• Archives of Plastic Surgery
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• 제48권4호
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• pp.361-365
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• 2021

Background Pain in the postoperative body contouring patient has traditionally been managed with narcotic medication. In an effort to minimize side effects and prevent addiction, plastic surgeons are searching for novel ways to provide adequate analgesia, one of which is nerve blocks. This study was conducted with a meta-analysis that evaluates the efficacy of these blocks for patients who undergo breast surgery. Methods A search of the PubMed/MEDLINE database for articles including the terms "post-operative analgesia" OR "postoperative pain management" AND "in plastic surgery" OR "in cosmetic surgery" OR "in elective surgery" in February 2019 generated five studies on elective breast augmentation and reduction mammoplasty that reported pain scores and quantities of opioids consumed. Independent samples t-tests, one-way analysis of variance, and a random effects model were implemented for evaluation. Results A total of 317 patients were identified as having undergone body contouring of the breast, about half of which received a nerve block. Pain scores on a 1-10 scale and opioid dose-equivalents were calculated. Those who were blocked had an average score of 2.40 compared to 3.64 for those who did not (P<0.001), and required an average of 5.20 less narcotic doses (P<0.001). Pain relief following subpectoral augmentation was best achieved with type-II blocks as opposed to type-I and type-II with serratus plane (P<0.001). Conclusions The opioid epidemic has extended to all surgical specialties. Implementation of a nerve block seems to be an efficacious and cost-effective mechanism to not only help with post-operative pain, but also lower the need for narcotics, especially in subpectoral augmentation.

• Structural Engineering and Mechanics
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• 제82권5호
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• pp.595-609
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• 2022

Prestressed composite steel-concrete beams are still a technology restricted to repair sites of large-scale structures and spans. One of the reasons for that is the absence of standard frameworks and publications regarding their design and implementation. In addition, the primary normative codes do not address this subject directly, which might be related to a scarcity of papers indicating methods of design that would align the two technics, composite beams and external prestressing. In this context, this paper proposes methods to analyze the sizing of prestressed composite beams submitted to pre-tension and post-tension with a straight or polynomial layout cable. This inquiry inspected a hundred and twenty models of prestressed composite beams according to its prestressing technology and the eccentricity and value of the prestressing force. The evaluation also included the ratio between span and height of the steel profile, thickness and typology of the concrete slab, and layout of the prestressing cables. As for the results, it was observed that the eccentricity of the prestressing force doesn't significantly influence the bending resistance. In prestressed composite beams subjected to a sagging moment, the ratio L/d can reach 35 and 30 for steel-concrete composite slabs and solid concrete slabs, respectively. Considering the negative bending moment resistance, the value of the L/d ratio must be less than or equal to 25, regardless of the type of slab. When it comes to the value of the prestressing force, a variation greater than 10% causes a 2.6% increase in the positive bending moment resistance and a 4% decrease in the negative bending moment resistance. The pre-tensioned composite beams showed a superior response to flexural-compression and excessive compression limit states than the post-tensioned ones.

• Human Ecology Research
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• 제60권4호
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• pp.577-593
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• 2022

The purpose of this study is to investigate a student's career maturity during a career exploration program based on the ecological system perspective and to propose directions for the career maturation process to help H. Meister High School students to get jobs. A single-case 12-session career exploration program was applied to a first-year student at H. Meister High School in U. City for 90 minutes per session twice a week. To verify the effects of the program, this study conducted a pre-test and post-test of career maturity to analyze changes. In addition, the study qualitatively analyzed changes in the program activity sheets and process evaluation sheets per session. The results of the study are as follows: Firstly, the career exploration program based on the ecological system perspective conducted with the student at H. Meister High School improved the student's career maturity. Secondly, changes were observed in the scores in the sub-factors of career maturity between the pre-test and the post-test. Significant differences in the results of the analysis of the sub-factors of career maturity indicate that the program had a statistically positive impact on the career maturation process of the participant. In conclusion, as a result of the in-depth implementation of the program for 12 sessions, the participant expressed his desires which were clarified. In addition, a positive career maturation process appears to have taken place, owing to the self-directed program that led the participant to initiate plans and explore his career by himself. This study was conducted as a single case based on the ecological system perspective concerning career exploration and the career maturation process, but it will be necessary to expand the study to investigate the effects of group counseling, information exchange considering peer influences, common discussions on goal-setting, and other methods on the career maturation process.

