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일본의 지역포괄케어시스템 구축과 개호보험제도 개정과정의 정책적 시사점 (Policy Implications of the Long-term Care Insurance System Revitalization Process for Establishing Integrated Care System in Japan)

  • 유애정
    • 한국노년학
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    • 제39권1호
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    • pp.1-20
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    • 2019
  • 최근, 보건복지부가 커뮤니티케어 구축에의 필요성을 강조하면서 보건의료-요양-사회복지계의 뜨거운 관심이 이어지고 있다. 이에 본 연구에서는 향후 노인대상의 커뮤니티모델을 구축함에 있어서 노인장기요양보험이 어떠한 미래적 비전을 갖고 재검토되어야 하는지를 살펴보기 위해 국책사업으로 지역포괄케어시스템(aging in place) 구축을 추진하고 있는 일본의 정책추진사례를 심층적으로 분석해 보는 것은 그 의미가 있다고 볼 수 있으며 본 연구는 일본의 개호보험제도 개정과정을 문헌검토를 통해 심층적으로 분석하였다. 일본의 지역포괄 케어시스템 구축을 위한 개호보험제도 운영현황과 개정과정을 살펴본 결과, 향후 우리의 경우 1)커뮤니티케어시스템 구축의 기본적인 원리를 보다 명확히 할 필요가 있고 2)노인장기요양보험의 재가서비스 확충, 3)거주유형의 다양화 및 고도화 작업 추진, 4)케어매니지먼트체계 구축, 5)당사자와 가족지원 확대 등의 정책추진이 보다 적극적으로 이뤄져야 할 것으로 사료된다.

한국의 간석지 연구 (Researches on Tidal Flats in Korea)

  • 장동호
    • 한국지형학회지
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    • 제18권4호
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    • pp.59-78
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    • 2011
  • 본 연구에서는 우리나라의 간석지 연구사를 유형별 및 시기별로 정리하였다. 간석지 연구사는 크게 간석지 퇴적물 연구, 위성영상을 이용한 연구, 제4기 환경변화와 간석지에 관한 연구, 그리고 간석지의 생태학적 연구 등 4개 분야로 구분하였다. 한국의 간석지 연구사를 종합적으로 살펴보면, 간석지 연구는 일제시대 때부터 있었으나 대부분 수산업에 관계된 연구들이었다. 이후 1960년대에는 간척사업으로 인해 형성된 간척지를 대상으로 하는 연구에 집중되었다. 지형학적인 관점에서의 간석지에 관한 연구는 1970년대에 본격적으로 시작되어 1980년대 이후부터 간석지의 중요성이 알려지면서 더욱 활기를 띠게 되었다. 특히, 퇴적환경과 지표 형태 및 생태계, 지형 변화에 관한 연구가 주를 이루었으며, 2000년대 이후에는 위성영상 자료와 현장조사를 병행하여 접근하기 어려운 간석지의 퇴적상 및 퇴적환경 변화를 지속적으로 모니터링 하는 연구가 진행되었다. 우리나라의 간석지에 관한 지리학 분야에서의 학술연구는 다수 진행되었지만, 지형학에서의 간석지 연구 성과는 소수에 의해 진행되어 여전히 블루오션과 같은 분야이다. 따라서 향후 더 많은 지형학자의 관심 속에서 우리나라의 간석지에 대한 다양한 연구가 진행되어 지형학에서의 주요 연구 분야로 정착하기를 기대한다.

Sound Absorption Properties of Sound Absorption Materials Using Zelkova serrata Leaves

