• 정형스포츠물리치료학회지
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• 제14권2호
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• pp.65-72
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• 2018

Purpose: Lifestyle intervention (LSI) provides basic recommendations that improve the quality of life and health of patients with minor disabilities. The LSI intervention strategies are associated with active living, healthy weight, healthy eating, and emotional stability. These intervention strategies can change an unhealthy lifestyle to a healthy lifestyle and provide important health care information. Main issue: This study focused on a new LSI-based knee rehabilitation protocol and proved the effect of exercise prescription on the knee. The clinical significance of this study demonstrated that continuous rehabilitation, effective rehabilitation, and recurrence prevention can be achieved by prescribing the appropriate exercise for patients after discharge. Therefore, practical lifestyle medicine knowledge and information are provided by the home-based rehabilitation self-exercise program with the new LSI-based knee rehabilitation protocol. Conclusions: The LSI-based protocol can improve and maintain health conditions and knee function. With the aim of improving self-care abilities, this program is expected to make significant contributions recurrence prevention, reduced mortality, and improved quality of life, physical function, and fitness.

• 지역사회간호학회지
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• 제25권2호
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• pp.85-96
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• 2014

Purpose: This study was performed to identify job competencies and needs for job education perceived by new community health practitioners. Methods: This study used a qualitative research design. Eight new community health practitioners participated in this study. Data were collected through in-depth interviews and analyzed using content analysis. Results: Five job competencies were identified in this study, including primary care, public health management, interpersonal relationship, teaching and counseling, and leadership. The contents of job education that they needed were management of major symptoms and chronic diseases, understanding and prescription of medications, emergency responses and care, management of endemic diseases, planning and management of public health programs, writing official documentsand computer works, and leadership training. The learning methods they preferred were connecting theory and practice, situation- or case-based learning, skill- or practice-based learning, and increased opportunities of clinical practice. Conclusion: The findings of this study provided the direction of job education for new community health practitioners. Job education for new community health practitioners needs to consider the job competencies and educational needs identified in this study.

• 응용통계연구
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• 제15권2호
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• pp.281-296
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• 2002

2000년도 의약분업으로 심화된 대체 조제에 대한 논란은 의사의 사전 동의 없이 대체조제 가능 품목을 식품의약품안전청장이 생물학적 동등성이 있다고 인정한 품목으로 제한함으로서 마무리되었다. 이에 발맞추어 식품의약품안전청(KFDA)은 후발 의약품에 대한 생물학적 동등성 시험 기준을 개정하였으며, 이 중에서 눈에 띄는 부분은 통계적인 고려 사항이다. 특히, 대조약과 시험약간의 동등성 판단을 위한 비교항목의 로그 변환을 명시한 것은 통계적 검증의 타당성 확보뿐만 아니라 국제적인 의약품 허가 추세에 부응한 바람직한 조치라 할 수 있다. 본 논문에서는 개정된 생물학적 동등성 시험 기준에서 고려 된 AUC와 Gmax의 로그 변환(log transformation)을 중심으로 그 배경과 통계적 의미를 고찰해 보고, 기존의 생물학적 동등성 판단 기준과 비교 검토해 보고자 한다. 또한 모의실험을 통해 개정된 기준의 통계적 타당성을 확인하고, 올바른 생물학적 동등성 판단을 위한 최소 표본수를 제안해 보기로 한다.

• 한국농업기계학회:학술대회논문집
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• 한국농업기계학회 2000년도 THE THIRD INTERNATIONAL CONFERENCE ON AGRICULTURAL MACHINERY ENGINEERING. V.II
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• pp.287-294
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• 2000

