• 종양간호연구
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• 제1권2호
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• pp.204-216
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• 2001

The purpose of this study was to test the effects of foot reflexology on pain and mood in patients who have just had a mastectomy. The research design was a nonequivalent control group, non-synchronized design. The participants for this study were 28 patients with breast cancer on first or second day after mastectomy surgery. The first 12 patients were assigned to the control group and the second 16 to the experimental group. The study was conducted from October 28, 2001 to December 22, 2001 on a surgical unit of Y Medical Center in Seoul, Korea. Pain intensity, blood pressure, pulse rate and mood were measured as dependent variables. The instrument used for pain intensity and mood was a 10 cm visual analogue scale. Cronbach alpha for this study was .70. For the experimental group pre and post tests were done immediately before and 15 minutes after completion of foot reflexology. Foot reflexology was performed once for 20 minutes. After the pretest, patients in the control group were instructed to have a quiet time for a 35 minute period and then the post-test was done. The number of participants was small so the data were analyzed by Mann-Whitney U test, and Wilcoxon signed ranks test. The results of this study are as follow : 1. In the experimental group there were significant decreases between the pre and post tests for pain intensity (z=-3.47, p<.001), diastolic blood pressure (z=-2.67, p<.01) and pulse rate (z=-3.44, p<.001) but there was no difference between the two groups on the post test. 2. The systolic blood pressure, diastolic blood pressure and pulse rate were also not significantly different between the experimental group and the control group on the post test. 3. The mood score was significantly improved after foot reflexology(z=-3.52, p=.000) and the difference between the two groups was also significant (u=49.0, p=.03). In conclusion, there was a statistically significant difference in mood between the two groups, but no difference for pain intensity, blood pressure, or pulse rate. However, there were significant differences between the pretest and post-test for pain intensity, diastolic blood pressure and pulse rate in the experimental group. On the basis of the above findings, this study suggests that foot reflexology can be an effective method of relieving pain and improving mood in clinical practice in women who have had mastectomy surgery.

• 한국작물학회지
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• 제47권3호
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• pp.244-249
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• 2002

콩나물 재배시 침지조건과 방법에 따른 품종별 형태적 특성과 수분흡수율 및 생육특성을 비교한 결과는 다음과 같다. 1 외형적 특성은 100립중이 평균 9.0$\pm$2g인 소립종으로, 종피색은 황색이며 구형인 것이 좋으며, 공시 품종 중 풍산나물콩이 양호한 것으로 나타났다. 2. 나물콩 품종의 수분흡수율은 품종간에 다소의 차이가 인정되었으며, 준저리와 길림3호는 온도가 높을수록 수분흡수율이 높았고, 풍산나물콩의 경우는 20-$25^{\circ}C$구간에서 양호하였다. 3. 침지 후 콩 종실의 길이는 l10mm 이상에 도달하는 시간이 약 15시간, 두께의 경우는 건수침 반복은 침지완료 이후, 1회 침지는 3시간이후, 무침지는 9시간이후 이었고, 콩 종실의 수분흡수는 수온이 2$0^{\circ}C$이내인 경우 1회 침지구나 건수침 반복구의 경우 초기 3시간 이내에 급속하게 이루어졌다. 4. 콩의 발아율은 2$0^{\circ}C$에서 1시간 처리구와 15$^{\circ}C$에서 2시간 처리한 것에서 품종간의 차이가 인정되었으며, 발아세의 경우 길림 3호는 침지방법과 처리온도에 관계없이 양호하였고, 준저리와 풍산나물콩의 경우는 3시간 침지구에서 처리온도에 관계없이 가장 양호하였다. 5. 콩나물의 길이는 다른 무침지와 1회침지 방법에 비해 건수침 반복구에서 빠른 생육을 보였고, 두께의 증가는 1회 침지구가 건수침 반복구보다 양호하였다.

• 농업과학연구
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• 제29권1호
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• pp.66-83
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• 2002

