• 제목/요약/키워드: EBM

검색결과 164건 처리시간 0.024초

한의원 환경 및 한의사의 진료 현황에 대한 연구 (A Survey of the Medical Treatment Environment in Traditional Korean Medicine Clinics)

  • 박요한;황대선;신현규
    • 대한한의학회지
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    • 제32권4호
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    • pp.25-36
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    • 2011
  • Objective: To check the status of traditional Korean medical doctors' medical services amid the continual increase in the number of traditional Korean medicine clinics. Methods: A survey of traditional Korean medicine clinics based on questionnaire sheets mailed to 4,200 out of 10,895 clinics, of which 465, or 11.0%, responded, in the June 1, 2008 to December 9, 2008 period. Results: 1. 65.6% of the traditional Korean responding clinics are doing business in a rented space; 92.1%of them are one-person institutions; 24.4% of them, i.e., the largest group of those surveyed, operate in a space sized 41 (123 $m^2$)~50 pyeong (150$m^2$). The number of sick beds installed in their facilities comes to 7.9 on average. 2. Concerning support staff, 190 of them (or 40.9%), i.e., the largest group of those surveyed, employ two people in this capacity. They generally comprise assistant nurses (48.7%) and others (47.6%). 3. The size of the space used by the clinics is showing a tendency to increase. The number of sick beds and support staff, including assistant nurses, reached a peak in 2006, and has been on the decrease since then. 4. The average number of on-days comes to six days a week among 92.6% of those surveyed. Their average daily service hours come to 9 hours and 33 minutes (from 9:17 am to 6:50 pm). 5. Per-patient service time: 14 minutes on average; per-patient acupuncture time: 18.8 minutes; per-patient moxa cautery time: 10.1 minutes per-patient; boil-cupping time: 5.7 minutes; per-patient physical treatment: 28 minutes. Conclusion: Periodical studies should be carried out concerning desirable ways of developing traditional Korean medicine clinics with the focus on the facilities, doctors' service hours, and types of service.

일반인 및 내원환자의 한방병원 진료에 대한 인식도 연구 (Study on Perception About Traditional Korean Medicine (TKM) Hospital Treatment among the General Population and Patients Visiting a TKM Hospital)

  • 박요한;황대선;신현규
    • 대한한방내과학회지
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    • 제31권2호
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    • pp.264-272
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    • 2010
  • Objectives : This study was carried out to measure perceptions about Traditional Korean Medicine hospitals and provide data for improvement of TKM hospital management. Methods : We surveyed the general population from 1st to 17th December, 2008, and patients visiting a TKM hospital from 1st June to 9th December, 2008. Results : Result as follows. 1. The response ratio for the generally preferred medical institution was in the order of western medical clinic, pharmacy, general hospital, TKM clinic, TKM hospital. 2. The response ratio for the preferred medical institution for herbal medicine treatment was in the order of TKM clinic, herbal medicine store, TKM hospital, pharmacy. The preferred medical institution for acupuncture treatment was in the order of TKM clinic, TKM hospital, acupuncture clinic, public health center. 3. The most common response to reason for receiving traditional Korean medical care was "traditional Korean medical care is more effective than western medical care." 4. The proportion of first treatment and second treatment of patients visiting at TKM hospital was about 1:1. 5. 72.3% of patients had been to another medical institution. 6. The response ratio for the first visited medical institution for the same disease was in the order of general hospital, western medical hospital, western medical clinic, TKM clinic. 7. The response ratio for the concern about TKM treatment was in the order of expensive charge for TKM treatment, uncertainty of TKM treatment effect. Conclusions : Through this research, we can understand the perception about TKM hospital treatment of the general population and patients visiting TKM hospitals.

전자빔 용해 방법으로 제조된 정형외과 임플란트용 Ti-6Al-4V 합금의 재료 특성 분석 (Material Characteristics of Ti-6Al-4V Alloy Manufactured by Electron Beam Melting for Orthopedic Implants)

  • 강관수;정용훈;장태곤;양재웅;정재영;박광민;우수헌;박태현
    • 한국표면공학회:학술대회논문집
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    • 한국표면공학회 2018년도 춘계학술대회 논문집
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    • pp.25-25
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    • 2018
  • Electron beam melting (EBM) is one of powder based additive manufacturing technology used to produce parts for high geometrical complexity and directly with three-dimensional computer aided design (CAD) model. It is kind of the most promising methods with additive manufacturing for a wide range of medical applications, such as orthopedic, dental implant, and etc. This research has been investigated the microstructure and mechanical properties of as fabricated and hot iso-static pressing (HIP) processed specimens, which are made by an Arcam A1 EBM system. The Ti-6Al-4V titanium alloy powder was used as a material for the 3 dimensional printing specimens. Mechanical properties were conducted with EBM manufacturing and computer numerical control (CNC) machining specimens, respectively. Surface morphological analysis was conducted by scanning electron microscopy (SEM) for their surface, dissected plan, and fractured surface after tensile test. The mechanical properties were included tensile stress-strain and nano-indentation test as a analysis level between nano and macro. As following highlighted results, the stress-strain curves on elastic region were almost similar between as fabricated and HIP processed while the ductile (plastic deformed region) properties were higher with HIP than that of as fabricated processed.

