• 제목/요약/키워드: systemic application

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근거중심 소아치과학의 개념과 응용 (EVIDENCE-BASED PEDIATRIC DENTISTRY : CONCEPTS AND APPLICATIONS)

  • 이광희
    • 대한소아치과학회지
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    • 제33권2호
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    • pp.269-280
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    • 2006
  • 연구 목적은 근거중심 소아치과학의 개념을 정립하고 그 응용 방법을 모색하는 것이었다. 근거중심 소아치과학의 정의는 '어린이와 청소년의 치과 진료에서 최고의 과학적 연구근거를 소아치과의사의 임상 기술, 그리고 어린이 환자 및 그 보육자의 가치와 통합하는 것'으로 가정하였다. 근거중심 소아치과학의 실행 방법을 조사하였고, 근거중심 소아치과학의 최신 결론을 선별하여 주제별로 정리하였으며, 근거중심 소아치과학 연구의 기본이 되는 체계적 고찰과 임상진료지침의 연구 방법을 분석하고, 개별 연구 방법으로서 무작위 대조 시험 등을 조사하였다. 근거중심 소아치과학이 발전하기 위한 기본 방향으로서, 근거중심 소아치과학의 필요성에 대한 인식 제고와 공감대 형성, 근거중심 소아치과학의 방법에 대한 교육, 소아치과학 문헌의 전산화, 체계적 고찰과 임상진료지침의 지속적 연구 개발 및 보급, 우리나라 소아치과학 근거의 생성, 소아치과 진료환경의 사회적 요인 개선 등이 제안되었다.

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백혈병 환자의 구강악안면 증상 발현에 관한 증례보고 (Oral Chronic GVHD) (A Case Report on Oro-Facial Manifestations in Leukemia (Oral Chronic GVHD))

  • 안형준;권병기;신경진;최종훈;김종열
    • Journal of Oral Medicine and Pain
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    • 제25권2호
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    • pp.159-165
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    • 2000
  • Subsequent to an allogenic stem cell transplantation(ASCT) on patients with hematologic malignancy(AML, ALL, CML, multiple myeloma, lymphoma etc.), chronic GVHD(graft versus host disease), which is an immunological reaction, occurs. With treatment results from patients who were diagnosed with ALL(acute lymphocytic leukemia), undergone BMT(bone marrow transplantation) and showed oral and skin lesions due to GVHD, treatment of oral manifestations of leukemia and its general management were studied. 90% of patients with chronic GVHD show change in the oral mucosa causing oral manifestations such as leukoplakia, lichenoid change of the oral mucosa, mucosal atrophy, erythema, ulceration and xerostomia. In treating GVHD, extensive systemic immunosuppression cause bacterial, viral, fungal infection that are fatal, and even if the treatment is successful, the patient is already in a severe immunosuppressed state. Therefore, localized target therapy is preferred. In another words, topical application(rinse, cream, ointment etc.) of cyclosporin and steroid in treating oral chronic GVHD is highly recommended, and the use of PUVA(Psoralen Ultraviolet A) and thalidomide is reported to be effective. In treating such diseases, dental treatment to control pain and prevent secondary infection of oral manifestations is very important. To those patients with systemic diseases who show limited effect by general dental treatment, non-invasive treatment such as the dental laser, in addition to the use of drugs, may be necessary to actively treat pain and help the healing process. For greater results, new effective methods are to be developed for treatment.

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간호과정 적용에 따른 간호기록지 평가 (The Nursing Record Evaluation of the Application of the Nursing Process)

  • 이경혜;김문실
    • 대한간호학회지
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    • 제10권2호
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    • pp.87-94
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    • 1980
  • According to the provious study. it was suggested a need for improvement of nursing care through application of nursing process in Ewha Womans University Hospital With those data. it has been applied to the nursing care at maternity ward by nurses. This study was undertaken to determine the evaluation of the application of the nursing process which is an orderly. systemic min of deforming the patient's/client's nursing problems. This study involved 191 cases with patient chart and was carried out from Feb. 1979 to Feb. 1980 is Ewha Womans University Hospital. The results were as follows : 1. Actual performance of“Assessment”stage was 59%, and 45 % for the nursing diagnosis. 2. It was achieved with specific planning of nursing care for 71.6% and the plan was safely and effective implemented (97.9% ). 3. Afer“Implement”stage it was made of evaluation and feedback process (39%). 4. Nurses in Eha womans University hospital. they showed the Positive attitude toward the application of nursing process. but they saggested that there were lack of manpower and the consideration of time allocation. Recommandation are as follows : 1. All nursing staff must participate in continious education program for nursing process. 2. The results suggest a need for modification for the nursing history formeat and SOAPIER. 3. A need for improvement of physical condition for interview and effective utilization of nursing staff. 4. It will more effective when Dr's medical record replace by problem ariented aedical record( POMR).

