• 제목/요약/키워드: D class

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청소년의 임파워먼트를 위한 의생활 영역 가정과수업의 적용 (Application of Home Economics Teaching-Learning Plan in the Clothing For Teenager's Empowerment)

  • 오경선;이수희
    • 한국가정과교육학회지
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    • 제33권1호
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    • pp.169-185
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    • 2021
  • 본 연구는 청소년의 임파워먼트 향상을 위해 개발된 비판과학 관점의 의생활 교수·학습과정안을 적용하고 그 효과를 알아보고자 하였다. 연구대상은 경기도 Y시에 위치한 K중학교의 2학년 학생(총 42명)으로 선정하여 총 4주 동안 12차시 수업을 적용하였고, 개발된 교수·학습과정안 적용을 통한 임파워먼트의 양적 분석을 위해 5점 척도의 설문지를 구성하여 측정한 후 SPSS/win 22 프로그램을 이용하여 대응표본 t-검증으로 분석하였다. 질적 분석을 위해서 학생 상담 자료, 수업일기, 실행 보고서 등을 수집하였고, 임파워먼트 분석틀을 이용하여 분석하였다. 본 연구의 결과는 다음과 같다. 첫째, 개발된 의생활 교수·학습지도안 중 모듈A에서 모듈D를 각 2시간씩 진행하였고, 모듈E는 실행 프로젝트로 총 4시간을 할애하여 진행하였다. 모둠별 실행 프로젝트에서는 학생들이 주도해서 홍보 포스터, 스티커 제작 후 배부, 의생활 퀴즈, 온라인상에 의견 올리기, 홍보 동영상, 재활용품 만드는 방법 알리기, 지역사회 기부 등의 사회 참여 활동을 실행하였다. 둘째, 개발된 교수·학습지도안의 양적 자료를 분석한 결과, 정치·사회적 임파워먼트가 사전 평균 3.12에서 사후 평균 3.36으로 유의미한 결과가 나타났다(t=-2.06, p<0.05)였다. 임파워먼트의 질적 자료 분석 결과, 수업을 통해 학생들은 자기 효능감을 인지한 것으로 확인되었다. 개인내적 차원은 긍정적인 자기 인식과 자기 효능감, 대인관계적 차원은 원활한 의사소통, 민주적 의사결정 등을 확인할 수 있었다. 정치·사회적 차원은 타인을 도움으로써 사회에 환원하는 내용 등을 확인할 수 있었다. 따라서, 비판과학관점의 가정과수업이 청소년의 임파워먼트에 양적·질적으로 유의미한 영향을 주어 학생들이 사회에서 자신의 역할을 찾고, 타인과의 협력하며, 사회구성원으로서 책임 있는 행동을 할 수 있는 기회를 제공했다는 점에서 의의가 있다.

지구과학 예비교사들의 컴퓨팅 사고에 대한 인식 탐색 (Exploring Pre-Service Earth Science Teachers' Understandings of Computational Thinking)

  • 박영신;박기락
    • 한국지구과학회지
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    • 제45권3호
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    • pp.260-276
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    • 2024
  • 이 연구의 목적은 공학기반 파력발전소 주제의 STEAM 수업을 통해서 지구과학전공 예비교사들의 컴퓨팅 사고에 대한 인식형성 및 개선이 있는지를 탐색하는 것이다. STEAM 수업은 가장 효율적인 파력발전소 모형을 제작해보는 내용으로 구성되었다. 컴퓨팅 사고 실천 인식을 알아보는 설문지는 연구자가 기존의 연구를 중심으로 설문 문항을 개발하여 15명의 예비교사들에게 투입하였다. STEAM 수업은 파도를 이용해서 터빈이 돌아가는 과학적 원리 이해를 바탕으로 모둠별로 효율적인 파력발전소 모형을 개발하도록 하였으며 수업 중에 문제를 인식하고(문제해결), 코딩작업을 해서(코딩 및 프로그래밍) 3D 프린터로 파력발전소를 제작하였으며(모델 설계 및 구축), 제작된 산출물을 평가하여 오류를 수정하는(문제 오류 수정) 동안에 '논리적 사고'를 통한 높은 수준의 컴퓨팅 사고 실천 인식이 파악되었다(14개 중에 앞의 5개 실천은 평균 5점). 하지만 용어에 대한 정확한 정의를 알지 못하고 실시한 수업에서 '추상화'. '문제분해', 및 '빅 데이터 활용'에 대한 인식은 오히려 수업 후의 인식은 더 낮아졌다(3개의 실천). STEAM 수업 후에는 컴퓨팅 사고 실천은 '온라인 게임하기'는 아니라는 것에 인식개선이 있었지만(4.06→0.86; 역문항) 아직도 컴퓨터를 이용해서 해야 하는 컴퓨팅 사고 실천으로 인식하고 있어 개선되지 않음이 확인되었다(컴퓨터처럼 생각하기, 컴퓨터를 사용하여 통계하기). 문제 인식에 해당하는 '문제해결'(3.73→4.33), '패턴 인식'(3.53→3.66), 그리고 '최상의 도구 선택'(4.26→4.66)의 3개 실천은 인식이 약하게 개선되었다. 컴퓨팅 사고 실천과 같은 역량 함양을 위해서는 실습위주의 교육양성과정이 개설되어야 하며, 특히 본 연구에서는 다른 주제의 추가적인 STEAM 수업을 했다면 개선이 일어나지 않거나 약하게 인식되었던 컴퓨팅 사고 실천에 대해서는 확실한 개선이 있을 수 있다는 결론을 내릴 수 있다. 다회적인 상황학습의 교육실습 교육과정이 개설되어야 한다.

