• 제목/요약/키워드: interrupted

검색결과 706건 처리시간 0.021초

REBT 진로 집단상담이 경력단절 30대 기혼여성의 자기효능감과 진로태도성숙에 미치는 효과 (The Effects of REBT Career Group Counseling on Self-Efficacy and Career Attitude Maturity of the Career-Inturrupted Married Women in Thirties)

  • 여숙현;김명식
    • 디지털융복합연구
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    • 제14권9호
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    • pp.571-577
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    • 2016
  • 최근에 경력단절 여성의 진로와 사회참여에 대한 문제가 많은 주목을 받고 있고, 주요한 사회적 문제로 대두되고 있다. 본 연구는 경력단절 30대 기혼여성에게 REBT 이론을 적용한 진로 집단상담 프로그램을 구성 및 실시하여, 그들의 자기효능감과 진로태도성숙에 미치는 긍정적 효과를 검증하고자 하였다. 연구대상은 J시 소재 초등학교 자녀를 둔 30대 경력단절 기혼여성 45명이었다. 본 연구에 지원한 45명을 상담집단(REBT 집단), 통제집단1(일반부모 교육 집단)과 통제집단2(직업상담사 교육집단) 3집단에 각 15명씩 무선배정하고 사전-사후 비교를 실시했다. 측정도구는 자기효능감 척도와 진로태도성숙도 척도를 사용하였다. 본 연구결과 REBT 진로 집단상담집단이 통제집단에 비해 자기효능감, 사회효능감, 자기효능감(전체) 등이 사후에 증진되었다. 또한 REBT 진로 집단상담집단이 통제집단에 비해 진로태도성숙도의 현실성, 준비성, 결정성, 진로성숙도(전체)가 증가하는 경향을 보여주었다. 본 연구를 통해 REBT 진로 집단상담이 경력단절 30대 기혼여성의 진로와 경력에 대한 비합리적 신념을 보다 합리적이고 현실적인 신념으로 변화시킴으로써 자기효능감과 진로태도성숙도가 긍정적으로 변화되었다고 할 수 있다. 본 연구의 의의와 한계점, 향후 연구방향이 논의되었다.

두피 봉합기로 봉합하기 어려운 두피 열상에 시행한 잠금 수평 매트리스 봉합법의 유용성 관찰 연구 (Locking horizontal mattress suture as the alternative closure method for scalp lacerations difficult to suture with staple)

  • 사승우;설승환;이운정;우선희;김대희;이준영;인상국;김봉겸
    • 대한응급의학회지
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    • 제29권6호
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    • pp.649-655
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    • 2018
  • Objective: This paper reports the possibility of using of a locking horizontal mattress suture technique in repairing lacerations that are difficult to suture with staples. Methods: Data were collected retrospectively over a 6-month period regarding the routine repair of scalp lacerations: those in areas injured by a high energy blunt mechanism, continued to bleed after pressure, nonlinear or damaged skin repaired with a locking horizontal mattress technique, and simple interrupted technique. The effects of the two techniques used to repair scalp lacerations on wound healing, complication rate, and patient satisfaction were examined. The categorical variables are expressed as the number and percent. A Mann-Whitney-Wilcoxon test was used for statistical analysis. A P-value less than 0.05 was considered significant. Results: Thirty-seven consecutive patients with scalp lacerations presented for care. Wound closure was accomplished with the locking horizontal mattress sutures in 40.5% (n=15) (median length, 5.0 cm; interquartile range [IQR], 4.0-7.0 cm). Simple interrupted sutures (median length, 4 cm; IQR, 3.0-5.0 cm) were used in 59.5% (n=22) (P=0.015). The frequency of additional bandage compression (P=0.008), frequency of exudative hemorrhage (P=0.018), and suture mark frequency at suture removal (P=0.047) were significantly lower in the locking horizontal mattress group. Conclusion: The locking horizontal mattress suture, which has the advantage of a horizontal mattress suture, may be one of the ways that can be used alternatively to treat scalp lacerations that difficult to suture with staples.

온라인 공간의 정치 양극화는 심화될 것인가?: 선거 기사 댓글에 대한 경험적 분석 (Is Political Polarization Reinforced in the Online World?: Empirical Findings of Comments about News Articles)