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평위산 전탕팩의 장기보존 시험에 따른 유통기한 설정 (Estimation of shelf-life by long-term storage test of Pyungwi-san)

  • 서창섭;김정훈;임순희;신현규
    • 대한한의학방제학회지
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    • 제19권1호
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    • pp.183-194
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    • 2011
  • Objectives : To estimate the shelf-life by long-term storage test of Pyungwi-san. Methods : Experiments were conducted to evaluate the stability such as the selected physicochemical, heavy metal, microbilogical experiment under an acceleration test and long-term storage test of Pyungwi-san in different storage under room temperature, refrigeration and freezing. Futhermore, HPLC analysis was performed for the determinations of glycyrrhizin in the Pyungwi-san on an Inertsil ODS-3 column(250 mm ${\times}$ 4.6 mm, 5 um) using solvent 35% acetonitrile include 0.05% phosphoric acid at 254 nm. The flow rate was 1.0 mL/min. Results : The significant change was not showed in pH, heavy metal, microbiological, identification test and quantitative analysis based on acceleration test and long-term storage test. Retention time of glycyrrhizin in HPLC chromatogram was about 16.065 min and calibration curve showed good linearity($R^2$ = 0.9999). The contents of glycyrrhizin in acceleration test and long-term storage test were 0.068~0.076 mg/mL and 0.066~0.077 mg/mL, respectively. Shelf-lifes of room temperature, refrigeration and freezing by long-term storage test were predicted 41, 24 and 34 months, respectively. Conclusions : The suggested shelf-life would be helpful on the storage and distribution of herbal medicine.

전탕 조건에 따른 쌍화탕 전탕액 비교 연구 (The Comparative Study on Decoctions of Ssanghwa-tang(Shuanghe-tang) Extracted by Different Extraction Conditions)

  • 김정훈;서창섭;신현규
    • 대한한의학방제학회지
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    • 제18권2호
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    • pp.125-134
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    • 2010
  • Objectives : This study was performed to compare the differences between decoctions extracted by different extraction conditions. Methods : Two different decoctions were prepared with pressured or non-pressured extraction conditions for 60, 120 and 180min. The yields of extracts, sugar contents, hydrogen ion concentrations(pH), the contents of reference compounds and individual preferences on Ssanghwa-tang(Shuanghe-tang) were investigated. Results : As extraction time increased, individual preferences for decoctions by pressured extraction tended to increase more than those by non-pressured extraction, and the yields and sugar contents of both decoctions showed the tendency of increase. The pH values of decoctions in pressured conditions were lower than those in non-pressured conditions in all extraction times and both extraction conditions showed decreasing pH values according to increase of extraction times. Of the reference compounds, paeoniflorin showed higher contents in non-pressured conditions than in pressured conditions and the contents of cinnamaldehyde were always lower in non-pressured conditions than in pressured conditions at all time. Conclusions : The decoctions of Ssanghwa-tang(Shuanghe-tang) extracted by pressured or non-pressured extraction for 60, 120, 180min exhibited different individual preferences, yields of extracts, sugar contents, pH, reference compounds contents.

지하공간 건설시 탄.소성 모델에 의한 지반계수 추정 (A Geotechnical Parameter Estimation of Underground Structures in Elasto -plastic Condition)

  • 이인모;김동현;이우진
    • 한국지반공학회지:지반
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    • 제13권4호
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    • pp.85-94
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    • 1997
  • 지하공간에 대한 설계 및 시공시에는 필연적으로 많온 불확정성이 내포되어 있다. 가장 중요 한 요소로는 설계단계 에서 입력 값으로 사용하는 지반계수이며, 이의 정 확한 산정 에는 많은 어려 움이 따른다. 특히, 지하공동의 굴착으로 인해 소성영역이 발생하게 되면, 지반거동은 항복규준 을 결정짓는 강도정수에 민감한 반응을 나타내므로 탄성해석법에만 근거한 역 해석기법의 적용 으로는 신뢰성 있는 지반계수를 추정할 수 없게 된다. 본 논문에서는 지하공간의 설계와 시공의 유기적인 결합으로 터널의 소성상태까지 고려할 수 있는 최적의 지반계수를 산정하기 위하여, 초기예측치와 계측치로부터 예측된 값을 합리적으로 조합할 수 있는 확장 Bayesian방법(Extended Bayesian Method:EBM)을 적용하였다. 지반 조합 거동 예측은 Mohr-Coulomb 항복규준에 근거한 탄.소성 유한요소해석법을 사용하였다. 개발된 피드백 시스템의 효용성을 검증하기 위하여 소성 거동을 나타내는 단면에 대해 예제해석을 수행하였다.

