• 한국산학기술학회논문지
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• 제21권7호
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• pp.510-516
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• 2020

본 연구는 2008년부터 2017년까지의 질병관리본부의 퇴원손상심층조사 자료를 이용하여 입원 아동 중 낙상을 경험한 환자를 대상으로 유·아동·청소년 낙상의 특성과 낙상영향 요인을 규명하고자 하였다. 이를 위하여 입원 중 낙상(한국표준질병사인분류, W00-W19)으로 손상(한국표준질병사인분류, S00-S99)을 경험한 18세 이하 아동 환자 116건의 데이터를 수집·분석하였다. 수집된 자료는 SPSS 23을 이용하여 빈도분석, 교차분석, 다중회귀분석을 실시하였다. 연구결과, 입원 중 낙상을 경험한 아동은 남자가 여자 보다 많았고, 1세 이상 6세 이하의 연령에서 낙상이 가장 많이 발생하는 것으로 나타났다. 낙상을 경험한 아동의 질병유형으로는 호흡기 질환이 가장 많았고 낙상으로 인한 상해유형은 열린 상처나 타박상의 빈도가 가장 높았으며, 낙상 사고 원인으로는 침대와 관련된 낙상이 가장 많았다. 낙상 관련 요인분석 결과 성별을 제외한 연령(β=.318), 주진단명(β=.231), 손상(β=.169)의 순으로 낙상에 영향을 미치는 것으로 나타났다. 이와 같은 연구결과는 아동에 대한 낙상예방 교육이 연령, 질병 유형, 아동의 발달단계에 따른 특성과 연령대를 고려하여 실시되어야 함을 시사하는 결과라 할 수 있다. 또한 비교적 활동에 제약이 적은 경미한 질환의 아동이나 과다행동을 보이는 유아기 아동 등 질병의 유형과 연령별 아동 발달 단계특성을 고려한 낙상 사고 위험군에 대한 스크리닝 및 이와 관련한 섬세한 낙상예방 매뉴얼 개발에 힘써야 할 것이다. 마지막으로, 본 연구결과가 입원을 필요로 하는 아동 환자, 보호자, 그리고 관련 의료진에게 연령별 아동 발달단계의 특성에 따른 낙상예방 교육 및 매뉴얼 개발의 단초로 사용되기를 기대한다.

• Ocean and Polar Research
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• 제28권1호
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• pp.1-12
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• 2006

Analyses of sedimentological and geochemical parameters from two radiocarbon-dated sediment cores (JM98-845-PC and JM98-818-PC) retrieved from the central part of Isfjorden, Svalbard, in the Arctic Sea, reveal detailed paleoclimatic and paleoceanographic histories over the last 15,000 radiocarbon years. The overconsolidated diamicton at the base of core JM98-845-PC is supposed to be a basal till deposited beneath pounding glacier that had advanced during the LGM (Last Glacial Maximum). Deglaciation of the fjord commenced after the glacial maximum, marked by the deposition of interlaminated sand and mud in the ice-proximal zone by subglacial meltwater discharge, and prevailed between 13,700 and 10,800 yr B.P. with enriched-terrigenous organic materials. A return to colder conditions occurred at around 10,800 yr B.P. with a drop in TOC content, which is probably coincident with the Younger Dryas event in the North Atlantic region. At this time, an abrupt decrease of TOC content as well as an increase in C/N ratio suggests enhanced terrigenous input due to the glacial readvance. A climatic optimum is recognized between 8,395 and 2,442 yr B.P., coinciding with 'a mid-Holocene climatic optimum' in Northern Hemisphere sites (e.g., the Laurentide Ice sheet). During this time, as the sea ice receded from the fjord, enhanced primary productivity occurred in open marine conditions, resulting in the deposition of organic-enriched pebbly mud with evidence of TOC maxima and C/N ratio minima in sediments. Fast ice also disappeared from the coast, providing the maximum of IRD (ice-rafted debris) input. Around 2,442 yr B.p. (the onset of Neoglacial), pebbly mud, characterized by a decrease in TOC content, reflects the formation of more extensive sea ice and fast ice, which might cause decreased primary productivity in the surface water, as evidenced by a decrease in TOC content. Our results provide evidence of climatic change on the Svalbard fjords that helps to refine the existence and timing of late Pleistocene and Holocene millennial-scale climatic events in the Northern Hemisphere.

