• 한국산업보건학회지
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• 제31권3호
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• pp.266-273
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• 2021

Objective: The objective of this study was to suggest improvement methods for investigations and systems through a review of musculoskeletal risk factor investigation reports conducted in the workplace. Methods: A total of 34 reports on musculoskeletal risk factor investigations were reviewed. To confirm the appropriateness of the evaluation, reevaluation was conducted through a field investigation using other evaluation tools. In order to understand the effectiveness of the improvement plan, a survey was conducted with those in charge of tasks with ergonomic burdens. Results: As a result of performing a field survey using the work sampling method recommended by the KOSHA (Korea Occupational Safety and Health Agency) for ten tasks, eight tasks were determined to pose an ergonomic burden. When 30 tasks were evaluated with RULA (rapid entire body assessment), 90% of them were evaluated at a higher level than the results of the workplace survey. Among the improvement measures, only 36% of the field workers affirmed them, and in only 19% of the workplaces were actual improvements made. Conclusions: In order to improve the ergonomic investigation system for risk factors in the ergonomic burden task, it is necessary to secure the objectivity of the evaluation performed by the institution and enable the active participation of workers in improvement activities.

• 비교문화연구
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• 제46권
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• pp.281-296
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• 2017

안드레이 아말릭의 희곡들은 70년 소비에트 희곡사에서 전무후무한 독특한 현상이다. 그것은 소비에트 희곡이 20세기 초 러시아 아방가르드의 성과를 고의적으로 망각한 지 반세기가 지난 뒤에, 동시대 서방의 실험적인 연극 실천들로부터 철저하게 고립된 소비에트의 연극 환경 속에서 느닷없이 출현한 괴물 같은 부조리 희곡이었다. 그런데 놀랍게도 아말릭의 희곡들은 현재의 러시아 내에서 뿐만 아니라 외국의 러시아 문학 연구자들 사이에서도 거의 잊혀져가고 있다. 소비에트 체제가 붕괴한 뒤, 러시아에서는 1991년에 아말릭의 수기가 발간된 것 말고는 작품집도 나오지 않았으며 그의 작품 세계에 대한 재평가 움직임도 눈에 뜨이지 않는다. 그러나 아말릭은 반드시 온당한 평가를 받아야 하는 작가이다. 그의 희곡에 대한 연구는 고골, 흘레브니꼬프, 마야코프스키, 오베리우 등으로 이어지는 러시아 그로테스크-부조리 극문학의 혈통을 복원하는 일이다. 이 논문에서는 그 작업의 한 시도로서 아말릭 희곡의 구성 메카니즘에 관해 알아보기로 한다.

• Physical Therapy Rehabilitation Science
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• 제8권3호
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• pp.134-140
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• 2019

Objective: The purpose of this study was to investigate the effect of exercise therapy and bedside ergometer exercise on muscle strength, function level, and quality of life of persons in intensive care. Design: Randomized Controlled Trial Methods: Sixteen patients in the ICU were randomly assigned to either the exercise group (n=8) or the bedside cycle ergometer group (n=8). Activities in the ICU exercise group (rolling, sitting at the edge of the bed, transfer from sitting to standing, standing balance training, ambulation) and bedside cycle ergometer group were performed 5 times a week for 30 minutes during the ICU admission period. Medical Research Council (MRC) and Functional Status Scale-Intensive Care Unit (FSS-ICU) parameters were assessed at the time of admission to the ICU, and reevaluation was assessed on the day of ICU discharge. The Short Form-36 (SF-36) was assessed at the time of discharge from the ICU. Results: MRC and FSS-ICU were significantly increased before and after intervention in both the experimental and control groups (p<0.05). There was a significant difference between MRC and FSS-ICU in the comparison of the changes before and after the intervention (p<0.05). SF-36 was compared between groups after intervention and there was a significant difference between the experimental and the control group (p<0.05). Conclusions: Muscle strength and functional levels improved after intervention in both the experimental and control groups. The ICU exercise group was more effective than the bedside cycle ergometer group to improve muscle strength, functional level, and quality of life performance of persons in the ICU.

• 항공우주의학회지
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• 제29권2호
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• pp.67-71
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• 2019

The health of licence holders (flight crew members and air traffic controllers) is recognized as an important element of aviation safety. The medical emergency symptoms that occur during the flight duty period without prior notice can interfere with human performance capabilities and threaten aviation safety. To prevent this, ICAO has been required to conduct a periodic medical assessment process of licence holders including routine analysis of in-flight incapacitation events and medical findings during medical to identify areas of increased medical risk and continuous reevaluation of the medical assessment process to concentrate on identified areas of increased medical risk. The supply and demand of licence holders have become a major issue due to the increase in air traffic around the world, and the pilot retirement age has been extended to 65 years. But, there is no significant change in the aviation medical assessments process. The follow up of the result of medical examination discovered through aviation medical examination is a very important part, but it has not been properly implemented, and the sick leaves and medical inflight incapacitation reporting system should be improved. The management of health risk factors for licence holders must be implemented to prevent aircraft accidents or aviation safety problems caused by health problems. In this paper, we propose the development plan and concrete improvement plan of the health risk management system of licence holders in Korea in terms of aviation safety.

