• Title/Summary/Keyword: expanded roles

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폐위(肺痿)와 상소(上消)의 관계에 대한 소고(小考) - 『황제내경(黃帝內經)』과 『금궤요약(金匱要略)』을 중심으로 - (A Study on the Relation Between Lung Atrophy Syndrome and Upper Wasting Thirst - Focusing on Huangdineijing and Jinguiyaolue -)

  • 백유상;김도훈
    • 대한한의학원전학회지
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    • 제33권2호
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    • pp.1-12
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    • 2020
  • Objectives : In this paper, lung atrophy syndrome[肺痿] in 『Huangdineijin(黃帝內經)』 and 『Jinguiyaolue(金匱要略)』 were compared, followed by examining its relation with upper wasting thirst[上消]. Also, ways in which psychological factors that contribute to lung atrophy syndrome could cause upper wasting thirst were studied. Methods : Verses from 『金匱要略·肺痿肺癰咳嗽上氣病脈證治』 and 『素問·痿論』 were analyzed based on various annotators's opinions to determine the cause and mechanism of lung atrophy syndrome and its relationship with upper wasting thirst. Results : In 『Jinguiyaolue(金匱要略)』, lung atrophy syndrome is described as the heat of the upper body entering the lungs to dry it out. The description in 『Suwen(素問)』 differs in that it accompanies atrophy symptoms, but the mechanism is the same. Lung atrophy syndrome in 『Jinguiyaolue』 could come from wasting thirst, while wasting thirst can be accompanied in deficiency caused by chronic lung atrophy syndrome. Heat in the lungs is caused by psychological factors where the person has lost its subject of possession or was unable to attain what was desired. When expanded to include heart atrophy syndrome[心痿] and lung atrophy syndrome[肝痿], the reason for upper wasting thirst could include immense sadness or excessive indulgence in pleasure due to unmet desires. Conclusions : Although diabetes and wasting thirst are not identical, application of wasting thirst pattern differentiation to diabetes treatment and management could lead to tailored treatment of each patient. Moreover, the five zhang pattern differentiation from the 『Suwen(素問)』 could increase treatment efficacy when applied to conditions caused by stress and emotional disorder, which are increasingly playing larger roles in causing wasting thirst, or diabetes.

커뮤니케이션 매체로서 어린이 그림책에 대한 연구 (A Study on Children′s Picture Book as a Communication Medium)

  • 박경희
    • 디자인학연구
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    • 제14권1호
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    • pp.7-16
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    • 2001
  • 인간은 커뮤니케이션을 통해 그들의 생존과 바람직한 사회생활을 영위해 오고 있다. 인간의 커뮤니케이션은 언어에서 문자, 인쇄매체, 전파매체를 통해, 또한 최근에는 통신매체를 통하여 변화하며 확산되고 있다. 문자의 발명 이후 책은 가장 오랜 역사를 지닌 인간 커뮤니케이션 매체로서 인간의 정신세계를 보존, 전승해 왔다. 어린이 그림책 역시 커뮤니케이션 매체로서 정보의 발신자, 메시지, 매체, 수신자라는 요소로 구성되어 커뮤니케이션의 과정이 이루어진다. 작가, 일러스트레이터, 편집자라는 집합군의 발신자는 어린이라는 특별한 수신대상을 분석하여 메시지를 기호화하고 내용을 구성하며 매체를 선정하고 어린이에게 효과적으로 전달하여 커뮤니케이션이 이루어지도록 한다. 어린이라는 수신자의 발달 특성과 그의 욕구를 살펴 볼 때, 그림책의 글과 일러스트레이션이라는 시각매체는 어린이와의 커뮤니케이션을 위해 가장 적절한 것이다. 그래서 그림책은 첫째, 어른과 어린이간의 커뮤니케이션을 통해 어린이가 자아를 발견하고 역할을 수행해 갈 수 있도록 하여 결국 사회와의 커뮤니케이션을 이루게 한다. 둘째, 글과 일러스트레이션의 메시지 해독을 통하여 어린이에게 이 시대 인간 커뮤니케이션의 능력 즉 비주얼 커뮤니케이션과 문자 커뮤니케이션을 경험하고 학습하게 한다.

