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        검색결과 3,479

        401.
        2022.09 KCI 등재 SCOPUS 구독 인증기관 무료, 개인회원 유료
        Nuclear power plant decommissioning generates significant concrete waste, which is slightly contaminated, and expected to be classified as clearance concrete waste. Clearance concrete waste is generally crushed into rubble at the site or a satellite treatment facility for practical disposal purposes. During the process, workers are exposed to radiation from the nuclides in concrete waste. The treatment processes consist of concrete cutting/crushing, transportation, and loading/unloading. Workers’ radiation exposure during the process was systematically studied. A shielding package comprising a cylindrical and hexahedron structure was considered to reduce workers’ radiation exposure, and improved the treatment process’s efficiency. The shielding package’s effect on workers’ radiation exposure during the cutting and crushing process was also studied. The calculated annual radiation exposure of concrete treatment workers was below 1 mSv, which is the annual radiation exposure limit for members of the public. It was also found that workers involved in cutting and crushing were exposed the most.
        4,000원
        402.
        2022.09 KCI 등재 SCOPUS 구독 인증기관 무료, 개인회원 유료
        Major accidents at nuclear power plants generate huge amounts of radioactive waste in a short period of time over a wide area outside the plant boundary. Therefore, extraordinary efforts are required for safe management of the waste. A well-established remediation plan including radioactive waste management that is prepared in advance will minimize the impact on the public and environment. In Korea, however, only limited plans exist to systematically manage this type of off-site radioactive waste generating event. In this study, we developed basic strategies for off-site radioactive waste management based on recommendations from the IAEA (International Atomic Energy Agency) and NCRP (National Council on Radiation Protection and Measurements), experiences from the Fukushima Daiichi accident in Japan, and a review of the national radioactive waste management system in Korea. These strategies included the assignment of roles and responsibilities, development of management methodologies, securement of storage capacities, preparation for the use of existing infrastructure, assurance of information transparency, and establishment of cooperative measures with international organizations.
        4,000원
        403.
        2022.09 KCI 등재 구독 인증기관 무료, 개인회원 유료
        Most of the prior studies on the servitization of manufacturing companies have been actively studied, focusing on the performance and cases of servitization at the single company level. According to the results, most of the servitization at the single company level has been expanded based on the relevance of the company’s core products. However, the form of companies that form a large axis of the Korean economy is a large-scale business group, and these business groups incorporate service affiliates for various purposes, so they show different characteristics from that of a single corporate. In addition, since the purpose of forming a business group is different for each business group, the service relevance between affiliates within the business group is different. Therefore, this study aims to examine the effect of service relevance between affiliates within a business group on the management performance of each business group. To this end, an empirical analysis will be conducted using panel data for 10 years from 2011 to 2020 for a total of 98 affiliates listed on KOSPI and KOSDAQ of 9 domestic business groups. Based on these results, the direction for improving management performance and establishing future servitization strategies for large business groups in Korea will be expected to be made.
        4,000원
        404.
        2022.09 KCI 등재 구독 인증기관 무료, 개인회원 유료
        목적 : 본 연구는 항균 기능을 갖춘 안경테의 필요성에 주목하여 고분자 물질인 Polyvinylpyrrolidone(PVP)을 사용하여 은 나노 입자를 합성하고, 금속 안경테 소재에 코팅하여 항균성과 코팅 특성을 평가해 보고자 한다. 방법 : 안정성이 높은 고분자 물질인 PVP를 환원제, 분산제, 안정제로 사용하고 합성 온도를 달리하여 은 나노 입자를 합성하였다. 합성한 시료의 특성은 UV-visible spectrophotometer, SEM, EDS를 사용하여 분석하였으 며 paper disk diffusion method로 항균성을 평가하였다. 합성한 은 나노콜로이드를 금속 안경테 소재인 티타 늄, 스테인리스스틸 기판에 코팅하고 코팅막의 특성과 항균성을 측정하였다. 결과 : PVP를 사용하여 합성한 시료 모두에서 은(Ag)이 검출되어 은 나노 입자의 생성을 확인할 수 있었다. 합성 온도에 따른 은 나노 입자의 크기는 차이를 보였으며 Escherichia coli, Pseudomonas aeruginosa, Aspergillus brasiliensis의 경우 45℃에서 합성한 은 나노콜로이드의 항균활성이 가장 크게 나타났다. 이를 금속 안경테 소재 기판에 코팅한 후 항균성을 확인한 결과 코팅막의 항균력을 확인할 수 있었다. 결론 : PVP를 사용하여 합성한 은 나노콜로이드를 금속 안경테 소재 기판에 코팅한 결과 코팅막의 항균성이 확인되어 항균 기능을 가진 안경테 제작 시 항균 물질로 활용될 수 있을 것이라 사료된다.
