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NEW ANTIDEPRESSANTS IN CHILD AND ADOLESCENT PSYCHIATRY (소아청소년정신과영역의 새로운 항우울제)

  • Lee, Soo-Jung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.1
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    • pp.12-25
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    • 2003
  • Objectives:As increasing number of new antidepressants have been being introduced in clinical practice, pharmacological understanding has been broadened. These changes mandate new information and theories to be incorporated into the treatment process of children with depressive disorders. In light of newly coming knowledge, this review intended to recapitulate the characteristics of new antidepressants and to consider the pivotal issues to develope guidelines for the treatment of depression in childhood and adolescence. Methods:Searching the Pub-Med online database for the articles with the key words of 'new', 'antidepressants' and 'children' ninety-seven headings of review articles were obtained. The author selected the articles of pertinent subjects in terms of either treatment guideline or psychopharmacology of new antidepressants. When required, articles about the clinical effectiveness of individual antidepressants were separatedly searched. In addition, the safety information of new antidepressants was acquired by browsing the official sites of the United States Food and Drugs Administration and Department of Health and Human Services. Results:1) For the clinical course, treatment phase, and treatment outcome, the reviews or treatment guidelines adopted the information from adult treatment guidelines. 2) Systematic and critical reviews unambiguously concluded that selective serotonin reuptake inhibitors(SSRIs) excelled tricyclic antidepressants( TCAs) for both efficacy and side effect profiles, and were recommend for the first-line choice for the treatment of children with depressive disorders. 3) New antidepressants generally lacked treatment experiences and randomized controlled clinical trials. 4) SSRIs and other new antidepressants, when used together, might result in pharmacokinetic and/or pharmacodynamic drug-to-drug interaction. 5) The difference of the clinical effectiveness of antidepressants between children and adults should be addressed from developmental aspects, which required further evidence. Conclusion:Treatment guidelines for the pharmacological treatment of childhood and adolescence depression could be constructed on the basis of clinical trial findings and practical experiences. Treatment guidelines are to best serve as the frame of reference for a clinician to make reasonable decisions for a particular therapeutic situation. In order to fulfill this role, guidelines should be updated as soon as new research data become available.

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A Study on the Changes in Functions of Ship Officer and Manpower Training by the Introduction of Maritime Autonomous Surface Ships (자율운항선박 도입에 따른 해기사 직능 변화와 인력양성에 관한연구)

  • Lim, Sung-Ju;Shin, Yong-John
    • Journal of Navigation and Port Research
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    • v.46 no.1
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    • pp.1-10
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    • 2022
  • This study aims to investigate changes in the demand for ship officers in response to changes in the shipping industry environment in which Maritime Autonomous Surface Ships (MASS) emerge according to the application of the fourth industrial revolution technology to ships, and it looks into changes in the skill of ship officer. It also analyzes and proposes a plan for nurturing ship officers accordingly. As a result of the degree of recognition and AHP analysis, this study suggests that a new training system is required because the current training and education system may cover the job competencies of emergency response, caution and danger navigation, general sailing, cargo handling, seaworthiness maintenance, emergency response, and ship maintenance and management, but tasks such as remote control, monitoring diagnosis, device management capability, and big data analysis require competency for unmanned and shore-based control. By evaluating the importance of change factors in the duties of ship officers in Maritime Autonomous Surface Ships, this study provides information on ship officer educational institutions' response strategies for nurturing ship officers and prioritization of resource allocation, etc. The importance of these factors was compared and evaluated to suggest changes in the duties of ship officers and methods of nurturing ship officers according to the introduction of Maritime Autonomous Surface Ships. It is expected that the findings of this study will be meaningful as it systematically derives the duties and competency factors of ship officers of Maritime Autonomous Surface Ships from a practical point of view and analyzed the perception level of each relevant expert to diagnose expert-level responses to the introduction of Maritime Autonomous Surface Ships.

