• 제목/요약/키워드: Development rate

검색결과 12,926건 처리시간 0.047초

High Resolution HC$_3$N Observations toward the Central Region of Sagittarius B2

  • H.S-Ching;Oh, M.ishi;M.Morimoto
    • 한국우주과학회:학술대회논문집(한국우주과학회보)
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    • 한국우주과학회 1993년도 한국우주과학회보 제2권2호
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    • pp.17-17
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    • 1993
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70${\pm}$1.32mmHg/min)compared to CF dialyzers(4.32${\pm}$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500,550,570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500,550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100,300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.

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우리나라 기생충병관리의 현황(現況)과 효율적방안에 관(關)한 연구(硏究) (The Present Status and a Proposal of the Prospective Measures for Parasitic Diseases Control in Korea)

  • 노인규
    • Journal of Preventive Medicine and Public Health
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    • 제3권1호
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    • pp.1-16
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    • 1970
  • 우리나라에서 공중보건상(公衆保健上) 중요(重要)한 연충류감염에 대(對)하여 1969년(年) 현재(現在) 실시(實施)한 관리(管理) 현황(現況)을 조사(調査)하였으며, 그 결과(結果)를 보면 1966년(年)부터 1969년(年)까지의 학생기생충검사 및 회충구충 사업(事業)에 있어서 그 간(間) 회충감염률의 저하(低下)를 별(別)로 가져오지 못하였음이 나타났으며 따라서 앞으로 본(本) 사업(事業)의 개선(改善) 또는 보다 적극적인 사업(事業)의 추진(推進)이 요망(要望)된다. 보건사회부(保健社會部)에서 지정(指定)한 지역(地域)에서 $1965{\sim}1968$년(年)의 4년간(年間)에 실시(實施)한 폐(肺) 및 간(肝) 디스토마 집단치료사업(集團治療事業)에 있어서는 추정환자수(推定患者數)의 감소(減少)를 크게 가져오지 못하여 사업(事業)의 부진(不振)함을 나타내었다. 구충제제조에 있어서 너무 많은 제조회사(製造會社)에서 많은 종류(種類)의 상품(商品)이 제조(製造)되어 난맥(亂脈)을 이루고 있었으며 따라서 구충제 제조허가(製造許可)에 있어서의 재고(再考)가 요구(要求)된다. 인분처리(人糞處理) 상황(狀況)에 있어서 도시지역(都市地域)에 있어서는 위생적(衛生的)인 하수도(下水道)가 미비(未備)되고 하수종말처리장(下水終末處理場)이 전연(全然) 없고 수거처리(收去處理)되고 있으며 한편 농촌지역(農村地域)의 인분처리(人糞處理)는 거의 수임상태(收任狀態)로 비위생적(非衛生的)이어서 기생충 전파(傳播)의 가장 큰 요인(要因)의 하나가 된다. 인분사용금지구역(人糞使用禁止區域)으로 지정된 전국(全國) 55개(個) 지역중(地域中) 34개(個) 지역(地域)에서 총(總) 170건(件)의 토양(土壤)(밭흙)을 채취하여 검사(檢査)한바 그중(中) 44%에서 회충난이 검출(檢出)되었다. 청정채소보급소(淸淨菜蔬補給所)와 일반시장(一般市場)에서 판매하는 각종 채소(菜蔬) 각(各) 64건(件)씩을 구입하여 검사(檢査)한바 회충난검출률은 보급소(補給所)의 것이 25%, 일반시장(一般市場)의 것이 36%로 나타났다. 전국(全國) 보건소(保建所)에서의 기생충병관리사업 실적(實績)과 기생충 검사능력(檢査能力)은 저조(低調)하였다. 보건사회부(保健社會部)의 기생충병 관리(管理) 예산(豫算)은 아주 적으며, 세로판후층도말법(厚層塗抹法)에 소요(所要)되는 실비(實費)를 산출(算出)한바 1건당(件當) 8원이었다. 기생충병 관리원칙(管理原則)은 기생충 자체(自體)의 생활사(生活史)를 중심(中心)으로 하는 요인(要因)과 이에 영향을 주는 제환경적(諸環境的) 요인(要因), 그리고 감염(感染)과 관계되는 인간숙주측(人間宿主側) 요인(要因)등의 여러가지 요인(要因)에 의(依)해서 발생(發生)되는 기생충감염의 생성과정중(生成過程中)의 어느 한 부분(部分) 또는 그 이상(以上)을 제거하는 방향으로 이루어지며, 그 방법에는 다음과 같은 사항들을 들수 있다. (1) 감염자(感染者)에 대(對)한 집단치료(集團治療)로서 감염(感染)의 근원(根源)이 되는 병원소(病原巢)를 제거(除去)한다. (2) 보충동물을 제거(除去)함으로써 인체감염(人體感染)과 관계되는 동물병원소(動物病原巢)를 제거(除去)한다. (3) 보충숙주의 배설물(排泄物)에 대(對)한 위생적(衛生的) 처리(處理)인바 여기에서 주요(主要)한 것은 도시지역(都市地域)에서의 완비(完備)된 하수도(下水道)와 하수종말처리장(下水終末處理場), 그리고 농촌지역(農村地域)에서의 비흡취식(非吸取式)인 위생적편소(衛生的便所)의 설치(設置) 등이며 이것은 우리나라에서의 인분비료사용(人糞肥料使用)의 폐지(廢止)와 국가경제(國家經濟)의 향상(向上)으로서 그 목적(目的)을 달성(達成)할 수 있게 된다. (4) 매개체(媒介體) 및 중간숙주(中間宿主)의 관리(管理)로서 토양(土壤)의 기생충오염방지, 식품위생(食品衛生), 곤충관리 그리고 패류관리(貝類管理) 등을 들 수 있다. (5) 비위생적(非衛生的) 태도(態度)와 폐습(弊習)의 개선(改善)으로서 기생충감염과 관계 있는 입분비료(入糞肥料)의 사용(使用), 식습관(食習慣) 및 개인위생(個人衛生) 등이 문제된다. (6) 화학예방(化學豫防) 및 예방접종(豫防接種)은 전술(前述)한 바와같은 전파예방(傳播豫防) 조치(措置)가 실패(失敗)하는 경우 체내(體內)에 침입(侵入)되는 기생충체를 체내(體內)의 방어력(防禦力)에 의(依)하여 그 감염(感染)의 성립(成立)과 성충에의 발육(發育)을 방지(防止)하려는 조치(措置)로서 이에 대(對)한 앞으로의 보다 적극적인 연구(硏究) 개발(開發)이 요망(要望)된다.