        4,500원
        405.
        2022.09 KCI 등재 구독 인증기관 무료, 개인회원 유료
        The development of ICT technology has created new channels for product sales and promotion, which not only make information accessible to customers as easy as possible, but also provide consumers with much more absolute and comparative information. Modern consumers are exposed so many shopping channels currently, especially mobile-based channels have grown significantly and have become the center of the market. It is true that mobile shopping has led the growth of overall online shopping with the recent development of mobile devices such as smartphones and related software. The importance of strengthening corporate competitiveness and mobile-based management strategies through on line channels continues to increase. At this point, this study attempted to investigate the influencing factors by focusing on the entire distribution channel and mobile shopping channels. As most of previous studies were focused on Internet shopping malls or specific channels, So the research on mobile channels can be judged to be timely and appropriate. Furthermore, it can be said that mobile shopping channels are now presenting empirical implications. In conclusion, it provides practical implications to examine the management strategy of mobile shopping channels from the perspective of consumer value.
        4,000원
        406.
        2022.09 KCI 등재 구독 인증기관 무료, 개인회원 유료
        The aim of this study was to investigate the effect of isolated lactic acid bacteria (LAB) on the quality of high moisture rye silage. Rye forage (Secale cereale L.) was harvested at the heading stage (27.3% of dry matter (DM)) and cut into approximately 3-5 cm lengths. Then, the forage divided into 4 treatments with different inoculants: 1) No additives (CON); 2) Lactobacillus brevis strain 100D8 at a 1.2 x 105 colony-forming unit (cfu)/g of fresh forage (LBR); 3) Leuconostoc holzapfelii strain 5H4 at a 1.0 x 105 cfu/g of fresh forage (LHO); and 4) Mixture of LBR and LHO (1:1 ratio) applied at a 1.0 x 105 cfu/g of fresh forage (MIX). About 3 kg of forage from each treatment was ensiled into a 20 L mini-bucket silo in quadruplicate for 100 days. After silo opening, silage was collected for analyses of chemical compositions, in vitro nutrient digestibilities, fermentation characteristics, and microbial enumerations. The CON silage had the highest concentrations of neutral detergent fiber and acid detergent fiber (p = 0.006; p = 0.008) and a lowest in vitro DM digestibility (p < 0.001). The pH was highest in CON silage, while lowest in LBR and MIX silages (p < 0.001). The concentrations of ammonia-N, lactate, and acetate were highest in LBR silage (p = 0.008; p < 0.001; p < 0.001). Propionate and butyrate concentrations were highest in CON silage (p = 0.004; p < 0.001). The LAB and yeast counts were higher in CON and LHO silages compare to LBR and MIX silages (p < 0.001). However, the mold did not detect in all treatments. Therefore, this study could conclude that L. brevis 100D8 and Leu. holzapfelii strain 5H4 can improve the digestibility and anti-fungal activity of high moisture rye silage.
        4,000원
        407.
