• 제목/요약/키워드: Handbook

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MIL-HDBK-344A 기반의 유도탄 내부 케이블 ESS 시험 방안 (Test Method for Guided Missile Cable ESS(Environmental Stress Screening) Based on MIL-HDBK-344A)

  • 이대현;이정민;오택근;이홍범;정준영
    • 한국항행학회논문지
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    • 제25권5호
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    • pp.313-319
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    • 2021
  • 본 논문에서는 MIL-HDBK-344A 기반의 ESS(environmental stress screening) 시험 에 대해 소개하고, 유도탄 내부 케이블의 ESS 시험에 대한 목적과 규격 설정 및 시험 방안에 대하여 확인하였다. ESS 시험구성은 온도 순환과 랜덤 진동의 환경 자극으로 이루어져 있으며, 핸드북의 절차를 기반으로 유도탄 내부 케이블의 ESS 시험 규격 설정과 시험 구성을 제시하고, 진동 시험을 위한 유도탄 내부 케이블의 ESS 시험을 위한 치구를 제작하였다. 스크린 강도(SS; screening strength)를 통해 결정되는 결함 감지 확률은 일회성으로 사용되는 유도탄의 신뢰성에 부합되도록 선정하였고, 또한 ESS 시험 중 유도탄 내부 케이블의 검사방법과 고려해야 할 점에 대하여 소개하였다.

초등학생의 읽기이해력 향상 중재프로그램에 대한 체계적 문헌고찰 (Systematic Review of an Intervention Program for the Improved Reading Comprehension of Elementary School Students)

  • 주소현;이수상
    • 한국도서관정보학회지
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    • 제52권3호
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    • pp.197-215
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    • 2021
  • 이 연구는 체계적 문헌고찰(systematic review) 연구방법을 활용하여 초등학생의 읽기이해력 향상을 위해 제공된 중재프로그램 실험연구들을 분석한 것이다. Cochrane의 핸드북을 적용하였으며, PICOTS-SD에 따라 핵심질문을 구성하였다. KCI에서 검색된 1,610건의 논문에서 포함기준과 배제기준을 적용하여, 최종 18건을 분석대상으로 선별하였다. Cochrane에서 제공하는 'RevMan5' 도구를 사용하여 비뚤림 위험을 평가하였다. 평가결과 대부분의 영역에서 비뚤림 위험도가 낮게 나타났다. 그리고 이들 논문들에 대한 정성적인 분석을 위해 자료요약표를 정리하였다. 이 결과, 중재프로그램의 유형은 다양하였으며, 고학년생을 적용대상으로 하는 경우가 많았다. 실험집단의 크기는 6명에서 29명이며, RCT 기반 연구보다 QED 기반 연구가 더 많았다. 중재시간은 40분이 가장 많았으며, 중재회기는 8회에서 24회로 나타났다. 그리고 모든 연구에서 중재프로그램은 읽기이해력 향상에 효과가 있는 것으로 나타났다.

낙상위험요인 평가 및 낙상예방활동 임상진료지침 (Clinical Practice Guideline for Assessment and Prevention of Falls in Adult People)

  • 천자혜;김현아;곽미정;김효선;박선경;김문숙;최애리;황지인;김윤숙
    • 한국의료질향상학회지
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    • 제24권2호
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    • pp.41-61
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    • 2018
  • Purpose: Falls are one of the most frequent health events in medical institutions, however, they can be predicted and prevented. The Quality Improvement Nurse Society clinical practice guideline Steering Committee developed the Clinical Practice Guideline for the assessment and prevention of falls in adult people. The purpose of this study was to assess the risk factors for falls in adults aged 19 years and older, to present an evidence for preventing falls, formulate a recommendations, and indicators for applying the recommendations. Methods: This clinical practice guideline was developed using a 23-step adaptation method according to the Handbook for clinical practice guideline developer (version 1.0) by National Evidence-based Healthcare Collaborating Agency. Evidence levels and recommendation ratings were established in accordance to SIGN 2011 (The Scottish Intercollegiate Guidelines Network). Results: The final 15 recommendations from four domains were derived from experts' advice; 1) assessment of risk factor for falls in adult 2) preventing falls and reducing the risks of falls or falls-related injury 3) management and reassessment after a person falls 4) leadership and culture. Conclusion: This clinical practice guideline can be used as a basis for evaluation and prevention of fall risk factors for adults, to formulate recommendations for fall risk assessment and fall prevention, and to present monitoring indicators for applying the recommendations.

