• 성인간호학회지
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• 제12권4호
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• pp.727-740
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• 2000

It is well recognized that case management is required to survive in the rapidly changing medical environment. One of the case management is the critical pathway(CP) which is assumed to increase the quality of care and at the same time to decrease the length of stay in hospital. The purpose of the study was to develop a CP for the management of patients with postero-lateral fusion for lumbar spinal stenosis. Through review of literature and medical records of patients with spinal stenosis, a pilot CP was designed, including 8 different care components such as medication, laboratory tests, assessment etc., from one day before surgery to 6 days of postoperative care. Every item of the pilot CP was evaluated by a panel of experts to test the content validity. The items not agreed on by more than 4 out of 6 experts were deleted or modified to be integrated in the CP. To apply the modified CP to a clinical environment, the items reflecting treatment, medication and lab work were entered into an order communication system(OCS), and doctors and nurses were taught to use the CP. Finally, the development of CP for the patients with posterolateral lumbar fusion was completed after the application and variance analysis of the CP.

• 한국어교육
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• 제28권4호
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• pp.63-86
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• 2017

This research aims to evaluate the effects and the shortcomings of strategies for teaching paraphrasing to foreign university students. For this study, the effects of teaching paraphrasing skills on student's academic writing was investigated through the assessment of pre- and post-test writing tasks and through a focus group interview. The teaching of paraphrasing was divided into 3 instructional sessions and the focus group interview was conducted at the end of the last session. After each instructional session three trained assessors evaluated the outcomes of pre and post task writings; the in-depth focus group interviews were conducted on seven of the students in order to define better positive effects as well as shortcomings. By comparing the scores of pre- and post-task assignments it is possible to affirm that there is a meaningful difference for overall scores; moreover, in an analysis conducted on each single sub-element of the paraphrasing skill, it emerged that except for "task completion", all other four elements of "structure", "understanding core content", "change of expression" and "academic expressions" showed a statistically significant improvement in performance. On the other hand, as a result of the focus group interview, it was possible to individuate as main shortcomings insufficient vocabulary knowledge, poor overall comprehension of the reference material, lack of practice and difficulty in connect sentences organically. It is possible to consider these elements as limiting factors in understanding the reference material and making correct citations by the students. Therefore, we suggest as supplementary instructional strategies a deeper attention to the difficulty level of the text, the introduction of devices to understand better the content of the reference material and an integrated practice of the paraphrasing skill.

• 한국건축시공학회지
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• 제20권4호
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• pp.331-338
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• 2020

본 연구는 CGS를 콘크리트용 혼합골재로서 활용성을 검토하기 위하여 양호한 입도분포의 부순잔골재(CSa) 및 미립자인 해사와 굵은 입자의 부순잔골재를 혼합한 혼합골재(MS)에 CGS의 치환율 변화에 따른 콘크리트의 기초적 특성 및 내구성을 분석하였다. 실험결과, 슬럼프 및 슬럼프 플로는 CSa 및 MS 모두 CGS 치환율이 증가할수록 증가하였으며, 공기량은 반대로 감소하였다. 압축강도는 CSa를 사용한 경우 CGS 치환율이 증가할수록 저하하였지만, MS를 사용한 경우는 CGS 50 %에서 최대치를 나타내었다. 콘크리트 내구성을 검토한 결과로, 건조수축 및 탄산화 깊이측정의 경우는 CGS 치환율에 따라 양호한 성능을 나타내었다. 하지만, 내동해성에서는 전반적으로 CGS 치환율이 증가할수록 감소하는 것으로 나타났다. 따라서, CGS를 치환 사용하는 혼합잔골재 콘크리트의 경우는 공기량 감소를 보완할 수 있도록 AE제 추가 투입 등의 대책을 수립한다면, 큰 문제 없을 것으로 판단된다.

• 지질공학
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• 제19권4호
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• pp.501-508
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• 2009

이 연구는 미원과 충주지역을 중심으로 한 옥천변성대 지역에서 절개지사면 토층붕괴와 관련하여 흙의 주요 특성을 알기위해 수행되었다. 실내시험을 위하여 붕괴지 토층과 인근의 비붕괴지 토층에서 35개 사면으로부터 불교란 시료와 교란 시료를 각각 채취하여 일련의 물성시험과 역학시험을 하였다. 분석결과에 의하면 붕괴지 사면의 토질특성은 흙의 활동지수(AMI)가 0.75 이상이고, 액성한계가 32% 이상, 함수비가 31% 이상일 때 붕괴에 취약한 것으로 나타났다. 그리고 붕괴지 토층의 소성지수는 습윤밀도 및 포화밀도와 상관성이 있으며, 소성지수가 크면 간극비가 작아도 붕괴에 취약한 것으로 나타났다. 입도분포는 점토의 함량보다는 모래나 자갈의 함량이 많을수록 붕괴에 더 영향을 미치는 것으로 나타났다.

