• 의료법학
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• 제9권1호
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• pp.9-56
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• 2008

The medical practice does not always get a satisfatory result since the disease progress of patients are depended on patients' physical constitution and the doctors cannot control the outcomes about patients' physiological and biological reaction after the treatment. Moreover, the medical practice may bring wrong result fatalistically because of the unpredictablility of life. To demand for compensation of the damage to the doctors about these wrong result, the patient side holds the burden of proof that is between medical practice and demage, and there is damage from doctor's malpractice according to the accepted theory about the fundamental principle of distribution of the burden of proof. This falls not only under the liability of Tort Law, but also liability of Contract Law. However, the patient may be in difficult situation to prove the malpractice of doctors since he or she cannot recognize the facts because he or she was in unconscious while the medical practice was conducted, or they cannot judge precisely even though they recognize the facts. Nevertheless, the lawsuits against medical malpractice are the field that never achieves the equality of arms since the most of the evidence belong to the doctor's side. Hence, to maintain the principle of the equality of arms under the constitution, the theory leads to alleviate the burden of proof that patients hold. However, the doctors cannot be asked for the burden of proof that they conduct medical practice without errors. Because the doctors may experience difficulty to prove their innocence as the patients because of the unique characteristic that medical practices have. Therefore, the methods of the alleviation of the patient's burden of proof should have the equality of arms and the equal opportunity between the patients and the doctors with the evaluation of the justifiable interest from both the patients and the doctors. As the methods of the alleviation of the burden of proof, the alleviation of the demands and the degree of the burden of proof or resolutely the conversion of the burden may be considered. However, Recognizing the exception from general principle with converting the burden of proof is not proper in principle because the doctors may experience difficulty of the proof as the patients may have. If the difficulty of proof can be resolved by alleviating of the demands and the degree of the burden of proof, it is more desirable resolution rather than converting the burden of proof.

• 한국임상수의학회지
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• 제32권5호
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• pp.464-468
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• 2015

6살의 중성화한 수컷 말티즈는 운동실조로 인하여 내원하였다. 본 증례는 일반방사선 촬영, 컴퓨터단층촬영, 자기공명영상을 실시하여 낭종의 위치, 크기, 척수와의 관련성 및 동반된 질환을 알 수 있었다. 자기공명영상 결과 T1W과 FLAIR 영상에서는 hypointense한 영역, T2W 영상에서는 hyperintense한 영역이 L1~2 척수의 등쪽으로 나타났다. 이는 CSF와 동일한 신호로 나타났으며, 등쪽에서 척수를 압박하여 배쪽으로 이동시켰다. 낭종의 길이는 25 mm, 두께는 4 mm로 나타났다. 무증상일 경우는 치료가 필요 없으나, 본 증례는 신경학적 이상이 나타나 수술적 치료를 실시하였다.

• 한국임상수의학회지
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• 제28권4호
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• pp.438-441
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• 2011

7연령의 중성화된 수컷, 단모종 고양이가 2년 동안 지속된 만성 비루와 재채기를 주증상으로 내원 하였다. 내원 당시 양측 비강내 화농성 비루가 관찰되었으며, 신체검사상 빈호흡이 확인되었다. 구강 및 흉강 방사선 검사는 정상이었으며, 두경부의 방사선 검사에서 비강과 고포의 이상이 발견되었다. 비강내 세포학 검사결과는 진단에 특이적인 소견을 제시하지 못했다. 확진을 위하여 추가적으로 컴퓨터 단층촬영검사, 비강과 비인두의 내시경 및 조직 검사가 실시 되었다. 컴퓨터 단층촬영을 통하여 양측 비강 및 비인두, 우측 고실내의 액체/연부조직 음영이 확인되었으며, 병변부의 종양성 변화는 확인되지 않았다. 비강경 및 검이경 검사를 통하여 병변부를 육안적으로 확인 할 수 있었다. 환축은 조직검사를 통하여, 림포형질세포성 비염으로 진단되었으며, cyclosporine을 이용하여 효과적으로 관리 되었다. 결론적으로 본 증례의 경우 고양이에서 발생한 림포형질세포성 비염의 임상증상과 진단, 그리고 cyclosporine을 이용한 치료 반응에 대한 국내 첫 증례보고이다.