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Competencies of Dental Hygienists for Oral Care Service for People with Disability

  • Lee, Jae-Young;Kim, Young-Jae;Jin, Bo-Hyoung
    • 치위생과학회지
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    • 제20권1호
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    • pp.16-24
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    • 2020
  • Background: Dental treatment has shifted to the center of the community, and the public policy of the country has expanded to support the vulnerable classes such as the disabled. The dental profession needs education regarding oral health services for persons with disabilities, and it is necessary to derive the competencies for this. Therefore, we conducted this study to derive the normative ability to understand the role of a dental hygienist in the oral health service for persons with disabilities and improvement plans for education. Methods: We conducted a qualitative analysis for deriving competencies by analyzing the data collected through in-depth interviews with experts in order to obtain abilities through practical experience. Based on the competency criterion, relevant competency in the interview response was derived using the priori method, and it was confirmed whether the derived ability matched the ability determined by the respondent. Results: The professional conduct competencies of dental hygienists, devised by the Korean Association of Dental Hygiene, consists of professional behavior, ethical decision-making, self-assessment skills, lifelong learning, and accumulated evidence. Also, core competencies of the American Dental Education Association competencies for dental hygienist classification such as ethics, responsibility for professional actions, and critical thinking skills were used as the criterion. The dental hygienist's abilities needed for oral health care for people with disabilities, especially in the detailed abilities to fulfill these social needs, were clarified. Conclusion: To activate oral health care for people with disabilities, it is necessary for dental hygienists to fulfill their appropriate roles, and for this purpose, competency-based curriculum restructuring is indispensable. A social safety net for improving the oral health of people with disabilities can be secured by improving the required skills-based education system of dental hygienists and strengthening the related infrastructure.

Collaboration to Enhance Development and Application of Shiphandling Simulators

  • Shi, Chaojian;Chen, Jinbiao;Xiao, Baojia;Ding, Baocheng
    • 한국항해항만학회:학술대회논문집
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    • 한국항해항만학회 2006년도 International Symposium on GPS/GNSS Vol.1
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    • pp.459-464
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    • 2006
  • It has been well proved that shiphandling simulators are efficient and useful facilities for training and education of cadets and seafarers. Most of the maritime universities and many maritime training institutes all over the world have installed shiphandling simulators, which play important roles in maritime education and training. However, most of the Shiphandling simulators are standalone facilities with diversities on system architectures, layouts and functions. STCW78/95 requires simulators used for simulator-based training shall be suitable for the selected objectives and training tasks. To ensure the shiphandling simulator facilities meet the requirements of STCW convention and other expanded applications, collaborated research and coordination are needed in development and application of shiphandling simulators. Performance standard should be established for shiphandling simulator systems considering the advanced research needs as well as the needs in education, training, and assessment of competence. Standardizing and exchanging shiphandling mathematical models will improve critical performance of the system. Cooperated research on model course and training assessment approaches will enhance the training standard. In addition, the rapid spread of the internet technology has shown a promising future of application of shiphandling simulators through internet. Research has been carried out on internet based integration of multiple shiphandling simulators. A multi-agent based system, including necessary hardware, has been developed. Collaborated operation of the system can be of benefit in filling the gaps of the technical and operational level and methodology between maritime universities, enhancing mutual understanding of the navigation customs and culture background among cadets and seafarers from different countries, facilitating communication and maritime English training, and extending the functions of shiphandling simulators.

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국가의 재정분권이 복지재정에 미치는 영향 : OECD 19개 국가를 중심으로 (The Impact of national fiscal decentralization on welfare fiscal expenditure)

  • 이슬이;홍경준
    • 사회복지연구
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    • 제49권3호
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    • pp.35-60
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    • 2018
  • 본 연구는 탈산업사회를 경험한 복지국가들이 중앙정부의 재정 압박과 새로운 사회적 위험에 대해 지방정부 책임과 역할의 확대를 포함한 지방분권을 그 대응방안으로 삼았다는 점을 주목하여, 재정분권이 복지재정에 미친 영향을 파악하고자 하였다. 이는 복지재정의 다면적 특성에 따라, 재정분권이 복지지출에 미친 영향과 현물급여 비중에 미친 영향을 파악하는 것으로 구체화되었다. OECD 19개 회원국의 1997년에서 2013년까지의 시기를 대상으로 한 결합시계열회귀분석 분석결과는 다음과 같다. 첫째, 재정분권 수준이 증가할수록 국가의 복지지출 수준은 감소하는 것으로 나타났다. 둘째, 재정분권 수준이 증가할수록 전체 복지지출 중 현물급여의 지출이 증가하는 것으로 파악된다.