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시비(施肥)의 합리화(合理化)와 비종개발(肥種開發) (Rationalization of Fertilizing and Development of Fetilizer)

  • 임선욱
    • 한국토양비료학회지
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    • 제15권1호
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    • pp.49-50
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    • 1982
  • 비료(肥料)를 합리적(合理的)으로 시용(施用)하고 여러가지 사정(事情)에 적합(適合)한 비종(肥種)을 개발하는 문제(問題)는 작물(作物)의 생산성(生産性)을 향상(向上) 시키기 위한 것 뿐만 아니라 농업경영, 농업정책(農業政策) 및 화학공학적(化?工?的)인 측면(側面)에서도 검토(?討)되어야 할 문제(問題)이다. 경작(耕作)의 기술(技術)과 비료(肥料)의 제반사정(諸般事情)이 국가적(?家的), 지역적(地域的) 특성(特性) 또는 시대(時代)에 따라 변동(?動)있고 차이(差異)가 있게 되는 것은 여러가지 기본적(基本的)인 조건(條件)과 배경(背景)에 의한다고 할 수 있다. 그러한 조건(條件)으로 중요시(重要視)되는 것을 들면 다음과 같다. 1. 자원(資源)-천연산(天然産), 부산물(副産物) 에너지 2. 비료생산(肥料生産)의 기술수준(技術水準) 3. 토양(土壤)의 특성(特性) 4. 농경업(農耕業)의 특성(特性)과 경작기술수준(耕作技術水準) 5. 식물(植物) 영향학적(營養?的) 이론(理論)의 발전(?展) 6. 기계화(機械化) ((수송(輸送), 저장(貯藏), 시용(施用)을 위한) 시설(施設) 7. 작물(作物)의 영양소(營養素) 요구(要求)와 비료성분(肥料成分)의 복합화(複合化) 8. 비료(肥料)의 생산효율(生産效率) 및 이용율(利用率) 9. 잔류성분(殘留成分)의 축적(蓄積)과 공해성(公害性) 10. 노력(?力)의 경제(??)와 다목적화(多目的化)(농약혼합등(農?混合等)) 이와 같이 많은 조건(條件)들은 지역(地域) 사정(事情)에 따라 단독(單獨) 또는 복합적(複合的)으로 다소간(多少間)의 차이(差異)는 있겠으나 비료(肥料)의 생산(生産)으로부터 시용(施用)에 이르기까지 관련(關聯)될 것이다. 우리나라의 농업(農業)이 이제까지 주(主)로 미곡생산(米?生産)을 위한 답작(沓作) 위주(爲主)의 농업(農業)이었고 비료(肥料)도 그의 물리적(物理的), 화학적(化?的) 형태(形態) 및 성분비(成分比)가 답작(沓作) 위주(爲主)로 개발(開?) 생산(生産)되어 왔다고 할 수 있을 것이며 더구나 선택(選?)의 여유(餘裕)가 거의 없이 단순(單純)한 비종(肥種)에 한(限)하여 왔다고 할 수 있다. 앞으로 영농(營農)의 과학화(科?化), 현대화(現代化) 및 집약화(集約化) 과정(過程)에서 각종(各種) 재배기술(栽培技術)의 개선(改善)이 필연적(必然的)으로 이루워 질 것이다. 따라서 작물(作物)의 영양(營養) 및 환경(環境) 상태(狀態)의 개선(改善)은 가장 기본적(基本的)인 과제(課題)가 될 것이다. 시비(施肥)의 합리화(合理化)란 작물(作物)의 영양생리(營養生理) 및 재배(栽培) 환경(環境)에 적합(適合)한 형태(形態)의 비료(肥料)를 시용(施用)하거나 또는 이러한 조건(條件)을 개선(改善)한 목적(目的)으로 취하(取)여지는 모든 수단(手段)을 말한다. 시비합리화(施肥合理化)가 이루어지면 시비(施肥) 성분(成分)의 이용율(利用率) 및 효율증대(效率增大)와 농산물생산(農産物生産)의 제고(提高) 더 나아가서는 품질향상(品質向上)도 기대(期待)할 수 있게 될 것이다. 시비(施肥) 합리화(合理化)의 실제적(?際的)인 문제(問題)로는 작목별(作目別), 생육시기별(生育時期別), 지대(地帶) 또는 토양별(土壤別), 그리고 기상조건(氣象條件)에 적합(適合)한 비종(肥種)을 구성성분(構成成分)의 화학형(化?型)과 비(比)를 선정(選定)하고, 시용량(施用量)을 조절(調節)하여 시용방법(施用方法)과 위치(位置) 선정(選定)하는 등(等)의 문제(問題)를 들 수 있을 것이다. 이러한 여러 관련요인(關聯要人)의 영향(影響)은 불확정(不確定)인 경우가 많으므로 그에 대처(??)하는 과학적(科?的)인 검토(檢討)와 판단(判斷)이 있어야 될 것이다. 어느 비종(肥種)의 선택(選?) 또는 신비종(新肥種)의 개발(開?)은 비료산업(肥料産業)의 기초(基礎)가 될 것이며 그것을 위하여는 여러 요인(要因)을 참고(參考)하여야 할 것이다. 