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한국 요양시설 노인의 주 돌봄자 부담감에 대한 통합적 고찰 (An Integrated Review on Main Caregiver's Burden of Elderly in Korean Nursing Home)

  • 김은정;성경미
    • 디지털융복합연구
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    • 제17권6호
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    • pp.267-277
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    • 2019
  • 본 연구는 통합적 문헌고찰 방법을 통해 국내 요양시설에 노인을 입소시킨 주 돌봄 제공자의 돌봄 부담감을 파악하기 위한 연구이다. 문헌은 1990년 1월부터 2018년 12월까지 게제된 문헌으로 검색 데이터베이스를 이용하여 총 23편의 연구를 선정하여 분석하였다. 주 돌봄 제공자의 개인의 생리사회적 요소에 따른 부담감으로는 돌봄 제공자가 효의식과 죄책감이 높을수록, 노인이 2가지 이상의 질환을 앓고 있을 경우 돌봄 부담감이 높은 것으로 나타났다. 신체적 부담감은 노인의 연령이 많을수록, 돌봄 기간이 1-3년인 경우가 높았다. 경제적 부담감은 주 돌봄 제공자의 나이가 많을수록, 노인의 병력기간이 길수록 높게 나타났고 심리적 부담감은 돌봄 제공자가 아들인 경우와 노인이 고령일수록, 요양시설 입소 초기에 높은 것으로 나타났다. 환경적 특성에 따른 부담감은 노인의 기능상태가 나쁠 때 높은 것으로 나타났다. 그러므로 요양시설에 노인을 입소시킨 주 돌봄 제공자의 돌봄 부담감에 관심을 갖는 것이 필요하다. 앞으로 본 연구의 결과들은 돌봄 부담감을 낮추기 위한 중재 프로그램 개발에 기여할 것이다.

발굴 출토 화살다발 제작기법 연구 및 보존처리 (Study of the method of production of excavated arrow bundle and its conservation treatment)

  • 이병훈;최보배;허일권
    • 박물관보존과학
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    • 제25권
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    • pp.9-26
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    • 2021
  • 본 연구에서는 정선 아우라지 유적 청동기 시대 주거지에서 출토된 화살다발의 제작기법 연구 및 보존처리 과정을 서술하였다. 화살은 화살촉과 화살대 부분으로 이루어진 유물이며, 화살대는 유기물로 제작되기 때문에, 화살대가 화살촉과 함께 완형으로 발굴된 사례는 매우 드물다. 특히 정선 아우라지 화살다발은 무경식석촉과 탄화된 화살대가 결구된 흔적이 확인되었다는 사실에 큰 의의가 있으며, 나무의 끝을 갈라 화살촉에 끼워 넣는 방식이 확인된 중요한 사례이다. 정선 아우라지 화살의 특징을 살펴보기 위해 현미경 조사, 화살대 수종분석 등을 실시하였다. 석촉의 마연흔을 통해 가공순서 및 방향, 도구의 입자 크기 등을 알 수 있었으며, 화살대 수종분석 결과 3년생 버드나무속(Salix spp.) 어린가지로 추정되었다. 현장에서의 경화처리 과정 중 경화제는 주변 환경의 영향으로 방수성과 가역성이 우수한 약품을 사용하였고, 응급수습방법으로 'Bridge'법을 사용하였다. 보존처리실로 이관한 후 바닥면 작업을 위해 유물을 뒤집는 과정에서 손상이 되지 않도록 하는 것이 가장 중요했기 때문에, 보강재를 선정하는데 신중히 하였다. 보강재로는 하중을 안전하게 견딜 수 있으며, 물성이 우수한 인조점토를 선택하였다. 최종적으로 유물 접합 및 정리 작업 후 바닥면을 에폭시수지로 마무리 한 후 박물관에 전시하였다.

