• Journal of Dental Anesthesia and Pain Medicine
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• 제22권1호
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• pp.39-47
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• 2022

Background: This was a randomized controlled clinical trial that aimed to evaluate the anesthetic efficacy of 2% lidocaine combined with different concentrations of epinephrine (plain, 1:200,000 and 1:80,000) during endodontic treatment of maxillary molars with symptomatic irreversible pulpitis. Methods: The trial included 144 adult patients who were randomly allocated to three treatment groups. All patients received buccal-plus-palatal infiltration. After 10 min, pulp sensibility testing was performed using an electric pulp test (EPT). If a tooth responded positively, anesthesia was considered to have failed. In the case of a negative EPT response, endodontic access was initiated under rubber dam isolation. The success of anesthesia was defined as having a pain score less than 55 on the Heft Parker visual analog scale (HP VAS), which was categorized as 'no pain' or 'faint/weak/mild' pain on the HP VAS. Baseline pre-injection and post-injection maximum heart rates were recorded. The Pearson chi-square test was used to analyze the anesthetic success rates at 5% significance. Results: Plain 2% lidocaine and 2% lidocaine with 1:200,000 epinephrine and 1:80,000 epinephrine had anesthetic success rates of 18.75%, 72.9%, and 82.3%, respectively. Statistical analysis indicated significant differences between the groups (P < 0.001, 𝛘² = 47.5, df = 2). The maximum heart rate increase was seen with 2% lidocaine solution with epinephrine. Conclusion: Adding epinephrine to 2% lidocaine significantly improves its anesthetic success rates during the root canal treatment of maxillary molars with symptomatic irreversible pulpitis.

• 융합정보논문지
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• 제12권5호
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• pp.150-158
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• 2022

본 연구의 목적은 이용자의 관점에서 노인장기요양보험 방문요양서비스 기관 평가의 효과성을 확인하는 것이다. 이를 위해, 전라북도 내 지역별(14개 시·군) 할당표집을 통해 수집한 이용자(266명) 설문자료와 기관(47개) 자료를 결합하여 다층모형으로 분석하였다. 주요 연구결과는 다음과 같다. 첫째, 5개 평가영역 중 이용자에게 권리의식을 갖게하고, 이용자를 존중하는지에 대한 '권리·책임' 영역의 점수가 높을수록 서비스 품질과 만족도도 높게 나타났다. 둘째, 5개 평가영역 중 '권리·책임' 영역과 '급여제공결과' 영역이 충성도에 영향을 미치는 것으로 나타났다. 셋째, '기관운영', '환경·안전', '급여제공과정' 영역은 서비스 품질, 만족도, 충성도에 영향을 미치지 않는 것으로 나타났다. 이러한 결과를 바탕으로 형식적이고 정량적인 평가지표보다는 이용자가 인식할 수 있고, 방문요양서비스의 기본 목적에 충실한 내용으로 평가지표를 재구성할 것 등을 제안하였다.

• 한국콘텐츠학회논문지
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• 제22권2호
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• pp.559-577
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• 2022

본 연구는 제약 및 의료·실험기기 회사 조직 구성원의 Big 5 성격특성(외향성, 친화성, 성실성, 개방성, 신경성)이 조직 몰입에 미치는 영향과 이들 관계에서 조직의 리더십의 조절효과를 규명하고자 하였다. 조직 구성원의 성격특성 중 외향성, 친화성, 성실성, 개방성이 조직 몰입에 긍정적 영향을 미치는 것으로 확인되었다. 그리고 조직 구성원의 Big 5 성격특성 중 성실성은 거래적, 변혁적, 서번트 리더십 모두가 조절효과를 갖는 것으로 나타났고, 개방성은 거래적, 변혁적 리더십이 조절효과를 갖는 것으로 나타났다. 제약 및 의료·실험기기 회사의 조직 구성원 개인 성격특성은 조직 몰입에 영향을 주는 중요한 요소라는 점과 조직의 리더십은 조직 구성원의 성격과 상호작용하여 조직 몰입에 영향을 미친다는 것을 확인하였다. 본 연구는 조직 몰입에 관한 대부분의 기존 연구들이 성격요인과 리더십의 역할을 개별적으로 확인한 것과 달리, 두 관점 모두에 대한 척도를 활용한 양적 설계를 통해 조절효과 분석을 시도하였다는 점에서 의의를 찾을 수 있다.

