• 한국임상수의학회지
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• 제29권6호
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• pp.509-512
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• 2012

암컷, 4년령, 6.5 kg의 단모종 고양이가 배뇨실금 및 배뇨곤란 증상을 주증으로 내원하였다. 신체 검사에서 방광 팽창을 동반한 배뇨곤란 증상을 확인 하였고, 방사선 검사와 초음파 검사에서 2개의 작은 방광 결석과 방광내 슬러지를 각각 확인 하였다. 소변 검사에서 혈뇨와 세균뇨를 확인 하였다. 식염수를 이용한 방광 세척과 항생제 치료를 4주간 실시 하였으나 치료 효과가 미미하였다. 선천적 이상을 확인하기 위해 배설성 요로조영술을 실시하였고, 작은 게실이 방광 앞쪽 끝에서 관찰 되었다. 방광요막관 게실이 의심 되어 탐색적 개복술을 실시 하였고 삼각형 모양의 게실이 방광 앞쪽 끝에서 확인 되었다. 방광 결석 제거를 위해 방광 절개술이 실시 되었고 게실 절제를 위해 방광 부분 절제술이 실시 되었다. 방광 앞쪽 끝 부분을 지름 약 2 cm 정도 절제 하였다. 수술 후 5일 째 정상 배뇨가 가능하였다. 수술 후 정기 검진은 신체 검사를 통해 2년 동안 실시 되었으며 배뇨 곤란과 배뇨 실금 증상이 관찰 되지 않았다.

• 한국응용과학기술학회지
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• 제35권3호
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• pp.886-904
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• 2018

3D 가상현실은 이미 여러 스포츠 분야에서 사용되고 있으며 특히 엘리트운동 선수들의 훈련 등에 적극 활용되고 있다. 주로 심상훈련 효용성을 극대화하기 위해 활용되고 있으며, 이에 따라 3D 가상현실 기술을 기반으로 심상훈련의 가능성, 유용성, 적합성이 여러 연구를 통해 입증되었다. 그러나 최근에는 가상현실에서의 운동이 더 이상 엘리트 운동선수들의 훈련에만 활용되는 것이 아니라 사회체육 등에 활발히 활용되는 추세에 있다. 3D 가상현실에서의 운동의 장점은 안정성이 높으며 외부환경에 대한 제한이 적다는 것이다. 이러한 장점을 고려할 때 이는 노인체육에 잘 활용될 수 있을 것이다. 따라서 본 연구에서는 노인을 위한 가상현실 기반 심상훈련의 활성화를 위해 국내 외 가상현실 관련 연구들이 어떠한 방법으로 연구되었으며 어떤 결과를 도출하였는지 면밀히 고찰하였다. 더불어 본 연구에서는 이러한 선행연구의 결과를 종합하여 추후 가상현실 연구의 활성화를 위한 방향과 후속 연구 과제를 위해 3D 가상현실 심상훈련의 간학문적 접근, 노인의 특성 및 지원요구를 고려한 지원, 습득된 기술의 일반화 및 유지 방안을 고려한 접근 필요성에 대해 제언을 제시하였다.

• 한국콘텐츠학회논문지
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• 제18권8호
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• pp.469-482
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• 2018

본 연구에서는 델파이 기법과 AHP분석을 이용하여 경인 아라뱃길의 수질에 영향을 미치는 다양한 인자를 설정하고 하천의 수질을 체계적이고 객관적으로 평가할 수 있는 평가 항목 및 지표를 개발하였다. 분석결과, 최상위 평가항목에서의 중요도는 물리 환경적 요인 28%, 관리적 요인 26%, 자연 고정적 요인 26%, 사회 문화적 요인이 20% 순으로 나타났다. 3계층 평가항목인 물리 환경적 요인의 내적 요인에서는 자정능력의 손실, 외적 요인에서는 귤현보 및 교량에 의한 오니토 퇴적이 중요도가 가장 높은 것으로 나타났으며, 관리적 요인의 시설요인에서는 축산 및 폐수처리시설의 영향, 정책/제도적 요인에서는 규제권역상의 문제로 나타났다. 또한 자연 고정적 요인의 수생태/점오염원에서는 굴포천의 오염수, 생활환경/비점오염원은 기타하천의 유입수로 나타났으며, 사회 문화적 요인에서 경제적 요인에서는 화물 및 여객운항, 외적 요인에서는 하수처리시설 부족에 따른 영향이 중요도가 가장 높은 것으로 나타났다. 이러한 결과들은 향후 경인 아라뱃길의 수질개선 사업의 우선순위를 산정할 수 있는 논리적 근거와 객관성을 마련하기 위하여 각각의 평가지표들을 측정할 수 있는 구체적인 방법론과 기법에 대한 연구가 지속되어야 할 것이다.