침전극저주파 자극이 해마의 세포사 차단에 미치는 영향 (The Effects of Needle Electrode Electrical Stimulation on Cellular Necrosis Blocking the Hippocampus after Induction of Ischemia)

  • 이정숙;김병기;김성원;김지성;김동일;송치원
    • 동의신경정신과학회지
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    • 제20권2호
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    • pp.111-120
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    • 2009
  • Objectives : This study was performed to investigate the effects of Needle Electrode Electrical Stimulation (NEES) on ischemia-induced cerebrovascular accidents. After obstruction and reperfusion of ${\ast}{\ast}$ arteries in white mice, the amounts of necrosis and inflammation related substances IL-6, Caspase-3, and PARP, C-fos were measured in neurons of the hippocampus. The following results were obtained. Methods : This study used 21 male specific pathogen free (SPF) SD (Sprague Dawley) rats, 8 weeks of age and approximately 300 g in weight, that were given at least 1 week to adapt to the lab environment Each exposed artery was completely occluded with non-absorbent suture thread and kept in that state for 5 minutes. The sutures were then removed to allow reperfusion of blood. Test group is control group for comparison with the common carotid artery occlusion models, a GI group that underwent common carotid artery occlusion, and a needle electrode electrical stimulation (NEES) group that underwent NEES after artery occlusion. The GI and NEES groups were given 12, 24, or 48 hours of reperfusion before NEES. NEES device (PG6, ITO, Japan, 9V, current, 2Hz) was used to stimulate the right and left acupoint ST36 of the SD rats for 30 minutes while they were sedated with 3% isoflurane. An immunohistochemistry test was done on the forebrains of the GI induced rats. All the data collected from this study was symbolized and analyzed using a statistics processing program (SPSS 12.0K/PC). The level of significance was set at ${\alpha}$=0.05 and a T-TEST analysis was used to find out the effects of treatment on each of the groups: the normal group, the CVA induced group, and the treatment after CVA induction group. Results : Both PARP and C-fos immuno-reactive cells, related to apoptosis, were greater in the GI groups than the NEES group. Caspase and IL-6 immuno-reactive cells, related to inflammation, were greater in the GI and NEES groups than the control group. Conclusions : This research was conducted to study the effects of NEES on CVA due to ischemia. Occlusion and reperfusion was performed on the common carotid arteries of white rats, after which amounts of substances related to neuron necrosis and inflammation - PARP, IL-6, Caspase-3, and C-fos - were measured in the Hippocampus

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광주지역 연구개발특구 육성방안에 관한 연구 (Establishment Strategy for R&D Special District in Gwangju Area)

  • 이정록;김재철
    • 한국지역지리학회지
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    • 제13권1호
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    • pp.104-117
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    • 2007
  • 본 연구는 광주지역의 연구개발(R&D)특구를 지정 육성하기 위한 정책수립의 선행연구로서, 연구개발특구의 지정을 위한 광주지역의 여건과 잠재력 분석, 특구 지정의 당위성, 특구지정과 육성을 위한 구체적인 추진방안을 고찰하는 것이 주요 목적이다. 광주지역은 쾌적한 자연환경을 보유하고, 광산업과 가전산업의 연구개발 활동이 특화되어 있고, 지역내의 대학과 연구소에서 우수한 연구인력을 확보할 수 있으며, 대덕-대구-광주를 연결하는 광역적 테크노벨트의 구축이 가능하기 때문에 특구지정과 육성의 타당성을 확보하고 있다. 특히 광주지역 연구개발특구의 지정과 육성을 통해 국가경쟁력의 제고, 국토의 균형발전, 서남권 지역경세의 활성화, 혁신 클러스터 구축을 통한 지역발전의 성장동력 확보 등이 가능하다. 연구개발특구의 지정과 육성을 위해서는 R&D 기반구축 및 혁신역량 강화, 창업 및 기업활동지원 프로그램 구축, 연구역량 강화를 위한 산업화 지원프로그램 실시, 핵심전략산업의 클러스터 구축, 연구개발특구지정을 위한 지원체계 확립 등이 필요하다.

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목포항 운송시스템의 분석에 관한 연구 (On the Analysis of Transportation System in Mokpo Port)

