• 정신신체의학
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• 제16권2호
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• pp.81-86
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• 2008

섬망은 자연적으로 발생하는 상태는 아니며 더욱이 내인성 질환은 아니다. 그러나, 섬망은 일부 특정인구 집단에서 발생하는 데, 노인 또는 내과적 상태가 악화된 환자들에서 흔히 발생된다. 이것은 체계적인 섬망역학 연구의 제한점으로 작용한다. 일반 인구 집단에서는 그 발생이 상대적으로 적기 때문에 섬망에 대한 많은 역학 연구들은 노인에 집중되었다. 그리고, 연구에 사용된 섬망 평가도구들의 민감도와 특이도도 매우 다양하다. 노령, 남자, 불량한 인지 및 기능 상태, 그리고 알코올 남용이 잘 알려진 섬망의 위험 인자들이다. 저자는 노인, 치매 환자, 고관적 골절 환자, 중환자실 입원 환자, 말기 암 환자, 그리고 뇌졸중 환자에서의 섬마의 역학에 대하여 다루게 될 것이다.

• 대한간호학회지
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• 제40권4호
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• pp.463-472
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• 2010

Purpose: This study was done to develop a web-based education program for nurses working in nursing homes. The focus was on the rights of older adults. Methods: The program was designed based on the Network-Based Instructional System Design (NBISD) model and was operated and evaluated between July 2007 and June 2008. Results: Out of nursing records of 40 residents from a nursing home, the final 7 cases were deducted through classification using the Resource Utilization Group (RUG)-III. The data on needs for education was collected from 28 nurses working in 15 nursing homes located in Seoul and Gyeonggi Province, who agreed to complete a self-report questionnaire. A comprehensive review of the literature and two focus groups interviews were used to search for risk factors and guidelines for protection of human rights. The education program was developed based on Kolb's experiential learning model and composed of 5 units, which included content on types of human rights and rights to death with dignity, elder abuse, physical liberty, and self-determination. The program was positively evaluated showing a score of 3.35 (SD=0.37) out of 4. Conclusion: The educational program developed in this study should promote nurses' sensitivity to the rights of elders and improve nurses' behaviors in protecting the rights of elders residing in nursing homes.

• 디지털융복합연구
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• 제15권2호
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• pp.511-518
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• 2017

본 연구는 원하지 않은 성관계 요구에 대한 여대생들의 반응 유형을 살펴보고, 그 특성을 알아보기 위하여 실시하였다. 이를 위해 수도권과 지방 소재의 2개 대학 여대생 332명을 대상으로 설문조사를 실시하였고, 원하지 않은 성관계에 대한 반응척도에서의 점수 분포에 대한 군집분석을 통해 '주장형'과 '순응형'의 두 집단을 구분하였다. 주장형에 비해 순응형의 성경험, 원하지 않은 성관계 응낙 경험이 많았고, 성관계 응낙의 동기가 높았다. 또한 순응형은 애착이 불안정하고, 거부민감성이 높고 외로움이 많았다. 이러한 결과를 활용하여 원하지 않은 성관계의 부정적인 결과를 예방하기 위한 보건, 교육 및 심리적 시사점과 개입 방안에 대하여 논의하였다.

• 천문학논총
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• 제30권2호
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• pp.621-624
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• 2015

We present the current status (as of August 2014) of SPICA (Space Infrared Telescope for Cosmology and Astrophysics), which is a mission optimized for mid- and far-infrared astronomy with a cryogenically cooled 3m-class telescope. SPICA is expected to achieve high spatial resolution and unprecedented sensitivity in the mid- and far-infrared, which will enable us to address a number of key problems in present-day astronomy, ranging from the star-formation history of the universe to the formation of planets. We have carried out the "Risk Mitigation Phase" activity, in which key technologies essential to the realization of the mission have been extensively developed. Consequently, technical risks for the success of the mission have been significantly mitigated. Along with these technical activities, the international collaboration framework of SPICA has been revisited, which resulted in la arger contribution from ESA than that in the original plan. To enable the ESA participation under the new framework, a SPICA proposal to ESA is under consideration as a medium-class mission under the framework of the ESA Cosmic Vision. The target launch year of SPICA under the new framework is the mid-2020s.

• Clinical and Experimental Reproductive Medicine
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• 제3권1호
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• pp.13-19
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• 1976

Serum levels of human placental lactogen have been measured by hemagglutination-inhibition reaction in 67 normal pregnant state and in 15 postpartum 24 hour state, HAIR is less sensitive and reliable method than radioimmunoassay, but simple, rapid, less expensive and fairly accurate, so it is more helpful in screening of large antenatal population with or without high risk complications. 1) Sensitivity of HPL-HAIR test kit was $0.1{\mu}g$/ml of H.P.L. serum level and had no cross reaction to HCG or male serum or non-pregenant female or newborn infant, 2) H.P.L. value was around $2{\mu}g$/ml until 24th week of pregnancy and rose to $6{\sim}8$ ${\mu}g$/ml continuously until about 36th week of pregnancy and then slightly decreased or stationary. 3) H.P.L. value in postpartum 24 hour state was undetectable. 4) There was poor correlation between maternal serum H.P.L. value at term and baby weight.

