• Journal of Dental Anesthesia and Pain Medicine
• /
• 제19권3호
• /
• pp.135-141
• /
• 2019

Background: The fear of needle insertion and pain during anesthesia is a source of patient dissatisfaction in dentistry. Inferior alveolar nerve block (IANB) remains the most common type of block and is in itself painful. Computer-controlled local anesthetic delivery (CCLAD) has been proven to reduce the pain associated with injection of anesthetics in various blocks. However, the efficacy of CCLAD for IANB in adults remains unknown. Methods: Sixty-four adult patients requiring bilateral IANB were selected and divided into two groups: group A (50 patients receiving IANB via CCLAD) and group B (50 patients receiving IANB using a conventional cartridge syringe). Pain perception and patient comfort were assessed using the visual analog scale and the 5-point semantic scale, respectively. Results: The pain perception was compared between the two groups using the Mann-Whitney U-test, and the P value was 0.003. The patient comfort was also compared using the same test, and the P value was 0.484. Conclusion: A significant difference was observed in the pain perception of the patients during CCLAD. The patient comfort was grossly equal for both techniques.

• 정보교육학회논문지
• /
• 제14권3호
• /
• pp.365-373
• /
• 2010

정보사회에서 공교육 기관인 학교는 사회의 공기(公器)로서 개인의 능력 육성 및 인류 사회가 축적해온 귀중한 지적 성취를 대물림해 주는 전수자로서, 또한 교육 기회의 평등을 유지하는 균형자로서 그 존재 가치를 선취해야 한다. 그럼에도 공교육 기관의 교수학습 질의 수월성에 대한 사회계층의 기대와 우려가 팽배해 있는 것이 현실이다. 이 연구는 초 중등학교별 교사들의 교수방법 및 교수자료 등 우수한 교육정보의 공유 및 유통 활성화 전략을 도출하기 위해 수행되었다. 이를 위해 교육정보 서비스의 공유 및 유통과 관련된 최근 기술 동향을 분석하고, 정보화 선도 교사들을 대상으로 집단토론을 실시하였다. 이러한 연구내용을 바탕으로 참여, 공유, 개방이라는 Web 2.0의 패러다임을 적용한 교육정보 공유 유통체제의 구축 및 활성화 방안을 제안하였다.

• 한국건축시공학회지
• /
• 제12권6호
• /
• pp.648-663
• /
• 2012

With recent attempts to improve quality and productivity, the prefabrication manufacturing system has been occupying an increasing share of the construction area. To minimize site work, material is more frequently being produced and partially assembled at a plant, and then installed at a site. For this reason, the production process is being divided and the materials are being delivered to the site after passing through multiple plants. With these changes in the production process, the materials delivery plan is becoming an important management point. In particular, as road transportation using trucks has a 71 percent share of the domestic transportation market, selecting the proper transportation path is important when delivering materials and equipment to a site. But the management system at the project design phase to calculate the delivery cost by considering the production process of the pre-fab material and the $CO_2$ emission at the material delivery phase is currently lacking. This study suggests a process design model for assembly production of the pre-fab material and transportation logistics based on carbon emission. The suggested model can be helpful to optimize the location of the intermediate plant. It is expected to be utilized as a basic model at the project plan and design phase when subcontractors make decisions on items such as materials procurement, selecting the production method, and choosing the location of the assembly plant.

• 대한방사선기술학회지:방사선기술과학
• /
• 제45권5호
• /
• pp.439-448
• /
• 2022

The purpose of this study was to analyze the results from statistical process control (SPC) to recommend upper and lower control limits for planning parameters based on delivery quality assurance (DQA) results and establish our institutional guidelines regarding planning parameters for helical tomotherapy (HT). A total of 53 brain, 41 head and neck (H & N), and 51 pelvis cases who had passing or failing DQA measurements were selected. The absolute point dose difference (DD) and the global gamma passing rate (GPR) for all patients were analyzed. Control charts were used to evaluate upper and lower control limits (UCL and LCL) for all assessed treatment planning parameters. Treatment planning parameters were analyzed to provide its range for DQA pass cases. We confirmed that the probability of DQA failure was higher when the proportion of leaf open time (LOT) below 100 ms was greater than 30%. LOT and gantry period (GP) were significant predictor for DQA failure using the SPC method. We investigated the availability of the SPC statistic method to establish the local planning guideline based on DQA results for HT system. The guideline of each planning parameter in HT may assist in the prediction of DQA failure using the SPC statistic method in the future.