        2022.09 KCI 등재 구독 인증기관 무료, 개인회원 유료
        The slaughter of livestock is inevitably required to obtain meat products from livestock. Since slaughter means pain and death for animals, reducing the pain and distress of animals during slaughter is very important from a perspective of animal welfare based on the principle of respect for life. Generally, two stunning methods, CO2 stunning and electrical stunning, are used for slaughter. When the carotid arteries of the lungs are cut off for bleeding, the bronchial tubes are also severed. To determine the degree of blood inflow into the lungs through the severed bronchial tubes, the prevalence rates of pulmonary diseases and pulmonary congestion in slaughtered pigs were analyzed. In this study, the prevalence of pneumonia was 24.9% in Slaughterhouse A using the gas method, but it was decreased by about 10% to 15.7% and 12.6%, respectively, in Slaughterhouses B and C using the electric method. On the other hand, the prevalence of pulmonary congestion in Slaughterhouses A, B, and C was 4.24%, 14.10% and 16.40%, respectively. In other words, the prevalence of pulmonary congestion was higher by about 10% in the groups of pigs slaughtered by the electric method (Slaughterhouses B and C) than in the group of pigs slaughtered by the gas method (Slaughterhouse A). These results indicate that blood inflow into the pulmonary alveoli led to a diagnosis of pulmonary congestion instead of pneumonia in some pigs with pneumonia. In short, it was found that about 10% of pigs stunned by the electric method were not in a state of complete unconsciousness but in a partially conscious state during slaughter. It is suggested that slaughterhouses should be equipped with gas stunning equipment instead of applying the electric method due to lower costs.
        4,000원
        408.
        2022.09 구독 인증기관 무료, 개인회원 유료
        We study the necessity of UN Asia headquarters in this article based on the case factual evidence from Korean history incorporating late 19C to current. We organize our arguments from two perspectives that are 1) Nation founding philosophy and 3) Business and Economics. In this article we attempt to find supportive evidence that why the home of the UN Asia headquarter should be located in the Korea peninsular. This paper is a written statement for the presentation of 2022 International Summer School Proceedings of World Peace Bulteok Meeting.
        3,000원
        409.
        2022.09 KCI 등재 구독 인증기관 무료, 개인회원 유료
        기후 변화의 가속화로 국내 제주 및 남부 지방을 중심으로 열대 및 아열대 작물의 재배 및 소비가 증가하는 추세이다.오크라는 식용적 가치가 있을 뿐만 아니라, 품종별 고유의 꼬 투리와 잎의 색은 관상적 가치가 있어 조경 식물로 많이 사용 되고 있다. 본 연구는 도심 내 옥상 온실에 관상식물인 오크 라를 도입하기 위해 피트모스와 펄라이트 비율에 따른 기초 종자 발아 및 육묘기 실험을 진행하였다. 피트모스와 펄라이 트 비율은 PT:PL=1:2, 1:1, 2:1, 4:1 네 가지로 조성하였다. 발 아율은 파종 후 7일차부터 다른 처리구에 비해 피트모스:펄라 이트=1:2의 처리구에서 가장 높았다. 파종 후 28일차와 70일 차에 줄기길이, 경경, 뿌리길이, 지상부와 지하부의 생체중과 건물중 그리고 엽면적은 피트모스:펄라이트=1:2 처리구에서 가장 높았다. 그러나, 파종 후 56일 이후부터 엽수는 피트모 스:펄라이트=1:2, 2:1, 4:1 처리구에서 감소하였다. 피트모스: 펄라이트=1:1, 2:1, 4:1 처리구에서 식물이 필요로 하는 피트 모스의 비율이 지나치게 높아 높은 피트모스 비율로 인하여 수분함수량이 과도하게 높아 식물이 고사한 것으로 판단된다. 따라서 오크라를 관상식물로 활용하기 위해서는 피트모스와 펄라이트를 1:2로 혼합한 배지가 가장 적합하다.
        4,000원
        410.