• Nuclear Engineering and Technology
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• 제54권12호
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• pp.4809-4818
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• 2022

The decommissioning project of a nuclear facility is a large-scale process that is expected to take about 15 years or longer. The range of risks to be considered is large and complex, then, it is expected that various risks will arise in decision-making by area during the project. Therefore, in this study, the risk family derived from the Decommissioning Risk Management (DRiMa) project was reconstructed into a decommissioning project risk profile suitable for the Kori Unit 1. Two criteria of uncertainty and importance are considered in order to prioritize the selected 26 risks of decommissioning project. The uncertainty is scored according to the relevant laws and decommissioning plan preparation guidelines, and the project importance is scored according to the degree to which it primarily affects the triple constraints of the project. The results of risks are divided into high, medium, and low. Among them, 10 risks are identified as medium level and 16 risks are identified as low level. 10 risks, which are medium levels, are classified in five categories: End state of decommissioning project, Management of waste and materials, Decommissioning strategy and technology, Legal and regulatory framework, and Safety. This study is a preliminary assessment of the risk of the decommissioning project that could be considered in the preparation stage. Therefore, we expect that the project risks considered in this study can be used as an initial data for reevaluation by reflecting the detail project progress in future studies.

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2020년도 학술발표회
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• pp.65-65
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• 2020

기후변화에 관한 IPCC 제5차 평가보고서에 따르면 최근 나타난 기후 관련 극한 현상인 폭염, 홍수, 가뭄 등의 영향에 대해 생태계가 현재의 기후 변동성에 상당히 취약하게 반응하며, 기후변화를 위험에 초점을 맞추어 평가함으로써 대응책을 마련해야 한다고 강조하였다. 기후변화에 따라 강수량 패턴과 수문학적 시스템이 변하면서 수자원의 미치는 영향과 취약성, 적응에 대한 연구의 필요성이 요구되고 있으며, 농업용수를 비롯한 수자원 관리 기술 및 적응역량을 강화하는 것이 필요하다. 수리답 면적에 대한 농업용수 공급의 61%를 차지하는 농업용 저수지의 경우 과거 10년 한발빈도로 설계되어 최근의 연속적인 가뭄 사상으로 인한 낮은 저수율을 나타내어 가용 수자원의 부족이 발생하였다. 이에 따라 저수지 설계 당시와 상이한 환경 및 기후의 변화로 농업용수 공급체계의 상황변화에 따른 용수공급능력 및 이수안전도의 재평가가 요구된다. 일부 가뭄대책지구에 대하여 기후변화에 따른 현장여건 변화 (논면적, 영농패턴, 작부시기 등)를 반영한 이수안전도를 재평가함으로써 농업용 저수지의 용수공급에 대한 정량적 분석이 수행되었다. 저수지별로 기후변화 및 현장여건 변화에 따른 영향이 다르므로 전국 농업용 저수지를 대상으로 확대, 적용하기 위해서는 저수지 특성을 분석하여 비슷한 패턴을 갖는 저수지로 유형화하기 위한 작업이 필요하다. 본 연구에서는 농어촌공사 관할 3,394개의 농업용 저수지를 대상으로 지역에 따라 인자별 군집분석을 실시하여 국내 농업용 저수지의 이수안전도 변화에 따른 물 공급 잠재능을 재평가하고자 한다. 본 연구의 결과는 기후와 영농방식, 지역별 특성 등 상호간의 관계를 고려한 농업용수관리와 유사한 특성을 갖는 지역계획의 추진단위를 결정하거나 지역간의 비교우위를 고려한 한해 대책 등과 같은 농촌지역개발계획 등에 활용할 수 있을 것으로 기대한다.

• 대한예방한의학회지
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• 제27권3호
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• pp.13-24
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• 2023

Objective : This study was aimed to reassess the scope of practice for medical personnel based on laws. Method : The law specifying the scope of practice for medical personnel has been selected searching Korean Law Information Center(https://www.law.gov.kr). The result was categorized as 'examination, diagnosis, treatment, procedure, prescription, and others'. Results : The laws related to medical procedures were divided into three categories: diagnosis, treatments, and public health and others. In the field of diagnosis, traditional Korean medicine practitioners are generally allowed to play a role. However, some laws specify that only medical doctors can be the primary authorities for diagnosing infectious diseases. In the area of treatments, particularly in emergency medical situations, only medical doctors or nurses are typically mentioned. There are debates in the field of public health and other areas concerning issues such as vaccination, disability diagnosis, and the qualifications for health center directors. A reevaluation is also needed for the Occupational Safety and Health Act, where only medical doctors are set as the personnel standard for workers' health examinations. Conclusion : To safeguard and promote the health of the citizens, there is a need for a clear definition of the licensure and scope of practice for healthcare professionals. Consistent interpretation of conflicting provisions among various laws and clear criteria for the term 'physician' in legal contexts are essential.

