• 대한임상독성학회지
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• 제11권1호
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• pp.9-18
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• 2013

Purpose: Antidotes for toxicological emergencies can be life-saving. However, there is no nationwide stocking and delivery system for emergency antidotes in Korea. We report on a two-year experience of a nationwide stocking and delivery trial for emergency antidotes at emergency departments in Korea. Methods: An expert panel of clinical toxicologists reviewed and made a list of 15 stocked antidote. These antidotes were purchased or imported from other countries and delivered from 14 antidote stocking hospitals nationwide 24 hours per day, seven days per week. Results: From August 1, 2011 to April 30, 2013, 177 patients with acute poisoning, with a median age of 48.5 years, were administered emergency antidotes. The causes of poisoning were intentional in 52.0% and 88.0% were intentional as a suicide attempt. Regarding clinical severity, using the poisoning severity score, 40.7% of patients had severe to fatal poisoning and 39.0% had moderate poisoning according to clinical severity. The most frequent presenting symptom was neurologic deficit, such as altered mentality (62.7%). alerted mentality (62.7%). Emergency antidotes were administered as follows: methylene blue (49 cases), flumazenil (31), N-acetylcysteine (25), glucagon (17), 100% ethanol (15), cyanide antidote kit (12), anti-venin immunoglobulin (5), pyridoxine (4), hydroxocobalamine (2), and deferoxamine (1). The median time interval from antidote request to delivery at the patient's bedside was 95 minutes (interquartile range 58.8-125.8). Conclusion: Findings of this study demonstrated the possibility of successful operation of the nationwide system of emergency antidotes stocking and delivery in Korea.

• 보건교육건강증진학회지
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• 제19권2호
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• pp.23-43
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• 2002

Purpose: The purpose of this study is to examine and analyse factors related to the actual status and practice of breast-feeding during an infant period to grasp elements detrimental to breast-feeding and, therefore, provide basic information useful for its effective practice and encouragement. Method: From April 1 to June 30, 2001, this study was carried out with the mothers of 337 who were 6 months old, as of the surveyed date, of infants born in 2002 and registered in Seongju-gun Public Health Center, Gyeongsangbug-do Province. The method for its survey included both of the visiting and telephone interviews, and questions were mainly about the mothers' general characteristics(3 questions), infants' general characteristics(3 questions), environmental characteristics of infant delivery( 4 questions), support to breast-feeding(4 questions), understanding of breast-feeding(5 questions), and feeding type during the 1 to 6-month period after birth. Result: 1. The feeding type during the I-month period after birth showed that the breast-feeding accounted for 42.4%, which was higher than dry milk-feeding(30%) or mixed milk-feeding(26.8%). However, it began to be lower than the dry milk-feeding from the 2-month period after birth. During the 6-month period, the breast-feeding accounted for 28.6% which was lower than 56.5% of the dry milk-feeding. 2. The mothers who were encouraged by their delivery clinic to and were educated to breast-feed infants accounted for 55.4% and 41.4%, respectively, which were relatively low. The understanding of breast-feeding indicated that the responses were positive from the view point of mother ＆ infant health, but negative from mother's physical form. 3. It was shown that the lower the educational background of mother(p〈0.05) and the higher the unemployment of mother(p〈0.001), the higher the positive understanding of breast-feeding, and that the higher the entire support to breast-feeding, the more positive their understanding. 4. It was also shown that the lower the educational background of mother(p〈0.05), the higher the unemployment of mother(p〈0.001), the more the experience in breast-feeding at a delivery clinic(p〈0.01) and the faster the initial feeding(p〈0.001), the higher the rate of breast-feeding. 5. The factor having an effect on breast-feeding included a delivery clinic's encouragement to breast-feed(p〈0.001), understanding of breast-feeding(p〈0.01), father's comment on feeding method(p〈0.05) and mother's employment(p〈0.05). Discussion: In order to encourage the breast-feeding, as shown above, it is required, fist of all, to offer pregnant women an education about importance and excellence of breast-feeding and its appropriate method before delivery in advance to result in a positive comprehension of the breast-feeding. To do that, both the publicity activities and program development designed to encourage the breast-feeding must be performed in advance at the government level. In addition to that, the mother-infant space as ‘rooming-in’ available for breast-feeding immediately after delivery must be prepared on the basis of legal and administrative support. Finally, female employees' leave after childbirth must be performed for the purpose of productive welfare and circumstances also be prepared for breast-feeding, such as a children's home at work.

