• 대한한의학회지
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• 제44권1호
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• pp.65-75
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• 2023

Objectives: Objectives: In this study, we define a medical service type that combines Western medicine, Korean medicine, and complementary and alternative medicine (CAM) as an integrated medical service. This study, as part of tertiary hospital-based integrated medical service model and clinical field application, aims to collect status and opinions on integrated medical service for medical staff in the field. Methods: This is a survey study, and was conducted on doctors from Kyung Hee University Hospital and Korean medicine doctors from Kyung Hee University Korean Medicine Hospital. Respondents were recruited on a first-come, first-served basis until the number of respondents reached 120. The investigation was conducted for a total of 16 days from October 4, 2021 to October 19, 2021 by e-mail. Results: Recognition of integrated medical services was confirmed to be 45.8%, and 49.2% responded positively to the necessity of it. As a group of diseases that require the establishment of integrated medical services in the future, 'disorders of musculoskeletal systems and connective tissues' was the highest. The most expected advantages of providing integrated medical services were 'increased satisfaction of patients and guardians' and 'increased treatment effects.' Conclusions: In this study, we investigated the perception of doctors and Korean medicine doctors on integrated medical services that combine Western medicine, Korean medicine, and CAM. It has been confirmed that medical staff generally have a positive perception of integrated medical services, and if the scientific basis for the effect of integrated medical services is supported, the rate of positive perception is expected to increase.

• 동서간호학연구지
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• 제3권1호
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• pp.50-67
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• 1998

When recognition of the Ghi(氣) which exist in all things, is changed on the aspects of the science of nursing, the view of health and nursing will be more efficient and can be developed as the proper concept for Korean culture. I think it is nessary to confirm which philosophical basis of the will be applicable to nursing and how to it has to be developed. Therefore I can for the research of the Ghi phenomena to attain the Thoughts of philosophy that is appropriate to expound those phenomena. And I attempt to induct "the fusion of horizons" to unify the view of the I world between Korea and the West. The Ghi is very energetic and omnipresent among the universe, Nature, and the human being. So it can organize all the primary elements of mental and I physical function of human as like life, mind, breath, feeling, energy, etc. A general concept of the Ghi is described as follows ; (1) The Ghi is the origin and essence to organize the universe, Nature, and the human being. (2) It is the perpetually movable thing. (3) And there are continuous transmission between the Ghi of the universe and the human through 'body, mind, and soul. For review on the philosophic basis of the Ghi, I studied out the identity of the doctrine of Li and Ch'i(理氣論) in the field of philosophy of Korea and the West. In Korea, the concept of the Vigor is based on Ch'i monolism(기일원론) and Li Ch'i dualism (이기이원론) of Yul-gok Lee's, Toi-kye Lee's, Hwa-dam's, and/or Hekang's. These are indispensable for the view of the world of Korea as Metaphysical ideology, Concrete science, Materialism, Ontology, and Epistemology. From the viewpoint of the philosophy of the West, the doctrine of Li and Ch'i(이기론) of Korea is identical with the doctrine of Li and Ch'i(이기론) of Joo-ja, Idea of Plato, Metaphysics of Aristotle, World Spirit(Weltgeist) of Hegel, and Existentialism of Heidegger. In the nursing theory of the West, some of them referred to the Ghi as like Energy field theory of Rogers and Energy exchange of Neuman. Though there are different in terminology, "energy" and the "Ghi" are induced comparable therapeutic action between the human and the environments. With the nursing theory of Korea, I have made an attempt to compare the Ghi with metaparadigm of nursing-the human being, the environment, the health, and the nursing. For the most part, the alternative therapy is resonable to the frame of the nursing theory of Korea. It is easy to apply alternative therapy on the every spot of nursing. So this therapy could be a kind of forms as nursing therapy in the nursing centers where take the duties of supporting in local societies. In result, independent nursing intervention will be activated by the nurse who puts up with the major parts. It is available to apply this therapy to palliation of pain, insomnia of infant, Sanhujori (산후조리), pain of menstruation, arthritis. And the alternative therapy makes it possible to propose the nursing model which represent originality, tradition, and history of the nursing of Korea. Additionally, in the field of the nursing, it is indispensable to choose a suitable methodology which is considered whether it is matched with a theory of philosophy in the boundary and object of the research. Because there are many way to get the knowledge of nursing related to the Ghi. In the science of nursing, context of sociocultural background and frame are required to understand the person who need to take care of (nursing client). But the value systems of the West and the East are distinctive each other as well as the behavior of health persuance. Therefore it is the basic research data of great worth to review philosophical the Ghi phenomena which is well known to Korean.

