• Archives of Plastic Surgery
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• 제47권6호
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• pp.583-589
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• 2020

Background Reduction mammoplasty or mastopexy is performed as an additional balancing procedure in patients with large or ptotic breasts who undergo breast-conserving surgery (BCS). Radiation therapy on breasts that have undergone surgery may result in changes in the volume. This study presents a comparative analysis of patients who received post-BCS balancing procedures to determine whether volume changes were larger in breasts that received radiation therapy than on the contralateral side. Methods Thirty-six participants were selected among patients who received BCS using the inverted-T scar technique between September 2012 and July 2017, were followed up for 2 or more years, and had pre-radiation therapy computed tomography images and post-radiation therapy images taken between 12 and 18 months after completion. The average age of the participants was 53.5 years, their average body mass index was 26.62 kg/㎡. Results The pre- and post-radiation therapy volumes of the breasts receiving BCS were 666.08±147.48 mL and 649.33±130.35 mL, respectively. In the contralateral breasts, the volume before radiation therapy was 637.69±145.72 mL, which decreased to 628.14±166.41 mL after therapy. The volume ratio of the affected to the contralateral breasts was 1.05±0.10 before radiation therapy and 1.06±0.12 after radiation therapy. Conclusions The ratio of the volume between the two breasts immediately after surgery and at roughly 18 months postoperatively was not significantly different (P=0.98). For these reasons, we recommend a simultaneous single-stage balancing procedure as a reasonable option for patients who require radiation therapy after BCS without concerns regarding volume change.

• 한국초등과학교육학회지:초등과학교육
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• 제32권3호
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• pp.225-238
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• 2013

The purpose of this study is to find out The Effects of the Learning Motive, Interest and Science Process Skills using the 'Light' Unit on Science-based STEAM. As the subject, 2 classes in the 6th grade of G elementary school located in Busan were selected. Through the pre/post inspection design between experiment and comparison class, the units of science courses in the first semester of 6th grade '1. Light' were applied. The results were as follows: Firstly, it was observed that it would have a meaningful effect to improve the learning motive of students who performed STEAM education. Secondly, it was observed that it would have a meaningful effect to improve the interest of students who performed STEAM education. Especially, the results of 'attention', 'relevance', 'confidence' and 'satisfaction' in the experimental class were higher than those of students in the comparative class. The experimental class gave a positive effect on the 'attention', 'confidence' and 'satisfaction'. According to statistical analysis, this result is meaning. Thirdly, the test on science processing skills showed that there was not statistic meaningful differences between the two groups. But, in the sub-parts, there was statistic meaningful differences between the two groups on the 'integrated inquiry ability'.

• 한국환경교육학회지:환경교육
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• 제23권2호
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• pp.113-128
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• 2010

This study investigated ADHD prevalence among the first to sixth graders in ordinary classes of H elementary school located in an area of special rural conditions and selected 4 sixth graders who received high scores in a self-diagnostic test on attention deficit and over 17 points from teachers in an ARS-IV test with a view to verifying the effects of the education in environment on the improvement of maladjusted behaviors among ADHD children when the education program for improvement of maladjusted behaviors is applied to the environment. The program was applied from March to mid-July for about 4.5 months in 13 periods. The program applied consisted of activities of experiencing the nature. Behavior changes of targets during the course of the program were recorded in the frequency of ADHD target behaviors card and the observation log to describe the results, which underwent a comparative analysis through pre-and post-tests of ADDES-SV and to graph the changes in maladjusted behaviors of target children. To sum up, the education in environment resulted in positive effects on the changes of maladjusted behaviors among ADHD children by reducing attention deficit impulsive behaviors and hyperactivity.

• 한국콘텐츠학회논문지
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• 제12권8호
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• pp.274-282
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• 2012

이 연구는 뇌졸중 환자를 대상으로 낙상예방을 위하여 가상현실 체험형 게임 운동(Nintendo-Wii Sport-NWS)과 요부안정화 운동을 실시하고 낙상관련 신체 심리 기능 변화를 측정하였다. 뇌졸중환자 30명을 대상으로 신체적 기능은 정적, 동적균형으로 측정하였고 심리적기능은 낙상효능감을 측정하여 운동 전과 운동 후, 각 운동군간을 비교분석하였다. 정적균형은 BBS, FRT, 동적균형은 TUG, 10m 보행검사, 낙상효능감은 낙상 효능감 지수로 측정되었다. 그 결과 두군 모두 신체 심리적기능에서 유의한 개선을 나타내었다. 그러나 BBS, FRT, 10m보행에서 요부안정화 운동군이 더 통계적으로 개선된 것으로 나타났으며 낙상효능감은 가상현실 체험형 게임 운동 군에서 더욱 개선된 것으로 나타났다. 결론적으로 가상현실 체험형 게임운동은 뇌졸중환자의 신체 심리적 기능 증진에 긍정적인 영향을 미친다.

