• Archives of Plastic Surgery
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• 제48권4호
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• pp.433-439
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• 2021

Acellular dermal matrices (ADM) are a novel graft. The goal of this systematic review is to evaluate the evidence behind differences in human and porcine ADM, irrelevant of manufacturing method, and to determine if there is enough of an evidence base to change clinical practice. An extensive literature search was performed through MEDLINE and Embase with search terms defining a population, intervention and outcome. Title and abstract exclusion were performed with other exclusion criteria. In 191 articles were found after exclusion of duplicates, with only 29 remaining following exclusions. Ten studies were found to have level I and II evidence (I=3, II=8), of which two were histopathological, one was an animal model, one was a systematic review, and six were clinical. The remaining studies were reviewed and considered for discussion, but did not hold high enough standards for medical evidence. Strong clinical evidence already exists for the use of human ADM, but questions of access, cost, and ethics require consideration of a xenograft. Histopathologically, evidence suggests minimal long-term differences between human and porcine ADM, although there is a short acute immune response with porcine ADM. Clinically, there is limited difference in outcomes, with a small range in effect of different ADM preparations. Considering the effectiveness of ADM in wound healing, more high-level research with appropriate statistical analysis to facilitate a future meta-analysis is recommended to justify a transition from human to porcine ADM.

• 보건교육건강증진학회지
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• 제16권1호
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• pp.187-201
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• 1999

A purpose of this study is to provide Rousseau's health theory and health education in 『Emil』. Though Rousseau was not so much a doctor as a philosopher, he was good at health care and health education. After he had thought over healthy children for 20 years, he had written 『Emil』 for 3 years. His health theory was included in the book. He was aware of the importance of mother's milk, clothes, and physical health. Especially, he told mothers to rear a child at the breast. He understood thoroughly the demerits of medicines, and made no account of doctors and medicines. But on the other hand, He emphasized natural healing power in human body. He thought that one oneself was a physician. He thought highly of inner healing. He thought that only hygiene of medicine was useful to mankind. He prescribed that hygiene was a kind of ethics education. Therefore, his hygiene was associated with mental health and moral evaluation. Because many years have passed, today we can not accept all his assertions. But we need to stress preventive medicines, spontaneous healing, and self-care in health education.

• 의료법학
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• 제9권1호
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• pp.385-411
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• 2008

The goal of medicine is to contribute to promoting national health by preventing diseases and providing treatment. The scope of modern medicine isn't merely confined to disease testing, treatment and prevention in accordance to that, and making experiments by using the human body is widespread. The advance in modern medicine has made a great contribution to valuing human dignity and actualizing a manly life, but there is a problem that has still nagged modern medicine: treatment and healing for terminal patients including cancer patients. In advanced countries, pain care and hospice medicine are already universal. Offering a helping hand for terminal patients to lead a less painful and more manly life from diverse angles instead of merely focusing on treatment is called the very hospice medicine. That is a comprehensive package of medical services to take care of death-facing terminal patients and their families with affection. That is providing physical, mental and social support for the patients to pass away in peace after living a dignified and decent life, and that is comforting their bereaved families. The National Hospice Organization of the United States provides terminal patients and their families with sustained hospital care and home care in a move to lend assistance to them. In our country, however, tertiary medical institutions simply provide medical care for terminal patients to extend their lives, and there are few institutional efforts to help them. Hospice medicine is offered mostly in our country by non- professionals including doctors, nurses, social workers, pastors or physical therapists. Terminal patients' needs cannot be satisfied in the same manner as those of other patients, and it's needed to take a different approach to their treatment as well. Nevertheless, the focus of medical care is still placed on treatment only, which should be taken seriously. Ministry for Health, Welfare & Family Affairs and Health Insurance Review & Assessment Service held a public hearing on May 21, 2008, on the cost of hospice care, quality control and demonstration project to gather extensive opinions from the academic community, experts and consumer groups to draw up plans about manpower supply, facilities and demonstration project, but the institutions are not going to work on hospice education, securement of facilities and relevant legislation. In 2002, Ministry for Health, Welfare & Family Affairs made an official announcement to introduce a hospice nurse system to nurture nurse specialists in this area. That ministry legislated for the qualifications of advanced nurse practitioner and a hospice nurse system(Article 24 and 2 in Enforcement Regulations for the Medical Law), but few specific plans are under way to carry out the regulations. It's well known that the medical law defines a nurse as a professional health care worker, and there is a move to draw a line between the responsibilities of doctors and those of nurses in association with medical errors. Specifically, the roles of professional hospice are increasingly expected to be accentuated in conjunction with treatment for terminal patients, and it seems that delving into possible problems with the job performance of nurses and coming up with workable countermeasures are what scholars of conscience should do in an effort to contribute to the development of medicine and the realization of a dignified and manly life.