• 디자인학연구
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• 제17권2호
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• pp.77-86
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• 2004

사용자 중심 디자인(User-Centered Design)은 주어진 환경(Context)에서의 사용자 행동(Activity)을 모델링 하여 사용자가 기능적, 논리적으로 주어진 작업(Task)을 수행해 낼 수 있는 상품의 디자인을 가능케 하는데 크게 기여한 바 있다. 그러나 사용자 중심 디자인은 사용하기 편하고 유용한 측면을 디자인하는 데는 큰 기여를 했지만, 소비자의 감성 및 문화를 고려한 상품 디자인을 개발하는 측면에서는 아직 성공적인 사례를 제시하지 못했다는 비난을 받고 있는 것도 사실이다. 이는 사용자 중심 디자인이 사용자의 요구사항 (기능적인 요구 사항)에만 치중하는 접근법이기 때문으로, 사용 상황이 중요한 공공 시설물이나 기업 소프트웨어의 개발에는 적합하지만 소비자를 직접 대상으로 하는 디지털 컨텐트 및 디지털 가전의 디자인을 위해서는 부족한 면이 없지 않아 있는 것으로 발표되고 있다. Jordan은 이러한 문제법의 해결안을 제시하면서, 사용자 요구사항의 다차원적(개인적, 사회적, 인지적, 물리적) 접근법을 제안하였고, 그것을 Pleasure-based Approach라고 명명하였다. Jordan도 사용자 조사의 중요성은 부각하였지만, 사용자 조사의 결과를 상품 개발에 접목시키기 위한 방안은 제시하고 있지 못했다. 본 논문에서는 Kano의 상품 속성 모형을 도입하여 사용자 조사 방법과 상품 요소 도출과의 연결고리를 발견하고자 하였다. Kano 모델에서는 상품 요소를 크게 기본요소, 퍼포먼스요소, 엑셀런트 요소로 나누어 설명하고 있다. 퍼포먼스 요소는 설문조사와 같이 직접적으로 고객으로부터 얻을 수 있는 요소로 설명하고 있다. 그러나 기본요소 및 엑셀런트 요소는 직접적인 사용자 조사를 통해서 얻을 수 있는 요소가 아니라 고 주장하고 있고, 이런 요소들을 도출하기 위하여 경쟁상품분석, 참여적 소비자 조사 등과 같은 방법이 도입되어야 한다. 고 말하고 있다. 이에 본 연구에서는 '13-18 청소년용 온라인 커뮤니티 컨텐트 개발 프로젝트' 를 중심으로 엑셀런트 요소 및 퍼포먼스 요소를 도출하기 위한 참석 관찰의 프레임 워크를 제시하고, 그 결과를 기능적 요소, 감성적 요소로 정리하여 상품개발에 활용하도록 하였다. 본 연구의 의의는 상품개발에 사용자 조사의 필요성 및 활용도를 실질적인 프로젝트를 통하여 시도해 보았다는 데 있다고 할 수 있겠다.

• Applied Microscopy
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• 제37권4호
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• pp.271-280
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• 2007