• 여성건강간호학회지
• /
• 제12권4호
• /
• pp.355-362
• /
• 2006

Purpose: This study was to investigate the degree of postpartum depression and its predictors at six months postpartum. Methods: The subjects were 161 women six months after delivery who were registered with the public health center. The instruments included a survey of various characteristics, the Edinburgh Postnatal Depression Scale(EPDS), husband support, maternal self-esteem, and marital adjustment scale. The data was analyzed using the $x^2$-test, t-test, the Pearson correlation coefficients, and the logistic regression. Results: The point prevalence of postpartum depression at six months postpartum was 14.3%, corresponding to a score of 12 or higher on the EPDS. Postpartum depression was significantly associated with husband support, maternal self-esteem, and marital adjustment. Predictors of postpartum depression identified by the logistic regression analysis include marital adjustment (OR .29 [95% CI .13-.61]) and the delivery method(OR 3.57 [95% CI 1.25-10.23]). Conclusion: Strategies for improving postpartum depression, considerations of husband support and maternal self-esteem are important in research and practice. In addition, interventions for reducing Cesarean delivery and improving marital adjustment are needed.

• 대한방사선기술학회지:방사선기술과학
• /
• 제46권3호
• /
• pp.231-238
• /
• 2023

This study aimed to compare the results of delivery quality assurance (DQA) using MapCHECK and OCTAVIUS for radiation therapy. Thirty patients who passed the DQA results were retrospectively included in this study. The point dose difference (DD) and gamma passing rate (GPR) were analyzed to evaluate the agreement between the measured and planned data for all cases, Plan complexity was evaluated to analyze dosimetric accuracy by quantifying the degree of modulation according to each plan. We analyzed the monitor units (MUs) and total MUs for each plan to evaluate the correlation between the MUs and plan complexity. We used a paired t-test to compare the DD and GPRs that were obtained using the two devices. The DDs and GPRs were within the tolerance range for all cases. The average GPRs difference between the two devices was statistically significant for the brain, and head and neck for gamma criteria of 3%/3 mm and 2%/2 mm. There was no significant correlation between the modulation index and total MUs for any of the cases. These DQA devices can be used interchangeably for routine patient-specific QA in radiation therapy.

• 대한교통학회지
• /
• 제22권7호
• /
• pp.107-117
• /
• 2004

특송 소화물 수송은 상품의 생산과 소비에 직결되어 있으며 소비자에 대한 원활한 소화물 수송이 경제에 미치는 영향이 지대하므로 그 중요성은 날로 증대하고 있다. 특히, 소비자 중심의 다 빈도 소량 운송시대로의 전환과 택배 등 특송 소화물 운송 산업의 활성화에 대한 화물수송 증가추세에 비해 적절한 계획 및 정책이 결여되어 있는 실정이다. 본 논문에서는 물류센터(단지)에서 모든 고객에게 수 배송을 가장 빠른 시간 내에 완료하여 고객이 서비스를 받기 위해 대기하는 시간을 최소화하는 차량경로를 결정하는 배송완료시간 최소화를 위한 차량경로모형을 제시한다. 본 연구에서는 마지막으로 방문을 받는 수요자의 대기시간을 최소화하는 개념으로서 생산문제와 비교하면 단위시간당 동일한 비용이 지출된다고 가정 할 때 모든 제품의 생산 및 판매까지의 총 비용을 최소화하는 것이 고전적인 차량경로문제라고 본다면 모든 제품의 생산완료 시점을 최소화하여 납기일을 단축시키는 것이 특징으로 볼 수 있다. 본 수리모형이 고전적인 차량경로문제와 구별되는 개념 중 하나는 각 차량의 마지막 방문수요지에서 물류센터로 복귀하는 시간은 고려하지 않으며 이에 따라 동일한 수요자를 방문하더라도 방문순서에 따라서 이동시간이 상이한 것과 또한 차량들이 방문하는 총 이동시간이 동일하더라도 경로 변경에 따라 모든 수요자 중 가장 마지막에 방문을 받는 수요자의 대기시간을 단축할 수 있다. 일반적으로 이러한 모형은 배송을 완료하는 시점이 중요시 되는 특송 소화물, 신문배송 문제, 신선함을 요하는 상품 또는 퀵 서비스 등 다양한 서비스 문제에 확대 적용할 수 있다. 제시된 모형은 ILOG Cplex 및 Solver를 활용하여 기존 차량경로문제와 비교하여 다양한 고객 및 차량 수에 대하여 최적해에 근접한 해를 쉽게 구할 수 있다.