  • Eunji Bae;Junho Goh;Dahye Yeom;Kyungrok Won;Reekeun Kong;Heeseop Byeon
    • Journal of Forest and Environmental Science
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    • 제40권2호
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    • pp.90-98
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    • 2024
  • This study analyzes the characteristics of sound-absorbing materials made from forest by-products of the deciduous tree species Zelkova serrata (Z. serrata) by evaluating their sound absorption performance. Accordingly, sound-absorbing materials with varying sample thicknesses, leaf sizes, and drying conditions were fabricated. The sound absorption properties were measured using the impedance tube method via middle-type measurement tube (100 Hz-3,200 Hz). The sound absorption properties were evaluated using the average sound absorption coefficient (ASAC), which was calculated from the measured sound absorption coefficients at 250 Hz, 500 Hz, 1,000 Hz, and 2,000 Hz. The ASAC value significantly improved as the leaf size increased to 0.5×0.5 cm2, 1.0×1.0 cm2, and 2.0×2.0 cm2. The ASAC values under the two drying conditions were similar. There was no significant difference in ASAC according to the leaf size under the air-dried leaf condition, with a thickness of 2.50 cm. The highest ASAC value according to the sound-absorbing material thickness was 0.47 at a thickness of 2.50 cm and leaf size of 2.0×2.0 cm2 under the air-dried leaf condition. In addition, the variation in ASAC was 0.23, indicating that the sound absorption performance according to leaf thickness was more significant than the difference in absorption properties according to leaf size. A sound absorption coefficient (SAC) of 0.4 or higher was observed across the measurable frequency band (100 Hz-3,200 Hz). Furthermore, the SAC values with respect to leaf size and thickness were close to 1 in the high-frequency range above 2,000 Hz. Therefore, it is considered that sound-absorbing materials using Z. serrata leaves are advantageous in the field of absorbing noise in a high-frequency band of 2,000 Hz or more, and it is better to manufacture a thickness of 2.50 and 2.0×2.0 cm2.

교육청 지원 학교역사관 운영 개선 방안 연구 (A Study on the Improvement of School History Archives Supported by the Office of Education)

  • 권수정;김지현
    • 한국기록관리학회지
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    • 제24권2호
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    • pp.21-40
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    • 2024
  • 본 연구의 목적은 학교역사기록을 수집 및 보존, 활용하는 학교역사관의 실질적인 운영 현황을 조사하고 개선 방안을 제안하는 것이다. 연구 대상의 유형을 학교가 주체가 되어 학교 내에 역사관을 설립하는 단위학교형, 교육청이 지역적으로 동일한 생활권에 있는 학교들의 공동 역사관을 설립하는 통합형 역사관으로 구분하였다. 먼저 학교역사기록과 학교역사관의 유형과 기능을 파악하고 해외의 학교역사관 운영 현황을 조사하였다, 이어 서 국내 현황 조사를 위해 교육청 지원 사업을 통해 학교역사관을 구축한 6개의 단위학교와 5개의 교육지원청을 선정하여 심층면담을 수행하였으며 학교역사관 운영 전반, 기록 수집 현황, 정리 및 보존 현황, 기록정보서비스 현황으로 영역을 구성하여 조사하였다. 이를 바탕으로 단위학교형과 통합형 학교역사관의 운영 현황과 문제점을 파악하고 운영, 기록관리, 기록정보서비스 측면에서 개선방안을 제안하였다. 더불어 단위학교형과 통합형 역사관을 아우르는 종합적인 개선 방안을 제안하였다. 본 연구의 결과는 학교역사관을 설립하여 운영하고 발전시키는 데 기초 자료로 활용될 수 있다.

Tree species migration to north and expansion in their habitat under future climate: an analysis of eight tree species Khyber Pakhtunkhwa, Pakistan