• 한국콘텐츠학회논문지
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• 제13권12호
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• pp.184-200
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• 2013

현대인들은 삶의 질 향상을 추구하고 있고 감성은 이런 질 높은 삶의 근본적인 요소라는 인식이 확대되면서 경제, 사회, 정치, 문화 전반에 걸쳐 감성을 반영하는 경향이 커지고 있다. 감성디자인은 이런 사회적 현상을 배경으로 한다. 본고는 감성디자인에 있어 '감성체험'이라는 인간중심적인 측면에 초점을 맞추어 연구를 진행하였다. 즉 디자이너가 감성디자인을 창출하고자 할 때 프로그래밍을 통해 구체화해야 하는 감성체험의 기본범주와 각 범주별 관련요소들에 대해 연구하였다. 본 연구는 문헌연구와 사례분석을 중심으로 진행되었다. 본고는 프로그래밍을 위한 감성체험의 기본범주를 첫째, 감성의 발생인자(사용자의 감성적 욕구), 둘째, 감성의 전달과정(사용자 관여 수준별 디자인접근법), 셋째, 감성의 체험모듈(사용자의 감성체험 경로)이라는 세 가지로 분류하였다. 감성의 발생인자는 생리적 감성, 심리적 감성, 사회적 감성, 문화적 감성으로 분석되었고, 감성의 전달과정은 기호적 접근(소극적 수용자), 경험적 접근(적극적 수용자), 상호작용적 접근(소극적 창조자), 참여적 접근(적극적 창조자)으로 분석되었다. 그리고 감성의 체험모듈은 지각하기, 느끼기, 생각하기, 행동하기, 관계짓기로 분석되었다.

• 디지털융복합연구
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• 제17권10호
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• pp.519-526
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• 2019

본 연구의 주요 목적은 학부모의 가족탄력성, 아동학대예방교육경험, 학대행위인식의 구조적 관계를 분석하는 것이다. 연구자료는 경기도 양평군에 거주하는 초등학생과 중학생을 자녀로 둔 학부모를 대상으로 설문조사를 시행하여 최종 389부를 분석에 투입하였다. 자료분석은 주요 변수들의 구조적 관계를 확인하기 위해 구조방정식모형을 활용하였다. 분석결과, 첫째, 학부모의 가족탄력성과 아동학대예방교육경험이 학대행위인식에 정적인 영향을 미치는 것으로 나타났다. 둘째, 학부모의 가족탄력성과 학대행위인식 간의 관계에서 아동학대예방교육경험의 매개효과를 확인하였다. 이러한 분석결과를 기초로 하여 가족탄력성 증진서비스를 포함한 패키지 형태의 아동학대예방프로그램의 제공과 아동학대예방서비스 전달체계의 보완을 제언하였다.

• 한국보건간호학회지
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• 제9권1호
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• pp.83-102
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• 1995

