• 대한치과마취과학회지
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• 제14권1호
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• pp.29-39
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• 2014

Background: Dental phobia or anxiety of patients is the serious impediment to appropriate and effective dental treatment. Sedative technique helps to mitigate patients' fear and anxiety thus make them more cooperative and familiar to dental practices. With increasing attention to sedative dentistry in dentists, educational requirements and technical qualification also become stricter but actual survey on recent sedative dentistry has not been reported yet. Especially there is insufficient study reporting the survey of sedative dentistry subjected to Korean adults. In this paper, we conducted a survey study on the actual condition and practice related to sedation with a questionnaire to dentists in South Korea. Methods: The survey was done for members of The Korean Dental Society of Anesthesiology (KDSA), who had great interest in sedation and for whom survey-by-mail was convenient. 472 members of The KDSA having dental license and solid address and contact information were subjected to the survey by sending them survey questions about their sedative techniques and knowledge. In order to increase the response rate, small gifts were presented to those who accurately responded to the survey questions and text messages and phone calls were made to encourage their participation. We collected their responses over two months and examined the returned surveys. Statistical analysis was performed using IBM SPSS Statistics 21 for each question. Results: Out of 472 dentists, 181 responded (38.4% response rate). 63.0% (114 dentists; 77 male and 37 female) of respondents had experience on sedative technique and their average age was $39.8{\pm}7.6$ year. 74 of them were private practitioners, 17 of them were professors (14.9%), 11 of them were dentists-in-service (9.6%), 11 of them were residents (specialist training) (9.6%) and 1 of them was military doctors (0.9%). There were 89 dentists (78.1%) who were specialists or receiving trainings to be specialist, most of whom were pediatric dentists (55, 48.2%) and oral surgeon (31, 27.2%). The most popular route for drug medications was orderly oral, inhalational, intravenous medication. Combination of oral and inhalational medications or single use of intravenous medication was the most common. The most preferred sedative drug was pocral in oral sedation and midazolam in intravenous sedation. 48.2% of practitioners responded that they experienced side effects and emergency situations. Airway obstruction was the most frequent. Conclusions: Results from the survey show that the protocol and system for sedative dentistry have been improved compared to the past. Nevertheless, quality of emergency protocol, monitoring devices and preparation of sedative drugs was still insufficient to achieve safe sedative procedure. This study acquires novelty since actual survey on recent sedative dentistry for adult patients has not been reported yet.

• 한국건설관리학회논문집
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• 제13권6호
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• pp.121-132
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• 2012

건설공사 예정가격을 산정하는데 사용되는 표준품셈의 기계경비산정시스템은 종합건설업자가 직접 장비를 보유하여 운영한 60년대초에 기계손료 및 운전경비를 근거로 산정토록 제정되어, 대부분의 건설기계가 시공업체의 직접운영 보다는 장비임대업체를 통하여 임대 형태로 현장에 투입되고 있는 현재의 건설산업 운영실태를 반영하지 못하고 있는 실정이다. 본 연구에서는 실제 현장에서 운용되고 있는 건설기계의 임대단가를 실적자료로 활용하기 위해 반드시 필요한 사용자 편익을 고려한 현실적인 건설기계경비 산정시스템을 개발하였다. 이를 위해 대표적인 건설기계 7기종 9규격(굴삭기 무한궤도($0.2m^3$), 굴삭기 타이어($1.0m^3$), 덤프트럭(15ton, 25ton), 진동롤러(자주식 4.4ton), 크레인 무한궤도(50ton, 300ton), 아스팔트피니셔(3m), 콘크리트펌프카($80m^3/hr$))을 선정하고 전국 217개 임대사업체 및 건축 토목현장 11곳을 대상으로 지역별 및 임대유형별 임대료를 현장방문 및 면담을 통해 조사 분석하였다. 임대기반 건설기계경비 산정시스템은 사용자가 건설기계의 종류, 규격 및 임대유형을 선택하여 해당 기계의 전체지역 평균 임대료 및 각 지역별 임대료를 편리하게 열람 할 수 있도록 기반을 제공함으로써 건설공사 예정가격산정기준 및 관련 연구의 기초가 될 수 있으리라 기대한다.

