• Proceedings of the KAIS Fall Conference
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• 2009.05a
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• pp.603-606
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• 2009

본 연구는 폐 병소의 경피적 흡인 생검을 시행하는데 있어 기흉 발생에 영향을 미치는 요인을 7가지로 나누어 분석하여, 국소적인 폐 병소를 보인 25~85세 사이의 104명의 환자를 대상으로, 병변의 위치, 병변의 크기, 병변의 깊이, 성별, 나이, 생검 시간, 생검 횟수로 나누어 기흉 발생과의 연관성을 연구하였다. 그 결과는 다음과 같다. 1. 위치에 따른 기흉 발생률은 우하엽에서 27.3%, 우상엽 24.3%, 좌하엽 15%, 좌상엽 12% 순으로 나타났으며, 병변의 크기에 따른 기흉 발생률은 0~2.0cm에서 24.0%, 2.1~4.0cm에서 18.2%, 4.1cm 이상에서 20.0%이었으며, 병변의 깊이에 따른 기흉 발생률은 0cm에서 6.7%, 0.1~2.0cm에서 24.2%, 2.1cm이상인 경우가 26.8%이며, 성별에 따른 기흉의 발생은 남성 21.7%, 여성 17.1%로 나타났으며, 나이에 따른 기흉 발생은 40세 이하가 25%, 41~50세가 11.7%, 51~60세가 14.3%, 61~70세가 24.1%, 70세 이상이 24.1%로 나타났고, 생검 시행 횟수에 따른 기흉 발생률은 4회 이상에서 28.6%, 2회 이하에서 20.5%, 3회에서 17.4%로 각각 나타났다. 이 모두는 통계적으로 유의한 차이는 없었다(P=0.484, 0.859, 0.088, 0.581, 0.758, 0.658). 2. 생검에 걸리는 시간에 따른 기흉 발생률은 0~10.0분에서 3.8%, 10.1~20.0분에서 24.2%, 21분 이상에서 40%로 시간이 오래 걸릴수록 기흉 발생률은 증가하였으며 통계적으로 유의한 차이가 있었다(P=0.005).

• Asian-Australasian Journal of Animal Sciences
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• v.14 no.6
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• pp.803-810
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• 2001

This study examined the behavior of dairy heifers and the factors affecting the performance of them on pasture. Behavior of 10 Holstein heifers in a herd of 25 animals that rotationally grazed five 8-ha pastures was observed and recorded every 5 minutes during 24 hours; body weights were measured once a month from June to October. Blood and rumen fluid samples were collected from 5 of them bimonthly. Chemical composition was analyzed for the forage samples collected each month. CP content (DM basis) of herbage ranged from 12.2 (June) to 17.2% (October) and ADF from 31.1 (October) to 39.1% (July). Standing (posture) time was different significantly among months (p<0.001) ranging from 48.3 to 61.3% of 24 hours and was longer in July and August (61.3% and 58.3%, respectively) when ADF content of herbage was higher than in the other months. Grazing time which significantly differed among months (p<0.001) ranged from 29.1 to 41.6% of 24 hours and was shorter in June and September (29.1% and 33.0%, respectively) when ADF content was lower than in the other months. Average DG through the experiment period was 0.74 kg/day. August was the lowest in DG (0.41 kg/day) and the longest in rumination time and standing-rumination time among months. Animals of higher DG had a shorter standing time (r=-0.36, p<0.01) and a longer lying-rumination time (r=0.55, p<0.001) throughout the experiment. Total protein concentration in blood ranged from 9.04 to 9.64 g/dl and was negatively correlated with DG (r=-0.65, p<0.05). Phospholipid concentration of blood ranged from 119.66 to 156.40 mg/dl and was negatively correlated with DG (r=-0.57, p<0.05). VFA in rumen fluid, acetic acid proportion (ranging from 69.35 to 74.76%) and butyric acid proportion (ranging from 7.18 to 12.05%) showed significant differences among months (p<0.05, p<0.001, respectively). Butyric acid proportion was significantly related with DG (r=0.60, p<0.05).

• Korean Journal of Anesthesiology
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• v.71 no.6
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• pp.440-446
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• 2018

Background: The aim of this study was to evaluate aprepitant in combination with palonosetron as compared to palonosetron alone for the prevention of postoperative nausea and vomiting (PONV) in female patients receiving fentanyl-based intravenous patient-controlled analgesia (IV-PCA). Methods: In this randomized single-blinded study, 100 female patients scheduled for elective surgery under general anesthesia were randomized to two groups: Group AP (80 mg aprepitant plus 0.075 mg palonosetron, n = 50) and Group P (0.075 mg palonosetron, n = 50). The patients in group AP received 80 mg aprepitant per oral 1-3 h before surgery, while all patients received 0.075 mg palonosetron after induction of standardized anesthesia. All patients had postoperative access to fentanyl-based IV-PCA. The incidence of nausea and vomiting, use of rescue medication, and severity of nausea were evaluated at 6 and 24 h after surgery. Results: The incidence of nausea (54%) and vomiting (2%) in group AP did not differ significantly from that in group P (48% and 14%, respectively) during the first 24 h after surgery (P > 0.05). Patient requirements for rescue medication in group AP (29%) were similar to those in group P (32%) at 24 h after surgery (P > 0.05). There was no difference between the groups in severity of nausea during the first 24 h after surgery (P > 0.05). Conclusions: Aprepitant combined with palonosetron did not reduce the incidence of PONV as compared to palonosetron alone within 24 h of surgery in women receiving fentanyl-based IV-PCA.