A Study on 21st Century Fashion Market in Korea (21세기 한국패션시장에 대한 연구)

  • Kim, Hye-Young
    • The Journal of Natural Sciences
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    • v.10 no.1
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    • pp.209-216
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    • 1998
  • The results of the study of diving the 21st century's Korea fashion market into consumer market, fashion market, and a new marketing strategy are as follows. The 21st consumer market is First, a fashion democracy phenomenon. As many people try to leave unconditional fashion following, consumer show a phenomenon to choose and create their own fashion by subjective judgements. Second, a phenomenon of total fashion pursuit. Consumer in the future are likely to put their goals not in differentiating small item products, but considering various fashion elements based on their individuality and sense of value. Third, world quality-oriented. With the improvement of life level, it accomplishes to emphasize consumers' fashion mind on the world wide popular use of materials, quality, design and brand image. Fourth, with the entrance of neo-rationalism, consumers show increasing trends to emphasize wisdom, solidity in goods strategy pursuing high quality fashion and to demand resonable prices. Fifth, concept-oriented. Consumers are changing into pursuing concept appropriate to individual life scene. Prospecting the composition of the 21st century's fashion market, First, sportive casual zone will draw attention more than any other zone. This is because interest in sports will grow according to the increase of leisure time and the expasion of time and space in the 21st century, and also ecology will become the important issue of sports sense because of human beings's natural habit toward nature. Second, the down aging phenomenon will accelerate its speed as a big trend. Third, a retro phenomenon, a concept contrary to digital and high-tech, will become another big trend for its remake, antique, and classic concept in fashion market with ecology trend. New marketing strategy to cope with changing fashion market is as follows. First, with the trend of borderless concept, borders between apparels are becoming vague, for example, they offer custom-made products to consumers. Second, as more enterprises take the way of gorilla and guerrilla where guerrillas who aim at niche market show up will develop. Basically, they think highly of individual creative study, and pursue the scene adherence with high sensitiveness. However this polarization becomes mutually-supplementing relationship showing gorilla's guerilla movement, and guerilla's gorilla high-tech. Third with the development of value retailing, enterprises pursuing mass merchandising of groups called category killers are expanded and amplified to new product fields, and expand business' share. Fourth, using outsourcing, the trend to use exterior function leaving each enterprise's strength by inspecting its own work is gradually strong. Fifth, with the expansion of none store sale, the entrance of the internet and the CD-ROM sales added to communication sales such as catalogues are specified. An eminent American think tank expect that 5-5% of the total sale of clothes and home goods in 2010 will be done by none store sale. Accordingly, to overcome the problems, First international, global level marketing, Second, the improvement of technology, Third, knowledge-creating marketing are needed.

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The Effect Analysis of Vegetation Diversity on Rice-Fish Mixed Farming System in Paddy Wetland (벼-담수어 복합생태농업이 논습지 식생다양성에 미치는 영향 분석)

  • Kong, Minjae;Kim, Changhyun;Lee, Sangmin;Park, Kwanglai;An, Nanhee;Cho, Junglai;Kim, Bongrae;Lim, Jongahk;Lee, Changwon;Kim, Hyeongsu;Nam, Hongsik;Son, Jinkwan
    • Journal of Wetlands Research
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    • v.20 no.4
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    • pp.398-409
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    • 2018
  • Organic farming practices including loach based ecosystem-farming have been demonstrated to be effective in conjunction with rice farming to increase yield and quality. This new form of farming combines agriculture and fishery and is quickly developing into a new industry. The current study investigated the effect of rice-fish mixed farming system on the vegetation-diversity function. Vegetation within the four study sites was surveyed and analyzed based on plant taxonomy. The vegetation survey demonstrated that 127 taxa of 38 families, 100 genera, 107 species, and 20 varieties occurred within the study sites. A total of 15 plant species taxa occurred in the rice-fish mixed paddy fields with a fish habitat and did not occur in the conventional paddy field lacking fish habitat. This difference is thought to arise from differences in moisture requirements for vegetation. Life form analysis demonstrated differences in hemicryptophytes, therophytes, and hydrophytes according to fish habitat. The naturalized plants identified were also determined to be species widely distributed throughout Korea. Frequency analysis demonstrated that the rice-fish mixed paddy fields with a fish habitat had a high ratio of both obligate and facultative wetland plants relative to the conventional paddy field. Based on the study results, it is likely that vegetation-diversity will increase with environment diversity. However, no statistical significance was observed according to paddy types. Future research should aim to identify additional environmental factors, including the existence of fish habitat, habitat area, depth of fish habitat, hydrological parameters, water quality, and paddy soil environment, to enhance vegetation-diversity and biocultural diversity.

