• 대한임상검사과학회지
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• 제54권1호
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• pp.73-77
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• 2022

혈액제제(BPs)는 한정적인 자원이다. 혈액제제는 가장 적절하게 사용되어야 하지만 근거 기반 없이 무분별하게 사용되고 있는 것이 사실이다. 본 연구는 헤모글로빈 수치를 기준으로 혈액제제의 사용 적절성을 평가하는 것을 목적으로 하였다. 2020년 11월 1일부터 2021년 10월 31일까지 병원에서 수행된 혈액 공급 데이터는 병원의 디지털 종합의료정보시스템을 활용하였다. 총 제공 건수는 21,303건이었고, 진료과별로 사용하는 농축적혈구제제의 공급 중 헤모글로빈 수치(>7.0 g/dL)의 경우는 1,173건으로 나타났다. 수혈의 오남용은 사회적 비용을 증가시키고, 수혈의 적절성은 더욱 중요해지고 있어, 각 의료기관은 수혈지침 평가지표를 검토하고, 수혈지침의 혈액제제 방출 현황 및 수혈지침의 교육프로그램을 점검하여 적절성을 평가해야 할 것으로 사료된다.

• 한국토양비료학회지
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• 제45권4호
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• pp.628-634
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• 2012

Release of veterinary antibiotics (VSs) to agricultural environment through application of animal manure and/or animal manure-based composts to soils is of concern. The current study was conducted to examine decline of VAs during composting the chicken manure. For this, antibiotics free chicken manure (20 kg) and sawdust (10 kg) were added to the bench-scale composting apparatus and then the mixed material was spiked simultaneously with three VAs (chlortetracycline, CTC; sulfamethazine, SMZ; tylosin, TYL) at two different levels (10 and $20mg\;kg^{-1}$). Then the decline of VAs was determined using Charm II system during 53 composting period. For comparison, composting only chicken manure was included at VAs concentration of $10mg\;kg^{-1}$. During composting, the concentration of all three different VAs declined below the prospective guideline values ($0.8mg\;kg^{-1}$ for CTC, $0.2mg\;kg^{-1}$ for SMZ, and $1.0mg\;kg^{-1}$ for TYL) except CTC at $20mg\;kg^{-1}$ spiking when the chicken manure was composted together with sawdust. Interestingly, CTC at $10mg\;kg^{-1}$ spiking appeared to be declined under the guideline value without sawdust while SMZ was resistant to be declined without sawdust. Unlike CTC and SMZ, TYL showed immediate decline right after spiking TYL to composting materials regardless the spiking concentration and existence of sawdust. Appropriate composting procedure of chicken manure was able to decline the residual VAs in the manure below the prospective guideline value and the importance of organic substances on this decline was perceived.

• Journal of Korean Neurosurgical Society
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• 제56권3호
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• pp.175-187
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• 2014

The purpose of this clinical practice guideline (CPG) is to provide current and comprehensive recommendations for the medical and surgical management of primary intracerebral hemorrhage (ICH). Since the release of the first Korean CPGs for stroke, evidence has been accumulated in the management of ICH, such as intracranial pressure control and minimally invasive surgery, and it needs to be reflected in the updated version. The Quality Control Committee at the Korean Society of cerebrovascular Surgeons and the Writing Group at the Clinical Research Center for Stroke (CRCS) systematically reviewed relevant literature and major published guidelines between June 2007 and June 2013. Based on the published evidence, recommendations were synthesized, and the level of evidence and the grade of the recommendation were determined using the methods adapted from CRCS. A draft guideline was scrutinized by expert peer reviewers and also discussed at an expert consensus meeting until final agreement was achieved. CPGs based on scientific evidence are presented for the medical and surgical management of patients presenting with primary ICH. This CPG describes the current pertinent recommendations and suggests Korean recommendations for the medical and surgical management of a patient with primary ICH.

