• 한국환경농학회지
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• 제35권4호
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• pp.278-285
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• 2016

토양에 잔류된 엔도설판(ED) 살충제의 ${\alpha}$, ${\beta}$ 이성질체 및 sulfate 대사체의 무 흡수이행 양상을 조사하고 무 재배지 토양에 대한 ED의 안전관리기준을 설정하기 위하여 생물농축계수(BCF)를 산출하였다. 토양은 2 및 10 mg/kg의 농도가 되도록 처리하였으며 각각의 처리구에 파종한 무를 40일부터 70일까지 재배 후 10일 간격으로 수확하고 수확된 무는 지상부와 지하부로 나누어 ED의 잔류분석을 실시하였다. 토양으로부터 무 한 개체로 흡수된 total ED (이성질체와 대사체의 합) 잔류량에 대해 ED-sulfate가 48.5-100.0%로 가장 많이 분포하였고 그 다음으로 ${\alpha}$- (0.0-35.2%) 및 ${\beta}$-ED (0.0-16.4%) 순이었다. ED 잔류분석 결과를 바탕으로 무와 토양사이에 total ED의 잔류량 비로써 BCF를 산출하였으며 그 값은 무 지상부에 대해 0.0002-0.0429, 지하부에 대해 0.0077-0.2345로 지하부의 BCF 값들이 더 컸다. 이 값들로부터 얻어진 회귀방정식( $R^2$ >0.86)을 이용하여 장기적인 BCF 값들을 예측하고 무에 대한 ED의 MRL 값인 0.1 mg/kg과 비교하여 무 재배지 토양 중 ED의 안전관리기준을 산출하고 발생할 수 있는 오차를 고려한 결과, 무와 무청 둘 다에 대해 2.0 mg/kg이었다.

• 보건행정학회지
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• 제23권2호
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• pp.145-151
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• 2013

Background: The objective of this study was to explore patient family's evaluation of emergency department (ED) service satisfaction and to compare these with ED staff perception of patient family's evaluation. Methods: Based on two surveys of the National Emergency Medical Center: the 2008 National Survey for Recognition and Satisfaction towards Emergency Medical Services and the 2008 Opinion Survey of Emergency Medical Service Providers, satisfaction gaps among physicians, nurses, and patient family were evaluated by Kruskal-Wallis tests and Wilcoxon-Mann-Whitney tests. Furthermore, the factors associated with satisfaction of emergency medical service were identified by ordinal logistic regression models. Results: There were statistically significant gaps among physicians, nurses, and patient family in overall satisfaction with ED visit, length of stay in ED, enough explanation, physicians/nurses kindness, and ED facilities. Age and income in the patient family model, the number of beds in hospital, job satisfaction and year of service in the physicians model, and the number of beds in hospital, job satisfaction and the number of patients per duty hour in the nurses model were statistically significant factors associated with evaluation/ perception of ED service satisfaction. Conclusion: Patient satisfaction is an important indicator of the quality of care and service delivery in the ED. To improve and understand satisfaction in ED service, a dyadic view of the evaluation of service quality and satisfaction-that is, from the perspectives of both the patient and the emergency medical service providers-should be concerned.

• The Korean Journal of Pain
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• 제27권2호
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• pp.162-167
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• 2014

Background: Although a physician may be the nearest to the radiation source during C-arm fluoroscope-guided interventions, the radiographer is also near the fluoroscope. We prospectively investigated the radiation exposure of radiographers relative to their location. Methods: The effective dose (ED) was measured with a digital dosimeter on the radiographers' left chest and the side of the table. We observed the location of the radiographers in each procedure related to the mobile support structure of the fluoroscope (Groups A, M and P). Data about age, height, weight, sex, exposure time, radiation absorbed dose (RAD), and the ED at the radiographer's chest and the side of the table was collected. Results: There were 51 cases for Group A, 116 cases for Group M and 144 cases for Group P. No significant differences were noted in the demographic data such as age, height, weight, and male to female ratio, and exposure time, RAD and ED at the side of the table. Group P had the lowest ED ($0.5{\pm}0.8{\mu}Sv$) of all the groups (Group A, $1.6{\pm}2.3{\mu}Sv$; Group M, $1.3{\pm}1.9{\mu}Sv$; P < 0.001). The ED ratio (ED on the radiographer's chest/ED at the side of the table) of Group A was the highest, and the ED radio of Group P was the lowest of all the groups (Group A, $12.2{\pm}21.5%$; Group M, $5.7{\pm}6.5%$; Group P, $2.5{\pm}6.7%$; P < 0.001). Conclusions: Radiographers can easily reduce their radiation exposure by changing their position. Two steps behind the mobile support structure can effectively decrease the exposure of radiographers by about 80%.

