• 정보관리연구
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• 제42권1호
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• pp.113-135
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• 2011

2010년 6월에는 IFLA에서 FRBR 시리즈의 세 번째 보고서인 '주제전거레코드의 기능상의 요건'(FRSAD)이 발표되었다. 이 개념모형은 최근의 주제전거 동향을 나타낼 뿐 아니라, FRBR 체제에 적합한 주제전거레코드를 위한 밑거름이 될 것이다. 이에 본 연구에서는 FRBR 시리즈의 맥락 안에서 FRSAD 모형을 분석하고, 이 모형을 우리나라의 주제명표와 서지레코드에 시범적으로 적용하였다. 이를 위해 개체와 속성, 관계를 중심으로 FRSAD 모형을 분석하였는데, 그 결과 FRSAD는 개체의 범주를 미리 규정하지 않은 개방성을 가지고 있으며, 테마와 노멘을 구분함으로써 주제명의 형식 측면 뿐아니라 개념 측면까지 강조하고 있음을 알 수 있었다. 그리고 이 개념모형을 FAST의 패싯과 연계하여 NLSH에 속한 일부 주제명의 개념구조와 주제전거와 관련된 서지레코드의 필드로 표현한 사례를 함께 제시하였다. 단, 본 연구에서는 인명과 단체명, 표제를 제외한 추가적인 개체로서의 주제전거 데이터만을 분석대상으로 하였다. 그 결과 FRSAD에서 별도로 정의하지 않은 제3집단 개체의 유형을 선정하는 기준과 그 기준을 주제명표에 일관되게 적용하는 방안이 필요함을 알 수 있었다. 앞으로는 보다 더욱 구체적인 적용 사례와 그 결과를 분석한 후속연구가 필요할 것이다.

• 농촌계획
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• 제22권2호
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• pp.19-29
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• 2016

Disasters that occur most frequently in rural areas are drought, flood, damages from wind and cold weather. Among these, damages from storm and flood and drought are the main disasters and recently, these are occurring on a large scale due to unusual weather conditions. Under such circumstances, projects and researches on disasters in rural areas are under way but they are mostly targeting one area or making approaches focusing on repair facilities, maintenance project of facilities in small streams, and disaster management, so there have not been enough studies on the current status of overall damaged facilities in the rural areas. Against this backdrop, through the analysis of the current status of damaged facilities due to storm and flood in rural areas, this study aims to provide base data for policies needed for disaster recovery planning and maintenance work of rural areas. For the analysis of damaged facilities due to storm and flood in rural areas, using the annual report on disasters issued by Ministry of Public Safety and Security and based on the occurrence rate of estimated damage in each city and district for the past 10 years(2004~2013), 8 areas with the highest number of occurrence and cost of damage were found from each province and target areas were selected. Then, regarding the selected target areas, the General Plan for Reducing Damages from Storm and Flood, which is the report on top-level plan for preventing disasters, was secured and the current status of damaged facilities were analyzed. After organizing the analysis of current status, the tendency of damaged facilities due to storm and flood in rural areas, the items of damaged facilities depending on the types of storm and flood damages, and risk factors were suggested. Based on this result, in order to generalize the results of follow-up researches, it is thought that disaster recovery planning and establishing the system of remodeling items necessary for maintenance work would be possible by analyzing damage investigation items recorded in additional researches on rural areas, researches on natural disasters, and recovery plan instructions and by conducting on-site investigation on the damaged villages from storm and flood in rural areas.

• Archives of Plastic Surgery
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• 제37권6호
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• pp.736-741
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• 2010

Purpose: Radical surgical extirpation in advanced breast cancer patients produces extensive loss of skin with large defects requiring plastic surgical procedures for the closure. Many reconstructive methods exist, the choice of which depends upon the characteristic of the wound, extent of resection and patient comorbidities. For adequate coverage of the large skin defects following resection of advanced breast cancer, current authors have performed a thoracoabdominal flap. Methods: From August 2008 to June 2009, 4 cases of thoraco-abdominal flap were performed for chest wall reconstruction after mastectomy of advanced breast cancer. Flap dissection was entirely performed in a subfascial plane and the flap involving the external oblique abdominal muscle. The flap was rotated clockwise in left chest wall defects and counterclockwise in right chest defects and the donor site was closed directly. Results: Their mean age, 55.7 years and the average follow-up interval was 9 months. Patients' oncologic status ranged from stage IIIc to stage IV, it was classified according to the TNM staging system. Flap dimensions ranged between $15{\times}15$ and $25{\times}25\;cm$. One flap sustained a partial loss at the distal margin and revision with pectoralis major musculocutaneous island flap. Conclusion: Large chest wall reconstructions are usually required after radical excision of advanced cancer stages patients with poor general conditions. Thoracoabdominal flap is a simple, quick single-stage procedure, and offer to patient fast recovery, low complication rate, enabling further concomitant adjuvant therapy.