Tonicity responsive enhancer binding protein(TonEBP)는 콩팥에서 osmolyte의 세포내 축적을 촉매해 주는 전사조절인자로 높은 삼투농도에서 세포를 보호하는데 중요한 역할을 수행한다. 고장성환경은 TonEBP의 양적 증가와 핵 내 분포의 증가를 통해 TonEBP의 활성을 자극한다. 또한 TonEBP는 콩팥 수질내 요소축적에 중요한 역할을 하는 UT-A의 전사를 조절하는 것으로도 알려져 있다. 따라서 본 연구에서는 콩팥수질내 TonEBP와 UT-A의 기능과 상관관계를 밝히는 연구의 일환으로 다른 동물보다 급수가 제한된 환경에서 더 오래 살아남을 수 있는 수분대사능력을 가지고 있는 Mongolian gerbil을 이용하여, 절수로 인한 고장성환경의 유발에서 TonEBP와 UT-A에 대한 발현 변화를 관찰하고자 하였다. 절수에 따른 TonEBP와 UT-A의 발현 양상을 연구하기 위해, 먼저 Mongoian gerbil 각 5마리씩 3그룹으로 나누어 절수 실험을 실시하였고, 면역조직화학법을 실시하여 다음과 같은 결과를 얻었다. 정상대조군에서 TonEBP의 면역반응성은 속수질 세포들의 핵 내에 주로 분포하였으며, 절수 7일군에서 면역조직화학검사 결과, 속수질집합관에서의 염색성은 대조군에 비해 증가하였고, 특히 바깥수질 부위에 속수질에서 요세관의 가는 부분에서의 증가가 두드러졌다. 절수 14일군에서 염색성이 대조군보다 오히려 감소하였으며, 콩팥의 조직학적 손상이 관찰되었다. UT-A의 경우 바깥수질 속줄무늬층의 짧은-헨레고리가는내림부분과 정상군에서는 미약한 양성반응을 나타낸 속수질 초기부분의 긴-헨레고리가는내림부분에서 강한 발현 양상을 나타내었고, 속수질의 초기에서 중간부위의 속수질집합관도 강한 발현 양상을 확인할 수 있었다. 그러나 속수질 말단부위의 속수질집합관은 콩팥유두 끝으로 갈수록 발현량이 감소하는 것을 확인할 수 있었다. 이상의 결과는 Mongolian gerbil을 이용한 절수모델에서 증가된 콩팥수질의 Tonicity에 의해 TonEBP의 발현이 증가하고 이에 따라 UT-A의 발현도 동반하여 증가하는 것을 확인하였고, 또한 이렇게 증가된 TonEBP는 UT의 전사를 조절하여 UT를 증가시켜 오줌농축기전을 향상시키는 것으로 생각된다. 이는 속수질 세포의 스트레스에 대한 세포방어기전으로 생각된다. 그러나 절수가 계속되면 이런 적응반응에 한계를 지나쳐 오히려 TonEBP와 UT-A의 발현이 감소함을 확인 할 수 있었다.

• 한국추진공학회:학술대회논문집
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• 한국추진공학회 2003년도 제20회 춘계학술대회 논문집
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• pp.91-93
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• 2003

A comprehensive numerical study is carried out to investigate for the understanding of the flow evolution and flame development in a supersonic combustor with normal injection of ncumally injecting hydrogen in airsupersonic flows. The formulation treats the complete conservation equations of mass, momentum, energy, and species concentration for a multi-component chemically reacting system. For the numerical simulation of supersonic combustion, multi-species Navier-Stokes equations and detailed chemistry of H2-Air is considered. It also accommodates a finite-rate chemical kinetics mechanism of hydrogen-air combustion GRI-Mech. 2.11[1], which consists of nine species and twenty-five reaction steps. Turbulence closure is achieved by means of a k-two-equation model (2). The governing equations are spatially discretized using a finite-volume approach, and temporally integrated by means of a second-order accurate implicit scheme (3-5).The supersonic combustor consists of a flat channel of 10 cm height and a fuel-injection slit of 0.1 cm width located at 10 cm downstream of the inlet. A cavity of 5 cm height and 20 cm width is installed at 15 cm downstream of the injection slit. A total of 936160 grids are used for the main-combustor flow passage, and 159161 grids for the cavity. The grids are clustered in the flow direction near the fuel injector and cavity, as well as in the vertical direction near the bottom wall. The no-slip and adiabatic conditions are assumed throughout the entire wall boundary. As a specific example, the inflow Mach number is assumed to be 3, and the temperature and pressure are 600 K and 0.1 MPa, respectively. Gaseous hydrogen at a temperature of 151.5 K is injected normal to the wall from a choked injector.A series of calculations were carried out by varying the fuel injection pressure from 0.5 to 1.5MPa. This amounts to changing the fuel mass flow rate or the overall equivalence ratio for different operating regimes. Figure 1 shows the instantaneous temperature fields in the supersonic combustor at four different conditions. The dark blue region represents the hot burned gases. At the fuel injection pressure of 0.5 MPa, the flame is stably anchored, but the flow field exhibits a high-amplitude oscillation. At the fuel injection pressure of 1.0 MPa, the Mach reflection occurs ahead of the injector. The interaction between the incoming air and the injection flow becomes much more complex, and the fuel/air mixing is strongly enhanced. The Mach reflection oscillates and results in a strong fluctuation in the combustor wall pressure. At the fuel injection pressure of 1.5MPa, the flow inside the combustor becomes nearly choked and the Mach reflection is displaced forward. The leading shock wave moves slowly toward the inlet, and eventually causes the combustor-upstart due to the thermal choking. The cavity appears to play a secondary role in driving the flow unsteadiness, in spite of its influence on the fuel/air mixing and flame evolution. Further investigation is necessary on this issue. The present study features detailed resolution of the flow and flame dynamics in the combustor, which was not typically available in most of the previous works. In particular, the oscillatory flow characteristics are captured at a scale sufficient to identify the underlying physical mechanisms. Much of the flow unsteadiness is not related to the cavity, but rather to the intrinsic unsteadiness in the flowfield, as also shown experimentally by Ben-Yakar et al. [6], The interactions between the unsteady flow and flame evolution may cause a large excursion of flow oscillation. The work appears to be the first of its kind in the numerical study of combustion oscillations in a supersonic combustor, although a similar phenomenon was previously reported experimentally. A more comprehensive discussion will be given in the final paper presented at the colloquium.