한정된 O-D조사자료를 이용한 주 전체의 트럭교통예측방법 개발 (DEVELOPMENT OF STATEWIDE TRUCK TRAFFIC FORECASTING METHOD BY USING LIMITED O-D SURVEY DATA)

  • 박만배
    • 대한교통학회:학술대회논문집
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    • 대한교통학회 1995년도 제27회 학술발표회
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    • pp.101-113
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    • 1995
  • The objective of this research is to test the feasibility of developing a statewide truck traffic forecasting methodology for Wisconsin by using Origin-Destination surveys, traffic counts, classification counts, and other data that are routinely collected by the Wisconsin Department of Transportation (WisDOT). Development of a feasible model will permit estimation of future truck traffic for every major link in the network. This will provide the basis for improved estimation of future pavement deterioration. Pavement damage rises exponentially as axle weight increases, and trucks are responsible for most of the traffic-induced damage to pavement. Consequently, forecasts of truck traffic are critical to pavement management systems. The pavement Management Decision Supporting System (PMDSS) prepared by WisDOT in May 1990 combines pavement inventory and performance data with a knowledge base consisting of rules for evaluation, problem identification and rehabilitation recommendation. Without a r.easonable truck traffic forecasting methodology, PMDSS is not able to project pavement performance trends in order to make assessment and recommendations in the future years. However, none of WisDOT's existing forecasting methodologies has been designed specifically for predicting truck movements on a statewide highway network. For this research, the Origin-Destination survey data avaiiable from WisDOT, including two stateline areas, one county, and five cities, are analyzed and the zone-to'||'&'||'not;zone truck trip tables are developed. The resulting Origin-Destination Trip Length Frequency (00 TLF) distributions by trip type are applied to the Gravity Model (GM) for comparison with comparable TLFs from the GM. The gravity model is calibrated to obtain friction factor curves for the three trip types, Internal-Internal (I-I), Internal-External (I-E), and External-External (E-E). ~oth "macro-scale" calibration and "micro-scale" calibration are performed. The comparison of the statewide GM TLF with the 00 TLF for the macro-scale calibration does not provide suitable results because the available 00 survey data do not represent an unbiased sample of statewide truck trips. For the "micro-scale" calibration, "partial" GM trip tables that correspond to the 00 survey trip tables are extracted from the full statewide GM trip table. These "partial" GM trip tables are then merged and a partial GM TLF is created. The GM friction factor curves are adjusted until the partial GM TLF matches the 00 TLF. Three friction factor curves, one for each trip type, resulting from the micro-scale calibration produce a reasonable GM truck trip model. A key methodological issue for GM. calibration involves the use of multiple friction factor curves versus a single friction factor curve for each trip type in order to estimate truck trips with reasonable accuracy. A single friction factor curve for each of the three trip types was found to reproduce the 00 TLFs from the calibration data base. Given the very limited trip generation data available for this research, additional refinement of the gravity model using multiple mction factor curves for each trip type was not warranted. In the traditional urban transportation planning studies, the zonal trip productions and attractions and region-wide OD TLFs are available. However, for this research, the information available for the development .of the GM model is limited to Ground Counts (GC) and a limited set ofOD TLFs. The GM is calibrated using the limited OD data, but the OD data are not adequate to obtain good estimates of truck trip productions and attractions .. Consequently, zonal productions and attractions are estimated using zonal population as a first approximation. Then, Selected Link based (SELINK) analyses are used to adjust the productions and attractions and possibly recalibrate the GM. The SELINK adjustment process involves identifying the origins and destinations of all truck trips that are assigned to a specified "selected link" as the result of a standard traffic assignment. A link adjustment factor is computed as the ratio of the actual volume for the link (ground count) to the total assigned volume. This link adjustment factor is then applied to all of the origin and destination zones of the trips using that "selected link". Selected link based analyses are conducted by using both 16 selected links and 32 selected links. The result of SELINK analysis by u~ing 32 selected links provides the least %RMSE in the screenline volume analysis. In addition, the stability of the GM truck estimating model is preserved by using 32 selected links with three SELINK adjustments, that is, the GM remains calibrated despite substantial changes in the input productions and attractions. The coverage of zones provided by 32 selected links is satisfactory. Increasing the number of repetitions beyond four is not reasonable because the stability of GM model in reproducing the OD TLF reaches its limits. The total volume of truck traffic captured by 32 selected links is 107% of total trip productions. But more importantly, ~ELINK adjustment factors for all of the zones can be computed. Evaluation of the travel demand model resulting from the SELINK adjustments is conducted by using screenline volume analysis, functional class and route specific volume analysis, area specific volume analysis, production and attraction analysis, and Vehicle Miles of Travel (VMT) analysis. Screenline volume analysis by using four screenlines with 28 check points are used for evaluation of the adequacy of the overall model. The total trucks crossing the screenlines are compared to the ground count totals. L V/GC ratios of 0.958 by using 32 selected links and 1.001 by using 16 selected links are