• 한국수학교육학회지시리즈A:수학교육
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• 제39권1호
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• pp.71-80
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• 2000

As the new century begins, it is clear that K-l2 education is going through a major change. The increasing power and affordability of personal computers along with wide spread use of the Internet has not only changed the landscape for communication but it has opened up new and exciting opportunities for education. One of the ways that Internet could help improve education is to act as an interactive communication link to gather the knowledge and experience of all the teachers and to serve as an open forum for discussing and exchanging innovative ideas. But developing a successful site is not an easy task since the success of the site depends on the level of participation and cooperation of teachers. In this paper, learnings derived from the development of an interactive web based resource center for K-12 mathematics teacher are described and recommendations for developing an effective site for teachers are suggested. The development of an interactive resource center for mathematics teachers showed that while interest for a web based resource is very high, the main obstacle for effective teacher participation is lack of easy accessibility of internet by teachers, and lack of computer and internet training for teachers. The technical issues regarding hardware installation, software development and cost were minimal. Accessibility will improve in time as more and more schools are connected to the internet, but this alone will not be enough. The study suggests that in order to bring together teachers on the internet more effort needs to be made in training teachers on the use of computers and the internet.

• 한국임상보건과학회지
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• 제9권2호
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• pp.1486-1492
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• 2021

Purpose: By investigating oral health knowledge and oral health behavior of orthodontic patients, we intend to identify factors that affect their satisfaction with orthodontic treatment and use them as fundamental data for improving the satisfaction of orthodontic patients. Methods: Busan from February 1st to March 31st, 2021. Dental disease in Gyeongsangnam-do. A self-contained survey was conducted on patients undergoing orthodontic treatment in the clinic. A total of 185 copies were analyzed. Using the lBM SPSS Statistics 21 program, multiple regression analysis was conducted by setting oral health knowledge and oral health behavior as independent variables to determine factors affecting remedial treatment satisfaction. Results: The satisfaction level of orthodontic treatment was 1.53 points higher than 'understanding the cost of orthodontic treatment' and 'smooth relationship with related staff while receiving orthodontic treatment' was low at 1.23. The average calibration satisfaction was 1.34. Factors affecting remedial treatment satisfaction were shown in the order of oral health behavior (p<0.000), educational experience (p<0.010), gender (p<0.015) and oral health knowledge (p<0.020). Conclusions: Through the above results, it is necessary to develop programs to improve oral health knowledge through customized individual oral health education by enhancing individual oral health behaviors of individuals.

• Journal of Korean Neurosurgical Society
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• 제64권2호
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• pp.238-246
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• 2021

Objective : To retrospectively analyze the clinical characteristics and surgical experience of 10 adults with spinal extradural meningeal cysts (SEMCs) in the thoracolumbar spine which may further provide evidence for surgical decision-making. Methods : Ten adults with SEMCs in the thoracolumbar spine were surgically treated and enrolled in this study. Clinical manifestations, imaging data, intraoperative findings and postoperative outcome were recorded. Results : Clinical manifestations of SEMCs included motor and sensory dysfunction of the lower limbs and urination and defecation disturbance. The cysts presented as intraspinal occupying lesions dorsal to the spine, ranging from the T8 to L3 level. Defects of eight cases were found on preoperative magnetic resonance imaging (MRI). Selective hemilaminectomy or laminectomy were used to reveal the defect within the cyst, which was further sutured with microscopic technique. The final outcome was excellent or good in seven cases and fair in three cases. No recurrence was observed during follow-up. Conclusion : SEMCs are rare intraspinal cystic lesions. Radiography and MRI are clinically practical methods to assess defects within SEMCs. Selective hemilaminectomy or laminectomy may reduce surgical trauma. Detection and microscopic suturing of the defects are the key steps to adequately decompress the nervous tissue and prevent postoperative recurrence.

