• 제목/요약/키워드: description method

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라이프 스타일에 따른 의료기관 종사자의 환경요인과 직무만족도가 삭감률에 미치는 영향 (The Impact of Environmental Factors and Job Satisfaction of Medical Institution Workers on Reduction Rate Based on Life Style)

  • 양유정;백재성
    • 한국엔터테인먼트산업학회논문지
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    • 제14권4호
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    • pp.381-392
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    • 2020
  • 본 연구는 라이프 스타일에 따른 의료기관 종사자의 환경요인과 직무만족도가 삭감률에 미치는 영향에 대한 연구이다. 연구의 자료는 전라남·북도 병원급 이상 의료기관 종사자들을 대상으로 직접 설문조사를 통해 얻어진 575부의 설문지를 최종 분석자료로 이용하였으며, 연구의 결과는 다음과 같다. 첫째. 인구사회학적 특성에 따라 환경요인차이, 직무만족도 차이, 삭감률(입원/외래) 차이를 분석한 결과 의료기관의 환경요인은 연령, 결혼유무, 직급과 근무 년 수에서 유의한 차이를 보였으며, 직무만족도는 연령, 결혼유무, 직종과 소득에서 유의한 차이를 보였다. 입원 삭감률은 연령, 학력, 직종과 근무 년 수 외래 삭감률은 연령, 결혼유무, 직종, 직급과 근무 년 수에서 유의한 차이를 보였다. 둘째, 환경요인과 직무만족도와 삭감률의 상관을 알아보기 위해 상관관계 분석을 실시한 결과 입원 삭감률과 직무만족도는 부적 상관, 입원 삭감률과 환경적 요인은 부적 상관, 외래 삭감률과 직무만족도는 부적 상관, 외래 삭감률과 환경적 요인, 직무만족도와 환경요인은 정적 상관이 유의하게 있는 것으로 나타났다. 셋째, 환경요인과 직무만족도가 삭감률에 미치는 영향을 알아본 결과 환경요인은 입원 삭감률에 부적 영향, 직무만족도는 입원 삭감률에 부적 영향, 환경 요인은 외래 삭감률에 정적 영향을 유의하게 미치고, 직무만족도는 외래 삭감률에 부적 영향을 유의하게 미치지 않는 것으로 나타났다.

이항대립(二項對立)으로부터의 탈주 -<오목어>에서의 매체 수행 방식 분석- (Escape from Binary Opposition -Analysis of Performative Method in -)

  • 서영주
    • 만화애니메이션 연구
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    • 통권41호
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    • pp.511-531
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    • 2015
  • 애니메이션 영화를 탄생시킨 근원적 추동력은 움직이는 이미지에 대한 매혹이다. 그리고 애니메이션 이미지는 프레임과 프레임 사이에서 애니메이터와 장치들이 수행적 관계를 맺는 과정에서 발생한다. 때문에 이미지의 운동이 어떤 질료와 방식을 통해 구성되었는가를 살펴보는 것은 애니메이션 영화를 텍스트로 읽는 필수적 출발점이 될 것이다. 이러한 관점에서 본고는 서사의 전개와는 독립적인 차원에서 이미지 자체가 주제의식을 보다 감각적으로 전달하고 있는 한국 애니메이션 영화 <오목어>의 재료와 기법, 그리고 매체가 수행된 방식을 분석한다. <오목어>는 물 밖 세상에 대한 열망을 품은 물고기의 여정을 누들스크린으로 구현한 스톱모션 애니메이션 영화이다. 애니메이터 김진만은 한국에서 쉽게 접할 수 있는 식재료인 국수용 소면을 사용하여 누들스크린 애니메이션을 고안함으로써 <오목어>의 독창적이면서도 친근한 이미지를 만들어내었으며, 이를 통해 존재론적인 자아성찰과 세계에 대한 고찰을 불이사상(不二思想)에 기반하여 풀어내었다. 불이사상은 현상적으로 이분법적인 모습일지라도 우주의 진리는 분별이 없으며 본질적으로 하나의 괘로 작용한다는 이치로 서양의 이원론적 가치관과 달리 순환적이며 합일적인 동양철학에 기원하고 있다. 본 논문은 서양에서 유입된 애니메이션 매체를 한국 애니메이터가 어떻게 독자적으로 수용해내었고 이를 통해 구성된 이미지의 운동이 어떻게 불이사상이라는 주제의식을 효과적으로 전달하고 있는지를 밝힌다. 이를 위해 2장에서는 누들스크린의 형태와 구조를 살펴본다. 여기서는 애니메이션 매체의 초창기 시절 알렉세이프와 파커에 의해 고안된 핀스크린과의 유사성과 상이성이 분석될 것이며, 누들스크린과 핀스크린 두 기법의 미학적 가치와 특수성이 고찰될 것이다. 다음 3장에서는 이항대립적으로 제시되었던 이미지가 누들스크린의 속성을 활용하여 어떻게 초반의 대립 개념을 전복시키고 보다 풍성한 함의로 확장되는지를 살펴볼 것이다. 마지막 4장에서는 애니메이션 제작과정을 개방함으로써 애니메이션 매체의 허구적 환영성을 반영적으로 폭로하고 스크린 밖으로 펼쳐짐으로써 우리의 현상적 삶의 세계에 대해 질문하도록 하는 <오목어>의 열린 액자 형식에 대하여 알아볼 것이다. 그리고 이 모든 장에 걸쳐 화두로서의 불이사상이 어떻게 다루어지고 있는지를 살펴볼 것이다. 이를 통해 애니메이션 영화 이미지가 단순히 서사에 봉사함이 아니라 보다 독립적이고 확장적인 차원에서 개념을 전달하고 지각을 활성화시키며 통합적 감각 경험을 이끌어낼 수 있는지를 확인하고자 한다.