• Journal of Nutrition and Health
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• 제13권1호
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• pp.15-26
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• 1980

The main purposes of the nutrition and clinical surveys were to provide baseline information on the nutritional status of pre-school children in rural health demonstration project areas of the Korea Health Development Institute (KHDI) for nutrition guidance services for the MCH target group. The survey covered a total of 222 pre-school children and 135 mothers in Okgu Gun, Cholla Pukto Province from August 10 to August 17, 1979. The survey results are summarized as follows: 1) Family Environment Seventy percent of the households had more than three children, and the mean family sire was 6. Sixty-nine percent of the mothers and 47% of the fathers of the surveyed households were educated at or below the primary school level. The majority, 70% of the mothers, were aged between 20 years and 35 years. 2) Anthropometric Measurements and Hemoglobin Value 4.5% of the children were lower than 80% weight for age of the Korean standard, and 5.4% were lower than 85% arm circumference for age of the Jelliffe's standard resectively, and those were suffering from protein-energy malnutrition. Angular stomatitis were observed on 66.2% of the subjects. Mean hemoglobin value was 11.1g/100m1, and 44.2% of the subjects were categorized as anaemia. 3) Food and Nutrient Intake of animal foods was very low, ranging from 2.9 to 17%. Consumption of eggs was less than 2% of total food intake, and intake of legumes was also very scanty, between 0.8 to 3.7%. These data present evidence of very poor protein intake, quality as well as quantity. Energy intake of children was 60.0 to 64.4% of the recommended allowance, and mean protein intake only met 47.4% of the recommendation. Low intake of vitamins except thiamin were also found. 4) Mother's Nutrition Knowledge Eighty-five percent of the mothers were entirely ignorant regarding the 'five basic food group' which is most important fact on food and nutrition guidance. Mean knowledge score from 14 basic questions about food and nutrition was as low as 5.1. There was a significant positive correlation between mother's educational level and nutrition knowledge score. 5) Family Planning Variable There were significant correlation among maternal, family planning variables, and some of the nutritional and physical measurements. The study revealed that the mother's educational level and nutrition knowledge score are more crucial factors than the family planning variables on effecting food intakes on children. Recommendation : According to the results of the surveys, there were high incident rates of nutritional anaemia and angular stomatitis among pre-school children, and most of rural women had very limited knowledge about food and nutrition. As a main part of the health education activities, the community health workers should provide nutrition education to the village mothers to improve the nutrional status of young children in rural areas. Nutrional promotion at the primary health care level should be mainly based on appropriate nutrition education.

• 한국해양학회지:바다
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• 제5권4호
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• pp.363-373
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• 2000

남서태평양 열수해역의 화학적 환경특성을 이해하기 위하여 수온, 염분, 투명도, pH, 영양염 및 황화수소 등을 분석하였다. 시료는 마누스분지의 12개 정점에서 CTD를 이용하여 채취하였다. 열수작용은 해수 및 암석간의 순환작용에 의해 이들의 물리, 화학적 특성을 변화시키고, 주변의 해수와는 특성이 다른 열수가 plume을 형성하여 해양으로 공급된다. 본 연구에서는 남서태평양 PACMANUS 해역과 Susu Knolls 해역에서 투명도 및 황화수소를 이용하여 열수작용에 의한 plume을 확인하였다 특히, 열수환경을 지시하는 지화학적 추적자인 황화수소는 0${\sim}$3.31 ${\mu}$M 범위와 평균 0.63${\mu}$M을 보였다. 열수작용에 의한 plume의 높이, 분출량 및 활동도는 저층해류 순환 등의 영향을 받으며 수층의 등밀도면을 따라 주변 해수로 확산된다. 결과적으로 연구 해역에서의 황화수소 농도 이상치는 열수작용에 의한 영향으로 판단되고, 따라서 PACMANUS 해역의 남북방향에 가장 큰 공급원이 있을 것으로 보인다.

• 감성과학
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• 제21권3호
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• pp.151-164
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• 2018

