• The Journal of Korean Medicine
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• v.22 no.3
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• pp.42-50
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• 2001

Objectives : Dysphagia is common and severe problems of acute stroke determining the prognosis of stroke only second to mental change, and results in secondary fatal complications such as aspiration pneumonia, malnutrition, dehydration, etc. Therefore, we were to investigate the clinical characteristics of dysphagia accompanied by acute ischemic stroke. Methods : We selected subjects through clinical notes retrospectively, whose main problems included dysphagia resulted from acute stroke within 72 hours from onset who were admitted to the Internal Medicine Department of Wonkwang Oriental Medicine Hospital from Jan. 2000 to Apr. 2001. We assessed the severity of dysphagia from admission to discharge using a staging method : stage 0 is normal without dysphagia, stage 1 is nearly normal except for intermittent dysphagia, stage 2 is compensated abnormal swallowing requiring adjusted diets or delayed feeding time, stage 3 is uncompensated abnormal swallowing resulted in weight loss down to 10% of initial and daily aspiration, coughing, and vomiting, stage 4 is uncompensated abnormal swallowing resulting in weight loss beyond 10% and recommended for non-oral feeding, and stage 5 is 100% non-oral feeding by L-tube, or gastrostomy or NPO state. Results : Dysphagia was improved statistically significantly from the mean stage of $3.6{\pm}0.29$ on admission to $1.88{\pm}0.32$ on discharge (P<0.05). On average $7.1{\pm}1.48$ days were required for improving more than one stage level. As patients were older and the stage of dysphagia was worse on admission, severity of dysphagia was more difficult to improve (correlation coefficiency was 0.55 and 0.77 respectively, P<0.05). Aspiration pneumonia was complicated in 13 patients of the total 25 at mean dysphagia stage of $3.36{\pm}0.37$. However, any specific values such as lesion size, lesion site, sex, age, past history and NIH Stroke Scale on admission did not affect it (P>0.05). Conclusion : Clinical course of dysphagia was determined about I week from the onset. Aspiration pneumonia was mainly complicated during oral feeding periods. If there were no improvement of dysphagia over 2-3 weeks, then non-oral feeding such as Levin tube or gastrostomy must be considered.

• Transactions of Materials Processing
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• v.17 no.1
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• pp.52-58
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• 2008

Tube hydroforming process is generally consisted with pre-bending, preforming and hydroforming processes. Among forming defects which may occur in tube hydroforming such as buckling, wrinkling and bursting, the wrinkling and bursting by local instability under excessive tensile stress mode were mainly caused by thinning phenomenon in the manufacturing process. Thus the accurate prediction and suitable evaluation of the thinning phenomenon play an important role in designing and producing the successfully hydroformed parts without any failures. In this work, the formability on hydroformed part for automobile, i.e. engine cradle, was evaluated using finite element analysis. The initial tube radius, loading path with axial feeding force and internal pressure, and preformed configuration after preforming process were considered as the dominant process parameters in total tube hydroforming process. The effects on these process parameters could be confirmed through the numerical experiments with respect to several kinds of finite element simulation conditions. The degree of enhancement on formability with each process parameters such as initial tube radius, loading path and preform configuration were also compared. Therefore, it is noted that the evaluation approach of the formability on hydroformed parts for lots of industrial fields proposed in this study will provide one of feasible methods to satisfy the increasing practical demands for the improvement of the formability in tube hydroforming processes.

• Research in Community and Public Health Nursing
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• v.28 no.3
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• pp.324-333
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• 2017

Purpose: The purpose of this study was to develop a simulation module for teaching home health care and evaluate the applicability of the program to nursing students' practical training. Methods: The simulation module was developed based on the National League for Nursing Jeffries Simulation Theory. The theme of the developed scenario was teaching nasogastric tube feeding to the caregiver of patient with Parkinson disease. Participants were 61 nursing students who had learned tube feeding, and participated in the questionnaire survey after the simulation training. Results: The evaluation of simulation design showed the highest score on feedback/guided reflection, and was highly evaluated in the order of objectives/information, problem solving and fidelity. The educational practice of the simulation was highly evaluated in the order of active learning, high expectation and diversity of learning. The nursing students showed high satisfaction and self-confidence after the simulation education. Conclusion: We suggest that the developed simulation module can be applied to practical training for home health care. In the future, the change of self-efficacy, clinical judgment and performance ability of the students after the simulation education should be identified. Also, various simulation modules related to the community health nursing competencies should be continuously developed and verified.

