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장시간 수술시 Propofol과 Enflurane의 마취 유지 효과 및 술후 각성도에 대한 비교
김태요,윤재승,이강창,정영표,안선연 圓光大學校 1995 論文集 Vol.30 No.2
There has not been particular attention focused on the comparative benefits and risks of propofol anesthesia with inhalation anesthesia in the operations of long duration. This study was assessed the anesthetic efficacy and the speed of recovery from propofol or enflurane anesthesia in patients undergoing the long term operations. The propofol group (n=25) receiver 2.0 - 2.5mg/kg propofol intravenously for the induction of anesthesia and followed by propofol infusion(6 - 12mg/kg/h). The enflurane group (n=25) was induced as the propofol group and followed by enflurane(1-2 MAC) addministration. All patients received nitrous oxide (50%) in oxygen immediately after tracheal intubation. All anesthetic agents were stopped at the time of last stitch. The hemodynamic changes were recorded and the recovery was assessed with the time from discontinuation of all anesthetics to extubation and the indices of consciousness at early recovery(recall name, eye opening on command, raise hand on request and coughing on request). The recovery tests showed no differences between the groups. Systolic pressure after intubation in propofol group was significantly increased (p<0.05), compared with enflurane group. In propofol group, seven patients received fentanyl because of light anesthetic depth. The frequency of nausea and vomiting was similar between the groups. In conclusion, the long propofol anesthesia was not associated with faster recovery than enflurane anesthesia and propofol as an agent of anesthetic maintenance was unfavorable.
영국의 예술, 문화 정책의 동향과 의미 : 비교 교육학적 관점에서 본 박물관 교육
김태리 연세대학교 교육연구소 1999 연세 교육연구 Vol.12 No.1
본 논문은 21세기를 준비하는 영국의 문화 예술정책 전략의 한 단면을 박물관 교육을 통하여 연구 분석하였다. 첫째, 영국에서 박물관교육이 평생교육차원에서 어떻게 인식되어지고 있으며, 개발되고 있는지를 영국 사회교육 전통의 맥락 속에서 논의하였고, 둘째, 영국의 박물관교육 프로그램들과 박물관 교육 전문가의 지위 역할에 관해 기술하였다. 셋째, 새로운 세기를 대비한 박물관 교육에 대해 영국정부가 실제로 어떤 재정적 지원을 하고 있는지를 연구하고, 여기에서 드러나는 영국 문화예술의 정책방향을 비교적 관점에서 시사하였다.
김태리 ( Kim Tae Ri ),홍성화 ( Hong Sung Hwa ) 한국이벤트컨벤션학회 2021 이벤트 컨벤션 연구 Vol.17 No.4
Purpose - The purpose of this study is to verify the generational differences between Babyboomers(birth from 1955 to 1963) and Millennials(birth from 1980 to 2000) in hotel choice attributes importance and satisfaction. Research data, and methodology -The survey was conducted through Online survey agency and google analytics questionnaire distribution. Total answer was 412 and 10 answer sheets was excluded due to unscrupulous respondents and inapplicable ages. The collected data analyzed by SPSS 27.0, revised IPA and regression analysis. Each factor was classified into 6 categories: Safety and cleanliness, facilities, extra service, aesthetic image, accessibility, and price. Result - The result of regression analysis of factors that influence satisfaction, safety and cleanliness, aesthetic and price factors were found to be significant. Conclusions - As a result of a comparative study between generations, there is a relative difference in the importance and performance of factors for each generation.