• 대한가정학회지
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• 제43권5호
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• pp.183-198
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• 2005

The purpose of this study was to discuss the relationship between Korean people's normative sense of the traditional filial piety and their affiliation with relatives. For this purpose, the researcher reviewed ethics books during the Chosun dynasty such as Naehoon Women's Ethics), Dongmongsonsup (Children's Cardinal Moral Principles) ,Kyokmongyokyol (Juvenile's Learning) and Gyuenyoso (Instructions for Daughters of Marriageable Age), Based on this review a questionnaire was designed. For the survey,566 returned questionnaires from married people between their 20's and 70's living in Seoul and Wonju Si were sampled The collected data were analyzed using the SAS program for means and SDs of each area in order to examine the overall tendency, and were subject to one-way ANOVA to determine the relationship between their normative sense of the traditional filial piety and their affiliations with relatives depending on their demographic variables, In addition to this correlation analysis, the data underwent regression analysis to determine the significant factors affecting the subjects' sense of filial piety and their affiliation with relatives. The results of this study can be summarized as follows ; First, the subjects were found to have a normal or higher sense of filial piety in overall terms, which suggests that the Korean morality of filial piety may be positive. In particular, the subjects' sense of filial piety was higher for living parents than for dead ones. Namely, they wanted to give more respect, honor and support to their parents than give a cordial funeral or memorial service to deceased parents. Second, older Koreans were more aware of filial piety, and men were more conscious of filial piety than women. Buddhists or atheists tended to be more faithful to their parents. Generally, those with lower academic background and living with larger families had a higher normative sense of filial piety. On the other hand, those in their 60's and 70's were most affiliated with their relatives, while youth and middle-aged people were less affiliated with their relatives. Men were more affiliated with their relatives than women, and first sons or daughters were more affiliated with their relatives. Besides, those living with larger families were more affiliated with their relatives. Third, the subjects' normative sense of filial piety, particularly for deceased parents, was highly correlated with their affiliation with relatives, and such a normative sense of filial piety was most conspicuous in their funeral rites.

• 대한물리의학회지
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• 제11권3호
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• pp.59-63
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• 2016

PURPOSE: The purpose of the present study is to examine the effects of sole Pilates based breathing on the thicknesses of the abdominal muscles. METHODS: Twenty adults aged in their 20-30s were randomly selected. The selection criteria were those who had no medical history of pain due to musculoskeletal system, neurologic, or orthopedic diseases within six months before the selection. The thicknesses of the abdominal muscles (the transversus abdominis muscle, internal oblique abdominal muscle, and external oblique abdominal muscle) of the subjects were measured using ultrasonography before and after Pilates breathing. The study was approved by the research ethics committee of the Catholic University of Pusan. RESULTS: After Pilates based breathing, the thicknesses of the transversus abdominis muscle, the internal oblique abdominal muscle, and the external oblique abdominal muscle increased significantly. In particular, the thickness increase rate of the transversus abdominis muscle was shown to be the highest. CONCLUSION: Sole Pilates based breathing is expected to be effective for the improvement of trunk stability through strengthening of abdominal muscles, because it induces the coordinated contraction of the transversus abdominis muscle and other abdominal muscle. It will be need the Longitudinal study for identify to long term effects of Pilates based breathing.

• 가정과삶의질연구
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• 제17권3호
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• pp.229-240
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• 1999

The purpose of this study is to find out the essence and the meaning of conventional filial piety and its education to be a help to build up a moral society. Consequently the main point of this study is grafting our filial piety to industrial society and reviewing our conventional filial piety at the present time and what is the role of education. The traditional thought of our people is based on the filial piety and it is based on the basic love in humanity that is is rooted in the principle of benevolence. We should realize the most important practical principles of reverent affection. Our traditional filial piety has been handed down along with long history. though it has been a little chaned to meet the needs of the times. We should not forget that the fundamental thought of filial piety has never changed. The education for filial piety in modern society should be taken charge of by family society and school and be helped each other So the filial piety thought as tradition l ethics has to be adjusted to the modern sense. We should make a considerable point of the filial piety education for value which will bring about the recovery of humanity.

