의 관절장애(24.1%)와 근육장애(18.1%)가 많았으며, 내원한 환자에게 시행된 치료는 약물치료(43.9%)와 근이완요법을 포함한 물리치료(24.2%)가 주로 시행됐다. 전체 내원환자의 14.2%가 타 의료기관에서 작성한 의뢰서를 지참하여 내원하였거나, 같은 치과병원 내 타 과에서 의뢰되어 구강내과에 내원하였다. 이상의 연구를 통해 65세 이상 고령환자의 구강내과 진료실태에 대한 파악이 가능했으며, 향후 이루어질 고령환자에 대한 연구에 있어서 본 연구 결과가 도움이 되기를 기대한다.

• Journal of the Korean Data and Information Science Society
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• 제26권6호
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• pp.1175-1188
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• 2015

20년 이상 유지된 낮은 합계출산율은 학령인구 감소로 이어져 고등학교 졸업자 수가 급격히 감소하는 상황에 직면하게 되었고, 교육부는 2014년 1월 향 후 10년간 약 16만 명에 해당하는 대학 입학정원을 강제로 감축하는 대학 구조개혁 추진 계획을 발표였다. 대학의 정원감축은 피할 수 없는 문제이지만, 대학 구조개혁 추진계획의 주된 근거로 교육부가 제시한 것은 통계청의 18세 전국 장래 추계인구와 2014년 전국단위 대학정원의 비교자료뿐이다. 대학정원의 감축이 학생, 대학, 지역경제까지 큰 파장을 미치는 것임을 고려할 때, 교육부의 근거가 세밀하지 못한 것에 아쉬움이 따를 수밖에 없다. 따라서 본 연구에서는 고3 수험생, 재수생을 포함하는 대학수학능력시험 응시자를 16개 시도 별로 2032년까지 전망하고 지역별 특성을 비교하였다. 16개 시도 별 현재의 대학정원이 2032년까지 계속된다는 가정 아래서 16개 시도 별 대학수학능력시험 응시자 전망결과를 이용하여 지역별 대학 충원율을 산출을 시도하였으나, 수험생의 지역 간 이동을 반영할 수 없어 현실적인 전망결과를 산출하지 못하였다. 이 문제의 해결을 위하여 본 연구에서는 2014학년도 대학배치표 상의 학과순위가 계속 유지된다는 가정에서 전체 일반대학 7,277개 학과 순위를 추정하고, 이 학과들의 정원을 전체 대학 정원에서 차감해 가는 방법으로 지역별 대학 충원율을 2032년까지 산출하였다. 16개 시도 별로 산출된 대학 충원율은 전국단위로 보았을 때보다 지역별 특성과 문제점을 좀 더 확연하게 보여주었다.