대통령 배우자의 역할 논쟁은 사적이면서 동시에 공적인 정체성을 지 니는 대통령 배우자의 특성으로 인해 체계적인 연구는 물론 담론 형성에 서도 많은 난관에 봉착한다. 본 연구는 대통령 배우자 관련 기존 문헌연 구를 통해 대통령 배우자의 역할 논쟁이 그 정체성을 규정하는 접근으로 부터 시작된다고 설명한다. 대통령 배우자의 공적 정체성에 무게를 둔다 면 그 역할도 제도화되어야 하며, 선출되거나 위임된 공적 권력이 없는 대통령의 배우자로 인식한다면 그 역할은 최소화되어야 한다. 다른 한편 결혼 여부를 떠나 한 독립적 개인으로 인식한다면 공적인 역할 논쟁에서 벗어나되 고위 공직자의 가족이라는 범주에서 책임성을 확보하는 문제에 주목해야 한다. 본 연구는 대통령 배우자의 역할에 관한 학술적 논의를 진전하기 위해서, 대통령 “배우자”로서의 사적 존재, “대통령실의 일부” 인 공적 존재, 그리고 결혼이라는 요소를 배제한 한 개인으로서의 “독립 적 주체”로 보는 세 가지 시각을 제안하였다. 이를 토대로 독립적 주체 로 바라보되 사적, 공적 책무성을 통합적으로 담아내는 ‘독립적/통합적 (independent/integrative)’ 역할 구분을 구체적으로 담아내는 사회적 담론 형성과 제도적 보완에 대한 전문적인 논의가 필요하다.

Background: The application of Kinesio tape (KT) has become an alternative treatment for the reduction of edema owing to its distinct characteristics that mimic skin behavior. Although many studies have found that KT application has a positive effect on edema related to breast cancer and rehabilitation following mandibular third molar surgery, there is little evidence to support the use of KT for musculoskeletal injuries. Objects: The purpose of this study was to review the literature related to KT application for reducing edema caused by musculoskeletal disorders. Methods: A literature search (July 2022) was performed on PubMed for articles published between January 2012 and June 2022. The following keywords were used: “Kinesio taping,” “Kinesio tape,” “swelling,” and “edema,” with different combinations and derivations. Only articles available in English were included in this study. Results: Among 68 identified studies, seven met our search strategy and criteria and were included in the literature review. Five of these studies investigated musculoskeletal disorders of the knee joint; two of them reported that KT application had a positive effect on edema measured using perimetry following total knee replacement and anterior cruciate ligament reconstruction. However, the KT application did not improve swelling in patients with acute lateral ankle sprains. Pediatric patients with acute proximal phalangeal joint sprain experienced a more significant improvement in the reduction of swelling than the group using a splint. Conclusion: This literature review found discrepant evidence to support using KT for edema control in musculoskeletal disorders. Further research is needed to determine the effectiveness of KT for controlling edema following musculoskeletal injuries.

Telangiectatic osteosarcoma(TAEOS) is a rare subtype of osteosarcoma(OS) composed of blood-filled or empty cystic architecture simulating aneurysmal bone cyst. TAEOSs account for 2-12% of all OSs. TAEOSs mostly develop around knee and proximal humerus, but TAEOSs of the jaws are rare. To the best of my knowledge, this is the fourth case of primary TAEOS affecting the jaws. A 36-year-old female who had been previously diagnosed osteosarcoma by biopsy reported with a chief complaint of throbbing and swelling of the right mandible. The patient received neoadjuvant chemotherapy followed by hemi-mandibulectomy. After surgery, patient received adjuvant chemotherapy. The patient is free of disease for 6 months after surgery. TAEOSs are mimicking other benign entities, such as aneurysmal bone cyst and central giant cell granuloma. Thus, careful diagnosis through thorough radiographic and histopathologic evaluation is important to establish a treatment plan, prognosis, prediction and management strategy.

