• 대한간호학회지
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• 제30권3호
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• pp.720-730
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• 2000

Malnutrition is a common problem in cancer patients. In addition anticancer drugs used in chemotherapy as a major therapeutic mode are famous as the side effect like nausea, vomiting, which lead the patients to malnourished state. This study was to determine the relationship of anorexia, nausea, vomiting and oral intake and identify the influence these side effects on the nutritional status in patients receiving chemotherapy. To assess the nutritional status, anthropometry such as weight, height, body mass index(BMI), body fat proportion, and triceps skinfold thickness, and biochemistry test such as hemoglobin and lymphocyte were measured at the pre- and post- chemotherapy and the readmission time, all three times. During chemotherapy, anorexia, nausea, and vomiting using a VAS or 5-point scale and 24 hour oral intake using a food record were measured daily. Forty-nine patients knowing their diagnosis and receiving chemotherapy were recruited from an oncological ward in a general hospital for 5 months and they were reduced 31 at readmission time for a next chemotherapy. The results were as follows. Most subjects (93.6%) were in the 4th stage of cancer and 57.1% of subjects were in the first or the second chemotherapy. In most subjects(82.6%), their weight was decreased 10.7% than as usual. The degree of anorexia, nausea, and vomiting was significantly higher and the amount of oral intake was significantly less during the chemotherapy than at the pre-chemotherapy. Weight, BMI, triceps skinfold were reduced more at the post- chemotherapy than the pre-chemotherapy and were recovered the nearly same but less level at the readmission time. Body fat proportion was increased at the post chemotherapy and then decreased at the readmission phase. Hemoglobin and the number of lymphocyte were below normal at the pre-chemotherapy and more reduced at the readmission time. Anorexia, nausea, and vomiting were related positively and oral intake was negatively related with nausea and vomiting. The nutritional status at the post- chemotherapy and the readmission time was explained 20% over by the side effect like anorexia, nausea, vomiting and oral intake during the chemotherapy. The significant nutrition predictors at the post- chemotherapy were vomiting and the significant predictors at the readmission time were anorexia, vomiting, and oral intake. These results indicated the patients receiving chemotherapy were continued to deteriorate the nutritional status. Therefore nurse should have knowledge how much the nutritional status can be affected and assess the nutritional status periodically and try to find out the intervention for side effects from the series of chemotherapies.

• 한국터널지하공간학회 논문집
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• 제23권4호
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• pp.265-280
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• 2021

도시화로 인한 인구의 집중은 도심지 지하공간 개발을 촉발시켰으며, 그로인해 진동과 소음으로 인한 환경문제 및 민원이 많은 발파공법보다 진동과 소음에 대한 영향이 없는 TBM공법에 많은 관심을 가지게 되었다. 이런 이유로 TBM에 대한 많은 연구가 진행되었으나 TBM 장비의 커터헤드 개구부가 굴착되는 지반조건에 따라 폐색되는 특성에 대한 연구는 미비한 실정이다. 그렇기 때문에 쉴드 TBM 굴진 시 커터헤드 개구부의 폐색현상을 연구하기 위해 축소모형시험을 진행하였다. 쉴드 TBM 장비의 커터헤드 개구부 폐색현상을 규명하기 위해 점토비(10%, 30%, 50%), 커터헤드 개구율(30%, 50%, 60%), 커터헤드 회전방향(일방향, 양방향) 및 회전속도(3 RPM, 6 RPM)을 변수로 실험조건을 달리하여 36가지의 Case에 대해 축소모형실험을 진행하였다. 쉴드 TBM 폐색현상에 대한 축소모형실험 결과, 점토가 함유된 지반 조건은 양방향 회전이 일방향 회전보다 폐색영향이 증가하고 커터헤드의 회전속도가 낮을수록 폐색영향이 적은 것으로 나타났다. 그에 따라 지반 굴착 시 지반조건을 고려하여 커터헤드 회전 방향, 회전 속도 및 개구율을 산정한다면 폐색 영향을 저감할 수 있을 것이다. 폐색영향이 저감됨에 따라 공사기간의 단축에 효과적일 것으로 사료된다. 따라서 본 연구는 해당연구가 전무한 국내 쉴드 TBM 시공 시 그 활용에 있어 중요한 자료가 될 것으로 판단된다.

