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도서관 서비스 확대를 위한 독서치료의 과제 (The Task of Bibliotherapy for the Expansion of Library Service)

  • 김수경
    • 한국도서관정보학회지
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    • 제41권4호
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    • pp.241-268
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    • 2010
  • 이 연구의 목적은 도서관 서비스 확대를 위한 독서치료의 과제를 탐색하는 데 있다. 이를 위해 국내외 도서관계에서 차지하는 독서치료의 위치를 살펴보고, 2000년 이후 한국의 도서관에서 이루어진 독서치료의 성과와 한계를 점검하여 도서관 서비스로서 독서치료의 확대 방안에 대해 살펴보았다. 이 방안으로는 네가지 문제, 즉 독서치료 용어의 문제, 독서치료에 대한 사서의 인식과 수용, 독서치료 교육과 훈련 과제와 도서관의 독서치료 서비스 확대 방안에 대하여 논의하였다.

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Efficacy of Carcinogenic Embryonic Antigen in Differential Diagnosis of Diseases of Pancreas and Liver - A Comparative Study in a Tertiary Care Hospital of Western Nepal

  • Mittal, Ankush;Farooqui, Shamim Mohammad;Pyrtuh, Samuel;Poudel, Bibek;Sathian, Brijesh;Yadav, Shambhu Kumar
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권1호
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    • pp.275-277
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    • 2012
  • Objective: The objective of our present study was to assess the efficacy of carcinoembryonic antigen (CEA) for differentiating and diagnosis of pancreatic and liver diseases in Pokhara valley. Materials and methods: A hospital based retrospective study was carried out using data retrieved from the register maintained in the Department of Biochemistry of the Manipal Teaching Hospital, Pokhara, Nepal between 1st January, 2011 and 31st October, 2011. Estimation of CEA was performed by ELISA reader for all cases. Approval for the study was obtained from the institutional research ethical committee. Results: Of the 771 subjects, 208 (27%), 60(7.8%), 240(31.1%), 54(7.0%), 75(9.7%), 59(7.7%), 75(9.7%) cases were of active chronic hepatitis, cryptogenic cirrhosis, alcoholic cirrhosis, primary biliary cirrhosis, hepatoma, acute or chronic pancreatitis, carcinoma of pancreas respectively. The majority of cases (104) of active chronic hepatitis had CEA levels <5ng/ml(50%). CEA levels were found to be increased in cases of alcoholic cirrhosis with maximum number of cases (106) in range of 10 to 20 ng/ml (44%). There were no cases having more than 20ng/ml of CEA in primary biliary cirrhosis and acute or chronic pancreatitis. In cases of pancreatic cancer, maximum number of cases (35) were having CEA >20ng/ml(47%). Conclusion: High levels of CEA are associated with advanced stage of disease. CEA can thus provide an important improvement in the diagnosis by differentiating pancreatic cancer especially from chronic pancreatitis when there is a high suspicion of malignancy. Increased CEA levels may also signify progression from benign to malignant transformation in the liver.

Impact of Various Tumor Markers in Prognosis of Gastric Cancer -A Hospital Based Study from Tertiary Care Hospital of Kathmandu Valley

