• 한국건설관리학회논문집
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• 제4권3호
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• pp.95-101
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• 2003

제약이론은 특정한 관리기술을 개발하는데 사용되는 접근방법이며, 철학이다. 운영관리상에 적용되었던 소설 "The Goal"에 의해서 처음으로 널리 보급되었다. 1997이후로 프로젝트관리의 두 가지 영역에서 적용되어 왔으며, 그 첫 번째 적용은 단일프로젝트에 대한 공기단축과 프로젝트 통제관리의 간소화를 위한 공정관리분야이며, 두 번째 적용은 동시에 수행되는 여러 프로젝트에 의해서 공유되는 자원의 효과적 관리이다. 이 논문은 프로젝트 관리에 적용된 제약이론인 애로사슬(Critical chain)의 원리에 대해서 연구하고, 국내의 건설프로젝트에 적용하는 것을 목적으로 한다.

• 중환자간호학회지
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• 제4권2호
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• pp.47-60
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• 2011

Purpose: The purpose of this study was to develop a standardized education protocol for peritoneal dialysis patients. Methods: First, the demand for education was investigated from the 27 patients on peritoneal dialysis and 16 guardians, and later, the standardized nursing education protocol has been developed through the comprehensive literature review and the critical analysis of the related studies. Contents validity and applicability have been tested through the expert group survey. Results: The standardized peritoneal dialysis nursing education protocol with 9 areas and 20 items has been developed. The content validity for timing and duration, contents, method, and place of education proposed by the protocol were all above than 0.8. In terms of the applicability of the protocol, the experts scored between 4.20 to 4.93 for all items except one. The item on home visit education acquired the lowest applicability score, because there might exist potential restrictions in visiting patient's home. Conclusion: The standardized education protocol developed in this study turned out to be adequate by representing high content validity for all items and the applicability also was high except the item on home visit education. Further researches to test the effects of this education protocol should be done.

• Tuberculosis and Respiratory Diseases
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• 제58권6호
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• pp.576-581
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• 2005

배 경 : 기관지 방선균증은 매우 드문 질환이다. 본 연구는 최근 10년간 조직학적으로 진단된 7명의 기관지 방선균증 환자의 임상상과 치료에 대해 살펴보고자 하였다. 대상 및 방법 : 1994년 10월부터 2003년 12월까지 삼성서울병원에 내원하여 기관지 방선균증으로 진단된 7명의 임상적, 방사선학적 특징과 치료에 대해 후향적 분석을 시행하였다. 결 과 : 기침과 가래가 가장 흔한 임상증상이었다. 진단까지의 기간은 중앙값 4개월(범위 1-16개월)이었다. 흉부 방사선 소견은 기관지내 종괴와 동반된 경화 또는 무기폐가 6명에서 관찰되었고 1명에서 기관지내 결절이 관찰되었으며, 이중 5명에서 기관지결석이 동반되었다. 이들 환자의 정주용 항생제 사용기간은 중앙값 3일(범위 0-12일)이었으며, 경구용 항생제 사용 기간은 중앙값 147일(범위 20-412일)이었고, 2명의 환자는 정주용 항생제를 사용하지 않았다. 모든 환자에서 치료 후 임상적, 방사선학적으로 호전의 소견을 보였다. 결 론 : 기관지결석을 동반한 기관지내 병변이 있을 때 기관지 방선균증을 의심하여야 한다. 항생제 치료기간은 병변의 진행 정도, 치료에 대한 반응 등을 고려하여 개별화할 수 있을 것이며, 모든 환자에서 2-6주의 정주용 항생제에 이은 6-12개월의 경구용 항생제의 사용이 필요하지는 않을 것이다.

• 대한토목학회논문집
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• 제35권6호
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• pp.1269-1276
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• 2015

수문모형 기반의 강우강도-지속시간-홍수량(IDQ) 곡선을 이용하여 홍수예보에 활용하는 기법을 소개하고 그 성능을 평가하였다. 이를 위하여 계측된 유역의 자료를 이용하여 집중형 모형의 검보정을 실시하고 하천의 특보 홍수량에 준하는 등가강우량을 산정하였다. 특보홍수량과 선행함수상태별 IDQ 곡선을 산정되면 발생 가능한 여러 시나리오에 대비할 수 있다. 시범대상유역은 강원도에 위치한 원주천 유역 ($94.4km^2$)이며 주의보 수위(계획홍수량의 50%)와 경보 수위(계획홍수량의 70%)에 해당하는 IDQ 곡선이 산정되었다. 과거 10년간의 자료로부터 선행함수 조건별 IDQ곡선의 홍수예보능력을 평가한 결과, 탐지확률은 0.704, 경보실패율은 0.136, 임계성공지수는 0.633으로 나타났으며, 단일 조건의 IDQ 곡선을 적용한 홍수예보능력에 비해 더 나은 평가지수를 얻을 수 있었다.