기존의 사회인지와 정서 연구들은 주로 얼굴자극을 이용하여 초기지각단계 및 후기인지과정에의 정서 효과를 조사해 왔다. 그러나, 정서의 효과가 정보처리과정의 각 단계에서 어떤 양상으로 나타나는지와, 정서유형에 따른 효과 양상의 변화 여부는 불확실하다. 본 연구에서는 얼굴 대신 생물형운동자극을 이용해 자극에 내포된 행복, 분노, 중립정서가 지각과제와 작업기억과제 수행에 미치는 영향을 조사하였다. 참가자는 연달아(지각과제) 또는 시간차를 두고(작업기억과제) 제시되는 두 생물형운동의 동일 여부를 판단하였다. 지각과제에서는 정서가를 가진 자극 시행의 정확도가 중립정서자극에 비해 낮아 정서정보가 초기지각처리에는 부정적 영향을 미치는 것으로 보였으나, 작업기억과제에서의 기억정보유지에는 도움이 되는 것으로 나타났다. 또한, 각 과제에서 정서유형에 따라 다른 수행 양상이 관찰되었다. 분노정서는 지각단계에서 더 많은 정신적 자원을 요구하여 부하가 증가할 경우 정확도가 낮아지지만 기억유지에는 긍정적으로 작용하는 것으로 보이며. 행복정서의 경우 중립정서가 이어서 제시될 때 이를 행복정서와 유사하게 처리하려는 편향을 유도하는 것으로 보인다. 본 연구는 생물형운동자극을 이용하여 정보처리과정에서의 정서 영향을 재확인하였고, 처리단계별 및 정서 종류별로 다른 양상의 영향이 나타난다는 점을 추가로 밝혀, 정서정보의 정교한 조작 및 통제를 위한 유용한 단서를 제공한다.

• Asian-Australasian Journal of Animal Sciences
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• 제14권6호
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• pp.880-884
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• 2001

Rumen microbiology research has undergone several evolutionary steps: the isolation and nutritional characterization of readily cultivated microbes; followed by the cloning and sequence analysis of individual genes relevant to key digestive processes; through to the use of small subunit ribosomal RNA (SSU rRNA) sequences for a cultivation-independent examination of microbial diversity. Our knowledge of rumen microbiology has expanded as a result, but the translation of this information into productive alterations of ruminal function has been rather limited. For instance, the cloning and characterization of cellulase genes in Escherichia coli has yielded some valuable information about this complex enzyme system in ruminal bacteria. SSU rRNA analyses have also confirmed that a considerable amount of the microbial diversity in the rumen is not represented in existing culture collections. However, we still have little idea of whether the key, and potentially rate-limiting, gene products and (or) microbial interactions have been identified. Technologies allowing high throughput nucleotide and protein sequence analysis have led to the emergence of two new fields of investigation, genomics and proteomics. Both disciplines can be further subdivided into functional and comparative lines of investigation. The massive accumulation of microbial DNA and protein sequence data, including complete genome sequences, is revolutionizing the way we examine microbial physiology and diversity. We describe here some examples of our use of genomics- and proteomics-based methods, to analyze the cellulase system of Ruminococcus flavefaciens FD-1 and explore the genome of Ruminococcus albus 8. At Illinois, we are using bacterial artificial chromosome (BAC) vectors to create libraries containing large (>75 kbases), contiguous segments of DNA from R. flavefaciens FD-1. Considering that every bacterium is not a candidate for whole genome sequencing, BAC libraries offer an attractive, alternative method to perform physical and functional analyses of a bacterium's genome. Our first plan is to use these BAC clones to determine whether or not cellulases and accessory genes in R. flavefaciens exist in clusters of orthologous genes (COGs). Proteomics is also being used to complement the BAC library/DNA sequencing approach. Proteins differentially expressed in response to carbon source are being identified by 2-D SDS-PAGE, followed by in-gel-digests and peptide mass mapping by MALDI-TOF Mass Spectrometry, as well as peptide sequencing by Edman degradation. At Ohio State, we have used a combination of functional proteomics, mutational analysis and differential display RT-PCR to obtain evidence suggesting that in addition to a cellulosome-like mechanism, R. albus 8 possesses other mechanisms for adhesion to plant surfaces. Genome walking on either side of these differentially expressed transcripts has also resulted in two interesting observations: i) a relatively large number of genes with no matches in the current databases and; ii) the identification of genes with a high level of sequence identity to those identified, until now, in the archaebacteria. Genomics and proteomics will also accelerate our understanding of microbial interactions, and allow a greater degree of in situ analyses in the future. The challenge is to utilize genomics and proteomics to improve our fundamental understanding of microbial physiology, diversity and ecology, and overcome constraints to ruminal function.

