• 제목/요약/키워드: Chief problem

검색결과 90건 처리시간 0.034초

고배대지진에 기인한 정형거래조건의 문제점 (A Study on the Limitations of Trade Terms in the Situtations of Kobe Earthquake -with a Special Reference to Marine Insurance-)

  • 강진욱
    • 정보학연구
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    • 제1권2호
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    • pp.15-24
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    • 1998
  • 본 연구에서 살펴본 바와 같이 컨테이너 운송의 경우 보험단보의 공백구간에서 발생하는 위험을 회피하기 위해서는 운송인 책임의 개시와 위험의 이전시기가 일치되어 있는 컨테이너 정형무역거래조건을 이용해야 한다고 사료되어진다.

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기관지성 낭종(2례수술보고) (Bronchogenic Cyst (Two Case Report))

  • 김형묵;김영철;최인환
    • Journal of Chest Surgery
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    • 제7권1호
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    • pp.9-12
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    • 1974
  • Bronchogenic cysts, though known as a relatively common malformation of the mediastinum, were rarely discussed in Korean literatures. Since the surgical removal of asymptomatic lesions was adopted as the reasonable therapeutic principle, the incidence of bronchogenic cysts were found to be higher than previously expected. Two cases of bronchogenic cysts operated on in The Dept. of Thoracic Surgery, Korea University Woo Sok Hospital were reported and related literatures were reviewed. Case 1. 5 year old boy with chief complaints of bulging cystic mass on left supraclavicular region during straining or coughing since his age of 2 was admitted, and cystogram with Lipiodol revealed hen-egg sized mass in the left antero-superior mediastinum without any communication with bronchus or esophagus. Cyst was successfully removed under general anesthesia thru left supraclavicular incision, and pathological examination of the cyst revealed thin cystic wall lined with stratified columnar epithelium and it`s content was milky white mucoid fluid devoid of any bacterial growth. Case 2. 15 year old school girl has been noted slowly growing walnut-sized mass on anterolateral side of the neck for 4 months without any subjective symptom except cosmetic problem... Mass was aspirated to find milky white mucoid fluid in some loculation and yellowish turbid fluid in other part due to chronic infection. Cystic tumor was removed under local anesthesia, which was loculated in between the trachea and esophagus without any communication, and pathological diagnosis of the cyst was bronchogenic cyst with columnar epithelial cell lining with moderate chronic inflammatory cell infiltrations. Postoperative conditions of the two cases were all excellent with normal life.

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악관절 질환 환자에 대한 초기치료의 효과: 상담 및 투약

  • 김영균;김현태;김인수
    • 대한치과의사협회지
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    • 제38권6호통권373호
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    • pp.549-557
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    • 2000
  • ㆍPurpose: This study was performed to investigate the initial conservative treatment for TMD patients using careful counselling and medication prospectively. ㆍMaterials and Methods: Careful counselling and medication were performed in 51 TMD patients and 27 patients had follow-up check 2 months or more. Diagnosis of TMD was based on medical history and, physical and radiographic examination. TMD included masticatory disorder, internal derangement, degenerative joint disease, inflammatory joint disorder. and problems resulting from extrinsic trauma. All patients had chief complaints of TMJ pain, mouth-opening limitation. joint noise, and/or referred pain. We counselled and explained to the patient about the pathogenesis, etiologic factors, diagnosis and treatment plan for abut 10 minutes. We prescribed nonsteroidal anti-inflammatorv analgesic(Somalgen) and amitriptyline 10mg per day for 2 weeks. We informed the patient of the attention sheet and taught self-exercise of jaw. The patient were assessed by answering the questionnaire of subjective evaluation of TMD & maxillofacial pain. Questionnaire of an activity limitation. Questionnaire of a jaw function, and Questionnaire for the evaluation of TMD. ㆍResults: In questionnaire for the evaluation of TMD, 88.5% of 26 patients answered that the treatment was efficacious. 71.4% of 21 patients answered no problem in everyday life. There were significant differences between pretreatment and final follow-up in the evaluation of the subjective pain in the following sections: opening widely, chewing, resting, morning, masticatory muscle, and temporal portion(SAS program, paired T-test, P = 0.05). ㆍConclusions: Considerate counselling and proper medication could be significantly effectve in the initial treatment of TMD.