  • 남만우;이철영
    • 한국항만학회지
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    • 제11권2호
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    • pp.321-337
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    • 1997
  • Rapid change in the technological environment of marine transportation and the development of the ocean shipping industry have fostered a revolution in the port system. This in turn has caused major changes in the function and use of port in Korea. Aside from this. Mokpo Port, however continues to decline, because the existing port facilities and related subsystem are already obsolete with no chance of regaining operational effectiveness and treatment for proper implementation. Although a few studies have been done on the Mokpo Port, has not been found, any reseach for the analytical approach to the transportation system of it. This paper aims to make an extensive analysis of the physical distribution system in Mokpo Port focusing on the coordination of subsystems such as navigational aids system, quay handling and transfer system, storage system and inland transport system. The base of introduced simulation tool here is the queueing theory. The overall findings are as follows; 1. Among those vessels called at Mokpo Port in 1994, the average size of oceangoing vessels is 4,922.1 G/T, and the domestic is 317.8 G/T. The average arrival interval and service time of the domestic vessels are 6.0 hours and 24.1 hours respectively marking the berth occupation rate over 100%. Those for oceangoing vessels are 34.5 hours, 120.0 hours and 37.2%. In order to maintainin the berth occupation rate to 70% the capacity considering the 1994 of domestic piers must be extended to 145% and oceangoing vessels must be increased to 165% year called. 2. The capacity of approaching channel is enough to handle the total traffic volume. 3. Tugs are sufficiently being provided to handle all ships requiring their services 4. The capacity of storage and inland transportation systems are sufficient to handle the throughput and the yard stroage utilization rate of No.1 $\cdots$ No.5 is 4.5% and No.6 1S 30% of 1993's. 5. The utilization rate of LLc(Level Looping Crane) and PNT(PNeumaTic) are 2.7% and 18.8%, respectively. Practical solution and proposal for improvement of Transportation System in Mokpo Port are as follows; 1. To avoid the congestion in domestic pier introduction of a new port operation system is necessary allowing the domestic vessel to use the oceangoing pier. 2. To establish the port management information system to improve the efficiency of port operation. 3. To build a new storage system for high valued cargos including modernization of the present storage and handling system. 4. To insure the safety of navigation in approaching channel, The Vessel Traffic System including separation scheme is introduced. 5. To interest enormously on public relation to ship owner's association, shippers and consignees by showing that they can save cost and ship turnaround time in order to promote the call to Mokpo Port. At last, to be strategically change the function of Mokpo Port to the Leisure, Fishing & Ferry as well as Maritime port.

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Subjective Responses to Thermal Stress for the Outdoor Performance of Smart Clothes

  • Kwon, JuYoun;Parsons, Ken
    • 대한인간공학회지
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    • 제36권3호
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    • pp.169-181
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    • 2017
  • Objective: The aim of this study was to explore the influence of outdoor weather conditions on subjective responses during physical activity. Background: The largest difference between indoor and outdoor conditions is the existence of the sun. The heat load from the sun has an influence on the heat gain of the human body and the intense degree of solar radiation affected thermal comfort. Method: Thirty eight people were exposed to a range of climatic conditions in the UK. Weather in England does not have extremely hot and cold temperature, and the current study was conducted under warm (summer and autumn) and cool (spring and summer) climates. Measurements of the climate included air temperature, radiant temperature (including solar load), humidity and wind around the subjects. Subjective responses were taken and physiological measurements included internal body temperature, heart rate and sweat loss. Results: This study was conducted under four kinds of environmental conditions and the environmental measurement was performed in September, December, March, and June. The values for sensation, comfort, preference, and pleasantness about four conditions were from 'neutral' to 'warm', from 'not uncomfortable' to 'slightly comfortable', from 'slightly cooler' to 'slightly warmer', and from 'neither pleasant nor unpleasant' and 'slightly unpleasant', respectively. All subjective responses showed differences depending on air temperature and wind speed, and had correlations with air temperature and wind speed (p<0.05). However, subjective responses showed no differences depending on the radiant temperature. The combined effects of environmental parameters were showed on some subjective responses. The combined effects of air temperature and radiant temperature on thermal sensation and pleasantness were significant. The combined effects of metabolic rate with air temperature, wind speed and solar radiation respectively have influences on some subjective responses. In the case of the relationships among subjective responses, thermal sensation had significant correlations with all subjective responses. The largest relationship was shown between preference and thermal sensation but acceptance showed the lowest relationship with the other subjective responses. Conclusion: The ranges of air temperature, radiant temperature, wind speed and solar radiation were $6.7^{\circ}C$ to $24.7^{\circ}C$, $17.9^{\circ}C$ to $56.6^{\circ}C$, $0.84ms^{-1}$ to $2.4ms^{-1}$, and $123Wm^{-2}$ to $876Wm^{-2}$ respectively. Each of air temperature and wind speed had significant relationships with subjective responses. The combined effects of environmental parameters on subjective responses were shown. Each radiant temperature and solar radiation did not show any relationships with subjective responses but the combinations of each radiant temperature and solar radiation with other environmental parameters had influences on subjective responses. The combinations of metabolic rate with air temperature, wind speed and solar radiation respectively have influences on subjective responses although metabolic rate alone hardly made influences on them. There were also significant relationships among subjective responses, and pleasantness generally showed relatively high relationships with comfort, preference, acceptance and satisfaction. Application: Subjective responses might be utilized to predict thermal stress of human and the application products reflecting human subjective responses might apply to the different fields such as fashion technology, wearable devices, and environmental design considering human's response etc.