A Study on the Sanctuary of the Residence in East China Sea Skirts Area (동중국해권 민가의 성역(聖域)에 관한 연구)

  • Youn, Lily;Onomichi, Kenji
    • Korean Journal of Heritage: History & Science
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    • v.43 no.2
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    • pp.60-81
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    • 2010
  • Jeju Island, in Korea, shows many characteristics that are differentiated from the rest of Korea. Its culture is rooted in mythology which advocates a egalitarian, rather than hierarchical, social structure, the place of women in the home is relatively high, and the formation of buildings, the separation of cooking and heating facilities, and the living format of residential homes is dissimilar. These disparities in culture indicate that Jeju Island's heritage was not formed only from influences from the North, but also from other places as well. To fill in the blanks, residential homes in Jeju Island were compared with those scattered throughout the East China Sea, which connect the southern coastline of the Korean peninsula and Jeju Island. The regions encompassed by the East China Sea, sharing the Kuroshio current and a seasonal wind, can be considered as one cultural region integrating cultural aspects from the continental North and the oceanbound South. The unique characteristics of southern culture as seen in southern residences was examined through an investigation of the sacred places in which gods were considered to dwell. First, the myths of these areas usually concerned with the ocean, and a sterile environment made sustenance impossible without a dual livelihood, usually taking on the forms of half-farming and half-fishing, or half-farming, half-gardening. Although family compositions were strongly matricentric or collateral thanks to southern influence, a patriarchical system like those found in the North were present in the upper classes and in the cities. Therefore, residential spaces were not divided based on age or gender, as in hierarchical societies, but according to family and function. Second, these areas had local belief systems based on animism and ancestor worship, and household deities were closely related to women, agriculture and fire. The deities of the kitchen, the granary and the toilet were mostly female, and the role of priest was often filled by a woman. After Buddhism and Confucianism were introduced from mainland Korea, China and Japan, the sacred areas of the household took on a dual form, integrating the female-focused local rites with male-centered Buddhist and Confucian rites. Third, in accordance with worship of a kitchen deity, a granary deity, and a toilet deity led to these areas of the home being separated into disparate buildings. Eventually, these areas became absorbed into the home as architectural technology was further developed and lifestyles were changed. There was also integration of northern and southern cultures, with rites concerning granary and toilet deities coming from China, and the personality of the kitchen deity being related to the southern sea. In addition, the use of stone in separate kitchens, granaries, and toilets is a distinguishing characteristic of the East China Sea. This research is a part of the results gained from a project funded by the Korea Research Foundation in 2006.

A Study on the Effective Guarantee of the Right to Portability of Personal Health Information (개인건강정보 이동권의 실효적 보장에 관한 연구)

  • Kim, Kang Han;Lee, Jung Hyun
    • The Korean Society of Law and Medicine
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    • v.24 no.2
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    • pp.35-77
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    • 2023
  • As the amendment to the Personal Information Protection Act, which newly established the basis for the right to request transmission of personal information, was promulgated through the plenary session of the National Assembly, MyData, which was previously applied only to the financial sector, could spread to all fields. The right to request transmission of personal information is the right of the information subject to be guaranteed for the realization of MyData. However, since the right to request transmission of personal information stipulated in the Personal Information Protection Act is designed to be applied to all fields, not a special field such as the medical field, it has many shortcomings to act as a core basis for implementing MyData in Medicine. Based on this awareness of the problem, this paper compares and analyzes major legal trends related to the right to portability of personal health information at home and abroad, and examines the limitations of Korea's Personal Information Protection Act and Medical Act in realizing Medical MyData. Under the Personal Information Protection Act, the right to request transmission of personal information is insufficient to apply to the medical field, such as the scope of information to be transmitted, the transmission method, and the scope of the person obligated to perform the transmission, etc.. Regulations on the right to access medical information and transmission of medical records under the Medical Act also have limitations in implementing the full function of Medical My Data in that the target information and the leading institution are very limited. In order to overcome these limitations, this paper prepared a separate and independent special law to regulate matters related to the use and protection of personal health information as a measure to improve the legal system that can effectively guarantee the right to portability of personal health information, taking into account the specificity of the medical field. It was proposed to specifically regulate the contents of the movement and transmission system of personal health information.