  • Muhammad Abdullah Durrani;Rohma Raza;Muhammad Shakil;Shakeel Sabir;Muhammad Danish
    • Journal of Ecology and Environment
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    • 제48권1호
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    • pp.96-109
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    • 2024
  • Background: Khyber Pakhtunkhwa government initiated the Billion Tree Tsunami Afforestation Project including regeneration and afforestation approaches. An effort was made to assess the distribution characteristics of afforested species under present and future climatic scenarios using ecological niche modelling. For sustainable forest management, landscape ecology can play a significant role. A significant change in the potential distribution of tree species is expected globally with changing climate. Ecological niche modeling provides the valuable information about the current and future distribution of species that can play crucial role in deciding the potential sites for afforestation which can be used by government institutes for afforestation programs. In this context, the potential distribution of 8 tree species, Cedrus deodara, Dalbergia sissoo, Juglans regia, Pinus wallichiana, Eucalyptus camaldulensis, Senegalia modesta, Populus ciliata, and Vachellia nilotica was modeled. Results: Maxent species distribution model was used to predict current and future distribution of tree species using bioclimatic variables along with soil type and elevation. Future climate scenarios, shared socio-economic pathways (SSP)2-4.5 and SSP5-8.5 were considered for the years 2041-2060 and 2081-2100. The model predicted high risk of decreasing potential distribution under SSP2-4.5 and SSP5-8.5 climate change scenarios for years 2041-2060 and 2081-2100, respectively. Recent afforestation conservation sites of these 8 tree species do not fall within their predicted potential habitat for SSP2-4.5 and SSP5-8.5 climate scenarios. Conclusions: Each tree species responded independently in terms of its potential habitat to future climatic conditions. Cedrus deodara and P. ciliata are predicted to migrate to higher altitude towards north in present and future climate scenarios. Habitat of D. sissoo, P. wallichiana, J. regia, and V. nilotica is practiced to be declined in future climate scenarios. Eucalyptus camaldulensis is expected to be expanded its suitability area in future with eastward shift. Senegalia modesta habitat increased in the middle of the century but decreased afterwards in later half of the century. The changing and shifting forests create challenges for sustainable landscapes. Therefore, the study is an attempt to provide management tools for monitoring the climate change-driven shifting of forest landscapes.

경기도 평택시 팽성읍 마을숲의 식물상 및 식생 (The Vegetation and Flora of Village Groves in Paengseong-eup, Pyongtaek City, Gyonggi-Do, Korea)

  • 안영희;이성제;신경미;박은진
    • 한국환경생태학회지
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    • 제21권6호
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    • pp.515-525
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    • 2007
  • 마을 숲은 지역의 전통적인 공동체 삶을 위해 마을 주변에 조성되어 보호되고 유지되어온 숲이다. 본 연구는 미군부대 이전부지 내에 위치하는 마을 숲을 대상으로 식생 및 식물 상을 조사하였다. 이와 같은 자료는 현지는 물론 인근 지역의 마을 숲 보전 및 복원사업에 필요한 기초자료를 얻을 수 있다. 현지 소산 식물상은 양치식물 2과 2속 1종 1변종으로 총 2분류군으로 나타났으며 나자식물은 2과 2속 3종의 3분류군, 피자식물 중 단 자엽 식물이 5과 10속 11종으로 11분류군, 쌍자엽식물이 24과 39속 40종 3변종으로 43분류군로서 총 33과 53속 55종 4변종의 59분류군으로 조사되었다. 도시화 지수는 4.2%, 귀화율은 20.3%로 타 지역에 비교해 상대적으로 높은 수치를 나타내었다. 마을 숲을 구성하는 식생단위는 소나무군락(Pinus densiflora community), 소나무-졸참나무군락(Pinus densiflora-Quercus serrata community), 졸참나무군락(Quercus serrata community), 찔레군락(Rosa multiflora community)의 4개 군락 단위로 구분되었다. 졸참나무군락은 자연천이에 의해 도태된 소나무 대신 상대적으로 채광적응성이 뛰어난 졸참나무가 우점하는 군락유형으로 교목 층뿐만 아니라 아교목 층에 까지 졸참나무가 생육하고 있는 것으로 조사되었다. 최근 산업화와 더불어 마을 주민들의 이탈과 가구 수의 축소, 도시화에 의해 마을 숲의 이용이 줄어들고 이에 따라 이 지역의 잠재자연식생으로 추정될 수 있는 졸참나무군락으로 소나무-졸참나무군락을 거쳐 천이되는 유형을 보여주고 있었다.

