• 대한치과마취과학회지
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• 제14권1호
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• pp.57-62
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• 2014

Background: The aim of this study was to analyze outpatient anesthesia for dental treatment in handicapped patients with behavior disorder in order to use data for carrying out better and safe anesthetic management. Methods: The data were drawn from the 100 patients with behavior disorder who visited CNUDH dental clinic for disabled based on anesthesia record to investigate patient's systemic condition, cooperative level, anesthesia method according to patients cooperation, and side effects after recovery time. Results: Mental retardation (58%) is the most reason to choose general anesthesia. The methods of induction according to cooperative level are intravenous propofol injection in 22 cases and inhalation of sevoflurane in 78 cases. Induction time of anesthesia were within 10 seconds in cases of propofol induction and average $48.8{\pm}18.5$ seconds in cases of inhalation induction. The time spent on dental treatment was average $3.2{\pm}1.1$ hours. After the end of treatment, average time to move from unit chair to recovery bed, to recliner, and to discharge from hospital are $10.4{\pm}5.1$, $36.9{\pm}17.1$ and $72.4{\pm}16.0$ minutes, respectively. During recovery, there are nausea with 9%, vomiting with 4%, dizziness with 2%, finger injury with 1%. Conclusions: This study showed our successful anesthetic outcomes without any severe side effects or complications. Through this study, it will be used for safe anesthetic management as useful reference data.

• 한국유기농업학회지
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• 제13권2호
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• pp.129-143
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• 2005

Attempting to make an economic valuation of semi-liquid manure raises various complex questions. These are the valuation under different farming conditions, cost-benefit analysis in connection with the investment requirements of different semi-liquid manure systems, different storage capacities, transportation distances and treatment procedures. In the following, there questions will be discussed : 1. What value do the different types of semi-liquid manure have under different farming conditions? 2. Which storage capacities are economically justified? 3. Under which conditions is the transport of semi-liquid manure over long distances profitable?

• 대한장애인치과학회지
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• 제2권2호
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• pp.153-155
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• 2006

Many patients with mental retardation need extensive dental treatment because they have much difficulty in maintaining their oral hygiene. However, because they are not cooperative and not manageable, they require physical restraints, drug induced sedation or general anesthesia. General anesthesia is useful in control of the patients who cannot be treated in other ways. Additionally, general anesthesia provides more safe environment for medically compromised patients. And medical treatment can be provided simultaneously under general anesthesia. Furthermore, almost all treatment can be provided without visiting several times. This case reports of periodontal, restorative and ophthalmological treatment of patient with mental retardation under general anesthesia.

• 대한치과의사협회지
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• 제53권11호
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• pp.770-778
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• 2015

This article discusses how to conduct treatment planning and decision making in special needs dentistry. Special needs patients often lack cooperative ability during dental treatment and have a deteriorated oral health status. To overcome the limitation in communication with special needs patients and solve their complicated dental problems, dentists need to have extensive preoperative information about the patients and their caregivers. Treatment procedures should be organized in a patient-centered and cost-effective manner. Additionally, clinical outcomes need to be predicted taking into consideration of the patients' condition. The clinical experience of committed dentists is another factor that enhances the benefits of extensive treatment in special needs patients with many limitations. The insightful treatment decision-making of dentists will contribute to improving the oral health of special needs patients despite the various obstacles.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 1994년도 교수 연수회(역학)
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• pp.234-249
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• 1994

• 음성과학
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• 제11권2호
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• pp.27-38
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• 2004

This study attempted to determine the effects of a cooperative and cognitive group therapy compared to individual therapy in 24 aphasic subjects. Two dependent variables were measured overall language performance, functional communication skills. 18 subjects with different types and severity of aphasia participated in the group therapy. 6 aphasic subjects participated in the individual therapy and they functioned as a control group. The subjects were ranged from 27 to 59 years in age. The group therapy using the cooperative learning utilized the following procedures. First, 6 aphasics constituted 1 group where each subject peformed a task and they monitored one another. Second, 2 aphasics consisted 1 group and they cooperated to perform a task. Third, 3 groups with 2 aphasics in a group competed one another in a task where the 2 aphasics had to cooperated. Finally, the investigator gave the feedback to the group and she and the subjects discussed the overall procedures of the therapy. The above mentioned 2 tests were administered pre- and post-treatment. A repeated two-way ANOVA was performed for analysis. The results showed that the group therapy was more effective in improving overall language performance as compared to the individual therapy. And, the group therapy was more effective in increasing functional communication skills as compared to the individual therapy.