• 대한지리학회지
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• 제47권5호
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• pp.654-676
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• 2012

본 연구는 산지 생태계의 능력과 잠재성의 공간적 분포를 파악하기 위해 다계층성을 고려한 생태지역 분류를 제시해 보고자 한다. 이를 위해 연구지역 일대를 대상으로 각 환경요인의 공간적 분포를 살펴보고, 지리통계(geostatistics)기법을 이용하여 각 환경변수의 계층성을 파악하였다. 마지막으로 적절한 생태지역 분류를 제시하기 위해서 임상도와 입지도를 이용하여 분류 및 평가를 실시하였다. 연구지역은 $1,168km^2$ 면적의 강원도 가리왕산 일대이다. 이 지역은 퇴적암 비율이 높게 나타나며, 그중에서 석회암과 관련된 지층이 가장 넓은 면적(36.6%)을 차지한다. 북쪽과 중앙을 중심으로 고도가 높은 산지가 대부분을 차지하며, 오대천과 평창강을 따라 평탄한 지역이 나타난다. 환경요인의 계층성을 살펴보면 지질과 고도가 상위계층을 차지하고, 지형분류(사면곡면률, 사면유역지수)가 하위 계층으로 나타났다. 생태지역분류 평가에서 '지질+고도+지형분류'가 고르게 높은 ${\chi}^2$의 통계값을 보이고 있어 이에 근거하여 생태지역 분류를 실시하였다. 제시된 생태지역분류는 넓은 퇴적암면적, 높은 산지비율, 큰 고도차이 등과 같은 연구지역의 독특한 환경특징이 반영된 결과로 파악하였다. 본 연구는 다양한 생태관련 주제를 통합하여 전체적인 산지 생태계 관리 및 이용 방안의 하나로 제시될 수 있을 것이다.

• 대한간호학회지
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• 제36권4호
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• pp.596-603
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• 2006

Purpose. This study examined Korean clinical nurses' intentions to care for SARS patients and identify determinants of the intentions. Theory of planned behavior was the framework to explain the intentions of Korean nurses for SARS patients care. Methods. A convenient sample of six hundreds and seventy nine clinical nurses from four university-affiliated hospitals located in Seoul and in Kyung-gi province was used. Self-administered (83-items) questionnaire was used to collect data. Intentions, attitude, subjective norm, perceive behavioral control, behavioral beliefs, normative beliefs, and control beliefs were the study variables. All items were measured using 7point Likert scale (-3 to +3). Data were analyzed using descriptive statistics, Pearson correlation method, and stepwise multiple regression methods. Results. Intentions and attitudes toward SARS patient care among Korean clinical nurses were moderate, but their subjective norm and perceive behavioral control of SARS patients care were negative. Stepwise multiple regression analysis indicated that attitude toward SARS patient care, perceived behavioral control, subjective norm were the determinants of the intentions for SARS patients care as theory proposed. Among the behavioral beliefs, 'SARS-patient caring would be a new experience', 'during SARS-patient caring, I should be apart from my family', 'after completing SARS-patient caring, I would be proud of myself being able to cope with a stressful event' and 'with my SARS-patient caring, patients could recover from SARS' were the significant determinants. Among the normative beliefs, colleague approval, spouse approval, and physician approval were significant determinants of the intentions. Among the control beliefs, 'SARS-patient caring would be a challenge' 'SARS-patient caring is a professional responsibility', 'tension during the care of SARS patients' and 'support from team members' were the significant determinants of the intentions. Conclusions. Korean clinical nurses in this study were not willing to care for SARS patients and showed negative attitude toward the care. They believed their friends and family were not approved their care for SARS patients. Nurses were in conflicts between professional responsibilities to care for SARS patients and personal safety. This study was the first to understand stress and burden of Korean clinical nurses who are in front line to care for newly developed communicable disease such as SARS. Under the circumstance where several fatal communicable diseases are predictable, conflicts between professional responsibility and their personal risks should be taken into considerations by nurses themselves and by nursing administrators in order to improve quality of care.