현재(現在) 우리나라의 농업(農業) 특히 광범위(?範?)한 작물생산(作物生産)을 위하여 사용(使用)되는 비료(肥料)는 여러 관점(?点)에서 재검계(再?計)하여야 될 것으로 생각된다. 이를 좀 더 구체적(具?的)으로 고찰(考察)하여 보면 아래와 같다. 가. 현재(現在) 국내(?內)에서 가공(加工) 또는 생산(生産)되는 비종(肥種) (단비(單肥) 5종(種), 복비(複肥)의 9종(種)은 작물별(作物別) 또는 구성(構成) 성분(成分)의 화학적형태(化?的形態) 및 성분비면(成分比面)에서 적합성(適合性)을 다시 검토(檢討)하여야 할 것이다. 특(特)히 복비(複肥)의 생산(生産) 작물별(作物別), 토양특성별(土壤特性別) 또는 기추비용별(基追肥用別)로 다양화(多樣化)하는 것이 시비효과(施肥效果)의 증대면(增大面)에서 합리적(合理的)이라 할 수 있을 것이다. 또한 경제작물(??作物)의 재배확대(栽培?大)와 목초지(牧草地)의 확대(?大)는 필연적(必然的)일 것이므로 그에 적합(適合)한 비종(肥種)의 생산(生産)이 요망(要望)된다. 한편 현재(現在) 3요소(三要素)의 소비비(消費比)가 전체적(全?的)으로 보아 질소편중(窒素偏重)(1979년(年)에 N-P-K 51.5-26.3-22.2%)의 시비(施肥)가 되고 있으며 10a당(?) 소비(消費)도 국외(國外)에 비(比)하여 P, K는 크게 뒤지고 있는 실정(?情)을 감안(勘案)할 때 이를 개선(改善)할 비종(肥種)도 고려(考慮)되어야 할 것이다. 나. 토양조사(土壤調査)와 검정결과(檢定結果)를 시비(施肥)의 기초(基礎)로 활용(活用)하도록 하여야 한다. 토양(土壤)의 특성(特性) 특(特)히 자연비옥도(自然肥沃度)는 지역(地域)에 따라 다소간(多少間)의 차이(差異)가 있으므로 이를 고려한 비종개발(肥種開?) 및 시비(施肥)가 이루어져야 한다. 다. 작물(作物)의 영양진단(營養診斷)은 결과(結果)를 시비(施肥)의 기초(基礎)로 특히 추비(追肥)를 위하여 활용(活用)함이 합리적(合理的)일 것이다. 이를 위하여는 먼저 진단방법(診斷方法)(화학적(化?的), 형태적(形態的)이 확립(確立)되어야 할것이다. 라. 농업기계화사업(農業機械化事業)은 시비(施肥)의 기계화(機械化)를 전제(前提)로 추진(推進)되어야 한다. 비료(肥料)의 종류(種類)와 시비목적(施肥目的)에 따라 적합(適合)한 기계(機械)가 개발(開癸)되어야 하며, 동력(動力)(전동(電動) 또는 내연기관(內燃機關)에 의한)과 비동력(比動力)의 일반용(一般用), 분상(粉?), 액비용(液肥用), 시비기(施肥機)의 보급(普及)이 요망(要望)된다. 마. 유기질비료(有機質肥料)의 시용(施用)이 유익(有益)함은 주지(周知)의 사실(事?)이나 그 자원(資源)의 확보(確保)와 합리적(合理的) 시용방법(施用方法)이 확립(確立)되어야 할 것이다. 바. 완효성(緩效性) 또는 특수기능(特殊機能) 비료(肥料)의 수요(需要)가 소규모(小規模)일지라도 그의 생산(生産)은 특수(特殊)한 목적(目的)을 위하여 필요(必要)하다고 판단(判斷)된다. 완효성비료(緩效性肥料), (질소(窒素), 인산, 칼리)와 특수기능비료(特殊機能肥料)의 생산(生産)이 경제적(??的)으로 유리(有利)하도록 여건(?件)을 조성(造成)해 주어야 할 것다. 사. 농가(農家)와 타산업(他産業)의 부산물(副産物) 및 폐기물(廢棄物)은 자원(資源)의 활용(活用)과 공해요인(公害要因)의 제거(除去)를 위하여 최대한(最大限) 비료(肥料)로서 운용(?用)됨이 바람직하며 기초적(基礎的)으로 자료(資料)의 성상(性?)과 시용방법(施用方法)이 구명(究明)되어야 한다. 아. 시비기초(施肥基礎)의 전산화(電算化)는 농업(農業)의 과학화과정(科?化過程)에서 필연적(必然的)이라 할 수 있으며 이를 위하여는 먼저 토양(土壤)과 식물체(植物?)의 분석(分析)을 통(通)한 진단(診斷)과 비료(肥料)의 특성(特性)과 공급상형(供給?況)으로부터 과학적(科?的) 시비처방(施肥?方) 즉 요구성분(要求成分)의 종류(種類)는 양(量), 시용시기(施用時期), 시용방법(施用方法) 제시(提示)가 있어야 한다. 자. 비료(肥料)의 합리적(合理的) 시용방법(施用方法) 및 기술(技術)은 성분(成分)의 이용율(利用率)과 효율(效率)을 높이기 위한 수단(手段)이므로 토양(土壤), 작물(作物) 또는 기상조건(氣象條件)등에 따라 시비시기(施肥時期), 위치(位置), 방법(方法), 형태(形態)등을 조절(調節) 변경(?更)하므로서 시비효과(施肥效果)를 높여야 한다. 차. 식물영양학적(植物營養?的)인 지식(知識)을 기초(基礎)로 한 새로운 비종(肥種)의 개발(開?) 즉(?) 미량요소(微量要素) 또는 생장조절물질(生長調節物質)을 함유(含有)한 특수기능비료(特殊機能肥料)의 개발보급(開?普及)이 요망(要望)된다.