obtained. The %RM:SE for the four screenlines is inversely proportional to the average ground count totals by screenline .. The magnitude of %RM:SE for the four screenlines resulting from the fourth and last GM run by using 32 and 16 selected links is 22% and 31 % respectively. These results are similar to the overall %RMSE achieved for the 32 and 16 selected links themselves of 19% and 33% respectively. This implies that the SELINICanalysis results are reasonable for all sections of the state.Functional class and route specific volume analysis is possible by using the available 154 classification count check points. The truck traffic crossing the Interstate highways (ISH) with 37 check points, the US highways (USH) with 50 check points, and the State highways (STH) with 67 check points is compared to the actual ground count totals. The magnitude of the overall link volume to ground count ratio by route does not provide any specific pattern of over or underestimate. However, the %R11SE for the ISH shows the least value while that for the STH shows the largest value. This pattern is consistent with the screenline analysis and the overall relationship between %RMSE and ground count volume groups. Area specific volume analysis provides another broad statewide measure of the performance of the overall model. The truck traffic in the North area with 26 check points, the West area with 36 check points, the East area with 29 check points, and the South area with 64 check points are compared to the actual ground count totals. The four areas show similar results. No specific patterns in the L V/GC ratio by area are found. In addition, the %RMSE is computed for each of the four areas. The %RMSEs for the North, West, East, and South areas are 92%, 49%, 27%, and 35% respectively, whereas, the average ground counts are 481, 1383, 1532, and 3154 respectively. As for the screenline and volume range analyses, the %RMSE is inversely related to average link volume. 'The SELINK adjustments of productions and attractions resulted in a very substantial reduction in the total in-state zonal productions and attractions. The initial in-state zonal trip generation model can now be revised with a new trip production's trip rate (total adjusted productions/total population) and a new trip attraction's trip rate. Revised zonal production and attraction adjustment factors can then be developed that only reflect the impact of the SELINK adjustments that cause mcreases or , decreases from the revised zonal estimate of productions and attractions. Analysis of the revised production adjustment factors is conducted by plotting the factors on the state map. The east area of the state including the counties of Brown, Outagamie, Shawano, Wmnebago, Fond du Lac, Marathon shows comparatively large values of the revised adjustment factors. Overall, both small and large values of the revised adjustment factors are scattered around Wisconsin. This suggests that more independent variables beyond just 226; population are needed for the development of the heavy truck trip generation model. More independent variables including zonal employment data (office employees and manufacturing employees) by industry type, zonal private trucks 226; owned and zonal income data which are not available currently should be considered. A plot of frequency distribution of the in-state zones as a function of the revised production and attraction adjustment factors shows the overall " adjustment resulting from the SELINK analysis process. Overall, the revised SELINK adjustments show that the productions for many zones are reduced by, a factor of 0.5 to 0.8 while the productions for ~ relatively few zones are increased by factors from 1.1 to 4 with most of the factors in the 3.0 range. No obvious explanation for the frequency distribution could be found. The revised SELINK adjustments overall appear to be reasonable. The heavy truck VMT analysis is conducted by comparing the 1990 heavy truck VMT that is forecasted by the GM truck forecasting model, 2.975 billions, with the WisDOT computed data. This gives an estimate that is 18.3% less than the WisDOT computation of 3.642 billions of VMT. The WisDOT estimates are based on the sampling the link volumes for USH, 8TH, and CTH. This implies potential error in sampling the average link volume. The WisDOT estimate of heavy truck VMT cannot be tabulated by the three trip types, I-I, I-E ('||'&'||'pound;-I), and E-E. In contrast, the GM forecasting model shows that the proportion ofE-E VMT out of total VMT is 21.24%. In addition, tabulation of heavy truck VMT by route functional class shows that the proportion of truck traffic traversing the freeways and expressways is 76.5%. Only 14.1% of total freeway truck traffic is I-I trips, while 80% of total collector truck traffic is I-I trips. This implies that freeways are traversed mainly by I-E and E-E truck traffic while collectors are used mainly by I-I truck traffic. Other tabulations such as average heavy truck speed by trip type, average travel distance by trip type and the VMT distribution by trip type, route functional class and travel speed are useful information for highway planners to understand the characteristics of statewide heavy truck trip patternS. Heavy truck volumes for the target year 2010 are forecasted by using the GM truck forecasting model. Four scenarios are used. Fo~ better forecasting, ground count- based segment adjustment factors are developed and applied. ISH 90 '||'&'||' 94 and USH 41 are used as example routes. The forecasting results by using the ground count-based segment adjustment factors are satisfactory for long range planning purposes, but additional ground counts would be useful for USH 41. Sensitivity analysis provides estimates of the impacts of the alternative growth rates including information about changes in the trip types using key routes. The network'||'&'||'not;based GMcan easily model scenarios with different rates of growth in rural versus . . urban areas, small versus large cities, and in-state zones versus external stations. cities, and in-state zones versus external stations.