의약품 추천 시스템에서 전자 건강 기록(EHR) 그래프의 효과 분석
김태리,허지호,김상욱 한국정보과학회 2023 데이타베이스 연구 Vol.39 No.2
The medication recommendation aims to recommend effective medications at a patient's current visit, utilizing Electronic Health Records (EHR) data. A number of medication recommender systems have been proposed to solve this problem. In this paper, we first point out that these methods just utilize the co-prescription relations between medications represented by the EHR graph without verifying their effect in recommending effective medications. Then, we compare and analyze the recommendation accuracies of various state-of-the-art medication recommender systems equipped with or without the EHR graph. Our experimental results show that utilizing the EHR graph may not necessarily enhance the accuracy of medication recommendation, rather incurring a negative effect. This work is meaningful since it helps existing and future medication recommender systems to provide more accurate medication recommendation for patients. 의약품 추천 문제는 전자 건강 기록(Electronic Health Records, EHR) 데이터를 활용하여, 환자의 현재 방문에서 효과적인 의약품들을 추천하는 것을 목표로 한다. 이 문제를 해결하기 위해 다양한 방법들이 제안되었지만, 우리는 기존 방법들이 환자에게 효과적인 의약품들을 추천하는 데 있어서 EHR 그래프로 표현되는 의약품 간의 관계가 어떠한 영향을 미치는지 검증하지 않고 단순히 이를 활용하거나 활용하지 않는다는 점을 지적한다. 따라서, 본 논문에서는 실세계 두 가지 EHR 데이터를 사용하여 다양한 state-of-the-art 의약품 추천 시스템들과 그들의 EHR 그래프 활용 여부에 따른 변형들의 추천 정확도를 비교하고 분석한다. 그 결과, 우리는 EHR 그래프의 활용이 의약품 추천 정확도에 긍정적인 영향을 미치지 않을 수 있음을 확인했다. 본 연구를 통해, 우리는 향후 의약품 추천 시스템들이 환자에게 더욱 효과적인 의약품들을 추천할 수 있도록 도움을 주고자 한다.
한국어 예비 교사의 상호문화성과 핵심 역량 인식 간의 상관성 연구
김태라,정해권 한국국어교육학회 2021 새국어교육 Vol.- No.127
목적 : 한국어 예비 교사들의 상호문화성과 교사의 핵심 역량에 대한 인식 간의 상관성을 분석하고, 현행 교육과정에 대한 만족도를 확인함으로써 상호문화 교육 실천에 필요한 예비 교사의 교육 방향을 제시하고자 하였다. 방법 : 한국어 교육의 예비 교사를 대상으로 상호문화성과 핵심 역량 중요도를 측정하고 기술통계 분석, 신뢰도 검증, 요인분석, 독립표본 t 검증, 상관 분석을 실시하였다. 결과: 상호문화성이 높을수록 교수학 지식, 문화 지식, 교육 공동체 참여, 교사 정체성, 문제 해결, 친화적 수업 관리, 활용 기술, 자기 관리 등의 역량에 대해 중요하게 인식하였다. 또한 상호문화 교육 관련 현재의 교육과정에 대한 예비 교사들의 만족도가 낮았다. 결론 : 상호문화성이 낮을수록 언어 지식과 언어 수행 역량에 주목하고 다른 역량의 중요성을 간과하는 양상이 나타나므로 예비 교사들의 상호문화성을 높이면서 상호문화 교육 개념과 목표에 대한 이해를 돕는 상호문화 교육의 실천이 요구된다. Purpose : The purpose of this research was to find out the correlation between the interculturality of pre-service Korean teachers and their attitude toward Korean teachers' key competencies and estimate how much they are satisfied with the present teacher training course related to intercultural education. Methods : For this research purpose, the questionnaires were constructed based on previous researches, and the surveys were conducted by the students in Korean language teacher training courses. The SPSS statistics were used for data analysis. Results : The findings of this research showed that 1) the differences between the group with high interculturality and the group with low interculturality were significantly explicit. 2) As the individuals' interculturality was getting higher, the importance of the instructional competency, cultural competency, communitive involvement competency, problem-solving competency, intimate teaching competency, various media competency, and selfreflection competency increased positively. 3) The satisfactions with the present cultural education courses from the respondents were mostly low. Conclusion : The implications for this study are that the lower teachers' interculturality is, the more unimportantly they considered some key competencies, therefore, improved intercultural education should be required.
김태나 순천향대학교 인문과학연구소 2012 순천향 인문과학논총 Vol.31 No.3
임펄라이트니스의 반응전략에 대한 연구는 발화차원에서 ‘개인적 욕구에 따른 체면’을 중심으로, 상대방의 체면을 공격하거나 자신의 체면을 방어하기 위해서만 산출되고 이러한 체면의 양을 구분 짓는 ‘사회적 지위’의 기준으로 인해 힘이 약 한 자가 힘이 강한 자에게 보이는 방어전략(체면 보호)으로 한정된다. 그러나 임펄라이트니스와 달리, 한국의 무례 및 불손은 개인적 체면뿐만 아니 라 사회적 역할 및 의무에 따른 사회적 체면 또한 이를 판단하는 그 기준이 되고 관계적 작용이 사회적 지위를 비롯하여 나이, 항렬, 신분, 학번, 성별 등과 같은 서양과 다른 관계 기준이 존재하기 때문에 그 반응을 개인적 체면과 방어의 두 가지 양상으로 한정하여 나타낼 수 없다. 따라서 한국어에서의 무례 및 불손에 대한 반응은 사회적 규준과 관련된 관계 적 작용(윗사람에서의 아랫사람, 아랫사람에서의 윗사람, 수평적 관계)과 상황적 작용으로 인해 한국의 사회⋅문화적 특수성을 반영한다.