• Geomechanics and Engineering
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• 제33권4호
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• pp.341-352
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• 2023

Long-short pile composite foundations bear both vertical and horizontal loads in many engineering applications. This study used indoor model tests to determine the horizontal bearing mechanism of a composite foundation with long and short piles under horizontal loads. A custom experimental device was developed to prevent excessive eccentricity of the vertical loading device caused by the horizontal displacement. ABAQUS software was used to analyze the influence of the load size and cushion thickness on the horizontal bearing mechanism. The results reveal that a large vertical load leads to soil densification and increases the horizontal bearing capacity of the composite foundation. The magnitude of the horizontal displacement of the pile and the horizontal load borne by the pile are related to the piles' positions. Due to different pile lengths, the long piles exhibit long pile effects and experience bending deformation, whereas the short piles rotate around a point (0.2 L from the pile bottom) as the horizontal load increases. Selecting a larger cushion thickness significantly improves the horizontal load sharing capacity of the soil and reduces the horizontal displacement of the pile top.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제12권1호
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• pp.23-29
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• 2009

목 적: HBeAg 음성 만성 B형 간염 환자에서 라미부딘의 적절한 치료 기간에 대한 연구는 국내외에 보고된 바 없다. 저자 등은 라미부딘의 장기 치료 효과를 분석하여 HBeAg 음성 소아 만성 B형 간염의 적절한 치료 기간을 결정하는데 예비자료로 제공하고자 하였다. 방 법: 1999년 7월부터 2006년 8월까지 경북대학교병원 소아청소년과에 내원하여 만성 B형 간염으로 진단받은 83명 중 HBeAg 음성 만성 B형 간염으로 진단되어 라미부딘 치료를 시작하였던 환자 7명 중 2년 이상 경과한 6명을 대상으로 하였다. 대상 환자들은 모두 혈청 ALT치가 정상 상한치의 2배 이상으로 증가되어 있었다. 라미부딘을 3 mg/kg (최대 100 mg)으로 매일 1회, 최소 2년 이상 경구 투여하였다. HBV DNA의 소실과 혈청 ALT 수치의 정상화를 1차 목표로 하였고 라미부딘 종료 후 관해 유지를 최종 목표로 하였다. 라미부딘은 HBV DNA의 음전화 및 ALT치의 정상화 후 2년 이상 추가 투여하기로 하였다. 치료 시작 후 매 2~3 개월 마다 HBV DNA, 혈청 ALT, HBeAg과 anti-HBe 역가의 변화 추이를 조사하였다. 결 과: 라미부딘 치료 기간은 평균 32.3개월(26~40개월)이었고 평균 추적 관찰 기간은 59.5개월(26~110개월)이었다. 라미부딘 치료를 받은 모든 환자에서 3개월 이내에 HBV DNA가 0.5 pg/mL 미만으로 감소하였다. 2005년 이후에 치료를 시작한 환자는 3명이었는데 3명 모두에서 3~23개월에 0.007 pg/mL (=357 IU/mL) 미만으로 감소하였다. 혈청 ALT치 정상화에 걸린 기간은 6명의 환자에서 평균 3.5개월(2~7개월)이었다. 라미부딘으로 치료한 환자 중 5명은 HBV DNA PCR에서 357 IU/mL 미만으로 유지되고 있으나 한 명의 환자에서 18개월에 생화학적 돌파현상(breakthrough)이 관찰 되어 28개월째에 투여를 중단하였다. 라미부딘 치료가 종료된 4명에서 평균 23.8개월(4~75개월)동안 추적 관찰하였지만 재발의 소견은 보이지 않았다. 결 론: HBeAg 음성 만성 B형 간염 환자에서 라미부딘은 효과적으로 HBV 증식을 저지할 뿐 아니라 혈청 ALT치를 정상화시켰다. 치료 종료 후의 재발률을 낮추기 위해 HBeAg 음성 만성 B형 간염 환자에서 라미부딘의 적절 치료 기간은 HBV DNA 음전 및 혈청 ALT치 정상화 후 2년 추가가 필요할 것으로 추정할 수 있으나 더 많은 환자를 대상으로 한 연구가 필요하다.

• 농촌계획
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• 제20권4호
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• pp.209-220
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• 2014

This study investigated the problem of the existing rural development plan where the opinions of local residents are excluded due to the lack of expert knowledge and limited participation and sought the village development plan driven by the voluntary participation of local residents by applying a rural forum targeting rural villages to solve the problem. As a result of the study, (1) the problem of the current village development plan should be made based on the participation of local residents, and (2) this problem has remained as an important challenge. Therefore, the village improvement activities that have reflected the opinions of local residents can be said to be (3) the process that seeks the change into the rural planning process led by local residents, and this study derived the ways to ensure the voluntary behavior of local residents, strengthen local residents' capacity to create on-going villages, and expand local residents' participation opportunities in the entire process of rural planning through the application of the rural forum. (4) Although it is generally difficult for local residents to propose opinions directly and exert influence in the rural planning and design process and it is not easy to reduce the difference in the perspective between the professionals and local residents, significance lies in the fact that local residents voluntarily determine the future of their region and derive the plan. Therefore, the experience of decision-making and consensus process through the rural forum can promote the sustainability of the village creation participated by local residents and the increase of local residents' role. This study took one village as an example to reflect the results applied to the rural forum, and it is difficult to determine that it has been fully verified with the method of residents' participation. Therefore, future studies to verify the effectiveness of village creation and seek the empirical utilization measures are needed more, and the operation of education programs and various support plans suitable to the capacity and level of local residents should be promoted rather than the traditional lecture-style stereotyped education in the future for sustainable rural development.