• 가정∙방문간호학회지
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• 제11권1호
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• pp.5-13
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• 2004

The home health care industry has grown rapidly and can be expected to continue to grow in the foreseeable future. Home health care refers to the practice of nursing applied to clients with a health condition in the clients place of residence. clients and their designated care givers are the focus at home health nursing practice. The goal of care is to initiate. manage and evaluate the resources needed to promote the clients optimal level of well-being and function. Nursing activities necessary to achieve this goal may warrant preventive maintenance and restorative emphases to prevent potential problems from developing. Many project program were suggested home health care model for Korea's health care system and policy direction for expansion and establishment of home health care .But the aim of this paper is to provide on overview for theoretical frame work in home health care. Theories and conceptual frameworks or models are important nursing because they define and guide the boundaries of professional practice and identify key nurse-patient-caregiver relationships that emerge with caring. Following is the research with an investigation of the literature review in the University of Arizona international medline database, In conclusion, are as followers: First, many nursing theorists have had a tremendous impact on nursing practice. the following highlights those nursing theorists that are particularly helpful in understanding home health care. 1. Florence Nightingale : Our earliest theoretical legacy. Nightingale's believes are reflected in basic infection control practice such as hand washing and infectious waste disposal and are key nursing interventions in home care. 2. Martha Roger's :Science of unitary human beings theory. Rorger's believed that the focus of shared. non invasive healing modelities is the human environmental field rather than direct physical care. These modelities continue to evolve as our awareness (reflecting greater diversity, faster rhythms, motions, and ways of knowing) transcends time and space, allowing individuals to get in touch with their integral nature of unbroken wholeness. On people as ever changing energy fields have special relevance in home care especially with hospice and palliative care applications. 3. Madeline Leininger's; Transcultural nursing theory. Home care nurses move through a variety of communities and often care for patients from different cultural back grounds. Therefore Leininger's work has a good that with home care because home care nursing practice is very culturally focused. 4. Dorothea Orem's : Self care deficit theory. Orem's theory views care as something to be performed by both nurses and patients. The role of the nurse is to provide education and support that help patients acquire the necessary activities to perform self-care. Orem's theory is foundational to have care because it begins to truly acknowledge the role of the patient in managing his or her own health. which is referred to as self-care. 5. Margaret Neuman's; Health as expending consciousness theory. Neuman believes that health compasses disease and reflects an underlying pattern of person-environment interaction. A key application of 'Neuman's work to home care is for nurses to understand that health and illness do not necessarily exist at opposite ends of a continuum. 6. Jean Watson's: Theory of human caring. Watson's theory of human caring in nursing proposes human caring as the moral ideal of nursing. Nurses participate human caring to protect, enhance and preserve humanity by assisting individuals to fing meaning in illness. pain and existence and to help others gain self knowledge. self control. and self healing such thinking lends richness to theory development. as well as clinical practice in home care. Second, Robin Rice : Dynamic self determination for self care. (A theoretical framework for home care) Dynamical self determination for self care can be useful to home care nurses in a variety of ways. As research tool it can be reflected in the interview process when the home visit. The home care nurse's role is that of facilitator of patient self-determination for self care through numerous strategies. including patient education and case management.