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증(證)의 표준화(標準化) 문제(問題)에 대한 한 견해(見解)

  • 지규용
    • 제3의학
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    • 제1권1호
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    • pp.37-44
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    • 1996
  • This study has surveyed the problems raised through the standardization process of differentiation system and searched its solution, reaching the following conclusion. 1. The most serious problem is, most frequently occurred, an wilful application of differentiation system or constitutive classification for disease. 2. To overcome this wilfulness, we must make a definite understanding of the origin and its applicative limit of the theory. 3. And it must be preceded for a correct and objective differentiation to standardize in all choice of the differential diagnostics and its applicative condition. 4. To establish such a corresponding diagnostic scheme, it must be generally agreed on an individuality and inevitability of the suitability to differentiation principles. 5. And, though we can make a prescription through the frequency, degree, and clarified cause of the symptom, its flexibility of application must not be necessarily, ignored. 6. As this study for standardizing the disharmony between liver and pancreas(肝脾不調) shows, accordingly, we must begin by scrutinizing and defining what the chief cause, head, and inevitable symtoms are and discern them from its affinities, making necessarily a great deal attention to minute feelings and degree about its individual symptoms. On the ground of these recognition, we must go further to establish a general standardization and try to get a specific study series.

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동일 폐엽내 발생한 공동화 선암과 펀평세포암 (Cavitating Adenocarcinoma and Soluamous Cell Carcinoma in the Same Lobe of the Lung)

  • 유지훈;김관민;김진국;심영목;한정호
    • Journal of Chest Surgery
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    • 제35권2호
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    • pp.153-156
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    • 2002
  • 동일 폐엽내 발생한 동시성 원발성 중복 폐암에 대한 보고는 드문 편이며 단일 병변으로 말초 폐실질에서 공동을 형성하는 선암 역시 드물게 보이고 있다. 본원에서 우상엽에 공동을 형성하는 선암과 동반된 우상엽 기관지를 침범하는 편평세포암 1례를 경험하였다. 환자는 64세 남자로 2개월 전부터 시작된 객혈을 주소로 내원하였다. 수술전 전산화단층촬영상 우상엽 기관지를 막는 중심성 종괴 와 이로 인한 우상엽의 폐쇄성 폐렴 및 폐농양 소견을 보였으나 수술후 병리조직학적 검사에서 2.3cm크기의 편평세포암 과 중심성 괴사 (cental necrosis)를 동반하는 3 cm크기의 선암종으로 진단되었다. 수술후 환자 상태는 양호하였으며, 현재 외래추적관찰중이다.

한방병원 응급실에 내원한 신경정신과 환자의 임상고찰 및 SCL-90-R에 의한 특성 (A Clinical Study and an analysis of Symptom Check List-90-Revision on Psychiatric Patients Visiting the Emergency Room in an Oriental Medicine Hospital)

  • 박지운;정인철;이상룡;최보윤
    • 동의신경정신과학회지
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    • 제14권2호
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    • pp.155-167
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    • 2003
  • Objective : The aims of this study were to show the clinical aspects and to investigate psychiatric traits by SCL-90-R in patients who visited Oriental Medicine Hospital Emergency Room. Method : We studied twenty patients who visited Daejeon University Oriental Medicine Hospital from May, 2003 to September, 2003. Results : 1. The ratio of male to female patients was 1:3 and age distribution was most frequent in 30s&40s. 2. The most frequent cause of illness was stress in occupation and overwork. The greater part of patients came to hospital in 12hours after an attack. 3. In chief problem, somatic symptoms such as headache, dizziness, numbness and chest discomfort were most frequent. In diagnosis, somatization disorder was most frequent. 4. After treatment, most of symptoms were improved. 5. Psychiatric traits by SCL-90-R correlated with somatization and anxiety.

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Design and Optimization for Distributed Compress-and-Forward System based on Multi-Relay Network

  • Bao, Junwei;Xu, Dazhuan;Luo, Hao;Zhang, Ruidan
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제13권6호
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    • pp.2949-2963
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    • 2019
  • A novel distributed compress-and-forward (CF) system based on multi-relay network is presented. In this system, as the direct link between the source and destination is invalid due to some reasons, such as the limited power, special working environment, or even economic factors, relays are employed to receive analog signals and carry on distributed compressed encoding. Subsequently, the digital signals are transmitted to the destination via wireless channel. Moreover, a theoretical analysis for the system is provided by utilizing the Chief Executive Officer (CEO) theory and Shannon channel capacity theory, and the rate-distortion function as well as the connection between the transmission rate and the channel capacity are constructed. In addition, an optimal signal-to-noise ratio (SNR) -based power allocation method is proposed to maximize the quantization SNR under the limited total power. Simulation result shows that the proposed CF system outperforms the amplify-and-forward (AF) system versus the SNR performance.