아시아 Kaftan양식에 관한 연구 (A Study on the Kaftan Style in Asia)

  • 오춘자
    • 복식
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    • 제35권
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    • pp.45-66
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    • 1997
  • This thesis is a study on the kaftan styles iin Asia. The purpose of he study was to examine the origin o the kaftan concentrating on the history and cultural backgrounds of nomads in he Western Central and North Eastern Asia. Secondly for more thorough study and expla-nation on how these kaftans contributed to East-West trade along the silk road. wall paintings and miniature illuminations along Oasis roads persia and Saracen period were compared, Also real kaftans were compared and analyzed the characteristics of Western (Turkey palestine) Central(Kazakistan Uz-bekistan Tadzhistan Qyrgyztan Turkmenistan) and the North Eastern Asian(Mongol) area. Thirdly an attempt has been made to provide the North Eastern Asian(Mongol) area. Thirdly an attempt has been made to provide the style classifications according to their peculiarities of the various kaftans as well as how kaftan gave important influences on custumes of different religious sects. The kaftan is a long coat-like garment with front openings fastened with long sash having an extra long sleeves which were worn by middle and high class nomadics throughout the West Central and North Eastern Asia This type of kaftans were a basic clothing for nomadics since they were constantly moving fromone to another areas on their horse back riding. They also wore tight trousers with boots. Kaftans seem to be originated from nomads of Steppe around B.C. 800 On B. C 400 west asian areas such as Solokha Kul-oba Kulogan had pictures sculptues on vases showing kaftans of half coat type length with front opening tied with band. Also the materials used were the products of animals such as wool or felt with animal designs showing Scythian nomads. In the North Eastern Asia Hsiung-Nu were active in Kazakha North Altai and Mongol The Clothing and fabrics exfavated near Noin-ula Pazyrik showed many samples of kaftan with trousers with other interment be-longings with a corpse around B.C 300 to A. D 100 when trades along the silk roads were proven by many historians Kaftans excavated in this area wore red front opening silk materials which suggesting settling down of nomads. in he central Asia Dol-gull near Altai mountain area were mainly miners who later had many trades with Persia and Bizantine. After Dol-gull Bezeklik temple Samarkant Kizil cow Budda sculture wall paintings of Astana tomb showed typical kaftan of this re-gion. These were both hip covered length as well as long coat with narrow sleeves. Es-pecially they had different color band fron the main kaftan with grogeously and splendously designed silk. In perusia during A. D 1400 to 1600 minia-ture illumination showed kaftan as a high class symbol more than clothing purpose. They had best quality silk with extra long sleeves draping and had a layers of kaftans one on top of anther as a symbol of wealth These Kaftans with different colors and designs were even more beautiful with their effective combinations and contrast of colors. On the other hand the lower class common people and servants wore simple kaftan with the front part of the kaftan were slipped into the belt in order to be more active and con-venient to work, The real kaftans discovered at Topkapi Saray palace of Turkey from A. D 1300 to 1900 were also compared. These kaftans were very numerous in numbers as well as designs The materials and designs used were also vari-ous such as Chinese to Italian silk. The shaped and pattern itself were not much different from the previous nomad's Kaftans. The Palestian kaftans remained were from the beginning of 19th and 20th century. Since this area is hot and dry desert they used black and navy blue colors mostly in order to exclude the sun lights. The patterns used were similar to Nomads and Bedouin with cross stiches and patch work decorations. In the central Asia they had similar life style and natural environmental cnditions with Turkish tribe which resulted in similar kaftan styles as nomads. Mongols conserved basic patterns of kaftan since Cinggis Khan with deep folding in order to keep warm. At last the kaftans studided in this thesis were classified in to four such as half coat long coat jacket and vest style. A pattern used in the Central Asia were zigzag and ani-mal design whereas in the West Asia were floral plant arabesk and circle pattern. As I discussed previously kaftan styles of nomads in the Asia maintained its basic pat-tern throughout the history except slight changes in color gusset sleeve shapes. These slight changes were made according to the need to adapt the need of environmental natu-ral conditions, The reason for aboriginality of kaftan in Asia was its simplicity and con-venience Most interesting fact is that for all these years Mongols are still wearing kaftan in their life ensuring us that they art the preserves of old kaftan. Since this thesis dealt enormous Asian regions I had a limitation of not being able to cover the Far Esatern asian areas such as Korea China and Japan how these kaftans were influenced in their clothing history as well as Eastern and Western culture. This topic along with the studies on materials and designs of patterns of kaftan will be another research project in the future.

