• 제목/요약/키워드: Christian school

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원주세브란스기독병원 응급실로 내원한 0 - 15세 어린이의 치과적 외상에 관한 후향적 분석 (Retrospective Study of Traumatic Dental Injuries among Children Aged 0 - 15 Years in Wonju)

  • 배두환;김지훈
    • 대한소아치과학회지
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    • 제44권1호
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    • pp.64-71
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    • 2017
  • 본 연구는 원주세브란스기독병원 응급실에 내원한 소아 환자들의 나이, 성별, 외상 발생 장소, 외상의 원인, 외상의 위치, 외상 후 경과시간, 응급실 내원시간, 처치의 유형 등을 파악하기 위해 시행되었다. 2011년 3월부터 2015년 10월까지 치과적 외상으로 인해 원주세브란스기독병원 외상 센터에 내원한 0 - 15세 사이 841명의 환자들의 정보를 수집하였다. 외상은 남아에서 호발하였으며, 호발하는 나이는 0 - 3세였다. 6세 미만에서는 집에서 외상이 가장 호발하고, 넘어지는 것이 외상의 가장 주된 원인이었다. 하지만 6세 이상에서는 외상의 장소로 집이 크게 줄어들었으며, 외상의 원인으로 넘어지는 것이 줄어들고 스포츠와 기타 원인이 매우 크게 증가하였다. 나이 대 별로 외상의 원인과 장소에서는 유의한 차이를 보였다. 외상의 위치로는 입술과 상악 절치가 가장 많은 빈도수를 보였다. 응급실을 내원하는 시간대로는 18 - 24시(53.3%)에 내원하는 환자가 가장 많았으며, 0 - 6시(4.6%)에 내원하는 환자는 가장 적었다. 외상 후 경과 시간은 1시간 이내가 51.5%, 1 - 2시간이 26.8%, 2 - 3시간이 11.5%로, 3시간 이내에 내원하는 환자가 89.8%에 달했다. 응급에서 행해지는 처치의 유형으로는 경과관찰을 하는 경우가 가장 많았으며, 가장 많이 행해지는 술식은 봉합술이었다. 본 연구를 통해 소아의 치과적 외상과 응급실 방문은 환아의 성별, 나이, 상황에 따라 역학적인 특징을 보인다는 것을 살펴보았다. 외상의 양상은 어린이의 사회, 발달, 생리적인 요인이 종합되어 나타난다.

Secondary Metabolites Production and Plant Growth Promotion by Pseudomonas chlororaphis and P. aurantiaca Strains Isolated from Cactus, Cotton, and Para Grass

  • Shahid, Izzah;Rizwan, Muhammad;Baig, Deeba Noreen;Saleem, Rahman Shahzaib;Malik, Kauser A.;Mehnaz, Samina
    • Journal of Microbiology and Biotechnology
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    • 제27권3호
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    • pp.480-491
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    • 2017
  • Fluorescent pseudomonads have been isolated from halophytes, mesophytes, and xerophytes of Pakistan. Among these, eight isolates, GS-1, GS-3, GS-4, GS-6, GS-7, FS-2 (cactus), ARS-38 (cotton), and RP-4 (para grass), showed antifungal activity and were selected for detailed study. Based on biochemical tests and 16S rRNA gene sequences, these were identified as strains of P. chlororaphis subsp. chlororaphis and aurantiaca. Secondary metabolites of these strains were analyzed by LC-MS. Phenazine-1-carboxylic acid (PCA), 2-hydroxy-phenazine, Cyclic Lipopeptide (white line-inducing principle (WLIP)), and lahorenoic acid A were detected in variable amounts in these strains. P. aurantiaca PB-St2 was used as a reference as it is known for the production of these compounds. The phzO and PCA genes were amplified to assure that production of these compounds is not an artifact. Indole acetic acid production was confirmed and quantified by HPLC. HCN and siderophore production by all strains was observed by plate assays. These strains did not solubilize phosphate, but five strains were positive for zinc solubilization. Wheat seedlings were inoculated with these strains to observe their effect on plant growth. P. aurantiaca strains PB-St2 and GS-6 and P. chlororaphis RP-4 significantly increased both root and shoot dry weights, as compared with uninoculated plants. However, P. aurantiaca strains FS-2 and ARS-38 significantly increased root and shoot dry weights, respectively. All strains except PB-St2 and ARS-38 significantly increased the root length. This is the first report of the isolation of P. aurantiaca from cotton and cactus, P. chlororaphis from para grass, WLIP and lahorenoic acid A production by P. chlororaphis, and zinc solubilization by P. chlororaphis and P. aurantiaca.