• 한국연초학회지
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• 제20권2호
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• pp.166-171
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• 1998

In order to improve the efficiency of F$_1$ hybrid seeds production(KF 114), some experiments were carried out in a greenhouse this year. Mother plant(MSNC567) and pollen plant(NC) were grown in some pots (30 x 30cm, WxH). The gathered pollens were mixed with celite, pollen deluent dusts and stored in refrigerator at l$0^{\circ}C$ before pollination. To establish the critical range of the mixed rate and the storage period of pollens, the change in a percent of capsule set, number of seed and seed weight per capsule, weight of 1000 seeds and germination percent of seed resulted of pollination with pollen deluent dusts were investigated. The results are as follows; Percent of capsule set showed the mixed rate 1:5 resulted in no difference and those of 1:10 and 1:20 decreased about 5 ～15% when compared with trials using pollen alone. There was no difference among duration of storage in a same mixed rate. Numbers of seed per capsule showed a significant difference among the mixed rates and among durations of storage. Numbers of seed per capsule were decreased about 55 ～ 90 % as the mixed rate increase, about 2 ～ 28 % as the duration of storage increase. Weight of seed per capsule decreased about 16 ～ 23 % as the duration increase and decreased about 3 ～ 89 % as the mixed rate increase when compared with trials using pollen alone. Weight of 1000 seeds showed non significant difference among duration of storage but were higher than trials used pollen alone as the mixed rate increase.

• 대한약침학회지
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• 제23권1호
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• pp.25-29
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• 2020

Objectives: Heavy menstrual bleeding has a significant effect on women's daily life and health consequences for theirs. Attention to women's and girls' menstrual health is critical for their health. This study presents the results of a novel research on the effect of chamomile capsule on the amount of bleeding, and the duration and interval of menstrual cycles. Methods: The current study was a randomized, double-blind, clinical trial, which was carried out on 118 female students living in dorms of Guilan University of Medical Sciences. The participants were divided into two groups of 59, each receiving either chamomile capsule 250 mg or placebo three times a day, for an interval beginning from 7 days before the starting menstruation till the next onset. Higham chart is the pictorial blood loss assessment to determine the amount and duration of menstrual bleeding. Data were analyzed using SPSS version 20. Alpha was set at 0.05 for all analyses. Results: The average amount of bleeding in the chamomile group decreased after taking the capsule (p = 0.001). However, statistical tests did not show any significant difference in terms of duration and interval between two bleeding in both the experimental and control groups (p > 0.05). Conclusion: The present study showed that the chamomile capsule decreases the amount of menstrual bleeding and can be used as a therapeutic method. Conclusion:The present study showed that the chamomile capsule decreases the amount of menstrual bleeding and can be used as a therapeutic method.

• 한국농공학회논문집
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• 제60권5호
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• pp.17-27
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• 2018

The objective of this study is to identify the priority area where the nonpoint source pollution (NPS) management is required and to set up the load reduction goals for the identified priority area. In this study, the load duration curve (LDC) was first developed using the flow and water quality data observed at 286 monitoring stations. Based on the developed LDC, the priority area for the NPS pollution management was determined using a three-step method. The 24 watersheds were finally identified as the priority areas for the NPS pollution management. The water quality parameters of concern in the priority areas were the total phosphorus or chemical oxygen demand. The load reduction goals, which were calculated as the percent reduction from current loading levels needed to meet target water quality, ranged from 67.9% to 97.2% during high flows and from 40.3% to 69.5% during moist conditions, respectively. The results from this study will help to identify critical watersheds for NPS program planning purposes. In addition, the process used in this study can be effectively applied to identify the pollutant of concern as well as the load reduction target.