High level nuclear waste (HLW) is surely disposed in repository in safe by being separated from human life zone. Deep geological disposal method is one of the most potent disposal method. Deep geological repository is exposed to high pressure and groundwater saturation due to its depth over 500 m. And it is also exposed to high temperature and radiation by spent fuels. Thus, HLW repository suffers extremely complex thermo-hydro-mechanical-radioactive condition. Long-term integrity of repository should be verified because the expected lifetime of the repository is over 10,000 years. However, the integrity of monitoring sensors are not reach the endurance lifetime of the repository with present technology. And the disposal condition, thermo-hydro-mechanical-radioactive, should shorten the estimated lifetime of the monitoring sensors. Therefore, it is necessary to improve the long-term integrity of the monitoring sensors. Although long-term tests are required to identify the prolonged durability of monitoring sensors, accelerated tests can help curtail test period. Accelerated tests is classified into accelerated stress test and accelerated degradation test and their methodology and theories are investigated. Their tests are design and proceed by following process: 1) identify failure modes, 2) select accelerated stress parameter, 3) Determine stress level, 4) Determine testing time and number of specimens, 5) Define measurement paremeter and failure criteria, 6) Suggest measurement method and measurement duration. Literature reviews were conducted to identify the influence of the disposal conditions such as thermo-hydro-mechnical-radioactive on integrity of material and monitoring sensors. The investigated data reported in this paper will be utilized to verify the improvement of integrity of monitoring sensors.

정부는 시장실패 방지, 정보의 비대칭성 완화, 자원의 효율적 배분 등 다양한 목적을 가지고 시장에 개입하여 민간기업의 기술혁신을 지원해 왔다. 2000년대 들어 국가 연 구개발 예산이 급격히 증가하면서 기업에게 지원되는 정부재원도 비례하여 증가해왔으나 정 부의 재정지원이 효과적이고 바람직한 정책목표를 달성했는지에 대해서는 분명하지 않다. 본 연구는 이러한 문제인식 하에 국내․외 관련 논문과 정책연구 보고서, 리뷰 페이퍼 등을 종합적․체계적으로 분석하여 다양한 정부 재정지원에 대한 문제점을 살펴보고자 하였다. 국․내외 총 168편의 연구를 체계적 문헌분석과 컨텐츠 분석을 활용하여 정책 부가성, 지원 방식, 기업규모, 분석단위(unit of analysis), 분석대상, 연구방법론과 데이터 등 다양한 관점 에서 입체적으로 분석하였다. 문헌 간 교차 비교를 통해 다수의 중복 수혜, 재정지원과 정책효과 간의 구조적 시차, 재정지원 효과의 비선형성, 정책간의 간섭과 교호작용, 폐쇄형 혁신 과 제조업에 최적화된 조세제도 등이 현재 정부 재정지원의 문제점으로 분석되었으며, 이를 해결하기 위한 정책개선 방향으로 행동 부가성을 고려한 재정지원사업 성과지표 개발, 정부 부처 간 정책협력과 조율 강화, 다양한 상황을 고려할 수 있는 정책혼합(policy mix) 도입, 디지털 혁신․서비스 연구개발 등 새로운 형태의 기술혁신에 맞는 기업 재정지원 방식, 데이 터에 기반 한 증거기반 정책강화 등을 제시하였다.

Pancreatic acinar cell carcinoma (ACC) is a rare neoplasm accounting less than 1% of malignant pancreatic tumors. A 47-year-old male patient visited the emergency room with epigastric pain. Computed tomography or magnetic resonance imaging revealed a 4.7-cm heterogeneously enhanced solid and cystic mass with internal necrosis located in the head of the pancreas. Radiological diagnosis was borderline malignancy such as neuroendocrine tumor or solid pseudopapillary neoplasm. Two months later, the necrotic mass in the pancreas head had grown up to 11 cm, compressing the duodenum, superior mesenteric vein, and proximal transverse colon. Pylorus preserving pancreatoduodenectomy with segmental resection of transverse colon was performed. Histopathological examination revealed that the tumor was pancreatic ACC. The patient recovered without any complication and was doing well without recurrence for 12 months after surgery.