• 건축역사연구
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• 제29권5호
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• pp.29-40
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• 2020

Ui-Gum-Bu(義禁府) is regarded as a key organization that reflects the power of the royal authority, mainly because it directly obeys the king's command and retains the power to punish or pardon government officials for severe crimes such as treason or significant breach of Confucian ethics. For this reason, Ui-Gum-Bu held a higher place in the organizational hierarchy of the government than other similar offices such as Hyung-Jo(刑曹), Sa-Heon-Bu(司憲府) and P o-Do-Cheong(捕盜廳). This characteristic of Ui-Gum-Bu is also evident in the architectural style and composition of the office building. The figures of the Ui-Gum-Bu office is depicted in detail in the paintings listed in 『Gum-Oh-Gye-Cheop(金吾契帖』, a record of Ui-Gum-Bu office meetings, and descriptions in the code book 『Gum-Oh-Hun-Rog(金吾契帖)』, both written in 18th century. The purpose of this study is to reveal the overall transition process of the Ui-Gum-Bu office building from the beginning until its demolition in the early 20th century. Based on research materials of 18th century, its architectural composition and characteristics will be dealt in detail.

• 한국치위생학회지
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• 제16권3호
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• pp.337-346
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• 2016

Objectives: This study aims to investigate and analyzed the priority of vocational core competency factors in dental hygienists in Gwangju. Methods: Expert survey was conducted and Analytic Hierarchy Process(AHP) was applied to evaluate the weighting factors. First, we established the vocational core competency defined in NCS as AHP analysis model. The vocational core competency has 10 categories and 34 sub-categories. Secondly, AHP survey was conducted by 195 dental hygienists in Gwangju. Finally, the weights representing relative importance of each factor were calculated by using AHP method. Results: The AHP analysis on 10 categories showed that the weighting of interpersonal skills(0.165) was higher than any other categories while that of numeracy(0.035) was at the bottom, and the analysis on sub-categories revealed that the most important factors in each categories included the teamwork skills(interpersonal skills), problem-solving capability(problem-solving skills), listening skills(communication skills), ethical community(professional ethics), ability to understand business(ability to understand organizational structure), applicable technical skills(technical skills), self-management skills(self-development capability), information processing capabilities(information capacity), ability to manage time(resource management capabilities) and basic math skills(numeracy). Conclusions: The results in this study can be used as basic data for the development of liberal arts curriculum for dental hygiene education.

• 치위생과학회지
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• 제21권1호
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• pp.8-18
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• 2021

The purpose of this study is to provide the general history of fostering dentists in Japan and introducing their new roles. This research was conducted based on the government policy report on dentists and the information published by each educational institution. Based on the collected data, the official websites were used to represent the latest statistics of the institutions. The number of dentists in Japan has increased. The government established the National Examination for Dentists to guarantee the quality of dentists. After the standards for developing questions for the national examination were established in 1985, the contents of the examination have been appropriately improved by revising the standards every four years. This improvement has required dental students to study a variety of subjects for six years at dental school. Since dentists in Japan are required to respond to various demands from the nation; the Model Core Curriculum for Dental Education was developed to teach medical ethics and abilities to ensure that dentists conduct themselves professionally. Recently, the roles of dentists have been changing in Japan. When providing dental services to older patients over the age of 65, dentists and other dental professions focus on maintaining oral functions, such as saliva secretion, bite force, tongue movement, and masticatory/swallowing functions. However, oral function-related services for children are different. In addition to providing essential dental services, dental practitioners also provide special treatment, such as oral muscle training, myofunctional therapy, health guidance, and space retainers to the child patients with developmental insufficiency in oral functions. Dentistry in Japan has undergone numerous changes over the years and has continued to offer high-quality dental health services. Thus, information gained from the Japanese experience may be helpful to dental professions in other developed countries for planning oral health measures.

• 융합정보논문지
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• 제10권7호
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• pp.7-13
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• 2020

4차 산업혁명의 핵심 IT기술인 사물인터넷은 타산업과 융합되어 사용자로부터 다양한 서비스를 제공하고 있다. IoT 융합기술은 사용자의 편의성 증대에 따른 통신환경에 대한 커뮤니케이션 패러다임을 이끌고 있다. 하지만 빠르게 발전하는 IoT 융합기술에 대한 보안 방안 마련이 시급하다. IoT는 디지털 윤리와 개인정보보호와 밀접한 관계를 가지고 있어, 타 산업에 IoT 도입에 따른 위협요소 대책안을 마련해야한다. 보안사고 발생 시 정보유출, 이미지 실추, 금적적인 손해, 인명피해 등 다양한 문제가 나타날 수 있다. 그러므로 본 논문에서는 IoT기반 클라우드 융합 환경에서 안전한 접근 제어를 위한 인증서 관리기법을 제안한다. 디바이스 및 사용자 등록, 메시지 통신 프로토콜, 디바이스 갱신 및 관리 기법을 설계하였다. 공격기법 및 취약점에 따른 안전성 분석을 수행하였으며, 기존 PKI 기반 인증서 관리기법 대비 효율성 평가결과 약 32%의 감소된 수치를 확인 할 수 있었다.