• 지역사회간호학회지
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• 제6권1호
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• pp.74-83
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• 1995

Promotion of immunization including early recognition of disease symptoms and effective control of communicable disease have been the important role of the school heath teacher in Korea. The school heath teacher as a nurse have been practiced vaccination for students as one of the major method for promotion of immunization in school. Recently it was occured difficulty for school vaccination that is practicing by school health teacher. So it is predicted for reducing of vaccination coverage rates of students. The objectives of this study are, first; to examine current guidlines of government, second, to analysis problem according to current guidline, third, to discuss further direction for school vaccination. There are used study methods as litrature review, analysis of statistical data and case study etc. Analytical framework for increased effects of vaccination in this study was safty, cost -effectiveness and coverage rates of vaccination. Major suggestions are as follows : First, It is different from the role of the public and private sectors in preventive health services. The preventive health services are characterized that the effect of health promotion is large, but the period of input effect is slow. Therefore the leading role of school vaccination should be have school and school health teacher including public sectors. Second, Health management of contemporary people can be effective with cooperative relationship between various health manpower. School health teacher as a medical manpower should be provide vaccination service continiously for health promotion of students. Third, It is necessary to maintain collective vaccination in school because have lots of advantage at safty, cost-effectiveness and coverage rates. In conclusion, school heath teacher should have central and independent role in school vaccination in according to current law. Also it will be assured lawful compensation in prepare to accident in vaccination.

• 한국전산구조공학회논문집
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• 제27권5호
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• pp.451-458
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• 2014

본 연구는 초고층 건축물의 기본계획을 바탕으로 철근콘크리트 코어 벽체의 두께를 최적화하여 실시설계에 적용하는 과정에서, StrAuto를 통한 수많은 케이스의 반복해석을 통하여 최적 케이스를 찾아내어, 설계 방향과 한계에 대한 가이드라인을 설정하기 위한 프로세스를 구축하기 위한 실용화 연구이다. 코어 벽체의 두께와 강도를 변경하면서 StrAuto를 통해 반복해석을 수행하고 해석결과를 시각적으로 표현하여 설계자가 어떤 방향으로 설계를 진행할지를 결정하는데 중요한 참고자료로 활용하도록 프로세스를 정립하였다. 본 논문은 기본적인 구조설계가 완료된 상태에서 설계자가 원하는 방향에 대한 수많은 케이스를 빠르게 검토하여 올바른 실시 설계 방향을 설정하는 프로세스를 구축했다는 점에서 큰 의의를 찾을 수 있다.

• Archives of Plastic Surgery
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• 제38권3호
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• pp.300-308
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• 2011

Purpose: The goal of reduction mammaplasty is breast with natural cone shape, minimizing scars, well-placed and sensate nipple-areolar area and maintaining breast physiology. In order to satisfy that goal, variable reduction mammaplasty methods are performed, however, two methods such as vertical reduction method and inverted T-scar method are currently most used. We compared indications and advantages of the two methods and set up useful guidlines. Methods: For 15 years from 1995 to 2010, we experienced 84 patients (162 breasts). We performed vertical reduction method as Lejour's superior pedicle technique (45 patients) and inverted T-scar method as Goldwyn's inferior dermal flap technique (39 patients). We evaluated the result of the operation comparing patient's age, amount of resected tissue, complications and post-operative scars of the two methods. Results: The mean age was 36 years and the vertical reduction group was 3 years younger than inverted T-scar group. The mean breast tissue resection amount per one breast, inverted T-scar group (712 gm) was lagger than vertical reduction group (395 gm). Conclusion: There is no ideal method for reduction mammaplasty until now. However, we suggest that guide line, the vertical reduction method is effective for minimal and moderate macromastia in young and middle aged women and inverted T-scar method is appropriate for severe macromastia with ptosis in elderly women. Recently, all procedures tried shorter and smaller scar on the vertical line as small I, J or L shape scar, and inframammary fold as short inverted T-scar.