Sarcomatous transformation of fibrous dysplasia (FD) is rare and can occur in patients with McCune-Albright syndrome (MAS). To date, there have been several cases of malignant transformation of FD in the craniofacial area of patients with MAS. Here, we report an additional case of secondary osteosarcoma arising from FD in the mandible of a 41-year-old woman with MAS. The patient complained of rapid swelling in the right facial area, which was initially misdiagnosed as soft tissue sarcoma at another hospital. After neoadjuvant concurrent chemoradiotherapy resulting in poor response, the lesion was surgically resected in our hospital, and the final diagnosis of secondary osteosarcoma was rendered. Currently, post-operative adjuvant chemotherapy is in progress. As a result of our review of 17 reported cases showing malignant transformation in FD/MAS, the M/F ratio was 1:1.1, and the median age at onset of malignancy was 28.6 years. The most commonly affected site was the craniofacial bones (n=13; 76%), and the most common histopathologic type of malignancy was osteosarcoma (n=14; 82%). More than half of the patients (8/15; 53.3%) died within 1 year, mainly due to lung metastasis (6/8; 75%). Taken together, since MAS patients with malignant transformation of FD have a relatively poor prognosis, accurate diagnosis based on histopathologic findings as well as clinical and radiographic information is important to select optimal treatment.

목적 : 본 연구는 국내외 치매환자를 대상으로 우울 개선을 위한 비약물 중재프로그램을 적용한 연구의 각 프로그램, 회기, 중재효과 등을 분석하고, 추후 치매환자를 대상으로 우울 중재 비약물 프로그램을 제공하는 작업치료사의 치료적 방향성을 제공하고자 한다. 연구방법 : 2015년 1월부터 2020년 12월까지 PubMed, CINAHL, DBpia 데이터베이스를 이용하여 검색 하였으며, 주요검색 용어로는 ‘Dementia’, ‘Depression’, ‘Intervention OR Program’을 사용하였다. 최 종적으로 7편의 연구를 선정하여 분석하였다. 결과 : 선정된 7편 연구는 모두 실험연구였으며, 연구 참여자는 1개의 연구를 제외하고는 남성보다 여성의 비율이 높았다. 중재는 4개로 구분되며 인지프로그램, 회상프로그램, 운동프로그램, 음악프로그램이 시행 되었다. 각각의 회기와 중재 시간은 주 1-3회, 40-150분 등 다양하였고, 유의한 효과가 나타난 연구는 5개, 나타나지 않은 연구는 2개였다. 결론 : 본 연구에서는 치매환자를 대상으로 한 우울 중재 비약물 프로그램 중 인지행동치료, 회상프로그램, 인지훈련프로그램, 운동프로그램에서 유의미한 효과가 나타난 것을 확인하였다 이는 작업치료 현장에서 치매환자를 대상으로 우울을 중재하기 위한 비약물 프로그램을 제공할 시, 각 프로그램의 구성과 회기, 중재 시간에 따른 프로그램 적용 기초자료로 활용될 수 있을 것이다.

박테리오신은 다양한 식품에서 천연 보존제로 그리고 항생제 대체제로 잠재력을 가지고 있다. 그러나 박테리오신의 다단계 정제 공정은 높은 생산 비용을 야기하여 상업적 이용 등 소비자 접근성에 장애요인이 되고있다. 식품 등 일부 산업 분야에서 활용하기 위한 박테리오신의 순도는 그리 높지 않아도 되며, 이에 따라 정제 공정을 간소화하여 생산 비용을 낮추고 공정 효율성을 강화할 수 있다. 이러한 관점에서 박테리오신 등에 적용할 수 있는 수성- 이상계 시스템(ATPS)은 높은 정제 수율과 빠른 처리 시간으로 인해 산업분야에서 하부 공정 처리 기술로 적절한 대안이 될 수 있으며, 고분자 수용액이 70~90% 물로 이루어진 친환경적 기술로서 환경보호에도 도움을 줄 것으로 전망된다.

Purpose: Spiritual communication is very important in the end of life care or during spiritual distress. But there are few guides on spiritual communication. The purpose of this study was to present the process and method of spiritual communication. Methods: Literature review and content analysis were adopted in this study. In this study, 12 documents were extracted and analyzed in the foreign academic literature dealing with 'spiritual communication', 'spiritual conversation' as main keywords. The concepts of spirit, spirituality, spiritual need, and spiritual health were briefly presented based on the results of previous major studies. Results: Spiritual communication is communication on spiritual topics to satisfy spiritual needs, to alleviate spiritual distress, and to promote spiritual health. In other words, it is communication that allows spirituality to be expressed positively by overcoming obstacles that lead to spiritual health. The process of spiritual communication is divided into preparation for spiritual communication investigation of spiritual history, and communication on spiritual topics. Conclusion: Spiritual communication is very important in spiritual crisis. In particular, patients with severe illnesses such as advanced cancer, the end of life care and spiritual distress, want to talk with their health care providers about spiritual topics. The results of this study will provide important information for future research for the development of spiritual communication skills.