Rijndael 알고리즘을 이용한 물리 계층 ATM 셀 보안 기법 (ATM Cell Encipherment Method using Rijndael Algorithm in Physical Layer)

  • 임성렬;정기동
    • 정보처리학회논문지C
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    • 제13C권1호
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    • pp.83-94
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    • 2006
  • 본 논문에서는 미국 NIST에서 차세대 암호화 알고리즘으로 채택한 Rijndeal 알고리즘을 적용한 물리 계층 ATM 셀 보안 기법에 관한 것이다. ATM 셀 보안 기법을 기술하기 위해 물리 계층에서의 데이터 암호화 시의 표준 ISO 9160을 만족하는 데이터 보안 장치를 하드웨어로 구현하여 STM-1급(155.52Mbps) 의 ATM 망에서 암호화/복호화 과정을 검증하였다. 기존의 DES 알고리즘이 블럭 및 키 길이가 64 비트이므로 대용량 데이터 처리가 어렵고 암호화 강도가 취약함에 비해, Rijneal 알고리즘은 블럭 크기가 128 비트이며 키 길이는 128, 192, 256 비트 중 선택 가능해 시스템에 적용 시 유연성을 높일 수 있고 고속 데이터 처리 시에 유리하다. 물리 계층 ATM 셀 데이터의 실시간 처리를 위해 Rijndael 알고리즘을 FPGA로 구현한 소자를 사용하여 직렬로 입력되는 UNI(User Network Interface) 셀을 순환 여유 검사 방법을 이용하여 셀의 경계를 판별하고 셀이 사용자 셀인 경우, 목적지의 주소값 등 제어 데이터를 지니고 있는 헤더 부분을 분리한 48 옥텟의 페이로드를 병렬로 변환, 16 옥텟(128 비트) 단위로 3 개의 암호화 모듈에 각각 전달하여 암호화 과정을 마친 후 버퍼에 저장해 둔 헤더를 첨가하여 셀로 재구성하여 전송하여 준다. 수신단에서 복호화 시에는 페이로드 종류를 판별하여, 사용자 셀인 경우에는 셀의 경계를 판별한 다음 페이로드를 128 비트 단위로 3 개의 암호화 모듈에 각각 전달하여 복호화하며, 유지 보수 셀인 경우에는 복호화 과정을 거치지 않는다. 본 논문에 적용한 Rijndael 암호화 소자는 변형된 암복호화 과정을 적용하여 제작된 소자로 기존에 발표된 소자에 비해 비슷한 성능을 지니면서 면적 대 성능비가 우수한 소자를 사용하였다.ochlorococcus의 수층별 평균 풍도의 수직분포는 표면 혼합층에서 유사한 수준을 보이다 이심에서 급격한 감소를 나타냈다. 그러나 TSWP에선 풍도의 급격한 감소가 나타나지 많고 100 m 수심까지 높은 풍도를 나타냈다. Picoeukaryotes는 C-ECS에서 100 m까지 유사한 수준의 풍도를 보였으며, 동해의 $20\sim30\;m$ 수심에선 최대 풍도층이 나타났다.특별한 영향을 미치지 않는 것으로 나타났다. 동일 환자들의 골상태의 변화관찰과 신질환 관련 골감소의 요인을 밝혀내기 위한 추가적인 연구가 필요할 것으로 사료된다. 정확한 진단 및 동반된 질환을 감별하기 위한 노력이 필요하다.심되나 X-ray VCUG로 발견되지 않은 경우에는 RI VCUG를 꼭 시행하는 것이 방광요관역류의 정확한 진단을 하는데 도움이 된다..25% sodium 식이 enalapril군에서 사구체여과율이 증가됨을 관찰할 수 있었다. 4) 신절제술후 남아 있는 신조직무게를 비교하여 보면 24주째 0.25% sodium 식이군, 0.25% sodium 식이 enalapril군, 0.25% sodium 식이 nicardipine군에서 16주째 0.49% sodium 식이군, 0.49% sodium 식이 enalapril군, 0.49% sodium 식이 nicardipine 군보다 의의있게 신조직무게가 증가됨을 관찰할 수 없었다. 5) 0.25% sodium 식이군은 0.49% sodium 식이군과 비교하여 MES의 현저한 감소를 보였고 (0.25% sodium식이군: 12주; $1.97{\pm}0.02$, 24주; $2.06{\pm}0.03$ vs. 0.49% sodium 식이군: 12주; $2.29{\pm}0.09$, 16주; $2.55{\pm}0.