• Journal of Biosystems Engineering
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• 제12권2호
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• pp.28-37
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• 1987

Operation of rice whiteners has been depending on operator's experience only and very limitted data are available for operational criteria of rice whiteners in Korea. With developments of new rice varieties and with a tendency of automation of machine operations for precision control, operational criteria depending on physical characteristics of rice grains arc required for an improvement of milled rice recovery and the performance of rice whitening systems. An experimental study was conducted to identify operational criteria of a rice whitening system consisted with an abrasive-aerated whitener developed newly and a frictional-aerated whitener being used commercially. Further, comparisons were made between the performance of the rice whitening system adopted for this study and a commercial system used in small scale milling plants. Results of this study are summarized as follows: 1. Total number of passes necessary for the final white rice in the combined whitening system depended exclusively on the counter pressure level of the frictional whitener successive to the abrasive whitener. 2. The counter pressure required for whitening Japonica type rice variety (Akibare) was higher by about 1.6 times than that for Japonica type (Pung-san), when other conditions were kept at the same. 3. Radial pressure in the whitening chamber of the frictional whitener should be maintained between 1.5 to $2.1kg/cm^2$ for the completion of whitening within 5 to 3 passes regardless of rice varieties. Hence, it was found that the radial pressure in the whitening chamber could be used as an operational criteria to control the counter pressure level. 4. The following regression equation was found between radial pressure($R_p$) in whitening chamber and electric power consumption of the whitening system: $$EPC=-0.545\;R^2_p+1.277\;R_p+0.874[KWH/100kg]$$ 5. The following multiple regression equation was found among radial pressure ($R_p$), counter pressure ($C_p$), and bioyield point ($B_i$), length (L) and width (W) of brown rice. $$R_p/(B_i/W^2)=0.547\{C_p/(B_i/W^2)\}^{0.365}(L/W)^{0.120}(R^2=0.9897)$$ 6. The milled rice recovery and machine efficiency (kg/KWH) from the combined whitening system were higher by about 2.0% point and by 15 to 27% point than those from the conventional system, respectively.

• 대한간호학회지
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• 제6권2호
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• pp.32-38
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• 1976

The advanced knowledge is increasing day by day due to the progress of medicine and tectonics, the increase of nursing research nowadays. In parallel with these, nursing profession has a need of the nursing care with improvement of new Knowledge, tectonics and nursing procedure through the insertive education. Therefore, this study was attempted to investigate that to grasp learning need of nurses about inservice educational play a pivotal role in the progress of inservice education. This study was made from 242 clinical nurse at 4 hospitals in Seoul and through question- are consisting of 1) ideological part 2) basic sciences 3) nursing part 4) administrative part 5) the others from 10 July '75 to 7 Oct. '75. The data were treated by percentage, Licker method, arid chi- square examination. Significant difference p is 0.05. The results of this studies are as follows : A. learning needs of nurses 1) Generally the learning needs of nurses is very high. 2) Of the learning need of inservice education for nurses, the highest learning need is as follow (Table 2 ) 1 st : Charting 2 nd : The ability of grasping patient's needs and problems. 3 rd ; The contents and the methods of the advanced nursing skill. 4 th ; The importance of team work 5 th ; The general knowledge of the various disease 6 th : The decision of a propriety nursing diagnosis under the general condition. 7 th ; The introduction of the new nursing theory. 8 th : The Nurses role and the responsibility in emergency and disaster. 9 th : The improvement of nursing skill for the perfect interpersonal relationship. l0th ; Cultural education: B . Verification of hypothesis 1. Hypothesis I , learning needs of nurses and educational level of nurse will be correlated, is rejected (Table 3 ) 2. Hypothesis II, learning need of nurses and duties of post will be correlated, is rejected (Table 4) 3. Hypothesis III, learning need of nurse and clinical experience of nurses will be correlated, is rejected (Table 5).