점근 회귀방정식을 이용한 한강 권역 소유역의 유출곡선지수 산정 (Estimation of Curve Number Using Asymptotic Regression Method in Small Watersheds of Han Rive)

  • 유지수;박동혁;안재현;김태웅
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2017년도 학술발표회
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    • pp.215-215
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    • 2017
  • NRCS-CN 방법은 총 강우량으로부터 유출량을 계산하는 방법으로, 국내에서는 설계홍수량 산정 시 NRCS-CN 방법의 사용을 권장하고 있다. CN값은 토지이용 및 피복, 토양특성, 수문학적 조건(AMC)에 따른 함수로 결정할 수 있으나, 보통의 경우 미국의 National Engineering Handbook (NEH-4)에서 제시한 표를 활용한다. 그러나, 우리나라의 토지피복 및 토지이용 현황은 미국과 다르기 때문에 현실 조건을 반영한 조정이 필요함에도 불구하고, 충분한 관측 자료가 확보되지 않아 이러한 조정이 어려운 실정이다. NRCS-CN 방법에서는 결과 값이 총 강수량보다 CN에 크게 의존적이기 때문에 부정확한 CN 값의 산정은 큰 오차를 야기할 수 있다. 또한 소유역에서는 초기손실량이 설계홍수량 산정에 큰 영향을 미치지만 우리나라는 초기손실률을 20%의 고정된 값을 일괄적으로 적용하고 있으며, 이는 제주도와 같은 특수한 투수성 지층에서는 적합하지 않다는 지적을 받아왔다. 여러 선행연구에서 강수량과 CN 사이에는 특정 관계식이 존재하며, 고정된 CN 값이 아닌 강수량에 따라 변화하는 값을 적용하는 것이 기존의 NRCS-CN 방법보다 더 정확한 결과를 나타낸다는 것이 확인된 바 있다. 본 연구에서는 NRCS-CN 방법의 CN 값과 초기손실률을 유역에 적합하게 개선하기 위해서 기존의 NRCS-CN 모형에 점근 유출곡선지수방법(Asymptotic CN Regression Method)을 통해 산정된 CN값과 각기 다른 초기손실률(0.01, 0.05, 0.10, 0.20, 0.40)을 적용하여 개선된 총 8개의 모형을 한강 권역 소유역에 적용하였다. RMSE, MAE 및 R-square 등의 지표를 이용하여 모형 검정을 수행하였으며, 최적의 모형 및 미개변수를 선정하였다. 그 결과 기존의 NRCS-CN 방법보다 점근 유출곡선지수방법을 적용했을 때 더 작은 오차를 나타내는 것을 확인하였으며, 대부분의 유역에서 0.01 또는 0.05 등 기존보다 더 작은 초기손실률을 채택 시 실측값과 가장 적은 오차를 나타냈다.

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Efficacy of topical interventions for temporomandibular disorders compared to placebo or control therapy: a systematic review with meta-analysis

  • Mena, Mariam;Dalbah, Lana;Levi, Lauren;Padilla, Mariela;Enciso, Reyes
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제20권6호
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    • pp.337-356
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    • 2020
  • This systematic review focused on the efficacy of topical products in reducing temporomandibular joint disorder (TMD)-associated pain, in comparison to placebo or control interventions. The EMBASE, Web of Science, Cochrane Library, and MEDLINE via PubMed databases were searched for randomized controlled trials (RCTs) using topical interventions in adults diagnosed with TMD. The pain intensity was the primary outcome, and other clinical findings were the secondary outcomes. The risk of bias was evaluated according to the Cochrane's handbook. The search up to February 7, 2020 identified a total of 496 unduplicated references. Nine RCTs with 355 adult patients diagnosed with TMD were included. The meta-analysis did not show a significant reduction in baseline pain intensity in the nonsteroidal anti-inflammatory drug (NSAIDs) group, when compared to the placebo group (P = 0.288). One study demonstrated a statistically significant pain score decrease for Theraflex-TMJ compared to placebo after 10 d of treatment (P = 0.003) and follow-up, 5 d after the last application (P = 0.027). Ping On reduced pain at 4 weeks of application (P < 0.001) but not after 7 d of application (P = 0.136). In one study, cannabidiol (CBD) significantly improved the pain intensity compared to placebo (P < 0.001). However, no differences were found with capsaicin in the two studies (P = 0.465). Evidence was of low quality because the studies were considered as having an unclear or a high risk of bias and a small number of studies were analyzed. The evidence is not sufficient to support the use of topical NSAIDs and capsaicin, and limited evidence was found for Threraflex-TMJ, bee venom, Ping On, and CBD, with only one study reporting for each. Additional studies are recommended to validate these results.