  • Mittal, Ankush;Gupta, Satrudhan Pd.;Jha, Dipendra Kumar;Sathian, Brijesh;Poudel, Bibek
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권3호
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    • pp.1965-1967
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    • 2013
  • Background: To obtain the maximum additional information about the prognosis of gastric cancer, we compared CA-50 with other previously defined markers. Materials and Methods: This hospital based study was carried out in the Department of Biochemistry of Nepalese Army Institute of Health Sciences between $1^{st}$ July 2012 and $31^{st}$ December 2012. The variables collected were age, gender, AFP, CEA, CA19-9, and CA50, assayed with ELISA reader for all cases. The cut off values for serum AFP, CEA, CA19-9, and CA-50 were 10 ${\mu}g/l$, 10 ${\mu}g/l$, 37 U/ml, and 20 U/ml, respectively according to the manufacturer's instructions. Approval for the study was obtained from the institutional research ethical committee. Results: Of the 40 examined patients, 13 patients had tumors located in the upper third of the stomach, 6 patients had tumors in the middle third, 16 patients had tumors in the lower third, and 5 patients had tumors occupying two-thirds of the stomach or more. The distribution of lymph node staging of the patients was as follows: 7 patients belonged to N0, 9 patients to N1 stage, 10 patients to N2 stage, and 14 patients to N3 stage. The statistical method of Cox proportional hazards using multivariate analysis also illustrated that tumor markers including CEA (2.802), CA19-9 (2.690), CA50 (2.101), were independent prognostic factors, as tumor size (1.603), and lymph node stage (1.614). Conclusions: The tumour markers now available, like CEA, CA 19-9 and CA 50, chiefly perceive advanced gastric cancer. The preoperative rise in those tumour marker level have a prognostic significance and may be clinically helpful in choosing patients for adjuvant management.

Significance of CA19-9 in Predicting the Prognosis of Urothelial Carcinoma: A Hospital Based Study from Nepal

  • Jha, Dipendra Kumar;Mittal, Ankush;Gupta, Satrudhan Pd;Sathian, Brijesh
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권7호
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    • pp.4067-4069
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    • 2013
  • Background: The present study was undertaken to establish any correlation of elevated levels of CA19-9 with tumor stage or grade of urothelial carcinoma. Materials and Methods: This hospital based study was carried out in the Department of Biochemistry of Nepalese Army Institute of Health Sciences between $1^{st}$ July 2012 and $31^{st}$ December 2012. Approval for the study was obtained from the institutional research ethical committee. CA19-9 was assayed with an ELISA reader for all cases and expressed in U/ml with 37U/ml taken as the cut-off upper value for normal. Results: Out of 20 cases enrolled, 15 were of urothelial carcinoma and the remaining 5 were controls. There was marked difference between the mean values of CA19-9 in cases $40.2{\pm}19.3U/ml$ of urothelial carcinoma and controls $7.98{\pm}7.34U/ml$. The number of cases in Ta, TI, T2, T3, T4 stages of urothelial carcinoma were 2, 6, 3, 3, 1 respectively. The percentage rise in CA19-9 was less with low grade tumors (22.2%) when compared with high grade tumors (66.6%) (p value $0.001^*$). The percentage of rise in CA19-9 for muscle invasive tumors was very high when compared to superficial tumors. Similarly, the percentage of rise in CA19-9 for metastatic disease was very high when compared to non-metastatic disease and it was found statistically significant (p value $0.001^*$). Conclusion: Serum CA19-9 levels predicts the prognosis of urothelial carcinoma as it is almost invariably raised in tumors having metastatic spread.

거점산지유통센터의 사과박스 구분적재 자동화 로봇 시스템 설계 및 구현 (Designing and Developing an Automatic Robot System for the Itemized Loading of Apple Boxes at the Agriculture Products Processing Center)

  • 김명식;김규익;류근호
    • 정보과학회 컴퓨팅의 실제 논문지
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    • 제21권11호
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    • pp.689-698
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    • 2015
  • 현재 농산물 물류를 담당하는 거점산지유통센터에서의 박스구분적재 작업은 대부분 수작업으로 이루어지고 있다. 농산물의 적재과정은 많은 노동력을 필요로 하며 이러한 작업은 농촌에 거주하고 있는 사람들을 시간제 고용으로 해결하였으나, 최근 농촌 고령화가 심각하게 진행되면서 노동력 확보에 어려움이 따르며 시설 자동화나 로봇이용 등 대책이 강구되고 있는 실정이다. 본 논문에서는 사과박스 구분적재 자동화를 위한 로봇 시스템을 제안한다. 제안방법은 거점산지유통센터에 컨베이어, 로봇, 바코드리더기 등의 장비와 소팅플랜, 작업통제, 제어정보생성, 모니터링의 소프트웨어 모듈을 설계하고 구현한다. 구현된 시스템을 운영 시험 및 평가를 통하여 자동화된 로봇 시스템이 기존의 수작업을 대체하여 작업효율성 향상과 안전성 문제 해결을 확인한다.