        2022.09 KCI 등재 구독 인증기관 무료, 개인회원 유료
        Although the effect of elevated carbon dioxide (CO2) on Phalaenopsis plant flowering, biomass, and photosynthesis has received intensive study, whether elevated CO2 affects plant requirements and sensitivity to potassium sulfate (SOP) during the reproductive growth stage remains unclear. To evaluate the combined effect of CO2 and SOP provision on crassulacean acid metabolism orchids, we cultivated Phalaenopsis Queen Beer ‘Mantefon’ under ambient and elevated CO2 treatments (≈ 400 or ≈ 720 μmol×mol-1, respectively) and four levels of SOP supply for 20 weeks after treatments (WAT): potassium and sulfate levels by 10.41 and 1.96 mmol·L-1 (SOP1), 5.98 and 0.90 mmol·L-1 (SOP2), 12.80 and 1.96 mmol·L-1 (SOP3), and 14.83 and 3.16 mmol·L-1 (SOP4), respectively. The number of floral buds and flowers decreased in the plants grown under elevated CO2 than in those grown under ambient CO2, regardless of the SOP level; however, the reduced production of floral buds and flowers did not affect the dry mass of shoot, root, and spike at 20 WAT. There were significant interactive effects of CO2 and SOP on root biomass accumulation and net CO2 uptake. The stimulation of biomass partitioning on the root, as a sink source, observed due to the uptake of elevated CO2 was improved under increased SOP supply. Under ambient CO2, the leaf critical SOP level was SOP1 for root and spike biomass accumulation. Plants grown under elevated CO2 were more sensitive to SOP treatments, with higher essential leaf levels of SOP.
        4,000원
        411.
        2022.09 KCI 등재 구독 인증기관 무료, 개인회원 유료
        최근 인터넷은 데이터와 사람, 사물을 연결할 뿐만 아니라 장소와 저작권을 상호 연결하기 시작했다. 실제 로 현실과 가상세계의 경계가 사용자가 더 이상 알아차릴 수 없을 정도로 점점 희미해지고 있다. 사람들이 일상생활을 가상으로 수행할 수 있기 때문에 현실 세계의 경험은 더 이상 불필요 할지도 모른다. 본 논문은 메타버스의 기본 개념 및 기술의 심층적인 이해를 제공하는 것을 목적으로 메타버스의 발전에 대한 연구를 진행하였다. 현재 가장 대표적인 메타버스 플랫폼에 대한 설명과 분석을 통해 메타버스의 장점, 단점, 유저 와 메타버스 플랫폼 사업자가 해결해야 할 문제점에 대해서 연구하였다. 본 논문은 메타버스의 발전과 함께 메타버스가 해결해야할 문제와 기회 그리고 메타버스의 미래에 대해 연구를 목표로 한다.
        4,000원
        412.
        2022.09 KCI 등재 구독 인증기관 무료, 개인회원 유료
        게임을 구현하는 동안 주기성을 보장해야될 필요성이 있는 경우가 많이 있다. 예를 들어 많은 경우에 캐릭 터의 충돌은 주기적으로 처리되어야 될 필요성이 있는데 주기적으로 처리하지 못하는 경우 게임에서 충돌 을 감지하지 못하는 경우가 발생할 수 있다. 또한 슈팅 게임에서는 많은 경우에 사용자의 편의를 위하여 특 정 버튼을 누르면 무기를 자동적으로 발사하는 기능을 포함하고 있어 주기적으로 무기를 발사해야될 필요 성이 있다. 한편 유니티를 사용하여 게임을 구현할 때 이러한 주기성을 보장하기 위해서 WaitForSeconds로 지연을 발생시킨 코루틴, InvokeRepeating, FixedUpdate, .NET의 Timers.Timer가 사용될 수 있다. 그러나 이러한 다양한 방법들로 인하여 방법의 선택에 어려움이 있어 연구를 진행하였다. 본 연구에서는 1분 동안 6000번 메서드를 주기적으로 실행하고 주기성과 횟수를 측정하였다. 또한 다양한 환경에서의 실험을 위하여 추가의 모델 렌더링이 없는 경우와 렌더링을 추가한 경우, 다양한 해상도에서 주기성과 메서드 호출 횟수를 모두 측정했다. 실험 결과, 부하가 적은 환경에서는 InvokeRepeating이 가장 6000회에 가까웠으며 부하가 큰 환경 에서는 Timers.Timer가 가장 6000회에 가까웠으며 실행 주기의 편차가 가장 적었다. 이러한 실험들을 통하여 유니티를 통하여 게임을 구현할 때 일정 시간 내에 실행되는 횟수가 중요한 게임에서 성능 부하가 크지 않 은 경우 InvokeRepeating을, 성능 부하가 크다면 .NET의 Timer를 쓰는 것이 적합함을 알아내었다. 본 연구를 통하여 개발자는 유니티에서 제공되는 주기성 제공 방법들 중에서 적절한 방법을 선택할 수 있다.