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폐암 SBRT에서 호흡동조 VMAT의 정확성 분석을 위한 새로운 4D 팬텀 모델 개발 (Development of New 4D Phantom Model in Respiratory Gated Volumetric Modulated Arc Therapy for Lung SBRT)

  • 윤경준;곽정원;조병철;송시열;이상욱;안승도;남상희
    • 한국의학물리학회지:의학물리
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    • 제25권2호
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    • pp.100-109
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    • 2014
  • 정위신체방사선치료(SBRT)에서 환자의 호흡에 대한 정확한 치료위치의 확보는 필수적으로 고려되어야 하며 그 정확성에 관련하여 많은 연구들이 진행되어왔다. 본 연구에서는 실제 호흡에 의한 움직임과 실제 환자 폐의 형태를 고려한 팬텀실험으로 실제 치료에서 일어나는 임상적 상황을 모사함으로 호흡 동조 부피적조절회전 방사선치료(Volumeric Modulated Arc Therapy, VMAT) 기법을 이용한 폐부 SBRT의 정확성을 분석하는 방법을 제시하고자 하였다. SBRT을 받은 폐암 환자의 CT 영상을 기반으로 3D 프린터를 이용하여 치료부위와 유사하게 폐 팬텀을 제작하였고 환자 호흡과 동일하게 움직임을 재현할 수 있도록 $QUASAR^{TM}$ 호흡 동조 구동 팬텀(Modus Medical Devices, London, Canada)에 장착하여 호흡동조 VMAT에서의 2차원 선량 분포를 평가할 수 있는 시스템을 구축하였다. 폐 팬텀은 종양부위를 중심으로 2등분하여 EBT3 필름을 삽입하고 선량분포를 측정할 수 있도록 제작되었다. 비균질 조건에서의 선량계산의 정확성을 확인하기 위하여 균질한 플라스틱 팬텀과 제작된 비균질 폐 팬텀에서 Analytical Anisotropic Algorithm (AAA)와 AcurosXB (AXB) 두가지 알고리즘으로 선량계산을 하여 비교, 분석하였다. 움직임에 대한 치료의 정확성을 평가하기 위하여 호흡동조와 비 호흡동조의 경우, 그리고 움직임이 없는 조건에서 선량분포를 취득하여 치료계획 선량에 대한 감마지표를 분석하였다. 치료부위 GTV에서의 CT number는 실제 환자의 경우 78 HU를 나타내었고 모사된 폐 팬텀의 경우 92 HU를 나타내었다. 팬텀 내 폐 조직부분은 3D프린터로 적층하는 과정에서 격자구조의 형태를 이용하여 구현하였다. 측정된 필름선량은 AAA 알고리즘을 이용한 치료계획 선량에 대하여 움직이는 팬텀에서 호흡동조의 유무에 따라 3%/3 mm 감마지표 조건하에서 각각 88%와 78%의 감마합격률을 나타내었으며, 움직임이 없는 경우 95% 이상의 감마합격률을 보였다. AXB 알고리즘을 적용하였을 경우에는 모든 경우에서 98% 이상의 합격률을 나타내었다. 균질한 플라스틱 팬텀에 대하여 측정하였을 때 두가지 선량계산 알고리즘을 포함한 모든 조건에서 99% 이상의 감마합격률을 나타내었다. 선택된 환자의 호흡 진폭이 비교적 작고 inhale보다는 exhale에 더 오래 머무르는 호흡패턴 때문에 3%/3 mm 감마 기준에서는 호흡에 따른 차이가 거의 나타나지 않은 것으로 이해되었다. 선량계산의 정확성에서는 AAA 알고리즘을 적용하였을 때보다 AXB 알고리즘을 적용하였을 때가 균질과 비균질 환경에서의 선량 분포에 따른 감마 합격률의 차이가 적게 나타남을 확인 할 수 있었다. 본 논문에서는 환자와 유사하게 제작된 폐 팬텀에 실제 환자 호흡 패턴을 연동함으로 새로운 4D 치료선량 분포 검증 방법을 제시하였고 보다 사실적인 선량분포를 반영한 개별 환자 치료의 정확성 검증이 가능할 것으로 평가되었다.