Will CFD ever Replace Wind Tunnels for Building Wind Simulations?

  • Phillips, Duncan A.;Soligo, Michael J.
    • 국제초고층학회논문집
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    • 제8권2호
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    • pp.107-116
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    • 2019
  • The use of computational fluid dynamics (CFD) is becoming an increasingly popular means to model wind flows in and around buildings. The first published application of CFD to both indoor and outdoor building airflows was in the 1970's. Since then, CFD usage has expanded to include different aspects of building design. Wind tunnel testing (WTT) on buildings for wind loads goes back as far as 1908. Gustave Eiffel built a pair of wind tunnels in 1908 and 1912. Using these he published wind loads on an aircraft hangar in 1919 as cited in Hoerner (1965 - page 74). The second of these wind tunnels is still in use today for tests including building design ($Damljanovi{\acute{c}}$, 2012). The Empire State Building was tested in 1933 in smooth flow - see Baskaran (1993). The World Trade Center Twin Towers in New York City were wind tunnel tested in the mid-sixties for both wind loads, at Colorado State University (CSU) and the [US] National Physical Laboratory (NPL), as well as pedestrian level winds (PLW) at the University of Western Ontario (UWO) - Baskaran (1993). Since then, the understanding of the planetary boundary layer, recognition of the structures of turbulent wakes, instrumentation, methodologies and analysis have been continuously refined. There is a drive to replace WTT with computational methods, with the rationale that CFD is quicker, less expensive and gives more information and control to the architects. However, there is little information available to building owners and architects on the limitations of CFD for flows around buildings and communities. Hence building owners, developers, engineers and architects are not aware of the risks they incur by using CFD for different studies, traditionally conducted using wind tunnels. This paper will explain what needs to happen for CFD to replace wind tunnels. Ultimately, we anticipate the reader will come to the same conclusion that we have drawn: both WTT and CFD will continue to play important roles in building and infrastructure design. The most pressing challenge for the design and engineering community is to understand the strengths and limitations of each tool so that they can leverage and exploit the benefits that each offers while adhering to our moral and professional obligation to hold paramount the safety, health, and welfare of the public.

The changes of stresses and ecdysteroid biosynthesis gene expression levels in Kynurenine 3-monooxygenase mutant Bombyx mori

  • Jeong, Chan Young;Lee, Chang Hoon;Kim, Su Bae;Kang, Sang Kuk;Ju, Wan-Taek;Kim, Seong-Wan;Kim, Nam-Suk;Kim, Kee Young;Park, Jong Woo
    • International Journal of Industrial Entomology and Biomaterials
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    • 제43권1호
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    • pp.29-36
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    • 2021
  • Silkworms have long been bred with human history to produce silk. It has been with humans for longer than other industrial insects, and the silkworm variety has been continuously improved. Silkworms have been developed into the optimal form for producing high quality silk and pupae. Recently, the production of transgenic silkworms has further expanded the possibility of industrial value of silkworms. Kynurenine 3-monooxygenase (KMO), which is a flavin enzyme, is known for its involvement in ommochrome pigment synthesis. In the field of mammals, including humans, previous studies have revealed the function and role of KMO, which is an important enzyme for various immune responses and cell protection. However, in the case of insects, the function of KMO has only been studied to be involved in the formation of pigment, and accordingly, KMO is used exclusively on screening for generation of transgenic insects as a marker. In this study, using KMO-edited silkworms, it was intended to discover the novel functions and roles of KMO in silkworms by identifying changes in the expression of various genes associated with stress and growth. The changes were observed in expressions of genes regulating on stresses to survive and those on ecdysteroid hormone between wild-type (WT) silkworms and kmo mutant silkworms. The loss of KMO, in particular, decreased the expression of the shadow (sad) gene, one of the Halloween genes in the synthesis of ecdysteroid. In conclusion, these results suggest that silkworm KMO is responsible for potential functions regarding stress response and ecdysteroid synthesis.