말도 인근 해상풍력발전에 대한 주민수용성 연구 (A Study on the Public Acceptance of Offshore Wind Farm near Maldo)

  • 박재필;이상혁
    • 신재생에너지
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    • 제17권3호
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    • pp.24-31
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    • 2021
  • Through 'The Renewable Energy 3020 Implementation Plan' for carbon neutrality, the government promised to raise the proportion of renewable energy generation to 20% and renewable energy installation capacity to 63.8% by 2030. Therefore, we plan to test a 5.5 MW offshore wind turbine near Maldo, Gunsan. In this project, we measure the level of public acceptance and perform ordinary least squares (OLS) regression analysis to show the determinants of public acceptance. The regression results are as followed. First, it is judged that the closer the distance to the offshore wind turbine, the more the economic effects considered by residents. Second, especially in Maldo, the experience of being discriminated from the Saemangeum project, is understood to have caused distrust in the surrounding fishing villages chief/Fisheries Cooperatives, converted into a local community effect. Finally, the policy implications are as follows. First, a bottom-up problem-solving method is required to improve public acceptance, based on the Living Lab. Second, the island community may be indifferent to the briefings or forums of outsiders. Therefore, a gradual approach is required through (in)formal channels based on reliability from a long-term perspective with nearby universities and research institutes using SamsØ Energy Academy.

문제중심학습 연계 시뮬레이션교육을 이수한 간호대학생의 메타인지, 회복탄력성이 임상추론능력에 미치는 영향 (The Effects of Metacognition and Resilience on Clinical Reasoning Competence of Nursing Students Who Completed Simulation Education Linked to Problem-based Learning)

  • 백경화;조정화
    • 산업융합연구
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    • 제21권10호
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    • pp.111-120
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    • 2023
  • 본 연구는 PBL-SIM 교육을 이수한 간호대학생의 메타인지와 회복탄력성이 임상추론능력에 미치는 영향을 살펴보기 위한 서술적 조사연구이다. PBL-SIM 교육을 경험한 간호학과 4학년 141명을 연구 대상으로 하였으며, 2021년 9월부터 12월까지 설문지를 적용하여 자료수집 하였다. 수집된 자료는 SPSS 21.0 프로그램을 사용하여 기술통계, 상관분석 및 위계적 회귀분석을 진행하였다. 연구 결과, 메타인지(r=.78, p<.001)와 회복탄력성(r=.81, p<.001)은 임상추론능력과 유의한 양의 상관관계를 보였다. 간호대학생의 임상추론능력에 영향을 주는 요인으로는 교육 참여의 자신감, 메타인지 및 회복탄력성이었으며, 이들은 임상추론능력을 75%의 높은 수준으로 설명하였다(F=32.74, p<.001). 간호대학생의 임상추론능력을 향상하기 위해서는 자신감, 메타인지 및 회복탄력성과 같은 내적 요인을 시뮬레이션 교육과정에 반영할 것을 제언한다.

농촌지역(農村地域) 주민(住民)에 빈발(頻發)하는 주소(主訴)를 중심(中心)으로 한 질병분류(疾病分類) (Classification of Frequently Occurring Disease by Chief Camplaints in Rural Area)

  • 강승원
    • Journal of Preventive Medicine and Public Health
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    • 제12권1호
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    • pp.61-69
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    • 1979
  • 군위군(軍威郡) 4개면(個面)에서 4,559명(名)을 대상(對象)으로 하여 최근(最近) 2주간에 발생한 질병(疾病)을 주소(主訴)를 중심(中心)으로 질병(疾病)을 분류(分類)하였다. 이 기간(期間)에 발생(發生)한 질병발생률(疾病發生率)은 급성질환(急性疾患)과 만성질환(慢性疾患)을 합쳐서 22.5%였고 이중 호흡기질환(呼吸器疾患)이 36.5%, 소화기질환(消化器疾患)이 18%, 외상(外傷)이 8%, 신경계 질환(疾患)이 7.5 %로 나타났다. 호흡기(呼吸器) 질환(疾患)에서는 감기가 33.2 %, 상기도감염(上氣道感染)이 25.1 %, Iifluenza 7.3 %로 치료용역(治療容易)한 질환(疾患)이 많았다. 소화기질환(消化器疾患)에서는 위염(胃炎)이 26.4%, 위궤양(胃潰瘍)이 36.4 %, 장염(腸炎)이 13.6%. 식중독(食中毒)이 7.1 % 순(順)으로 나타났다. 그외 외상(外傷)에서는 찰과상(擦過傷)이 60 %, 피부과질환(皮膚科疾患)에서는 접촉성피부염(接 性皮膚炎)이 65 %, 신경계질환(神 系疾患)에서는 요통이 67 %, 이비인후과(耳鼻咽喉科) 질환(疾患)에서는 편도선염이 35 %, 순환기질환(循環器疾患)에서는 고혈압(高血壓)이 83%등 비교적(比較的) 치유용역(治癒容易)한 질병(疾病)이 많이 발생(發生)하고 있었다. 농촌질병(農村疾病)의 요원별(要員別) 진료한계(診療限界)는 진료보조원(診療補助員)이 42.1 %, 보건진료원(保健診療員)이 70.0 %, 일반의가 97.5%정도 진료(診療)할 수 있다고 나타났다.

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