• Journal of Chest Surgery
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• 제31권1호
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• pp.46-51
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• 1998

식도 천공후 수술시까지 24시간이상이 경과된 환자의 치료법은 아직도 논란이 많다. 1990년이후 연세 대학교 흉부외과학 교실에서는 식도 천공후 24시간이상 경과된 환자 10예중 전예를 일차 봉합술로 치료 하였다. 그중 4명은 인위적인 천공 이었고, 3명은 자연성 천공, 2명은 이물의 연하, 나머지 한명은 외상이 원인 이었다. 식도 천공후 수술시까지 소요된 시간은 평균 116시간 이었고 중앙값은 48시간 이었다. 봉합방법은 천공된 점막부위의 위 아래로 정상 점막이 나올때까지 식도근 절개술을 시행한 후 염증이 있는 점막부위를 변연 절제한다. 식도의 원위부 폐쇄가 있을 경우 수술대에서 식도 확장술을 시행하고 점막과 근육층을 단층 혹은 층층 봉합한다. 봉합부위 위에 늑막이나 심낭 지방을 이용하여 봉합을 강화하였다. 수술 사망은 1예에서 수술후 33일째 발생 하였는데 사망원인은 위괘양의 합병증으로 위출혈이었다. 술후 5명의 환자에서 봉합부위의 유출이 있었지만 사망한 1예를 제외하고 모두 고식적 치료로 완치할 수 있었다. 식도 천공 환자에서 치료법은 여러 가지 방법이 있겠으나 비록 수술시까지 시간이 많이 지났다하더라도 천공의 원인이 양성이고 원위부 폐쇄가 교정될 수 있다면 일차 봉합과 적절한 배농이 우선 되어야 할 것이다.

• 의학교육논단
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• 제12권1호
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• pp.9-22
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• 2010

It is the most important thing at present for physicians to posses the qualification of medical professionalism. A lot of medical schools have made all-out efforts to develop leaders of medicine, who will be able to meet the needs of medical professionalism in this complex medical environment. The purpose of this study is to review the cognitive base of medical professionalism leading the curriculum development of medical professionalism. The discussion of medical professionalism started in the 20th century. During the 1960s, there were attempts to reshape the concepts and attributes of medical professionalism. The government began to intervene in the autonomy of physician and the self regulation policy of medical society in 1970s. Physician may be asked to play as a healer and professional (what?) during their medical practice. The fundamental role of healer such as care, compassion, honesty, integrity, confidentiality, ethical behaviors, and respect with patients were nothing fresh to tell even though the age was changed. The attributes of professional which are physician's autonomy, self regulation, teamwork, and responsibility to society has been changed dramatically over the past five decades. In general, medical educators agreed that professionalism is demonstrated through a foundation of clinical competence, communication skills, and ethical and legal understanding, upon which is built application of the principles of professionalism: excellence, accountability, altruism, and humanism. If physicians fail to show professionalism in society, they will confront the crisis which can be under the government control. The only way to keep their autonomy is to practice medical professionalism. So far today, medical schools have laid more stress on competence than value standards in educational systems and it was restricted for medical students to learn the value standards for medical practice. To understand and practice the medical professionalism, it is the most realistic way to solve the complicated medical problems.

• 대한수학교육학회지:수학교육학연구
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• 제13권3호
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• pp.351-364
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• 2003

Clairaut의 <기하학 원론>은 Euclid의 <원론>의 논리-연역적인 전개 방식에 대항하여 역사발생적 원리에 입각하여 쓰여진 최초의 기하 교재이다. 본 논문은 <기하학 원론>을 고찰함으로써 Clairaut가 생각한 역사발생적 원리를 파악하고, 아울러 학교 수학에의 적용 방안을 탐색하는 것을 목표로 한다. 이를 위해, <기하학 원론>의 내용 전개 방식으로부터 저자의 기본 아이디어에서 비롯된 다섯 가지 특징을 추출한다. 필요에 의한 기하의 출현, 실생활 문제 해결을 통한 접근, 초보자에게 자연스런 방법으로서 직관적 요소와 논리적 요소의 조화, 기본 원리의 파악, 활동적 원리의 구현. 이러한 특징은 Clairaut의 역사발생적 원리를 구체적으로 드러내며, 기하 영역의 교재 구성 및 교수 실제를 위한 시사점을 제공한다. 그리고, 학교 기하에서 매우 유용한 두 개의 정리를 예로 들어 그의 역사발생적 원리를 재음미한다.