Trends in Nursing Research on Life-Sustaining Treatment in South Korea after the Enforcement of the Act on Decisions on Life-Sustaining Treatment

  • Choi, Jun-Hwa;Choi, Eun-Suk
    • Journal of Hospice and Palliative Care
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    • 제25권1호
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    • pp.25-41
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    • 2022
  • Purpose: This study investigated trends of nursing research on life-sustaining treatment in South Korea. Methods: The period for data search was set from January 2018 to December 2020. The major search terms used were advance directives and life-sustaining treatment. Of the 492 records identified in the initial search, 461 articles were excluded for various reasons. A total of 31 records were included in the final qualitative analysis. Results: Sixteen studies had nursing students as study subjects, while nine studies had nurses as study subjects. The majority of the studies employed cross-sectional descriptive surveys as their research design. The major themes that emerged from the studies were as follows: attitudes toward withdrawal of life-sustaining treatment, knowledge of and attitudes toward advance directives, perceptions of a good death, and nurses' attitude toward life support care. Most of the studies reviewed concluded that attitudes toward withdrawal of life-sustaining treatment significantly impacted both knowledge of and attitudes toward advance directives and perceptions of a good death. Conclusion: To date, Korea still lacks extensive nursing research concerning life support care. Further research is needed to provide systematic education for nursing ethics and life support care, as well as the introduction of a specialist course. Furthermore, a multidisciplinary approach is necessary to provide diverse support systems and policy measures. In particular, since nurses are directly responsible for providing life support care, nurses' roles should be expanded in accordance with the Act on Decisions on Life-Sustaining Treatment.

The antioxidant capacity of Mito-TEMPO improves the preimplantation development and viability of vitrified-warmed blastocysts through the stabilization of F-actin morphological aspects in bovine embryos

  • Jae-Hoon Jeong;Hyo-Jin Park;Seul-Gi Yang;Deog-Bon Koo
    • 한국동물생명공학회지
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    • 제37권4호
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    • pp.231-238
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    • 2022
  • Reactive oxygen species (ROS) production and F-actin cytoskeleton dynamics play important roles in the survival rate of blastocysts after the vitrified-warming process. However, the protective effects of Mito-TEMPO against cryo-injury and viability through F-actin aggregation and mitochondrial-specific ROS production in vitrificated-warmed bovine embryos have not been investigated. The aims of the present study were to: (1) determine the effects of Mito-TEMPO on embryonic developmental competence and quality by F-actin stabilization during in vitro culturing (IVC), and (2) confirm the effects of Mito-TEMPO through F-actin structure on the cryotolerance of vitrification-warming in Mito-TEMPO exposed in vitro production (IVP) of bovine blastocysts. Bovine zygotes were cultured with 0.1 μM Mito-TEMPO treatment for 2 days of IVC. Mito-TEMPO (0.1 μM) exposed bovine embryos slightly improved in blastocyst developmental rates compared to the non-treated group. Moreover, the viability of vitrified-warmed blastocysts from Mito-TEMPO treated embryos significantly increased (p < 0.05, non-treated group: 66.7 ± 3.2% vs Mito-TEMPO treated group: 79.2 ± 5.9%; re-expanded at 24 hours). Mito-TEMPO exposed embryos strengthened the F-actin structure and arrangement in the blastocyst after vitrification-warming. Furthermore, the addition of Mito-TEMPO into the IVC medium enhanced embryonic survival and quality through F-actin stabilization after the vitrification-warming procedure. Overall, our results suggest that supplementing the culture with 0.1 μM Mito-TEMPO improves the embryonic quality and cryo-survival of IVP bovine blastocysts.

웹정보시스템(WIS) 사용지원 서비스의 품질결정요인에 관한 연구 (A Study on the Quality Determinant Factors of User-Support Service under Web-based Information System)

  • 정상철;임형수
    • 정보기술응용연구
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    • 제2권1호
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    • pp.25-53
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    • 2000
  • Parasuraman, Zaithmal, 그리고 Berry에 의하여 개념화된 서비스의 결정 요인인 신뢰성, 반응성, 보장성, 공감성, 유형성의 차원이 WIS환경에서 적합한지 분석한 결과 측정척도로서 SERVQUAL을 사용할 경우 반응성과 보장성, 공감성과 유형성, 신뢰성의 3개 요인으로 사용되어 질 수 있으며, SERVPERF를 사용할 경우 5개 요인이 사용되어질 수 있었다. 품질결정요인 중 신뢰성과 유형성이 유의하게 서비스 품질에 영향을 미치는 것으로 나타났다. 컴퓨터 사용환경이 더욱 분산된 형태를 띠는 WIS환경에서는 사용자 지원서비스를 위하여 공식적 정보센터뿐만 아니라 비공식적 정보센터를 효율적으로 활용해야 할 것이다.

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