• 한국구조물진단유지관리공학회 논문집
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• 제15권6호
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• pp.195-200
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• 2011

KS F 2782(숏크리트용 급결제) 규격은 터널시공 또는 단면보수 보강 현장에서 사용되는 숏크리트용 급결제의 성능을 평가하기위한 규격이라 볼 수 있다. KS F 2782(숏크리트용 급결제) 규격에 의한 급결제의 품질시험방법은 단순히 급결제의 품질만을 확인하기 위해서는 많은 변수들이 존재하고 있다. 또한 현재까지 생산된 급결제 제품들은 실내시험에서는 거의 대부분 품질기준에 만족하지는 못하지만 현장에서 급결제가 숏크리트에 혼합되어 슈팅된 후의 품질은 상당히 만족하는 수준의 제품들이 다수이다. 즉 실내 시험을 통해 도출한 결과를 바탕으로 현장에 적합여부를 판단하기 위해서는 실내 시험과 실제 타설 시의 품질의 연관성을 확인하고 그에 맞는 시험방법을 찾아야 한다고 본다. 따라서 본 연구는 급결제와 숏크리트의 재료의 조건을 다양하게 하여 길모어침에 의한 시험결과와 압축강도를 비교하여 KS F2782(숏크리트용 급결제) 규격은 급결제의 품질을 확인하기 위한방법으로서 적합성에 대하여 분석하고자 한다. 그 결과로서 KS F 2782규격의 일부만 수정을 한다고 해서 해결될 수 있는 문제점은 아니며 전반적으로 처음부터 철저하게 검토를 하여 국내 현실에 적합하고 실내 시험의 균일성이 보장되면서 현장에 적용 시 충분한 연관성이 있는 보완책이 마련되어야 한다.

• 대한수학교육학회지:학교수학
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• 제19권3호
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• pp.593-615
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• 2017

본 연구에서는 학교 수학의 내용을 담아낸 모바일 기반 수학 학습 어플리케이션을 개발하고, 이를 수학 교수 학습 상황에서 활용할 수 있는 방안을 모색하였다. 먼저, 중학교 수학의 '이차함수와 그래프', '대푯값과 산포도' 단원에서 조작을 통한 개념 탐구와 토론 학습이 가능하도록 어플리케이션 <중3수학교실>을 안드로이드 버전으로 수학교육 전문가, 수학 교사, 컴퓨터공학 전문가, 디지털 애니메이션 감독과 협업하여 개발하였다. 이때, 예비교사의 도움을 받아 중학교 3학년 남녀 학생 4명을 대상으로 개발한 어플리케이션을 적용하여 그 활용가능성을 검증하였다. 또한, 수학 수업에 어플리케이션을 활용하는 교수 학습 지도안과 어플리케이션 활용 매뉴얼을 개발하고 중학교 3학년 1개 학급을 대상으로 사례 연구를 실시하여 그 현장 적용 가능성을 모색하였다.

• 한국재난정보학회 논문집
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• 제17권3호
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• pp.608-616
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• 2021

연구목적: 기존의 인력에 의한 안전점검은 기술자의 안전이 우려되거나 접근이 어려워, 평가 및 데이터 확보에 한계가 있었고, 시설물의 노후화로 유지관리 대상이 증가함에 따라 더욱더 큰 문제가 되고 있다. 드론 기술이 발전하면서 외관조사에 이를 활용할 경우, 인력의 안전 보장, 시각적 데이터 확보, 신속한 점검 진단이 가능하며, 최근 드론에 의한 시설물 안전점검이 일부 도입되는 등 활용도가 높아지고 있다. 활용성을 보다 강화하기 위해서는 드론에 의한 시설물 외관조사의 대가기준이 필요하다고 판단되며, 본 논문에서는 댐을 대상으로 연구를 수행하였다. 연구방법:품셈 산출을 위해 기존 국내 안전점검 및 드론관련 대가기준을 조사하고, 드론을 활용한 안전점검 관련 절차를 비교분석하여 작업 절차 및 공종에 대하여 검토하였다. 또한 실제 댐에 대한 드론 촬영 및 입면정사영상 제작을 통해 실증 자료를 수집하였다. 연구결과: 드론을 활용한 시설물 안전점검을 위한 작업공종을 도출하였고, 작업공종에 따라 두 개의 댐을 대상으로 실증조사결과를 수집하였으며, 이를 바탕으로 댐기준시설물 규격 기준으로 품셈 안을 도출하였다. 시설물의 구조형식별, 규격별 조정비는 기존 지침을 적용하고, 기상기준점측량이 필요한 경우 건설공사표준품셈의 무인비행장치측량의 품을 적용하도록 하였다. 결론:드론을 활용한 외관조사 시 GSD를 세밀하게 할수록 촬영 사진 수가 크게 증가하여, 대가기준을 산출을 위한 보정으로 조정비 개념을 적용하였다. 더불어 안전거리 유지를 위해서는 최대 GSD가 한계를 나타내는 문제점도 고려해야 함을 알 수 있었다.