  • 엄기홍;김대식
    • 정보화정책
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    • 제28권4호
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    • pp.19-35
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    • 2021
  • 본 연구의 목적은 온라인 공간의 속성을 규명하고, 이러한 속성이 민주주의 운영에 미칠 영향을 경험적으로 분석하는 데 있다. 본 연구는 2021년 4월 7일 치러진 서울시장 및 부산시장 보궐선거에 관한 언론 기사와 댓글을 수집하여 온라인 공간의 속성과 정치 양극화를 경험적으로 분석하고 있다. 구체적으로 본 연구는 토픽모델링을 활용하여 보궐선거에 나타난 언론 보도의 다양성을 측정하였으며, 감성분석을 활용하여 기사 댓글에 비친 온라인 여론을 측정하였다. 이후 언론이 가장 주목한 보도가 온라인 여론에 영향을 미치는 여부를 단절적 시계열 분석을 통하여 분석하였다. 이러한 시도는 온라인 여론의 견고성을 검증하는 시도로써 정치 양극화의 수준을 측정하는 지표로 사용된다. 분석 결과를 보면, 첫째 언론은 보궐선거 지역과 후보에 따라 선거 관심도와 주제가 달랐다. 둘째, 언론 보도의 다양성에도 불구하고, 기사 댓글에 나타난 온라인 여론은 높은 부정 여론, 낮은 긍정 여론이 지속적으로 나타났다. 특히 선거일에 즈음할수록 양극화의 수준은 더욱 분명했다. 셋째, 단절적 시계열 분석 결과를 보면, 선거 관심도에 따라 정치 양극화의 변화 가능성이 차별적인 것으로 나타났다. 향후 온라인 공간을 통한 정치참여가 거부할 수 없는 흐름이란 점을 고려할 때, 본 연구는 온라인 공간에서 재현되는 정치 양극화 해소를 위한 방안 마련이 시급하다고 제언하고 있다.

Effectiveness of a Clinical Pathway for Breast Cancer Patients Undergoing Surgical Operation on Clinical Outcomes and Costs

  • Jeong Hyun Park;Danbee Kang;Seok Jin Nam;Jeong Eon Lee;Seok Won Kim;Jonghan Yu;Byung Joo Chae;Se Kyung Lee;Jai Min Ryu;Yeon Hee Park;Mangyeong Lee;Juhee Cho
    • 한국의료질향상학회지
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    • 제30권1호
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    • pp.120-131
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    • 2024
  • Purpose: This study aimed to evaluate the impact of implementing a clinical pathways (CPs) on the clinical outcomes and costs of patients undergoing breast cancer surgery. Methods: This retrospective cohort study included patients who were newly diagnosed with primary breast cancer at the Samsung Medical Center between 2014 and 2019 (N=8482; 2931 patients in the pre-path and 5551 patients in the post-path). Clinical outcomes included reoperation during hospitalization, readmission, and emergency room visits within 30 days of discharge. The cost data for each unit were obtained from an activity-based management accounting system. We performed an interrupted time series analysis. Results: The post-path period showed a significantly shorter hospital length of stay (LOS) than the pre-path period (6.3 days in pre-path vs. 5.0 days in post-path; -1.3 days' difference; p=.001), and fewer reoperations during hospitalization and within 30 days after discharge than the pre-path period. After adjusting for inflation rates and relative value scores, the model demonstrated savings of $146 per patient in the post-path for total costs, and $537 per patient for patient out-of-pocket costs (p=.001). Conclusion: CPs can help reduce costs without compromising the quality of care by reducing the number of reoperations, readmissions, and complications.

변류기 2차측 개방 보호장치 개발 및 특성 (Development and Characteristics of Detector for Open of Current Transformer Secondary Terminal)

  • 최상원;송기찬
    • 한국안전학회지
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    • 제22권4호
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    • pp.20-25
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    • 2007
  • Instrument transformers are a safe measurement device designed to measure high voltage and large current. A current transformer(CT) is a type of instrument transformer designed to provide a current in its secondary winding proportional to the current flowing in its primary. It is commonly used in metering and protective relaying in the electrical power industry where it facilitates the safe measurement of large current. But, care must be taken that the secondary of a current transformer is not disconnected from its load while current is flowing in the primary, as this will produce a dangerously high voltage across the open secondary, and may permanently affect the accuracy of the transformer. Especially, industrial disaster such as an electric shock and/or a burn accident occurs occasionally by disregard of warning or attention. In this paper, we developed the detector for open of current transformer secondary terminal, and which was tested by the Korea Electrotechnology Research Institute. Test results show that Current Transformer secondary Open Detector(CTOD) interrupted within one second electronically when the 2nd terminal of current transformer opened.

기관절개술후 종격동기관 협착증에 대한 기관절제 단단 문합술 (Circunferential resection and direct end to end anastomosis of mediastinal trachea on a post tracheostomy stenosis)

  • 김세화;박희철;이홍균
    • Journal of Chest Surgery
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    • 제13권4호
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    • pp.495-502
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    • 1980
  • A 37 year old male patient was suffered from severe labored breathing caused by post tracheostomy stenosis, which was localized at the mediastinal trachea [cuffed tracheal stenosis] and ranged 1.5 cm in length and approximately 3 ram. in diameter on tracheogram. After dilation of tracheal stenosis with dilator, endotracheal intubation was tried for induction of anesthesia and control of respiration during operation. A tube was placed just beyond the tracheal stenosis without respiratory difficulty. Under the endotracheal anesthesia, circumferential resection of the mediastinal trachea containing the stenosis, approximately 2 cm in length [4 tracheal rings}, was carried out and primary direct end to end anastomosis was performed with interrupted submucosal sutures [3-0 Dexon] and mobilization of trachea Postoperative tracheostomy was not performed. The patient was completely relieved from dyspnea immediately after operation. Post-operative convalescence was entirely uneventful and at present, about 3 months after operation, he is now conducting a usual life. From the literature and our experience, the etiology and treatment of post-tracheostomy stenosis were discussed.