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배수개선공법개발에 관한 연구(I) -각종 지하배수용 암거재료의 배수성능- (Drainage Performance of Various Subsurface Drain Materials-)

  • 김철회;이근후;유시조;서원명
    • 한국농공학회지
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    • 제21권3호
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    • pp.104-120
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    • 1979
  • I. Title of the Study Studies on the Development of Improved Subsurface Drainage Methods. -Drainage Performance of Various Subsurface Drain Materials- II. Object of the Study Studies were carried out to select the drain material having the highest performance of drainage; And to develop the water budget model which is necessary for the planning of the drainage project and the establishment of water management standards in the water-logged paddy field. III. Content and Scope of the Study 1. The experiment was carried out in the laboratory by using a sand tank model. The drainage performance of various drain materials was compared evaluated. 2. A water budget model was established. Various parameters necessary for the model were investigated by analyzing existing data and measured data from the experimental field. The adaptability of the model was evaluated by comparing the estimated values to the field data. IV. Results and Recommendations 1. A corrugated tube enveloped with gravel or mat showed the highest drainage performance among the eight materials submmitted for the experiment. 2. The drainage performance of the long cement tile(50 cm long) was higher than that of the short cement tile(25 cm long). 3. Rice bran was superior to gravel in its' drain performance. 4. No difference was shown between a grave envelope and a P.V.C. wool mat in their performance of drainage. Continues investigation is needed to clarify the envelope performance. 5. All the results described above were obtained from the laboratory tests. A field test is recommended to confirm the results obtained. 6. As a water balance model of a given soil profile, the soil moisture depletion D, could be represented as follows; $$D=\Sigma\limit_{t=1}^{n}(Et-R_{\ell}-I+W_d)..........(17)$$ 7. Among the various empirical formulae for potential evapotranspiration, Penman's formular was best fit to the data observed with the evaporation pans in Jinju area. High degree of positive correlation between Penman;s predicted data and observed data was confirmed. The regression equation was Y=1.4X-22.86, where Y represents evaporation rate from small pan, in mm/100 days, and X represents potential evapotranspiration rate estimated by Penman's formular. The coefficient of correlation was r=0.94.** 8. To estimate evapotranspiration in the field, the consumptive use coefficient, Kc, was introduced. Kc was defined by the function of the characteristics of the crop soil as follows; $Kc=Kco{\cdot}Ka+Ks..........(20)$ where, Kco, Ka ans Ks represents the crop coefficient, the soil moisture coefficient, and the correction coefficient, respectively. The value of Kco and Ka was obtained from the Fig.16 and the Fig.17, respectively. And, if $Kco{\cdot}Ka{\geq}1.0,$ then Ks=0, otherwise, Ks value was estimated by using the relation; $Ks=1-Kco{\cdot}Ka$. 9. Into type formular, $r_t=\frac{R_{24}}{24}(\frac{b}{\sqrt{t}+a})$, was the best fit one to estimate the probable rainfall intensity when daily rainfall and rainfall durations are given as input data, The coefficient a and b are shown on the Table 16. 10. Japanese type formular, $I_t=\frac{b}{\sqrt{t}+a}$, was the best fit one to estimate the probable rainfall intensity when the rainfall duration only was given. The coefficient a and b are shown on the Table 17. 11. Effective rainfall, Re, was estimated by using following relationships; Re=D, if $R-D\geq}0$, otherwise, Re=R. 12. The difference of rainfall amount from soil moisture depletion was considered as the amount of drainage required. In this case, when Wd=O, Equation 24 was used, otherwise two to three days of lag time was considered and correction was made by use of storage coefficient. 13. To evaluate the model, measured data and estimated data was compared, and relative error was computed. 5.5 percent The relative error was 5.5 percent. 14. By considering the water budget in Jinju area, it was shown that the evaporation amount was greater than the rainfall during period of October to March in next year. This was the behind reasonning that the improvement of surface drainage system is needed in Jinju area.