Calculation of the flexural rigidity value (EI) is indispensable for prescription of deflection characteristics of crop stalks in harvesting□Conventionally□EI has been determined by either average EI of the whole stalk or average EI of each stems divided into node through the calculation method of cantilever with homogeneous section□However□deflection characteristics of crop stalks caused by mechanical operation such as combine harvester were not exactly presumed by these conventional EI through the experiment by authors. Further, actual EI of a stalk changes in company with a change of moisture contents as time passes during the experiment. Finally, efficient calculation method for determining EI is needed in order to improve these problems. In this study, mechanical model based on actual structure of the crop stalk with variety sectional area was proposed. This mechanical model is calculated by the theory of cantilever with continuous stages. Therefore, improvement of both calculating accuracy on EI and efficiency of measuring system was tried. At first, this calculation method was applied to piano wire of which EI was recognized in advance. As a result, EI calculated from this new method coincided approximately with piano wire's EI. Next, applying to crop stalks as same as piano wire, relationship between loads acting on crop stalks and deflection values calculated by EI using this new calculation method was exactly presumed in comparison with conventional method. Further, measuring time of deflection test was greatly reduced. Finally, new calculation method of EI will be available for estimating mechanical characteristics of so many kinds of crop stalks in harvesting operation. Further, in this study, new deflection test using image-processing apparatus by computer will be introduced.

• 농촌계획
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• 제28권1호
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• pp.81-87
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• 2022

This study analyzed the awareness and demand of participants in a physical activity therapy program(PATP) of a social welfare-type cultural regeneration space in urban and rural areas. As a result of analyzing the demographic characteristics, the female(68.4%) were more than the male, and 30-39 years old(53.3%) were the most generation in the PATP participants. As a result of frequency analysis by all subjects, gender and age, 78.4% of the respondents had never participated in PATP before. The most duration of the PATP was 30 to 60 minutes(24.6%). 73.5% of the respondents answered that it was not feeling difficult at all to the intensity of PATP, and 94.8% of the respondents were satisfied with the intensity of PATP. The most respondents preferred to participate again with if the new PATP starts(97.2%) and to join the new PATP with his or her family members(85.7%). In addition, the participants under the age of 39(24.3%) perceived that the effect of improving physical fitness by PATP was higher than over 40 years of age(11.9%). As a result of logistic regression analysis, it was found that only the age had a significant effect(p<.01) on intensity of PATP. It means that the perceived intensity of PATP was different between the older and young generation. However, the PATP was not designed to meet the participants age and fitness levels, and even the general exercise prescription guidelines based on professional scientific data such as exercise frequency, exercise intensity, exercise time, exercise type, and characteristics of the participants in the spaces. In conclusion, to encourage and promote the participants motivation and health-related fitness level in the spaces for the future. The various type of PATP that include a few different intensities for all genders and age groups, and a customized program based on systematic and scientific exercise prescription guidelines.

• 한국방사선학회논문지
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• 제13권5호
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• pp.801-809
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• 2019

