• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제11권1호
• /
• pp.110-123
• /
• 2000

이 사례는 1998년 6월부터 9월까지 주 1회 30분씩 서울국립정신병원에 입원한 품행장애 청소년들을 대상으로 한 음악치료 사례로, 그룹 음악치료에 참여한 환아들 중 가장 지속적으로 참여한 두 명의 여자 환아(A, B)에 초점을 맞추었다. 음악치료 세션은 다음과 같이 3부분으로 나누어진다； 시작할 때 부르는 인사노래, 다양한 음악적 활동, 그리고 마칠 때 하는 소리내기와 움직이기. 주로 사용되었던 음악치료 기술들로는 자유로운 즉흥연주, 노래 토론, 음악 모노드라마, 그리고 소리내기와 움직이기를 들 수 있다. 자유로운 즉흥연주는 환아들의 감정과 생각을 강화시키고, 동기유발을 하며, 연주를 통해 상징적으로 자신을 볼 수 있게 하기 위해 사용되었다. 노래 토론은 그들의 생각을 담아내고 지지하기 위해 사용되었다. 음악 모노드라마는 그들이 가지고 있는 대인 관계적 문제에 대한 통찰력을 갖게 하기 위해 사용되었다. 소리내기와 움직이기는 그들에게 결여되어 있는 자발성을 강화하기 위해 사용되었고 이를 통해 자신들의 신체와 목소리를 표현적 도구로 탐색하게끔 만들었다. 음악치료를 하는 3개월 동안 환아 A는 그룹에서 대화 기술, 사회성 그리고 행동적인 측면에서 향상을 보였다. 그녀는 음악을 상징적으로 사용할 수 있게 되었고 자신과 자신의 가족에 대한 느낌을 그룹과 공유할 수 있게 되었다. 환아 B는 자기표현 능력이 향상되었다. 그녀는 보다 더 자발적으로 그룹에서 자신의 감정에 대해 말을 할 수 있게 되었다. 비언어적이고 비위협적인 수단으로서 음악은 두 여자 환아들에게 그들이 자신을 표현하기 위해 필요한 신뢰감을 다시 회복할 수 있는 환경을 제공한 것으로 보인다.력 장애를 도구로써 구성 타당도가 있음을 입증해주었다. 판별분석 결과, 시각, 청각 ADS가 정상 아동과 ADHD 아동의 96.7%를 정확하게 변별해 주는 것으로 나타났다. 논 의：ADS가 주의력 결핍-과잉 운동 장애를 일관성이 있게 평가하는 신뢰롭고, 타당한 검사로 입증되었고, ADS를 통해 정상 집단과 ADHD 집단을 정확하게 분류할 수 있음이 시사되었다.가 있었다. 결 론：1) 본 연구를 통해 개발된 도구를 다른 대상자에게 반복 적용하여 연구함으로써 계속적인 신뢰도와 타당도 검증이 필요하다. 2) 이상적인 도구평가기준은 신뢰도와 타당도 뿐만 아니라 단순성, 효율성, 객관성 등까지도 고려되어져야 한다는 관점에서 볼 때, 본 도구는 지속적인 수정 보완 작업이 필요하며 이 과정을 통하여 보다 완전한 도구가 될 수 있으리라 추론된다. 3) 본 도구를 적용하여 한국청소년의 비행행동 유형이 어떤 것인지를 파악하고 이와 관련된 치료적 접근, 비행가능 청소년에 대한 사전 평가 척도까지도 연구 개발할 수 있다고 본다.발달지체의 증거가 없었던 경우는 6명(27.5%)이었다. 또 학대이전 과잉운동을 보인 아동은 9명(41%), 키우기 어렵게 지각한 아동이(difficult child) 6명(27.5%)이었다. 뇌파의 이상소견은 5명(23%), 두뇌의 컴퓨터단층촬영이나 핵자기 공명술 이상소견은 4명(18.2%), 벤더-게스탈트검사에서 기질성 뇌장애를 의심할만한 소견은 14명(63.5%)에서 보였다. 지능검사의 결과는 평균이상 IQ는 12명((54.5%), 지능지체 및 경계선 지능은 9명(41.0%)이었다. 5) 주 진단 및 공존진단：주 진단으로는 행실장애가 6명(27.3%)