• Archives of Plastic Surgery
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• 제45권2호
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• pp.102-110
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• 2018

Debridement is a crucial component of wound management. Recent technologies such as hydrosurgery (Versajet), ultrasound therapy (the MIST therapy device), or plasma-mediated bipolar radio-frequency ablation therapy (Coblation) seem to represent interesting alternatives for wound debridement. The purpose of this systematic review was to describe, evaluate, and compare these three recently developed methods for the management of chronic wounds. In January 2016, an electronic database search was conducted of MEDLINE, PubMed Central, and Embase for articles concerning these three innovative methods for the management of chronic wounds. A total of 389 references were identified by our search strategy, and 15 articles were included. We extracted data regarding the number and age of patients, indications, operating time, number of procedures, costs, wound healing time, decrease in exudation, perioperative blood loss, bacterial load, and the occurrence of complications. The 15 articles included studies that involved 563 patients who underwent hydrosurgery (7 studies), ultrasound therapy (6 studies), or Coblation (2 studies). Six randomized controlled trials were included that compared the use of a scalpel or curette to hydrosurgery (2 studies) or ultrasound therapy (6 studies). Hydrosurgery, in addition to being a very precise and selective tool, allows significantly faster debridement. Ultrasound therapy provides a significant reduction of exudation, and improves the wound healing time. No comparative study dedicated to Coblation was identified. Despite the obvious clinical interest of the topic, our review of the current literature revealed a lack of prospective randomized studies comparing these devices with each other or with standard techniques, particularly for Coblation and hydrosurgery.

• 한국수자원학회논문집
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• 제36권2호
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• pp.273-284
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• 2003

본 연구에서는 교각에 부유잡목이 걸린 경우의 피해사례와 원인을 검토하고 교각주위의 부유잡목에 의한 수위 및 유속의 변화에 대하여 검토하였다. 또한 교각에 걸린 부유잡목의 면적변화 및 각도변화에 따른 교각 주위의 흐름특성을 통해 교량 및 제방의 안정된 설계를 위한 부유잡목의 기초적인 특성을 파악하였다. 각종 설계기준을 검토한 결과 하천에 설치된 교량 등 수리구조물의 여유고는 단순히 하천의 유량에 따라 결정하도록 하고 있어 좀더 구체적인 기준이 필요한 것으로 판단된다. 모형 실험결과 수심이 크고 유속이 작은 경우에 잡목 비율이 증가할수록 수위변화 폭은 크게 증가하고 있는 것으로 나타났다. 따라서 부유잡목에 의한 유속, 수위 등 흐름특성은 수심이 크고 유속이 작아서 홍수시에도 비교적 적은 Fr수가 발생되는 중소하천에서 그 변화폭이 클 것으로 판단된다. 또한 실험결과 Fr수가 약 0.6일 때 부유잡목이 10%이상이 되면 현재의 여유고 기준을 초과하는 수위가 발생하는 것으로 나타나 중소하천의 구조물 설치시에는 잡목의 영향, 유속분포, 수위변화 등을 고려한 구체적인 실험을 실시하고 이를 통해 좀더 안전한 여유고가 제시되어져야 할 것으로 판단된다.

• 한국임상약학회지
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• 제28권4호
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• pp.333-341
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• 2018