Effect of Early Defoliation on Fruit Yield, Reserve Accumulations and Flower Bud Formation in 'Sinano Sweet' Apple Trees (조기낙엽이 사과 '시나노스위트'의 수량, 저장양분 및 꽃눈형성에 미치는 영향)

  • Han, Jeom Hwa;Han, Hyun Hee;Kwon, Yong Hee;Jung, Jea Hoon;Ryu, Su-Hyun;Do, Kyeong Ran;Lee, Han-Chan;Choi, In Myeong;Kim, Tae-Choon
    • Journal of Bio-Environment Control
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    • v.25 no.2
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    • pp.133-137
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    • 2016
  • 'Sinano Sweet' apple trees were defoliated at intervals of a month from May to October to simulate damage occured by hail and typhoon in Korea, accordingly fruit yield, reserve accumulations and return bloom were investigated. As the more severe defoliation degree was and earlier defoliation time was, fruit weight and fruit yields were more decreased. Fruit weight and yields of 30% defoliated trees, regardless of the defoliation time, showed no significant difference with those of control. Because carbohydrate contents of the 2-year old branches defoliated before August were even lower than those of branches defoliated after September, it was considered that defoliation time is more effective on the carbohydrate content than defoliation degree. Among the trees defoliated before August, 50% defoliated trees at August contained the lowest carbohydrate by 50% of control. Time and degree of defoliation had an effect on the number of flower buds following year. The number of return bloom in trees defoliated from May to July was decreased by delay of defoliation time and was the lowest in trees defoliated at July. On the other hand, it was not have a significant different between control and trees defoliated since August. Relationship between the number of return bloom and carbohydrate reserves showed positive correlation. As a result, it is considered that fruit thinning, when defoliation occurred in the growing season, needs for strengthening the sink function of remained individual fruit effect on fruit enlargement and for increaseing the carbohydrate reserve effect on return bloom.

S-wave Velocity and Attenuation Structure from Multichannel Seismic surface waves: Geotechnical Characteristics of NakDong Delta Soil (다중채널 표면파 자료를 이용하여 구한 S파 속도와 감쇠지수 구조: 낙동강 하구의 연약 지반 특성)

  • Jung, Hee-Ok
    • Journal of the Korean earth science society
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    • v.25 no.8
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    • pp.774-783
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    • 2004
  • The S wave velocity and Q$s^{-1}$ structure of the uppermost part of the soil in Nakdong Delta area have been obtained to determine the characteristics of the forementioned soil. The phase and attenuation coefficients of multichannel seismic records were inverted to obtain the S wave velocity and Q$s^{-1}$ structure of the soil. The inversion results have been compared with the borehole measurements of the area. The seismic signal of the nearest geophone from a seismic source was used as the source signal to obtain the attenuation coefficients. Amplitude ratios of the signal at each geophone to the source signal wave plotted as a function of distance for the frequency range between 10 Hz and 45 Hz. The slope of a linear regression line which fits amplitude ratio-distance relationship best for a given frequency was used as the attenuation coefficients for the frequency. The dispersion curve of Rayleigh waves and the attenuation coefficients were inverted to obtain the S-wave velocity and Q$s^{-1}$, respectively, in the uppermost 8 meter of soil layer. The borehole measurements of the area show that are two distinct layers; the upper 4 meter of silty-sand and the lower 4 meter of silty-clay. The inversion results indicate that the shear wave velocity of the upper layer is 80 m/sec and 40m/sec in the lower silty-clay layer. The spacial resolution of the shear wave velocity structure is very good down to a depth of 8 meter. The Q$s^{-1}$ in the upper silty-sand layer is 0.02 and increase to 0.03 in the lower silty-sand layer. The spacial resolution of quality factor is relatively good down to a depth of 5 meter, but very poor below the depth. In this study, the S-wave velocity is higher in the silty-clay and the Q$s^{-1}$ is smaller silty-sand than in the silty-clay. However, much more data should be analyzed and accumulated before making any generalization on the shear wave velocity and Q$s^{-1}$ of the sediments.