• Spatial Information Research
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• 제22권4호
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• pp.77-87
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• 2014

2014년 에콰도르의 툰구라와 화산폭발, 2010년 아이슬란드 에이야프야틀라이외쿠틀 화산폭발 등과 같이 최근 화산활동으로 인한 재해피해가 증가하고 있으며 이에 대한 대책마련이 시급한 실정이다. 본 연구에서는 현재 폭발 위험성이 높은 활화산 중 하나인 백두산을 대상으로 객관적 관측자료와 과학적인 방법에 근거하여 재해위험지역 분석을 실시하였다. 첫 번째로 중국학자 Liu Ruoxin의 연구에 근거하여 1215(${\pm}15$)년 백두산 화산 대폭발 화산재해 데이터를 참조하여 백두산지역의 지진관측자료와 화산지역 형태변화 관측자료, 화산지역 유체지구화학관측자료, 사회경제 통계데이터를 이용해 재해유발요소, 잠재적인 재해유발환경, 피해대상의 취약성을 종합적으로 평가하였다. 평가결과를 토대로 대상지역에 대한 백두산화산재해위험등급분포도를 산출하였으며, 그 결과 백두산화산재해위험등급을 4단계로 체계화하였다. 분석결과 백두산화산재해위험등급은 중심부에서 주변으로 갈수록 점차 등급이 낮아지는 것으로 분석되었으며 1,2급 위험지역은 화산폭발 시 위험도와 피해가 클 것으로 예상되는 고위험지역으로, 3,4급 위험 지역은 화산재해위험이 상대적으로 낮은 지역으로 나타났다. 또한 같은 강도의 화산재해요소의 작용하에서는 연구지역의 서쪽지역이 받는 위험성이 동쪽지역보다 높은데 이는 비교적 낮은 잠재적인 재해유발환경의 안정성과 높은 피해대상 취약성에 의해 결정됨을 확인할 수 있었다.

• Journal of Acupuncture Research
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• 제27권4호
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• pp.147-178
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• 2010

Objectives : This study was to propose the improved instruction for authors and research ethic regulations by the comparative analysis of those of the domestic journals, for the purpose of enhancing the citation rate of Journal of Korean Acupuncture and Moxibustion Society. Methods : Narrative review method was used for comparatively analyzing instruction for authors of 34 domestic journals, especially focused on how to write a reference. Thereafter, in order to elucidate the drawbacks of current instruction for authors and research ethic regulations of the acupuncture and moxibustion society, the well prepared instructions and research ethic regulations was selected from them, which were compared with the present instructions for authors and research ethic regulations of the acupuncture and moxibustion society. Results : As a result of the comparative analysis of instruction for authors in the 34 domestic journals, style for references was based largely on that of National Library of Medicine and vancouver at the same time. The number of reference was limited according to types of writings. for example, the original article and case report was frequently limited to 40 and 20 references respectively. Authors were mostly listed up to six. If there are more, the first three or six authors were listed with 'et al'. it was generally recommended that using abstracts as references should be avoided and References to papers accepted but not yet published should be designated as 'in press' or 'forthcoming', and that the names of journals should be set in italics and abbreviated according to the List of Journals Indexed for Medline (formerly Index Medicus) published by the National Library of Medicine or koreanmed or WHO-IST, etc. In addition, citation of electrical literature, English writing of reference and obligational citation of more than two articles in the journals were encouraged. In consequence of comparison between well prepared instructions and research ethic regulations of the selected journals and those of current instructions for authors and research ethic regulations of the acupuncture and moxibustion society, the followings were needed to be added or revised. 1. Requirements for case reports were not mentioned. 2. Reporting Guidelines for Specific Study Designs were not included. 3. Previous Orthography of herbal prescription should be revised. 4. Orthography of authors and guidelines for writing article constituents such as title, abstract, introduction, method, statistics, results, discussions were not presented. 5. How to write a reference was so simplified. 6. Definition of Research Ethical Misconduct was omitted and establishment, management and members of committee for research ehtics were not mentioned, 7. Information, reception and investigative procedures of Research Ethical Misconduct was not specified. Conclusions : For the development of Journal of Korean Acupuncture and Moxibustion Society, apporopriate revision of the instruction for author and research ethic regulations should be made based upon the above findings. English writing of reference were believed to be one of the alternatives enhancing citation rate.