• 대한환경공학회지
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• 제27권9호
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• pp.917-922
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• 2005

섬유 염색폐수는 PVA, 유기정련제, 각종 염료 등이 함유되어 있어 처리가 매우 어려운 난분해성 유기폐수로 분류되어 있다. 본 연구에서는 생물학적 처리방법으로 염색폐수의 난분해성 유기물질을 효과적으로 처리할 수 있는 방안으로 활성슬러지를 PEG(Polyethylene glycol)에 포괄고정화한 담체를 고정상 반응기를 이용한 공정에 적용시켜 난분해성 유기물질의 처리효율을 평가하고 적정 운전인자를 검토하였다. 별도로 적응과정을 거치지 않은 활성슬러지를 고정화한 담체를 고정상 반응기에 충전하여 호기성 상태에서 연속식으로 운전하였다. 이때 유입수는 $SCODE_{Cr}$ 약 330 mg/L, $SBOD_5$ 20 mg/L 이하의 생물학적 1차 처리수를 사용하였다. 체류시간의 변화에 따른 각 반응기의 난분해성 유기물질 제거효율을 비교한 결과 EBCT 6 hr을 제외하고는 모두 50% 이상의 유기물($CODE_{Cr}$) 제거효율을 보였고 $COD_{Mn}$의 경우 배출허용기준치 90 mg/L보다 평균 18 mg/L 이상 낮았다. EBCT $6{\sim}24\;hr$ 결과들을 비교한 결과 EBCT 8 hr이 유기물 제거효율과 배출허용기준을 고려할 때 경제적이고 안정된 효율을 얻을 수 있는 적정 체류시간으로 나타났다. 또한 반응기에 충분한 DO를 공급하기 위하여는 주입공기 선속도를 $7\;m^3/m^2{\cdot}hr$ 이상으로 해 주어야 하는 것으로 나타났다. 또한 담체내부 미생물을 동정한 결과 PAH, PVA, Phenol 등 난분해성 물질을 분해하는 균주가 성장하고 있었다. 한편, 고정화담체를 131일에 걸쳐 관찰한 결과 압축강도와 담체내부로의 물질확산에 큰 변화가 없는 것으로 나타났다. 포괄고정화 담체를 이용한 염색폐수처리에서 고정상 반응기는 기존 활성슬러지 공정의 후처리로서 적용 가능할 것으로 판단되어진다.

• 한국산학기술학회논문지
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• 제18권11호
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• pp.104-109
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• 2017

도시화와 기후변화로 인해 홍수피해의 증가, 수질의 악화 등의 피해가 커지고 있다. 이에 대응하기 위해 전세계적으로 도시유역의 수문학적 체계를 가능한 자연 상태로 복원하고자 하는 기술인 저영향개발(Low Impact Development, LID) 기법에 대한 연구가 활발히 진행되고 있다. 최근 정부에서 발표한 저탄소녹색성장기본법, 친수구역 특별법 등에서는 LID 기법과 같은 기술의 중요성을 명시하고 있다. 현재 저영향개발 요소기술은 다양하게 개발되고 있으나 요소기술의 효율성 검증에 대한 연구는 거의 전무한 실정이다. 본 연구에서는 초보 단계에 있는 저영향개발(LID)기법의 효율성 검증을 위해 K-LIDM 모형을 사용하여 주차장의 투수 불투수 포장 최적 공간 분포를 분석하였다. 8가지의 포장 시나리오와 3가지 강우강도 시나리오를 활용하였으며, 하부 40%의 투수포장이 전체 투수포장과 유사한 약 90%의 유출 저감 효과를 나타내는 것으로 나타났다. 이러한 분석과 실제 투수포장에 대한 실험의 연계를 통하여 향후 도시 계획, 단지 조성 등에 LID 시설을 배치하기 위한 근거 자료로 활용 될 것이다.