The economic feasibility analysis including benefit-cost ratio and internal rate of return of a land consolidation and on-farm development project was mainly depended upon the direct benefits and costs arising during project life. Therefore the projects were neglected in allocating the government's financial funds and loans on account of the low economic rate of return of the project. Accordingly the extended benefit-cost analysis method should be introduced and adapted to cover not only the benefit s such as non-market values of environmental and food security fun ct ions of the project but also market values of the project outputs. The main purposes of this study are (1) to prepare a guide line for economic feasibility analysis based on the IBRD and ADB guidelines, (2) to estimate the benefits from productivity increase, labor saving, savings of O&M cost of farm mechanization and project facilities, savings of farmer's burden for their public health, increasing environmental and public functional value of paddy fields, improving food security condition and formation of peaceful and uncontroversial rural society by implementing the land consolidation and on-farm development, (3) to introduce the newly adapted analytical method as the extended benefit cost analysis which could make possible to be included the values of non-market goods such as the food security and the environmental public function of paddy fields. To carry out this study, the existing publications on the guidelines for economic agricultural projects were reviewed and consultation was made with a For the post evaluation study of the land consolidation and on-farm development project, field survey in Jigok and other comparative area were made to get available information. According to the project completion report, Jigok land consolidation and on-farm development project has 55ha of benefit area out of 69ha of gross area. The project was started in November 11th, 2000 and completed october 30th, 2001. The total project costs were amounted to 2,548 million won and the annual project benefits were estimated at 335million won evaluated by domestic market prices. The ERR(Economic Rate of Return) and SRR(Social Rate of Return) of the project based on the shadow pricing system were estimated at 4.4% and 16% respectively. On the other hand, the ERR and SRR based on the domestic market value system were amounted to 6.37% and 14.62%. In conclusion, Korean land consolidation and on-farm development projects have not carried out from the view point of economic rate of return under shadow pricing system but from the view point of domestic pricing system. For the future feasibility studies on land consolidation projects have to be carried out including the non-market values as environmental and food security function of the projects.

• 대한교통학회지
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• 제35권3호
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• pp.210-219
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• 2017

친환경 교통수단으로 주목받고 있는 전기자동차는 우리나라에서도 2011년부터 지속적으로 보급대수가 증가하고 있다. 전기자동차 보급에 따라 충전 인프라 확대를 위하여 본 논문에서는 전기자동차 보급률이 높고 충전인프라가 비교적 잘 구축되어 있는 제주도 사례를 바탕으로 충전소 이용행태를 분석하여 기존 충전소의 효율적 운영방안과 추가적인 충전시설 설치 시 고려할 요소에 대하여 분석하고자 하였다. 전기자동차 충전소가 있는 읍면동별 급속충전기와 완속충전기 이용특성과 시설의 유형에 따라 시간대별 이용특성을 분석하였다. 제주도에 설치된 충전기의 이용 빈도를 분석한 결과, 급속충전기와 완속충전기 이용 빈도 모두 특정지역에 편중된 이용률이 나타났다. 유형별 충전소 이용은 급속충전기와 완속충전기 모두 업무시설과 공영주차장에 설치된 충전기 이용률이 높았으나, 시간대별 이용률을 보면 급속충전기는 오후시간 전반에 걸쳐 이용률이 높은 반면, 완속충전기 이용은 오전시간에 집중되어 있었다. 이러한 이용특성을 반영하여 이용자들이 전기자동차 충전소를 효율적으로 이용할 수 있도록 이용률이 낮은 충전소를 안내하는 홍보방안과 충전기를 이용할 때에 주의사항 및 충전완료 알림서비스 등을 제공하는 것이 필요할 것이다. 또한, 아직 충전기가 설치되지 않은 지역을 충전기 설치대상지역으로 고려하고, 이에 더불어 충전기 이용률이 높은 지역과 시설에 추가 설치가 이루어져야 한다. 실제 전기자동차 충전행태 분석 결과를 활용하여 실질적인 서비스 향상이 가능할 것으로 기대된다.

• Radiation Oncology Journal
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• 제22권4호
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• pp.247-253
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• 2004

목적: 하인두암은 대부분 진행되어 진단이 되며 예후가 불량한 것으로 알려져 있다. 이에 4기 병기 하인두암에서 선행 항암화학요법 후 방사선치료를 시행하여 반응과 생존율에 미치는 영향을 알아보고자 하였다. 대상 및 방법: 1989년 7월부터 2000년 2월까지 원격전이가 없었던 AJCC 병기 4기의 하인두암으로 진단되어 선행 항암화학요법후 방사선치료를 받았던 18예를 대상으로 후향적 분석을 하였다. 선행화학요법은 5-FU와 cisplatln을 병용하여 3주 간격으로 모든 환자에서 2회 시행하였다. 총방사선량은 원발병소와 전이된 임파절에 $6834\~72.0$Gy까지 조사하였다(중앙값: 70.2 Gy). 결과: 추적관찰기간은 7개월에서 99개월이었다(중앙값 28개월). 3년 생존율 및 무병생존율은 각각 $41.7\%$, $31.1\%$였다. 6예($33.3\%$)에서 3년 이상 후두 보존이 가능하였다. 선행 항암화학요법 후 16예($88.8\%$)에서 부분관해를 보였고, 완전관해, 무반응은 각각 1예($5.6\%$)에서 관찰되었다. 모든 치료가 끝난 후 치료 반응으로 완전관해는 13예($72.2\%$), 부분관해가 5예($27.8\%$)로 반응률은 $100\%$였다. 생존율에 영향을 미치는 예후인자에 대한 분석에서 선행 항암화학요법과 방사선치료 후에 완전관해를 보인 군과 부분관해를 보인 군의 3년 생존율과 무병생존율이 각각 $43.1\%$ $20.0\%$와 $39.6\%$, $20.0\%$로 의미있는 차이를 보였으며(p=0.0003, p=0.002) 모든 치료가 끝난 후 최종 치료 반응만이 통계학적으로 유의성이 있었다. 결론: 4기 병기 하인두암에서 선행 항암화학요법 후의 방사선치료는 심각한 부작용없이 효과적이었다.