• 대한유전성대사질환학회지
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• 제11권1호
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• pp.52-73
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• 2011

Since we have started organic acid analysis on Jul. 1997, we have been collecting data about organic acidemias in Korea. The data presented here is our 3 years experience in organic acid analysis. We have collected 712 samples from major university hospitals all over the Korea, large enough for relatively accurate incidence of organic acid disorders. We are using solvent extraction method with ethylacetate, MSTFA for derivatization and quantitation of 83 organic acids simultaneously. Out of 712 patients sample, 498 patients sample (70%) showed no evidence of organic acid abnormalities. Out of 214 remaining samples we have found very diverse disorders such as methylmalonic aciduria(6), propionic aciduria (10), biotinidase deficiency (6), maple syrup urine disease (3), isovaleric aciduria (4), tyrosinemia type II (4), tyrosinemia type IV (1), glutaric aciduria type I (1), glutaric aciduria type II (22), 3-methylglutaconic aciduria type I (3), 3-methylglutaconic aciduria type III (7), HMG-CoA lyase deficiency (1), hyperglyceroluria (2), cytosolic 3-ketothiolase deficiency (55), mitochondrial 3-ketothiolase deficiency (3), 3-hydroxyisobutyric aciduria (2), L-2-hydroxyglutaric aciduria (2), fumaric aciduria (2), lactic aciduria with combined elevation of pyruvate (most likely PDHC deficiency) (28), lactic aciduria without combined elevation of pyruvate (most likely mitochondrial respiratory chain disorders) (35), SCAD deficiency (3), MCAD deficiency (1), 3-methylcrotonylglycineuria (1), orotic aciduria (most likely urea cycle disorders) (7) and 2-methylbranched chain acyl-CoA dehydrogenase deficiency (1). In conclusion, though the incidence of indivisual organic acidemia is low, the incidence of overall organic acidemia is relatively high in Korea. Most of the patients showed some signs of neurological dysfunction. In other words, organic acid analysis should be included in the diagnostic work up of all neurological dysfunctions.

• Journal of Hospice and Palliative Care
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• 제21권2호
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• pp.51-57
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• 2018

목적: 임종기 환자의 연명의료 결정은 환자와 가족, 의료진에게 당면과제이나 실제 의료현장에서 합의된 연명의료 제한의 정의와 시기는 결정하기 어려운 실정이다. 이에 본 연구는 단일 의료기관에서 심폐소생술 금지 동의 후 사망한 환자를 조사하여 임종기환자의 연명의료의 실태를 확인하여 보고자 한다. 방법: 2016년 1월부터 2016년 12월까지 한 대학병원에서 '회복불능 예상 환자 제한 치료 동의서(DNR 동의서)'에 동의 후 사망한 환자의 의무기록을 후향적으로 분석하였다. 결과: 전체 대상환자의 DNR 동의 후 사망까지 기간은 중앙값 2일(1일 미만~51일)이었다. 전체 사망의 45.3%(170명)은 암환자였으며, 54.6%(205명)은 비 암환자로 주요 사망원인은 뇌혈관계(19.2%), 호흡기계(14.7%)가 많았고, 순환기계(6.7%), 감염(6.4%), 신장질환(5.1%), 간질환(2.7%) 등이었다. 암환자군과 비 암환자군을 비교했을 때 DNR 동의 후 사망까지 기간의 중앙값은 암환자에서 3일(range 1일 미만~51), 비 암환자에서 2일(range 1일 미만~50)로 통계적 차이는 없었다(P=0.629). 대상 환자 중 205명은 DNR 동의 전기계호흡 등 특수 연명의료를 시행받았으며 특수 연명의료 유보군(170명)과 비교하였을 때, 특수 연명의료 시행군의 76.1%가 비 암성질환이었으며, 특수 연명의료 유보군의 71.1%가 암질환이었다(P<0.05). 결론: DNR 동의 후 사망한 환자 대부분이 임종에 임박하여 연명의료를 결정하였으며 DNR 동의 후 사망한 환자의 절반 이상이 비 암환자였으나 연명의료를 받던 중에 중단 또는 유보로 결정되는 경우가 더 많았다. 바람직한 연명의료 결정을 위해 의료진은 말기 환자 및 가족과 좀 더 빠른 시점에서 이에 대한 논의가 필요하겠다.