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뇌 해마를 제거한 흰쥐의 일반활동 및 음식물섭취 (General Activity and Food Intake Following Removal of the Hippocampus in Rats)

  • 이종수;강일영
    • The Korean Journal of Physiology
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    • 제1권1호
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    • pp.43-49
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    • 1967
  • Nine male rats in which 90% or more of the hippocampal tissue was removed through a small hole made in the neocortex at the boundary between the parietal and the occipital lobes (hippocampal group), 3 male rats with similar neocortical damage alone (operated control group), and 9 normal control male rats (normal control group) were prepared. Their general activity was measured for 48 hours in an activity cage by recording the number of beams they interrupted. The amount of food and water intake was also checked simultaneously. Results obtained were as follows: 1. The general activity of the hippocampal group was 2 to 3 times as great as that of the operated control or the normal control group. 2. All of the 3 groups demonstrated clear-cut circadian variation of activity, the diurnal and the nocturnal activity being in the ratio 22 : 78. 3. The amount of food and water consumed by the hippocampal group did not differ significantly from that by the opperated control or the normal control group. In the course of the experiment which continued for 3 months the hippocampal group gained weight least among the 3 groups.

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스펙트럼 핸드오프 호를 위해 버퍼를 활용하는 무선인지시스템의 얼랑 용량 (Erlang Capacity of Cognitive Radio Systems Utilizing Buffer for Spectrum Handoff Calls)

  • 팜티홍츄;구인수
    • 한국인터넷방송통신학회논문지
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    • 제10권1호
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    • pp.145-150
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    • 2010
  • 본 논문은 무선인지시스템이 갖는 얼랑 용량을 분석하였다. 무선 인지 사용자들의 신규 호 및 스펙트럼 핸드오프를 요청하는 호들에 대해 버퍼를 사용하는 무선 자원 관리 기법을 고려하였으며, 성능 분석을 위해 마르코프(Markov) 모델을 사용하였다. 이를 기반으로 무선 인지 시스템에서 기사용자 및 무선 인지 사용자가 겪는 호 차단(call blocking) 확률, 강제 호 종료(forced call termination) 확률, 호 서비스 비완료(non-completion) 확률 등을 유도하였다. 시뮬레이션을 통해 버퍼의 크기가 증가함에 따라, 인지 무선 시스템에서 수용될 수 있는 얼랑 용량 또한 증가함을 보였다.

가로수의 유형 및 성장을 고려한 보행로 조명환경 개선에 관한 시뮬레이션 연구 (A Simulation Study on the Improvement of Lighting Condition on Sidewalks Considering the Type and Growth of Roadside Trees)

  • 이종성;이석준
    • 대한안전경영과학회지
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    • 제15권3호
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    • pp.93-103
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    • 2013
  • In recently, a growing concern for the health of urban residents increased interests in a variety of outdoor activities simply be done in terms of cost and time. They are specially interested in low-impact and safe exercises around residential or working area. Walking is the one of easily doing exercise in daytime or nighttime near residential area. The sidewalks of boulevard near the residential area is the best place for exercise because of easy access and the green space with roadside trees. However, if the nighttime is not guaranteed the proper lighting condition, the possibility of exposure to crime and the threat to pedestrian safety can be increased. Because roadside trees are one of the potential obstacle for lighting condition, supplementary lightings are important to mitigate interruption for safety. To meet such a need, the purpose of this study is to propose a simulation approach which improves lighting condition on sidewalks of boulevard with variety of roadside trees. To do so, the simulation approach is applied for analyzing the interrupted condition by classified five standard types of roadside trees considering the growth of them and finding optimal layout of supplementary luminaires by lighting types. The results of this approach shows that it is useful for assessing the safety of pedestrian in nighttime.

고속 전원차단 회로 설계 제작 및 측정 (A Design of High-speed Power-off Circuit and Analysis)

  • 정상훈;이남호;조성익
    • 전기학회논문지
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    • 제63권4호
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    • pp.490-494
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    • 2014
  • In this paper, a design of high-speed power-off circuit and analysis. The incidence of high-dose transient radiation into the silicon-based semiconductor element induces the photocurrent due to the creation of electron-hole pairs, which causes the upset phenomenon of active elements or triggers the parasitic thyristor in the element, resulting in latch-up. High speed power-off circuit was designed to prevent burn-out of electronic device caused by Latch-up. The proposed high speed power-off circuit was configured with the darlington transistor and photocoupler so that the power was interrupted and recovered without the need for an additional circuit, in order to improve the existing problem of SCR off when using the thyristor. The discharge speed of the high speed power interruption circuit was measured to be 19 ${\mu}s$ with 10 ${\mu}F$ and 500 ${\Omega}$ load, which was 98% shorter than before (12.8 ms).