Central odontogenic fibroma (COF) is an uncommon slow growing benign neoplasm that is derived from the mesenchymal tissue. Differential diagnoses include fibrous dysplasia, calcifying odontogenic cyst, and central ossifying fibroma. Clinically, the lesion shows expansion of cortical bone. Radiologically, unilocular or multilocular lesion with well-defined borders is found. Histologically, fibroblastic tissues with bundle of collagens including inactive odontogenic epithelium can be observed. In this case report, a 45-year-old male with central odontogenic fibroma of the maxilla is examined. The lesion was surgically removed without any postoperative complications. In order to diagnose the disease properly, histopathologic analysis was performed.

Understanding sciences behind fall-related hip fractures in older adults is important to develop effective interventions for prevention. The aim of this review is to provide biomechanical understanding and prevention strategies of falls and related hip fractures in older adults, in order to guide future research directions from biomechanical perspectives. While most hip fractures are due to a fall, a few of falls are injurious causing hip fractures, and most falls are non-injurious. Fall mechanics are important in determining injurious versus non-injurious falls. Many different biomechanical factors contribute to the risk of hip fracture, and effects of each individual factors are known well. However, combining effects, and correlation and causation among the factors are poorly understood. While fall prevention interventions include exercise, vision correction, vitamin D intake and environment modification, injury prevention strategies include use of hip protectors, compliant flooring and safe landing strategies, vitamin D intake and exercise. While fall risk assessments have well been established, limited efforts have been made for injury risk assessments. Better understanding is necessary on the correlation and causation among factors affecting the risk of falls and related hip fractures in older adults. Development of the hip fracture risk assessment technique is required to establish more efficient intervention models for fall-related hip fractures in older adults.

이 연구의 목적은 「산림총서」 및 언론보도, 북한과학기술네트워크(http://www.nktech.net/) 등의 문헌자료를 이용하여 1960년부터 2019년까지 북한 산불의 시공간적 발생경향과 산불 분야 연구동향을 파악하는 것이다. 북한의 산불 발생이력은 2000년대를 기점으로 대외적으로 보고되기 시작하였으며, 산불 보도건수는 산림율과 정의 상관관계를, 인구밀도 및 산림황폐화율과는 부의 상관관계를 보였다. 시기적으로는 봄과 가을, 지역적으로는 동해안 지역에 산불이 집중되는 경향을 보였다. 동해안 지역에 산불 발생이 집중되는 이유는 높은 산림율과 낮은 인구밀도로 인해 감시와 통제에 자유로운 방화가 북한지역 산불의 주원인이 될 수 있음을 시사하였다. 산불 관련 논문은 2000년대를 기점으로 다수 발행되었으며, 김정은 집권시기에 가장 많은 논문이 발행되었다. 연도별 논문 발행편수는 산불 보도건수(n-3년 및 n-5년 이동평균)와 정의 상관관계를 보였으며, 산불 발생빈도가 증가함에 따라 산불이 사회적 문제로 확대되면서 관련 연구가 수행되었던 것으로 확인할 수 있었다. 이 연구의 결과는 향후 산불 분야의 남북 교류협력에 있어 산불 공동 관리·대응 역량 및 상호 협력체계를 발전시킬 수 있는 기초정보를 제공할 수 있을 것으로 기대된다.

This study aims to review observational methods for assessing postural loads such as OWAS, RULA and REBA, and to compare them, based on the literature survey. The literature was searched through academic database of ScienceDirect using the key words of observational methods, OWAS, RULA and REBA. The results exhibited that of the thee methods, RULA was cited in the literature and applied to manufacturing industries the most frequently. Although it has been known that RULA is appropriate for assessing upper body postures, it has been applied to healthcare and social work activities, agriculture, forestry, fishing, construction, mining and quarrying, which require unstable lower limb postures. The countries where more number of relevant studies have been carried out were USA, India, Brazil, UK, etc. It was recommended that of the three techniques, RULA may be better for assessing postural loads, because it evaluated postural loads more highly, irrespective of industry, work type and lower limb postures, and its assessment results had higher agreement rate with experts’ assessments than those of OWAS and REBA. It is expected that the results of this study will be used as a guideline for selecting an appropriate observational method.