• 대한임상독성학회지
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• 제13권2호
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• pp.78-86
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• 2015

Purpose: The purpose of this study is to understand what kinds of chemical substances have been used annually and to investigate incidents that occurred due to chemical hazard release and to analyze statistically clinically chemical injury patients who visited one regional emergency medical center in Gumi city with documented references review. Methods: Annual chemical waste emission quantity (Kg/Year) (Cwep) was reproduced using national web site data governed by the Ministry of Environment and 5 years (from 1 .Jan. 2010 to 31. Dec. 2014) of medical records of chemical injury patients who visited our emergency department were reviewed retrospectively. By applying exclusion criteria, 446 patients of 460 patients were selected. Results: Dichloromethane, Toluene, Trichloroethylene, and Xylene were always included within Top 5 of Cweq. Six cases of chemical incidents were reported and in 3 of 6 cases involving Hydrogen fluoride were included during the study period. Male gender and twenties were the most prevalent group. Injury evoking chemicals were Hydrogen fluoride, unknown, complex chemicals (over 2 substances) in sequence. The most frequent site of wounds and injuries was the respiratory tract. Gas among status, intoxication among diagnosis, and discharge among disposition was most numerous in each group. Conclusion: There have been no uniform clinical protocols for chemical wounds and injuries due to various kinds of chemicophysical properties and ignorance of antidotes. Therefore conduct of a multicenter cohort study and experiments for ruling out chemicals according to chemicophysical priority as well as development of antidotes and clinical protocols for chemical injury patients is needed.

• 한국수자원학회논문집
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• 제53권5호
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• pp.383-393
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• 2020

본 연구에서는 소양강댐 유역에서의 실측 단일사상 강우-유출 자료를 활용하여 Clark 단위도 방법의 매개변수를 최적화 하였으며, 그 결과를 제시하였다. 일반적으로 국내에서는 유역특성인자 최적화 분석시 미육군공병단의 HEC-1, HEC-HMS 등의 모형을 사용하고 있다. 그러나 해당 모형의 경우 유출수문곡선의 형상, 크기 등의 재현에만 초점이 맞춰져 있으며, 산정된 매개변수들의 평균을 사용하고 있어 실제 강우-유출 관계를 묘사하는데 어려움이 존재하고 있다. 이러한 점에서 본 연구에서는 기존 Clark 합성단위도법과 계층적 Bayesian 기법을 결합하여 수집된 강우-유출 자료를 동시에 활용하여 매개변수를 산정할 수 있는 모형을 개발하였다. 본 연구에서 개발된 모형을 적용한 결과 개별 단일사상 기반의 최적화 기법에 비해 다중 강우-유출 자료를 Pooling하여 매개변수를 산정하는 계층적 Bayesian 모형에서 BIC 결과 및 다수의 통계적 지표를 통해 모형의 우수성을 확인할 수 있었다. 더불어 홍수량에 따른 유역특성인자 매개변수 반응에 대한 관계규명을 기반으로 향후 댐 설계 또는 PMF 산정시 본 연구의 결과가 활용이 가능할 것으로 판단된다.

• Journal of Acupuncture Research
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• 제29권5호
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• pp.139-149
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• 2012

Objectives : The aim of this study was to investigate clinical features of the patients admitted to the department of acupuncture and moxibustion in an oriental medicine hospital in order to provide clinical preliminary data for advancement of acupuncture and moxibustion Methods : Total 526 patients were admitted to the department of Acupuncture and Moxibustion in Dunsan Oriental Hospital of Daejeon University from September 1st, 2011 to August 31st, 2012. Of these patients 11 were discharged on the day that they were admitted and the remaining 526 patients who were hospitalized for over 2 days were investigated this study. We analyzed inpatients by discharge progress notes and medical records, using PASW statistics 18.0 for statistical analysis. Results : 1. There were 361 females(62.9%) and 213 males(37.1%). The age distribution was skewed to 40s and 50s and the average age of the patients was 42.91 years. 2. The prevalence of the diseases groups was in the order of musculoskeletal disease, neuromuscular disease, neuro-psychological disease, and EENT disease. The musculoskeletal disease and neuromuscular disease together made up 92% of all diseases. 3. The prevalence of individual diagnosis was in the order of Bell's palsy, cervical sprain, lumbar sprain, herniated lumbar disc, herniated cervical disc, and lumbar spinal stenosis. 4. There were 261 patients with single diagnosis and 193 with two and 120 with three or more diagnoses. The days of hospitalization significantly increased with the number of diseases the patients were diagnosed with. Conclusions : With high concentration of patients seen in certain disease groups, continuous efforts needed to expand the usage of acupuncture and moxibustion treatments to other disease groups and to explore and develop other diverse treatment methods for better outcome of the disease treated.