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간호학 교과과정 개선을 위한 조사 연구 (A Study on improvement of curriculum in Nursing)

  • 김애실
    • 대한간호학회지
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    • 제4권2호
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    • pp.1-16
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    • 1974
  • This Study involved the development of a survey form and the collection of data in an effort-to provide information which can be used in the improvement of nursing curricula. The data examined were the kinds courses currently being taught in the curricula of nursing education institutions throughout Korea, credits required for course completion, and year in-which courses are taken. For the purposes of this study, curricula were classified into college, nursing school and vocational school categories. Courses were directed into the 3 major categories of general education courses, supporting science courses and professional education course, and further subdirector as. follows: 1) General education (following the classification of Philip H. phoenix): a) Symbolics, b) Empirics, c) Aesthetics. 4) Synthetics, e) Ethics, f) Synoptic. 2) Supporting science: a) physical science, b) biological science, c) social science, d) behavioral science, e) Health science, f) Educations 3) Professional Education; a) basic courses, b) courses in each of the respective fields of nursing. Ⅰ. General Education aimed at developing the individual as a person and as a member of society is relatively strong in college curricula compared with the other two. a) Courses included in the category of symbolics included Korean language, English, German. Chines. Mathematics. Statics: Economics and Computer most college curricula included 20 credits. of courses in this sub-category, while nursing schools required 12 credits and vocational school 10 units. English ordinarily receives particularly heavy emphasis. b) Research methodology, Domestic affair and women & courtney was included under the category of empirics in the college curricula, nursing and vocational school do not offer this at all. c) Courses classified under aesthetics were physical education, drill, music, recreation and fine arts. Most college curricula had 4 credits in these areas, nursing school provided for 2 credits, and most vocational schools offered 10 units. d) Synoptic included leadership, interpersonal relationship, and communications, Most schools did not offer courses of this nature. e) The category of ethics included citizenship. 2 credits are provided in college curricula, while vocational schools require 4 units. Nursing schools do not offer these courses. f) Courses included under synoptic were Korean history, cultural history, philosophy, Logics, and religion. Most college curricular 5 credits in these areas, nursing schools 4 credits. and vocational schools 2 units. g) Only physical education was given every Year in college curricula and only English was given in nursing schools and vocational schools in every of the curriculum. Most of the other courses were given during the first year of the curriculum. Ⅱ. Supporting science courses are fundamental to the practice and application of nursing theory. a) Physical science course include physics, chemistry and natural science. most colleges and nursing schools provided for 2 credits of physical science courses in their curricula, while most vocational schools did not offer t me. b) Courses included under biological science were anatomy, physiologic, biology and biochemistry. Most college curricula provided for 15 credits of biological science, nursing schools for the most part provided for 11 credits, and most vocational schools provided for 8 units. c) Courses included under social science were sociology and anthropology. Most colleges provided for 1 credit in courses of this category, which most nursing schools provided for 2 creates Most vocational school did not provide courses of this type. d) Courses included under behavioral science were general and clinical psychology, developmental psychology. mental hygiene and guidance. Most schools did not provide for these courses. e) Courses included under health science included pharmacy and pharmacology, microbiology, pathology, nutrition and dietetics, parasitology, and Chinese medicine. Most college curricula provided for 11 credits, while most nursing schools provide for 12 credits, most part provided 20 units of medical courses. f) Courses included under education included educational psychology, principles of education, philosophy of education, history of education, social education, educational evaluation, educational curricula, class management, guidance techniques and school & community. Host college softer 3 credits in courses in this category, while nursing schools provide 8 credits and vocational schools provide for 6 units, 50% of the colleges prepare these students to qualify as regular teachers of the second level, while 91% of the nursing schools and 60% of the vocational schools prepare their of the vocational schools prepare their students to qualify as school nurse. g) The majority of colleges start supporting science courses in the first year and complete them by the second year. Nursing schools and vocational schools usually complete them in the first year. Ⅲ. Professional Education courses are designed to develop professional nursing knowledge, attitudes and skills in the students. a) Basic courses include social nursing, nursing ethics, history of nursing professional control, nursing administration, social medicine, social welfare, introductory nursing, advanced nursing, medical regulations, efficient nursing, nursing english and basic nursing, College curricula devoted 13 credits to these subjects, nursing schools 14 credits, and vocational schools 26 units indicating a severe difference in the scope of education provided. b) There was noticeable tendency for the colleges to take a unified approach to the branches of nursing. 60% of the schools had courses in public health nursing, 80% in pediatric nursing, 60% in obstetric nursing, 90% in psychiatric nursing and 80% in medical-surgical nursing. The greatest number of schools provided 48 crudites in all of these fields combined. in most of the nursing schools, 52 credits were provided for courses divided according to disease. in the vocational schools, unified courses are provided in public health nursing, child nursing, maternal nursing, psychiatric nursing and adult nursing. In addition, one unit is provided for one hour a week of practice. The total number of units provided in the greatest number of vocational schools is thus Ⅲ units double the number provided in nursing schools and colleges. c) In th leges, the second year is devoted mainly to basic nursing courses, while the third and fourth years are used for advanced nursing courses. In nursing schools and vocational schools, the first year deals primarily with basic nursing and the second and third years are used to cover advanced nursing courses. The study yielded the following conclusions. 1. Instructional goals should be established for each courses in line with the idea of nursing, and curriculum improvements should be made accordingly. 2. Course that fall under the synthetics category should be strengthened and ways should be sought to develop the ability to cooperate with those who work for human welfare and health. 3. The ability to solve problems on the basis of scientific principles and knowledge and understanding of man society should be fostered through a strengthening of courses dealing with physical sciences, social sciences and behavioral sciences and redistribution of courses emphasizing biological and health sciences. 4. There should be more balanced curricula with less emphasis on courses in the major There is a need to establish courses necessary for the individual nurse by doing away with courses centered around specific diseases and combining them in unified courses. In addition it is possible to develop skill in dealing with people by using the social setting in comprehensive training. The most efficient ratio of the study experience should be studied to provide more effective, interesting education Elective course should be initiated to insure a man flexible, responsive educational program. 5. The curriculum stipulated in the education law should be examined.