• 대한간호학회지
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• 제25권4호
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• pp.729-740
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• 1995

The purpose of this study is to provide basic data for school health computerization by investigating the nurse teacher's attitudes toward school health computerization. For this study, the questionnaires were given to 559 nurse teachers from 3. March to 17. March, 1995. Among them, 338 were returned and included for the analysis. The results of the study were as follows : 1. In general characteristics, the results showed average of 38.6 years in age ; and average of 11.1 years in education experience. In distribution of school, the result showed 47.0% in elementary school, 30.5% in middle school and 22.5% in high school ; 75.4% national and public school vs 26.4% private school. 2. In attitudes of computerization, the score was varied from 19 to 76 point. The attitudes was generally positive with the average of 60.23±7.63(SD) score. The respondents are willing to participate in computer education(the highest score, 3.69), they worry about electromagnetic waves by computer (the lowest score : 2.30). 3. 92.6％ of the respondents want to participate in computer education. The major reason the respondents have not yet learned computer is that they had little chance to learn. While 58.0% of them answered that they had an experience of computer use in school health works, few schools had computer in dispensary. In computer use, nurse teachers in public school have more experience than ones in private school. Word processing was the major function that the most respondents can do(62.7%). They answered that they have little knowledge of computer (84.0%). 4. Computer can be utilized in school health works as follows in order : message from school to home, reports, annual plan and statistics. 65.4% of them answered that computer can be used in 10 items of 13 items. 5. The attitudes of computerization showed differences in the following variables career, age, existence of computer in school health clinic, experience of computer use, intention to participate in computer education, computer knowledge, frequent computer use, ability of computer use, school health computerization areas, experience of computer education. Among there variables, age, existence of computer in school health clinic, intention to participate in computer education, ability of computer use, school health computerization areas showed significant explanation(28.3%) for the attitudes of computerization in multiple regression analysis The younger. the higher degree of intention, the more functions they can perform, the more school health computerization areas, and the more computers in school health clinic, the more positive attitude on school health computerization. In conclusion, to achieve the successful computerization of school health works, the positive attitudes of nurse teachers should be encourged for school health computerization. For this purpose, the chance of computer education should be given as many times as possible. And administerial as well as financial support are essential for enlarging the knowledge and ability of computer.

• 대한간호학회지
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• 제25권2호
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• pp.362-371
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• 1995

There is no national system to manage, evaluate, and analyse the information about accidents, even though it is necessary for accident prevention policies and health promotion of the general public. The existing studies are, also limited as they focus only on particular group(for example : inpatients, emergency room patients) or on particular geographic areas. Thus the results of the studies cannot be ap-plied to the general public. In order to overcome these limitations, this research focuses on data collection and analysis from accident information for the general population. By providing the analysis on types and causes af accidents, this research aims to produce the basic data necessary for accident prevention policy development. The specific aims of this research are to : 1. Analyse the actual occurrences and characteristics of accidents. 2. Suggest for the accident prevention policies and safety education. Accident report form three major newspaper printed in Korea between January 1, 1989 and December 31, 1993 were collected, and the cause, place, time, and personal injury related to the accidents were classified and then analyzed by de-scriptive statistics. The results of this research conclude : 1. The number of accidents reported by the three newspapers were 2155. 2. The highest proportion of accidents were as follows ; occurred during the June-August(31.2%), Sunday(24.8%), and 5 p.m. (7.6%) of the day. 3. The highest proportion of the accident occurred in Seoul(33. l％), Kyunggi province(14.5%), Kangwon province (7.8％), and Kyungnam prov-ince(6.7%) were next highest. 4. The main causes include car accidents(32.4%), drowning(10.9%), falls(8.8%), explosion(7.1%), and poisoning(5.8%). 5. Slightly more than half of injuries(50.5%) and about two fifths of deaths(40.3%) were caused by car accidents. Therefore, the most serious type of accidents were car accidents. 6. The number of males in accidents were almost three times higher than that of females(males 72.3%, females : 27.7%). 7. The age group from 10 to 19 years old represents the highest proportion(21%) of accidents. 8. The number of the accidents in Korea, based on the information collected from the newspapers, is estimated to be 14, 367 per year. The number of in-juries is estimated to be 88, 480 persons, and the number of deaths 29, 007 respectively. It is said that ninety percent of accidents can be prevented. Several accidents prevention policies are suggested here. 1. Safety education should be done more actively throughtout life, with special emphasis on safety education for children. 2. Safety measures for children(halmets for cycling, children car seats, seats belts, and so on) should be emphasized. 3. An injury surveillance system should be initiated. The initiation of injury reporting system in each factory and school could contribute considerably to the reduction of accidents.