        4,000원
        413.
        2022.06 KCI 등재 구독 인증기관 무료, 개인회원 유료
        Background: Women patients who have undergone high tibial osteotomy need management to control walking and balance and to enable functional daily life. In that way, land-based physical therapy and aquatic physical therapy were performed. Objectives: To investigated the effect of land-based and aquatic physical therapy on the balance and walking of women who had undergone high tibial osteotomy. Design: Randomized control trial. Methods: In all, this randomized controlled trial enrolled 21 patients with high tibial osteotomy who received land-based physical therapy (LP, n=7), aquatic physical therapy (AP, n=7), and land-based and aquatic physical therapy (LAP, n=7). Single-leg standing balance, 10-m walk test, and Knee injury and Osteoarthritis Outcome (KOOS-12) scores were. The intervention period was 3 days per week for 6 weeks. Results: One-leg standing balance and 10-m walk test increased statistically, and KOOS-12 score also increased statistically. All three groups have improved. As a result, the variable changes were compared in three groups, and although there was no significant difference between the land-based and aquatic physical therapy groups, the land-based and aquatic physical therapy combined programs improved further than the previous two groups. Conclusion: The balance and walking of female patients with high tibial osteotomy were found to have been very effective in land physical therapy and aquatic physical therapy. In addition, the land-based and aquatic physical therapy combination program can improve balance and walking more effectively.
        4,200원
        414.
        2022.06 KCI 등재 SCOPUS 구독 인증기관 무료, 개인회원 유료
        Spent filters with a high radiation dose rate of 2 mSv·hr−1 or more are not easily managed. So far, the Korean policy for spent filter disposal is to store them temporarily at nuclear power plants until the waste filters can be easily managed. Nuclear power plant decommissioning in Korea is starting with Kori unit 1. Volume reduction of waste generated during decommissioning can reduce the cost and optimize the space usage at disposal site. Therefore, efficient volume reduction is a very important factor during the decommissioning process. A conceptual method, based on the experiences of developing 200 and 800 ton compactors at Orion EnC, has been developed considering worker exposure with the followings a crusher (upgrade of compaction efficiency), an automatic dose measuring system with a NaI(Tl) detector, a shield box, an inner drum to prepare for easy handling of drums and packaging, a 30 ton compactor, and an automatic robot system. This system achieves a volume reduction ratio of up to 85.7%; hence, the system can reduce the disposal cost and waste volume. It can be applied to other types of wastes that are not easily managed due to high dose rates and remote control operation necessity.
        4,200원
        415.