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엡스타인 기형의 20년 수술 치험 (20 Years Surgical Experiences for Ebstein's Anomaly)

  • 이삭;박한기;이창영;장병철;박영환
    • Journal of Chest Surgery
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    • 제40권4호
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    • pp.280-287
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    • 2007
  • 배경: 엡스타인 기형 환자들에서 수술적 치료의 임상적 결과를 살펴보기 위해 후향적 조사를 실시하였다. 대상 및 방법: 1984년 2월부터 2006년 6월까지 엡스타인 기형으로 수술적 치료를 시행 받은 50명의 환자들을 대상으로 후향적 연구를 시행하였다. 환자들의 평균 연령은 26.9세였고, 남자가 19명이었다. 동반 심질환으로는 심방중격결손(33), 동맥관개존(2), 심실중격결손(1), 폐동맥협착(4) 등이 있었고 90% (45/50)의 환자에서 중증도 이상의 삼첨판막 폐쇄부전을 동반하였다. Carpentier type은 A형 6명, B형 26명, C형 14명, D형 4명이 속하였고 10명의 환자에서 WPW증후군을 동반하였다. 수술방법으로는 31명의 환자에서 보존적 수술(삼첨판 성형술, 심방화 우심실 주름잡기술(plication of atrialized RV) 등)이 가능하였으며, 폰탄씨 수술은 4명, 삼첨판막 치환술 12명, 고식적 수술은 2명의 환자에서 시행되었다. 13명의 환자에서 양방향성 상대정맥-폐동맥 단락술을 시행하였고(one and a half ventricular repair), WPW 증후군을 동반한 10명의 환자와 심방세동의 4명의 환자에서 부정맥에 대한 수술적 치료가 함께 시행되었다. 걸과: 술 후 뉴욕심장학회 기능분류(New York Heart Association Functional Class) (중간값 3 (범위: $1{\sim}4$)${\rightarrow}\;(1{\sim}3)$)와 평균 심흉비$(0.65{\rightarrow}0.59)$는 술 전에 비해 통계학적으로 의미 있게 감소하였다(P<0.001, p=0.014). 평균 산소포화도$(86.6{\rightarrow}94.1%)$와 삼첨판막역류 정도(중간값 4 (범위: $1{\sim}4$)${\rightarrow}1\;(0{\sim}4)$) 역시 술 전에 비해 술 후 통계학적으로 의미 있게 향상되었다 (p=0.004, p<0.001). 양방향성 상대정맥-폐동맥 단락술과 보존적 수술간의 비교에서는 수술 전 우심실 압력(33.0 vs 41.3 mmHg), 중환자실 기간(2.86 vs 1.89일), 입원기간(10.6 vs 16.8일), 그리고 수술 후 좌심실 구축률(64.3 vs 72.8%)이 통계적으로 의미 있는 차이를 보였다. 술 후 조기사망이 3명(6%)의 환자에서 있었는데 2명은 양심실 부전, 나머지 1명은 패혈증으로 사망하였다. 평균 추적관찰 기간은 101.5개월이었으며 추적 조사 결과, 심장관련사망이 1명(폰탄 실패)이 있었고 6명의 환자에서 재수술을 요하였다(조직판막 퇴행성 변화(2), 폰탄 전환술(4)). 수술 후 10년 생존율은 90.2%였고, 10년 재수술 자유도는 78.9%, 심장관련 합병증의 자유도는 49.2%이었다. 걸론: 엡스타인 기형의 수술적 치료는 비교적 안전하게 시행될 수 있으며 양방향성 상대정맥-폐동맥 단락술의 추가가 고위험군에서는 도움이 되는 것으로 생각한다. 적절한 술기의 적응이 결국 장기 생존율의 호전과 재수술의 감소를 기대할 수 있을 것으로 생각한다.

다중가우시안혼합모델을 이용한 소동물 심근경색 PET 영상의 정량적 평가 기술 (Quantitative Assessment Technology of Small Animal Myocardial Infarction PET Image Using Gaussian Mixture Model)