• Nuclear Engineering and Technology
• /
• 제52권7호
• /
• pp.1396-1408
• /
• 2020

Filtered containment venting system (FCVS) is one of the severe accident mitigation systems designed to release containment pressurization to maintain its integrity. The thermal-hydraulic behaviors in FCVSs are important since they affect the operation characteristics of the FCVS. In this study, a representative FCVS was modeled by RELAP5/Mod3.3 code, and the Station BlackOut (SBO) was chosen as an accident scenario. The thermal-hydraulic behaviors of an FCVS during long-term operation with two venting strategies (open-and-close strategy, open-and-non-close strategy) and the sensitivity analysis of important parameters were investigated. The results show that the FCVS can operate up to 250 h with a periodic open-and-close strategy during an SBO. Under the combined effects of steam condensation and water evaporation, the solution inventory in the FCVS increases during the venting phase and decreases during the intermission phase, showing a periodic pattern. Under this condition, the appropriate initial water level is 3-4 m; however, it should be adjusted according to the environment temperature. The FCVS can accommodate a decay heat power of 150-260 kW and may need to feed water for a higher decay heat power or drain water for a lower decay heat power during the late phase. The FCVS can function within an opening pressure range from 450 kPa to 500 kPa and a closing pressure range between 250 kPa and 350 kPa. When the open-and-non-close strategy is adopted, the solution inventory increases quickly in the early venting phase due to steam condensation and then decreases gradually due to the evaporation of water; drying-up may occur in the late venting phase. Decreasing the venting pipe diameter and increasing the initial water level can mitigate the evaporation of the scrubbing solution. These results are expected to provide useful references for the design and engineering application of FCVSs.

• 대한후두음성언어의학회지
• /
• 제24권2호
• /
• pp.107-111
• /
• 2013

Objectives : We developed two-dimensional (2D) scanning videokyomography to evaluate the mucosal wave of whole vocal cords in real time to overcome the limit of preexisting stroboscopy and line scanning videokymography which could not evaluate it. Methods : We implemented a continuous light source with high brightness, a high-definition CMOS camera, and capture board for saving the data. We created the software program to analyze the image data from the system. The test of the functionality of the 2D scanning videokymography camera was performed in one of the authors (P.H.J 32 years old male). Vocal cord images were obtained during normal phonation and falsetto phonation. Images were obtained also during cough, diplophonia. Results : The system made it possible to measure objective parameters, including fundamental frequency, amplitude, regularity, mucosal wave, and phase difference, medial and lateral peak, opening versus closing duration related to vocal fold vibration. Simultaneously, it enabled analysis of the whole mucosal wave of the entire vocal fold in real time. 2D scanning videokymography was also effective for evaluating the dynamic status of the vocal fold when the subject phonated aperiodic voice. Conclusion : In conclusion, 2D scanning videokymography can support the analysis of the whole mucosal wave of the entire vocal cord with objective vocal parameters, overcoming the limitations of stroboscopy and previous line scanning videokymography techniques.