토양비옥도(土壤肥沃度)와 품종(品種)에 따른 옥수수의 삼요소(三要素) 시비반응(施肥反應) (Yield Responses to NPK Fertilizers in Different Corn Cultivars and Soils)

  • 신철우;김정제;윤정희;조병옥
    • 한국토양비료학회지
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    • 제16권3호
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    • pp.242-249
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    • 1983
  • 1976~1979년(年)까지 3년(年)동안 강원도(江原道)의 농가포장(農家圃場)에서 실시(實施)한 옥수수에 대(對)한 삼요소시험(三要素試驗) 결과(結果)를 요약(要約)하면 다음과 같다. 1. N-P-K 삼요소적량(三要素適量)은 품종별(品種別)로 큰 차이(差異)없이 수원(水原)19호(號) 21.1-11.6-10.6, 부교(復交)2호(號) 23.0-11.9-15.0, 황옥(黃玉)3호(號) 19.8-10.6-9.1kg/10a이었고, 전전환(田輾換) 답토양(畓土壤)에서는 23.3-19.1-10.7kg/10a이었다. 2. 토양(土壤)의 비옥도(肥沃度) 차이(差異)에 따라서 삼요소(三要素) 적량(適量)이 달라 고위지(高位地) 토양(土壤)에서는 N-P-K 각각(各各) 23.4-15.5-13.2kg/10a이었고 저위지(低位地) 토양(土壤)에서는 27.0-15.6-18.8kg/10a으로 적정시비량(適正施肥量)은 고위지(高位地) 토양(土壤)에서 낮으나 수량(收量)에 있어서는 높았다. 3. 옥수수 품종별(品種別) 삼요소(三要素)의 kg당(當) 생산효율(生産效率)은 품종(品種) 및 비종별(肥種別)로 달라 수원(水原)19호(號)는 N-P-K 각각(各各) 26.1-24.5-9.7, 부교(復交)2호(號)는 17.8-13.3-2.0, 황옥(黃玉)3호(號)는 14.6-21.5-4.2kg으로 수원(水原)19호(號)가 높았다. 4. 적절(適切)한 포장관리(圃場管理) 조건(條件)하에서 옥수수 1,000kg/10a 생산(生産)은 위(爲)한 출웅기(出雄期) 적정양분함량(適正養分含量) 범위(範圍)는 토양(土壤)에서 유효인산(有效燐酸) 200ppm, 치환성가리(置換性加里) 0.63ml/100g, 가리포화도(加里飽和度) 5.0%이었고 식물체(植物體)에서는 N 2.86%, $P_2O_5$ 0.73%, $K_2O$ 2.80%로 추정(推定)되었다.

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심부 천연가스의 지질학절 부존 환경 특성과 생산관련 현안 문제점 분석 연구 (An Analytical Study of Geologic Characteristics and Production- Related Problems of Beep Natural Gas Resources)