• Journal of Ginseng Research
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• 제42권2호
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• pp.192-198
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• 2018

Background: Ginseng has been used as an ergogenic agent, although evidence for its effectiveness is weak. A randomized, double-blind, placebo-controlled clinical trial was conducted to evaluate the effect of a ginsenoside complex (UG0712) on changes in exercise performance. Methods: Sedentary individuals (n = 117) were randomly assigned into one of three groups: low-dose ginsenoside supplementation (100 mg/d, n = 39), high-dose ginsenoside supplementation (500 mg/d, n = 39), or a placebo group (500 mg/d, n = 39). All participants underwent a supervised 12-wk aerobic and resistance exercise training course. To assess the effects of supplementation on physical performance, maximal oxygen consumption ($VO_2max$), anaerobic threshold (AT), lactic acid, and muscle strength of the dominant knee were measured at baseline, every visit, and after the training program. Results: Both ginsenoside groups showed significant increases in $VO_2max$ and muscular strength during exercise training. There were no definite changes in AT and lactic acid levels over time. After exercise training, there were definite differences in the $VO_2max$ (28.64.9 to $33.7{\pm}4.9ml/kg/min$ in high-dose group vs. $30.4{\pm}6.7$ to $32.8{\pm}6.6ml/kg/min$ in placebo, p = 0.029) and AT ($19.3{\pm}4.2$ to $20.9{\pm}3.5ml/kg/min$ in high-dose group vs. $20.0{\pm}5.1$ to $20.0{\pm}4.9ml/kg/min$ in placebo, p = 0.038) between the high-dose ginsenoside and placebo groups. However, there was no difference in $VO_2max$ between the low-dose ginsenoside and placebo groups (p = 0.254). There were no differences in muscular strength during exercise training among the three groups. Conclusion: High-dose ginsenoside supplementation (UG0712) augmented the improvement of aerobic capacity by exercise training.

• Journal of Trauma and Injury
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• 제23권1호
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• pp.38-42
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• 2010

Purpose: The clinical utility of brain computed tomography (CT) in detecting temporal bone fracture is not well established. We performed this study to determine the utility of brain computed tomography (CT) in detecting fractures of the temporal bones in correlation with fracture patterns. We used high resolution computed tomography (HRCT) as the gold standard for diagnosing temporal bone fracture and its pattern. Methods: From January 2007 to December 2009, patients who underwent both brain CT and HRCT within 10 days of head trauma were investigated. Among them, 58 cases of temporal bone fracture confirmed by HRCT were finally included. Fracture patterns (transverse or non-transverse, otic capsule sparing or otic capsule violating) were determined by HRCT. Brain CT findings in correlation with fracture patterns were analyzed. Results: Among 58 confirmed cases of temporal bone fracture by HRCT, 14 cases (24.1%) were not detected by brain CT. Brain CT showed a significantly lower ability to detect temporal bone fracture with transverse component than without transverse component (p=0.020). Moreover, brain CT showed lower ability to detect otic capsule violating pattern than otic capsule sparing pattern (p=0.015). Among the 14 cases of temporal bone fracture that were not detected by brain CT, 4 cases lacked any objective physical findings (facial palsy, hemotympanum, external auditory canal bleeding) suggesting fractures of the temporal bones. Conclusion: Brain CT showed poor ability to detect temporal bone fracture with transverse component and otic capsule violating pattern, which is associated with a poorer clinical outcome than otic capsule sparing pattern. Routine use of HRCT to identify temporal bone fracture is warranted, even in cases without evidence of temporal bone fracture on brain CT scans or any objective physical findings suggestive of temporal bone fracture.