• Journal of Preventive Medicine and Public Health
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• 제19권2호
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• pp.203-212
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• 1986

Hypertension is one of the most well known risk factors for cerebrovascular or coronary heart disease and is a major public health problem. Early detection and treatment of hypertension are essential, but the compliance of treatment on hypertension is not easy to achive. Hypertensive workers are being detected by the annual screening under the Labour Standard Law in Korea but the solidified control system for them is not existing. This study about workers 'Motive-Belief-Action in non-drug and drug treatment of their hypertension would be worthwhile to interpret how the workers actually behave in coping with hypertension, and also would be advisable to construct the follow-up program in Korea. In the field research process two criteria were used to select sample group. The first criterion included the workers who were screened to be hypertensive with their blood pressure above 160/95 in this survey. The second one was used to classify study-group respondents who had known their hypertension by successive annual screening. From such criteria a total of 156 male workers were sampled in 21 industries, the author interviewed them using the structured questionnaire which consisted of Belief-Motive-Action items about non-drug and drug treatment for hypertension with open-ended question on symptom of hypertension. The summary is as follows: 1) Sixty-one percent of respondents had ever checked their blood pressure somewhere besides the annual screening. 2) Most respondents(97.2%) complained no symptoms of hypertension at all. 3) Belief level of non-drug treatment was relatively high (82.1%-64.7%), but motive(55.1%-28.2%) and action(38.5%-16.7%) levels were low. 4) Belief level of drug treatment was relatively lower than that of non-drug treatment, blue collar workers showed higher artier level of drug treatment than white collar workers, and correlation coefficient between belief and motive on drug treatment was lower in group of not-recognizing their family history of hypertension than recognized group. Such findings indicated that belief on drug treatment of hypertensive workers would be problematic. 5) White collar workers showed significant lower correlation coefficients between Motive and Action of salt restriction, restriction of fatty diet and relaxation than blue collar workers. 6) Mild hypertension group showed low levels of Motive and Action of non-drug treatment(salt restriction, restriction of fatty diet and relaxation) and also showed low correlation coefficient between Belief and Motive of above non-drug treatment.

• Journal of Korean Neurosurgical Society
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• 제30권sup2호
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• pp.309-315
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• 2001

틈새뇌실증후군은 수두증으로 션트술을 시행받은 환아에서 CT나 MRI소견상 틈새처럼 좁은 뇌실을 가지고 있으면서 간헐적으로 두통, 구토 또는 의식장애등이 동반되는 질환이다. 1986년부터 1996년까지 총 821명의 환자가 수두증으로 션트술을 시행받았다. 이 환자들의 수두증의 원인은 뇌종양(140명), 출혈(62명), 정상압수두증(64명), 뇌수막염(58명), 외상(54명), 선천성(48명), 뇌낭미충증(31명), 그리고 이유를 알 수 없었던 경우가 364명으로 나타났다. 평균 추적 관찰 기간은 68개월이었으며 총 232명에서 재수술을 시행하였으며 1인당 1.28회의 재수술율을 보였다. 이들중 틈새뇌실 증후군은 6예로 0.7%였다. 틈새뇌실증후군 대부분의 환자는 영아기에 수술을 시행받았다. 처음 수술로부터 틈새뇌실증후군이 발생하기까지의 기간은 4~8년으로 평균 6년후 틈새뇌실증후군이 발생하였다. 동위원소 검사상 6예에서 션트의 기능은 모두 정상이었다. 증상이 경미한 2명의 환자에서는 보존적 치료를 시행하였는데 치료후 증상의 호전을 보였다. 이 환자들은 뇌압측정을 시행하지 않았다. 6명중 1명은 뇌압 측정시 높게 나타나 기존과 같은 압력밸브를 이용하여 재수술을 시행하였다. 3명의 환자는 낮은 뇌압을 보여 안티사이펀밸브나 기존보다 높은 압력의 밸브를 이용하여 재수술을 시행하였다. 틈새뇌실증후군의 치료는 첫째, 증후군의 양상을 정확하게 판단하여, 둘째, 증상을 완화시킬 수 있는 방향으로 치료방침을 설정해야 할 것으로 생각되었다.