        2022.06 KCI 등재 SCOPUS 구독 인증기관 무료, 개인회원 유료
        The effect of oxidation time on the characteristics and mechanical properties of spent nuclear fuel cladding was investigated using Raman spectroscopy, tube rupture test, and tensile test. As oxidation time increased, the Raman peak associated with the tetragonal zirconium oxide phase diminished and merged with the Raman peak associated with the monoclinic zirconium oxide phase near 333 cm−1. Additionally, the other tetragonal zirconium oxide phase peak at 380 cm−1 decreased after 100 d of oxidation, whereas the zirconium monoclinic oxide peak became the dominant peak. The oxidation time had no effect on the tube rupture pressure of the oxidized zirconium alloy tube. However, the yield and tensile stresses of the oxidized nuclear fuel cladding tube decreased after 100 d of oxidation. The results of the scanning electron microscopy and transmission electron microscopy were represented with the in-situ Raman analysis result for the oxide characteristics generated on the cladding of spent nuclear fuel.
        4,000원
        416.
        2022.06 KCI 등재 구독 인증기관 무료, 개인회원 유료
        To assist farmers in shifting from subsistence to commercial agriculture, the government of Laos has promoted farmer organizations throughout the country. The farmer production groups have gradually transformed and emerged into strong cooperatives or associations. The purpose of this study was to examine the factors affecting farmers’ participation in FPGs. Data were collected from primary and secondary sources. A total of 140 respondents participated in a field survey in three kumb ban (village groups) in the Xepon District. Descriptive statistics and binary logistics regression models were used to analyze the data. The results show that the education level of household head, farmland size, access to credit, and perceived trust for farmer production group membership are significantly different from those who are non-members of the groups. However, non-members of FPGs face more constrain in accessing the market, as compared to the members of FPGs. The empirical results from the Binary Logit Model indicate that education level of headed household, farmland size, access to credit, perceived trust, and constraint to market are factors that significantly determine farmers’ participation in FPGs. This study contributes to the empirical literature by providing a better understanding of farmer participation in the groups. The government of Laos should consider and promote access to credit, farmer learning, and market integration to improve farmers' participation in FPGs.
        4,300원
        417.
        2022.06 KCI 등재 구독 인증기관 무료, 개인회원 유료
        Purpose: Since the COVID-19 pandemic, virtual simulation practice has been increasingly activated as an alternative to clinical practice in nursing colleges. This study aimed to provide basic data by confirming changes in self-efficacy and nursing knowledge in the virtual simulations of nursing students, and identifying virtual presence, virtual patient learning system evaluation (VPLSE), and practical satisfaction. Methods: This was a single-group pre-post quasi-experimental study. The subjects were 28 third-grade nursing students. Results: Self-efficacy and nursing knowledge increased significantly (p<.001). Virtual presence had a significant positive correlation with VPLSE) (p=.002) and practice satisfaction (p=.011). There was also a significant positive correlation between virtual simulation learning evaluation and practice satisfaction (p<.001). Conclusion: Based on these results, virtual simulation practice can be used with clinical practice as an educational method to improve nursing students' self-efficacy and nursing knowledge in nursing education. Virtual presence was confirmed as a significant variable to improve practice satisfaction and VPLSE. It is necessary to develop a virtual simulation program that can improve virtual presence through collaboration with virtual reality technology experts.
        4,600원
        418.
        2022.06 KCI 등재 구독 인증기관 무료, 개인회원 유료
        Vitamin K1 (VK1) has been widely used as a coumarin antagonist and for the treatment of hemorrhagic disease in veterinary practice. However, the potential mechanism of adverse reaction after VK1 injection has been not fully elucidated. In this study, two cases of anaphylactic reactions after subcutaneous VK1 injection were presented, and then an experimental study was performed to further characterize the anaphylactic reactions. Two dogs developed anaphylactic reactions after subcutaneous VK1 injections and were promptly treated with antihistamines and glucocorticoids, after which abnormal signs related to anaphylaxis disappeared. Subsequently, a study was undertaken to ascertain the nature of the adverse reactions to subcutaneous VK1 injection. Six healthy laboratory beagle dogs received subcutaneous VK1 administrations once daily for eight days. They were monitored for clinical signs after each injection, and blood samples were collected for the measurement of plasma histamine and immunoglobulin E concentrations using enzyme-linked immunosorbent assay. All six dogs showed mild angioedema after the VK1 injections. The dogs also displayed clinical signs including sneezing, coughing, skin reddening, excess salivation, pawing the ground, and somnolence on days 4, 6, and 8. Plasma histamine and immunoglobulin E concentrations were significantly increased by the repeated injections. In summary, this study describes anaphylactic reactions resulting from subcutaneous VK1 administration in dogs. Clinicians should be aware that the repeated subcutaneous injection of VK1 can trigger an anaphylactic reaction in dogs.