• Journal of Trauma and Injury
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• 제30권2호
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• pp.25-32
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• 2017

Purpose: The use of computed tomography (CT) to evaluate acute abdominal complaints has increased over the past two decades. We investigated how the clinical practice of patients with intestinal perforation has changed with the increasing use of abdominal CT in the emergency department (ED). Methods: We compared ED arrival to CT time, ED arrival to surgical consultation time, and ED arrival to operation time according to the method of diagnosis from 2003-2004 and 2013-2014. Results: In patients with gastrointestinal perforation, time from ED arrival to CT was shorter ($111.4{\pm}66.2min$ vs. $199.0{\pm}97.5min$, p=0.001) but time to surgical consultation was longer ($135.1{\pm}78.8$ vs. $77.9{\pm}123.7$, p=0.006) in 2013-2014 than in 2003-2004. There was no statistically significant difference in time to operation for perforation confirmed either by plain film or CT between the two time periods. There was no statistically significant difference in length of hospital or ICU stay or mortality between the two groups. Conclusion: With the increasing use of abdominal CT in ED, ED arrival to CT time has decreased and ED arrival to surgical consultation time has increased in gastrointestinal perforation. These changes of clinical performance do not delay ED arrival to operation time or adversely influence patient outcome.

• 한국수학교육학회지시리즈A:수학교육
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• 제62권2호
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• pp.211-236
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• 2023

이 연구는 미국 예비교사 교육 양성 과정에서 활용되는 edTPA의 사례를 분석하여 우리나라 예비 수학 교사 교육의 시사점을 도출하는 데 목적이 있다. 최근 예비 수학 교사의 인지적인 차원의 지식 개발뿐만 아니라 실제 수업을 바탕으로 상황적 차원의 영역까지 고려한 전문적인 역량을 진작시키는 것에 관한 관심이 높아지고 있다. 미국 edTPA 평가는 예비교사가 학교 현장에서 수행하는 수업에 기초한 수행 기반 평가이다. 이 연구에서는 미국의 예비 수학 교사가 참여하는 edTPA의 사례가 상세히 서술된 편람을 검토하여 예비 수학 교사에게 요구되는 전문적인 역량에 대해서 분석한다. edTPA 평가는 수업 설계, 실행, 평가 과제로 구성되어 있고, 수업과 연계하여 지속성 있는 평가를 수행한다. 따라서 수업 설계, 실행, 평가 과제 서술에서 평가 항목 및 평가 기준의 연계가 되는 지점과 그 연계로부터 요구하는 전문적인 역량이 무엇인지 분석한다. edTPA 편람을 분석한 결과 edTPA 평가에서 예비 수학 교사에게 요구되는 전문적인 역량은 특정 수학 수업 차시에 대한 초점화 및 이행 역량, 특정 수학 수업 차시 실행 및 평가의 성찰적 이해 역량, 학생들의 언어 및 표상 사용, 학생들의 학습에 대한 학생 성취의 점진적인 판단 역량이다. 이러한 분석의 결과는 우리나라 예비 수학 교사 교육과정 및 실습학기제 운영에서 평가하는 역량의 구인으로 활용할 수 있다.

• 약학회지
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• 제48권2호
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• pp.117-121
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• 2004

Ranunculin, a potent cytotoxic component of P. koreana, was synthesized by reacting (s)-(-)-5-(hydroxymethyl)-2(5H)-furanone with 2,3,4,6-tetra-O-acetyl-$\alpha$-D-glucopyranosyl bromide and successive removal of the acetyl protecting group by 0.5 M HCl/MeOH. A new deacetylation process of the intermediate tetraacetylranunculin was deviced giving a yield of 83% of ranunculin. Protoanemonin, the cytotoxic structural moiety of ranunculin, was synthesized by dehydration of (s)-(-)-5-hydroxymethyl-2(5H)-furanone. Ranunculin showed a moderate cytototoxic activity against A-549 (ED$_{50}$=7.53 $\mu\textrm{g}$/$m\ell$), NIH3T (ED$_{50}$=13.6$\mu\textrm{g}$/$m\ell$), and SK-OV-3 (ED$_{50}$=17.5 $\mu\textrm{g}$/$m\ell$). Meanwhile, protoanemonin also exhibited moderate cytotoxicity against A-549 (ED$_{50}$=9.38 $\mu\textrm{g}$/$m\ell$), NIH3T (ED$_{50}$=13.8 $\mu\textrm{g}$/$m\ell$), and SK-OV-3 (ED$_{50}$=15.1 $\mu\textrm{g}$/$m\ell$). It was found that both of the synthetic products showed a potenter cytotoxicity against A-549.ainst A-549.