여드름의 동(東)·서의학적(西醫學的) 문헌(文獻) 고찰(考察) (A Literature Study about Comparison of Eastern-Western Medicine on the Acne)

  • 주현아;배현진;황충연
    • 한방안이비인후피부과학회지
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    • 제25권2호
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    • pp.1-19
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    • 2012
  • Objective : The purpose of this study is to investigate about comparison of Eastern-Western medicine on the acne. Methods : We searched Eastern and Western medicine books for acne. We analyzed these books and examined category, definition, etiology, classification, internal and external methods of treatment of acne. Results : The results were as follows. 1. In Eastern medicine, Acne belongs to the category of the Bunja(粉刺), Jwachang(痤瘡), Pyepungbunja(肺風粉刺). In Western medicine, the other name of Acne is acne vulgaris. 2. In Eastern medicine, the definition of Acne includes manual extraction of comedones and skin appearance. In Western medicine, Acne is a common skin disease during adolescence and a chronic inflammatory disease of pilosebaceous unit of self localization. It is characterized by noninflammatory, open or closed comedones and by inflammatory papules, pustules, and nodules and it affects the areas of skin with the densest population of sebaceous follicles, these areas include the face, neck, back, and the upper part of the chest. 3. In Eastern medicine, the cause and mechanism of Acne arose from the state of internal dampness-heat and spleen-stomach internal qi deficiency due to dietary irregularities and then invaded external pathogen such as wind-dampness-heat-cold-fire in lung meridian lead to qi and blood heat depression stagnation. So it appears in skin. In Western medicine, the etiology and pathogenesis of Acne is clearly not identified, but there are most significant pathogenic factors of blood heat depression stagnation. So it appears in skin. In Western medicine, the etiology and pathogenesis of Acne is clearly not identified, but there are most significant pathogenic factors of Acne; Androgen-stimulated production of sebum, hyperkeratinization and obstruction of sebaceous follicles, proliferation of Propionibacterium acnes and inflammation, abnormaility of skin barrier function, genetic aspects, environmental factors etc. 4. In Eastern medicine, differentiation of syndromes classifies clinical aspects, and cause and mechanism of disease; the former is papular, pustular, cystic, nodular, atrophic, comprehensive type; the latter is lung blood heat, intestine-stomach dampness-heat, phlegm-stasis depression, thoroughfare-conception disharmony, heat toxin type. In Western medicine, it divides into an etiology and invasion period, and clinical aspects; Acne neonatorum, Acne infantum, Acne in puberty and adulthood, Acne venenata; Acne vulgaris, Acne conglobata, Acne fulminans, Acne keloidalis. 5. In Eastern medicine, Internal methods of treatment of Acne are divided into five treatments; general treatments, the treatments of single-medicine and experiential description, the treatments depending on the cause and mechanism of disease, and clinical differentiation of syndromes, dietary treatments. In Western medicine, it is a basic principles that regulation on production of sebum, correction on hyperkeratinization of sebaceous follicles, decrease of Propionibacterium acnes colony and control of inflammation reaction. Internal methods of treatment of Acne are antibiotics, retinoids, hormone preparations etc. 6. In Eastern medicine, external methods of treatment of Acne are wet compress method, paste preparation method, powder preparation method, pill preparation method, acupuncture and moxibustion therapy, ear acupuncture therapy, prevention and notice, and so on. In Western medicine, external method of treatments of Acne are divided into topical therapy and other surgical therapies. Topical therapy is used such as antibiotics, sebum regulators, topical vitamin A medicines etc and other surgical therapies are used such as surgical treatments, intralesional injection of corticosteroids, skin dermabrasion, phototherapy, photodynamic therapy, and so on. Conclusions : Until now, there is no perfect, effective single treatment. We think that Eastern medicine approach and treatment can be helpful to overcome the limitations of acne cure.