• 한국학교보건학회지
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• 제10권2호
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• pp.137-156
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• 1997

Most education materials on sexuality developed in the past 10 years have not been thoroughly evaluated. This study provides results from a content analysis of 5 education materials for primary, middle and high school student. The results of this study were as follows: The Analysis Framework was developed to measure content in the education materials. It was organized into six domains. They are "Human Development", "Relationship", "Personal Skills", "Sexual Behavior", "Sexual Health", "Society and Culture". Each was associated topics and age appropriate developmental guides. The standard for analysis was the developmental guide suggested by the analysis framework. Each education material was assessed for developemtal guidance and its appropriateness for primary, middle and high school students. The total number of "being" responses to each developmental guidance equaled the score the material earned. These scores then were judged as to how well each education materials was comprehensive. 3 of 5 education materials were addressed as less than half the developmental guidline. Certain education materials were less comprehensive than others. I want to know 'Sexuality' covered the fewest developmental guidliness (34.6%). Interstingly, certain domains received much more coverage across all education materials than others. Most education materials provided instruction concerning "Human Development" (62.6%), "Sexual Health" (61.0%). However, topics such as "Personal Skills" (16.2%), "Relationship" (44.1%), "Sexual Behavior" (46.8%), "Society and Culture" (48.6%) were rarely addressed. Three topic, "negotiation", "sexual fantasy", "sexual dysfunction", were never addressed by most of the materials. Because several of the education material contained gender and sexual orientation biases. Certain topics such as "sexual identity and orientation" and "Gender role" were not adequately addressed by most of the material. Unfortunately, the overall findings of this study revealed that most of the education materials were considered insufficient for students. Because this study focused on whether or not the education materials addressed the developmental guidlines, further research is recommended to evaluate and addressed each developmental guidline.

• 한국직업건강간호학회지
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• 제12권1호
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• pp.80-88
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• 2003

Rehabilitation has emerged in recent years as major topic for the handicaped in industrial accident compensation insurance(IACI). Specially social support helps the handicaped adjust themselves psychosocially to handicap. This study was conducted to examine different contents and perceived social support, and provide guidlines for specific and proper rehabilitation for the handicaped of IACI. This study is a descriptive study which were collected through two phases using structured questionnaire. In the first stage, surveys were performed via telephone interviews. In the second stage, surveys were performed via home-visit subjects in the first stage included the handicaped of IACI. Finally data were collected from 338 subjects and analyzes by SPSS/PC+10. The instruments of this study were the perceived social support scale which developed by Lee(1996). These scales in the form of 5-point Likert type, consists of 20 items, including 3 subscales of emotional support, informational support, instrumental support. The mean score of social support was 57.2, emotional support 21.0, informational support 21.2 and instrumental support 15.2. The mean of depression for psychosocial factors is 37.5. Threre were significant differences in total perceived social support; age, job status, handicaped degree in IACI, post-traumatic complication and use of instrument. Emotional support was significant differences; age, number of dependent family, job status, handicaped degree in IACI, use of instrument and depression. Informational support was significant differences; job status, posttraumatic complication, use of instrument and depression. Instrumental support was significant differences; sex, job status, handicaped degree in IACI, use of instrument, and depression. The current system of the Labor Welfare institute is not appropriate for solving health problems of the handicaped in IACI. Therefore, it is necessary to develop the plan which can provide the handicaped in IACI high-quality rehabilitation services, so that they must use those services in the community without being dependent on hospitals. This study proposes home visit nursing services as the way to provide various health services within community for the handicaped in IACI.

• 디자인학연구
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• 제18권4호
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• pp.165-174
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• 2005