• 자원환경지질
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• 제50권2호
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• pp.159-170
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• 2017

다공성 구조의 장석과 주택 시방기준으로 제작된 바닥 축열층 모르타르의 열적 특성과 소비전력을 비교하였다. 실험을 위해 온수관이 설치된 2개의 실대형 모형을 제작하였다. 자외선 열화상 온도와 온도센서를 이용하여 가열과 냉각과정에서 축열층의 온도변화를 모니터링하였다. 시험동의 축열층은 $20-30^{\circ}C$ 구간의 온도 범위의 가열조건에서 $2-3.5^{\circ}C$ 높은 온도를 보였고 목표 온도에 도달하는 시간이 단축되었다. 온수관에서 멀어질수록 $4-4.8^{\circ}C$ 이상의 차이를 보였고 이는 장석 기반의 모르타르 축열층이 열적 평형에 빨리 도달하는 것을 지시한다. 가열 온도 $30^{\circ}C$를 기준으로 산정한 소비전력은 2.2배 차이를 보였고 단계별 온도 상승에서 소비전력은 66% 절감되었다. 냉각에서 시험동의 표면온도는 지속해서 $2^{\circ}C$ 이상 높았고 축열로 인해 보일러의 재가동 시간이 연장되는 것을 고려하면 에너지 효율은 더 증가할 것이다.

• 한국산림과학회지
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• 제104권1호
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• pp.127-132
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• 2015

본 연구의 목표는 청소년의 사회성 증진을 위해 산림 체험 프로그램을 적용하여 프로그램이 청소년의 우울감, 불안감, 자아상에 미치는 영향을 확인하고자 하는 것이다. 서울북부교육지원청 관내 14세에서 19세 사이의 청소년 47명을 대상으로 국립공원관리공단에서 개발한 산림 체험 프로그램을 적용하였다. 프로그램 전후로 연구 참가자의 우울감, 불안감과 자아상 발달 정도를 측정하기 위하여 Children's Depression Inventory(CDI), Revised Child Manifest Anxiety Scale(RCMAS), Offer Self Image Questionnaire-Revised(OSIQ)를 사용하였다. 프로그램 전후로 상태의 개선 정도를 확인하기 위해 paired-T test를 사용하였다. 연구 결과, CDI는 프로그램 전 $12.41{\pm}8.34$점에서 프로그램 후 $8.65{\pm}9.48$점으로 통계적으로 유의한 감소를 보였다. 허구척도가 8점 이상인 16명을 제외한 31명을 분석하였을 때 RCMAS 총점은 프로그램 전 $14.87{\pm}7.30$점에서 프로그램 후 $10.81{\pm}7.81$점으로 감소하였다. 전체 자아상 척도(total self-image scale, tsi)는 프로그램 시행 전 $398.40{\pm}41.86$점에서 $401.92{\pm}67.08$점으로 통계적으로 유의한 차이는 관찰되지 않았으나 하위 척도인 자신감 척도(self-confidence, SC)는 $29.94{\pm}3.71$점에서 $38.11{\pm}6.45$점으로 통계적으로 의미 있게 상승하였다. 다른 하위 척도인 이상주의 척도(idealism, I)는 $21.03{\pm}3.80$점에서 $23.17{\pm}3.89$점으로 통계적으로 의미있게 상승하였다. 따라서 산림 체험 프로그램은 청소년의 우울감과 불안감을 감소시키고 청소년들이 당면한 상황에 잘 적응할 수 있도록 도와주며 타인을 기꺼이 도울 수 있는 태도를 가지는데 영향을 준다.