Objective: Tumor necrosis factor-alpha (TNF-alpha) inhibitors are used as a treatment in various immune-mediated inflammatory diseases (IMIDs). Tuberculosis (TB) risk is reported in several meta-analyses in patients treated with TNF-alpha inhibitors. The purpose of this study is to collect, review, and evaluate the TB risk in TNF-alpha inhibitors according to IMIDs indications and between soluble-receptor TNF-alpha inhibitor and monoclonal-antibody TNF-alpha inhibitors. Methods: A systematic literature search on systematic reviews and meta-analyses was performed in PubMed, MEDLINE, Cochrane library, and EMBASE. We identified meta-analyses that evaluated TB infection risk of TNF-alpha inhibitors in IMIDs patients. Results: Thirteen meta-analyses including 41 study results were included in this umbrella review. IMIDs patients treated with TNF-alpha inhibitors had an increased risk of TB than control group (placebo with or without standard therapy patients) (relative risk ratio (RR) 2.057, 95% confidence interval (CI) 1.697 to 2.495). Among them, RA patients with TNF-alpha inhibitors had a higher risk of TB than control group (RR 1.847, 95% CI 1.385 to 2.464), and non-RA patients with TNF-alpha inhibitors had an increased risk of TB (RR 2.236, 95% CI 1.284 to 3.894). In subgroup analysis on TB risk between soluble-receptor TNF-alpha inhibitor and monoclonal-antibody TNF-alpha inhibitors in RA patients, the analysis indicated that monoclonal-antibody TNF-alpha inhibitors had higher risk of TB than soluble-receptor TNF-alpha inhibitor (RR 2.880, 95% CI 1.730 to 4.792). Conclusion: This umbrella review confirms that the risk of TB is significantly increased in TNF-alpha inhibitor treated patients compared to control group.

• 한방재활의학과학회지
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• 제32권3호
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• pp.13-27
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• 2022

Objectives This study investigated the trends in domestic and international clinical research in craniosacral therapy, classified as a type of Chuna manual therapy, and suggested further directions in Korean medicine. Methods This scoping review was performed using the Arksey and O'Malley methodological framework and preferred reporting items as per the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews checklist. Eight electronic databases (PubMed, EMBASE, Cochrane Library, Koreanstudies Information Service System [KISS], KMBASE, Oriental Medicine Advanced Searching Integrated System [OASIS], Research Information Sharing Service [RISS], ScienceON) were searched to identify articles with the search terms "craniosacral therapy" and "cranial osteopathy" until December 2021. Results Forty-five studies were eligible as per our inclusion criteria. Most research studies (n=44) were conducted in the field of medicine and pharmacy, especially in rehabilitation medicine (n=16). As a result of the study design, randomized controlled trials (n=20) were the most common, and chronic pain (n=9) was the most frequently targeted disease, followed by headache (n=7). Thirty-two studies suggested interventions and 20 studies used Upledger's 10-step protocol. The average duration of craniosacral therapy was 41 min per session, administered 1.4 times per week. Outcome measurements were analyzed and categorized with the examination procedure for the patient. Conclusions This is the first scoping review of craniosacral therapy in Korea, and we believe that our findings could support its utility as Chuna. In the future, more studies should be conducted to establish the evidence of clinical efficacy of craniosacral therapy and develop standard techniques in Korean medicine.

• Journal of Dental Anesthesia and Pain Medicine
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• 제21권4호
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• pp.283-309
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• 2021

Achieving profound anesthesia in mandibular molars with irreversible pulpitis is a tedious task. This review aimed at evaluating the success of buccal/lingual infiltrations administered with a primary inferior alveolar nerve block (IANB) injection or as a supplemental injection after the failure of the primary injection in symptomatic and asymptomatic patients with irreversible pulpitis in human mandibular molars. The review question was "What will be the success of primary and supplemental infiltration injection in the endodontic treatment of patients with irreversible pulpitis in human mandibular molars?" We searched electronic databases, including Pubmed, Scopus, and Ebsco host and we did a comprehensive manual search. The review protocol was framed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. We included clinical studies that evaluated and compared the anesthetic outcomes of primary IANB with primary and/or supplementary infiltration injections. Standard evaluation of the included studies was performed and suitable data and inferences were assessed. Twenty-six studies were included, of which 13 were selected for the meta-analysis. In the forest plot representation of the studies evaluating infiltrations, the combined risk ratio (RR) was 1.88 (95% CI: 1.49, 2.37), in favor of the secondary infiltrations with a statistical heterogeneity of 77%. The forest plot analysis for studies comparing primary IANB + infiltration versus primary IANB alone showed a low heterogeneity (0%). The included studies had similar RRs and the combined RR was 1.84 (95% CI: 1.44, 2.34). These findings suggest that supplemental infiltrations given along with a primary IANB provide a better success rate. L'Abbe plots were generated to measure the statistical heterogeneity among the studies. Trial sequential analysis suggested that the number of patients included in the analysis was adequate. Based on the qualitative and quantitative analyses, we concluded that the infiltration technique, either as a primary injection or as a supplementary injection, given after the failure of primary IANB, increases the overall anesthetic efficacy.