• Food Science and Biotechnology
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• 제16권1호
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• pp.67-70
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• 2007

Mackerel (Scomber japonicus) often causes severe allergic reactions in sensitive people. Food containing undeclared mackerel may pose a risk to such people. The major allergenic protein in fish such as mackerel, codfish, and Alaska pollack has been found to be parvalbumin. In this study, we developed a polymerase chain reaction (PCR) method to detect mackerel DNA using primers corresponding to the parvalbumin gene. We cloned and sequenced 1.5 kb of parvalbumin gene by PCR using mackerel genomic DNA as a template. Nucleotide sequence analysis of genomic parvalbumin gene, composed of 4 exons and 3 introns, allowed the selection of two pairs of oligonucleotide primers specific for mackerel. These primers successfully enabled PCR amplification of specific regions of genomic parvalbumin DNA from mackerel, but no amplification from 8 other fish samples, surimi, and 6 boiled fish pastes. The sensitivity of this method was sufficient to detect 5 ng of purified mackerel DNA mixed with 50 ng of surimi DNA. This rapid and specific method for the detection of allergenic mackerel would be beneficial in reducing food allergy caused by the ingestion of hidden allergen in processed food.

• 한국강구조학회 논문집
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• 제19권2호
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• pp.223-231
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• 2007

풍속의 확률분포를 고려한 통영생산기지 LNG 하역설비인 Unloading arm의 신뢰성해석을 수행하였다. 기상대의 풍속 관측기록을 이용하여 풍속의 극치분포를 추정하였으며 구조물에 가해지는 풍하중은 풍속과 풍압계수를 적용한 분포하중으로 고려하였다. 하역설비는 판요소와 입체요소를 이용하여 모델링하였고 지면접촉부는 접촉요소를 이용하여 압축력에만 저항하도록 하였다. 신뢰성해석을 위해서 주요부위의 최대응력을 표현하는 응답면을 구하였으며 이 값이 허용응력 및 항복응력을 초과하는지의 여부를 신뢰함수로 정의하여 파괴확률을 구하였다. 또한, 재료강도의 저하가 파괴확률에 미치는 영향을 파악하기 위하여 민감도 분석을 수행하였다.

• Nuclear Engineering and Technology
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• 제30권6호
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• pp.531-540
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• 1998

The DYLAM-3 code which overcomes the limitation of event tree/fault tree was applied to LOOP (Loss of Off-site Power) in the mid-loop operation employing HEPs (Human Error Probabilities) supplied by the ASEP (Accident Sequence Evaluation Program) and the SEPLOT (Systematic Evaluation Procedure for Low power/shutdown Operation Task) procedure in this study. Thus the time history of core uncovery frequency during the mid-loop operation was obtained. The sensitivity calculations in the operator's actions to prevent core uncovery under LOOP in the mid-loop operation were carried out. The analysis using the time dependent HEP was performed on the primary feed & bleed which has the most significant effect on core uncovery frequency. As the result, the increment of frequency is shown after 200 minutes duration of simulation conditions. This signifies the possibility of increment in risk after 200 minutes. The primary feed & bleed showed the greatest impact on core uncovery frequency and the recovery of the SCS (Shutdown Cooling System) showed the least impact. Therefore the efforts should be taken on the primary feed & bleed to reduce the core uncovery frequency in the mid-loop operation. And the capability of DYLAM-3 in applying to the time dependent concerns could be demonstrated.

• Journal of Welding and Joining
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• 제23권6호
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• pp.61-66
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• 2005

A probabilistic approach for evaluating failure risk is suggested in this paper. Probabilistic fracture analyses were performed for a pressurized pipe of a Cr-Mo steel reflecting variation of material properties at high temperature. A crack was assumed to be located along the weld fusion line. Probability density functions of major variables were determined by statistical analyses of material creep and creep crack growth data measured by the previous experimental studies by authors. Distributions of these variables were implemented in Monte Carlo simulation of this study. As a fracture parameter for characterizing growth of a fusion line crack between two materials with different creep properties, $C_t$ normalized with $C^*$ was employed. And the elapsed time was also normalized with tT, Resultingly, failure probability as a function of operating time was evaluated fur various cases. Conventional deterministic life assessment result was turned out to be conservative compared with that of probabilistic result. Sensitivity analysis for each input variable was conducted to understand the most influencing variable to the analysis results. Internal pressure, creep crack growth coefficient and creep coefficient were more sensitive to failure probability than other variables.

• Journal of Microbiology
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• 제43권spc1호
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• pp.65-84
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• 2005

Invasive candidiasis is associated with high morbidity and mortality. Clinical diagnosis is complicated by a lack of specific clinical signs and symptoms of disease. Laboratory diagnosis is also complex because circulating antibodies to Candida species may occur in normal individuals as the result of commensal colonization of mucosal surfaces thereby reducing the usefulness of antibody detection for the diagnosis of this disease. In addition, Candida species antigens are often rapidly cleared from the circulation so that antigen detection tests often lack the desired level of sensitivity. Microbiological confirmation is difficult because blood cultures can be negative in up to 50% of autopsy-proven cases of deep-seated candidiasis or may only become positive late in the infection. Positive cultures from urine or mucosal surfaces do not necessarily indicate invasive disease although can occur during systemic infection. Furthermore, differences in the virulence and in the susceptibility of the various Candida species to antifungal drugs make identification to the species level important for clinical management. Newer molecular biological tests have generated interest but are not yet standardized or readily available in most clinical laboratory settings nor have they been validated in large clinical trials. Laboratory surveillance of at-risk patients could result in earlier initiation of antifungal therapy if sensitive and specific diagnostic tests, which are also cost effective, become available. This review will compare diagnostic tests currently in use as well as those under development by describing their assets and limitations for the diagnosis of invasive candidiasis.