• 한국해양학회지:바다
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• 제29권2호
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• pp.77-100
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• 2024

진해·마산만에 대한 연구는 그동안 해수순환, 조석, 조류, 적조, 수질, 빈산소 환경을 주제로 많이 연구되었으나 주로 단기간 동안 일어나는 해양현상에 대해 연구가 수행되었으며, 만 전체적인 해수순환을 일으키는 물리적 기작을 자세히 살펴본 연구는 부족했다. 오염 물질의 이동과 확산 같은 현상은 주로 계절별로 변동성이 크기 때문에, 이 연구에서는 진해·마산만 해역의 해수순환이 계절적으로 어떻게 변동하는지를 파악하고자 하였다. 이를 위하여 3차원 해양 순환 모델을 이용하여 2016년부터 2018년까지 진해·마산만의 해수순환을 수치모의하고, 여름철과 겨울철 해수순환을 표층, 중층, 저층에 대하여 살펴보았다. 또한 조석, 바람, 담수 유입에 대한 민감도 실험을 수행하여 각 요인들이 해수 유동에 미치는 영향을 분석하였다. 진해·마산만의 해수순환은 가덕수도 저층에서 대한해협의 해수가 유입되고, 표층에서 진해·마산만의 해수가 유출되는 대류성 염하구 순환이 일어난다. 가덕수도를 통해 교환되는 해수의 순환은 크게 진해만 동부해역과 진해만 서부해역으로 나누어져 일어난다. 각 해역의 수로 방향을 기준으로 해수 수송량을 계산하였을 때, 진해만 동부해역의 남북방향 해수 교환 수송량은 진해만 서부해역에서 일어나는 동서방향 해수 교환량보다 겨울철에는 2.3배, 여름철에는 1.4배 크다. 진해만 서부해역은 계절별로 작용하는 힘들의 균형이 변화하여 해수순환 특성이 계절에 따라 크게 다르다. 겨울철에는 북서풍이 만드는 전단응력과 해수면 기울기의 영향으로 표층 해류가 남쪽으로, 저층 해류는 북쪽으로 흐르는 남북방향 대류성 순환이 강화된다. 반면, 남서풍이 부는 여름철에는 바람 응력에 의해 표층 해수가 동쪽으로 유출되고, 또한 남동쪽 해수면이 높아 북쪽 방향 순압성 압력경도력이 커져 동쪽 방향 유속이 강화된다. 저층에서는 밀도 구배가 커져 경압성 압력경도력이 남쪽으로 크게 작용하여 지형류 균형에 의해 가덕수도의 해수가 서쪽으로 강하게 유입하는 동서방향 대류성 순환이 겨울철보다 26% 강화된다. 진해만 서부의 대류성 순환은 겨울과 여름 모두 조류와 바람의 영향을 크게 받는다. 진해만 동부해역과 마산만에서는 모든 계절에 표층에서는 해수가 외해로 유출되고, 저층에서는 해수가 만 안쪽으로 유입되는 전형적인 염하구 순환을 보였다. 겨울철에는 바람과 담수유입이, 여름철에는 조류의 영향이 남북방향 염하구 순환 규모에 크게 기여하였다. 진해만 동부해역에는 지형의 영향을 받아 형성된 조석 잔차류도 뚜렷하다. 이 연구에서 제시한 진해·마산만의 계절별 해수순환 특성은 이 해역의 오염물질 확산, 여름철 빈산소수괴의 형성 기작 파악, 적조 생물의 유입과 유출을 이해하는 데 도움이 될 것으로 기대된다.