  • 우상근;이용진;이원호;김민환;박지애;김진수;김종국;강주현;지영훈;최창운;임상무;김경민
    • 한국의학물리학회지:의학물리
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    • 제22권1호
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    • pp.42-51
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    • 2011
  • 전통적으로 심근 생존능을 식별하고 심근 관류를 정확히 평가하기 위한 도구로 핵의학영상이 이용되고 있으나 경색영역을 정의하기에는 어려움이 있다. 이에 본 연구에서는 극성지도의 분포를 분석하여 특성에 맞는 적응적 임계값을 이용하여 심근경색 모델을 정량적으로 평가하고자 하였다. 쥐 심근경색 모델은 왼쪽 관상동맥을 결찰시켜 제작하였다. 소동물PET 영상은 37 MBq $^{18}F$-FDG를 쥐의 꼬리정맥에 주사한 후 60분 섭취 후 Siemens Inveon SPECT/PET 스캐너를 이용하여 20분 동안 ECG 신호와 함께 획득하였고, OSEM 2D 알고리즘을 이용하여 재구성하였다. PET 영상의 심근 극성지도는 Siemens QGS 소프트웨어에 적합한 형식으로 변환 후 자동으로 심근 벽을 설정하여 작성하였다. 심근경색영역의 기준데이터는 TTC 염색으로 설정하였으며 전체 좌심실대비 염색된 영역의 백분율로 획득하였다. 최적의 임계값 설정을 위해 절대치 설정 방법, Otsu 알고리즘, 다중가우시안혼합모델(Multi Gaussian mixture model, MGMM)을 이용하여 평가하였다. 절대치 설정 방법은 10~90%까지 10%단위로 미리 정의 된 임계값을 이용하였고, Otsu 알고리즘은 영상 내에서 두 군집의 분산을 최대로 하는 임계값으로 설정하였다. MGMM 방법은 영상의 화소 강도를 분석하여 여러 개의 가우시안 분포함수(MGMM2, $\cdots$ MGMM4)로 반복 수행하여 최적의 가우시안 분포를 구하여 적응적 임계값을 설정하였다. 극성지도 평가지표는 각각의 알고리즘에서 측정된 임계값을 이용하여 이진화하고 전체 극성지도와 경색영역의 백분율로 획득한 후, TTC 염색으로 획득된 기준데이터와의 차이를 비교하였다. 그 차이는 절대치 방법의 20%에서 $7.04{\pm}3.44%$, 30%에서 $3.87{\pm}2.09%$, 40%에서 $2.15{\pm}2.07%$이었다. Otsu 방법은 $3.56{\pm}4.16%$이었으며 MGMM 방법은 $2.29{\pm}1.94%$이었다. 소동물 PET 극성지도에서는 30% 임계값이 조직학적 데이터와 비교하여 가장 작은 차이를 보였다. 그러나 TTC 염색으로 측정한 크기가 10% 이하에서는 MGMM 방법이 절대치 방법보다 작은 차이를 보였다(MGMM: 0.006%, 절대치방법: 0.59%). 이 연구에서는 심근경색 모델 평가를 위하여 생체영상 극성지도에서 다중가우시안혼합모델을 이용하여 평가하고자 하였다. MGMM은 사용자의 선택 없이도 자동적으로 영상 특성을 고려하여 적응적 임계값을 찾아주는 방법으로 극성지도에서 심근경색을 평가하는데 도움이 될 것으로 기대된다.

소 난포란(卵胞卵)의 체외성숙(體外成熟) 및 체외수정(體外受精)에 영향(影響)을 미치는 요인(要因)에 관한 연구(硏究) (Studies on the detrimental factors affecting in vitro maturation and fertilization of bovine follicular oocytes)

  • 이만휘;김상근
    • 대한수의학회지
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    • 제31권2호
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    • pp.179-187
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    • 1991
  • These studies were carried out to investigate the effects of the size of follicles, semen types, capacitation methods, and additions of hormones, estrous cow serum(ECS), fetal calf serum(FCS), bovine follicular fluid(BFF) and matured cumulus cell(MCC) to the medium on in vitro maturation and fertilization of bovine follicular oocytes. The ovaries were obtained from slaughtered Korean native cows. The follicular oocytes surrounded with cumulus cells were recovered by aspirating follicular fluid from the visible follicles of diameter 3~5mm. The follicular oocytes were cultured in TCM-199 medium containing hormones, FCS, ECS, BFF and MCC for 24~48hrs. in an incubator with 5% $CO_2$ in air at $38.5^{\circ}C$ and then matured oocytes were again cultured for 18~20 hrs. with motile capacitated spermatozoas the TCF (Tyrode calcium free) solution containing $100{\mu}g/ml$ of heparin. The results obtained in these experiments were summarized as follows: 1. The oocytes classified as "A,B,C,D and Degenerative" depending morphological integrity and those 61.4%, 12.1%, 19.2%, 4.2% and 3.0% of the total oocytes recovered, respectively. The maturation and fertilization rate of the A, B, C class follicular oocytes, cultured in the TCM-199 medium supplemented with 10% FCS were 89.1%, 78.0%, 52.6% and 78.1%, 66.1, 33.3%, respectively. 2. The average number of the follicular oocytes recovered from follicles size, 1~2mm, 3~5mm and above 5mm in diameter were 67, 98 and 63, respectively. The maturation and fertilization rate of the follicular oocytes, cultured in the TCM-199 medium were 56.7%, 82.5%, 46.0% and 44.8%, 71.4%, 28.6%, respectively. 3. The fertilization and cleavage rate of the follicular oocytes, inseminated with spermatozoas of epididymal cauda, neat and frozen semen were 63.3%, 73.3%, 70.0% and 32.7%, 37.8% 38.3%, respectively. 4. The fertilization and cleavage rate of follicular oocytes, fertilized with capacitated spermatozoas by heparin, BFF and HIS methods were 70.0%, 53.8%, 34.2% and 38.3%, 23.1%. 17.1%, respectively. And the fertilization and cleavage rate were higher method of heparin. 5. The maturation and fertilization rate of follicular oocytes, cultured in the TCM-199 medium supplemented with 5%, 10%, 15%, 20% and FSH, HCG, 17, $\beta$-estradiol were 76.0~82.3% and 26.2~70.0%, and those values were higher the supplementation than non-supplementation. 6. The maturation and fertilization rate of the follicular oocytes cultured in TCM-199 medium supplemented with 5~20% ECS and FCS were 74.0~80.6%, 26.2~30.0% and 71.7~76.9%, 51.9~58.0%, and the values were higher the supplement of ECS than FCS. 7. The maturation rate (68.0~64.6%) and fertilization rate(59.6~60.4%) of follicular oocytes cultured in TCM-199 medium supplemented with 10% FCS and 20~30% BFF were higher than those of follicular oocytes cultured TCM-199 medium supplemented with 10% FCS and 10% and 50% BFF. 8. The maturation rate(76.5%) and fertilization rate (61.7%) of follicular oocytes cultured in TCM-199 medium supplemented with 10% FCS and $1{\times}10^6/ml$ MCC were higher than those of follicular oocytes cultured in TCM-199 medium supplemented with 10% FCS and $1{\times}10^{{4}{\sim}{5}}/ml$ and $1{\times}10^8/ml$ cumulus cells.