• 한국과학교육학회지
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• 제24권3호
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• pp.442-458
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• 2004

여학생 친화적 과학 활동 프로그램의 활용 현황을 조사하고 시범운영 결과를 분석하여 이를 토대로 프로그램의 확대 보급 방안을 마련하기 위하여 본 연구를 수행하였다. 1999년 여성부의 연구용역으로 개발된 여학생 친화적 과학활동 자료는 5개 주제의 특기적성 교육자료와 7학년부터 10학년 까지의 심화 보충 학습자료들인데, 이 자료는 서울 지역의 과학교사 모임인 '신나는 과학을 만드는 사람들'의 홈페이지에 체계적으로 정리되어 수록되었으며 한글 문서를 다운로드받아서 활용할 수도 있고 html 형식의 문서를 모니터 상에서 그대로 확인할 수도 있도록 하였다. 현재 여학생 친화적 과학활동 자료 홈페이지의 방문객이 꾸준히 이어지고 있다. 특기 적성 프로그램에 대한 시범 실시 결과, 개발된 자료는 개발 목적과의 일치도 및 내용 및 수준, 적용 효과에 대해서는 높은 점수를 얻었지만 교사 수행의 수월성, 조직과 운영 측면에서는 낮은 점수를 얻었다. 또한 학생들은 과학에 대한 인식이 변화되었고, 간학문적인 활동을 통해 다양한 과학 경험을 하였다는 점에 대해서 긍정적으로 생각하였다. 한편, 학생들의 활동 내용에 대한 평가는 성공의 경험에 크게 좌우되며, 주로 오리고 자르고 붙이는 일로 이루어진 활동에 대한 평가 점수는 낮게 나타났다. 학생들의 성취도 검사에 의하면, 정의적 영역은 향상되었지만(p<0.05), 탐구 능력의 향상은 통계적으로 의미가 없었다. 그러나 많은 시범 실시학교에서 협동 활동 및 토의 능력의 향상과 관찰, 추론 능력이 향상되었음을 관찰하였다고 보고하였다. 본 프로그램의 확대 보급을 위해서는 프로그램이 교사들의 지지를 얻고 이들의 교수 학습 전략을 변화될 수 있도록 유도하는 것이 가장 중요하며, 이에 따라 교사 커뮤니티를 형성하고 교사 연수를 실시하는 것이 필요하다는 결론을 얻었다. 또한 프로그램의 추가 개발 및 국내 여성 과학 기술인을 적극적으로 발굴하여 교육 자료화하는것 등이 추후 실천해야할 과제로 남아있다.

• 한국건설관리학회논문집
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• 제17권4호
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• pp.66-75
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• 2016

우리나라 정부에서는 저탄소 녹색성장 추진에 따라 기존 건축물의 그린리모델링 사업을 시행하고 있다. 하지만 그린리모델링 관련 현행 법규 및 제도에서는 그린리모델링의 범위와 그 내용을 명확하게 규정하고 있지 않다. 또한, 민간 참여를 위한 사업시행 유도책이 미비하여 민간의 그린리모델링 사업시행이 원활하지 않은 실정이다. 이에 본 연구에서는 실질적인 적용성을 고려한 그린 리모델링 사업시행 유도를 위한 조세혜택 부여 방안을 제시하였다. 또한, 제시한 대안을 2014년 그린리모델링 시범사업 사례에 적용하여 그 효과를 정량적으로 분석하였다. 이는 추후 그린리모델링 활성화를 위한 조세 감면혜택 제도 개선 연구의 기초자료로 활용 가능할 것으로 예측된다.

• 중환자간호학회지
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• 제15권1호
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• pp.1-12
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• 2022

Purpose : This study aimed to identify the status of intrahospital transport (IHT) of critically ill patients and provide baseline data to form recommendations for safer transport. Methods : Data were collected from 141 intensive care unit (ICU) nurses who attended national conferences between February and August, 2018. The collected data were analyzed using descriptive statistics and ANOVA, and post-hoc analysis was conducted with the Scheffé and Games-Howell tests. Results : Of the nurses surveyed, 61.7% answered that their workplace had a transport guideline. In terms of the experience of ICU nurses, 31.2% of respondents answered that they had received training on IHT. This result indicated that the degree of implementation of the guidelines for IHT was generally high, but some, including guidelines on personnel, equipment, and monitoring, were not. Guidelines of IHT were well observed when the institutes had specific guidelines for IHT of critically ill patients with specified transport grades, a scoring system to assess stability of a patient, a checklist and a protocol for action in case of problems, and when healthcare providers were provided with training. Conclusion : These results suggest that organized infrastructure, such as a transport guideline with transport grades, a checklist to improve the implementation of guidelines, and a protocol for coping with a problem, should be provided for safe transport. Additionally, effective education and evaluation to improve the competency of staff participating in the transport of patients will help reduce the occurrence of adverse events in intensive care transport in hospitals and promote patient safety.