• 부모자녀건강학회지
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• 제5권2호
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• pp.129-144
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• 2002

This longitudinal quasi-experimental research was conducted to develop parent role education program and to evaluate the effect of this program for mother-infant interaction, childrearing environment and infant development. The subjects were the healthy infants weighing over 2,500gm at birth, whose gestational age was more than 37weeks, and their healthy mothers. The sample consisted of eighteen mother-infant dyads for intervention group and sixteen dyads for control group. Data were collected from March 15th in 1999 to Jun 20th in 2000. The intervention group received programmed education consisted of discharge education, telephone counselling, and home visiting care. But control group were collected data without programmed education. In this study, the Nursing Child Assessment Teaching Scale(NCATS) devised by Barnard was used to determine the mother-infant interaction, HOME was used to determine the childrearing environment, and Griffiths mental development scale was used to determine the infant development. The data were analyzed using SPSS Win using chi-square test, t-test, and repeated measure ANOVA. This study was focused on the results of twelve months time point. Summaries of the results were as follows: 1. There was no significant difference in mother-infant interaction(NCATS) between intervention group and control group. But both of two groups showed significantly higher in interaction score at twelve months than at six months in the subscales of social-emotional growth fostering, and responsiveness to caregiver. 2. There was no significant difference in childrearing environment(HOME) between two groups at twelve months. But when each subscale of HOME was examined, intervention group showed higher scores in the dimensions of maternal involvement with child(p=.001), and maternal emotional-verbal responsivity(p=.048). 3. There was no significant difference in GQ of the Griffiths mental development scale between two groups, although significant difference was found in performance subscale. 4. Infant development at twelve months showed significant correlation with mother-infant interaction and childrearing environment at six months, although mother-infant interaction and childrearing environment at twelve months did not show significant correlations with infant development at twelve months. 5. Developmental scores at six months showed significant correlations with variety in daily stimulation, and mother's emotional, verbal responsivity, whereas developmental scores at twelve months showed significant correlations with acceptance of child behavior at six months, and appropriate play material at twelve months. In conclusion, the maternal education program for primipara showed long term effect in some categories in organizing the childrearing environment, and fostering the infant development. We suggest further study and implications of parent role education program for high risk parents such as parents in low economic status or with premature babies.

• 대한간호학회지
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• 제4권1호
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• pp.64-80
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• 1974

The social understanding of the rehabilitation and welfare work for the handicapped children is nearly devoid in Korea. Especially the medical rehabilitation or nursing for them is left ign. ored as well as the literature preferential to this study is wanted. For the purpose of conducting the study of this thesis Sam Yook Children's Rehabilitation Center, Inc. and Crippled Children's Center, Yonsei University Medical center sampled out; covering three months from Aug. 1 to Oct. 30, 1973, the problems of children's rehabilitation, the characteristics of the children, the medical rehabilitation, nursing, education, and vocational rehabilitation were interviewed and widely grasped. This thesis aimed at developing the rehabilitation, the professional nursing and especially aimed at contributing to the improvement of welfare for the handicapped by analysing, observing the result of this study. The result is as follows: 1. Sam Yook Children's Rehabilitation Center, Inc. has, since its establishment, contributed to the advancement of the crippled children and its purpose consists in implementing services, medical rehabilitation, nursing, education and vocational training. Crippled Children's Center, Yonsei University Medical Center is, being based on Christianity, aiming at the medical treatment and education for the crippled children. 2. All of the children admitted in the children's rehabilitation centers are the crippled children. The ratio of boys io girls is three to two. Boys are more than girls. Orphan formed 55.2 per sent of them. About 60 per cent of them is receiving medical attention free of charge. But there is no orphan in Crippled Children's Center, Yonsei University Medical Center. 3. 15.7 per cent of them have received the previous medical attention before their admitting in the centers; in Sam Yook Children's Rehabilitation Center 8.6 percent, Crippled Children's Center, Yonsei University Medical Center 50 percent; there is remarkable difference between the two. 4. On the standpoint of period of being in the centers, the children who have been over three years in Sam Yook Children's Rehabilitation Center formed 48.7 per cent; in Crippled Children's Center, Yonsei University Medical Center 2.6 percent; there is also considerable difference between the two; they couldn't discharge from the centers owing to the economic conditions and being orphan. 5. Among the diagnosis of the crippled children, poliomyelitis formed highest 51.7 percent of them ; cerebral palsy formed 30 percent secondly in order. Environmental factors (67.8 percent formed about three times of congenital factors (23.7 percent). 6. The children who are capable of doing independently activity of daily living formed 87.9 percent; 73.2 percent can walk about 300 m by wearing brace and so on. The ratio of wearing brace or leg prosthesis formed 47.4 per cent: crutch 44.3 per cent. The medical rehabilitation service and education for the crippled, are comparatively well carried out. But it is desired to improve and cultivate the vocational training, vocational guidance and special nursing to the insufficiency of their implementation. In the tendency that the rehabilitation and welfare for the handicapped are today emphasized, International Handicapped Rehabilitation Association, declaring that 1970s are the decade of rehabilitation, urged to improve positively the policy of rehabilitation and welfare for the handicapped. But here in korea the handicapped, being the object of social prejudice, ignorance, disdain lives in obscurity. Therefore the government or the community should draw up countermeasure on social under-standing, financial support, and rehabilitation services for the handicapped as well as should endeavor to make them participate in social activities as the productive total- person though they are physically imperfect.