국내담수지역 인체위해성기반 준거치 산정에 활용되는 어류섭취량인자 타당성 평가 (Adequacy Evaluation of Fish Intake Parameter used for Human Health Risk Assessment to Derive Freshwater Quality Criteria in Korea)

  • 안윤주;남선화
    • 한국물환경학회지
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    • 제27권3호
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    • pp.364-370
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    • 2011
  • Water quality criteria for human health protection are derived based on the human health risk assessment. Water quality criteria in Korean freshwater bodies have been derived according to the equations developed by the US Environmental Protection Agency. The equations include the fish intake parameter, which is very important factor that significantly influences on the criteria derivation. So far, several fish intake values were used in human health risk assessment for water quality standards and effluent standards. However, these values are not consistent and they refer to various sources. Therefore, there is a need to suggest the most appropriate value of fish intake parameter to derive freshwater quality criteria in Korea. In this study, national and international fish intake values were widely collected and evaluated to select the adequate value of fish intake parameter that can be applied in Korea. The USEPA presented fish intake parameter as the 17.5 g/day for general adults and sport fishers and 142.4 g/day for subsistence fishers. In Korean reports, wide range values of 2 to 67.7 g/day were suggested as fish intake value. These values included finfish and shellfish intakes in common but had various habits. This study found that the 52.4 g/day suggested in Korean Exposure Factors Handbook published by the Ministry of Environment in 2007 seemed to be the suitable fish intake parameter to derive the freshwater quality criteria in Korea. The value is based on water corrected intakes of finfish and shellfish present in freshwater and coastal areas. We expect that this report can be useful to select suitable fish intake value in human health risk assessment for establishing freshwater quality standard in Korea.

한국과 미국의 스포츠 물리치료 교육 프로그램 비교분석 (Comparison and Analysis of Sports Physical Therapy Education Programs of Korea and USA)

  • 권원안;민동기;이재홍
    • PNF and Movement
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    • 제10권1호
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    • pp.53-59
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    • 2012
  • Purpose : This thesis aims to explore sports physical therapist program of university of education of korea and usa for the whole process of becoming sports physical therapist and provide better education programs for cultivating sports physical therapist in the future. Methods : This thesis education programs of physical therapy department in Korea and 3 universities in east california region were selected with recommendation of a professional on sports physical therapist in USA. for the purpose of this study, curriculum of physical education department at school of education was analyzed using internet survey, phone survey, visitor survey and examination of hand book in korea. in usa, homepage, internet survey, e-mail and examination of handbook were used to analyze the data. Results : First, the results of this study can be summarized as follows: second, In comparison of required subjects and selective subject of physical therapy education in Korea and USA, Korea presents the least required subjects for major while USA offer more required subjects for majors. Korea puts focus on education practice while USA offers initial field experience and education practice well connected and organized systematically. Third, comparison of system of professional sports physical therapist, Korea did not establish system of a professional sports physical therapist, USA systematically established system of a professional sports physical therapist. Conclusion : On the basis Professional physical therapist, PNF association has to need to study hardly about special therapist.