Will CFD ever Replace Wind Tunnels for Building Wind Simulations?

  • Phillips, Duncan A.;Soligo, Michael J.
    • 국제초고층학회논문집
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    • 제8권2호
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    • pp.107-116
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    • 2019
  • The use of computational fluid dynamics (CFD) is becoming an increasingly popular means to model wind flows in and around buildings. The first published application of CFD to both indoor and outdoor building airflows was in the 1970's. Since then, CFD usage has expanded to include different aspects of building design. Wind tunnel testing (WTT) on buildings for wind loads goes back as far as 1908. Gustave Eiffel built a pair of wind tunnels in 1908 and 1912. Using these he published wind loads on an aircraft hangar in 1919 as cited in Hoerner (1965 - page 74). The second of these wind tunnels is still in use today for tests including building design ($Damljanovi{\acute{c}}$, 2012). The Empire State Building was tested in 1933 in smooth flow - see Baskaran (1993). The World Trade Center Twin Towers in New York City were wind tunnel tested in the mid-sixties for both wind loads, at Colorado State University (CSU) and the [US] National Physical Laboratory (NPL), as well as pedestrian level winds (PLW) at the University of Western Ontario (UWO) - Baskaran (1993). Since then, the understanding of the planetary boundary layer, recognition of the structures of turbulent wakes, instrumentation, methodologies and analysis have been continuously refined. There is a drive to replace WTT with computational methods, with the rationale that CFD is quicker, less expensive and gives more information and control to the architects. However, there is little information available to building owners and architects on the limitations of CFD for flows around buildings and communities. Hence building owners, developers, engineers and architects are not aware of the risks they incur by using CFD for different studies, traditionally conducted using wind tunnels. This paper will explain what needs to happen for CFD to replace wind tunnels. Ultimately, we anticipate the reader will come to the same conclusion that we have drawn: both WTT and CFD will continue to play important roles in building and infrastructure design. The most pressing challenge for the design and engineering community is to understand the strengths and limitations of each tool so that they can leverage and exploit the benefits that each offers while adhering to our moral and professional obligation to hold paramount the safety, health, and welfare of the public.

계시의 수사와 정치학-긴즈버그의 「울부짖음」과 「캐디쉬」를 중심으로 (The Rhetoric of Revelation and the Politics of Prophecy: A Reading of Ginsberg's "Howl" and "Kaddish")

  • 손혜숙
    • 영어영문학
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    • 제57권4호
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    • pp.529-552
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    • 2011
  • My essay aims at reading Ginsberg's "Howl" and "Kaddish" with the concept of 'shaman-prophet-poet' to illustrate the dynamic relationship between his poetics and radical politics. Throughout his widely-ranging career, Ginsberg represents himself as a poet-prophet and commands a typical rhetoric of revelation as a way of decentering Cold War orthodoxies. While well aware of the oppressive and pervasive power of the dominant post-war ideologies, he adopts 'madness' to oppose conventional political, social, and religious institutions; by way of entering into the madness of this world and actively engaging himself as a victim, he can finally heal both himself and the world. This dual function of poet characterizes his rhetoric of revelation, but it doesn't appeal to the mainstream of American critical ideology where the post-structural approach to language and subject gives a skeptical look at any account of active human agency and humanistic belief in the possibility of language. In "Howl" and "Kaddish," Ginsburg persuades the reader of the truth of his own vision through the convincing and realistic portraits of his contemporaries as well as his own mother and family. Different from his visionary predecessors such as Emerson and Whitman, Ginsberg knew the difficulty of a negotiation between history and divine vision, and attempted to imbricate his family, friends, and even the larger social and political units within his visionary experience in order to avoid naive idealism, escapism, or solipsism. Furthermore, he deconstructs the Logos of Western prophecy and replaces it with the groundless identity and the nontheistic epistemology of Buddhism, which, in turn, leads to emptying his powerful language of absolutist meaning and prevents his prophecy from becoming re-reified as divine essentialism. Ginsberg's idea of poet and poem revitalizes the skeptical view on language and literary representation of our contemporary critical community which is unwilling to engage the experimental scope of his radical prophecy.