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임상간호 실습교육의 교수효율성에 관한 연구 (A Study of Teaching Effectiveness on Clinical Nursing Education)

  • 김미애
    • 대한간호학회지
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    • 제26권4호
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    • pp.946-962
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    • 1996
  • The purpose of this study was to contribute to the development of clinical instruction by students' ratings of teaching effectiveness in clinical nursing education. The subjects were comprised of graduating class 618 students from 24 nursing colleges in the nation. The instruments used in this study were "general characteristics & status of clinical nursing education" developed by the researcher and "Instrument to Measure Effectiveness of Clinical Instructors" by Reeve(1994). The 50 questions used in the questionaire were categorized into 13 components subject to factor analysis. The 13 components were interpersonal relationships, communication skills, role model, resource for students, favorable to students, encouraging to think for selves, teaching methods, evaluation, finding assignments for objectives, organization of subject matter, professional competence, knowledge of subject matter & working with agency personnel. The results of this study are as follows 1. Status of clinical nursing educaion : 1) Clinical nursing education were led by nursing professors(44.9%), a team of both nuring professor & head nurse(6.8%), instructors from specific hospital(15.1%), instuctos for a specific subject(14.6%), & head nurse(6.8%). For 3-year program students, 34.6% of the clinical nursing education were led by instructors from specific hospital & 51.4% of the education by nursing professors for Bachelor's program. 2) The contents for clinical education comprised of Conference being the most frequent of 34.5% ; a combination of Nursing skills, Orientation, Conference etc.22.0% : Nursing process 21.7% : Orientation 13.5% : Inspection(making rounds ) 6.4%, & Nursing skills of 2% being the least frequent. 3) Students' preference of clinical teachers from the highest to the lowest were instructors for a specific subject being the most desired (44.9%) followed by nursing professor, head nurse, a team of both nursing professor & head nurse, & instructors from specific hospital being the least desired. 4) Students felt that the qualification for clinical teachers should be at least a master's degree holder and 5 or more years of clinical experience. The reason they felt was because knowledge & experience are imperative for professional education. 2. Clinical teaching effectiveness : The total points for teaching effectiveness was 147.97(mean of 2.95±0.98) where the total score is considered to be an average rating. 3. Teaching effectiveness as status of clinical nursing education : 1) The score ratings for the clinical instructors from the highest to the lowest were as follows : instructors for a specific subject, instructors from specific hospitals, a team of both nursing professors & head nurses, nursing professors, head nurses, which resulted in significunt difference(F=4.53, P<0.001). 2) The rating scores based on the teaching program from the highest to the lowest were as follws ; nursing skills, nursing process, a combination of nursing skills, orientation, conference etc. , conferences, orientation, inspection, which resulted in significunt difference(F=10.97, P<0.001). 4. Based on 13 categorized components from the questionaires, questions related to communication skills scored the highest points of 3.20 where inquiries regarding resource for students scored the lowest points of 2.38. 5. Among the 13 categorial components from the questionaire, Interpersonal relationship, Communication skills, Resource for students, Encouraging to think for selves, Evaluation, Teaching method, Finding assignment for objectives, Organization of subject matter, Professional competence, & Working with agency personnel, instructors for a specific subject scored the highest points and head nurse scored the lowest, which resulted in significant difference. Favorable for students, instructors for a specific subject scored highest points and nursing professor scored the lowest, which resulted in significant deference (F=5.39, P<0.001). Role model & Professional competence, instructors for a specific subject scored the highest points and head nurse scored the lowest, with minimum variation(F=1.29, P>0.05 : F=1.64, P>0.05) 6. Based on 13 categorial components as a whole, the highest points scored among the 5 groups of clinical teachers was instructors for a specific subject and the lowest, by head nurse(F=1.94, P<0. 001). A team of both nursing professor & head nurse attained higher score in clinical education than their independent education.

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IFC를 이용한 설계정보관리시스템 핵심부 구축 (Design Information Management System Core Development Using Industry Foundation Classes)