• 영재교육연구
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• 제14권4호
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• pp.1-13
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• 2004

Although over - 600 students in Incheon has been participated in the gifted education programs under the colleges and Office of Education Department every year, it is reported that the number of teachers have insufficient teaching abilities in primary, advanced, and after-advanced gifted classes. The Gifted Education Research Institute in Incheon University introduced R&E activities for the improvement of teachers' abilities in science research and student guiding. Professors in science department conducted the R & E activities to select the research thesis. The professors and the guidance teachers decided the directions of the research, and the guidance teachers who learned from the professors taught 3-5 students to practice the research. Five professor-teacher-student research teams in math, physics, chemistry and biology conducted the research after school and during the vacation for 7 months. The results of the research were submitted to the journals of research activities and the result papers were presented to the seminar. On this research, the possibilities and the difficulties of the R&E activities based of the journals of research activities, oral presentation and the research results reports were analyzed with a purpose of improving the professionalism of the science gifted teachers. Although the professors proposed many difficulties or problems about the R&E activities, the teachers reported that the R & E activities he1ped them to improve their research activities and student guiding techniques. The teachers acquired more knowledge on the principles of the science related areas than before. Moreover, they thought it was very meaningful experience in using the science related instruments, guiding the students' research and writing the research reports. The students also gave the positive responses with the increased interests in new science studies and with the experience of learning the way of research.

• Journal of Korean Neurosurgical Society
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• 제48권6호
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• pp.501-505
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• 2010

Objective : This study was undertaken to compare the diagnostic performances of magnetic resonance imaging (MRI), MR myelography (MRM) and myelography in young soldiers with a herniated lumbar disc (HLD). Methods : Sixty-five male soldiers with HLD comprised the study cohort. A visual analogue scale for low back pain (VAS-LBP), VAS for leg radiating pain (VAS-LP), and Oswestry disability index (ODI) were applied. Lumbar MR, MRM, and myelographic findings were checked and evaluated by four independent radiologists, respectively. Each radiologist was asked to score (1 to 5) the degree of disc protrusion and nerve root compression using modified grading systems devised by the North American Spine Society and Pfirrmann and the physical examination rules for conscription in the Republic of Korea. Correlated coefficients between clinical and radiological factors were calculated. Interpretational reproducibility between MRI and myelography by four bases were calculated and compared. Results : Mean patient age was $20.5{\pm}1.1$. Mean VAS-LBP and VAS-LP were $6.7{\pm}1.6$ and $7.4{\pm}1.7$, respectively. Mean ODI was $48.0{\pm}16.2%$. Mean MRI, MRM, and myelography scores were $3.3{\pm}0.9$, $3.5{\pm}1.0$, and $3.9{\pm}1.1$, respectively. All scores of diagnostic performances were significantly correlated (p < 0.05). However, none of these scores reflected the severity of patients' symptoms. There was no statistical difference of interpretational reproducibility between MRI and myelography. Conclusion : Although MRI and myelography are based on different principles, they produce similar interpretational reproducibility in young soldiers with a HLD. However, these modalities do not reflect the severity of symptoms.

• 한국자기학회지
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• 제16권4호
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• pp.193-196
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• 2006

제일원리적 국소 스핀밀도 근사에 의한 계산방법을 이용하여 Ni 나노와이어에 대한 전자구조와 자기적 성질을 연구하였다. 단위 세포당 Ni 원자의 개수(n = 1 − 4)에 따른 구조적 특성에 따라 각각의 나노와이어에 대한 결합에너지와 자기모멘트를 계산하였다. 계산결과 지그재그-사각형 $Ni_4$ 나노와이어가 에너지적으로 가장 안정하였다. 또한 Ni 나노와이어의 자기모멘트는 선형 나노와이어 Ni1가 $1.34 {\mu_B}/atom$ 로 가장 큰 값을 나타냈으며, 단위 세포당 원자 개수가 증가될수록 자기모멘트는 감소하여 사각형 나노와이어 $Ni_4$의 자기모멘트가 $0.91 {\mu_B}/atom$ 로 가장 작은 값을 나타냈다. $Ni_n$(n = 1 − 4)의 각각의 구조들에 대한 상태밀도, 에너지 띠 등의 전자구조 계산결과를 제시하고 논의 검토하였다.

• 컴퓨터교육학회논문지
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• 제10권6호
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• pp.11-18
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• 2007

본 논문에서 구현된 논리회로 가상실험실은 원리이해를 위한 개념학습실과 가상 디지털 키트에 의한 가상실험실의 두 단계로 설계하였다. 개념학습실에서 학습자는 디지털 논리회로에 대한 중요한 원리나 의미를 쉽게 이해할 수 있도록 하였다. 가상실험실에서는 가상 브레드보드에서 회로를 결선하여 입력전압을 인가하여 출력신호를 측정한 다음 가상실험데이터와 비교하여 서버로 전송한다. 가상실험실에서 수행된 모든 실험활동은 데이터베이스에 저장되어 개인정보와 함께 예비보고서의 형태로 제공되어 교수자는 학습자가 얼마나 회로동작에 대해 잘 이해하였는가를 점검할 수 있도록 하였다. 마지막으로 제안된 가상실험시스템의 유효성을 입증하기 위해 한 학기 동안 실험 중에 발생한 실제 장비의 파손율과 학생들의 성취도를 5개의 설문을 통해 조사하여 분석하였다.