• 한국염색가공학회지
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• 제33권4호
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• pp.191-201
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• 2021

In this study, an eco-friendly indigo reduction system(scale up reduction, use of buffer solution, and pH control) using baker's yeast(Saccharomyces cerevisiae) was applied for natural indigo(Polygonum tinctorium) dyeing of Hanji fabric and Hanji-mixture fabric(Hanji/Cotton, Hanji/Silk). The effect of concentration of baker's yeast, repeat dyeing, and bath reuse was investigated in terms of dye uptake indicating reduction power. And the oxidation-reduction potential(ORP) was monitored. We also evaluated color properties and colorfastness according to the color strength. The yeast concentration did not significantly affect the maximum reduction power. However, the highest yeast concentration was effective in improving the initial dye uptake, and its the reduction retention power was the most excellent. Even on the last reduction day, the effect of increasing the dye uptake by repeat dyeing was observed. And it was confirmed that the reduction bath could be reused for up to 30 days by supplementing yeast at the end of reduction. For all the fabrics used, deeper and darker PB color were obtained by repeat dyeing. As dyeing was repeated, purplish tint got stronger on the Hanji/Silk fabric compared to other fabrics. Regardless of the composition of Hanji fabrics and color strength, washing and dry cleaning fastness were relatively good with above rating 4-5, and fastness to rubbing and light were acceptable with a rating 3-4 ~ 4-5. The eco-friendly natural indigo dyeing process using niram and baker's yeast would offer global marketability and diversity of Hanji product as a sustainable high value-added material.

• 대한통합의학회지
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• 제10권4호
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• pp.113-120
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• 2022

Purpose : Lymphedema is a common complication in mastectomy patients and is usually characterized by pain, swelling, and limited range of motion (ROM) in the arm. Electromyostimulation (EMS) is widely used for the rehabilitation and recovery of subjects with various neuromusculoskeletal disorders after breast cancer. However, EMS has not yet been used in many Pilates exercises. This study was aimed at comparing the effects of instrument Pilates integrated with EMS on pain, lymphedema, and ROM of the upper extremity (UE) in breast cancer subjects after mastectomy. Methods : Nine female breast cancer subjects who had undergone mastectomy participated in the study. The subjects underwent instrument Pilates with EMS (experimental group) or instrument Pilates only (control group). Pain, lymphedema, and ROM of the UE were measured using the visual analog scale (VAS), the circumference length of the UE, and the ROM of the UE. The Wilcoxon signed-rank test was used to compare the pain, lymphedema, and ROM of the arm before and after the intervention, and the Mann-Whitney U test was used to compare the two groups. The statistical significance level was set to p < .05. Results : In the experimental group, there were significant differences in pain (p<.05) and UE circumference (p<.05) before and after intervention. However, there was no significant difference between the two groups in VAS (p>.05) or circumference length of the UE (p>.05). There was one significant difference between the groups in terms of internal rotation of the ROM of the UE (p<.05). Conclusion : These results show that instrument Pilates exercises combined with EMS may positively affect the internal rotation of the ROM of the UE in breast cancer patients after mastectomy, thus contributing to existing knowledge about instrument Pilates using EMS for the effective management of in breast cancer subjects after mastectomy.

• International Journal of Advanced Culture Technology
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• 제10권2호
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• pp.12-20
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• 2022

In order to prevent mass infection of food poisoning in children, children's foodservice facilities should always thoroughly manage the hygiene and safety of meals. In this study, the hygiene management levels of daycare centers and kindergartens were compared according to the characteristics of foodservice facilities for four years from 2018, and the effect of the number of visits on the meal hygiene management scores analyzed. The facilities were divided into a small-scale and the group foodservice facilities and was divided into the Sprout group and the Fruit group according to the meal hygiene management level. As a result, the meal hygiene management of the Fruit group was generally better than that of the Sprout group, and the meal hygiene management scores in the second half of each year increased compared to the first half of the year. In addition, it was confirmed that the meal hygiene management scores in 2020, when the number of visits to foodservice facilities decreased due to COVID-19, was the worst compared to other years, and the decrease in the number of visits could affect the level of hygiene management. In conclusion, meal hygiene management of children's foodservice facilities should be applied differently depending on the characteristics of the facilities. Moreover, the number of visits and the hygiene management scores correlated, so it is considered that the appropriate number of visits should be maintained to improve the meal hygiene management level. However, in situations where it is necessary to prevent the spread of mass infectious diseases such as COVID-19, other active measures to replace visits should be proposed.

• 한국환경과학회지
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• 제31권6호
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• pp.491-501
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• 2022

This study evaluated the contamination levels of inland pollution sources flowing into Taeanhaean National Park. The nutritional status of influents was assessed by analyzing water quality and trophic status index (TRIX) at 52 stations, and the contamination levels of sediments were evaluated by analyzing eutrophication cleanup index (CIET) and heavy metals at 36 stations. The results of the TRIX analysis showed that 26 of the 52 stations had influents with a TRIX value of 6-10 (poor water quality/very high trophic level), indicating atrocious water quality and high eutrophication levels. The results of the CIET analysis showed that 4 out of the 36 stations were highly contaminated with organic matter. Analysis of heavy metals showed that the copper (Cu) and zinc (Zn) levels exceeded the threshold effects level (TEL) and probable effects levels (PEL) at several stations. In addition, the arsenic (As) level exceeded the threshold effects level at one station, and the levels of the other heavy metals (Cd, Cr⁶⁺, Ni, Pb, and Hg) were lower. Most inland pollution sources have been identified as small-scale, but long-term and continuous exposure can negatively affect the marine ecosystem; therefore, it necessary to prepare inland pollution source management standards and measures suitable for the characteristics of the coastal area.