• 한국습지학회지
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• 제15권4호
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• pp.461-469
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• 2013

하수관거정비 임대형민자사업(BTL)은 많은 예산이 투입되어 전국적으로 시행되었으나 사업시행 후 나타난 사업효과에 대한 종합적인 검토는 미흡한 실정이다. 또한, 일부 사업의 경우 준공 후 측정된 유량 Data의 신뢰성 문제 및 과다한 I/I(침입수/유입수) 발생량 등으로 인해 사업의 성과에 대한 문제제기와 I/I지표의 운영평가 적용과 관련한 논란이 지속적으로 제기되고 있는 실정이다. 따라서 본 연구에서는 '05년 JC군 하수관거정비 임대형민자사업(BTL) 등 시설물 준공 후 운영성과평가가 진행 중인 연구대상 사업 15개 사업에 대하여 사업효과분석, 유량계 설치 실태 분석 및 개선방안 등을 검토하였다. 검토결과 하수관거정비 임대형민자사업(BTL) 시행 후 하수처리장 운영효율 개선, 하수관거 침입수 발생비율 저하, 주변하천 수질개선 등의 효과가 나타난 것으로 분석되었으며, 유량계 설치 및 운영 현황 조사결과 나타난 주요 문제점에 대해서는 본 연구의 개선방안 적용시 보다 신뢰성 있는 유량 데이터가 확보될 수 있는 것으로 검토되었다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제23권4호
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• pp.324-331
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• 2001

The present study was aimed to investigate the effects of latency period on alveolar ridge distraction using the intraoral distraction device. Nine adult mongrel dogs of either sex, weighing about 15kg, were used. They were divided into 3-day, 5-day, and 7-day groups according to the latency period. The left upper and lower premolars and first molars were extracted. Twelve weeks after the extraction, an osteotomy was performed and the distraction device was applied. After the latency period, the distraction was applied at a rate of 1.2mm for 8 days. The distraction device was left in place for 2 weeks to allow consolidation and was then removed. The animals were sacrified at 8 weeks after completion of distraction and were examined macroscopically, radiographically, and histologically. After completion of the distraction, the alveolar crest protruded prominently, showing the vertical augmentation of the alveolar bone. Soft tissues were broken down after the 6th day of distraction in 3-day latency group, and premature union occurred on the 7th day of distraction in the 7-day latency group. The average distance was $9.40{\pm}0.3mm$ in 3-day latency group, $9.35{\pm}0.1mm$ in 5-day latency group, and $8.85{\pm}0.1mm$ in 7-day latency group. In the radiograph taken at 8 weeks after distraction, there was slight bone resorption around the medial and distal edges of the alveolar bone segment, and a new bone deposition was observed in the neighboring alveolar crest area in all groups. Fibrous tissues were present in a part of the buccal cortical bone area of the distraction gap, and the woven and lamellar bones were observed in the distracted gap. There were bony bridges in the distraction gap in all animals examined. These results suggest that optimal time of latency period on alveolar ridge distraction using the intraoral distraction device is about 5 days in dogs, and about 7days in human beings.

• 한국응급구조학회지
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• 제16권1호
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• pp.81-90
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• 2012