로맨스, 여성, 가부장제의 함수관계에 대한 독자반응비평 -제니스 A. 래드웨이의 『로맨스 읽기: 여성, 가부장제와 대중문학』을 중심으로 (Reader-Response Criticism about the Functional relation of Romance, Women and Patriarchy -Based on Janice A. Radway's Reading the Romance: Women, Patriarchy and Popular Literature)

  • 이정옥
    • 대중서사연구
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    • 제25권3호
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    • pp.349-383
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    • 2019
  • 본 논문은 제니스 래드웨이의 『로맨스 읽기: 여성, 가부장제와 대중문학』(1984)을 중심으로 로맨스 연구의 의미와 과제에 대해 고찰했다. 이 책은 문화연구와 문학연구를 조합하여 여성독자들의 로맨스 독서의 의미를 고찰하고 로맨스 텍스트를 분석한 점에서 지금까지 대표적인 로맨스 연구서로 손꼽히고 있다. 제니스 래드웨이는 여성독자공동체를 대상으로 로맨스 독서 행위의 의미를 실증적으로 고찰했다. 즉, 설문조사와 심층면담을 토대로 여성들의 로맨스 독서가 부담스러운 가부장적 일상으로부터 벗어나 탈출의 해방감을 추구하며 정서적 구원을 안겨주는 '보상문학'이라는 점을 밝혀냈다. 여성들이 선호하는 로맨스는 '만남 → 시련 → 회복 → 해피엔딩'이라는 4단계와 13개의 서사단위로 구성되어 있다. 또한 항상 미성숙한 여주인공의 정체성 불안에서 출발하여 여성의 능력으로 배려 깊은 남자로 변모한 남자주인공에 의해 여성의 본래적 가치를 인정받는 행복한 결합으로 끝을 맺는 공식을 유지한다. 따라서 로맨스는 '여성 유토피아적 판타지'를 추구하며 여성을 가부장제와 화해시키는 역할을 담당한다는 것이다. 당대 페미니스트 비평가들은 이런 주장에 대해 신랄하게 비판했다. 그러나 로맨스독서는 '여성적 읽기'이며, 로맨스는 여성의 삶과 가부장제의 함수관계를 그린 문학이라는 점을 공유한다. 다만 누구의 관점으로 볼 것인가, 여성적 유토피아의 판타지가 무엇인가에 관한 관점의 차이를 보일 뿐이다. 최근 들어 여성들의 삶의 조건과 여성독자들의 의식과 상상력이 빠르게 변화하고 있다. 이에 따라 여성 유토피아적 판타지도 이전과 현격하게 달라지고 있다. 그럼에도 가부장적 체제 내 여성의 삶은 여전히 모순적이며, 여성들의 모험적 상상력은 서브컬쳐와 같은 대안공간에서 펼쳐지고 있다. 이런 점에서 로맨스란 무엇인가, 아울러 로맨스 연구의 의미와 과제는 무엇인가라는 질문은 여전히 우리에게 남겨진 숙제이다.

Des-Gamma-Carboxyprothrombin for Early Identification and Prognosis of Hepatocellular Carcinoma - A Case Control Study from Western Nepal