디지털 기술의 발전으로 디자인 대상, 대상의 속성, 디자이너의 역할이 변화하고 있다. 본 논문에서는 변화된 디자인 환경의 새로운 디자인 도구로써 프로토타이핑의 역할을 재조명하고 인터랙티브 디지털 제품을 디자인하는 과정에 디자이너들이 적극적으로 활용할 수 있는 다양한 프로토타이핑 도구들을 조사 분석하였다. 관련 분야의 프로토타이핑 방법을 분석하여 프로토타입의 완성도, 디자인 프로세스, 디자인 대상과의 연계성을 중심으로 체계화하였다. 프로토타이핑 도구의 연구들에 대한 분석을 바탕으로 효과적인 프로토타이핑 도구의 활용에 대한 시사점을 도출하였다. 주요 분석 결과로 컨셉 디자인 단계에 중요한 역할을 하는 새로운 프로토타이핑 방법과 도구를 숙지해야 하며, 디자인 대상과 목표에 부합하는 다양한 프로토타이핑 방법들을 활용해야 한다는 점을 파악하였다. 그리고 구현기술에 얽매이지 않고 새로운 컨셉의 탐색에 기여할 수 있는 프로토타이핑 도구에 과한 추가적인 연구가 필요함을 알 수 있었다. 타 분야 전문가들과의 긴밀한 협업으로 프로토타이핑의 효율화를 꾀할 수 있으며 디자이너들이 주로 활용하는 기존 도구를 기반으로 하는 구현 환경을 적절히 활용하는 것이 효과적이다. 조사분석 결과는 디자이너들이 새로운 문제에 직면했을 때 적절한 프로토타이핑 도구를 선택해서 활용학 수 있는 기초로 활용될 수 있다. 또한 디자인 프로세스의 효율성 개선과 교육에 실질적인 기여를 할 수 있을 것으로 기대된다.

• 조명전기설비학회논문지
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• 제18권5호
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• pp.16-26
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• 2004

우리나라의 경우 최근 경관조명의 중요성을 인식하고 많은 건축물과 광장, 조경, 역사적 모뉴멘트 등에 옥외조명이 설치되고 있다. 특히, 최근 쇼핑용 복합건물들은 옥외조명을 설치함으로써 건물의 인지도를 높이고, 그에 따라 매출을 증대시키고자 한다. 그러나, 대형 쇼핑용 복합빌딩에 옥외조명을 과다하게 설치함으로써 광공해를 발생시키고 있다. 이미 광공해에 대하여 선진외국에서는 조명조례와 광공해대책가이드 등을 제정하여 쾌적한 조명환경을 구축하려고 노력하고 있다. 이에 본 연구는 주로 야간에 많이 이용되는 3개의 복합쇼핑 빌딩에 설치된 옥외조명의 광공해의 발생 실태를 조사하였다. 이를 위하여 건물의 표면휘도, 보행도로의 수평면조도 및 연직면조도를 직접 현장에서 측정기구로 측정하여 CIE기준과 비교하였으며, 연구 결과는 다음과 같다. 전반확산형조명기구가 보행도로에 설치됨으로써 눈부심이 부분적으로 발생하고 있으므로 cut-off 조명기구를 설치할 필요가 있는 것으로 나타났다. 또한, 건물외관의 옥외조명은 건물의 인지도와 광고를 강조하기 위하여 휘도값을 크게 설계한 것으로 나타났다. 즉, 도로에 면한 건물표면의 측정휘도값이 CIE기준과 비교했을 때 2배정도 높게 나타났으며, 보도의 연직면 조도비도 권장값보다 크게 나타났다. 아직 우리나라의 경우 광공해에 대한 기준이나 가이드가 없으므로 이에 대한 대책이 절실히 필요하다.

• 자원환경지질
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• 제39권5호
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• pp.607-613
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• 2006

내 수문지열계 가운데 수주지열정(SCW)시스템을 합리적으로 설치이용할 수 있는 조건들은 심도별 지온증가율이 명확하고($2^{\circ}C/100m$심도), 기존의 지하수 열펌프가 필요로 하는 순환수의 유량에 비해 최소 $10{\sim}30%$의 중온의 심부지하수가 산출될 수 있어야 하며, 순환수를 공내로 재주입시 공내붕괴가 일어나지 않는 견고한 암석들이 존재 하여야 한다. 수주지열정의 1개공당 굴착심도는 평균 $400{\sim}500m$이며, 이로 부터 개발가능한 지열에너지는 공당 약 $30{\sim}40RT$ 규모인데 비해 1개 수직지중열교환기가 공급가능한 지열에너지는 $2{\sim}3RT$ 정도이다. 즉 수주지열정 1개공은 $10{\sim}15$개의 수직지중열교환기 역할을 한다. 따라서 이 방식은 수직루프 설치장소의 공간 문제를 해소할 수 있는 유일한 대안으로 인식되어, 현재 전국 각지에서 많은 수의 SCW들이 무분별 하게 비과학적으로 설치되고 있다. 이와 같이 해당지역 수문지열계의 수리 지질학적인 특성과 열적인 특성을 명확히 파악하지 않은 상태에서 수주지열정을 설계 시공하는 경우에 나타날 문제점들은 추후 합리적인 천부지열 개발 이용에 지대한 장애요인이 될 것이다. 따라서 본고는 국내 수문지열계에 적합한 수주지열정을 설계 하는데 있어 필요한 일종의 지침서를 제시하기 위해 작성되었다.