Objectives: This study is to research delay time comparison for later defibrillation after hands off according to the changes in defibrillation electrodes. Study purpose: In defibrillation treatment that is the only way for cardiac arrest by arrhythmia, it is to find defibrillator device which can minimize late defibrillation delay time after important affect of hands off. Study object and method: After hands off according to the defibrillator device, we collected total 40 people for emergency medicine doctor, internal medicine doctor, general surgeon, nurse, emergency medical technician who are working at 2 CN, CS University hospitals in Gwangju Jeollanamdo district to find out hand off shock interval(HOSI). We then researched their general properties like occupation sector, experiences in clinic, gender, completion of AHA ACLS-P training and more. Then 40 participants continued ventricular fibrillation cardiac arrest simulation training (using human-model mannequin) designed by researcher and performed their roles as defibrillation operator. Each of participant used manual paddle and performed 4 times of defibrillation (150J) during 8 minutes of CPR and in 8day, the defibrillator devices were replaced from manual paddle to self-adhesive electrodes pads and 4 times of defibrillation (150J) under same simulation condition as manual paddle were performed. Study result: In comparison for delay time of later defibrillation after hands off of manual paddle and self adhesive electrodes pad, the self adhesive electrodes pad ($7.0{\pm}0.5sec$) seemed to reduce delay time of later defibrillation significantly (p<0.05) compared to manual paddle ($10.0{\pm}0.9sec$). The self adhesive electrodes pad, according to the general properties of participants, had no particular change in delay time after later defibrillation for the statistics (p>0.05) but the manual paddle had statistically significant differences for the occupation sector, experiences in clinic and gender (p<0.05). Conclusion: In defibrillation, the self adhesive electrodes pad($7.0{\pm}0.5sec$) showed short HOSI compared to manual paddle ($10.0{\pm}0.9sec$) significantly (p<0.05) and it applied identically for both existence and non-existence of ACLS-P training completion, experiences in clinic, gender and occupation sector. The manual paddle had also significant difference in experiences in clinic and occupation sector (p<0.05). which means the effect on HOSI according to the job mastery. Therefore, if the clinic experience is short or in case for the occupations without frequent defibrillation treatment has a danger of lowering success rate for the defibrillation using manual paddle. Therefore, it is true that using self adhesive electrodes pad for defibrillation electrodes when performing manual defibrillation in pre-hospital as well as in-hospital steps can generally minimize delay time of later defibrillation after hands off.

• 터널과지하공간
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• 제15권6호
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• pp.452-461
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• 2005

대면 교행 터널의 경우 차량의 교행으로 사고 위험성이 일방향 터널에 비해 1.5배 정도 높으므로 화재가 발생할 위험성도 커지게 되며, 터널내 화재시 입출구로 이용객이 대피하므로 인명 대피 완료전까지 제트팬을 가동하지 못하는 문제가 있다. 특히 장대터널의 경우 연기확산으로 인하여 대형 인명 피해가 발생하기 때문에 터널내에 별도의 인명 대피 통로와 배연 시스템을 구축하여 인명 피해를 최소화하는 것이 필요하다. 본 연구에서는 화재 시뮬레이션 및 축소모형실험을 수행하여 터널내에 구축된 배연시스템의 효과를 검증하였다. 실험결과 대피 통로만 설치시는 최종 인명 대피 시간이 335초가 소요되었으나, 배연 시스템을 구축할 때는 185초가 소요되었다. 또한 화재원 부근의 온도가 $60^{\circ}C$ 정도 감소되었으며, 연기 확산 속도는 배연 시스템 미가동시 $0.36\~0.82\;m/sec$이고, 가동시는 $0.27\~0.58\;m/sec$로 현격히 감소하였다. 위 결과로부터 대피자의 이동속도가 $0.7\~1.0\;m/sec$인 점을 고려할 때, 150 m 간격으로 설치된 피난문을 통해 안전한 대피가 가능하였다. 본 연구는 배연시스템에 대한 화재모형실험 분석을 통해 향후 대면 교행 터널의 방재에 대한 기초자료를 제공하는데 그 의미가 있다.

• Radiation Oncology Journal
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• 제31권3호
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• pp.118-124
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• 2013

Purpose: The optimal treatment of advanced maxillary sinus cancer has been challenging for several decades. Intra-arterial chemotherapy (IAC) for head and neck cancer has been controversial. We have analyzed the long-term outcome of neoadjuvant IAC followed by radiation therapy (RT) and surgery. Materials and Methods: Twenty-seven patients with advanced maxillary sinus cancer were treated between 1989 and 2002. Five-fluorouracil (5-FU, $500mg/m^2$) was infused intra-arterially, and followed by RT (total 50.4 Gy/28 fractions). A planned surgery was performed 3 to 4 weeks after completion of IAC and RT. Results: At a median follow-up of 77 months (range, 12 to 169 months), the 5-year rates of overall survival in all patients were 63%. The 5-year rates of overall survival of stage T3/T4 patients were 70.0% and 58.8%, respectively. Seven of fourteen patients with disease recurrence had a local recurrence alone. The 5-year actuarial local control rates in patients with stage T3/T4, and in all patients were 20.0%, 32.3%, and 27.4%, respectively. Overall response rate after the completion of IAC and RT was 70.3%. During the follow-up, seven patients (25.9%) showed mild to moderate late complications. The tumor extent (i.e., the involvement of either orbit and/or base of skull) appeared to be related with local recurrence. Conclusion: Neoadjuvant IAC with 5-FU followed by RT and surgery may be effective to improve local tumor control in the patients with advanced maxillary sinus cancer. However, local failure was still the major cause of death. Further investigations are required to determine the optimal treatment schedule, radiotherapy techniques and chemotherapy regimens.