• 복식
• /
• 제19권
• /
• pp.209-240
• /
• 1992

The costume of any nation is an attribute of a culture. This study concerns chinese and Mongolian costume's 'collar' form according to the observation of some reports about import folk materials and the pictures of the genuine objects, the author has investigated and rearranged them focusing on 13th Century's. 1. Traditional OverCoat or National costume on the poing of won dynasty in china such as Jacket, Coat, Mantle for making classical matching color, lacing, pearl pieces, and all costume shall be properly decorated and disigned. The example, Chinese Women's Gown and Double Jacket, on top of alignment of plaid, focus shall be placed on chinese classical form and color-matching, such as flowers and bireds, butterflies, made wishing ornaments, which shall be either hand painted or embroidered on collars, fronts, sleeves openings, and lower portion of gown. 2. Mongolian Costume, the stone status of a person, are seen at the territory of the Republic of Mongolia was a powerful country of Asia. So during the Mongolian Empire a lot of Missions from many countries came to kharakorom for establishing official relations between Mongolia and a country represented by mission. In particularly, the costume of mongols on the point of Chinggis khan Empire which the upper clothes in cluded ; a several kinds of the Caftan as compared with in Korea as to material (Silk caftan, Cotton Caftan, Fur Caftan) with closing to the right due to overlapping and Stand-up-Shawl Collars will pancho style & Round or V Neckline. 3. As compared with in Korea it is said that this a sort of Simui was brought in prior to the middle of Koryeo dynasty. Korean Simui system was complied with chinese system through confucian domestic behaviour. This was respected for court dress of confucian scholars, as it was, Chumri can ordinary dress of schloars) and Hakchangui ( a uniform of confucian student). Generally its form or shape of the outer lapels of Korean jacket were used together Squar-Tray-Collar. In late Yi-dynasty the inside collar length was longer than the outside collar length and the width of the collar was gradually narrow. And so the Traditional costume's outer collar of Jacket and OverCoat became small while the width and length of breast-tie became large. The same thing as the form of the collar on these days had been appeared by the design method or adjust one's dress. Therefore the form of collar in the china and Mongolian Traditional OverCoat & National Costume is fix arranged according to Stand up Collar, Without Collar, Clothing to the Right, Central opening, Horizontal Row of Button with Round or V Neckline and so on.

• 대한치과기공학회지
• /
• 제24권1호
• /
• pp.9-18
• /
• 2002

The aim of this study is to propose effective measures for shortage of manpower of dental technology laboratory in Gangwon province by means of examining not only the history of Gangwon association, present condition of transference of members of Gangwon association from 1990, of missing members and annual rate of participation in repair education with setting object of study into Gangwon association under the influence of the Korean Dental Technology Association but also the present condition of opening and closing laboratory, amount of business connection and condition of shortage of manpower and its field with setting object of study into 28 dental technology laboratories. Results from this study are like followings : First, Gagnwon association was established in 1984 as the eleventh in the line of the board, reorganization of board is conducted 8 times up to the eighth in the line of the board in 2001. board is composed of 16 persons including president and operated its term as 3 years. Second, a number of representative and ordinary member of Gangwon association has increased gradually from 1992 to 2001. in aspect of annual rate of participation in repair education, representative's is more higher than ordinary member's overall. the worst rate of whole members' is shown as 47.9% and the its best rate is shown as 92.0%. in addition, 70$\sim$80% rate of participation into repair education is shown most frequently as 8 times of whole 20 times from 1992 to 2001. Third, 29 authorized dental technology laboratories have registered in Gangwon association until march 2002 within 9 cities and counties. in consideration of establishment location. Gangneung city has most amount as 7 laboratories(24.1%), Wonju city has 5(17.2%), Samcheok city and Sokcho city, each has 4(13.8%), Chuncheon city has 3(10.3%), Donghae city and Taeback city, each has 2(6.9%) and Yangyang and Yongwol county, each has 1(3.4%). Fourth, amount of work personnel of laboratory in Gangwon province is 1$\sim$10 persons as the maximum value. 23 laboratories(82.1%) have their own work personnel as amount of 5 and below. in aspect of main business, most of laboratories focus on the Porcelain and Crown. and 16 laboratories(57.1%) have their own expensive equipments such as Milling. its also suggests that 16 laboratories(57.1%) suffer their shortage of working personnel. specifically, 6 laboratories(21.4%) suffer the highest shortage especially in Denture field, Fifth, whole number of Gangwon association is up to 101 members (28 representatives and 73 ordinary members) until December 31th 2001. amount of immune from repair education of Gangwon association until October 2001 is up to 10 persons, and missing members from 1997 is up to 18 persons, suspension of business is up to 4 persons. in aspect of transference from 1990, transfer-in is up to 21 persons and transfer out is up to 16 persons.