치과기공사의 건강관련 삶의 질에 영향을 미치는 요인에 대한 다수준분석 연구 (The Multilevel Analysis for Factors effecting on the Health-related Quality of Life in Dental Technicians)

  • 이태용;김원수;이혜은
    • 한국산학기술학회논문지
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    • 제15권6호
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    • pp.3625-3634
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    • 2014
  • 본 연구는 치과기공사의 건강관련 삶의 질 관리에 필요한 자료를 제시함으로써 치과기공사의 건강 위험 예방 및 관리를 위한 기초자료를 제공하고자 실시되었다. 조사대상은 대전지역 30개 치과기공소와 해당 업체에 근무하는 치과기공사 141명으로 하였으며, 2011년 12월 20일부터 2012년 1월 31일까지 작업환경을 측정함과 동시에 구조화된 자기기입식 설문지를 이용하여 설문조사를 실시하였다. 수집된 자료의 분석결과 건강지수 총점은 개인수준 요인인 근무시간과 흡연상태에 따라 통계적으로 유의미한 차이를 보였으며, 신체적 건강지수는 개인수준 요인인 흡연상태와 운동습관에 따라 통계적으로 유의미한 차이를 보였다. 정신적 건강지수는 개인수준 요인인 근무시간과 흡연상태에 따라 통계적으로 유의미한 차이를 보였다. 집단수준의 예측변수에서는 유의미한 변수가 나타나지 않았다. 결론적으로 치과기공사의 건강관련 삶의 질 수준은 집단수준 요인보다 개인수준 요인에 더 큰 영향을 받는 것으로 나타났다.

사회경제적 위치에 따른 청소년의 건강과 건강 관련 행태의 차이 : 한국청소년패널 조사 결과 (Socioeconomic Differentials in Health and Health Related Behaviors: Findings from the Korea Youth Panel Survey)

  • 조성일;양승미;이무송;강영호
    • Journal of Preventive Medicine and Public Health
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    • 제38권4호
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    • pp.391-400
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    • 2005
  • Objective : This study examined the socioeconomic differentials for the health and health related behaviors among South Korean middle school students. Methods : A nationwide cross-sectional interview survey of 3,449 middle school second-grade students and their parents was conducted using a stratified multi-stage cluster sampling method. The response rate was 93.3%. The socioeconomic position indicators were based on self-reported information from the students and their parents: parental education, father's occupational class, monthly family income, out-of-pocket expenditure for education, housing ownership, educational expectations, educational performance and the perceived economic hardships. The outcome variables that were measured were also based on the self-reported information from the students. The health measures included self-rated health conditions, psychological or mental problems, the feelings of loneliness at school, the overall satisfaction of life and the perceived level of stress. The health related behaviors included were smoking, alcohol drinking, sexual intercourse, violence, bullying and verbal and physical abuse by parents. Results : Socioeconomic differences for the health and health related behaviors were found among the eighth grade boys and girls of South Korea. However, the pattern varied with gender, the socioeconomic position indicators and the outcome measures. The prevalence rates of the overall dissatisfaction with life for both genders differed according to most of the eight socioeconomic position indicators. All the health measures were significantly different according to the perceived economic hardship. However, the socioeconomic differences in the self-rated health conditions and the psychosocial or mental problems were not clear. The students having higher socioeconomic position tended to be a perpetrator of bullying while those students with lower socioeconomic position were more likely to be a victim. Conclusions : The perceived economic hardships predicted the health status among the eighth graders of South Korea. The overall satisfaction of life was associated with the socioeconomic position indicators. Further research efforts are needed to explore the mechanisms on how and why the socioeconomic position affects the health and health related behaviors in this age group.