큰 병변에 대한 기존 감마나이프 방사선수술은 종종 체적 또는 선량 분할 단계들로 수행된다. 체적 분할의 경우, 병변은 처방된 선량 하에서 하루 또는 이틀, 3 ~ 6개월로 분할된 다중 세션에서 조사되는 하위 체적들로 분할되곤 한다. 치료의 전체 과정 동안, 이전 단계의 치료 정보는 세션 사이의 좌표 변환을 통해 새로 장착된 정위 프레임 상의 후속 세션에 반영될 필요가 있다. 그러나 동일한 정위 공간을 제외하고 기존 감마나이프 시스템으로는 이전 선량 분포를 구현하는 것은 실제로 어렵다. 최신 감마나이프 플랫폼을 사용하여 다단계 치료를 수행할 수 있기 때문에 치료 영역이 확장되고 있다. 이 연구의 목적은 정위적 공간에 기초한 영상 정합과 새로운 감마나이프 플랫폼을 사용하여 각 단계에서 처방 선량 결정과 같은 다단계 감마나이프 방사선수술 전략을 소개하는 것이다. 일반적으로 영상 정합에서 수술적으로 내장된 기준점 또는 내부 해부학적 랜드마크들이 변환 관계를 결정하는데 사용된다. 저자는 내부 해부학적 랜드마크들을 사용하는 예로서 4개 또는 6개의 해부학적 랜드마크를 사용하는 다중 세션 간의 좌표 변환 정확도를 비교하였다. 측정된 좌표들과 계산된 좌표들 사이의 불일치를 최소화하기 위해서 PseudoInverse 또는 Singular Value Decomposition을 사용하여 두 정위 공간 사이의 변환 행렬이 결정되었다. 변환 정확도를 평가하기 위해 측정된 좌표와 변환된 좌표들 사이의 차이, 즉 ${\Delta}r$이 10개의 랜드마크들을 사용하여 계산되었다. 10개의 랜드마크들 중 4개 또는 6개의 점들을 사용하여 좌표 변환을 결정하고 나머지는 접근 방법을 평가하는데 사용되었다. 두 가지 접근 방법에서 각각의 ${\Delta}r$ 값은 0.6 ~ 2.4 mm, 0.17 ~ 0.57 mm 범위이었다. 게다가 병변 분할의 경우 한 번에 전체 병변의 치료와 동일한 효과를 제공하는 처방 선량을 결정하는 방법이 제안되었다. 동일한 정위 공간에서의 다단계 치료 전략은 전체 병변에 대한 치료를 먼저 디자인하는 것이며, 전체 치료 디자인 샷들은 각 단계 치료의 샷들로 나누어 각 단계별 샷들을 구성하고 각 단계에서 적절한 처방 선량을 결정한다. 결론적으로 저자는 다단계 치료 전략으로서 처방 선량 결정의 정확성을 확인하였고, 다중 세션 간의 좌표 변환을 결정하기 위해 적은 랜드마크들을 사용하는 것보다 가능한 많은 내부 랜드마크들을 사용하는 것이 더 나은 결과를 산출함을 보았다. 향후 제안된 다단계 치료 전략은 여러 감마나이프 센터들의 틀 없는 분할 치료에 크게 기여할 것이라 사료된다.

• 동의생리병리학회지
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• 제29권2호
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• pp.127-132
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• 2015

In order to grasp the clear concepts and variables to treat Shanghan diseases which has complex meaning by each medical literature, several concepts and analytic method of structuralism from early to late stage encompassing Saussure and Derrida were used. Main concepts are langue and parole, signifiant and signifie, syntagme and paradigme, denotation and connotation, synchronie and diachronie, identity of structure and differance etc. and methods are substituting these concepts to historical Shanghan theories from Zhongjing to Ming-Qing dynasty and comparisons of synchronie about their era. Essential qualities of Shanghan diseases are pathologic phenomena under the order of unification of nature and man formed through concrescence between individual human body and geo-climatico-socio-cultural environmental conditions, neither injuries by cold pathogen nor five types of exopathogenic febrile diseases. The former environmental elements can be inferred from general traits of desires and public pathological aspects of social members, and the latter personal factors from corresponding features to those pathogenic variables. In addition, the concepts of Shanghan disease are added successively up to now via Jin-Yuan's four great masters and Wenbing masters, and thus the new concepts of denotation became another connotation obtaining new signifiant. In this way, for the treatment of Shanghan diseases, new theories should be made for ranging prescription over the wenbing field; reflecting not only climatical variables but also each patient's physio-pathological features and sociocultural variables. Thereby an appropriate and reasonable therapeutical systems can be designed and can guide research direction hereafter.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2006년도 춘계학술발표회 논문집(I)
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• pp.5-21
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• 2006