• Child Health Nursing Research
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• 제10권2호
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• pp.165-172
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• 2004

The main purpose of this study is to examine the concepts appeared on research and provide future research directions in field of child health nursing. 205 studies of the total 318 studies had been analyzed first for the concepts of the client domain and this time 113 studies were analyzed for the practice, the client-nurse and the environmental domain in nursing. The practice domain includes mentalistitic, enactment, knowledge utilization, role related phenomenon, the client-nurse domain includes touch, communication, interaction phenomenon, and the environmental domain includes physical, social, symbolic environment. All were originally published between 1990 and 2000 in Korea. An analysis of concepts for this study was used the metaparadigm framework for nursing proposed by H. S. Kim(2000). 1. 103 studies belonged to the practice domain. Among them, 56(54％) studies used concepts related to enactment phenomenon like education(21.4％), giving information(7.1％), breast feeding(5.4％), caring(5.4％), airway suction(5.4％), nonnutritive sucking(5.4％). 44(43％) studies used concepts related to knowledge utilization like program development and evaluation of smoking, mother-infant interaction, home health nursing, obesity management. And only 3(3％) studies used role related concepts like quality of nursing, direction of health education, contents of child health nursing education. 2. Only 2(0.006％) studies belonged to the client-nurse domain. One concept is empathy in communication phenomenon and the other concept is role conflict in interaction phenomenon. 3. 8(0.02％) studies belonged to the environmental domain. Among them, 3 studies related to physical environment like space, noise and 5 studies related to social environment like social support, home environment. But the concept of symbolic environment was not used. The findings of this study provide the evidence that research related to the client-nurse domain and the environmental domain should be conducted actively to improve the practice of child health nursing. So that the research in field of child health nursing should be dealt with the concepts of four domains to develop knowledge systematically.

• Child Health Nursing Research
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• 제19권3호
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• pp.198-206
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• 2013

목적 본 연구는 신생아중환자실에 입원해 있는 저출생체중아를 대상으로 '어머니의 노래 들려주기 중재'의 효과를 규명하기 위해 수행되었다. 방법 서울 시내에 소재하는 일개 대학병원의 신생아중환자실에 입원한 대상자를 임의표출하여 비동등성 대조군 전후설계로 총 48명의 영아중 실험군 24명, 대조군 24명을 대상으로 하여 본 연구를 수행하였다. 결과 어머니의 노래 들려주기 중재를 제공받은 저출생체중아는 활력징후의 생리적 반응인 심박동수, 호흡수와 산소포화도에서 실험군과 대조군 사이에 통계적으로 유의한 차이가 없었다. 행동상태 점수는 두 집단 간 통계적으로 유의한 차이가 검증되었다. 즉, 노래 들려주기 중재를 제공받은 저출생체중아는 행동상태가 안정되는 결과를 보였다. 결론 본 연구를 통해 신생아중환자실에서 오랜 기간 치료를 받아야 하는 저출생체중아를 위한 긍정적인 청각자극으로서 어머니의 노래 들려주기 중재를 활용할 수 있는 객관적인 근거자료를 마련하였다는 데 의의가 있다. 또한 이러한 중재를 통해 재원기간 동안 저출생체중아의 돌봄에 어머니의 참여를 독려할 수 있을 뿐만 아니라 영아와 부모 사이의 이른 상호작용을 증진시키는 기회를 제공할 수 있다는 점에서 아동간호실무의 발전에 기여할 수 있을 것이다.

• 한국식품영양과학회지
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• 제15권4호
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• pp.72-80
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• 1986

The purpose of this study was to investigate the dietary-intake and that of health by mean of questionarie and interview for male and female old persons living in Seoul area. The contents of study included general aspects, physical status and health, nutrient intake, and food intake frequency. The results from the above survey are summarized as follows ; 1. The age group in the range of 60 to 79 years old was 71%, and the average number of family was 4.9. The educational level was 56% of elderly persons were elementary or middle school graduates . 42.8% of elderly persons had an average monthly income of \490,000 to 300,000. 2. The aged average height, weight, and physical index were 164.9cm, 55.8kg and 20.4 in male, 152.7cm, 46.0kg and 20.3 in female which were lower than the Korean average standard. (male; 167.0cm, 61.0kg, female; 156.0cm, 55.0kg) In the degree of health self-consciousness, percentage distribution of poor and very poor was 29% in male, 59% in female. Among the condition of disease, neuralgia was 23.8%, hypertension was 17.2%, diabetes was 5.4%. 3. Average daily calorie intake was $63.9{\sim}70.4%$ for male and $76.4{\sim}83.9%$ for female which were lower than the Recommended Dietary Allowances for Koreans. Protein intake was $42.9{\sim}57.3g$ (which was $72.8{\sim}82.6%$ RDA) for elderly person, the proportion of animal protein to total protein intake were $24.3{\sim}28.2%$($12.9{\sim}16.2g$). Iron, Vitamin $B_1$, $B_2$ Niacin intake exceeded the RDA, but the intake of Calcium, Vitamin C were far less than that of RDA. 4. In the correlations between nutritional intakes and environmental factors and health, economic living situations and educational level as the factors which might influence the condition of nutritional intake was significant(P<0.01). 5. Food intake frequency of meats, fishes, eggs, for average of $1{\sim}2$ days per week were $44.8{\sim}50.5%$, that of milk and milk products for scarecely week were 42.9.% Correlation of food intake frequency was divided three levels-good, fair, poor. Food intake frequency as the factors which might influence the condition of nutritional intake was significant(P<0.01). The results of the survey reveal that many of elderly show evidence of general nutrient intake deficiency, it requires first of all importance of nutrition to improve nutritional level through to promotion of elderly health.