• Journal of the Korean Dietetic Association
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• v.19 no.4
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• pp.317-342
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• 2013

The purpose of this study was to evaluate the current state of foodservice and clinical nutrition management in a hospital-based nutrition department. Nutritional guidelines and survey reports of hospital evaluation programs from 2004 to 2009 were analyzed. In total, 275 hospitals in the first period and 288 hospitals in the second period were evaluated. The division of knife and chopping board use decreased from 97.2% in 2005 to 89.7% in 2008, the maintenance of a proper freezer temperature (below $-18^{\circ}C$) increased from 82.1% in 2004 to 97.7% in 2007 (88.9% to 97.4% from large hospitals and 69.8% to 86.5% from small/medium hospitals in 2005 and 2008, respectively). In tube-feeding management, the performance rate of material cold storage and the offer rate of tube-feeding were 65.9% and 94.2% in 2007, respectively. The cold storage of material, proper use within 24 hours after opening or production, and the use of an appropriate label were 47.3%, 71.2% and 67.2% in 2009, respectively. The rate of a management system for undernourished patients was 86.0% in 2007 (56.4% for large hospitals, 18.9% for small/medium hospitals) and 14.3% in 2009. In standards of nutrition support management, the performance rates of constructing a nutrition support team, the nutrition support team activity, and organizing multidisciplinary team were 66.7%, 43.6%, and 64.1% respectively, in 2004. For large hospitals, those rates were 61.1%, 36.1%, and 58.3%, in 2005, 93.0%, 62.8%, and 91.9% in 2007, and 69.2%, 43.6%, and 69.2% in 2008, respectively. The results of this study suggest standards on sanitary foodservice preparation, production, and tube-feeding production need to correspond with HACCP regulations for small/meidium hospitals in standards of a healthcare accreditation system. It will be necessary to understand the operating conditions of nutrition departments in convalescent hospitals, psychiatric hospitals, and geriatrics hospitals. As the application of accreditation is required from 2013, standards will need to be improved and continuously updated for healthcare accreditation.

• Transactions of Materials Processing
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• v.9 no.6
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• pp.561-566
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• 2000

Recently, the hydroforming technology has been recognized as a general technique in manufacturing industry, especially in automotive industry. Hydroforming is applied to increase strength, and to decrease weight, cost and parts. Hydroforming is based on the inflation of, for Instance, a tube, coupled with axial or radial compression and by subsequent expansion and sizing against the die wall. Expansion, axial feeding, calibration are important parameters in this process. In this paper, the effects of various parameters such as internal pressure, axial feeding and friction on hydroforming of automotive bumper rail have been considered.

• Journal of Veterinary Clinics
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• v.38 no.6
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• pp.290-294
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• 2021

An 8-year-old neutralized male Dachshund was presented with severe vomiting, anorexia, and weight loss for two weeks. The patient had to feed in a standing position due to problem of vomiting immediately after meal. Serum chemistry and CBC results were all within reference limits. CT imaging revealed a mass distributed widely in the caudal part of the esophagus including the sphincter and the gastric cardia. Complete surgical removal was difficult because of adhesion to the caudal vena cava. A partial surgical excision and gastropexy with MIC-key feeding tube were performed under the owner's permission. Histologically, the mass was interpreted as leiomyoma. This patient is doing well at present time, six years after the tube installation in 2015.