• 지역사회간호학회지
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• 제6권1호
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• pp.55-73
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• 1995

An Effect of Muscle Strength Training Program on Muscle Strength, Muscle Endurance, Instrumental Activities of Daily Living and Quality of Life in the Institutionalized Elderly Recent statistics shows that the aged are the fastest growing segment of our population by increasing life span. The age group of over 60 shows multiple health problems and the most serious handicapping problem of these. are related to the changes in muscular skeletal system. With aging, people lose. their muscle mass and muscle strength resulting from biological changes and physical inactivity. Studies documented a 30-50% loss of muscle mass in an advanced age and thus, ordinary life activities can be seriously affected due to weakened muscle strength. Preservation of muscle strength of lower limb is especially important in the aged. Since it is readily affected from reduced physical activity in old age, sometimes to the detriment of moving or walking. So muscle strength exercise program designed for the elderly to improve leg muscle strength and leg muscle endurance. The research design used was nonequivalent control group pretest - protest design. The purposes of this study were to test the effect of muscle strength exercise program utilizing Leg Press on muscle strength, muscle endurance, instrumental activities of daily living(IADL), cognitive perceptual variables and quality of life. Forty nine subjects participating in this study consisted of twenty four male and twenty five female. Twenty four experimental group subjects were selected from C-institution in Chung Buk province, and twenty five control group subjects were selected from O-institution in Chung Nam province. The mean age of subjects was 72.8 years. Muscle strength training program utilizing Leg Press for the experimental group was carried out three times a week for 9 weeks. The data was collected from August, 1993 to October, 1993. Data were analyzed with $X^2-test$, t-test, ANCOVA test, Kruskal Wallis 1-Way ANOVA test using SPSS PC program. Results were obtained as follows : 1) The experimental group showed significantly higher scores on muscle strength (leg lift strength, back lift strength and grip strength) and muscle endurance than control group after the experiment $\ulcorner$F=52.35(p=.001), F=54.07(p=.001), F=6.97(p=.011), F=18.17(p=.001)$\lrcorner$ 2) Experimental group were significantly higher scores on IADL than control group(F=7.51, p=.009). 3) Experimental group showed significantly higher scores on economical state and self esteem aspects of the quality of life scale than control group $\ulcorner$F=10.59(p=.002), F=6.97(p=.011)$\lrcorner$. But there were no differences in emotional state, physical and functional state and relationship with reatives in the quality of life between groups. 4) Scores on IADL showed a significant difference with the level of muscle strength and muscle endurance $\ulcornerx^2=7.73(p=.025),\;x^2=8.86\;(p=.011)\lrcorner$ 5) Scores on self esteem and physical and functional state aspects of the quality of life scale showed a significant difference with the level of IADL $\ulcornerx^2=11.39(p=.003),\;x^2=9.02(p=.011)\lrcorner$. 6) Scores of experimental group after the experiment in cognitive perceptual variables (perceived benefit on exercise, perceived health status, self efficacy, emotion on exercise) were significantly higher than those of control group $\ulcorner$F=32.09(p=.001), F=5.07(p=.029), F=20.63 (p=.001), F=30.38(p=.001)$\lrcorner$. As a result of this study, the effect of strength training exercise program with Leg. Press had improved muscle strength, muscle endurance, IADL, and the perception of self esteem, physical and funtional state, and economical state. Thus strength training program could be beneficially applied for the prevention of disablity and promotion of health and wellbeing in the aged easily and safely. The subjects in the experimental group have maintained their exercises till six months after the cessation of the experiment. This seem to illustrate that changes in cognitive perceptual variables and the improvement in health status have reinforced motivation for the continuation of voluntary exercises. A further study is necessary to determine the factors affecting maintainance of muscle strength exercise and to assess the effect of weight training program on bone density.