• 비교교육연구
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• 제27권3호
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• pp.1-22
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• 2017

본 논문은 일본 교육 정책에 큰 전환점이 되었던 두시기의 교육개혁의 지향성과 과정을 검토하여, 전전-전후 일본의 국가교육의 연속성을 국가주의와 시민교육의 맥락에서 조명하는데 목적이 있다. 학제를 공포하고 근대교육제도의 효시를 이룬 메이지 개혁(1868)을 제 1교육개혁, 패전이후 민주주의 헌법과 교육기본법, 학교교육법(1947)에 의하여 재건된 6-3-3-4제의 교육개혁을 제 2의 교육개혁(고전, 2014: 98)으로 보고, 일본 교육 정책에 큰 방향 전환이 되었던 각 시기의 국가교육이 지향하는 바와 체계를 갖추어 가는 과정을 간략하게 살펴본 후, 규범적 내용적 차원, 제도적 절차적 차원에서 전전-전후의 국가교육이 갖는 연속성과 교육개혁의 한계를 탐구하고자 한다. 메이지 일본은 근대화된 사회를 지탱할 결속된 구성원을 형성해야 할 필요성과 동시에 천황제를 뒷받침할 순종적 신민을 양성할 필요성이 있었고, 근대적 교육 체제는 이러한 과업을 달성하는데 큰 역할을 하였다. 패전 후 일본은 민주화, 비군사화라는 목표를 달성하기 위해 교육 개혁을 통해 일본적 전통 속에 내재하고 있는 권위적 국가주의의 틀을 변화시키고자 하였다. 전후 교육개혁으로 인해 교육 구조의 변형은 이루었지만 민주주의와 평화 지향의 내적 뿌리내림에 이르지 못하였으며, 냉전이라는 배경 하에 다시 교육의 보수화, 역코스로 회귀하였다.

• 한국가족복지학
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• 제23호
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• pp.103-152
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• 2008

본 연구에서는 Walsh가 구성한 가족레질리언스(Family Resilience) 개념틀을 바탕으로 결혼초기부부가 가족레질리언스를 강화해나갈 수 있도록 지원하는 프로그램을 개발하고자 하였다. 이를 위해 결혼초기부부, 부부관계향상, 가족레질리언스에 관한 문헌고찰을 토대로 가족의 신념체계, 조직유형, 의사소통과정을 기본틀로 하는 주 1회, 3시간씩, 총 4회에 걸친 프로그램을 구성하였으며, 구성한 프로그램을 결혼초기부부 7쌍을 대상으로 실행하고, 프로그램의 효과를 평가해보기 위해 Wilcoxon Signed Ranks Test를 활용해 동일집단사전사후비교분석을 하였으며, 프로그램참여자로 구성되는 포커스집단운영을 통해 참여자가 인식하는 프로그램 효과와 구조에 대한 견해를 분석하였다. 사전사후비교분석결과 신념체계(가족통제감, 가족강점), 조직유형(부부적응성, 가족자원) 의사소통과정(정서반응), 결혼적응에서 유의미한 향상이 있었으며, 프로그램 효과와 구조에 대한 참여자의 견해 분석에서도 프로그램 효과에 관한 내용이 보고되었고 프로그램 시간구조면에서 회당 3시간 4회가 적절한 것으로 평가되었다. 본 연구는 결혼초기부부의 가족레질리언스를 강화하는 사회복지실천도구를 개발하고자 시도함으로써 가족레질리언스 개념을 구체화시키고 지역사회실천가들에게 구체적인 실천도구를 제공한다는 데 의의가 있다.

• 인터넷정보학회논문지
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• 제23권1호
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• pp.125-134
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• 2022

정보 통신 및 인공지능 기술의 발전은 우리 군의 지휘통제체계의 지능화를 요구하며, 이를 달성하기 위해 다양한 시도가 이루어지고 있다. 본 논문은 특히, 지휘통제 워크플로우에서 활용 가능한 정보의 양이 폭발적으로 증가함에 따라 지휘통제체계 사용자에게 제공되는 정보 중 수행 업무에 가장 핵심적인 정보를 제공할 수 있는 협업 필터링(Collaborative Filtering, CF) 및 추천 시스템(Recommendation System, RS)에 주목한다. 군 지휘통제체계에서 정보의 필터링을 수행하는 RS는 가장 우선 설명 가능한 추천을 수행하여야 하며, 그 다음 지휘관들이 임무를 수행하는 다양한 상황을 고려한 추천이 수행되어야 한다. 본 논문에서는 지휘통제 워크플로우를 지원하기 위하여 정보를 선택적으로 추천하는 contextual pre-filtering CARS 프레임워크를 제안한다. 제안된 프레임워크는 1) 지휘결심자의 상황 및 관계에 기반하여 데이터를 사전에 필터링하는 contextual pre-filtering, 2) CF의 취약한 데이터 희소성 문제를 극복하기 위한 피쳐 선택, 3) 피쳐 간의 디스턴스를 사용자의 유사도 산출에 활용한 CF, 및 4) 사용자의 선호를 반영하기 위한 규칙 기반 포스트 필터링의 4 단계로 구성되어 있다. 본 연구의 우수성을 평가하기 위해서 상용 수준의 실험 데이터셋 2종에 대해 기존 CF 방법의 다양한 디스턴스 방법을 적용하여 비교 실험하였다. 비교 실험 결과 제안된 프레임워크가 3가지 평가지표(MAE, MSE, MSLE) 측면에서 우수함을 나타내었다.