• Journal of Korean Neurosurgical Society
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• 제30권sup1호
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• pp.25-29
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• 2001

Objective : Intracranial metastasis is responsible for nearly 50% of mortalities of systemic cancers. Although its frequency is increasing and there is little doubt that improving the quality and expectancy of life is the final goal, the mode of treatment is still disputed. The authors report the postoperative motor function after surgery in patients with metastatic tumors around the motor cortex. Materials and Methods : We studied 24 patients with metastatic tumors around the central sulcus during the last 22 months. Motor function was assessed pre- and post-operatively as well as its response to corticosteroids. MRI, neuronavigation system and intraoperative ultrasonography were used for tumor localization and functional MRI and cortical stimulator were used to define the motor cortex. Results : Single metastasis was found in 13 cases(54%) and 11 cases(44%) had multiple foci. Thirteen cases were located in precentral, 7 in postcentral, and 4 in superior or middle-frontal lobe. The most common primary focus was the lung(16 cases). There was no difference in postoperative motor function improvement between the steroid responsive group and non-responsive group(92% versus 90%). Ninty-two percent of the patients showed significant improvement of motor function and lived independently but there was worsening in the upper extremity in one and in another no improvement. Whole brain radiation of 3000cGy was given in all cases and 4 patients died of recurrence in primary or intracranial focus during mean follow-up periods of 14 monthes. Conclusion : Surgery may provide substantial improvement of the motor function and quality of life of the patients with metastatic tumors around the motor cortex.

• 대한관절경학회지
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• 제4권2호
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• pp.138-143
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• 2000

목적 : 관절경 소견을 기준으로 슬관절 대퇴골과의 박리성 골연골염에 대한 치료를 시행하여 그 결과를 임상적 및 방사선학적으로 분석 하였다. 대상 및 방법 : 대퇴골과의 박리성 골연골염 환자 17면 19례에 대해 관절경을 시행하고 그 소견을 토대로 치료방법을 결정하였다. 관절경 관찰후에 특별한 조작을 가하지 않은 경우를 1군, 다발성 천공술을 시행한 경우를 2군, Herbert 나사로 고정을 시도한 경 우를 3군, 유리체 제거나 기저부 소파술을 시행 한 경우를 4군으로 분류하여 그 결과를 Hughston등의 방법에 의한 분석으로 우수, 양호, 보통, 불량, 실패 등으로 분류하였다. 결과 : 총 19례 중 14례$(74\%)$에서 양호 이상의 결과를 얻었다. 치료 방법에 따른 분류상 1군 중 3례(3/4)에서, 2군 중 3례(3/4)에서, 3군 중 7례(7/8)에서, 4군 중 1례(1/3)에서 양호 이상의 결과를 얻었다. Herbert 나사 고정군에서 다른 군보다 더 좋은 결과를 나타냈다. 결론 : 대퇴골과의 박리성 골연골염의 치료 방법 결정에 있어서 관절경 소견은 믿을만 한 지표로 판단되었으며, 이를 토대로 골성장판이 완전 폐쇄되기 전의 환자에서 Herbert 나사 고정술과 같이 병변부에 대하여 적극적인 재건을 시도하여 만족 할 만한 결과를 얻을 수 있었다.

• 여성건강간호학회지
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• 제6권1호
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• pp.67-81
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• 2000