• 한국건축시공학회지
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• 제9권4호
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• pp.55-61
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• 2009

현재 국내의 건설공사현장에서는 도심부에 대형 건설사를 중심으로 초고층 건축물의 시공이 진행 중에 있다. 그런데 이러한 초고층 건축물의 기초는 상부의 큰 하중을 지지하기 위해 매우 두꺼운 매트 콘크리트가 필수적이다. 그러나 이와 같은 매스 콘크리트는 현장여건상 다량의 콘크리트를 동시에 타설할 수 없기 때문에 일체성에 의문이 제기되는 것은 물론이고 수화발열시간의 서로 다름에 따른 내응력에 의한 균열발생 가능성이 증가한다. 따라서 본 연구에서는 상기의 문제점을 해소시키고자 국내 모처에 건설되고 있는 초고층 건축물을 대상으로 초지연제의 응결시간차를 활용한 수평분할타설 건축 매스 콘크리트의 수화열 조정공법을 실제 건축현장에 적용하고자 Mock-up test를 통하여 그 효율성을 확인하였다. 실험결과 초지연제 투입 전 후슬럼프 플로우는 목표 지연시간이 길어질수록 다소 증가하였고, 공기량은 큰 차이는 없는 것으로 나타났으며, 응결시간은 목표 지연시간이 길어질수록 지연되었다. 목표 지연시간이 길어질수록 초기재령에서는 압축강도가 작게 나타났으나, 재령이 경과할수록 강도증진 폭이 크게 되어 재령 28일에서는 보통 콘크리트보다 동등 혹은 그 이상을 나타내었다. 또한 2단 및 4단으로 초지연제에 의한 응결시간차공법을 활용한 경우 하부와 상부간 콘크리트의 일체화 및 온도차를 낮추고, 수화열 피크시점이 후기로 늦어짐에 따라 균열발생가능성을 저하시키는 효과를 확인할 수 있었는데, 특히 4단 타설에서 가장 양호한 효과가 나타남을 확인할 수 있었다.

• 상하수도학회지
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• 제21권6호
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• pp.727-735
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• 2007

The use of water by cities is increasing owing to industrialization, the concentration of population, and the enhancement of the standard of living. Accordingly, the amount of waste water is also increasing, and the degree of pollution of the water system is rising. In order to solve this problem, it is necessary to remove organisms and suspended particles as well as the products of eutrophication such as nitrates and phosphates. This study developed a high-end treatment engineering solution with maximum efficiency and lower costs by researching and developing a advanced treatment engineering solution with the use of Biosorption. As a result, the study conducted a test with a $50m^3/day$ Pilot Scale Plant by developing treatment engineering so that only the secondary treatment satisfies the standard of water quality and which provided optimal treatment efficiency along with convenient maintenance and management. The removal of organisms, which has to be pursued first for realizing nitrification during the test period, was made in such a way that there would be no oxidation by microorganisms in the reactor while preparing oxygen as an inhibitor for the growth of microorganism in the course of moving toward the primary settling pond. The study introduced microorganisms in the endogeneous respiration stage to perform adhesion, absorption, and filtering by bringing them into contact with the inflowing water with the use of a sludge returning from the secondary settling pond. Also a test was conducted to determine how effective the microorganisms are as an inner source of carbon. The HRT(Hydraulic Retention Time) in the nitrification tank (aerobic tank) could be reduced to two hours or below, and the stable treatment efficiency of the process using the organisms absorbed in the NAR reactor as a source of carbon could be proven. Also, given that the anaerobic condition of the pre-treatment tank becomes basic in the area of phosphate discharge, it was found that there was excellent efficiency for the removal of phosphate when the pre-treatment tank induced the discharge of phosphate and the polishing reactor induced the uptake of phosphate. The removal efficiency was shown to be about 94.4% for $BOD_5$. 90.7% for $COD_{Cr}$ 84.3% for $COD_{Mn}$, 96.0% for SS, 77.3% for TN, and 96.0% for TP.