• Journal of Microbiology and Biotechnology
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• 제20권4호
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• pp.683-692
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• 2010

Morphologically, nine different slow-growing protoclones were screened from regenerated protoplasts of heterokaryotic Agaricus bisporus. As such, the present study is the first report on differentiating homo- and heterokaryotic protoclones using random amplified polymorphic DNA (RAPD) and inter-simple sequence repeat (ISSR) markers. Among 80 primers tested, the seven ISSR and seven RAPD primers selected for the analysis generated a total of 94 ISSR and 52 RAPD fragments, respectively. The ISSR fingerprinting also detected more polymorphic loci (38.29%) than the RAPD fingerprinting (34.61%). A principal coordinate analysis (PCA) was employed to evaluate the resolving power of the markers as regards differentiating protoclones. As a result, the mean polymorphism information content (PIC) for each marker system (i.e., 0.787 for RAPD and 0.916 for ISSR) suggested that ISSR is more effective for determining polymorphisms. The dendrograms constructed using RAPD, ISSR, and an integrated RAPD and ISSR marker system were highly correlated with one another as revealed by a high Mantel correlation (r= 0.98). The pairwise similarity index values also ranged from 0.64 to 0.95 (RAPD), 0.67 to 0.98 (ISSR), and 0.67 to 0.98 (RAPD and ISSR), whereas the mean similarity index values of 0.82, 0.81, and 0.84 were obtained for the RAPD, ISSR, and combined data, respectively. As there was a good correspondence between the RAPD and ISSR similarity matrices, ISSR would appear to be an effective alternative to RAPD in the genetic diversity assessment and accurate differentiation of homo- and heterokaryotic protoclones of A. bisporus.

• Fisheries and Aquatic Sciences
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• 제17권2호
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• pp.159-165
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• 2014

In this study, Krill Eupausia superba oil was extracted using different solvents and supercritical carbon dioxide (SC-$CO_2$). During SC-$CO_2$ extraction, the pressure was set at 40 MPa and temperatures ranged from $40^{\circ}C$ to $55^{\circ}C$. We examined the differences in volatile compounds and safety profiles among extraction methods. Volatile compounds were determined using the thermal desorption system integrated with gas chromatography-mass spectrometry (GC-MS). Heavy metal content was analyzed by inductively coupled plasma mass spectrometry (ICP-MS). According to our results 10 volatile compounds were identified in krill sample. After SC-$CO_2$ extraction of oil, the concentrations of volatile compounds decreased, but increased after solvent extraction. In krill, heavy metal concentrations remained within the permissible limit. Moreover, Zn and Fe which have health benefits were detected at high concentrations. During a 90 days storage period at different temperatures, microbial activity was found to be lowest in SC-$CO_2$ extracted residues. Thus, the quality of krill oil and the residues obtained using SC-$CO_2$ extraction was higher and the oil was safer than those obtained using conventional solvent extraction. These results can be applied to the food industry to maintain high quality krill products.

• 한국건설순환자원학회논문집
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• 제3권1호
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• pp.72-83
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• 2015

지중 송전선은 전기저항에 의한 발열현상이 늘 있으며, 그 주변의 되메움재를 통하여 열을 방출하게 된다. 따라서, 송전관로의 설계에는 발생하는 열을 주변 지반이 효과적으로 외부에 전달하여, 열적 안정성을 확보하는 것이 매우 중요한 설계 요소가 된다. 본 연구에서는 지중 송전관로 되메움재용 순환골재의 현장 적용성을 향상시키기 위하여, 순환골재의 품질기준 및 시공기준을 제시하고, 현장 실증시험을 통하여 송전관로의 열안정성을 분석하였다. 현장 실증시험에서는 순환골재 두 종류와 현재 되메움재로 사용하고 있는 모래의 열적 거동을 비교하였다. 시험 결과, 순환골재는 시간경과와 관로에서의 이격거리에 따라 온도와 함수비 변화가 모래와 유사하게 나타났다. 따라서 순환골재는 지중 송전관로 되메움재로서 일반 모래를 대체하여 적용 가능할 것으로 판단된다.

