• The Journal of Korean Academic Society of Nursing Education
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• 제28권4호
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• pp.345-356
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• 2022

Purpose: This study aimed to develop a Core Competency Scale for clinical nursing student educators. Methods: In this study, we constructed a conceptual framework, selected initial items, verified the content validity, conducted two rounds of Delphi expert consultation, selected secondary and tertiary items, and extracted the final items. The study included 242 clinical educators for nursing students. Item analysis, factor analysis, criterion validity, and internal consistency were used for the data analyses. Results: For the final scale, 35 items were selected and 5 factors were categorized, which together explain 61.7% of the total variance. The factors were education and evaluation, research and cooperation, ethical/legal principles, presenting leadership, and clinical practice. The scores for the scale significantly correlated with the teaching efficacy scale for clinical nursing instructors. The Cronbach's alpha coefficient for the 35 items was .96. Conclusion: The findings of this study demonstrated that the core competency scale has good validity and reliability. This scale can be used to assess the competency of clinical educators for nursing students; hence, it will help in evaluating the relationship between the skills of clinical educators for nursing students and the self-efficacy of those students.

• Journal of Platform Technology
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• 제11권3호
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• pp.76-82
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• 2023

Starting from the 4th industrial revolution, core technologies were applied to industries to build various smart environments. Smart factories in the manufacturing industry produce high-quality products by applying IIoT as a core technology that can collect and control a wide range of data for customized production. However, the network environment of the smart factory converted to open through IIoT was exposed to various security risks. In accordance with security breaches, IIoT has shown degradation in the quality of manufactured products and production processes due to network disturbance, use and maintenance of forged IIoT, and can cause reliability problems in business. Accordingly, in this study, a method for safe connection and utilization of IIoT was studied during the initial establishment of a smart factory. Specifically, a study was conducted to check the IIoT connection situation so that the practicality of the IIoT connected to the smart factory could be confirmed and the harmless environment established.

• Steel and Composite Structures
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• 제48권4호
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• pp.385-403
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• 2023

To avoid premature damage to the connection joints of a conventional precast concrete shear wall, a new precast concrete shear wall system (NPSW) based on a plastic damage relocation design concept was proposed. Five specimens, including one monolithic cast-in-place concrete shear wall (MSW) as a reference and four NPSWs with different connection details (TNPSW, INPSW, HNPSW, and TNPSW-N), were designed and tested by lateral low-cyclic loading. To accurately assess the damage relocation effect and quantify the damage and deformation, digital image correlation (DIC) and conventional data acquisition methods were used in the experimental program. The concrete cracking development, crack area ratio, maximum residual crack width, curvature of the wall panel, lateral displacement, and deformed shapes of the specimens were investigated. The results showed that the plastic damage relocation design concept was effective; the initial cracking occurred at the bottom of the precast shear wall panel (middle section) of the proposed NPSWs. The test results indicated that the crack area ratio and the maximum residual crack width of the NPSWs were less than those of the MSW. The NPSWs were deformed continuously; significant distortions did not occur in their connection regions, demonstrating the merits of the proposed NPSWs. The curvatures of the middle sections of the NPSWs were lower than that of the MSW after a drift ratio of 0.5%. Among the NPSWs, HNPSW demonstrated the best performance, as its crack area ratio, concrete damage, and maximum residual crack width were the lowest.

• Korean Journal of Remote Sensing
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• 제39권4호
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• pp.425-440
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• 2023

Monitoring water surface has become one of the most prominent areas of research in addressing environmental challenges.Accurate and automated detection of watersurface in remote sensing imagesis crucial for disaster prevention, urban planning, and water resource management, particularly for a country where water plays a vital role in human life. However, achieving precise detection poses challenges. Previous studies have explored different approaches,such as analyzing water indexes, like normalized difference water index (NDWI) derived from satellite imagery's visible or infrared bands and using k-means clustering analysis to identify land cover patterns and segment regions based on similar attributes. Nonetheless, challenges persist, notably distinguishing between waterspectralsignatures and cloud shadow or terrain shadow. In thisstudy, our objective is to enhance the precision of water surface detection by constructing a comprehensive water database (DB) using existing digital and land cover maps. This database serves as an initial assumption for automated water index analysis. We utilized 1:5,000 and 1:25,000 digital maps of Korea to extract water surface, specifically rivers, lakes, and reservoirs. Additionally, the 1:50,000 and 1:5,000 land cover maps of Korea aided in the extraction process. Our research demonstrates the effectiveness of utilizing a water DB product as our first approach for efficient water surface extraction from satellite images, complemented by our second and third approachesinvolving NDWI analysis and k-means analysis. The image segmentation and binary mask methods were employed for image analysis during the water extraction process. To evaluate the accuracy of our approach, we conducted two assessments using reference and ground truth data that we made during this research. Visual interpretation involved comparing our results with the global surface water (GSW) mask 60 m resolution, revealing significant improvements in quality and resolution. Additionally, accuracy assessment measures, including an overall accuracy of 90% and kappa values exceeding 0.8, further support the efficacy of our methodology. In conclusion, thisstudy'sresults demonstrate enhanced extraction quality and resolution. Through comprehensive assessment, our approach proves effective in achieving high accuracy in delineating watersurfaces from satellite images.