• 한국산학기술학회논문지
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• 제19권12호
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• pp.272-278
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• 2018

최근 도시개발과 생활수준의 향상으로 인해 교통량이 크게 증가하고 있으며, 이와 더불어 증가되는 도로 소음으로 인해 많은 민원이 제기되고 있다. 이에 대한 대책으로 도로변에 높은 방음벽이 설치되고 있으나 방음벽 주요 설계 요건인 풍하중은 공사비의 기하급수적인 증가뿐만 아니라 방음벽 높이 제한의 요인으로 작용하게 된다. 이에 본 연구에서는 기존 방음벽 수준의 차음 성능과 더불어 풍하중을 획기적으로 저감할 수 있는 우수한 가격 경쟁력의 방음벽을 개발 하는 것을 목적으로 한다. 본 연구 대상의 방음판은 헬름홀츠의 공명기 이론을 바탕으로 공기와 같은 유체는 통과하고 소음은 저감할 수 있는 신개념 통기형 방음판에 해당된다. 본 연구에서는 실 크기의 금속재 방음판을 제작하여 음압투과손실실험, 풍동실험 및 재료품질 실험을 수행하여 고속도로의 품질기준을 만족하는 결과를 도출하였다. 또한 신뢰성을 검증하기 위해 현장에 제작 및 설치를 하고 시간대 별로 소음을 측정하여 방음판의 소음 차단 효과를 확인하였다. 향후 도로에 통풍형 방음벽을 설치할 경우 높은 소음 차단 효과로 인하여 쾌적한 생활환경을 조성할 수 있을 것으로 예상된다.

• Corrosion Science and Technology
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• 제14권2호
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• pp.47-53
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• 2015

Recently, the bending process is greatly applied to fabricate the pipe line. Bending process can reduce welding joints and then decrease the number of inspection. Thus, the maintenance cost will be reduced. Induction heat bending process is composed of bending deformation by repeated local heat and cooling. By this thermal process, corrosion properties and microstructure can be affected. This work focused on the effect of induction heating bending process on the properties of ASME SA106 Gr. C low carbon steel pipes. Microstructure analysis, hardness measurements, and immersion corrosion test were performed for base metal and bended area including extrados, intrados, crown up, and down parts. Microstructure was analyzed using an optical microscope and SEM. Hardness was measured using a Rockwell B scale. Induction heat bending process has influenced upon the size and distribution of ferrite and pearlite phases which were transformed into finer structure than those of base metal. Even though the fine microstructure, every bent area showed a little lower hardness than that of base metal. It is considered that softening by the bending process may be arisen. Except of I2, intrados area, the others showed a similar corrosion rate to that of base metal. But even relatively high rate of intrados area was very low and acceptable. Therefore, it is judged that induction heat bending process didn't affect boric acid corrosion behaviour of carbon steel.

• 한국농공학회논문집
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• 제58권3호
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• pp.29-38
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• 2016

There have been only a few studies focused on the stabilization of metal (loid)s in anaerobic soils such as paddy soils. In this study, laboratory-scale column tests were conducted to artificially manipulate anoxic conditions in submerged paddy fields and we observed the release behavior of As, Cd, Pb, and Zn, as well as to examine the stabilization effect of steel refining slag (SRS) on the metal(loid)s. The leachate samples were collected and chemical parameters were monitored during the test period. Results suggest that anoxic conditions were developed during submersion, and that As or heavy metals (particularly Cd) fractions bound to ferrous (Fe) /manganese (Mn) oxides were easily dissociated. Moreover, As is also reduced by itself to a trivalent form with higher mobility in the reducing environment of rice paddy soil. However, it was also shown that SRS significantly decreased the dissolution of Zn, Pb, Cd, and As in the the leachates; their removal rates in the SRS-treated soil were 66 %, 45 %, 24 %, and 84 %, respectively, of those in the control soil.