• 동의생리병리학회지
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• 제26권5호
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• pp.773-777
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• 2012

Since 2010, in general hospital, they can install western medical post, traditional Korean medical post, and dental post. So the environment is made for the Cooperative medical system between traditional Korean medicine(TKM) and western medicine(WM) to be performed. So we found out about how doctors think about TKM and what is needed for TKM & WM cooperative system to work well. When we found out about how recognition changed about TKM during their medical school years and after they became doctors, positive answer increased from 25.6% to 30%, negative answer decreased from 41.9% to 32.0%, severely negative increased from 9.3% to 16%. They changed to positive about TKM after they became doctors. But severely negative also increased. The element they lose faith in TKM is their doubt about the scientific aspects of TKM. On the other hand, severely negative recognition was also raised. 73.8% of respondents thought the most effective treatment of TKM was for myalgia. 33.3% of them answered the chance to encounter TKM was the mass media, indicating its limitation. 60.5% of them considered major reason for negative evaluation of TKM is its non-scientific aspects and only 30.9% said TKM treatment could be recommended to patients at the hospital. Doctors in WM for recognition on TKM is mostly negative and major reason is its non-scientific aspects. As the solution to this problem, scientification of TKM is suggested through research projects. These connections must be resolved to smoothly work interdisciplinary system of TKM and WM.

• 한국수학교육학회지시리즈E:수학교육논문집
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• 제34권2호
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• pp.161-177
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• 2020

본 연구는 고등학생을 대상으로 실험집단과 비교집단을 구성하고, 일대다(一對多) 튜토링 협동학습을 실시하였다. 집단 간 점수 차이와 집단별 사전·사후 점수 차이에 대한 유의성 검증은 비모수 통계기법을 사용하였으며, 학생들의 정의적 영역을 살펴보기 위하여 개방형 설문조사 2회와 개별 면담하였다. 실험집단과 비교집단 간 점수 차이는 통계적으로 유의하지 않았지만, 세 집단의 사전·사후 수학 점수 차이 검증 결과는 실험집단만 통계적으로 유의한 차이가 있었다. 그리고 학생교사는 일반학생을 가르치는 동안 자신을 성찰하고 자기효능감이 향상되었으며, 일반학생은 학생교사에게 도움을 받음으로써 수업에 대한 재미와 관심을 더 두게 되고 자신감이 향상되었다. 수학 교과 역량 측면은 의사소통, 문제해결, 추론, 태도 및 실천 역량이 향상되었음을 알 수 있었다.

• 대한화학회지
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• 제46권4호
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• pp.377-384
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• 2002

본 연구에서는 학생들이 사전 성취 수준에 따른 협동적 컴퓨터 보조 수업의 쇼과를 개념 이해도, 개념 적용력, 학습 동기 측면에서 조사하였다. 서울시의 중학교 2개 학급을 대상으로 분자 운동 단원에 대해 5차시 동산 수업을 실시하였다. 수업 처치 전, 학습 동기 검사를 실시하여 공변인으로 사용하였다. 사전 학업 성취도 검사 점수는 개념 관련 변인의 공변인으로 사용하였다. 중간고사 과학 성적을 조사하여 구획변인으로 사용하였다. 수업처치 후 , 개념검사, 개념 적용력 검사, 학습 동기 검사를 실시하였다. 이원 공변량 분석 결과 개념 검사와 개념 적용력 검사 점수에서는 처치 집단과 통제 집단 사이에 유의미한 차이가 없었다. 그러나 학습 동기 검사에서는 처치 집단의 점수가 통제 집단에 비하여 유의미하게 높았다.

• 한국과학교육학회지
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• 제20권1호
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• pp.174-182
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• 2000

본 연구에서는 협동학습을 적용한 공통과학 수업에서 학생의 의사소통 불안 수준을 고려한 소집단 구성의 효과와 의사소통 불안에 따른 차이를 조사하였다. 고등학교 세 학급 (112명)을 협동학습 두 반과 전통학습 한 반으로 무선 배치하였다. 협동학습 두 반의 학생들을 의사소통 불안 검사 점수에 기초한 의사소통 불안 수준에 따라서 이질 집단과 동질 집단으로 구성하였다. 11차시 동안 물질에 관한 수업 후, 학업 성취도, 자아존중감, 과학 학습 동기, 그리고 협동학습 과정에서의 의사소통 능력 부족에 대한 인식과 도움 받기에 대한 기대감을 조사하였다. 이원 변량 분석 결과 학업 성취도에서는 주효과나 상호작용 효과가 없었다. 그러나, 과학 학습 동기의 네 하위 범주 가운데 관련성과 만족감 점수에서 수업 처치의 주효과가 유의미하였다. 사후 비교에서 이질 집단의 점수가 통제 집단보다 유의미하게 높았다. 협동학습 과정에서의 도움 받기에 대한 기대감에 대해서는 이질 집단의 점수가 동질 집단보다 높았다. 의사소통 불안 상위 수준의 학생들은 하위 수준보다 자아존중감이 더 낮았고, 의사소통 능력에 대한 부족함을 많이 느꼈다.