동절기 이중외피 시스템에 적용 가능한 PCM재료의 온도설정에 따른 실내 열 성능 분석에 관한 연구 (Study on Indoor Thermal Performance Analysis upon PCM Temperature applicable to the Double Skin Facade System in the Winter)

  • 류리;서장후;김용성
    • KIEAE Journal
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    • 제15권3호
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    • pp.43-48
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    • 2015
  • Purpose: Recently, many countries around the world are actively looking for the ways to make full use of natural energy sources and also develop and apply an environmentally friendly system designed to save building energy consumption. Under these circumstances, this study intended to determine the applicability and energy saving effect by deriving the indoor thermal performance characteristics and the PCM temperature appropriate for a double skin façade to reduce indoor energy consumption through the application of different PCM temperatures to double skin façade and perform a performance evaluation depending on the application or non-application of PCM to a double skin façade. Method: For this study, the physical variables of the double skin façade with PCM were configured through a preliminary examination based on an experimental measurement, and experimental measurements were taken with a total of 7 types of mockup cases: Type-1 (Basic), the basic double skin façade, Type-2 (PCM $18^{\circ}C$) which was applied to the inner skin of the double skin façade depending on the phase-change temperature of PCM, Type-3 (PCM $20^{\circ}C$), Type-4 (PCM $22^{\circ}C$), Type-5 (PCM $24^{\circ}C$), Type-6 (PCM $26^{\circ}C$), and Type-7 (PCM $28^{\circ}C$) with reference to the data analysis of the basic double skin façade which preceded this study, to analyze the indoor thermal performance of the double skin façade depending on PCM temperature and the installation or non-installation of a double skin façade applying PCM based on the selected unit space. Result: Indoor thermal performance was analyzed depending on the PCM temperature applicable to double skin façade, and the analysis of heating energy reduction showed that Type-2 (PCM $18^{\circ}C$) gained 15.9% more heat compared with Type-1 (Basic) and secondly, Type-3 (PCM $20^{\circ}C$) gained 11.5% more heat. Based on these findings, it is deemed possible that the use of energy for heating can be reduced when heat coming indoors increases during the heating period, and the appropriate temperature for PCM applied to the inner skin of a double skin façade to reduce heating energy in winter, Type-2 (PCM $18^{\circ}C$) showed the highest efficiency and Type-3 (PCM $20^{\circ}C$) was also deemed appropriate.

보 설치가 퇴적물 특성에 미치는 영향에 관한 연구 (Investigation of the Effect of Weirs Construction in the Han River on the Characteristics of Sediments)

  • 강민경;최인영;박지형;최정현
    • 대한환경공학회지
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    • 제34권9호
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    • pp.597-603
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    • 2012
  • 본 연구에서는 보의 설치가 하천 퇴적물에 미치는 영향을 알아보고자 남한강 하류에 설치된 강천보, 여주보, 이포보에 대하여 보의 영향을 잘 대표할 수 있다고 생각되는 9개 지점을 선정해 퇴적물 분석을 진행하였다. 채취한 퇴적물의 물리적, 화학적 특성을 분석하기 위해 입도, 함수율, 완전연소가능량, COD, TOC, TP, SRP, TN 항목을 선정하여 분석하였다. 분석결과 퇴적물의 입도 분포는 전 구간에 걸쳐 같은 Sandy loam의 토양분류를 나타내어 준설이 퇴적물의 입도 분포에 영향을 주었다고 판단된다. 입도, 함수율, 완전연소가능량, COD, TOC, TP, SRP, TN 항목에서 보 설치지점의 상류 농도가 하류보다 높게 나타나는 것으로 보아 남한강 하류 유역에 설치된 보가 퇴적물 흐름에 영향을 미쳐 보의 상부에 퇴적양상을 나타내었다고 생각한다. 하지만 SRP 및 C/N 비율 분석 결과에서는 지역에 따른 퇴적물 특성의 차이가 크지 않고, 퇴적물의 유기물 기원 분석의 경우에는 과거 퇴적물의 특성이 나타나는 점으로부터 연구가 수행된 시점에서는 보의 설치가 퇴적물의 특성에 미치는 영향이 크지 않다고 판단된다. 하지만, 남한강 수계에 설치된 보는 강우에 의해 외부에서 유입되는 토사의 이동 및 퇴적에 영향을 줄 수 있고, 이는 수층으로의 오염물질의 확산 및 재부유를 발생시켜 수질 및 수생태계에 영향을 미칠 수 있으므로 보 설치구간 퇴적물의 물리적 화학적 특성 변화에 대한 지속적인 모니터링이 필요하다고 생각한다.