Oxymetazoline 의 家兎 心博 減少作用에 관한 硏究
金泰堯 圓光大學校 醫科學硏究所 1987 圓光醫科學 Vol.3 No.2
1. Oxymetazoline, which has been shown to act preferentially on α_2-adernoceptors in some peripheral tissues and to act on α_1-adrenoceptors of the vascular smooth muscle and brain of the rabbit to induce a hypertensive effect, produced a bradycardiac effect in rabbits with the blockade of muscarinic receptors of the auricle by methylscopolamine pretreatment. It was attempted in this study to clarify the mechanism of this bradycardia. 2. The bradycardiac effect produced by either intravenous or intraventricular administration persisted until after the hypertension subsided. 3. The bradycardia of i.v. oxyrnetazoline was markedly inhibited by the treatment of rabbits with either guanethidine, chlorisondamine or propranolol. It was hardly seen in reserpine-pretreated rabbits and cord-sectioned ones. 4. Both the hypertension and bradycardia of i.v. oxymetazoline were inhibited by i.v. prazosin. 5. Yohimbine (i.v.) did not affect the hypertension of i.v. oxyrnetazoline, but weakened the bradycardiac effect, although not significant. 6. The hypertensive effect of i. vt. oxyrnetazoline was reduced by i. vt. prazosin, but the bradycardia was not affected. 7. Yohimbine (i.vt.) did not affect the hypertension of i.vt. oxyrnetazoline, but markedly reduced the bradycardiac effect. 8. The bradycardia of i.vt. oxymetazoline was not seen in reserpine-pretreated rabbits and rabbits treated with both guanethidine and chlorisonda-mine. 9. It is inferred that oxymetazoline induces the bradycardiac effect by acting on the α_2-adrenoceptors in the rabbit-heart and brain.
전신마취환자에서 기관내 삽관과 후두 마스크의 폐흡인 위험도의 비교
김태요,최덕화,유수진,김혁동,정영표,박수경,조동규,윤재승 대한응급의학회 1998 대한응급의학회지 Vol.9 No.1
Background: There were several studies for the incidence of gastroesophageal reflux associated with the laryngeal mask airway(LMA), but the results of those studies were much different from one another. The aim of this study was to compare the incidence of gastroesophageal reflux and regurgitation of gastric contents between the LMA and the endotracheal tube(ETT). Method: Ninety patients scheduled for elective orthopedic surgery with a standardized general anesthetic technique were randomly allocated to receive either a LMA(n=49) or a ETT(n=41) for airway management. The esophageal manometry was carried out for the exclusion of esophageal motility disorders and the 24-hour ambulatory pH metry was done from one day before the operation. A methylene blue(50mg) capsule was swallowed just before the induction and the simultaneous recordings of pH were maintained during anesthesia. At the end of anesthesia, the episodes of regurgitation of gastric contents above hypopharynx were analyzed by the pharyngeal blue staining and the pH metric data were analyzed for the detection of gastroesophageal reflux episodes during anesthesia. Results: There was no significant difference in the incidence of gastroesophageal reflux(pH? 4) between two groups; only two patients in LMA and three patients in ETT had reflux episodes during the removal or arousal phase. There was no episode of the pharyngeal blue staining in both group. All of the gastroesophageal reflux patients in both group developed a cough or straining during those phases. There was no clinical evidence of aspiration of gastric contents in both group. Conclusion: In comparison with ETT, use of LMA does not appear to increase the incidence of gastroesophageal reflux and regurgitation above hypophryngeal level in positive pressure ventilating patients during long surgical procedures. Therefore, the risk of aspiration in LMA will not be much more than ETT.