전신질환자에서 과도한 감염치아 발치시 스트레스 감소법 : 문헌적 고찰 및 증례보고 (STRESS REDUCTION PROTOCOL FOR PROPER EXTRACTION OF ADVANCED INFECTED TEETH IN MEDICALLY COMPROMISED PATIENTS : REVIEW OF LITERATURE & REPORT OF CASES)

  • 유재하;최병호;홍순재;남웅;김종배;윤정훈
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제26권1호
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    • pp.85-92
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    • 2000
  • Common dental procedures(dental extraction & minor operation) are potentially stress-inducing in many patients, especially medically compromised patients. The body's response to dental stress involves the cardiovascular system(an increase in cardiovascular workload), the respiratory organ and the endocrine system(change in metabolism). To minimize the stress to the medical risk patient, the stress reduction protocol was established. The obtained contents were as follows: (1) Recognize the patient's degree of medical risk (2) Complete medical consultation before dental therapy (3) Schedule the patient's appointment in the morning (4) Monitor and record preoperative and postoperative vital signs (5) Use psychosedation during therapy (6) Use adequate pain control during therapy (7) Short length of appointment : do not exceed the patient's limits of tolerance (8) Follow up with postoperative pain/anxiety control (9) Telephone the higher medical risk patient later on the same day that treatment was given Though the stress reduction protocol above was applied to the dental extraction in medically compromised patients with the advanced infected teeth, the final responsibility for the complications(syncope, bleeding & infection, etc.) in a patient rests with the dentist who ultimately treats him. For the prevention of postextraction complications & poor prognosis, the authors treated the advanced infected teeth with the pulp extirpation, opening drainage through the canal and complete occlusal reduction. The final extraction and wound closure were then done after $1{\sim}2$ weeks. The final prognosis was comfortable without common complications.

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포스트 디지털 세대에 대한 교육목회 유형 (Types of Educational Ministry for The Post Digital Generation)

  • 이원일
    • 기독교교육논총
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    • 제70권
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    • pp.11-35
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    • 2022
  • 본 연구의 목적은 기독교교육학의 실천신학적 접근에 대한 연구로서 실천신학적 접근의 유형에 따른 아홉 가지 교육목회 유형을 제시하는데 있다. 이를 위해 사역의 현장으로서 교회, 사회 이외에 개인적 자아의 차원과 사역을 강조하고자 하며, 이미 논의된 철학적이며 신학적 관점에서의 개인적 실존적 차원, 발달심리학적 관점에서의 삶의 주기 신학의 차원 이외에 사회문화적 차원에서 포스트 디지털 시대가 주는 함의에 기초하고자 한다. 포스트 디지털 시대는 디지털의 인간화로 말미암는 친인간적 디지털 문화를 의미하며, 따뜻한 디지털 문화를 특징으로 하는 시대를 말한다. 이와 연관된 세대를 포스트 디지털 세대라고 한다. 포스트 디지털 세대를 위한 교육목회는 기존의 교회적 차원 및 사회적 차원과 함께 개인적 차원을 포함한다. 세 가지의 교육목회 현장에 대해 간학문적 특성에 따라 비판적 과학적 방법, 비판적 고백적 방법, 비판적 상관 관계적 방법 등으로 아홉 가지의 교육목회 유형이 분류된다. 아홉 가지의 교육목회 유형들에 따른 포스트 디지털 세대가 함양해야 할 대표적인 핵심역량들은 미디어 리터러시, 관계적 정체성, 의사소통, 하이터치, 제자로서의 삶, 매체활용, 통합적 소명, 협업능력, 그리고 다문화 가정 아동 및 청소년의 사회적 회복탄력성 등이다. 포스트 디지털 시대에 포스트 디지털 세대를 위한 교육목회는 역량들에 대한 함양을 필요로 한다.