• 한국통신학회논문지
• /
• 제36권3B호
• /
• pp.260-267
• /
• 2011

무선 LAN은 인터넷 환경에서 대용량 콘텐츠 다운로드를 이동하면서도 가능하다는 점에서 주목받게 되었다. 그러나 WLAN의 통신 가능범위는 100m정도로 좁고, 범위를 벗어났을 때는 인터넷과 단절되게 된다. 군 환경에서도 AP가 산재되어 설치된 전장지역을 짚차나 탱크로 이동하면서 대용량 파일을 다운로드할 경우에 하나의 AP로 다운로드를 완료하지 못하면 일단 통신이 단절되어 다음 AP에서는 처음부터 다시 다운로드를 실시해야 하는 문제점이 발생된다. 본 논문에서는 DTN 기술을 이용하여 대용량 파일을 다운로드하는 경우 도중에 단절된 전장 환경에서 안정적인 다운로드를 실현하기 위해 이동하는 수신노드에 대해 효율적인 분할수신을 하기 위한 방안을 제안하여, 시뮬레이션 결과를 통해 제안한 정보전달기법의 성능을 검증했다.

• 대한전자공학회:학술대회논문집
• /
• 대한전자공학회 2006년도 하계종합학술대회
• /
• pp.235-236
• /
• 2006

IEEE 802.16 networks support mobile stations (MSs) to access broadband wireless networks while moving at a vehicular speed. However, IEEE 802.16 networks do not provide link layer native multicast capability because of point-to-multipoint connection characteristic. Due to this feature, it is not easy to adopt protocols or applications which need native link layer multicast capability. In order to solve the multicast support problem, we use the built-in LAN emulation feature of IEEE 802.16 which is based on Convergence Sublayer (CS). Our proposed operational procedures support not only the delivery of link local scope multicast packets, but also the delivery of non-link local scope multicast packets such as site local or global scope multicast packets. We also present the method of forming multicast Connection Identifier (CID) which is used to transport IP packets over IEEE 802.16 networks.

• 무역상무연구
• /
• 제13권
• /
• pp.3-26
• /
• 2000

The International Chamber of Commerce published the millennium edition of its standard trade definitions, Incoterms 2000. Incoterms are a basic reference for sales contracts, in constant daily use throughout the world. The new version will make it easier for traders to do business in the new century, despite the growing volume and complexity of international transactions. Since Incoterms were first published in 1936, they have been updated six times. They precisely define the responsibilities of buyer and seller and are recognized as the international standard by customs authorities and courts in all the main trading nations. It is important for traders to incorporate the correct Incoterms into their international contracts to avoid unnecessary legal problems. Courts may otherwise interpret trade terms according to often widely divergent national laws and unless the use of Incoterms is specified, expensive legal disputes can arise. Division of costs is a most important element in every contract of sale. The parties must know not only who does what but also how costs resulting therefrom should be divided between them. In most cases the fact that a party must do something means that he must also bear the resulting costs, unless otherwise agreed. But there are many exceptions to this principle and uncertainties arise, particularly with respect to services performed by other parties. Also, difficulties arise with respect to the division of costs whenever additional costs are caused by unexpected events, such as hindrances causing a ship to deviate or to remain in a seaport longer than expected. The main principle of the division of costs is clear enough: the seller has to pay costs necessary for the goods to reach the agreed point of delivery, and the buyer has to pay any further costs after that point. But as noted, it is not always easy to implement this principle in practice, since the detailed distribution of functions under the various trade terms is not and cannot be fully defined in Incoterms. Instead, failing precise stipulations in the contract of sale, guidance must be sought from other criteria such as commercial practices used earlier by the same parties or the custom of trade.