• Clinical and Experimental Pediatrics
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• 제49권6호
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• pp.581-588
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• 2006

Asthma is a chronic inflammation of the airway associated with increased bronchial hyperresponsiveness that leads to recurrent episodes of cough, wheezing, breathless, chest tightness. According the recent studies, repeated airway inflammation leads to structural changes so called 'airway remodeling' and associated with decreased pulmonary function. Airway remodeling begins form the early stage of asthma and the early diagnosis and management is very important to prevent airway remodeling. Medication for asthma can be classified into acute symptom reliever and chronic controller. Short acting beta2 agonist is a well-known reliever that reduced asthma symptoms within minutes. Controllers should be taken daily as a long-term basis to control airway inflammation. Inhaled corticosteroid(ICS) is the most effective controller in current use. However, in some patients ICS monotherapy is not sufficient to control asthma. In those cases, other medications such as long acting beta2 agonist, leukotriene modifier or sustained-release theophylline should be added to ICS, which called Add-on-Therapy. Combination inhaler devices are easy to use. Oral leukotriene modifier has a good compliance especially in children. Finally, as asthma is a chronic disease, the development of on-going partnership among health care professionals, the patients, and the patients' family is necessary for the effective management of asthma.

• 한국안전학회지
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• 제34권6호
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• pp.22-28
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• 2019

In South Korea, the enact of Korean Coast Guard Act-1 manages physical and chemical oil-dispersants. Oil snare, which is made of polypropylene, is newly added to the aforementioned act, and it has advantage on the ease of recovery compare to other adsorbents. This study synthesized bunker B-oil with diesel-oil and bunker C-oil to perform an adsorption test based on three samples which were manufactured in South Korea. As a result, adsorption test revealed 5.2 g/g more adsorption than the previous results from the act. Additional toluene test revealed that all the samples satisfied 90.0%, however coloured samples could release its pigment on the marine environment. Thus, colorless samples are recommended on the risk management of marine accidents. The study on the basic direction of the calculation of the test items and the standard value for the quality control of the oil snare was also carried out.

• 토지주택연구
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• 제2권4호
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• pp.325-344
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• 2011

On November 1, 2010, the release of ISO 26000 was announced. ISO 26000 does not require 3rd party verification. But even though it is a standard that is voluntarily adopted, because the international standard for social responsibility can be applied as a trade barrier or business condition between countries, it cannot be ignored. So it is clear that we need to be alerted and prepared for this. This paper offers to help with such needs through organizations by developing an index that organizations can use to understand their current situation and diagnose themselves. This paper conducts a comparative analysis between the 7 core subjects and issues of ISO 26000, the existing indexes used by national institutions and the guideline for sustainable management report, the GRI, with the goal of developing a self-diagnostic index that organizations can utilize in order to diagnose their level of social responsibility. It is divided into the 7 core subjects with 181 measurement issues. There are 7 quantitative issues and 164 qualitative issues. The core subjects, excluding governance, are each alloted 14 points, while governance is alloted with 16 points, for a total score of 100 points. This paper is significant in that it is the first index to make self-diagnostic possible.

• 정보관리연구
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• 제41권4호
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• pp.69-91
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• 2010

제한된 예산, 고가의 패키지 구독비, 출판사 주도의 라이선스 협상 등의 불리한 환경에서 자관의 실정에 맞는 전자저널을 구성하기 위해 도서관은 전자저널 이용데이터를 수집하고 분석해야 한다. 본 연구는 전자저널 이용통계 연구 동향 및 COUNTER 3판에 근거한 이용통계 제공 현황을 살펴보고 현장에서 쉽게 활용 가능한 이용통계 분석의 가이드라인을 제시하고자 하였다. 현재 제공되는 이용통계 보고서를 기반으로 분석할 수 있는 핵심 이용통계치로 저널별 원문이용도, 저널이용률, 원문이용단가, 고이용군, 저이용군을 제안함으로써 전자저널 관리를 위한 이용통계의 효과적인 활용 방안을 다루었다.