As the society is being industrialized, the fast-paced economic development that has caused substantial increase in cerebrovascular and coronary artery diseases and the industrial development and increased use of means of transportation have resulted in the rapid rise of incidents in external injuries as well. So the pubic has become acutely aware of the need for fast and effective emergency care delivery system. The goal of emergency care delivery system is to meet the emergency care needs of patients. The emergency care delivery system is seeking to efficiently satisfy the care needs of people. Therefore the purpose of this study is designed to develop an effective programs for emergency care delivery system in Korea. The following specific objectives were investigated. This emergency care delivery system must have the necessary man power, for transfering the patients, communication net work, and emergency care facilities. 1) Man power Emergency care requires n0t only specialized traning in the emergency treatment but also knowledge and experience i11 other related area, so emergency care personnel traning program should be designed in order to adapt to the specific need of emergency patients. It will be necessary to ensure professional personnel who aquires the sufficient traning and experience for emergency care and to look for legal basis. We have to develop re-educational programs for emergency nurse specialist. They should be received speciality of emergency nursing care so that they will work actively and positively in emergency part. Emergency medical doctor and nurse specialist should be given an education which is related in emergency and critical care. Emergency care personnel will continue to provide both acute and continuing care as partner with other medical team. 2) Transfering the patients. Successful management of pre-hospital care requires adequate traning for the emergency medical technician. Traning program should be required to participate in a actual first aids activites in order to have apportunities to acquire practical skills as well as theoretical knowledge. The system of emergency medical technician should be remarkablly successful with first responder firefighters. Establishing this system must add necessary ambulances operating at any given time. It will be necessary to standardize the ambulance size and equipment. Ambulance should be arranged with each and every fire station. 3) Communication net work. The head office of emergency commumication network should be arranged with the head office of fire station in community. It is proposed that Hot-line system for emergency care should be introduce. High controlled ambulance and thirtial emergency center should simultaneously equip critical-line in order to communication with each other. Ordinary ambulance and secondary emergency facility should also simultaneously equip emergency-line in order to communication with each other. 4) Emergency care facilities. Primary emergency care facilities should be covered with the ambulatory emergency patients-minor illness and injuires. Secondary emergency care facilities should be covered with the emergency admission patients. Third emergency care center should be covered with the critical patients who need special treatments and operation. Secondary and third emergency care facilities should employ emergency medical doctor and emergency nurse specialist to treat in-patients with severe and acute illness and multiple injuires. It should be fashioned for a system of emergency facilities that meets emergency patients needs. Provide incentives for increased number of emergency care facilities with traning in personal/clinical emergency care. 5) Finance It is recommended to put the finance of a emergency care on a firm basis. The emergency care delivery system should be managed by the government or accreditted organizations. In order to facilitate this relevant program the fund is needed for more efficient and effective emergency researchs, service, programs, and policy. 6) Gaining understanding and co-operation of pubic It is also important to undertake pubic education to improve understanding of first aids and C. P. R of individuals, communities and business. It is proposed that teachers and health officers be certified in C. P. R. The C. P. R education can be powerful influence save lives. Lastly appropriate emergency care information must be provided to the pubic for assisting them in choosing emergency care.

• 한국IT서비스학회지
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• 제14권1호
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• pp.99-113
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• 2015

Adaptive bitrate (ABR) streaming technology has become an important and prevalent feature in many multimedia delivery systems, with content providers such as Netflix and Amazon using ABR streaming to increase bandwidth efficiency and provide the maximum user experience when channel conditions are not ideal. Where such systems could see improvement is in the delivery of live video with a closed loop cognitive control of video encoding. In this paper, we present streaming camera system which provides spatially and temporally adaptive video streams, learning the user's preferences in order to make intelligent scaling decisions. The system employs a hardware based H.264/AVC encoder for video compression. The encoding parameters can be configured by the user or by the cognitive system on behalf of the user when the bandwidth changes. A cognitive video client developed in this study learns the user's preferences (i.e. video size over frame rate) over time and intelligently adapts encoding parameters when the channel conditions change. It has been demonstrated that the cognitive decision system developed has the ability to control video bandwidth by altering the spatial and temporal resolution, as well as the ability to make scaling decisions

• 대한간호학회지
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• 제31권1호
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• pp.55-67
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• 2001

A phenomenological study was conducted to investigate the experiences of mothers pregnant via in vitro fertilization (IVF). Sample of nine mothers participated. Ten theme clusters emerged when the formulated meanings were organized into categories. During the infertility period, the participants were subject to self- depreciation, envy, anxiety, and depression. It changed their priorities in life from a job-oriented life to one where having a baby was the most important thing. After trying numerous alternative therapies, IVF became their last hope in having a baby. Since the success rate for IVF is low (only 20-30%), the participants for the treatment were overwhelmed with uncertainty, and it led to further anxiety, depression and despair. Success of pregnancy gave them extreme satisfaction, but they became very cautious in their day-to-day life because of their fear of abortion and early delivery. Some were even worried about the side effect of IVF during the pregnancy. Finally, the delivery of the baby gave them relief from the obligation of having a baby. Women did not have any difficulties in rearing a "test tube baby" except in the case of twins. Most women had no ethical difficulty in having a baby by IVF. However they did not wish this information to be revealed to other people. They again turned to IVF to have a son(s) when the resultory child(s) was a daughter(s). This is because of the strong preference for sons in Korean society.