  • 장승룡
    • 한국석유지질학회:학술대회논문집
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    • 한국석유지질학회 2001년도 제8차 학술발표회 발표논문집
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    • pp.28-46
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    • 2001
  • 천연가스는 탄화수소가스와 질소$(N_2)$, 황화수소$(H_2S)$ 및 이산화탄소$(CO_2)$ 등의 혼합체로서 연소 시 공해물질이 거의 발생하지 않는 무공해 청정연료이며(Beggs, 1984), 현재 환경 문제가 전 세계적으로 급격히 대두되는 시점에서 천연가스는 그 청정성으로 인하여 사용량이 급증하고 있는 실정이다. 과거 Hubbert의 연구(Hubbert, 1974)에 의하면 천연가스는 매우 급속히 고갈되는 자원으로 평가되었으며 이러한 평가는 1980년대에 가스 가격 인상과 사용량의 제한을 유도하였다. 그 후, 지질학적 기반을 바탕으로 한 천연가스 자원 연구에서 Hubbert의 평가에 포함되지 않았던 가스 자원이 규명되었는데 이러한 새로운 가스자원은 비재래 가스 (Unconventional Gas), 기존 저류층의 추가 매장량과 심부 지역에 존재하는 심부 천연가스 (Deep Natural Gas) 등이다. 이러한 새로운 매장량의 추가로 인하여 천연가스의 미래는 밝아졌으며, 저렴한 가격의 안정된 가스 공급을 보장받게 되었다. 심부 천연가스는 15,000 ft $(4,572{\cal}m)$ 이상의 지하에 존재하는 천연가스로서 미국 지질 조사소인 U.S. Geological Survey(USGS)의 1995년 연구 결과로 볼 때, 1,412조 입방피트의 기술적으로 회수 가능한 천연가스 가운데 114조 입방피트가 심부 퇴적 분지에 존재하는 천연가스인데 이러한 심부 가스는 광범위하게 분포되어 있고 다양한 지질학적 환경을 가짐을 알 수 있다 (Kuuskraa, 1998). 심부 가스는 1995년 미국의 전체 천연가스 공급량 가운데 $6.7\%를 차지하였으며 2015년까지 $18.7\%로 증가할 전망이다 (Cochener & Brandenburg, 1998). 그러나 심부가스 개발은 성공률이 낮은 사업인데 그 이유는 투자비가 비싸고 개발하더라도 높은 비율의 비 생산정 (dry hole)이 발생하기 때문이며 그 결과 이러한 심부가스를 경제적으로 개발하기 위하여는 많은 기술적 도전을 극복하여야 한다. 본 논문에서는 이러한 낮은 성공률을 가지는 심부 가스의 개발 성공률을 증가시키기 위하여 심부 가스가 존재하는 지역의 지질학적 부존 환경 및 조성상의 특성과 생산시 소요되는 생산비용을 심도에 따라 분석하고 생산에 수반되는 기술적 문제점들을 정리하였으며 마지막으로 향후 요구되는 연구 분야들을 제시하였다. 또한 참고로 현재 심부 가스의 경우 미국이 연구 개발 측면에서 가장 활발한 활동을 전개하고 있으며 그 결과 다수의 신뢰성 있는 자료들을 확보하고 있으므로 본 논문은 USGS와 Gas Research Institute(GRI)에서 제시한 자료에 근거하였다.

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폐기종실(廢棄種實)의 식량자원화(食糧資源化)에 관(關)하여 -제(第) 2 보(報) : 사과씨의 화학적(化學的) 조성(組成)- (Studies on the Development of Food Resources from Waste Seeds -II. Chemical Composition of Apple Seed-)

  • 윤형식;최청;오만진
    • 한국식품과학회지
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    • 제15권2호
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    • pp.128-132
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    • 1983
  • 미이용(未利用)된 폐기종실(廢棄種實)을 식량자원(食糧資源)에 이용(利用)하기 위(爲)한 연구(硏究)의 일환(一環)으로써 사과씨의 지방질(脂肪質) 및 단백질(蛋白質) 성분(成分)을 분석(分析)한 결과는 다음과 같다. 사과씨의 일반성분(一般成分) 중(中) 조지방(粗脂肪)은 25.96%, 조단백질(粗蛋白質)은 37.62%였다. 사과씨 기름에는 중성지방질(中性脂肪質)이 93.52%이나 복합지방질(複合脂肪質)은 약(約) 6.48%에 불과하였으며, 중성지방질(中性脂肪質)의 성분(成分)으로써는 트리-글리세리드가 92.17%, 스테롤 에스터, 스테롤, 디글리세리드 및 유리(遊離) 지방산(脂肪酸)은 각각(各各) 3.53%, 2.28%, 1.44% 및 0.56%였다. 지방산(脂肪酸) 조성(組成)은 총지방질(總脂肪質)과 중성지방질(中性脂肪質)에서 리놀레산$(59.79{\sim}69.37%)$과 올레산$(20.04{\sim}29.83%)$이 굴지방산(脂肪酸)이었고, 당지방질(糖脂肪質)과 인지방질(燐脂肪質)은 올레산$(17.96{\sim}30.83%)$과 팔미트산$(29.20{\sim}36.04%)$의 함량(含量)이 비교적(比較的) 높았으며, 중성지방질(中性脂肪質)에서 분별(分別)한 트리-글리세리드의 지방산(脂肪酸) 조성(組成)은 올레산(44.31%), 리놀렌산(36.66%) 및 팔미트산(12.48%)이 주지방산(主脂肪酸)이었다. 염(鹽) $(1.0M\;MgSO_4)$ 용해성(溶解性) 단백질(蛋白質)의 추출률(抽出率)은 37%, 아미노산(酸) 조성(組成)은 글루탐산이 가장 높은 함량(含量)이었고 다음이 아르기닌, 아스파르트산의 순(順)이었다. 사과씨 단백질(蛋白質)의 전기영동(電氣泳動) 결과(結果) 3개의 밴드를 나타내었고 분획(分劃)된 주단백질(主蛋白質)의 수득률(收得率)은 약(約) 76.6%였으며, 아미노산(酸) 조성(組成)은 글루탐산, 아스파르트산 및 아르기닌의 순(順)으로 높은 함량(含量)이었다. 염용해성(鹽溶解性) 단백질(蛋白質)에서 분획(分劃)된 주단백질(主蛋白質)의 분자량(分子量)은 약(約) 45,000이었다.