• Journal of Korea Trade
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• 제24권2호
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• pp.31-52
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• 2020

Purpose - This study mainly investigates two potential legal regimes expected to govern the use of electronic bills of lading: the Rotterdam Rules (2009) and the UNCITRAL Model Law on Electronic Transferable Records (2017). Widespread use of electronic bills of lading has been unsuccessful partly due to the absence of a uniform legal regime and protracted uncertainties. This paper aims to carry out an assessment of the possibilities where either of two potential legal regimes could provide certainty to the effect and validity of the use of electronic bills of lading, and contribute to the facilitation of electronically transferring the rights to goods carried by sea. Design/methodology - This paper first introduces two legal instruments and the relevance to electronic bills of lading. Since neither of these legal instruments has yet entered into force, the following section looks into the ratification or enactment possibilities based on a literature review and track records of the past legal regimes of the same kind. Assessment of the different adoption possibilities further requires comparative work of the two legal instruments, which will be based on an analysis of relevant provisions and a literature review. The literature review on the Rotterdam Rules delves into various studies and data produced since the UNCITRAL's adoption in 2009. The literature review on the UNCITRAL Model Law on Electronic Transferable Records heavily relies on UNCITRAL working group documents from 2011 to 2017 together with the final explanatory note. Findings - The main findings can be summarized as follows. Application of the Rotterdam Rules would negate the role of the UNCITRAL Model Law on Electronic Transferable Records assisting in the implementation of the Rotterdam Rules due to some conflicting issues. Enactment of the UNCITRAL Model Law alone can sufficiently provide a higher level of certainty in the use and effect of electronic bills of lading so long as lawmakers and parties are aware of some issues with the application. What concerns potential users most is the extension of the status quo, where neither of the legal instruments have any effect. It is necessary to take a number of alternatives into consideration, such as promotion of standard clauses and confirmation by a court ruling. Originality/value - Existing studies focus either on the Rotterdam Rules or on the UNCITRAL Model Law, but not both. Not many papers have yet dealt with the Model Law, which was adopted by UNCITRAL only 2 years ago, particularly in the context of a potential legal regime for electronic bills of lading. This paper attempts to introduce the differences between the two legal instruments in regulating the use of electronic bills of lading while providing an assessment of the various possibilities for which parties involved in international trade can be better prepared for the changing legal environment.

• 대한기관윤리심의기구협의회지
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• 제1권2호
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• pp.30-42
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• 2019

In pharmaceutical clinical trials as human material research, the collection, use, storage and provision of human materials must be in accordance with the criteria stipulated in 「Bioethics and Safety Act」, except in the case that some criteria about it is in the law related to clinical trials such as 「Pharmaceutical Affairs Act」 and 「Enforcement Rule on Safety of Drugs, etc.」 so these take precedence over. Under 「Bioethics and Safety Act」, the core aspect of the legal standard for obtaining informed consent is the use of statutory form . The use of statutory form ensure that both those who obtain informed consent and those who give it can know the contents contained this form as well as recognize its importance. Thus, the person who has the right to informed consent can sign the statutory form after correct understanding of the contents. In reality, however, some researchers and IRB members determine that only the main informed consent form is to be used because most of contents on statutory from are included in the main informed consent form. Some other researchers and IRB members judge that the use of statutory form is not needed if human materials may only be used for laboratory testing and the rest will not be stored and provided for future use. Most of these determination and judgement is based on the interpretation of the Korea National Institute for Bioethics Policy(hereafter, KoNIBP) on IRB Information Portal Site. But, it is questionable whether the KoNIBP's interpretation is legally valid and the KoNIBP is the legal entity having authority to interpret existing statute. In some cased not only using the main informed consent form including enough information about the collection, use, storage and provision of human materials but also collecting necessary minimum human materials, and discarding the rest, unusing the statutory form may not cause the problem to respect and protect the research participant's rights. Therefore, the provision stipulating the criteria about the use of statutory form as the legal standard of obtaining informed consent that applies all human material research without exception should review to revise. At least, straighten out the confusion surrounding whether or not the statutory form is to be used, before the revision of related provision, considering the logical opinions of some researchers and IRB Members, the Ministry of Health and Welfare as the legal entity having authority to interpret existing statute should represent its opinion about permission of the acceptable exceptions.