• 한국정보시스템학회지:정보시스템연구
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• 제12권1호
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• pp.159-175
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• 2003

During the early stage of radioactive disposal programs, important issues related with quality assurance of data sets, methodologies, R&D procedures are recognized as important ones. This paper focused on the development of web-based workflow standards for the QA procedures of the radioactive waste disposal programs. The flow of process was analyzed based on workflow concepts proposed by the Workflow Management Coalition (WfMC). QA system is based on the principles of T2R3. T2R3 Workflow was used to standardize and restructure the business and/or work process in the industry or organization. The WfMC has identified five functional interfaces to a workflow service as part of its standardization program. They are composed of process definition interface, worklist handler, application program interface, interface between workflows, and system management. The task flow and QA program were defined based on the workflow ideas. QA procedures for the R&D results of radiation disoposal were analyzed following the reference model of workflow. In addition, six program run list were created and implemented. The creation, revision, and approval of the test data were designed to be inplemented on the web environment. Through this system, R&D procedures such as planning, research, documentation, internal review and future independent peer review processes could be well organized and stored more systematically on the database and knowledge base. This will encourage the usage and data sharing between interested parties through it's clear and transparent workflow standards.

• International Journal of Human Ecology
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• 제16권2호
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• pp.33-44
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• 2015

Malaysian modern housing typologies (such as bungalows, semi-detached houses and terrace houses) are influenced by international style and constitute unique regional characteristics because they are modified in accordance with climatic conditions and unique social, ethnic housing cultures. This research identified unique characteristics and planning principles of how rooms and spaces of a house are related and organized into coherent patterns of form and space. For the analysis, we surveyed twenty-two residential precincts that identified twenty-five unit plan types for landed properties built in Ara Damansara, Malaysia. The methodology adopted in this study consisted of a document review and field surveys. It is difficult to find unique characteristics of space organization (except for the location of bathrooms) because the form of terrace houses is standardized and limited in design from the aspect of space organization. However, the organization of bedroom space and kitchen space has strong regional characteristics that have become stereotyped for semi-Ds and bungalows. General guideline for areas of unit plans are proposed based on the results of area analysis. We also found that the areas of L + D and MB increase as the total area of the house increases; however, the remaining rooms do not increase in area as long as they satisfy appropriate standards due to the addition of multi-purpose extra rooms. This study only examined limited cases in Ara Damansara and it is difficult to generalize the findings of other new towns in Malaysia. Nevertheless, it is worthwhile to collect and systematically organize data according to typologies. Finally, the authors were able to understand the unique regional design factors to be considered for landed property housing planning in Malaysia.

• 한국사회복지학
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• 제56권4호
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• pp.79-101
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• 2004

이 연구는 복지태도의 미시적 결정구조와 특성을 규명하려는 실증연구이다. 복지태도에 관한 설문조사를 기초로 복지태도의 결정요인을 분석하였다. 복지태도의 결정모델은 그동안의 연구에서 사회적 지위에 의한 설명이 주종을 이루고 있지만, 사회적 지위기반 못지않게 사회적으로 학습되거나 사회화 과정을 거치면서 형성된 복지규범 및 가치지향에 의해 영향을 받는다. 복지태도의 구성범주를 복지기능의 정당성, 복지비용부담의 수용성, 복지원리의 선호성, 복지공급의 책임성, 복지재정의 확충이라는 다섯 가지 하위영역으로 조작화하여 분석한 결과, 복지친화적인 태도로 나타났다. 성, 연령, 교육수준, 소득수준 등 사회인구학적 특성에 따른 복지태도의 분화가능성은 명확하게 현실화되지 않고, 오히려 복지태도의 분화가능성은 사회화과정에서 형성된 복지규범 및 가치에 의해 영향을 받고 있다. 따라서 서구복지국가의 대중적 지지와 복지흐름에 대한 연구들에서 제기되었던 사회적 지위기반에 따른 '균열 명제(cleavages thesis)'의 현실적합성이 유효하지 않은 이유는 복지기능의 도덕적 의무감에 대한 사회적 신뢰가 사회적 지위기반의 영향력보다 우선되고 있으며, 우리사회에서 복지제도를 둘러싼 자기이해관계(self-interests)가 직접적으로 표출되지 않은 결과 또는 복지정치의 제도적 기반약화라는 점을 시사해 주고 있다.