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효과적인 산전관리를 위한 고객관계관리(CRM)의 도입 (The Application of Customer Relationship Management for the Effective Prenatal Care)

  • 신숙;백수경;강성홍;김유미
    • 한국병원경영학회지
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    • 제10권1호
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    • pp.93-114
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    • 2005
  • The prenatal care is the preventive medical service to help the pregnant mother deliver the healthy baby. It's regular examines give some chances to check-up the healthy conditions. This thesis concentrates on the CRM system to support an effective prenatal care system and prove the effectiveness of it. As CRM is the adapted management related to the customer's own information, it is important to develop the CRM model classified by the patients characteristics. A general hospital in Busan operated the CRM system to carry out the effective prenatal care and there is an analysis to ensure the effectiveness of CRM system for the pregnant women in our maternity ward. The results can be summarized as follows: 1) According to the comparisons with the CRM system, we can conclude the system is desirable. (1) Maternal Age : In the age distribution, the prenatal visit frequency, triple marker freqency, oral GTT and targeted ultrasonography in the experimental group in 30 to 34 years old is higher on the whole. For over 35 years old group, the higher frequency comes out in the oral GTT and targeted ultrasonography and for 25 to 29 years old group the different figure shows just in the targeted ultrasonography. (2) Area of residence: There is a clear difference in all the items in Busan and near area but no sign of difference in prenatal visits and oral GTT in other residencial area. Especially in the targeted ultrasonography the higher figure shows in the experimental group located in the both areas. The targeted ultrasonography is known as the specific examination which should be examined by the specialists, on the contrary the other examinations can be operated in the small clinic. So the public information and seminars related with ultrasonography increases the check-up frequency. The clinic requests some ultrasonographical examinations to the specialists in general hospital. (3) Parity: The clear difference shows that the CRM system causes the prenatal visit frequency to become higher in experimental group. The figure is 9.7 times and 8.6 times each. This is opposite that the past study said multiparity reduced the average prenatal visits. But the result of CRM is considered as the method to help the multiparity understand the importance of the prenatal care. (4) Obstetrical history: In the experimental group of the spontaneous delivery group, the figure is higher in the prenatal visit frequency, triple marker, oral GTT and targeted ultrasonography but the Caesarean section delivery group has higher figure in targeted ultrasonography. (5) In the first check-up, the rate of targeted ultrasonography in under 16 week pregnancy, in the 16 week pregnancy to 32 week pregnancy and the over 32 week pregnancy in the experimental group is upper than the compared one. For the oral GTT, there is a difference in under 16 week pregnancy but no difference in prenatal visits and triple marker. 2) The analysis of characteristics of prenatal care through the decision tree resulted in the fact that the most important variable is the residential area. After the delivery frequency is following, the obstetrical history and maternal age are in order. It is the same result in the triple marker and oral GTT. Consequently it is the same order of important variables in CRM system. The effectiveness of CRM system is proved in this study. The CRM system is a marketing method to control and lead the customers through the segmentation of customer data. It increases the new customer aquisition, maintenance of loyal customers, augmentation of customers value, activation of potential customers and creation of life time customers. So eventually it can enlarge the customers value. The medical institution should make efforts to establish the data base enforced by the customer's information on the underlying ordinary data system to carry out the CRM system effectively. In addition, it should develop the a variety of marketing strategy in order to set up one to one marketing satisfying the needs of individual patients.

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대퇴골두 골단분리증의 치험례 (Slipped Capital Femoral Epiphysis(SCFE))