미시적 교통 시뮬레이션을 활용한 보행자도로 서비스 수준 평가 (Level of Service Evaluation of Pedestrian Road Using Micro-Simulation)

  • 박순용;조혜림;조가영;윤일수
    • 한국ITS학회 논문지
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    • 제19권6호
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    • pp.26-36
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    • 2020
  • 보행자도로의 서비스 수준을 판단하는 평가지표인 보행 교통류율, 점유공간, 밀도, 속도 등의 정량적 자료를 산출하는 것은 많은 시간 소요와 경제적 부담으로 작용한다. 따라서 적절한 보행자 정책 수립을 위한 대체 대안으로 보행자의 미시적 경로 파악과 이를 활용한 서비스 수준 판단기술이 요구된다. 본 연구에서는 지하철역인 역삼역을 중심으로 미시적 교통류 분석 프로그램인 VISSIM을 이용하여 네트워크를 구축하고 정산 및 검증을 통해 신뢰성을 확보하였다. 이를 통해 도로용량편람 상의 속도를 활용하여 보행자 도로의 서비스 수준을 판단해 보았다.

Efficacy of cannabis-based medications compared to placebo for the treatment of chronic neuropathic pain: a systematic review with meta-analysis

  • Sainsbury, Bradley;Bloxham, Jared;Pour, Masoumeh Hassan;Padilla, Mariela;Enciso, Reyes
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제21권6호
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    • pp.479-506
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    • 2021
  • Background: Chronic neuropathic pain (NP) presents therapeutic challenges. Interest in the use of cannabis-based medications has outpaced the knowledge of its efficacy and safety in treating NP. The objective of this review was to evaluate the effectiveness of cannabis-based medications in individuals with chronic NP. Methods: Randomized placebo-controlled trials using tetrahydrocannabinol (THC), cannabidiol (CBD), cannabidivarin (CBDV), or synthetic cannabinoids for NP treatment were included. The MEDLINE, Cochrane Library, EMBASE, and Web of Science databases were examined. The primary outcome was the NP intensity. The risk of bias analysis was based on the Cochrane handbook. Results: The search of databases up to 2/1/2021 yielded 379 records with 17 RCTs included (861 patients with NP). Meta-analysis showed that there was a significant reduction in pain intensity for THC/CBD by -6.624 units (P < .001), THC by -8.681 units (P < .001), and dronabinol by -6.0 units (P = .008) compared to placebo on a 0-100 scale. CBD, CBDV, and CT-3 showed no significant differences. Patients taking THC/CBD were 1.756 times more likely to achieve a 30% reduction in pain (P = .008) and 1.422 times more likely to achieve a 50% reduction (P = .37) than placebo. Patients receiving THC had a 21% higher improvement in pain intensity (P = .005) and were 1.855 times more likely to achieve a 30% reduction in pain than placebo (P < .001). Conclusion: Although THC and THC/CBD interventions provided a significant improvement in pain intensity and were more likely to provide a 30% reduction in pain, the evidence was of moderate-to-low quality. Further research is needed for CBD, dronabinol, CT-3, and CBDV.

Effect and stability of miniscrew-assisted rapid palatal expansion: A systematic review and meta-analysis

  • Huang, Xinyi;Han, Yu;Yang, Shuangyan
    • 대한치과교정학회지
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    • 제52권5호
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    • pp.334-344
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    • 2022
  • Objective: This study aimed to systematically analyze the effect and stability of miniscrew-assisted rapid palatal expansion (MARPE) to provide a reference for the clinical treatment of patients with maxillary transverse deficiency (MTD). Methods: We searched PubMed, Science Direct, Web of Science, Embase, Cochrane Library, CNKI, and Wanfang Database for relevant studies published before February 18, 2021 and selected them according to the eligibility criteria. The Cochrane Handbook for Systematic Reviews (version 5.1.0) criteria were used for the quality assessment of randomized controlled trials, while the scoring protocol of the methodological index for non-randomized studies was used for non-randomized controlled trials. Statistical analysis was performed using the RevMan5.3 software. Results: All the included studies showed a relatively high success rate of expansion. The changes in both the intermolar and alveolar widths after MARPE were statistically significant. MARPE exhibited greater skeletal expansion effects than did conventional RPE. The midpalatal suture was opened in parallel after MARPE. A small amount of relapse was observed 1 year after expansion. MARPE caused tooth inclination and a decrease in alveolar height, but it was less significant than in conventional RPE. Conclusions: MARPE may be an effective treatment modality for patients with MTD. It causes great transverse skeletal expansion in late adolescence. In comparison to conventional RPE, MARPE has lower detrimental periodontal effects and has certain clinical advantages.