• 해양환경안전학회지
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• 제3권1호
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• pp.51-71
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• 1997

As passenger ship accidents so frequently have occurred, crisis consciousness is highly aroused in Korean society. Although bombastic policy guidlines were suggested in accordance with every passenger ship accident, there remains a still high possibility of such an accident reoccurring because passenger ship accidents occur from the perspective of non-compliance. The research objective of this study is to government's safety regulatory policies. Data for the analysis was collected from literature review. A Case study related to passenger ship accident is adopted for the analysis. The research methods utilized in this study consist of extensive quantitative analysis of 138 passenger ship accidents which had happened over last 10 years from 1984 to 1993 in Korea and a qualitative analysis of the passenger ship accident of the Seohae Ferry in October 1993. The results of the quantitive analysis on the 138 passenger ship accidents are as follows; Seeing the accidents yearly, the accidents which occurred by policy non-compliance are still exist, only somewhat reduced as years gone by. Seeing the accidents from the perspective of types of accident, fire accidents and death and injury accidents had more non-compliance factors than contact accidents and one-side collision accidents, etc. had. Seeing the accidents from the perspectives of types of passenger ship, large ships like car ferries and general passenger ship accidents had more non-compliance factors than any other kinds of ships had. Seeing the accidents from the perspectives of tons of passenger ships, large ships weighing more than 1, 000 tons and small ships weighing less than 50tons contained a lots of non-compliance factors. The results of the qualitative analysis of the passenger ship accident of the Seohae Ferry in Octovber 1993 are as follows; From the viewpoint of the human factor, there were non-compliance to the recruiting of required number of qualified crew members and non-compliance to the rule which prohibited them from leaving port in bad weather and high wave conditions. From the viewpoint of the ship factor, there were defects in the ship. So we might say that there was non-compliance which was aroused from the lacks of technical skills. From the viewpoint of the administrative factor, there were many non-compliance factors such as sailor education, shipping management, rescue, safety equipment. From the viewpoint of the passenger factor, there were passengers' threats which compelled the crews to leave the port under bad weather conditions. In conclusion, the principal non-compliances factors are passenger ship company did not follow safety rules such as shipping the permitted number of passengers, loading permitted tons of freight and fastening freights properly and recruiting required number of qualified crew. In order to reduce accidents, firstly we should find out the causes which play key roles in passenger ship companies' non-compliance to the government's safety regulations. Secondly we should tackle the causes.

• 한국간담췌외과학회지
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• 제28권2호
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• pp.161-202
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• 2024

Backgrounds/Aims: Reported incidence of extrahepatic bile duct cancer is higher in Asians than in Western populations. Korea, in particular, is one of the countries with the highest incidence rates of extrahepatic bile duct cancer in the world. Although research and innovative therapeutic modalities for extrahepatic bile duct cancer are emerging, clinical guidelines are currently unavailable in Korea. The Korean Society of Hepato-Biliary-Pancreatic Surgery in collaboration with related societies (Korean Pancreatic and Biliary Surgery Society, Korean Society of Abdominal Radiology, Korean Society of Medical Oncology, Korean Society of Radiation Oncology, Korean Society of Pathologists, and Korean Society of Nuclear Medicine) decided to establish clinical guideline for extrahepatic bile duct cancer in June 2021. Methods: Contents of the guidelines were developed through subgroup meetings for each key question and a preliminary draft was finalized through a Clinical Guidelines Committee workshop. Results: In November 2021, the finalized draft was presented for public scrutiny during a formal hearing. Conclusions: The extrahepatic guideline committee believed that this guideline could be helpful in the treatment of patients.