• Asian-Australasian Journal of Animal Sciences
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• 제26권5호
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• pp.723-731
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• 2013

This study provides a comparative analysis of the effects of pre-slaughter penetrative and non-penetrative stunning and post-slaughter stunning on meat quality attributes in longissimus lumborum (LL) and semitendinosus (ST) muscles in heifers. Ten animals were assigned to each of four treatment groups: i) animals were subjected to conventional Halal slaughter (a clean incision through the structures at the front of the upper neck - the trachea, oesophagus, carotid arteries and jugular veins) and post-cut penetrating mechanical stun within 10 to 20 s of the neck cut (Unstunned; US); ii) high power non-penetrating mechanical stunning followed by the neck cut (HPNP); iii) low power non-penetrating mechanical stunning followed by the neck cut (LPNP); and iv) penetrative stunning using a captive bolt pistol followed by the neck cut (P). For each carcass, muscle samples were removed within 45 min of slaughter, portioned and analysed for pH, cooking loss, water holding capacity (WHC), tenderness (WBS), lipid oxidation (TBARS) and color, over a two week storage period. Stunning did not affect pH and cooking loss. Significant differences in water holding capacity, tenderness, lipid oxidation and color were present at different storage time points. HPNP stunning resulted in lower WHC and color values, particularly lightness ($L^*$), higher TBARS values and peak force values compared with those stunned using LPNP, P and US. These adverse effects on quality were mostly encountered in the ST muscle. In conclusion, the meat quality achieved using P, LPNP and US treatments was comparable, and no treatment stood out as considerably better than another.

• 대한한의학회지
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• 제45권1호
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• pp.251-256
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• 2024

Objectives: The purpose of this study was to report the short-term blood pressure-lowering effects observed in a patient with malignant hypertension through slow breathing maneuver with heart rate variability(HRV) biofeedback. Methods: Biofeedback sessions, totaling 13, each lasting 10 minutes, were administered. Blood pressure was measured pre and post-treatment, as well as thrice daily at 10 am, 4 pm, and 8 pm. Systolic blood pressure(SBP), diastolic blood pressure(DBP), and pulse rate were recorded for comparative analysis. Results: Before biofeedback, the average SBP, DBP, and pulse rate were 227.2±18.3, 135.2±11.0, and 104.4±5.3, respectively. Immediately post-biofeedback, these values changed to 213.7±15.2, 126.9±8.5, and 99.2±3.6. However, sustained long-term blood pressure reduction was not observed. Conclusions: The findings suggest that biofeedback therapy induces a short-term reduction in blood pressure in cases of malignant hypertension, potentially associated with autonomic nervous system regulation. Integrating biofeedback with other Korean medicine treatments, such as acupuncture or moxibustion, may offer a comprehensive approach for managing malignant hypertension.

• 한방안이비인후피부과학회지
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• 제36권1호
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• pp.96-109
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• 2023

Objectives : The objective of this study is to predict how future infectious diseases will affect healthcare utilization patterns within korean medicine hospitals and, specifically, departments of ophthalmology, otolaryngology and dermatology of Korean medicine. Methods : We retrospectively analyzed medical records of patients who visited Kyung Hee University Korean Medicine Hospital during Pre COVID-19(from March 1st, 2018 to Feb 29th, 2019) and Post COVID-19(from March 1st, 2019 to Feb 28th, 2022). The data was analyzed by visit type and diagnosed disease code. Results : 1. After the COVID-19 break-out, the number of first visit patients increased but those of revisit patients, total patients, and revisit/first visit ratio decreased in all departments. 2. In Kyung Hee University Korean Medicine Hospital, the decrease rate of the number of total patients diagnosed with diseases of respiratory system(J00-J99) was the highest, while that for diseases of circulatory system(I00-I99) was the lowest. 3. In the department of Ophthalmology and Otolaryngology of Korean Medicine, the decrease rate of the number of total patients with nose disease was the highest, followed by eye disease and ear disease. 4. In the department of Dermatology of Korean Medicine, the number of total patients with dermatitis remained consistent, while the number of total patients with skin appendage disease showed relatively high decrease rate. Conclusions : Severe or chronic diseases showed relatively low decrease rate of the number of total patients. While mild diseases or diseases with high probability of exposure to COVID-19 infection during treatment showed high decrease rate of the number of total patients.