목적 : 본 연구는 자폐스펙트럼장애를 대상으로 작업치료사에 의해 중재된 2010년부터 2020년까지 발표 된 국내학술지와 학위논문을 분석하여 주요 연구 분야와 동향을 알아보고자 하였다. 연구방법 : 2010년 1월부터 2020년 4월까지 발표된 국내학술지와 학위논문 총 22편의 논문을 국회도서 관과 한국연구정보서비스(Research Information Sharing Service; RISS)를 통해 대상으로 선정하여 연구수준, 중재방법, 종속변인과 분석도구 등을 분석하였다. 주요 검색어는 ‘자폐’, ‘작업치료’, ‘감각통합’ 을 사용하였다. 결과 : 분석결과 최근 10년 동안 발표된 실험 논문들의 연구형태는 단일대상연구가 54.5%로 가장 많았고, 다음으로 단일그룹 전후비교와 그룹 간 전후비교, 무작위실험 순이었다. 연구에 포함된 대상자의 연령은 0세에서 12세와 0세에서 6세의 범위가 각 36.4%로 가장 많은 비중을 차지했다. 가장 많이 사용된 중재법으로는 감각통합치료로 22편중 14편의 연구가 감각통합치료를 자폐아동을 위한 중재법으로 사용하였다. 측정된 종속변인은 행동수준과 작업수행, 감각통합기능, 인지 및 지각, 운동기능 영역 순으로 나타났다. 감각프로파일(SP)이 가장 많이 사용된 측정도구로 나타났고 다음으로 캐나다 작업수행 측정 (Canadian Occupational Performance Measure; COPM)과 비디오 기록법(video recording)이 많이 사용된 측정도구로 나타났다. 결론 : 본 연구를 통해 최근 10년간 자폐스펙트럼장애에 대한 작업치료사의 연구 형태와, 수준, 대상연령, 연구분야를 살펴볼 수 있었다. 이는 추후 자폐스펙트럼장애를 위한 한국작업치료의 연구와 교육방향을 계획하는 기초자료로 활용되기를 기대한다.

Leiomyoma is a Benign tumor that develops in smooth muscles and is known to occur more in women in age between 40s and 50s. The most common site of leiomyoma is uterine (95 %). It occurred in oral region is very rare about 0.065 % and usually developed in upper and lower lips, palatal site, buccal site and tongues. The prognosis of leiomyoma is very positive. The recurrence rate is extremely low to 2 % below. In present study, we report a 78 year old female with a lesion located in temporomandibular joint cavity which was suspected as a malignant tumor. Additionally, this paper reports contains a literature review of oral leiomyoma. Rare location with painless leiomyoma of present case will be considered to be caution.

While efforts have been made to address fall-related injuries in older adults, the problem is unsolved to date. The purpose of this review is to provide a guideline for fall and injury prevention programs in older adults, based on evidence generated over the past 30 years. Research articles published between 1990 and 2020 have been searched on PubMed, using keywords, including but not limited to, falls, hip fracture, injuries, intervention, older adults, prevention, hip protector, vitamin D, safe landing strategy, and exercise. Total of 98 articles have been found and categorized into five intervention areas: exercise program, hip protector, safe landing strategy, vitamin D intake, and compliant flooring. Furthermore, the articles have been rated based on their study design: class 1, randomized controlled trials; class 2, nonrandomized controlled trials; class 3, experimental studies; class 4, all other studies. Exercise programs have shown to decrease the risk of fall, and associated injuries. Hip protectors, safe landing strategy, and vitamin D intake were effective in reducing a risk and incidence of hip fracture during a fall. Furthermore, compliant flooring has also decreased hip fracture risk without affecting balance. An integrated approach combining exercise program, wearing a hip protector, teaching safe landing strategies, scheduled vitamin D intake, and compliant flooring installation, is suggested to address fall-related injuries in older adults.