A Study on the Ecological Indices for the Assessment of the Function and Maturity of Artificial Reefs (인공어초의 기능도와 성숙도 평가를 위한 생태학적 지수에 대한 연구)

  • Yoo, Jae-Won;Hong, Hyun-Pyo;Hwang, Jae-Youn;Lee, Min-Soo;Lee, Yong-Woo;Lee, Chae-Sung;Hwang, Sun-Do
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.19 no.1
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    • pp.8-34
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    • 2014
  • We reviewed foreign evaluation systems based on the macrobenthic and macroalgal communities and developed a system, composed of a set of ecological indices able to evaluate the functionality (FI, Functional Index; estimation of stability and productivity) and maturity (MI, Maturity Index; comparisons with biological parameters of natural reefs) of artificial reefs by comparing the status in the adjacent natural reefs in Korean coastal waters. The evaluation system was applied to natural and artificial reefs/reef-planned areas (natural reefs), established in the 5 marine ranching areas (Bangnyeong-Daechung, Yeonpyung, Taean, Seocheon and Buan) in the west coast of Korea. The FI ranged between 31.6 (Bangnyeong-Daechung) and 72.5% (Buan) and MI did between 53.1 (Seocheon) and 76.9% (Taean) in average. The evaluation of artificial reefs by the two indices, showed the most appropriate status in Taean. The FI between the adjacent artificial and natural reefs were in significant linear relationship ($r^2=0.83$, p=0.01). This indicated the local status of biological community may be critical in determining the functionality of the artificial reefs. We have suggested an integrative but preliminary evaluation system of artificial reefs in this study. The output from the evaluation system may be utilized as a tool for environment/resource managers or policy makers, responsible for effective use of funds and decision making. Given the importance, we need to use the options to enhance and improve the accuracy as follows: (1) continuous validation of the evaluation system and rescaling the criteria of indicators, (2) vigorous utilization of observation and experience through the application and data accumulation and (3) development and testing of brand-new indicators.

A Study on Improving Scheme and An Investigation into the Actual Condition about Components of Physical Distribution System (물류시스템 구성요인에 관한 실태분석과 개선방안에 관한 연구)

  • Kim, Kyeong-Cho
    • Journal of Distribution Science
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    • v.7 no.4
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    • pp.47-56
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    • 2009
  • The purpose of this study is to present an alternative improving the efficient and reasonable of the physical distribution system management is influenced by many factors. Therefore, the study depends on the documentary method and survey method to achieve the purpose of this study. The major components of a physical distribution system are refers to as elements, include warehouse·storage system, transportation system, inventory system, physical distribution information system. The factors used in this study are ① factor of product(quality·A/S·added value of product·adaption of product·technical competitive power to other enterprises), ② factor of market(market channel·kinds of customer·physical distribution share), ③ factor of warehouse·storage(warehouse design·size·direction·storage ability·warehouse quality), ④ factor of transportation(promptness·reliability·responsibility·kinds of transportation·cooperation united transportation system·national transportation network), ⑤ factor of packaging (packaging design·material·educating program·pollution degree measure program), ⑥ factor of inventory(ordinary inventory criterion·consistence for inventories record), ⑦ factor of unloaded(unloaded machine·having machine ratio), ⑧ factor of information system (physical distribution quantity analysis·usable computer part), ⑨ factor of physical distribution cost(sales ratio to product) ⑩ factor of physical distribution system(physical distribution center etc). The implication of this study can be summarized as follows: ① In firms that have not adopted a systems integrative approach, physical distribution is a fragmented and often uncoordinated set of activities spread throughout various functions with function having its own set of priorities and measurements. ② The physical distribution is recognized as more an important strategic factor than a simple cost reduction factor, ③ It can be used a strategic competition tool to enterprise.

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