중학교 "환경" 교과의 교수.학습 및 평가 방법 연구 (A Study on Teaching-Learning and Evaluation Methods of Environmental Studies in the Middle School)

  • 남상준
    • 한국환경교육학회지:환경교육
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    • 제7권1호
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    • pp.1-17
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    • 1994
  • This study was performed to determine appropriate teaching-learning and evaluation methods for Environmental Studies. To promote the relevance of our study to the needs of the schools and concerned educational communities of environmental education, we reviewed related literature, conducted questionnaire surveys, interviewed related teachers and administrator, held meetings with experts, and field-tested our findings. For selecting and developing teaching-learning methods of Environmental Studies, findings of educational research in general are considered. moreover, principles of environmental education, general aim of environmental education, orientations of environmental education, and developmental stages of middle school students in educational psychology were attended. In addition, relevance to the purpose of the Environmental Studies curriculum, appropriateness for value inquiry as well as knowledge inquiry, small group centered class organization, social interaction centered teaching-learning process, regional environmental situation, significance of personal environment, evaluation methods of Environmental Studies, multi- and inter-disciplinary contents of the Environmental Studies textbook, suitability to the evaluation methods of Environmental Studies, and emphasis on the social interaction in teaching-learning process were regarded. It was learned the Environmental Studies can be taught most effectively in via of holding discussion sessions, conducting actual investigation, doing experiment-practice, doing games and plate, role-playing and carrying out simulation activities, and doing inquiry. These teaching-learning methods were field-tested and proved appropriate methods for the subject. For selecting and developing evaluation method of Environmental Studies, such principles and characteristics of Environmental Studies as objective domains stated in the Environmental Studies curriculum, diversity of teaching-learning organization, were appreciated. We categorized nine evaluation methods: the teacher may conduct questionnaire surveys, testings, interviews, non-participatory observations; they may evaluate student's experiment-practice performances, reports preparation ability, ability to establish a research project, the teacher may ask the students to conduct a self-evaluation, or reciprocal evaluation. To maximize the effect of these methods, we further developed an application system. It considered three variables, that is, evaluates, evaluation objectives domains, and evaluation agent, and showed how to choose the most appropriate methods and, when necessary, how to combine uses of different methods depending on these variables. A sample evaluation instrument made on the basis of this application system was developed and tested in the classes. The system proved effective. Pilot applications of the teaching-learning methods and evaluation method were made simultaneously; and the results and their implications are as follows. Discussion program was applied in a lesson dealing with the problems of waste disposal, in which students showed active participation and creative thinking. The evaluation method used in this lesson was a multiple-choice written test for knowledge and skills. It was shown that this evaluation method and device are effective in helping students' revision of the lesson and in stimulating their creative interpretations and responces. Pupils showed great interests in the actual investigation program, and this programme was proved to be effective in enhancing students' participation. However, it was also turned out that there must be pre-arranged plans for the objects, contents and procedures of survey if this program is to effective. In this lesson, non-participatory observation methods were used with a focus on the attitudes of students. A scaled reported in general description rather than in grade. Experiment-practice programme was adopted in a lesson for purifying contaminated water and in this lesson, instruction objectives were properly established, the teaching-learning process was clearly specified and students were highly motivated. On the other hand, however, it was difficult to control the class when some groups of students require more times to complete their experiment, and sometimes different results. As regards to evaluation, performance observation test were used for assessing skills and attitudes. If teachers use well-prepared Likert scale, evaluation of all groups within a reasonablely short period of time will be possible. The most effective and successful programme in therms of students' participation and enjoyment, was the 'ah-nah-bah-dah-market' program, which is kind of game of the flea market. For better organized program of this kind, however, are essential, In this program, students appraise their own attitudes and behavior by responding to a written questionnaire. In addition, students were asked to record any anecdotes relating to self-appraisal of changes on one's own attitudes and behaviours. Even after the lesson, students keep recording those changes on letters to herself. Role-playing and simulation game programme was applied to a case of 'NIMBY', in which students should decide where to located a refuse dumping ground. For this kind of programme to e successful, concepts and words used in the script should be appropriate for students' intellectual levels, and students should by adequately introduced into the objective and the procedures of the lessons. Written questionnaire was used to assess individual students' attitudes after the lesson, but in order to acquire information on the changes of students' attitudes and skills, pre-test may have to be made. Doing inquiry programme, in which advantages in which students actually investigated the environmental influence of the areas where school os located, had advantages in developing students' ability to study the environmental problems and to present the results of their studies. For this programme to be more efficient, areas of investigation should be clearly divided and alloted to each group so that repetition or overlap in areas of study and presentation be avoided, and complementary wok between groups bee enhanced. In this programme, teacher assessed students' knowledge and attitudes on the basis of reports prepared by each group. However, there were found some difficults in assessing students' attitudes and behaviours solely on the grounds of written report. Perhaps, using a scaled checklist assessing students' attitudes while their presentation could help to relieve the difficulties.