• 대한치과교정학회지
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• 제22권3호
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• pp.509-529
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• 1992

Skeletal Class III malocclusion is one of the most difficult type to treat and stabilize. For a child with developing skeletal Class III malocclusion, the treatment objective would be to stimulate maxillary growth, particulary one who has markedly deficient maxilla, and to restrain excessive mandibular growth. In order to stimulate the maxillary growth, maxillary protraction appliance is the one of the effective orthopedic appliances in skeletal Class III. The purposes of this study were as follows ; evaluation of the skeletal and dental changes of the maxillary protraction in children with Class III Maxillary deficiency , comparison of the clinical effects between the group with RPE and labiolingual intraoral appliances , comparison of the clinical effects and stability related to the ages of the patients : stability of the maxillary protraction about 1 year after retention. The subjects consisted of 60 children between the ages of 8 and 13.4 who were diagnosed as Class III with maxillary deficiency and were treated with Face Mask (Delaire Type) from the Dept. of Orthodontics Yong Dong Severance Hospital, Yonsei University. 48 children wore the RPE and 12 children wore Labiolingual Appliance. Lateral Cephalograms were taken for each patient at before and after correction of anterior cross-bite in 60 children, and after an observation period of 10 to 14 months in 19 children. X and Y coordinate of 10 landmarks were analyzed using a horizontal line through sella and rotated $6^{\circ}$ down anteriorly as the horizontal reference axis, and a perpendicular verticual line through sella as the vertical reference axis. Each of the 31 measurents (10 verticals, 10 horizontals, 2 angles and 9 others) was statistically analyzed using SPSS/PC statistics. The results are as follows; 1. After maxillary protraction the maxilla and maxillary teeth moved downward and forward, while the mandible and mandibular incisor rotated downward and backward. 2. Maxillary protraction with rapid palatal expansion appliance was more effective than with labiolingual appliance. 3. More downward movement of the posterior palatal plane obserbed with maxillary protraction doing the midpalatal suture opening than with protraction after finishing the palatal expansion 4. The clinical effects of protraction and changes of the retention periods were not statistically significant among the age groups. 5. During the retention period, maxilla and maxillary teeth, and mandible and mandibular teeth moved downward and forward, however the mandibular changes were larger than the maxillary changes.

• 치위생과학회지
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• 제12권2호
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• pp.103-108
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• 2012

본 연구는 예비치과 전문인력의 도덕성 발달수준을 파악하고 윤리교육을 위한 기초자료를 제공하고자 2010년 10월 전라북도 익산시에 위치한 2개 교육기관에 재학 중인 450명을 대상으로 간편형 도덕 판단력 검사지(DIT)를 사용하여 자료를 수집하였고, 수집된 자료는 SPSS/PC를 사용하여 기술통계, t-test, one-way ANOVA, Pearson's correlation coefficient로 분석되었고, 연구결과는 다음과 같다. 1. 치과대학생의 P(%)점수는 43.10이었고, 치위생과학생의 P(%)점수는 41.21로 나타났으나 통계적으로 유의한 차이를 보이지는 않았다(p=0.190). 2. 예비치과 전문인력의 도덕성 발달 단계별 점수는 5A단계가 가장 높았으며 다음은 3, 4, 6, 5B, 2단계의 순으로 나타났다. 5B단계(p=0.014)와 6단계(p=0.010)에서는 집단간에 통계적으로 유의한 차이를 보였다. 3. 예비치과 전문인력의 인구학적 특성에 따른 도덕성 발달 단계별 점수는 치과대학생의 경우 인구학적 특성 중 성별에서 통계적으로 유의한 차이를 나타내었다(6단계, p=0.003). 치위생과학생의 경우 종교(5B단계, p=0.044), 출생 순위(2단계, p=0.027), 성장지역(4단계, p=0.015)에서 통계적으로 유의한 차이를 보였다. 4. P(%)점수와 각 도덕성 발달 단계간의 상관관계는 2, 3, 4, 5B단계와는 역상관관계가 있었고, 5A, 6단계와는 순상관관계가 있었다. 결론적으로 일반 대학생에 비해 낮은 예비치과 전문인력의 도덕성 발달수준을 사회에서 요구하고 있는 치과 전문인력의 도덕성 발달수준으로 향상시키기 위해서는 치과계 현실에 맞는 윤리교육과정이 마련되어 체계적인 윤리교육이 이루어져야 한다고 사료된다.