  • 이근형;진상윤;김재준
    • 한국건설관리학회논문집
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    • 제1권2호
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    • pp.98-107
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    • 2000
  • 최근 건설산업에서 컴퓨터의 활용이 일반화되어 가면서, CAD, PMIS(Project Management Information System), 구조해석 프로그램, 공정관리 프로그램 등을 통해서 발생하는 정보의 양은 급증하고 있다. 그 정보의 양이 방대해지고, 복잡해지면서 이들 정보를 효과적으로 관리하며, 재활용하는 것이 건설산업의 생산성을 좌우하는 요소가 되어가고 있다. 이러한 상황에서 건설업에서의 정보기술과 CIC(Computer Integrated Construction)에 대한 연구가 진행되고 있다. 최근에는 프로덕트 모델을 이용하여 정보를 통합하기 위한 방안으로 IFC(Industry Foundation Classes)가 IAI에 의해 개발되어서 이를 이용한 정보 공유 및 활용에 대한 연구가 수행되고 있다. 하지만, 이들 연구가 아직 초기 단계에 머물러 있고, 대부분 개념적인 내용을 중심으로 이루어지고 있다. 따라서 IFC를 이용한 설계정보관리시스템 구축을 위한 좀 더 구체적인 모델과 구축 프로세스에 대한 연구가 필요한 상황이다. 본 연구의 목적은 IFC를 이용하기 위해 필요한 요소 기술을 조사하고, 이를 이용해서 IFC를 활용한 설계정보관리시스템의 모델을 제시하고, 제시된 모델에서 핵심적인 기능을 수행하는 프로젝트 데이터베이스와 프로덕트 프레임워커의 역할과 이들을 구축하기 위한 프로세스를 밝히는데 있다. 이들의 주된 역할은 건축정보와 구조정보의 통합과 프로덕트 정보의 다중 통합이며, 이들의 구현을 위한 프로세스로 먼저 '프로덕트 모델링' 과 '응용프로그램 개발' 의 두 가지를 상위단계의 활동으로 정의하고, 응용 프로그램 개발을 다시 'IFC스키마 컴파일', '클래스 컴파일', '프로젝트 데이터베이스 스키마 생성', '프로덕트 프레임워커 개발, '프로젝트 데이터베이스 생성'의 다섯 가지 활동으로 정의했다. 이러한 활동들을 위해 이용되는 도구들로 C++ 컴파일러, CAD, ST-Developer, ST-ObjectStore, ObjectStore 등을 제시했다. 이렇게 구축된 프로젝트 데이터베이스의 정보들은 인터넷을 이용한 분산기술과 XML을 이용해서 정보 관련자들 간의 공유 방안 및 '3차원 모델링', '프로덕트 정보 생성', '데이터베이스 생성 및 수정', '여러가지 체계에 따른 모델의 재구성', '모델별 도면 및 시방서 연결', '물량 정보 생성'의 다섯 단계로 제시하였다.

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국민학교아동의 학습부진에 관련된 요인 (Factors Related to Poor School Performance of Elementary School Children)

  • 박정한;김귀연;허규숙;이주영;김두희
    • Journal of Preventive Medicine and Public Health
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    • 제26권4호
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    • pp.628-649
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    • 1993
  • 국민학생들의 학습부진에 관련된 요인을 조사하여 의학적 예방 및 치료 대책을 고안해 보기 위해, 대구 시내에서 고소득층 밀집지역과 저소득층 밀집지역의 국민학교 1개씩을 선정하고, 각 학교의 2, 4, 6학년 학생 중 학업 성적이 하위 10%에 속하는 학생(학습부진군) 175명과 이에 대한 대조군으로 성적이 상위 5%에 속하는 학생(우수군) 97명을 대상으로 하여 이들에게 시력검사, 청력검사, 신체검사(체중, 신장, 두위)를 한 후, 고대 Stanford-Binet test를 이용한 지능검사와 TAI-K로 시험불안반응검사를 하고 발달소아학 전문의사가 신경학적 검진을 하였다. 아동의 어머니에게는 가정 환경, 어머니의 출산력, 아동의 출생 전후 및 과거력에서 의학적 특이사항, 그리고 행동양상에 관해 설문조사하고, 담임 선생에게 설문지를 통해 학교에서의 행동양상을 조사하였다. 아동의 두발을 적당량 채취하여 두발중 납, 카드뮴, 아연의 함량을 원자흡광분광광도계로 분석하였다. 학습부진과 각 요인과의 단순상관 관계분석에서 통계적으로 유의한 요인들을 이용한 다중지수형 회귀분석 (multiple logistic regression analysis)을 하여 학습부진의 관련요인을 찾았다. 단순분석에서 학습부진과 유의한 관련성이 있는 것은 남아인 경우, 출산순위가 높은 경우, 결손가정인 경우, 부모의 학력이 낮거나 직업이 노동직인 경우, 아동의 체중, 신장 및 두위가 작은 경우, 시력장애가 있는 경우, 지능지수가 낮은 경우, 시험불안반응점수가 높은 경우, 과잉활동성 아동인 경우로 나타났다. 다중지수형 회귀분석결과 학습부진과 관련되는 요인은 아동의 높은 출산순위 (odds ratio=2.06), 남아인 경우(odds ratio=5.91), 결손가정(odds ratio=9.29), 신장이 표준치-1 표준편차보다 작은 경우(odds ratio=11.12), 높은 시험불안점수(odds ratio=1.07), 과잉활동성 장애아동(odds ratio=9.67), 그리고 지능지수(odds ratio=0.85)였다. 두발중 중금속 함량의 분석결과 모두 학습부진과 뚜렷한 관련성이 없었으며, 납과 카드뮴의 함량은 학습부진군과 우수군 모두 남아가 여아에 비해 높았으며, 남은 학년과 역상관 관계(p<0.05)를, 아연은 정상관 관계(p<0.05)를 나타내었다. 학습부진과 유의한 관련성이 있는 요인들 중 조정가능한 것은 출산순위, 신장, 과잉활동성 장애 등으로, 가족계획을 통해 알맞은 수의 자녀를 갖도록 하고, 영유아기에서부터 사춘기에 이르기까지 적절한 영양공급을 하며, 과잉활동성 아동을 조기에 발견하여 의사의 진단을 받아 치료를 받도록 하는 것이 학습부진을 예방 및 해결하는데 도움이 될 것이다. 또한 부모와 담임 선생이 학습부진아에게 본인의 지적능력 이상의 기대나 학습의 강요로 불안을 조장하지 않도록 해야 할 것이다.

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