• 분석과학
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• 제29권3호
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• pp.136-141
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• 2016

충남지역에서 운행되는 10대의 순찰차량에서 유리조각의 분포를 연구하였다. 각 차량의 앞좌석(운전석, 조수석)과 뒷좌석에서 유리조각을 채취하였다. 채취영역은 각 좌석에서 등이 접촉하는 부분(이하 등받이로 표기), 엉덩이가 접촉하는 부분(이하 아랫면으로 표기) 및 엉덩이와 등받이의 사이 공간(이하 모서리로 표기)으로 설정하여 채취하였다. 채취영역에서 접착테이프를 사용하여 전사한 뒤 입체현미경을 사용하여 접착테이프에 있는 유리조각을 찾았다. 발견된 유리조각의 총 개수는 679 개였다. 그 중에서 경찰들이 주로 사용하는 앞좌석에서 발견된 유리조각의 수는 471 개(운전석 293, 조수석 178)였다. 유리조각 대부분의 크기는 0.49 mm 이하였다. 이러한 결과는 유리조각의 대부분이 뒷좌석보다 앞좌석에서 주로 발견된다는 것을 보여준다. 이를 통해 앞좌석에 있던 유리조각이 차량을 사용하는 경찰에게 전이되고, 경찰관이 범죄자와 접촉할 경우 이 유리조각이 범죄자에게 2차전이 될 가능성이 높다는 것을 확인할 수 있었다. 따라서 2차전이로 인해 유리조각 증거가 오염되어 증거가치가 훼손될 수 있다. 그러므로 경찰은 순찰차량에서 발생할 수 있는 교차오염에 대한 방지대책을 강구해야 한다.

• 산경연구논집
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• 제9권3호
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• pp.89-98
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• 2018

Purpose - Despite the global economic crisis, the numbers of coffee shops used for providing a place for social and cultural interactions show an upward trend and have become an indispensable part in people's daily life in recent years. Under the circumstance of tremendous efforts of searching new management strategies and projects, the concept of servicescape(which has physical environment characteristics) may provide a better alternative. Therefore, the purpose of this study can be broadly divided into 3 key points. First is to investigate the effects of servicescape on customer satisfaction, service value and customer loyalty about Coffee Shops in Jeonju area. Second is to examine the mediating effect of customer satisfaction and service value between servicescape and customer loyalty. Third, there is evidence that indicates the moderating effect among the interaction of customer and staff, brand image and the composition of servicescape, customer satisfaction, service value and customer loyalty. Research design, data, and methodology - This study begins empirical research about users of coffee shops' services. The data of the study is collected from 285 samples of a questionnaire which has been made from Korea and analysed by IBM SPSS 24.0 and IBM AMOS 24.0. Results - The results are reported below: First of all, the composition of condition, functionality, cleanliness and aesthetic characteristics of the servicescape has a significant impact on customer satisfaction and service value. Furthermore, customer satisfaction is identified as a factor to influence service value. Moreover, customer satisfaction and service value are identified as the causal relationship with customer loyalty. Besides, customer satisfaction and service value illustrated the mediation effect between the composition of servicescape and customer loyalty. Finally, the interaction between customer and staff, brand image illustrates the moderated effect. Conclusions - The composition of servicescape contributes to the formation of customer satisfaction and enhancing the customer's perceived service value in coffee shops. By meeting diverse and complex needs of consumers in coffee shop, the service value will not only attract loyal customers, but also increase customer loyalty and profitability. In a word, managers should rely on servicescape to enhance service experience by making differences with other competitors.

• 한국산학기술학회논문지
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• 제19권1호
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• pp.517-526
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• 2018

본 연구는 최근 10년간 해외 학술지에 게재된 복지관 이용 노인의 생활만족도에 영향을 미치는 요인들의 체계적 문헌 고찰 및 메타분석을 통해 노인의 생활만족도를 증진하기 위한 한국형 노인 생활만족도 도구 개발 및 복지관 운영 및 정책 개발 시 기초 자료로 제시하고자 한다. 분석에 사용된 문헌은 2017년 11월 1일까지 게제 된 국외 논문을 Medline complete, Pubmed central, Scopus를 통해 검색하였다. 검색 용어는 "Elderly. OR aged/) AND Personal Satisfaction/ or life satisfaction. mp"를 사용하였고, 검색된 595편의 초록을 통해 최종 6편의 연구를 분석 대상으로 선정하였다. 각 연구의 내용을 정성적으로 분석한 후 3편 이상의 정량값이 있는 요인들은 메타분석을 시행하였다. 연구 결과 노인 생활 만족도에 영향을 주는 요인으로는 신체적 건강(통합효과크기 0.582, p=.000), 정신적 건강(통합효과크기 0.423, p=.000), 경제적인 문제(r=.51, p=.001), 사회활동, 일상생활정도가 영향요인을 분석되었다. 본 연구를 통해 노인의 생활 만족도의 폭넓은 이해뿐만 아니라 초고령화 사회를 대비한 고령자 취업의 사회적인 함의 및 체계적인 건강관리를 통해 생활만족도를 높이는데 기여할 수 있을 것이다.