• 대한간호학회지
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• 제30권1호
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• pp.84-97
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• 2000

The Necessity and Purpose of the Study Recently the number of patients with chronic diseases and the aged patients is increasing steadily. Furthermore, due to the expansion of health insurance system, the number of patients hospitalized in the general hospital is increasing at a surprising speed. However, hospitals urge the early discharge of the patients for the efficiencies of hospital administration, and therefore, the number of patients who must be taken care of in their home is also increasing. Homecare nursing is one of the health care service for the patients at home who require continual attention and care, and now increasing attentions are given to it as one of the professional nursing fields. However, it was almost impossible to find a study on the actual experiences of the homecare nurses written by their own language in Korea, that it also posed a great difficulty in understanding their diverse experience. Considering these situation, this study will help understanding of them, and provide the fundamental data on their experiences for making policies to develop homecare nursing. Methods of Research Phenomenological research method was employed to analyze the lived experiences of homecare nurses fundamentally. Data collection Data were collected from August 1998 to December 1998 from ten homecare nurses who worked for patients under the homecare nursing setting as model cases designated by Seoul Nurses Association and who agreed to the purpose of this study after listening to and understanding the explanation completely. The in-depth interview was carried at the time which was convenient both for the researcher and participants for one or two hours, and recovered with the approval participants. The first interview covered diverse and broad areas like the situation of homecare nursing, and their feelings and thoughts over it, and in the second and third interviews, more specific questions are asked. Data Analysis For the phenomenological analysis, contents analysis was employed. The data collected from the participants were analyzed into the following procedures according to Van Manen 's phenomenological analysis. 1) Reserve the preconception of the researcher by restricting it inside parenthesis. 2) Make a thorough observation of the lived experiences by insight process. 3) Analyze the contents (Find out the repetitive factors) 4) Interpret the essence found. 5) State the meaning of the interpretation. Results and discussion 1. Fear and expectation for the first visit. (unfamiliarity, awkwardness, anxiety, shivering) 2. Mingle with the family (feeling friendly with the family, becoming like a family member) 3. Being proud of her own know-how (learning the know-how, organizing alternatives, building up confidence) 4. Pity for the poor. (criticizing the current government, feeling ashamed, feeling anger) 5. Difficulty of constructing cooperative system with physicians (strenuousness, frustration) 6. Helplessness due to the lack of support system (difficulty to get supplies, annoyance, embarrassment by institutional restraints) 7. Anxiousness for heavy traffic and parking (annoyance, hastiness) 8. Ethical conflicts (pity for the patients and family, skepticism about lengthening life maintenance) 9. Burden for the possible accident (pressure, anxiety, conflict, physical exhaustion) 10. Establishment of identity as a professional (fulfillment, worth, joy) 11. Being distressed at other's ignorance