  • 단진명;김세동
    • Journal of Yeungnam Medical Science
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    • 제14권1호
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    • pp.245-261
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    • 1997
  • 저자들은 1989년 1월부터 1995년 7월까지 영남대학교 의과대학 부속병원 정형외과에서 대퇴골 두 골단분리증으로 입원하여 수술적 치료를 받았던 10명(12고관절)의 환자의 치료 경험을 통하여 다음과 같은 결과를 얻었다. 1. 남녀성비는 6:4 였으며, 수술시 평균 나이는 11.8세였다. 발병부위는 좌측이 7례, 우측이 1례, 양측이 2례였다. 2. 임상적 유형별로는 급성분리가 2례(2고관절), 만성분리에 겹친 급성분리가 5례(6고관절), 만성분리가 3례(4고관절)였다. 3. 방사선 소견상 대퇴경부에 대한 골두의 전위 정도를 기준으로 하였을때, 경도의 분리가 7례(9고관절), 중등도의 분리가 1례, 고도의 분리가 2례였다. 4. 10례의 환자중 5례에서 비만에 성발육 지연을 보였고, 세장형의 환자가 2례였고, 정상 체형은 3례였다. 5. 10례중 5례에서 외상의 병력이 있었고, 1명에서 연소기 류마토이드 관절염의 병력이 있었다. 6. 내분비계 검사를 시행한 6명의 환자에서 모두 유증상 또는 무증상의 호르몬이상을 볼 수 있었다. 7. 수술적 방법으로 9례(11고관절)에서 정위치핀고정술을 실시하였고, 고도분리된 1례에서 절골술수 핀고정술을 실시하였다. 8. 환자들의 최종추시때의 고관절의 기능은 excellent가 6례(8고관절), good이 2례, failure는 2례였다. failure 2례는 술후합병증으로 대퇴골두 무혈성괴사가 속발한 경우였다. 대퇴골두 골단분리증은 청소년기의 비교적 드문 고관절질환으로 치료시 연골 용해증 및 대퇴골두 무혈성 괴사등 심각한 합병증을 동반할 수 있으나, 정위치 핀고정술로 대부분 good 이상의 결과를 얻을 수 있었다. 또한 이 질환에서 증상이 있는, 또는 이 질환에서 내분비계의 이상을 동반하는 경우가 많으므로 진단시 호르몬 이상유무를 검사해야하고, 이상이 있는 경우에는 보다 장기적인 추시관찰이 필요할 것으로 사료된다.

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가상 커뮤니티에서 사회적 자본과 정체성이 지식기여에 미치는 역할: 실증적 분석 (The Role of Social Capital and Identity in Knowledge Contribution in Virtual Communities: An Empirical Investigation)

  • 신호경;김경규;이은곤
    • Asia pacific journal of information systems
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    • 제22권3호
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    • pp.53-74
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    • 2012
  • A challenge in fostering virtual communities is the continuous supply of knowledge, namely members' willingness to contribute knowledge to their communities. Previous research argues that giving away knowledge eventually causes the possessors of that knowledge to lose their unique value to others, benefiting all except the contributor. Furthermore, communication within virtual communities involves a large number of participants with different social backgrounds and perspectives. The establishment of mutual understanding to comprehend conversations and foster knowledge contribution in virtual communities is inevitably more difficult than face-to-face communication in a small group. In spite of these arguments, evidence suggests that individuals in virtual communities do engage in social behaviors such as knowledge contribution. It is important to understand why individuals provide their valuable knowledge to other community members without a guarantee of returns. In virtual communities, knowledge is inherently rooted in individual members' experiences and expertise. This personal nature of knowledge requires social interactions between virtual community members for knowledge transfer. This study employs the social capital theory in order to account for interpersonal relationship factors and identity theory for individual and group factors that may affect knowledge contribution. First, social capital is the relationship capital which is embedded within the relationships among the participants in a network and available for use when it is needed. Social capital is a productive resource, facilitating individuals' actions for attainment. Nahapiet and Ghoshal (1997) identify three dimensions of social capital and explain theoretically how these dimensions affect the exchange of knowledge. Thus, social capital would be relevant to knowledge contribution in virtual communities. Second, existing research has addressed the importance of identity in facilitating knowledge contribution in a virtual context. Identity in virtual communities has been described as playing a vital role in the establishment of personal reputations and in the recognition of others. For instance, reputation systems that rate participants in terms of the quality of their contributions provide a readily available inventory of experts to knowledge seekers. Despite the growing interest in identities, however, there is little empirical research about how identities in the communities influence knowledge contribution. Therefore, the goal of this study is to better understand knowledge contribution by examining the roles of social capital and identity in virtual communities. Based on a theoretical framework of social capital and identity theory, we develop and test a theoretical model and evaluate our hypotheses. Specifically, we propose three variables such as cohesiveness, reciprocity, and commitment, referring to the social capital theory, as antecedents of knowledge contribution in virtual communities. We further posit that members with a strong identity (self-presentation and group identification) contribute more knowledge to virtual communities. We conducted a field study in order to validate our research model. We collected data from 192 members of virtual communities and used the PLS method to analyse the data. The tests of the measurement model confirm that our data set has appropriate discriminant and convergent validity. The results of testing the structural model show that cohesion, reciprocity, and self-presentation significantly influence knowledge contribution, while commitment and group identification do not significantly influence knowledge contribution. Our findings on cohesion and reciprocity are consistent with the previous literature. Contrary to our expectations, commitment did not significantly affect knowledge contribution in virtual communities. This result may be due to the fact that knowledge contribution was voluntary in the virtual communities in our sample. Another plausible explanation for this result may be the self-selection bias for the survey respondents, who are more likely to contribute their knowledge to virtual communities. The relationship between self-presentation and knowledge contribution was found to be significant in virtual communities, supporting the results of prior literature. Group identification did not significantly affect knowledge contribution in this study, inconsistent with the wealth of research that identifies group identification as an important factor for knowledge sharing. This conflicting result calls for future research that examines the role of group identification in knowledge contribution in virtual communities. This study makes a contribution to theory development in the area of knowledge management in general and virtual communities in particular. For practice, the results of this study identify the circumstances under which individual factors would be effective for motivating knowledge contribution to virtual communities.

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