        4,000원
        419.
        2022.06 KCI 등재 구독 인증기관 무료, 개인회원 유료
        본 연구는 무릎 MRI 검사 시 무릎의 위치가 보어 중심을 기준으로 거리가 멀어짐에 따라 무릎 연골 T2 값의 변화를 평가하고자 하였다. 이를 위해 무릎 질환이 없는 정상인 지원자 10명을 대상으로 하였고 보어 중심을 기준으로 무릎을 오른쪽으로 10 cm 그리고 20 cm 이동시키면서 영상을 획득하였다. 무릎 MRI 영상은 스핀에코기법을 활용하였고 무릎 연골의 T2 값을 계산하기 위해 TE 값은 13.8, 27.6, 41.4, 55.2, 그리고 69 ms로 적용하였다. 신호 측정은 무릎의 내, 외측 관절 융기가 가장 크게 나타난 영상의 대퇴 연골과 경골 연골에서 진행하였다. 연구의 결과, 재구성된 T2 값은 보어 중심에서 멀어질수록 감소하였다 (0 cm: 39.16 ms, 10 cm: 32.59 ms, 20 cm: 26 ms). 또한, 신호 값도 보어 중심에서 그 위치가 멀어질수록 감소하였다 (p<0.00). 특히, 보어 중심에서 20 cm까지 멀어짐에 따라 TE 69 ms의 영상에서 신호 값은 46.2%까지 감소하였다. 무릎 위치와 무릎 연골 T2 값의 상관관계분석 결과는 음의 상관관계 (r=-0.736)가 나타났다 (p<0.00). 결론적으로 MRI 검사에서 무릎 위치는 무릎 연골의 T2 값에 상당한 영향을 미치므로 T2 값의 정확도나 재현성 이 감소할 수 있다. 따라서 무릎 MRI 검사에서 무릎 연골의 정확한 T2 값을 획득하기 위해서는 최대한 보어 중심에서 검사가 이루어져야 한다.
        4,000원
        420.
        2022.06 KCI 등재 구독 인증기관 무료, 개인회원 유료
        This prospective, observational study of acute stroke survivors was completed to report our clinical application of the Penetration-Aspiration Scale (PAS), an 8-point multidimensional assessment, used in conjunction with the Video Fluoroscopic Swallow Study (VFSS). In addition, we were interested in determining the association of PAS scores at admission, demographics and clinical characteristics with functional recovery (measured by the Functional Independence Measure [FIM]) at discharge from an inpatient rehabilitation hospital. There were thirty-five patients that met inclusion and consented. Out of the 35, 34 (97%) were successfully assessed with the PAS with VFSS. Multivariate regression model revealed that the PAS scores, sex, length of stay, and admission FIM scores were significantly associated with functional recovery at hospital discharge (all p values < .05). We conclude that the PAS was feasible to administer with VFSS and implement in our inpatient setting. The PAS provided information about the depth of the airway invasion, material remaining after the swallow, and the response to aspiration, which were not reported in a standardized way prior to this study. The association between the PAS and functional recovery at discharge suggests that stroke survivors with swallowing impairment have less functional improvement noted at discharge than those with better swallowing scores. Therefore, people with dysphagia may need additional services and care. Future research should determine if using the PAS can improve clinical practice and ensure consistency across care transitions (expansion), as those with dysphagia may need additional services and care.
        4,000원