• Journal of Acupuncture Research
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• 제36권4호
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• pp.197-203
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• 2019

The purpose of this study was to investigate useful manual therapy techniques for peripheral facial nerve palsy and to propose guidelines to be applied for current manual therapy techniques. Several databases were searched to find manual therapies for facial palsy. These therapies included cervical, and temporomandibular joint chuna manual therapy, proprioceptive neuromuscular facilitation, neuromuscular re-education, facial exercise, and mime therapy. Both cervical, and temporomandibular joint chuna manual therapy release nerve compression, helping blood circulation and nerve conduction. Proprioceptive neuromuscular facilitation uses irradiation, bilateral activation, and eccentric facilitation to improve muscle power and symmetry. Neuromuscular re-education, as a retraining tool for facial movement patterns, enhances neuromuscular feedback. Facial exercise helps the patient continuously move and massage facial muscle themselves. Mime therapy aims to develop a conscious connection between the use of certain muscles and facial expressions. The use of facial chuna manual therapy for peripheral facial nerve palsy can stimulate the proprioceptive neuromuscular receptors in the face. Peripheral facial nerve palsy has 4 phases; progress phase, plateau phase, recovery phase, and sequelae phase. Each phase needs different treatments which include relaxation, assistance, resistance, origin-insertion extension, and nerve pathway expansion.

• 한국수산과학회지
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• 제54권5호
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• pp.585-595
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• 2021

Even though most of aquatic animal pathogens are considered opportunistic and many pose a low direct risk to personnel, all personnel working with aquatic pathogens and facilities using these organisms must comply with the regulation to prevent the release of the pathogen into the environment and causing disease in aquatic animals. First of all, in order to establish a biosafety system for aquatic pathogen, the list of microorganisms that can infect aquatic animals and humans should be drawn up according to the microorganisms encountered within national boundaries. Second, risk assessment guideline for diseases of livestock and aquatic environment is desperately needed. Third, microorganisms should be classified into risk group based on their potential impact on human and aquatic environment. Fourth, facilities handling aquatic pathogens should ensure that these pathogens are securely contained and safely handled for experimental or commercial development purposes. In conclusion, classification is based on the pathogenicity, mode of transmission and host range of the aquatic microorganisms, availability of effective preventative measures and treatments. Furthermore, risk group of aquatic pathogens should be correlated with physical containment facility requirements according to domestic characteristics.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 2016년도 춘계학술대회
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• pp.20-21
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• 2016

항로표지란 해상교통의 안전을 도모하고 선박운항의 능률성을 향상시키기 위한 해양교통안전시설로서 국제적으로 IALA 규정 및 권고사항에 따라 적용하고 있다. 그 중 "새로운 위험물(New Danger)"는 항해용 해도 등의 수로서지에 미기재된 것으로 새로이 발견된 위험장해물을 라고 정의하고 있으며, 사주나 암초 등의 자연적 장해물 또는 침선과 같은 인위적 장해물을 포함한다. 이러한 새로운 위험물은 측방표지, 방위표지, 고립장해표지 등을 이용하거나 비상침선표지(Emergency Wreck Marking Buoy)를 사용하여 적절하게 표시하여야 한다. 그러나, 침선표지의 경우 설치의 신속성, 정확성, 부표의 특성 등의 문제로 인해 실질적인 설치 운영상의 문제가 제기 되고 있으며, 선박 침몰 사고의 경우 기상악화, 해역의 특성, 사고 위치의 확인이 어려워 신속한 신위험물표지(New Danger Mark) 설치가 어려운 실정이다. 이 연구는 선박 상갑판에 부착된 소형 침선표지가 선박의 실종 전복 침몰 등 해양사고 발생 시 일정수압에 의해 자동으로 이탈(Auto Release) 후 자기 부상(Auto Buoyance)하여 사고 발생 지점에 신속하고 정확하게 설치되도록 하는 시스템을 개발하고자 한다.