• 의학교육논단
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• 제22권3호
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• pp.146-152
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• 2020

Hospice and palliative care (HPC) education is an essential component of undergraduate medical education. Since February 4th, 2018, withholding and withdrawing life-sustaining treatment at the end of life (EOL) has been permitted in Korea as put forth by law, the "Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life." Therefore, Korean medical schools have faced a challenge in providing comprehensive HPC education in order to better prepare medical students to be competent physicians in fulfilling their role in caring for patients at the EOL. There have been considerable variations in the evolution and organization of HPC education across Korean medical schools for the past 20 years. In 2016, all medical schools taught HPC curriculum as a separate course or integrated courses, with the most frequently taught topics including: delivering bad news, pain management, and the concept of palliative medicine. However, the content, time allocation, learning format, and clinical skills practice training of HPC education have been insufficient, inconsistent, and diverse. For this reason, we propose a HPC curriculum containing seven domains with 60 learning objectives in a course duration of over 20 hours based on the Palliative Education Assessment Tool (PEAT) as standard HPC curriculum. Furthermore, we recommend development of a national curriculum for HPC/EOL care education to be organized by the HPC board and managed under the accreditation criteria of the Korea Institute of Medical Education and Evaluation.

• Nuclear Medicine and Molecular Imaging
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• 제41권2호
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• pp.141-151
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• 2007

파킨슨병은 노년층에 가장 흔한 퇴행성 뇌질환 중의 하나로 진행성핵상마비, 다중계 위축, 루이체 치매 등과 같은 비전형 파킨슨병과 임상적으로 감별이 어려울 수 있다. 파킨슨병과 비전형 파킨슨병의 감별은 치료방침 결정과 예후평가뿐만 아니라 파킨슨병의 원인과 병태생리를 연구하고 새로운 치료법 개발에 있어서도 매우 중요하다. 파킨슨병과 비전형 파킨슨병과 같이 파킨슨 증후군을 유발하는 질환은 선조체내 도파민 신경의 퇴행성 변화를 흔히 동반하지만 병태생리학적으로 서로 다른 뇌피질 및 피질하 구조물에서의 신경세포 소실을 동반하고 있다. 따라서 국소 시냅스 활성도와 신경 및 시냅스의 손상, 그리고 원발병변과 기능적으로 연결된 원격부위의 기능이상 등을 대변하는 뇌포도당 대사를 F-18FDG PET으로 평가하는 것은 파킨슨 병의 감별진단과 병태생리를 평가하는데 유용하다.

• 한국환경복원기술학회지
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• 제24권4호
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• pp.31-46
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• 2021

In South Korea, there is a growing domestic need for a biotope map which contains ecological and environmental geographic information of a city. After the production of a Urban Ecological Maps(biotope map) by the Seoul metropolitan government in 2000, Natural Environment Conservation Act was revised in 2017 to make it mandatory for a local government to draw up its own urban ecological map. The aim of the present study was to find out ways to utilize an urban ecological map as a mean of communication between natural environment planning and urban planning sectors in a preliminary stage before introducing a big framework of 'environmental and ecological planning.' The northern area of Incheon metropolitan city was selected as the target area for this study. The major research content includes a comparative analysis of special-purpose zones, urban planning zones, restricted development zones, and conservation forests with focus on biotope types and Grades 1 of 'Biotope Type Assessment.' Farmland biotopes and forest biotopes within an area designated as an urban zone (residential, commercial and industrial zones) need to be redesignated as a zone which can conserve them. Especially considering a high possibility of damage to a large scale of natural green areas, these areas need to be readjusted immediately. If the entire area designated as an urban planning zone is to be developed, it is likely to cause serious damage to natural biotopes in the area (56.2%), including farmland biotope (30.4%), forest biotope (15.0%) and grassland biotope (10.8%), and thus, readjustment is needed. In case of a conservation forest, as it can possibly be damaged by the designation of special-purpose zones, it is necessary to match the designation of conservation forests or a special-purpose zones with their biotope types. In conclusion, we present a variety of thematic maps for utilization of an urban ecological map and propose a phase-specific environmental and ecological plan. Phase 1 is the establishment of a urban plan in consideration of ecological status; Phase 2 is the independent establishment of an environmental and ecological plan by an environment department; Phase 3 is an integrated management of ecological planning system and urban planning system.