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쥐 하이브리도마 세포배양을 위한 무혈청 배지개발( I ) -최적 배지성분의 결정- (Development of Serum-free Media for the Culture of Mouse Hybridoma (I) ; Determination of Optimal Media Composition)

  • 조보연;최태부
    • 한국미생물·생명공학회지
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    • 제17권5호
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    • pp.481-488
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    • 1989
  • 최근 단일클론항체의 상업적 이응가치가 증대하면서 그 수요량 또한 급격히 증가, 이를 뒷받침할 수 있는 대량생산 기술이 요구되고 있다. 본 연구에서는 쥐 하이브리도마 Alps 25-3의 대량배양을 위해 우선적으로 무혈청 배지 (serum-free media)의 개발을 시도하였다. 동물세포 배양액 IMDM과 Ham's F-12를 1:1로 혼합한 배지를 기본으로하여 ITES 용액 (insulin 10$\mu\textrm{g}$/$m\ell$, transferrin 10$\mu\textrm{g}$/$m\ell$, ethanolamine 10$\mu$M and selenium 30nM)을 첨 가하여 일차적으로 결정한 EBM(enriched basal medium)에 steroid hormones, vltamins, lipid, mineral 및 여러성분들을 각각 첨가하여 혈청과 대치될 수 있는 성분들의 최적농도를 조사하였다. 각 성분들의 개별효과와 함께 그들을 혼합하였을 때의 상호효과를 통해 혈청배지와 거의 동일한 성장을 보이는 무혈청배지 KM3(EBM with BSA 100$\mu\textrm{g}$/$m\ell$, mineral solution and 0.05% PEG)를 결정할 수 있었으며 이 배지에서의 최고 항체 생성량은 혈청배지의 약 80% 로 나타났다. 또한 무혈청 배지에서 여러 cell line의 성장과 그들의 항체 생성을 조사함으로써 다른 쥐 하이브리도마 세포배양에도 적응시킬 수 있음을 확인할 수 있었다.

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GRID/GIS 및 RS 자료를 이용한 에너지 평형 모형으로부터의 국지적 지표 온도 산출 (Estimation of Local Surface Temperature from EBM with the Use of GRID/GIS and Remote Sensed data)

  • 신선희;하경자;김재환;오현미;조명희
    • 대한원격탐사학회지
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    • 제20권2호
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    • pp.103-116
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    • 2004
  • 지표 온도를 산출하는 중규모 대기 모형은 일반적으로 태양 복사의 직달 일사량에 대하여 경사진 지형의 효과를 고려하지 않는다. 이는 실제 태양 복사량의 국지적 차이를 나타내지 못하며, 그 결과 국지적인 지표 온도에서의 큰 오차를 가져온다. 따라서 지형의 기하학적 특성뿐만 아니라 지표의 식생 특성을 고려함으로써, 정확한 국지적 지표 온도를 나타내고자 하였다. 본 연구의 목적은 GIS의 그리드 모형을 적용한 에너지 균형 모형(EBM)을 사용하여 진단적으로 지역적 지표 온도를 산출하는 것이다. 본 연구에서, 한반도 남부 지역의 지형적 비균질성은 그리드 내의 지형 방위각과 경사각의 함수인 조도각의 항으로써 흡수된 지표 일사량 계산에 고려되었다. 또한 지표 온도 변화에 주요한 변수가 되는 지표의 식생 특성이 NDVI의 항으로 사용하였다. 지표의 경사진 지형의 효과와 식생 특성이 고려된 지표 온도의 상세한 지역적 분포가 연구 결과로써 제시되었다. 이러한 지역적 지표 온도 분포는 저층 대기에서 지형에 의한 지역 순환을 형성할 수 있으며, 실제 자연에서의 지역 순환을 더욱 잘 설명할 수 있을 것이다.

Recent Pb-free Electronic Packaging Issues

  • Lee, Hyuck-Mo
    • 한국마이크로전자및패키징학회:학술대회논문집
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    • 한국마이크로전자및패키징학회 2001년도 The IMAPS-Korea Workshop 2001 Emerging Technology on packaging
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    • pp.63-92
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    • 2001
  • ·EC's/Japanese environmental regulation drive the Pb-free/Halogen-free application ·Most Japanese electronics companies are preparing the green products. ·All items concerning to Pb-free/halogen-free technology should be coparallely designed and developed. ·More works need to clear the unknowns on Pb-free materials ·Need of consensus on materials and standards ·EBM (Environmental Benign Manufacturing)

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Review on the Lead-Free Solder Technology

  • Lee, Hyuck-Mo
    • 한국마이크로전자및패키징학회:학술대회논문집
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    • 한국마이크로전자및패키징학회 2001년도 3rd Korea-Japan Advanced Semiconductor Packaging Technology Seminar
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    • pp.21-50
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    • 2001
  • EC's/Japanese environmental regulation drive the Pb-free/Halogen-free application. Most Japanese electronics companies are preparing the green products. All items concerning to Pb-free/Halogen-ree technology should be coparallely designed and developed. More works need to clear the unknowns on Pb-free materials. Need of consensus on materials and standards. EBM (Environmental Benign Manufacturing)

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