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국어사전을 이용한 한국어 명사에 대한 상위어 자동 추출 및 WordNet의 프로토타입 개발 (The Automatic Extraction of Hypernyms and the Development of WordNet Prototype for Korean Nouns using Korean MRD (Machine Readable Dictionary))

  • 김민수;김태연;노봉남
    • 한국정보처리학회논문지
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    • 제2권6호
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    • pp.847-856
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    • 1995
  • 인간은 문장 안에 있는 명사를 인식할 때 그 명사의 상위 개념을 머리에 떠올린다. 컴퓨터에게 인간의 단어 인식작용을 시뮬레이션하기 위해서는 단어의 상위 개념(상위어) 을 지식 베이스(WordNet)로 구축해야만 한다. 현재 한국에서는 많은 인력과 시간이 소요되기 때문에 WordNet의 작업을 시작하지 못하였으나 컴퓨터의 성능이 급격히 향상 되고 상용화된 MRD(Machine Readable Dictionary)가 이용하능하게 됨에 따라 자동으로 WordNet 구축의 가능성을 보이고 있다. 본 논문에서는 한국어 MRD(Machine Readable Dictionary)의 명사의 정의 (description)를 이용하여 자동으로 한국어 명사 WordNet 을 구축하는 방법을 제안한다. 한국어 문장의 구조적인 특징을 분석하여 상위 개념 (상위어)를 추출하는 규칙을 제안한다. 그것은 중심적인 말이 보통 뒤에 나타난다는 것과 명사의 정의는 특수한 구조를 갖는다는 것을 반영하였다. 또한, 이러한 규칙에 의해 만들어진 상위어들을 결합한 한국어 명사의 WordNet프로토타입을 개발 하였다. 약 250개 표본 단어의 상위어를 추출한 결과 약 92여 퍼센트가 상위어가 옳게 추출 되었다.