• 대한간호학회지
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• 제25권2호
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• pp.330-340
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• 1995

This study was conducted to find out the degree of paternal attachment to neonate, and to identify factors affecting paternal attachment. The main purpose was to make the base data for nursing intervention to improve parternal attachment. The subjects of this study were 20 fathers whose partners have delivered premature neonate and 30 fathers whose partners have delivered normal neonate in 3 university hospitals in Seoul. Data were collected from Feb. 10 to Apr. 10 1994 by self report questionaires. The instrument for this study was based on 7 kinds of characteristics of paternal attachment by Greenberg St Morris(1974), and developed by re-searcher The statistical methods for data analysis were percentage, mean, standard deviation, 1-test, ANOVA with S.P.S.S. program. The conclusions are as follows. 1. Fathers had the high degree of paternal attachent to neonate, but were afraid of active touch. 2. The factors that affect paternal attachment were delivery odor, past experience about own father except delivery pattern, pregnancy plan, sex of nonate. 3. There were not significant correlations between paternal attachment and early visual contact frequency of father-neonate. 4. In the degree of paternal attachment, though normal neonate father showed somewhat higher result than premature neonate father, there was not statistically significant difference between two groups(t=-1.83, P=0.076). But in the character of tactail awarness there were significant differences between two groups, hence nursing interventions are needed to help the premature neonate's father bring early tactile con-tact. Pother research about factors affecting paternal attachment to neonate and high risk neonate as well as low birth weight neonate is reguired.

• 한국의사학회지
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• 제23권1호
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• pp.11-22
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• 2010

This study finds an interesting fact that five symptoms (smallpox, postpartum pain, eye disease, swollen symptom and parasite infection) mentioned in Ryu Ei-Tae Medicinal Tales and his prescriptions (steamed rice, loess, soybean sprouts, cinnabar, radish, sesame oil and pork) were dramatized on the basis of traditional Korean medicinal knowledge in the Joseon Dynasty. Based on the study of experience-based medicinal literatures popular in the Joseon period, it is confirmed that the prescriptions are actually effective. Also it is inferred that popular diseases at that time were abscess, difficult baby delivery, postpartum pain and parasite infection, which were regarded as almost incurable diseases to ordinary people. These stories also showed destitution of common people who could not afford to buy medicines at that time. As shown in the Ryu Ei-Tae Medicinal Fable, many people might try various ordinary materials around them such as soil or nose wax. One of the outcomes of this study is that the fact that the tales mentioned common materials easy to get in the surroundings such as steamed rice, sesame oil, soybean sprouts or radish could be interprets as care and consideration of medicinal doctors for ordinary people at that time.

• 한국가금학회지
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• 제28권3호
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• pp.193-205
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• 2001

The most prevailing consumption pattern of chicken was "Buy fresh and cook at home (79.8%)". The frequency of eating chicken dish was about "Twice a month". Total average of degree of Preference is "2.30". It is very much close to "Like (2.0)" rather than "Average (3.0)". The degree of preference of chicken decrease as the age increase. About 30% of the housewives have the experience of buying chicken "Cut-up". But "Whole chicken (79.7%)" was still used mostly for chicken dish at home. As the education background improves or living expense increases, housewives purchase chicken "Cup-up" more frequently. The major criteria in purchasing chicken was "Hygiene (67.4%)""Quality (55.2%), "Expiration date (36.7%)" follows next. The groups of ′Above 50 years′, ′Graduate school′ and ′More than 3 million won′show greater interest about "Health" than any other groups. Major chicken dish at home in Korea was "Chopped hot chicken (70.7%)". "Boiled chicken soup (43.2%) \" and "Ginseng chicken soup (39.3%)" follows next. "Order for delivery (57.4%)" increased rapidly for chicken consumption. Croup of ′20~30 years′ order chickens for delivery more frequently than other groups. But as the age of housewives increases, they cook at home more frequently. The most preferred chicken dish for dining-out were "Fried chicken (69.4%)" and "Spicy chicken (57.4%)". The preference of Korean traditional dish for dining out was decreasing except "Chuncheon chicken rib (14.2%)".2%)".