• Tuberculosis and Respiratory Diseases
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• 제84권3호
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• pp.217-225
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• 2021

Background: Despite the proven benefits of dexamethasone in hospitalized coronavirus disease 2019 (COVID-19) patients, the optimum time for the administration of dexamethasone is unknown. We investigated the progression of COVID-19 pneumonia based on the timing of dexamethasone administration. Methods: A single-center, retrospective cohort study based on medical record reviews was conducted between June 10 and September 21, 2020. We compared the risk of severe COVID-19, defined as the use of a high-flow nasal cannula or a mechanical ventilator, between groups that received dexamethasone either within 24 hours of hypoxemia (early dexamethasone group) or 24 hours after hypoxemia (late dexamethasone group). Hypoxemia was defined as room-air SpO₂ <90%. Results: Among 59 patients treated with dexamethasone for COVID-19 pneumonia, 30 were in the early dexamethasone group and 29 were in the late dexamethasone group. There was no significant difference in baseline characteristics, the time interval from symptom onset to diagnosis or hospitalization, or the use of antiviral or antibacterial agents between the two groups. The early dexamethasone group showed a significantly lower rate of severe COVID-19 compared to the control group (75.9% vs. 40.0%, p=0.012). Further, the early dexamethasone group showed a significantly shorter total duration of oxygen supplementation (10.45 days vs. 21.61 days, p=0.003) and length of stay in the hospital (19.76 days vs. 27.21 days, p=0.013). However, extracorporeal membrane oxygenation and in-hospital mortality rates were not significantly different between the two groups. Conclusion: Early administration of dexamethasone may prevent the progression of COVID-19 to a severe disease, without increased mortality.

• Acute and Critical Care
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• 제33권4호
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• pp.238-245
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• 2018

Background: Infection by multidrug-resistant (MDR) pathogens leads to poor patient outcomes in intensive care units (ICUs). Contact precautions are necessary to reduce the transmission of MDR pathogens. However, the importance of the surrounding environment is not well known. We studied the effects of ICU relocation on MDR respiratory pathogen detection rates and patient outcomes. Methods: Patients admitted to the ICU before and after the relocation were retrospectively analyzed. Baseline patient characteristics, types of respiratory pathogens detected, antibiotics used, and patient outcomes were measured. Results: A total of 463 adult patients admitted to the ICU, 4 months before and after the relocation, were included. Of them, 234 were admitted to the ICU before the relocation and 229 afterward. Baseline characteristics, including age, sex, and underlying comorbidities, did not differ between the two groups. After the relocation, the incidence rate of MDR respiratory pathogen detection decreased from 90.0 to 68.8 cases per 1,000 patient-days, but that difference was statistically insignificant. The use of colistin was significantly reduced from 53.5 days (95% confidence interval [CI], 20.3 to 86.7 days) to 18.7 days (95% CI, 5.6 to 31.7 days). Furthermore, the duration of hospital stay was significantly reduced from a median of 29 days (interquartile range [IQR], 14 to 50 days) to 21 days (IQR, 11 to 39 days). Conclusions: Incidence rates of MDR respiratory pathogen detection were not significantly different before and after ICU relocation. However, ICU relocation could be helpful in reducing the use of antibiotics against MDR pathogens and improving patient outcomes.

• 한국건축시공학회지
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• 제4권3호
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• pp.109-116
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• 2004

Normally easy task of plat in urban architecture is that using underground full of activities for increase building site efficiency. Especially for using underground space for the parking lot. Also utilize underground is more increase for fulfill requirement in modern society considered with environmental friendly architecture. The primary objective of this study is to apply analyzed formal foundation type for selecting the optimum type of parking lots considered with structural stability, economical efficiency, construction efficiency, construction duration. This study aim to on criteria decided through the questionaries for the selection considered with in the scale of second stories parking lots underground, parking volume is 80 and reinforced concrete structure. The bearing capacity is 6～8m and downward from surface, healthy ground bearing capacity is 40 t/m2. This study comparative analysis and discuss economical efficiency, construction efficiency, construction duration based constructivist stability which applied Single foundation, Mat foundation, Drop Mat foundation. The result of this study is as follows: First, the result of economical efficiency is that on the basis of single foundation, Drop Mat foundation is 1.88, Mat foundation 2.04 as a comparative analysis on the basis of total construction cost included material cost, labor coast and machinery cost. Second, the result of construction efficiency order is single foundation, Drop Mat foundation, Mat foundation as a comparative analysis on the based connected characteristics. Third, the result of construction duration is that on the basis of Mat Foundation, Drop Mat foundation is 1.33, single foundation is 1.87 as a comparative analysis Critical Path. Forth, Each foundational type characteristics order through the matrix method is that overall each formal type of foundation contraries at economical efficiency and construction efficiency, construction duration. Also expect contradiction between engineers and owners due to engineer pursuit construction duration and ewer to begin with economical efficiency. Fifth, The selection of suitable foundation formal type needs that based consider project characteristic and field condition as according to above result of a comparative analysis. As a result, a comparative analysis economical efficiency, construction efficiency, construction duration of Mat foundation, Drop Mat foundation, single foundation with 3Bay reinforced structure underground parking lots on the healthy ground.