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암석 절리면 거칠기의 새로운 3차원 정량화 계수 (A New Coefficient for Three Dimensional Quantification of Rock Joint Roughness)

  • 박정욱;이용기;송재준;최병희
    • 터널과지하공간
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    • 제22권2호
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    • pp.106-119
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    • 2012
  • 암석 절리면의 거칠기는 대부분 2차원 프로파일의 기하학적 특징에 초점을 맞추어 기술되어 왔다. 그러나 거칠기를 합리적으로 평가하기 위해서는 수직 및 전단하중하에서 실제 접촉 상태에 놓여 발현되는 유효 거칠기 특성을 적절히 반영할 수 있어야 한다. 본 연구에서는 편마암 인장 절리의 복제 시험편에 직접전단시험을 수행하고 전단 방향에 따른 강도 및 거칠기 특성을 고찰하였다. 이 과정에서 절리면의 3차원 형상을 삼각형 요소의 집합으로 재구성하고, 각 요소의 거칠기를 전단 방향에 따른 활성, 비활성 미세거�s각을 이용하여 정의하였다. 수치적 알고리즘을 이용하여 최대전단강도 발현 시 접촉면의 위치와 면적을 예측한 결과, 접촉면의 분포는 미세 거�s각의 분포와 밀접한 관계를 보였으며, 활성거�s각을 갖는 요소만이 전단 거동에 주도적인 역할을 수행하였다. 따라서 활성거�s각의 분포 특성을 모사할 수 있는 확률밀도함수를 제시하고, 이 과정에서 얻어지는 활성거칠 기계수 $C_r$을 암석 절리면의 새로운 거칠기 정량화 계수로 제안하였다. 각 시험편에 대한 전단방향에 따른 $C_r$과 실험 결과를 비교한 결과, $C_r$이 절리면의 거칠기를 정량화하고 전단 강도를 예측하는 데 있어 매우 유용한 파라미터임을 확인하였다.

Development of Chip-based Precision Motion Controller

  • Cho, Jung-Uk;Jeon, Jae-Wook
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2003년도 ICCAS
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    • pp.1022-1027
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    • 2003
  • The Motion controllers provide the sophisticated performance and enhanced capabilities we can see in the movements of robotic systems. Several types of motion controllers are available, some based on the kind of overall control system in use. PLC (Programmable Logic Controller)-based motion controllers still predominate. The many peoples use MCU (Micro Controller Unit)-based board level motion controllers and will continue to in the near-term future. These motion controllers control a variety motor system like robotic systems. Generally, They consist of large and complex circuits. PLC-based motion controller consists of high performance PLC, development tool, and application specific software. It can be cause to generate several problems that are large size and space, much cabling, and additional high coasts. MCU-based motion controller consists of memories like ROM and RAM, I/O interface ports, and decoder in order to operate MCU. Additionally, it needs DPRAM to communicate with host PC, counter to get position information of motor by using encoder signal, additional circuits to control servo, and application specific software to generate a various velocity profiles. It can be causes to generate several problems that are overall system complexity, large size and space, much cabling, large power consumption and additional high costs. Also, it needs much times to calculate velocity profile because of generating by software method and don't generate various velocity profiles like arbitrary velocity profile. Therefore, It is hard to generate expected various velocity profiles. And further, to embed real-time OS (Operating System) is considered for more reliable motion control. In this paper, the structure of chip-based precision motion controller is proposed to solve above-mentioned problems of control systems. This proposed motion controller is designed with a FPGA (Field Programmable Gate Arrays) by using the VHDL (Very high speed integrated circuit Hardware Description Language) and Handel-C that is program language for deign hardware. This motion controller consists of Velocity Profile Generator (VPG) part to generate expected various velocity profiles, PCI Interface part to communicate with host PC, Feedback Counter part to get position information by using encoder signal, Clock Generator to generate expected various clock signal, Controller part to control position of motor with generated velocity profile and position information, and Data Converter part to convert and transmit compatible data to D/A converter.