정보품질을 위한 개인정보 보호행위: 건강심리이론 관점을 중심으로 (Personal Information Protection Behavior for Information Quality : Health Psychology Theory Perspectives)

  • 지범석;판류;이상철;서영호
    • 품질경영학회지
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    • 제39권3호
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    • pp.432-443
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    • 2011
  • The purpose of this research is to understand users' information protection behavior on personal information security from health psychology theory perspectives. Empirical results indicate that users' information protection behavior on personal information is predicted by perceived threat and perceived responsiveness. Perceived threat is determined by perceived susceptibility and perceived severity. Perceived responsiveness is determined by response efficacy and self-efficacy, but response cost is not significant. These findings provide an enriched understanding about users' information protection behavior on personal information security.

Spontaneous Concomitant Intracranial and Spinal Subdural Hematomas in Association with Anticoagulation Therapy

  • Wang, Ui-Suk;Ju, Chang-Il;Kim, Seok-Won;Kim, Sung-Hoon
    • Journal of Korean Neurosurgical Society
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    • 제51권4호
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    • pp.237-239
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    • 2012
  • Simultaneous intracranial and spinal subdural hematomas are extremely rare. In most cases, they are attributed to major or minor trauma and iatrogenic causes, such as those resulting from spinal puncture. To the best of the authors' knowledge, there has been only two reports of spontaneous concomitant intracranial and spinal subdural hematomas in a patient receiving anticoagulant therapy who had an absence of evident trauma history. We report on a case of spontaneous concomitant intracranial and spinal subdural hematomas that occurred in association with anticoagulant therapy and present a review of the relevant literature.

최종사용자 만족도 구성요인에 대한 연구 : 어플리케이션 마켓을 중심으로 (Variables Affecting End-User Satisfaction in Application Market)

  • 김현모;박재홍;이상철;서영호
    • 품질경영학회지
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    • 제40권2호
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    • pp.211-218
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    • 2012
  • Over the last two decades, many information system researchers have developed the variables of information system using the measurement of user satisfaction. In context, this research developed the measurement of user satisfaction in smartphone application market and compared the difference of user satisfaction factors between Adroid market and App store. The results indicated that satisfaction of App store was more than that of Adroid market. The information system and customer-oriented factors of App store were higher than that of Adroid market.

품질분임조 활동이 품질분임조 성과 및 기업의 경영성과에 미치는 영향 (The Effect of Quality Circle Activities upon Quality Circle Performance and Business Performance)

  • 최진영;이상철;김광용;박상찬;서영호
    • 품질경영학회지
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    • 제39권2호
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    • pp.188-198
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    • 2011
  • The purpose of this research is to identify the effect of quality circles activities upon quality circles performance and business performance. Empirical results indicate that quality circle activities influence on quality circles performance in both individual and enterprise level, Quality circles performance influences on not employment satisfaction but customer satisfaction, business performance (profitability and market values) of companies with quality circles is higher than that of companies without quality circles. In conclusion, quality circle activities influence on quality circles performance that effect on business performance.

Giant Cell Tumor of Upper Thoracic Spine

  • Lee, Chul Gab;Kim, Sung Hoon;Kim, Dong Min;Kim, Seok Won
    • Journal of Korean Neurosurgical Society
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    • 제55권3호
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    • pp.167-169
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    • 2014
  • Giant cell tumor (GCT) of the spine is a rare benign tumor, but can be aggressive and can exhibit a high local recurrence rate. Furthermore, GCT of the upper thoracic spine may pose diagnostic and management difficulties. Here, we report a rare case of GCT of the upper thoracic spine with soft tissue extension to the spinal canal. The patient was managed by decompressive laminectomy and posterolateral fusion followed by an injection of polymethylmethacrylate into the vertebral lesion. The patient recovered clinically and showed radiological improvement after surgical treatment without tumor recurrence at his last follow-up of postoperative 7 years. We present this unusual case of GCT and include a review of the literature.