  • Mittal, Ankush;Gupta, Satrudhan Pd;Sathian, Brijesh;Sreedharan, Jayadevan;Poudel, Bibek;Yadav, Shambhu Kumar;Pandeya, Dipendra Raj
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권11호
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    • pp.5773-5775
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    • 2012
  • Objective: To assess the diagnostic and prognostic value of AFP and des-gamma-carboxyprothrombin (DCP) in combination and alone for hepatocellular carcinoma. Materials and Methods: A case control study carried out in the Department of Biochemistry of Manipal College of Medical Sciences, Pokhara, Nepal between $1^{st}$ January 2010 and $31^{st}$ December 2011. The variables collected were age, gender, BMI, total proteins, albumin, AST, ALT, total bilirubin, DCP, AFP. Approval for the study was obtained from the institutional research ethical committee. Estimation of AFP was performed by ELISA reader for all cases. Analysis was done using descriptive statistics and confidence interval (CI). The data was analyzed using Excel 2003, R 2.8.0 Statistical Package for the Social Sciences (SPSS) for Windows Version 16.0 (SPSS Inc; Chicago, IL, USA) and the EPI Info 3.5.1 Windows Version. Results:The mean age of HCC cases was $53.6{\pm}14.93$ yrs. The percentage of females was less than males in both cases (23%) and controls (29%). The specificity of DCP reached 100% when its values was equal or greater than 150 (MAU/ml) for 0, 3, 6, 9, 12 months preceding the diagnosis of HCC. Similarly, the specificity for AFP was also nearly 100% when its value was equal or greater than 200 ng/ml 0, 3, 6, 9, 12 months earlier to the finding of HCC. The specificity of DCP (${\geq}40MAU/mL$) and AFP(${\geq}20$ ng/mL) in combination was 93%, 97%, 95%, 96%, 97% in respect to 0, 3, 6, 9, 12 months prior to the diagnosis of HCC. Conclusion: The combination of both DCP and AFP will improve the finding of initial HCC and the sensitivity of these markers was utmost at the time of HCC identification and noticeably lesser at former time points.

위험사회의 전개에 따른 민간경비 산업의 대응과제 - 위기관리를 중심으로 (The Improvement Measures for the Establishment of Emergency Management System in Private Security)

  • 박동균
    • 시큐리티연구
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    • 제10호
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    • pp.103-125
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    • 2005
  • 최근 위험사회 속에서 민간경비는 궁극적으로 방범${\cdot}$방제${\cdot}$방화 등의 역할을 하며, 공공성과 기업성을 갖는 총체적인 서비스 산업이다. 21세기 국가안전의 확보라는 중요성에 입각하여 민간경비 분야의 전문성 확보가 무엇보다 중요한 시점이다. 특히, 민간경비 분야에서 화재라든지 가스폭발 등과 같은 각종 재난상황에 대한 관심이 증폭되는 현 상황에서 민간경비 인력의 위기관리 능력제고는 그 무엇보다 중요하다. 이러한 맥락에서, 본 연구에서는 현대 위험사회 속에서 점차 중요해지고 있는 민간경비산업의 중요성을 관련 이론의 비판적 고찰을 통하여 재검토하고, 아울러 민간경비산업의 위기관리 대응과제를 제시하였다. 이와 같은 민간경비 산업의 대응과제를 요약하면 다음과 같다. 첫째, 민간경비 산업에 있어 위기관리 업무의 특수성과 전문성에 비추어 보다 경비원들에 대한 내실있는 교육훈련을 강화해야 한다. 둘째, 경찰과 소방 등 위기관리 유관 기관들과의 사전 협력을 강화하여 유사시 신속한 대응을 할 수 있는 연계체제를 구축해야 한다. 셋째, 시민들의 안전인식 제고를 위한 각종 정책 프로그램을 개발하여 운용하고, 이를 위해서 한국경비협회 등 민간경비 업체들의 역할홍보 활동을 강화해야 한다. 넷째, 현재 경호경비 분야의 국가 공인유일한 자격증인 경비지도사 시험제도를 민간경비원들의 위기관리 능력 극대화에 중점을 두어 시험과목과 교육 프로그램을 개선해야 한다. 다섯째, 주요 선진국들과 어깨를 나란히 할 수 있도록 민간경비 업무를 보다 확대하고, 고품질 상품을 개발해야 한다. 이러한 모든 노력들이 성공하여 민간경비 산업이 명실상부하게 미국이나 일본 등과 같이 정착하기 위해서는 정부의 민간경비 산업육성을 위한 정책적 의지가 중요하다. 이와 같은 정책적 의지를 입법화하여 한국의 민간경비 산업이 독립된 안전서비스 산업으로 자리매김 하여야 할 것이다.

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