• 한국대기환경학회지
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• 제30권2호
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• pp.188-200
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• 2014

The IPCC 5th Assessment Report (Climate Change 2013: The Physical Science Basis) was accepted at the 36th Session of the IPCC on 26 September 2013 in Stockholm, Sweden. It consists of the full scientific and technical assessment undertaken by Working Group I. This comprehensive assessment of the physical aspects of climate change puts a focus on those elements that are relevant to understand past, document current, and project future of climate change. The assessment builds on the IPCC Fourth Assessment Report and the recent Special Report on Managing the Risk of Extreme Events and Disasters to Advance Climate Change Adaptation. The assessment covers the current knowledge of various processes within, and interactions among, climate system components, which determine the sensitivity and response of the system to changes in forcing, and they quantify the link between the changes in atmospheric constituents, and hence radiative forcing, and the consequent detection and attribution of climate change. Projections of changes in all climate system components are based on model simulations forced by a new set of scenarios. The report also provides a comprehensive assessment of past and future sea level change in a dedicated chapter. The primary purpose of this Technical Summary is to provide the link between the complete assessment of the multiple lines of independent evidence presented in the main report and the highly condensed summary prepared as Policy makers Summary. The Technical Summary thus serves as a starting point for those readers who seek the full information on more specific topics covered by this assessment. Warming of the climate system is unequivocal, and since the 1950s, many of the observed changes are unprecedented over decades to millennia. The atmosphere and ocean have warmed, the amounts of snow and ice have diminished, sea level has risen, and the concentrations of greenhouse gases have increased. Total radiative forcing is positive, and has led to an uptake of energy by the climate system. The largest contribution to total radiative forcing is caused by the increase in the atmospheric concentration of $CO_2$ since 1750. Human influence on the climate system is clear. This is evident from the increasing greenhouse gas concentrations in the atmosphere, positive radiative forcing, observed warming, and understanding of the climate system. Continued emissions of greenhouse gases will cause further warming and changes in all components of the climate system. Limiting climate change will require substantial and sustained reductions of greenhouse gas emissions. The in-depth review for past, present and future of climate change is carried out on the basis of the IPCC 5th Assessment Report.

• Journal of Ginseng Research
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• 제32권3호
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• pp.210-219
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• 2008

본 연구는 8주간의 홍삼 투여가 중추피로 및 말초피로에 미치는 영향과 홍삼 투여와 지구성 트레이닝을 병행 했을 경우, 홍삼이 유 무산소성 운동수행능력에 미치는 영향을 관찰하였다. 그 결과 홍삼 섭취와 지구성 트레이닝을 병행하는 것이 홍삼 섭취와 지구성 트레이닝을 단독으로 적용하는 것 보다 유산소성 운동수행능력과 말초피로에 높은 효과를 기대할 수 있으며, 홍삼의 섭취가 중추피로에도 긍정적인 영향을 미칠 것으로 기대된다. 하지만, 무산소성 운동수행능력에는 큰 영향을 주지 못하는 것으로 생각된다. 이에, 본 연구를 통해 검증된 홍삼의 피로회복 및 운동수행능력 향상 효과는 추후 일반인뿐만 아니라 운동선수의 운동능력향상 보조물(Ergogenic aid)로써 도움을 줄 것으로 기대된다.