• 한국지반공학회논문집
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• 제19권5호
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• pp.263-272
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• 2003

여러 가지 형식의 지오신세틱스가 개발되고 있는데, 설계 수명에 대한 신뢰성, 화학적 생물학적 내구성, 그리고 천공(꿰뚫림)에 대한 저항성 등에 대한 문제가 있는데도 불구하고 이들의 적용 분야는 증가 추세에 있다. 토공구조물이나 차수구조물에서 천공(꿰뚫림) 저항에 대한 문제는 해결되어야 할 중요한 문제로 드러나고 있다. 본 연구에서는 차수구조에 사용되는 여러 가지의 지오신세틱스의 천공(꿰뚫림) 저항성에 대하여 모형실험을 통하여 비교 분석하였다. 지오신세틱스에 천공(꿰뚫림)을 발생시키는 기구로서 두 가지 형식의 기구와 강자갈 그리고 쇄석을 사용하였다. 연구결과에 따르면, 천공기구의 형태는 재료의 천공(꿰뚫림)저항성에 큰 영향을 끼치고, 천공(꿰뚫림)강도의 크기는 천공(필뚫림) 발생기구의 형태와 재료에 따라 불규칙적인 것으로 나타났다.

• 한국지반공학회논문집
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• 제20권6호
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• pp.11-17
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• 2004

본 연구는 천공(꿰뚫림) 하중으로부터 차수재(HDPE)를 보호하기 위한 목적으로 설치한 토목섬유의 보호 효과에 대하여 비교 분석하기 위하여 수행되었다. 연구에서는 다양한 모양의 천공(꿰뚫림) 기구를 이용하여 재현한 천공 형식을 이용하여 모형 실험을 수행하였다. 보호재로서 차수재 상부에 설치되는 토목섬유의 천공 저항성은 보호재의 규격, 종류 그리고 천공 형식에 따라 큰 차이를 보인다. 연구 결과에 따르면, 독립적인 돌출부(원추 모양)를 천공 기구로 사용했을 때 모든 토목섬유에서 보호 효과가 가장 작은 것으로 나타났다. 또한, 모든 천공 형식에 대하여 지오콤포지트의 보호 효과가 가장 우수한 것으로 나타났다.

• 근관절건강학회지
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• 제30권1호
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• pp.25-35
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• 2023

Purpose: This study was conducted to examine the effects of ethyl chloride spray during arteriovenous fistula puncture on pain, depression, and noncompliance in hemodialysis patients. Methods: This study used a randomized controlled trial design on adults with chronic renal failure who received hemodialysis treatment through arteriovenous fistula. Ethyl chloride spray was applied to 20 subjects in the experimental group during arteriovenous fistula puncture, and a placebo spray was applied to 20 subjects in the control group; the intervention was conducted 12 times for 4 weeks. A total of 33 participants were used in the final analysis. The outcomes were measured using the face pain rating scale, Center for Epidemiological Studies Depression Scale (CES-D), and modified United States Renal Data System tools. Results: As a result of the pre-homogeneity test between the two groups, it was confirmed that the sexes were not homogeneous. Therefore, sex was treated as a covariate and analyzed. Puncture pain was significantly reduced in the experimental group (p<.001). However there was no significant difference between the groups in depression and noncompliance. Conclusion: Ethyl chloride spray was convenient and effective pain management intervention for both hemodialysis patients and medical staff.

• Child Health Nursing Research
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• 제12권4호
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• pp.462-469
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• 2006

Purpose: This study was done to verify the effects of preeducation and health contract on anxiety and adaptability of children with leukemia when undergoing a spinal puncture. Methods: Children in experimental group 1 (10) were given preeducation prior to the procedure and children in experimental group 2 (13), a health contract. Children in the control group (16) received the regular hospital preparation. Observation tools were used to evaluate adaptability and anxiety. Heart rate and oxygen saturation was also used as a measure of anxiety. The data were analyzed using the SPSS program. Results: Compared with the control group, experiment groups 1 and 2 showed significant difference in adaptability regarding the number of assistants and test posture. Experiment groups 1 and 2 showed significant difference in voice tone and movement level when compared with the control group. Elevation level in heart rate showed significant differences between the three groups. Conclusions: Preeducation and nursing mediation through health contracts were shown to be effective methods to reduce anxiety and increase adaptability in children with leukemia who were undergoing a spinal tap.

• Asian Pacific Journal of Cancer Prevention
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• 제17권12호
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• pp.5153-5157
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• 2016

Objective: The benefits of screening and early detection of breast cancer, including reduced morbidity and mortality, have been well-reported in the literature. In 2011, a breast cancer screening program was launched in Meknes-Tafilalt region of Morocco. The aim of this study was to evaluate the early performance indicators of this program. Materials and Methods: This retrospective evaluative study was conducted between April 2012 and December 2014, in Meknes-Tafilalt region of Morocco. Several performance indicators of the breast cancer screening program were calculated: the compliance rate, the positivity rate, the referral rate, the cancer detection rate and the organizational indicators. Results: During 2012-2014, a total of 184,951 women participated in the breast cancer screening program. The compliance rate was 26%, the positive rate was 3.3%, the referral rate was 36.7%, and the cancer detection rate was 1.2 per 1,000 women. The median time between the date of clinical breast examination and the date of biopsy (or cyto-puncture) was 36 days. The median time between the date of positive mammography and the date of biopsy (or cyto-puncture) was 6 days. The median time between the date of clinical breast examination and the date of the first received treatment was 61 days. Conclusions: The program needs better monitoring, as well as implementation of quality assurance tools to improve performance in our country.

• 노인정신의학
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• 제16권1호
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• pp.17-23
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• 2012

The diagnosis of Alzheimer's disease (AD) is still obscure even to specialists. To improve the diagnostic accuracy, to find at-risk people as early as possible, to predict the efficacy or adverse reactions of pharmacotherapy on an individual basis, to attain more reliable results of clinical trials by recruiting better defined participants, to prove the disease-modifying ability of new candidate drugs, to establish prognosis-based therapeutic plans, and to do more, is now increasing the need for biomarkers for AD. Among AD-related biochemical markers, cerebrospinal beta-amyloid and tau have been paid the most attention since they are materials directly interfacing the brain interstitium and can be obtained through the lumbar puncture. Level of beta-amyloid is reduced whereas tau is increased in cerebrospinal fluid of AD patients relative to cognitively normal elderly people. Remarkably, such information has been found to help predict AD conversion of mild cognitive impairment. Despite inconsistent findings from previous studies, plasma beta-amyloid is thought to be increased before the disease onset, but show decreasing change as the disease progress. Regarding other peripheral biochemical markers, omics tools are being widely used not only to find useful biomarkers but also to generate novel hypotheses for AD pathogenesis and to lead new personalized future medicine.