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$CO_2$로 포화된 사암의 속도-유효응력 반응 (Velocity-effective stress response of $CO_2$-saturated sandstones)

  • Siggins, Anthony F.
    • 지구물리와물리탐사
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    • 제9권1호
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    • pp.60-66
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    • 2006
  • 세 개의 서로 다른 사암 샘플들 -두 개의 합성 샘플과 한 개의 현장 샘플- 에 대해 현장 저류층의 대표적인 구속압력과 공극압력하에서 초음파 시험이 수행되었다. 세가지 사암 샘플들은 (a) 캘사이트 시멘트(calcite intergranula. cement (CIPS))로 만든 합성사암, (b) 실리카 시멘트(silica intergranular cement)로 만든 합성 사암 (c) Otway Basin 의 Boggy Creek 1 시추공에서 시도되는 $CO_2$ 파일럿 프로젝트의 대상 암석층 중 Waarre 층으로부터 추출한 코아 샘플로 구성되어 있다. 공극률은 각각 32%, 33%, 26%이다. 초기시험은 실내건조(room-dried) 상태에 있는 코아들에 대해 구속응력을 5 MPa 씩 단계별로 65 MPa 까지 증가시키며 이루어졌다. 그리고 나서 모든 코아들에 처음에는 온도 $22^{\circ}C$에서 6 MPa 공극압력으로 기체상의 $CO_2$를, 그 다음에는 온도 $22^{\circ}C$ 에서 7 MPa 부터 17 MPa 까지 5 MPa 씩 증가시키면서 액체상의 $CO_2$를 주입하였다. 구속응력은 10MPa부터 65 MPa까지 달리 하였다. P와 S 초음파 파형들이 유효응력이 증가할 때마다 기록되었다. 속도-유효응력 반응들이 P 파와 S 파에 대해 실험 자료들로부터 계산되었으며, 감쇠(1/Qp)들은 스펙트럼 비 방법을 이용하여 파형들로부터 계산되었다. 각각의 사암들에 대한 이론적인 속도-유효응력 계산은 $CO_2$ 압력-밀도 와 $CO_2$ 체적계수-압력 상 다이어그램(phasediagram), Gassmann 유효 매질 이론(effective medium theory)을 이용하여 구하였다. 기체상의 $CO_2$ 주입은 속도-유효응력에서 건조상태(공기로 포화된 상태)에 비해 거의 무시할만한 변화를 가져왔다. 다양한 공극압력에서 액체상의 $CO_2$ 주입은 공기로 포화된 상태에 비해 속도-유효응력 반응을 평균 약 8% 정도 낮게 한다. 실험자료들은 높은 유효응력에서 Gassmann 계산들과 일치한다. 이러한 이론과 일치하는 "임계" 유효응력은 사암의 종류에 따라 달라진다. 이 차이는 각각의 사암 종류의 미세구조에서 미세 균열 수의 차이에 기인한 것이라 생각된다. 높은 유효응력에서의 이론과 의미있게 일치하였으며, $CO_2$ 주입 시 현장에서의 탄성파 거동을 예상하는데 있어서 어느 정도 확신을 준다.

Clinical Practice Guideline for Cardiac Rehabilitation in Korea

  • Kim, Chul;Sung, Jidong;Lee, Jong Hwa;Kim, Won-Seok;Lee, Goo Joo;Jee, Sungju;Jung, Il-Young;Rah, Ueon Woo;Kim, Byung Ok;Choi, Kyoung Hyo;Kwon, Bum Sun;Yoo, Seung Don;Bang, Heui Je;Shin, Hyung-Ik;Kim, Yong Wook;Jung, Heeyoune;Kim, Eung Ju;Lee, Jung Hwan;Jung, In Hyun;Jung, Jae-Seung;Lee, Jong-Young;Han, Jae-Young;Han, Eun Young;Won, Yu Hui;Han, Woosik;Baek, Sora;Joa, Kyung-Lim;Lee, Sook Joung;Kim, Ae Ryoung;Lee, So Young;Kim, Jihee;Choi, Hee Eun;Lee, Byeong-Ju;Kim, Soon
    • Journal of Chest Surgery
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    • 제52권4호
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    • pp.248-329
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    • 2019
  • Background: Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and 3 additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea. Methods: This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors-primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and 2 general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, 3 rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Results: CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Conclusion: Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.