Traditional standards and specifications for concrete have largely been prescriptive, (or prescription-based), and can sometimes hinder innovation and in particular the use of more environmentally friendly concretes by requiring minimum cement contents and SCM replacement levels. In December 2004, the Canadian CSA A23.1-04 standard was issued which made provisions (a) for high-volume SCM concretes, (b) added new performance requirements for concrete, and (c) clearly outlined the requirements and responsibilities for use in performance-based concrete specifications. Also, in December 2003, the CSA A3000 Hydraulic Cement standard was revised. It (a) reclassified the types of cements based on performance requirements, with both Portland and blended cements meeting the same physical requirements, (b) allows the use of performance testing for assessing sulphate resistance of cementitious materials combinations, (c) includes an Annex D, which allows performance testing of new or non-traditional supplementary cementing materials. From a review of international concrete standards, it was found that one of the main concerns with performance specifications has been the lack of tests, or lack of confidence in existing tests, for judging all relevant performance concerns. Of currently used or available test methods for both fresh, hardened physical, and durability properties, it was found that although there may be no ideal testing solutions, there are a number of practical and useful tests available. Some of these were adopted in CSA A23.1-04, and it is likely that new performance tests will be added in future revisions. Other concerns with performance standards are the different perspectives on the point of testing for performance. Some concrete suppliers may prefer processes for both pre-qualifying the plant, and specific mixtures, followed only with testing only 'end-of-chute' fresh properties on-site. However, owners want to know the in-place performance of the concrete, especially with high-volume SCM concretes where placing and curing are important. Also, the contractor must be aware of, and share the responsibility for handling, constructability, curing, and scheduling issues that influence the in-place concrete properties.

• 대한정형도수물리치료학회지
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• 제12권2호
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• pp.33-41
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• 2006

This study planed to analyze durability of effect and result that the Medx and Sling exercise gets to the strength of lumbar extensors. 15 patients who had enforce the minimal invasive lumbar surgery were executed 3 times per week for 8 weeks. The purpose of this study was to identify the influence of the mixed exercises of the Medx and Sling program on lumbar trunk muscles and to present basic data for the proper exercise prescription for lumbar patients. The results were as follows: 1) Left: Patients by lumbar hernia operation of trunk muscle strength by Sling-exercise: 0, 45, 90, 135, 180 (degree) treatment periods (P<0.05). 2) Right: Patients by lumbar hernia operation of trunk muscle strength by Sling-Exercise: 0, 45, 90, 135, 180 (degree) treatment periods (P<0.05). Medx treatment, a muscle strengthening lumbar extension exercise program, was now being used at local hospitals. In addition, Sling exercise, which is designed to develop lumbar muscle by way of reducing gravity in a new way so that it can accelerate the growth of muscles and ligaments in-depth in the patients, also has begun to be introduced gradually. In this study, therefore, the new mixed program (Sling and Medx training)can used as an exercise program that can reduce pain and increase lumbar muscles, not only for disk disease patients but also for all those who have undergone surgery or who haven't undergone surgery, who have chronic pain, and it also can be utilized as basic data for the new method of exercise.

• 한국의사학회지
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• 제29권1호
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• pp.89-101
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• 2016

Hae-Yong Shin was a renowned merchant during the transitional period from Korean Imperialism to Japanese Occupation, and devoted his life during the period of Japanese Occupation as a proponent of patriotic enlightenment movement and translator. He also authored many medical and scientific works; in particular, he integrated the modern Western medicine into the Korean herbal medicine in his writings. His early works include New Edition of Natural History (1907), Physiology published in six series in the YaRoe, a magazine for the patriotic enlightenment movement, and the New Edition of Zoology (1908). These writings are assumed to have deepened Shin's knowledge of and insights into human and animal physiologies and anatomies. In the Danbang-Biyo-Gyeongheom-Shinpyeon (1913), he sought to incorporate the aspects of the Western medicine while mainly adopting the approach of the Korean herbal medicine. While keeping the contents and formations of Donguibogam, he recorded many empirical prescriptions and deleted theories incomprehensible for the general population, shamanic prescriptions, and poisonous and deadly ingredients. Its most salient features are the use of the Korean vernacular script for explications and simple ingredients for prescriptions. As medicinal materials, he presented commonly found low-cost native ingredients easily obtainable and affordable for. In the disciplines of childbirth, childbearing, and first aid, he adopted Western medical treatments. Danbangshinpyeon is particularly significant in that it contributed to public health by spreading practical basic medical knowledge in the vernacular script easily applicable at home in difficult situations for obtaining medical services under the Japanese colonial rule.