• Tuberculosis and Respiratory Diseases
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• v.50 no.4
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• pp.462-472
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• 2001

Background : The determinants of intubation and the response to therapy in COPD patients with hypercapnic respiratory failure were retrospectively reviewed. Methods : This study involved a review of 132 episodes of hypercapnic respiratory failure($PaCO_2\;{\geq}\;50\;mmHg$ and $pH\;{\leq}\;7.35$). The time frame for resolution or the time to intubation of patients who were admitted between 1996 and 1999 was analyzed. Results : Out of 132 hypercapnic episodes, 49(37%) required intubation. A comparison was made with the 83 cases that responded to treatment. Patients requiring intubation had a greater severity of illness, which included a higher APACHE II (Acute Physiology and Chronic Health Evaluation II) score ($20{\pm}5$ vs $14{\pm}4$ ; p<0.01), a higher WBC, a higher serum BUN, and greater acidosis (pH, $7.23{\pm}0.11$ vs $7.32{\pm}0.04$ ; p<0.01). Those with the most severe acidosis(pH<7.20) had the highest intubation rate(87%) and shortest time to intubation($2{\pm}3\;h$). Conversely, those with an initial pH 7.31 to 7.35 were less likely to be intubated(20%), and had a longer time to intubation($97{\pm}121\;h$). The patients with a pH 7.21 to 7.25($4.1{\pm}2.9$ day) required longer period of time to respond to medical treatment than patients with a pH of 7.31 to 7.35($2.2{\pm}3.1$ day). Of those patients requiring intubation, half(55%) were intubated within 8 h of admission, and most (75%) within 24 h. Of those patients responding to treatment medical therapy, half(52%) recovered within 24 h and most (78%) recovered within 48 h. Conclusion: Respiratory acidosis at the initial presentation is associated with an increased likelihood of intubation. This should assist in deciding help with the decision whether to treat patients medically, institute noninvasive ventilation, or proceed to intubation.

• Women's Health Nursing
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• v.24 no.2
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• pp.209-218
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• 2018

Purpose: This study was conducted among older women to (1) identify their levels of knowledge, self-efficacy, and health behavior in dealing with osteoporosis and falls and (2) explore the relationships between the study variables based on a health-beliefs model. Methods: With a cross-sectional survey design, we recruited 94 older women of ages from 65 to 74 at a community setting via convenience sampling. The study participants completed two sets of structured questionnaires (on osteoporosis and fall prevention). Results: The general characteristics of the study participants demonstrated that the women were at high risk for osteoporosis and falls. Overall, the levels of knowledge about osteoporosis and falls, their self-efficacy, and their preventive behaviors were average or slightly above. The relationships between the study variables showed that self-efficacy and healthy behavior, such as doing osteoporosis exercise, eating an osteoporosis diet, and avoiding falls, were related (r=38, p<.001; r=.33, p<.05; r=.26, p<.05). In addition, there were statistically significant relationships between osteoporosis and fall prevention knowledge (r=.37~.46, p<.001), self-efficacy (r=.50~.53, p<.001), and preventive behaviors (r=.50, p<.001). Conclusion: The women's scores on osteoporosis and fall knowledge, self-efficacy, and preventive behaviors suggest an urgent need for the implementation of educational programs for older women. A close relationship between self-efficacy and health behaviors implies a need for transformation of a traditional one-way lecture form.

• Journal of the Korea Society of Computer and Information
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• v.24 no.5
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• pp.113-120
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• 2019

This study was conducted to identify the level of cultural empathy, self-esteem, and cultural competence and factors affecting cultural competence of nursing students. Participants were 157 nursing students who were 2nd, 3rd, and 4th grade in one university located at the Chungbuk provinces. Data collected using questionnaires which consisted of general characteristics, cultural empathy, self-esteem, and cultural competence. The mean score for cultural empathy was $3.63{\pm}.34$(scores ranged from 1 to 5), The mean score for self-esteem was $2.91{\pm}.42$(scores ranged from 1 to 4). The mean score for cultural competence was $3.31{\pm}.43$(scores ranged from 1 to 5). There were significant differences between cultural competence and age(t=-2.242, p=.027), grade(F=3.473, p=.033), and fluency of foreign language(F=5.053, p=.007). There were significant correlation between cultural competence and cultural empathy(r=.49, p<.001), and self-esteem(r=.33, p<.001)), and self-esteem and cultural empathy(r=.33, p<.001). Cultural empathy and self-esteem explained 29.4% of cultural competence and major predictor variable for cultural competence was cultural empathy. In this paper, we propose various multicultural education programs in curriculum and extra curriculum that can enhance cultural empathy and self-esteem to improve cultural competence of nursing students. Especially, continuous education of cultural knowledge among cultural competence will be done.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.28 no.2
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• pp.124-134
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• 2021