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방사선 기술 분야 재직자 인력양성을 위한 직무분석에 기반한 교육 모델 설계 방법론 분석 (Analysis of Methodology for Designing Education and Training Model for Professional Development in the field of Radiation Technology)

  • 김건욱;이재헌;박태진;송명재
    • 방사선산업학회지
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    • 제9권1호
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    • pp.21-27
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    • 2015
  • The domestic Radiation Technology is integrated into and utilized in various areas and is closely related to the industrial growth in Korea. The domestic use of radiation and RI (Radioisotope) increases in quantity every year, however the level of technology is poor when compared to other developed countries. Manpower training is essential for the development of Radiation Technology. Therefore, this study aimed to propose a methodology for designing systemic education and training model in the field of measurement and analysis of radiation. A survey was conducted to design education and training model and the training program for measurement and analysis of radiation was developed based on the survey results. The education and training program designed in this study will be utilized as a model for evaluating the professional development and effective recruitment of the professional workforce, and can be further applied to other radiation-related fields.

SUSTAINABLE DESIGN AUTOMATION AND MANAGEMENT USING XML

  • Byeong Cheol Lho;Jeong Hoon Kim;Ok Youn Yu;Julian Kang
    • 국제학술발표논문집
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    • The 1th International Conference on Construction Engineering and Project Management
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    • pp.592-595
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    • 2005
  • Concrete slab bridge is one of most common structures employed for local road constructions because of its simplicity in design and construction. Computer applications were developed to automate the repetitive computation for these simple structures. However, in most cases, managing the electronic documents produced by these applications has not been incorporated with design automation application yet. Resultant documents are often managed by individuals and disappear as time goes by due to lack of systemic management. This paper introduces a Web-based application developed to not only speed up the design process but also enhance the collection and manipulation of resultant electronic documents.

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다발성 외상으로 유발된 급성호흡부전증후군 환자에서 정맥-정맥동맥 체외막 산화기(ECMO)의 적용 - 1예 보고 - (Application of Veno-venoarterial Extracorporeal Membrane Oxygenation in Multitrauma Patient with ARDS - A case report -)

  • 이성준;지현근;황재준;김준석;이송암;김진식
    • Journal of Chest Surgery
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    • 제43권1호
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    • pp.104-107
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    • 2010
  • 급성호흡부전증후군은 치료가 어렵고 치명율이 높다. 인공호흡기 치료에 반응하지 않는 중증의 경우 체외막 산화기(Extracorporeal membrane oxygenation, ECMO)가 적용되고 있다. 교통사고로 다발성 외상을 받은 21세 여자가 흉부 방사선상 양측폐에 심한 침윤 소견과 동맥혈가스 검사상 급성호흡부전증후군(Acute respiratory distress syndrome, ARDS)으로 판단되어 정맥동맥 체외산화기(Veno- arterial Extracorporeal Membrane Oxygenation, VA ECMO) 치료를 시작하였다. ECMO 적용 2일째 흉부 방사선상 폐 침윤 소견 악화되면서 동맥혈 산소 포화도(Systemic oxygen saturation, $SaO_2$)가 85% 미만으로 저하되었다. 이에 중추신경계와 폐의 산소화를 향상시키기 위해 ECMO의 유출로에 곁회로를 이용하여 우측 경정맥에 연결하여 정맥-정맥동맥 ECMO (Veno-venoarterial ECMO, V-VA ECMO)로 전환하였고 이후 동맥혈 산소 분압($PaO_2$) 65 mmHg, $SaO_2$ 94%로 향상되었다. V-VA ECMO로의 전환은 전신에 산소 공급을 늘리기 위해 고려해 볼 수 있는 방법으로 생각된다.

Practical Application of Life-Cycle Cost Effective Design and Rehabilitation of Bridges

  • Cho, HyoNam;Park, KyungHoon;Hwang, YoonGoog;Lee, KwangMin
    • Corrosion Science and Technology
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    • 제3권2호
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    • pp.72-80
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    • 2004
  • Recently, the demand on the practical application of life-cycle cost effective design and rehabilitation of bridges is rapidly growing in civil engineering practice. However, in spite of impressive progress in the researches on the Life-Cycle Cost (LCC), the most researches have only focused on the theoretical point but did not fully incorporate the critical issues for the practical implementation. Thus, this paper is intended to suggest a systemic integrated approach to the practical application of various LCC methodologies for the design and rehabilitation of bridges, For that purpose, hierarchical definitions of LCC models are presented to categorize the approach of LCC assessment applicable for the practical implementation. And then, an integrated LCC system model is introduced with an emphasis on data uncertainty assessment and user-friendly knowledge-based database for its successful implementation. Finally, in order to demonstrate the LCC effectiveness for design and rehabilitation of real bridge structures, illustrative examples are discussed.