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Appraisal of Breast Cancer Symptoms by Iranian Women: Entangled Cognitive, Emotional and Socio-Cultural Responses

  • Khakbazan, Zohreh;Roudsari, Robab Latifnejad;Taghipour, Ali;Mohammadi, Eesa;Pour, Ramesh Omrani
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권19호
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    • pp.8135-8142
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    • 2014
  • Background: Breast cancer is the most common cancer in Iranian women and usually features delayed presentation and late diagnosis. Interpretation of symptoms, as the most important step, has a significant impact on patient delay in seeking treatment. There is a dearth of studies on symptom appraisal and the process leading to seeking help in breast cancer patients. This study explored the perceptions and experiences of Iranian women with self-detected possible breast cancer symptoms. Materials and Methods: A qualitative method was conducted involving in-depth semi-structured interviews with 27 Iranian women with self-discovered breast cancer symptoms. Participants were purposefully selected from women who attended Cancer Institute of Tehran University of Medical Sciences during June 2012 to August 2013. The audiotaped interviews were transcribed and analyzed using conventional content analysis with MAXQDA soft ware version 10. The trustworthiness of the study was verified by prolonged engagement, member validation of codes, and thick description. Results: The main concepts emerging from data analysis were categorized in four categories: symptom recognition, labeling of symptoms, interactive understanding, and confronting the fear of cancer. Symptom recognition through breast self-examination, symptom monitoring and employing prior knowledge distinguished normal from abnormal symptoms and accompanied with perception of being at risk of breast cancer led to symptom labeling. Social interaction by selective disclosure and receiving reassurance from a consultant led to confirmation or redefinition of the situation. Perceived seriousness of the situation and social meanings of breast cancer as a stigmatized and incurable illness associated with loss of femininity were reasons for patient worries and fear. Conclusions: This study emphasized that entangled cognitive, emotional and socio-cultural responses affecting understanding of symptom seriousness require further investigation. It is suggested that programs aimed at shortening patient delay in breast cancer should be focused on improving women's knowledge and self-awareness of breast cancer, in addition to correcting their social beliefs.

작업 관련성 근골격계 질환 학위 논문 분석 - 1990년부터 2005년까지 - (Literature Review for Work-Related Musculoskeletal Disorders based on Theses from 1990 to 2005)

  • 이인숙;김순례
    • 한국직업건강간호학회지
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    • 제14권2호
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    • pp.93-107
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    • 2005
  • Purpose: The purpose of this study is to identify the trends of studies on work-related musculoskeletal disorder and to suggest the direction of future research. Method: 144 research thesis for a degree on work-related musculoskeletal disorder were systematic reviewed and published from Jan. 1990 to Mar. 2005. The analyzed using descriptive statistics, an actual number, percentage. Result: As its result the work-related musculoskeletal disorder research which is announced from domestic the doctorate dissertation at the 2004 year 42 the most many 144 dissertation middle most to be 129 in master degree dissertation was 15 in Ph D degree. Dissertation contents character the contents against the result relation that it analyzes especially and a condition and an obstacle was many most at 84. Research plan in most description investigation research 121 the dissertation field to be the especially public health (hygiene, industry and environment) at this 57 most many research object person distribution manufacturing industry in the research object one dissertation was many most at the 40. The tools which are used in each measurement in the question tool which it uses most the question price of land which uses the condition investigation ticket which it made from the NIOSH and the ANSI most many 33, the hazard which analyzes a work attitude in the tool which it uses the RULA was many most at 14. In the stress test tool social psychological healthy measurement PWI (Psychological Wellbeing Index) the dissertation which uses the Job Strain of the Karasek Model to be many most at 19 PWI (Psychological Wellbeing Index) 7 easy use. Work-related musculoskeletal disorder measurement hazard in physiological index and the machinery and tools which it uses there were 9 researches to use an electromyogram most plentifully. With the effect goes to a work-related musculoskeletal disorder they are 33 where the age is many most from general quality. From healthy act with the relation of smoking the year to be many from 16 dissertations. Work of the corpse an attitude (the attitude which is inappropriate) with 5 and the work market the work burglar is many most at 9, the society-support of 36 where the stress is many psychologically most, the stress and service also the most many duty discretion (authority and autonomy) is 6 at the duty demand boat song 9. The service career to be many is 22 of extraordinarily with relation of service. Conclusion: It is recommended the research which it sees being limited in only domestic thesis for a degree the international comparative study to become accomplished. It comes to think with the fact that it will be necessary to make the protocol which it conforms in the civil official guide the test researches for the protocol or arbitration program which is standardized are necessary. Prevention and the civil official of work relation bones and sinews standing total disease hazard scientific base one program is necessary with base.

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