• Journal of Chest Surgery
• /
• 제32권5호
• /
• pp.438-441
• /
• 1999

배경: 최소 침습성 심장수술은 기존의 정중 흉골절개술보다 우수한 미용효과, 흉곽 개폐에 있어서의 용이함, 작은 외상에 따른 통증, 감염, 출혈 등의 감소, 빠른 회복 및 재원일수의 감소 등이 장점으로 제시되면서 점차 널리 시행되고 있다. 대상 및 방법: 저자들은 1997년 3월부터 12월 까지 36명의 환자를 대상으로 우측 방정중 절개법, 흉골횡 절개법, 최소흉골절개법 등의 3가지 접근방법으로 대동맥 판막 및 승모판 판막질환, 선천성 심기형의 환자 등에 대해 최소 침습성 심장수술을 시행하였다. 결과: 사망례는 없었다. 합병증으로는 술후 부정맥 4례, 출혈로 인한 재수술 1례, 창상 지연유합 1례가 있었다. 사용된 창상의 평균 길이는 9.1$\pm$0.9cm이었고 중환자실 체류기간은 평균 48$\pm$29시간, 술후 재원기간은 평균 10$\pm$7일 이었다. 결론: 술중 제세동, 탈기, 심장감압 등의 과정에 있어서 어려운 점이 있고 아직까지는 선별된 예에 한해 시행되고 있으나 경험의 축적에 따라 점차 그 적용례가 늘어날 것이라 전망된다.

• 대한치과보철학회지
• /
• 제36권2호
• /
• pp.203-244
• /
• 1998

The human mandible is always under the condition of loading by the various forces extorted by the attached muscles. The loading is an important condition of the stomatognathic system. This condition is composed of the direction and amount of forces of the masticatory muscles, which are controlled by the neuromuscular system, and always influenced by the movement of both opening and closing. Mandible is a strong foundation for the teeth or various prostheses, nevetheless it is a elastic body which accompanies deformation by the external forces on it. The elastic properties of the mandible is influenced by the various procedures such as conventional restorative treatments, osseointegrated implant treatments, reconstructive surgical procedures and so forth. Among the treatments the osseointegrated implant has no periodontal ligaments, which exist around the natural teeth to allow physiologic mobility in the alveolar socket. And so around the osseointegrated implant, there is almost no damping effect during the transmission of occlusal stress and displacements. If the osseointegrated implants are connected by the superstructure for the stabilization and effective distribution of occlusal stresses, the elastic properties of mandible is restricted according to the extent of 'splinting' by the superstructure and implants. To investigate the change of elastic behaviour of the mandible which has osseointegrated implant prosthesis of various numbers of implant installment and span of superstructre, a three dimensional finite element model was developed and analyzed with conditions mentioned above. The conclusions are as follows : 1. The displacements are primarily developed at the area of muscle attachment and distributed all around the mandible according to the various properties of bone. 2. The segmentation in the superstructure has few influence on the distribution of stress and displacement. 3. In the load case of ICP, the concentration of tensional stress was observed at the anterior portion of the ramus($9.22E+6N/m^2$) and at the lingual portion of the symphysis menti($8.36E+6N/m^2$). 4. In the load case of INC, the concentration of tensional stress was observed at the anterior portion of the ramus($9.90E+6N/m^2$) and the concentration of tensional stress was observed at the lingual portion of the symphysis menti($2.38E+6N/m^2$)). 5. In the load case of UTCP, the relatively high concentration of tensional stress($3.66E+7N/m^2$) was observed at the internal surface of the condylar neck.

• 한국철도학회논문집
• /
• 제17권5호
• /
• pp.328-335
• /
• 2014

도시철도 지하역사 냉방 기류 및 냉방 효율을 조사하기 위하여 수치해법을 이용하여 해석하고 현장 실험 결과와 비교하여 분석하였다. 해석 대상 역사로는 지하 8층의 깊이 43.6m인 서울 5호선 신금호 역사를 선정하였다. 전체 역사를 해석 영역으로 하였으며, 공조기 모드는 평상시 모드로 고정시켰다. 냉방 공조를 위하여 대합실 천정에 총 94개의 정사각형($0.6m{\times}0.6m$) 환기구를 모델하였으며, 승강장은 총 222개의 환기구가 승강장 천정에 모델되었다. 대합실에서 급기되는 공기는 $47,316m^3/h$, 배기되는 공기량은 $33,980m^3/h$이며, 승강장에서 급기되는 공기는 $33,968m^3/h$, 배기되는 공기량은 $76,190m^3/h$로 현장의 풍량을 반영하였다. 승강장에서 스크린도어(PSD)는 닫힌 경우와 열린 경우 각각을 조사하였다. 총 750만개의 격자가 사용되었으며, 전체 영역을 22개의 다중 블록으로 나누어서 계산하고, MPI를 이용하여 각각의 블록에서 계산된 결과를 교환하였다. LES 기법을 이용하여 운동량 방정식 및 에너지 방정식을 계산하였다.