• The Korean Journal of Pain
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• 제7권2호
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• pp.181-187
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• 1994

The MAC($ED_{50}$)values of enflurane, fentanyl, and nalbuphine-enflurane under 65% $N_2O$ were determined in 76 Sprague-Dawley rats using the tail-clamp technique to compare the equipotent effects of intravenous and inhaled anesthetics. The rats were divided into 3 groups: enfluarne, fentanyl, and nalbuphine-enflurane. Results were as follows: 1) The MAC value of enflurane under 65% $N_2O$ was $1.160{\pm}0.05%$ and after subcutaneous nalbuphine 20 mg/kg injection, the values were 1.08% at 60min and 0.99% at 90min. 2) The lowest $ED_{50}$ for fentanyl was 26.8 ${\mu}g$/kg at 15 min, and the $ED_{50}$, 30, 45, and 60min after the injection were 36.2, 39.7, and 44.7 ${\mu}g$/kg, respectively. 3) On arterial blood gas analysis under 65% $N_2O$-1MAC($ED_{50}$), fentanyl and nalbuphine-enflurane groups showed mild increase in $PaCO_2$, but there were no significant differences among 3 groups. Fentanyl group showed significant difference in pH compared with enfluarane and nalbuphine-enflurane groups. 4) Rats injected with high dose fentanyl(above $40{\mu}g$) displayed rigidity and respiratory depression.

• 의학교육논단
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• 제23권3호
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• pp.160-167
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• 2021

Rapid developments in technology as part of the Fourth Industrial Revolution have created a demand for educational technology (EdTech) and a gradual transition from traditional teaching and learning to EdTech-assisted learning in medical education. EdTech is a portmanteau (blended word) combining the concepts of education and technology, and it refers to various attempts to solve education-related problems through information and communication technology. The aim of this study was to explore the use of key EdTech applications in medical education programs. A scoping review was conducted by searching three databases (PubMed, CINAHL, and Educational Sources) for articles published from 2000 to June 2021. Twenty-one studies were found that presented relevant descriptions of the effectiveness of EdTech in medical education programs. Studies on the application and effectiveness of EdTech were categorized as follows: (1) artificial intelligence with learner-adaptive evaluation and feedback, (2) augmented/virtual reality for improving learning participation and academic achievement through immersive learning, and (3) social media/social networking services with learner-directed knowledge generation, sharing, and dissemination in medical communities. Although this review reports the effectiveness of EdTech in various medical education programs, the number of studies and the validity of the identified research designs are insufficient to confirm the educational effects of EdTech. Future studies should utilize suitable research designs and examine the instructional objectives achievable by EdTech-based applications to strengthen the evidence base supporting the application of EdTech by medical educators and institutions.

• 한국안전학회지
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• 제33권3호
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• pp.39-45
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• 2018

The occupational safety and health act defines how to evaluate the explosion hazardous areas according to KS (Korean Industrial Standards). Current KS have to follow IEC (International Electrotechnical Commission) 60079-10-1 1st edition and there has been no change since 2008. And its 2nd edition has been revised in 2015. In this study, IEC 1st Ed. (IEC 60079-10-1 1st edition) is compared with IEC 2nd edition. Total 112 case studies including four materials (methane, propane, benzene, methanol) are selected to test and explosion hazardous ranges evaluated by IEC 1st and 2nd Ed. are analyzed according to various leakage pressures and hole sizes. In order to verify the results calculated by them, PHAST, which is one of the most representative consequence analysis programs, is employed. As a result, it can be concluded that there are many differences between IEC 1st and 2nd Ed. due to the discharge and the ventilation parameters. As comparing with PHAST, it is confirmed that IEC 1st provides more conservative values than PHAST. Even if IEC 2nd Ed. provides more conservative for gases, this fails to provide more conservative values for liquids. Therefore, it is worth to note that a large value between the explosion hazardous ranges value calculated by the IEC 1st Ed. and 2nd Ed. should be selected until further investigation and analysis is made. Morevover, the full consideration for IEC 2nd Ed. have to be needed.

• 임상간호연구
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• 제14권2호
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• pp.83-92
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• 2008

Purpose: This study was done to identify the relationship between experiences of violence, and burnout and job satisfaction of emergency department (ED) nurses and to provide basic information to improve quality of life for nurses and quality of nursing care by increasing the ability of nurses to deal with violent situations and thus, improve job satisfaction. Method: Participants (n=153) were recruited in S and B cities from October 16 to December 22, 2007. Descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient were used to analyze the data. Results: Level for ED nurse burnout was 2.54 out of a possible 4, and for ED nurse job satisfaction, 2.81 out of a possible 5. There were significant differences according to sex (t=-3.217, p=.002), total clinical career (F=5.805, p<.05), and clinical career in the ED (F=1.640, p<.01). There was a significant positive correlation between violence experience and burnout (r=.500, p<.001), and significant negative correlations between violence experience and job satisfaction (r=-.300, p<.001), and between burnout and job satisfaction (r=-.492, p<.001). Conclusion: The findings from this study indicate that experiences of violence in the ED decrease work efficiency of the nurses and increase burnout. So, it is important to reduce occurrences of violence in ED and to prepare programs for dealing with violence and providing emotional support in cases of violence directed at nurses.