• 대한통합의학회지
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• 제12권1호
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• pp.109-124
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• 2024

Purpose : The purpose of this study was to examine the effects of a virtual reality-based complex cognitive training program for depression, cognitive function, and digital divide reduction in the elderly who have not been diagnosed with dementia or MCI. Methods : We enrolled 16 participants who were over 65 years old and not been diagnosed with dementia or MCI. We randomly divided into three groups (A, B, C). Participants underwent an 8-week virtual reality-based complex cognitive training program (60 minutes each session, twice per week). At a baseline, all participants completed questionnaires on general features, depression and cognitive function. After four weeks, all participants completed questionnaires on depression and cognitive function. After the end of the last program, participants conducted questionnaires on depression, cognitive function, and usability evaluation. Results : At the 8-week follow-up, 16 participants completed the program. Compared to the baseline, the average score of cognitive function was increased (from 26.5 to 28.5), although it was not statistically significant (p<.061). There were no significant differences between baseline and post-training evaluations on depression scores. The average score of usability evaluation was 75.56, which corresponds to good. Conclusion : Even though the results showed no statistically significant findings in cognitive function and depression after the virtual reality-based complex cognitive training intervention, this pilot study proposed the possibility of utilizing the virtual reality program as a tool that provides active learning opportunities for the elderly and helps improve their cognitive function through multi-sensory components. Also, the findings of this study suggested a positive reevaluation of the elderly's digital access capabilities while reducing the digital divide. A virtual reality-based complex cognitive training program improved the social network of the elderly. We expect that it will expand in size and help with their social participation of the elderly.

• 대한한방소아과학회지
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• 제38권2호
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• pp.21-31
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• 2024

Objectives This study aimed to develop consensus-based recommendations for establishing standard clinical practice guidelines for pediatric anorexia through the utilization of a Delphi study. Methods We analyzed existing randomized controlled trials for pediatric anorexia treatment using the Delphi method-a structured process for achieving consensus among a panel of experts. A questionnaire was distributed among a select panel of nine specialists in the field. Results The initial Delphi round led to consensus on 30 distinct recommendations; however, consensus was not reached for 19 other recommendations, prompting a second Delphi round. In the subsequent round, adjustments were made based on feedback from the initial round, and deliberations were held on recommendations that previously lacked consensus. Following these adjustments, consensus was achieved on all recommendations. Additionally, a third Delphi iteration was conducted to address three specific queries that required amendment due to a reevaluation of the evidence levels of certain recommendations. In total, three Delphi rounds were carried out to produce informed recommendations related to the diagnosis, treatment, and general management of anorexia. Conclusions This investigation successfully generated evidence-based recommendations for the diagnosis and treatment of pediatric anorexia. The recommendations encompassed various practices, including herbal medicine, acupuncture, moxibustion, cupping, and Chuna manual therapy, which can be integrated into clinical settings.

• 한국과학교육학회지
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• 제44권1호
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• pp.29-38
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• 2024

본 연구에서는 이언 해킹(Ian Hacking)의 실험 철학에 대한 철학적 관점을 탐구하고 이 관점이 학교 실험 교육에 미칠 영향에 대한 논의하였다. 그간 다수의 철학자들은 실험이 이론을 검증할 때에만 중요하다는 이론 선행적인 관점을 주장하였다. 이와 마찬가지로 학교 교육에서도 실험의 주요 목적은 이론의 확인과 입증에 초점을 맞춘 관점이 주류를 이룬 것으로 보인다. 그러나 이러한 이론 선행적인 관점과는 대조적으로 해킹을 포함한 실험 철학자들은 실험 자체가 자율성과 생명력을 갖는다는 주장을 제안하였다. 해킹은 개입하기와 조작하기를 통해 실험의 이론 자율적인 성격을 강조하면서 실험에서 그동안 상대적으로 간과되었던 도구 사용, 재료, 과학자의 솜씨와 같은 요소들의 중요성을 강조하였고, 과학 활동에서의 실험의 역할과 그의 중요성을 재고하였다. 본 연구에서는 이러한 철학적 입장이 학교 실험교육에도 적용할 수 있는 것으로 보았으며, 본 연구에서 제시하는 현상중심의 관점을 통해 도구 사용, 실험자의 개입, 모델링 활동과 같은 과학적 실천을 가르치는 데 도움이 될 것으로 예상한다.