辛夷花에 의한 卽時型 알레르기의 反應 抑制 效果 (Inhibitory Effect of Immediate-Type Allergic Reaction by Magnoliac flos)

  • 전창기;황충연
    • 한방안이비인후피부과학회지
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    • 제12권1호
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    • pp.36-46
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    • 1999
  • The mast cell plays a pivotal role in initiating allergic response by secreting intracytoplasmic granular mediators such as histamine. Magnoliae flos has been used for treatment of allergic disease in Korea. However, its effect in experimental models remains unknown. The present report describes an inhibitory effect of Magnoliae flos on mast cell-mediated immediate-type allergic reactions. Topical application of compound 48/80 can induce an ear swelling response in normal($WBB6F_1-+/+$) mice but not in the congenic mast cell-deficient $WBB6F_1-W/W^v$ mice. Magnoliae flos inhibited concentration-dependently mast cell-dependent ear swelling response induced by compound 48/80 by topical application. Magnoliae flos inhibited concentration-dependently passive cutaneous anaphylaxis induced by anti-dinitrophenyl (DNP) IgE in rats by topical application. Magnoliae flos also inhibited concentration-dependently the histamine release from the rat peritoneal mast cells by compound 48/80 or anti-DNP IgE. Moreover, Magnoliae flos had a significant inhibitory effect on compound 48/80-induced systemic anaphylactic reaction. These results indicate that Magnoliae flos inhibits immediate-type allergic reactions by inhibition of mast cell degranulation in vivo and in vitro.

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Effect of Acibenzolar-S-methyl and Rahnella aquatilis (Ra39) on Chitinase and β-1, 3-glucanase Activities and Disease Resistance of Apple Plants

  • Abo-Elyousr, A.M. Kamal;Sallam, M.A.A.;Hassan, M.H.A.;Zeller, W.
    • The Plant Pathology Journal
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    • 제26권1호
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    • pp.63-69
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    • 2010
  • The effect of Acibenzolar-S-methyl (ASM) and Rahnella aquatilis Ra39 against apple fire blight disease caused by Erwinia amylovora were tested as a possible alternative to streptomycin. In vitro studies, no inhibition effect against the pathogen was found when ASM was tested. Under greenhouse conditions, application of R. aquatilis Ra39 with the highly susceptible M26 rootstock resulted in a marked disease suppression. Application of ASM and strain Ra39 caused a high decrease of the disease, 82% and 58% respectively; this was correlated with a reduction of the growth of the pathogen within host plants up to 64% and 49.5% respectively. Further studies in the field under artificial infection condition during full bloom revealed that application of ASM and R. aquatilis Ra39 with Gala variety resulted in a control effect up to 21 and 29% respectively. In physiological studies, enhanced activities of PR-proteins (chitinase and $\beta$-1, 3-glucanase) were detected, which are well known as biochemical markers for systemic acquired resistance. Application of ASM to apple shoots caused the highest chitinase activity followed by strain Ra39. The enzyme activity was increased after 2, 4 and 6 days from application. In addition, ASM-treatment caused the higher $\beta$-1, 3-glucanase activity than strain Ra39. Maximum enzyme activity was recorded after 6 days from application and then decreased after 8 and 10 days from application.

지방자치단체 공공애플리케이션의 실태와 개선방안 (Current Status and Improvement Plans for Local Governments' Public Mobile Applications)

  • 김대욱;윤영근
    • 한국콘텐츠학회논문지
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    • 제16권2호
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    • pp.68-81
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    • 2016
  • 본 연구는 지방자치단체의 공공애플리케이션에 대한 실태조사와 그 개선방안을 제시하였다. 이를 위해 실태조사를 위한 분석요소를 선정하고 분석틀을 구축하였다. 구축실태는 전체 광역자치단체의 공공애플리케이션 구축실태를 조사하였고, 운영실태는 서울시의 공공플리케이션 운영사례를 조사하였다. 실태조사 결과 지방자치단체 차원에서의 공공애플리케이션과 관련된 제도적 지침이 마련되지 않았으며, 지방자치단체의 공공애플리케이션은 투입된 비용에 비해 활용도가 매우 저조하였다. 또한 무분별한 개발, 수요의 미반영, 체계적인 관리의 부재 등과 같은 문제점을 노출하였다. 이의 개선방안으로는 구축측면에서 정확한 수요파악, 면밀한 타당성 검토, 실효성 있는 정보제공 및 쌍방향 상호작용앱의 활성화를 제시하였고, 운영측면에서는 공공애플리케이션 운영조례마련, 적절한 관리체계 설계, 주기적인 점검, 교육과 적극적 홍보를 제시하였다.