• 여성건강간호학회지
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• 제26권1호
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• pp.19-27
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• 2020

Purpose: This study was conducted to develop a simulation-based postpartum care education program for women with postpartum hemorrhage and to verify the effects of the program on postpartum care. Methods: This program was developed according to the ADDIE model of instructional system design, which consists of analysis, design, development, implementation, and evaluation phases. This quasi-experimental study used a non-equivalent control group pre- and post-test design, and data were collected from April 23 to May 4, 2015. To verify the effects of the program, 33 nursing students in the experimental group participated in a simulation program, whereas 31 students in the control group were given a case study. Results: The experimental group had statistically significantly higher scores for clinical performance (t=-4.80, p<.001), clinical judgment (t=-4.14, p<.001), and learning satisfaction (t=-10.45, p<.001) than the control group. Conclusion: The results of this study indicate that the simulation-based postpartum care education program for women with postpartum hemorrhage was effective for developing students' competency, implying that a similar program should be integrated into the clinical training component of the maternal nursing curriculum.

• 공학교육연구
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• 제18권2호
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• pp.77-88
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• 2015

Recently, there has been an increasing interest in 'Flipped Learning,' an IT-based learner-centered teaching-learning method corresponding to meet the paradigm of the future education. For smooth Flipped Learning, there are three steps in total: a pre-class should precede; then, in the structure of classes in the classroom, in-class learning among peer learners should be done; and lastly, the operation of a post-class should be done. For successful Flipped Learning, class elements in each step should be designed with a time difference, interconnected so as to achieve a single educational objective. However, it was found that there was a limitation in that the teaching-learning model of the preceding Flipped Learning consisted of the order of analysis, design, development, implementation and evaluation as general procedures, so it would not sufficiently consider the situations of Flipped Learning only. On this background, this thesis proposes a differentiated Flipped Learning model for mastery learning in a subject of an institute of technology as a model of systematic instructional design and presents a case of a class applied to an actual subject of computer engineering.

• 한국환경복원기술학회지
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• 제18권6호
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• pp.85-95
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• 2015

Recent years, nationwide projects for ecological restoration are implemented with emerging issues on the stream ecosystem. In order to enhance effectiveness of the ecosystem restoration and reduce negative impact, the appraisal of effectiveness through the follow-up monitoring and the adaptive management process are executed in consecutive phase. In this study, planning phase, monitoring and adaptive management in Hakui stream which is part of An Yang stream restoration project is introduced as representative ongoing case of effective adaptive management. The aim of this study is to verify the adaptive management process and suggest direction of effective restoration. Restoration project of Hakui stream resulted in increasing number and diversity of species (vegetation, fish, bird, invertbrates, amphibian and reptilia) according to monitoring from 2004 to 2013, and enhancing natural river landscape by evaluation of river naturalness among 2001(before restoration), 2007 (after), 2015 (recent). However, excessive vegetation expansion or sediment deposition on channel over time caused unexpected results such as terrestrialization or degradation of habitats. Adaptive management action such as removing disturbance species (Humulus japonicus)(2007), coppicing willow (2007), release of march snail (2007), creation of wetland (2014) were implemented based on monitoring results. And then appraisal of management action was discussed.

• 한국정보통신학회논문지
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• 제15권7호
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• pp.1423-1432
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• 2011

해양에서의 선박의 사고는 교통량의 증가와 더불어 끊임없이 증가하는 추세에 있으며, 해상에서의 안전운항을 확보하기 위하여 사고 발생 후의 대처도 중요하지만 해양사고를 미연에 방지하는 운항 안전을 위한 사전 감시기술이 부각되고 있는 실정이다. 따라서, 본 논문에서는 안전운항을 위한 통합적인 안전관리 플랫폼 기반의 시스템을 제안하였고, 항해 근무상태 감시 및 항해/추진/기관/발전 등 이상상태 및 오동작 상태 감시를 위한 선교운용 단말장치 및 경보시스템을 구현하였으며, 선박 탑재를 위하여 선급 표준에 근거한 성능 평가를 수행하여 실증화를 위한 기반을 갖추었다.