• Archives of Plastic Surgery
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• 제49권4호
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• pp.554-560
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• 2022

Background Hypertrophic scars cause aesthetic concerns and negatively affect the quality of life. A gold standard treatment for hypertrophic scars has not been established due to various responses of modalities. Extracorporeal shock wave therapy (ESWT) is a noninvasive and affects scar remodeling by fibroblast regulation. This study investigated the effectiveness of ESWT for hypertrophic scars. Methods Twenty-nine patients were enrolled. All patients underwent ESWT once a week for 6 consecutive weeks. Their scars were assessed using the Patient and Observer Scar Assessment Scale (POSAS), erythema index, melanin index, and scar pliability before treatment and again 4 weeks after treatment completion. Results Thirty-four hypertrophic scars in this study had persisted for between 6 months and 30 years. Most scars developed after surgical incision (55.88%). The chest and upper extremities were the predominant areas of occurrence (35.29% each). Most of the POSAS subscales and total scores were significantly improved 4 weeks after treatment (p < 0.05). Furthermore, the pain, itching, and pigmentation subscale were improved. The pliability, melanin index, and erythema index were also improved, but without significance. The patients were satisfied with the results and symptoms alleviation, although subjective score changes were insignificant. No serious adverse events were found. The patients reported pruritus in 62.5% and good pain tolerance in 37.5%. Subgroup analyses found no differences in scar etiologies or properties at different parts of the body. Conclusion The ESWT is a modality for hypertrophic scar treatment with promising results. Most of POSAS subscales were significantly improved.

• International Journal of Computer Science & Network Security
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• 제22권7호
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• pp.206-212
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• 2022

Strengthening global geopolitical instability in the world leads to an aggravation of international conflicts; it destabilizes the domestic political situation in countries, violates the rights and freedoms of man and citizen, and also activates economic crime. The full-scale invasion of the Russian Federation on the territory of Ukraine and the deployment of military operations in a large territory of a sovereign country have created a number of destabilizing factors in the development of digital technologies and negatively affect the state and trends of digital marketing, which allows establishing interaction with a wide audience and facilitating the search for new customers in various places. The purpose of the research lies in substantiating the theoretical and applied principles for studying the features of digital marketing in the conditions of wartime posture in Ukraine. In the course of the research, general and special methods of economic analysis have been used and applied, namely: analysis and synthesis; analogies and comparisons; generalization and systematization; graphic and tabular methods. Regarding the results of the research of digital marketing in the conditions of wartime posture in Ukraine, it has been established that the intensification of the development of digital marketing is caused by the crisis phenomena of social-economic, social-political and military nature, as well as exacerbated by the challenges of the COVID-19 pandemic. It has been proven that highly developed countries use innovative digital technologies more effectively in the field of marketing, which indicates the importance of the Multidimensional Index of Digitization (the USA - MID: 0,92-0,92; the UK - MID: 0,80-0,97; Japan - MID: 0,80-0,88; Canada - MID: 0,78-0,81; Germany - MID: 0,78-0,88; France - MID: 0,72-0,76), however, the developing countries record much lower values (Ukraine - MID: 0,22-0,48). Accordingly, the level of cybersecurity in highly developed countries is also significantly higher than in transitive countries, in particular, in the United States (GCI: 0,919-0,999); Great Britain (GCI: 0,783-0,995); Canada (GCI: 0,818-0,978) and in Ukraine (GCI: 0,501-0,661).

• Structural Engineering and Mechanics
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• 제84권5호
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• pp.619-632
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• 2022

Reinforced concrete (RC) structures may be subjected to sudden dynamic impact loads such as explosions occurring for different reasons, the collision of masses driven by rockfall, flood, landslide, and avalanche effect structural members, the crash of vehicles to the highway and seaway structures. Many analytical, numerical, and experimental studies focused on the behavior of RC structural elements such as columns, beams, and slabs under sudden dynamic impact loads. However, there is no comprehensive study on the behavior of the RC column-beam connections under the effect of sudden dynamic impact loads. For this purpose, an experimental study was performed to investigate the behavior of RC column-beam connections under the effect of low-velocity impact loads. Sixteen RC beam-column connections with a scale of 1/3 were manufactured and tested under impact load using the drop-weight test setup. The concrete compressive strength, shear reinforcement spacing in the beam, and input impact energy applied to test specimens were taken as experimental variables. The time histories of impact load acting on test specimens, accelerations, and displacements measured from the test specimens were recorded in experiments. Besides, shear and bending crack widths were measured. The effect of experimental variables on the impact behavior of RC beam-column connections has been determined and interpreted in detail. Besides, a finite element model has been established for verification and comparison of the experimental results by using ABAQUS software. It has been demonstrated that concrete strength, shear reinforcement ratio, and impact energy significantly affect the impact behavior of RC column-beam connections.