The purpose of this study was to analyze women's health problems using Green & Kreuter's(1991) PRECEDE model and to develop health education program for women's health. The subjects were recruited women from Wonju city 18 years or older. 1. The results showed that about 50% of the women were satisfied with their lives as women, 23% of the sample felt there was a need for a women's health care center. The mean number of health problems was 3.1 and the prevalence rate, 44.4%. 2. We developed on educational program according to group differences related to health problems, diagnosis of disease, variables influencing health promotion behavior, and programs which each group wanted. Also we stressed self-efficacy and self-help group for the management of individual health to all groups. 3. The diagnoses of diseases that were experienced premarital over the past year were gastritis, bronchitis, spinal disk, and fracture, for the childbearing/rearing group, gastritis, vaginitis and cervicitis, cervical cancer and cystitis and nephritis and arthritis and for the middle-aged/elderly group arthritis, gastritis, vaginitis and cervicitis, and spinal disk. Of the sample 30.5% did not have a health exam in the past year, and only 10% of the premarital group, 12.5% of the childbearing/child-rearing group, and 18.3% of the middle aged-elderly group were concerned about their health and did something for their health. 4. The average score on the HPLP was 2.41. the HPLP was scores according to group were found to have significant differences. self-efficacy, family functions, health attention and were considered important variables in the premarital group, in the childbearing/child-rearing group self-efficacy, family functions, internal locus of control, health attention, and health perception and power others locus of control and then for the middle aged-elderly group self-efficacy, health attention, internal locus of control, family functions and health perception. 5. There are a few educational programs in the city provided by the Wonju Health Center and by community health nurse practitioners. The premarital group requested the educational programs on diet, health exercise, family health and stress management. Also the childbearing/child-rearing group wanted programs on diet, family health, stress management, and health exercise, and the middle-aged/elderly group wanted that of family health, diet, climacteric changes stress management and health exercise. The program suggested that this program should be applied to women in the community to insure adequate management of women's health. Follow-up research with PROCEED is needed to analyze health outcomes, also, a women's health nursing specialist system is required to develop health promotion, and improve the quality of life for women.

• 산업진흥연구
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• 제6권4호
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• pp.31-38
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• 2021

본 연구는 건축사회환경공학부 대학생과 건설회사 노동자들을 대상으로 K-CESA 핵심역량 중 비인지적영역(자기관리역량, 대인관계역량)과 인지적 영역(의사소통역량, 종합적사고력)을 측정하고 분석했다. 건설회사 노동자 25명과 𐩒𐩒대학교 건축사회환경공학부 3, 4학년 대학생 36명 통 71명을 대상으로 K-CESA 진단평가를 실시했다. 집단간의 차이를 알아보기 위해 평균차이 검증인 일원변량분석(One-way ANOVA)을 실시했으며 사후검증으로 Scheffe 검증을 실시했다. 본 연구의 실증분석은 모두 유의수준 p<.05에서 검증했으며, 통계처리는 SPSS WIN. 23.0 프로그램을 사용해 분석했다. 주요 연구결과는 다음과 같다. 첫째, 건설회사 노동자와 건축사회환경공학부 학생간 다섯 가지 능력(자기관리역량의 목표지향적 계획수립 및 실행능력, 대인관계역량의 협력, 중재, 리더십능력, 의사소통역량의 말하기 능력 및 종합적사고력역량의 분석적사고력능력)에서 유의미한 차이를 보였다. 둘째, 전문가 요구 분석 및 문헌 분석을 통해 대학생들에게 필요한 전문가 요구 분석과 문헌 분석을 통해 목표지향적 계획수립 및 실행능력과 분석적사고력능력을 향상시키기 위한 교육 프로그램을 설계했다. 후속 연구를 통해, 다양한 전공과 공공기관, 기업, 기타 조직 노동자의 역량을 비교하고 대학생을 위한 교과목 개발이 필요하다고 제언했다.

• 한국융합학회논문지
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• 제12권5호
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• pp.337-344
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• 2021

COVID-19로 인한 장기적인 사회적 거리두기와 격리가 성인의 작업수행영역에 미치는 영향을 확인하기 위해 2020년 11월부터 2020년 12월까지 2개월 동안 전국에 분포한 20대부터 60대의 성인을 대상으로 작업치료 실행체계를 기반으로한 설문지를 구성하여 조사하였다. 설문에 응답한 대상자는 총 270명이었고 조사방법은 온라인 설문조사로 하였다. 분석결과 작업수행영역의 9개영역 45가지 항목중 33가지(75%) 항목에서 COVID-19 전후로 작업수행도와 만족도 모두 유의한 차이가 있었다. 연령대별 수행도와 만족도는 건강관리, 사회참여, 여가, 일영역에서 모든 연령대가 유의한 변화가 있었다. 특히 20대는 사회참여영역의 수행도와 여가영역의 만족도에서 가장 큰 변화를 보였으며, 30대에서 60대에서는 여가영역의 수행도와 만족도에서 모두 가장 큰 변화를 보였다. 이러한 변화와 더불어 설문대상자들은 COVID-19 이전보다 낮아진 작업수행도와 만족도가 스스로 문제라고 인식했고 개선의지가 있는 것을 확인하였다. COVID-19는 아직 대유행하고 있으므로 장기적인 사회적 거리두기와 격리로 변화된 작업수행영역별, 연령별 차이를 개선하기 위한 각 영역별 전문가의 개입과 후속연구가 필요하다.