• 한국건축시공학회지
• /
• 제21권5호
• /
• pp.483-493
• /
• 2021

도시 인구의 과밀화로 고층 건물에 대한 폭발적인 수요와 공급이 발생하였다. 고층 빌딩은 각 도시의 구심점으로 도시 이미지를 제고하는데 기여하고 있으나 연돌효과로 인해 승강기 문의 오작동, 외벽의 문과 창문 개폐의 어려움, 상층부로 확산하는 연기와 악취, 소음, 에너지 손실, 화재 및 오염물질의 급속한 확산 등 예기치 못한 다양한 문제를 야기하고 있다. 본 연구에서는 초고층 건축물을 수직조닝별로 구분하여 연돌효과의 원인과 해결방안을 분석하고 설계와 시공 방안으로 도출하였다. 외기를 차단하는 초기 계획과 정밀한 시공을 통한 기밀성 확보를 통해 저층부에서 유입되는 기류를 능동적으로 차단하여 건물의 내·외부 기밀성을 확보하는 방안을 모색하였다. 설비적 해결대책은 연돌효과로 인한 특정 현상을 줄이기 위한 대책이 될 수 있으나 이에 따른 2차 피해의 가능성이 높기 때문에 최소한으로 적용해야 한다. 따라서 본 연구는 연돌효과의 원인과 대책방안을 수직 조닝별로 설계적, 시공적 대책을 제시함으로써 체계적인 연돌효과 관리의 필요성을 역설하였다. 또한 본 연구가 설계 및 시공뿐만 아니라 건물 유지관리에도 도움이 되기를 기대한다.

• 한국운동역학회지
• /
• 제26권1호
• /
• pp.115-126
• /
• 2016

Objective: The purpose of this study was to investigate plantar foot pressure and static balance according to the type of insole in the elderly. Methods: Thirteen elderly (mean age: $67.08{\pm}2.25years$, mean height: $159.63{\pm}9.64cm$, mean body weight: $61.48{\pm}9.06kg$) who had no previous injury experience in the lower limbs and a normal gait pattern participated in this study. Three models of insoles of the normal, 3D, and triangle types were selected for the test. The Pedar-X system and Pedar-X insoles, 3.3 km/h of walking speed, and a compilation of 20 steps walking stages were used to analyze foot-pressure distribution. Static balance test was conducted using Gaitview AFA-50, and balance (opening eyes, closing eyes) was inspected for 20 s. One-way ANOVA was conducted to test the significance of the results with the three insoles. p-value of less than .05 was considered statistically significant. Results: The mean foot pressure under the forefoot regions was the lowest with the 3D insole during treadmill walking (p<.05). The mean value under the midfoot was the highest with the 3D insole (left: p<.05, right: p<.01). The mean value under the rearfoot was the lowest with the 3D insole (p<.001). The maximum foot pressure value under the foot regions was the lowest on both sides of the forefoot with the 3D insole. A statistically significant difference was seen only in the left foot (p<.01). The maximum value under the midfoot was the highest with the 3D insole (p<.001). No statistically significant difference was detected on the values under the rearfoot. In the case of vertical ground reaction force (GRF), statistically significant difference was seen only in the left side rearfoot (p<.01). However, static balance values (ENV, REC, RMS, Total Length, Sway velocity, and Length/ENV) did not show significant differences by the type of insole. Conclusion: These results show that functional insoles can decrease plantar pressure and GRF under the forefoot and rearfoot. Moreover, functional insoles can dislodge the overload of the rearfoot and forefoot to the midfoot. However, functional insoles do not affect the static balance in the elderly.