• Journal of the Korean Applied Science and Technology
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• v.3 no.2
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• pp.1-8
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• 1986

This experiment was carried out to investigate variation of plasma lipid level and liver peroxide level(Thiobarbituric acid, T.B.A) caused by tube feeding of Pteridium sp. extracts for seven weeks in rats. A seven week rat's plasma triacylglyceride (T.G.) level showed remarkably higher than that of the control group and that of the three week rats. On the other hand, no remarkable differences of plasma phospholipid, free fatty acid and thiobarbituric acid level have been recognized. Liver homogenate lipid peroxides value of seven week feeding rats showed remarkably higher level compared with that of the control group and the three weeks rats. So it could not be agreed that short time feeding of Pteridium sp. plant or even it's concentrated extracts influenced to the levels of liver homogenate lipid peroxides, plasma lipids and its peroxides.

• Applied Chemistry for Engineering
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• v.19 no.3
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• pp.338-344
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• 2008

The improvement of energy conservation is mandatory to decrease consumption of fossil fuels and to minimize negative impacts on the environment which originates from large cooling and heating demand. The absorption heat pump technology has a large potential for energy-saving in this respect. Absorption heat pump is a means to upgrade waste heat without the addition of extra thermal energy. The higher performance of absorber is of great importance for absorption heat pump cycle. In this study, in order to improve the performance of absorber, the absorber of tangential feed of a liquid phase with spiral tube has been investigated using methanol-glycerine as a working fluid. The spiral tube and tangential feeding generate the turbulence into the liquid flow while increasing the mass and heat transfer coefficients. The simultaneous heat and mass transfer were found to take place in a liquid turbulent film in the absorber with the spiral tube during the process of gas absorption. By calculating mass and heat transfer coefficients by measurement of the concentration and the temperature of each position in the absorber, the entrance was found to be more effective in enhancing mass and heat transfer.

• Korean Journal of Adult Nursing
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• v.18 no.5
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• pp.718-726
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• 2006

Purpose: The purpose of this study was to investigate differences between a pulmonary aspiration group and a non-pulmonary aspiration group in glucose concentration of tracheal secretions by measuring time and feeding methods. Method: The subjects were 36 ICU patients who were receiving formula via nasogastric tubes and had endotracheal tubes or tracheostomy tubes. Tracheal secretions were collected by connecting suction traps to a suction catheter in three different times(within 1 hour after feeding, between 1 to 2 hours after feeding, and between 2 to 3 hours after feeding) for 2 days, overall six times. Glucose concentration of tracheal secretions was measured with the glucometer(Accucheck II). Results: Glucose concentration of tracheal secretions increased in progression after feeding. The mean of specimens collected last(between two to three hours after feeding) was shown to be the highest value(M=61.61mg/dl) in the pulmonary aspiration group. Significantly(p=.000) more subjects(94.44%) in the pulmonary aspiration group received formula via a 50cc syringe than those in the non-pulmonary aspiration group(22.22%). Conclusion: Critically ill patients may need more time for head-elevation after tube feeding to prevent pulmonary aspiration. In practice, enteral formula should not be given the patients via a $50_cc$ syringe anymore, instead a feeding bag or infusion pump should be used to prevent pulmonary aspiration.

• Proceedings of the Korean Society for Technology of Plasticity Conference
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• 2001.05a
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• pp.54-58
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• 2001

In recent years, hydroforming technology has been one of the most important technology in automotive industry in the points of weight saving, cost reduction and qualify improvement. However, compared with traditional metal forming technology, hydroforming has much fewer information in experience and empirical knowledge. But we don't have my sufficient time and money to produce hydroforming products using real blank directly Therefore Simulation is essential in hydrofonrung technology development. In this paper, we simulate the side member as the tubular hydroforming technology. The manufacturing process of side member' consists of pre_bending, pre_forming, and hydroforming of a thin tube. Variables such as internal pressure, end feeding, and tool geometry are optimized to improve the forming safety. And we simulate side member according to several lubricant conditions. from those simulations, we find that strain distributions can be reduced well by internal pressure and end feeding control, and lubrication is the most important thing in hydroforming process.