Purpose: The study examined the effects of personality factors and the perceived nursing organizational culture on workplace bullying of nurses. Methods: The participants were 110 allied general hospital with more than 300 beds. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and stepwise regression analysis with the SPSS program. Results: Workplace bullying differed significantly by marital status (t=-2.43, p=.017) and clinical career (F=3.82, p=.012). Statistically significant positive relationships was observed between workplace bullying and hierarch-oriented culture (r=.24, p=.031), and task-oriented culture (r=.26, p=.006), negative relationships was observed between workplace bullying and relationship-oriented culture (r=-.37, p<.001), and Innovation-oriented culture (r=-.24, p=012). A total of 23.7% of workplace bullying was explained by clinical career and relation-oriented culture. Conclusion: These results could be used in the development of workplace bullying preventive programs and caring programs for nurses considering clinical career by focusing the organizational efforts on relationship-oriented culture creation.

• Journal of the Korean Institute of Electrical and Electronic Material Engineers
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• v.24 no.8
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• pp.616-621
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• 2011

In this paper, CdS thin films, which were widely used window layer of the CdTe and the Cu(In,Ga)$Se_2$ thin film solar cell, were grown by chemical bath deposition, and effects of pH of reaction solution on the structural and optical properties were investigated. For pH<10.5, as the pH of reaction solution was higher, the deposition rate of CdS films was increased by improving ion-by-ion reaction in the substrate surface and the crystallinity of the films was improved. However, when the pH was higher than 10.5, the deposition rate was decreased because of smaller $Cd^{2+}$ ion concentration in the reaction solution. Also, the crystallinity of the films were deteriorated. The CdS films deposited at lower pH showed poor optical transmittance due to adsorbed colloidal particles, while the transmittance was improved for higher pH.

• Asian-Australasian Journal of Animal Sciences
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• v.12 no.1
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• pp.42-48
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• 1999

Three experiments were conducted to develop and test equations for predicting carcass composition. In the first study using 52 d-old Cobb ${\times}$ Cobb male broilers, twenty four carcasses were selected from 325 processed birds based upon visual appraisal for abdominal fat (low, medium, high) and assayed for specific gravity (SG), dry matter (DM), fat, protein, and ash. In experiment 2, 120 birds were fed rations containing 2 caloric densities (2,880 and $3,200kcal\;ME_n/kg$ diet) and assayed as described above on weeks 2,3,4,5, and 6. Carcass fat was elevated (p < 0.05) with increased caloric density. In both studies predictive variables were significantly correlated with chemically determined carcass fat, protein, and ash contents. Pooled across the 2 studies, data were used to form SG, DM, and or age based equations for predicting carcass composition. Results were tested in experiment 3, where 576 birds reared to 49-d consumed either 2,880, 3,200, or $3,574kcal\;ME_n/kg$ diet while exposed to constant $24^{\circ}C$ or cycling 24 to $35^{\circ}C$ ambient temperatures. Both dietary and environmental effects impacted (p < 0.05) carcass composition. The fat content analyzed chemically was enhanced from 12.4 to 15.7%, and predicted fat was also elevated from 13.4 to 14.8% with increasing caloric density. Heat distress reduced (p < 0.05) analyzed carcass protein (18.9 vs 18.3%) and predicted protein (18.2 vs 17.5%). Predicted equation values for carcass fat, protein, ash, and energy were correlated with the chemically analyzed values at r=0.96, 0.77, 0.86, and 0.79, respectively. Results suggest that prediction equations based on DM and SG may be used to estimate carcass fat, protein, ash, and energy contents of broilers consuming diets that differ in caloric density (2,800 to $3,574kcal\;ME_n/kg$) and for broilers exposed to either constant ($24^{\circ}C$) or cycling high (24 to $35^{\circ}C$) ambient temperatures during 49-d rearing period tested in the present study.

• Proceedings of the Korean Information Science Society Conference
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• 2004.10a
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• pp.40-42
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• 2004

Access Grid는 상호공동작업을 위하여 대용량의 컨텐츠 파일들을 주고받으며 공유한다. 특별히 중앙의 집중된 관리서버가 없는 Access Grid환경에서는 컨텐츠의 위치추적의 어려움, 부재, 병목 등의 현상이 발생하는데 이를 본 논문에서 1. 중앙 Hybrid서버의 구현 2. 집중컨텐츠의 거점노드복제 3. 중요컨텐츠의 24시간 공유보장 등의 기법으로 해결방안을 제안하였다. 그리고 이에 대한 효율성을 시뮬레이션 자료로 증명하였다.