• Journal of Chest Surgery
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• 제56권5호
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• pp.336-345
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• 2023

Background: The objective of this study was to demonstrate the safety, efficacy, and feasibility of intraoperative monitoring of the recurrent laryngeal nerves during thoracoscopic and robotic 3-field esophagectomy. Methods: This retrospective analysis details our initial experience using intraoperative nerve monitoring (IONM) during minimally invasive 3-field esophagectomy. Data were obtained from a prospectively maintained database and electronic medical records. The study included all patients who underwent minimally invasive (video-assisted thoracic surgery/robotic) transthoracic esophagectomy with neck anastomosis. The patients were divided into those who underwent IONM during the study period and a historical cohort who underwent 3-field esophagectomy without IONM at the same institution. Appropriate statistical tests were used to compare the 2 groups. Results: Twenty-four patients underwent nerve monitoring during minimally invasive 3-field esophagectomy. Of these, 15 patients underwent thoraco-laparoscopic operation, while 9 received a robot-assisted procedure. In the immediate postoperative period, 8 of 24 patients (33.3%) experienced vocal cord paralysis. Relative to a historical cohort from the same institution, who were treated with surgery without nerve monitoring in the preceding 5 years, a 26% reduction was observed in the nerve paralysis rate (p=0.08). On follow-up, 6 of the 8 patients with vocal cord paralysis reported a return to normal vocal function. Additionally, patients who underwent IONM exhibited a higher nodal yield and a decreased frequency of tracheostomy and bronchoscopy. Conclusion: The use of IONM during minimally invasive 3-field esophagectomy is safe and feasible. This technique has the potential to decrease the incidence of recurrent nerve palsy and increase nodal yield.

• Journal of the Korean Geotechnical Society
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• 제39권9호
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• pp.25-33
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• 2023

To effectively improve soft soils, it is necessary to perform ground behavior characteristics and stability management through measurement activities when embankment of structures on soft soils is conducted. However, there are many differences between the actual ground behavior and the initial design plan. To address this issue, this study analyzed the measured settlement in the Yeongam-Haenam areas using the Hyperbolic method to predict the settlement based on the measurement data. From the completion time of the embankment in the target area, the final settlement was predicted through the change in the degree of consolidation by the measurement period. Furthermore, the final settlement according to the change in degree of consolidation was compared and analyzed through finite element analysis and field measurement.

• Journal of Trauma and Injury
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• 제36권1호
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• pp.15-21
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• 2023

Purpose: Dental avulsion injuries have a poor prognosis that largely depends on the immediate steps taken to manage the avulsed tooth. A lack of knowledge about the initial management can lead to tooth loss, with further adverse implications for esthetics, phonetics, and overall growth and function. Hence, the present study aimed to assess parents' knowledge regarding dental avulsion and the variables associated with their knowledge of avulsion injuries. Methods: A series of closed-ended questions on parents' knowledge regarding avulsion, such as immediate management, storage media, handling, and urgency of visiting the dentist, was asked. Univariate associations between the outcomes were assessed using the Pearson chi-square test. The chisquare goodness-of-fit test was used to check whether the sample data were representative of the population. Results: In total, 211 mothers and 149 fathers were included, of whom 46.7% had experienced dental trauma during their own childhood. Sixty-one percent of mothers believed that they knew everything necessary about tooth avulsion and its management. A significant number of participants who thought that they had a good level of knowledge about avulsion chose water, tissue, or paper wrap to transport the tooth, and preferred tap water, alcohol, or antiseptic to clean the avulsed tooth. Conclusions: Both mothers and fathers had poor knowledge about tooth avulsion, indicating that there is an immediate need for educational programs focusing on this issue. Since a substantial proportion of participants believed incorrect information, it is vital to disseminate accurate information.

• Journal of Korean Neurosurgical Society
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• 제66권2호
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• pp.162-171
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• 2023

Objective : The goal of this study was to analyze the clinical outcomes of endoscopic third ventriculostomy (ETV) and endoscopic septostomy when shunt malfunction occurs in a patient who has previously undergone placement of a ventriculoperitoneal shunt. Methods : From 2001 to 2020 at Seoul National University Children's Hospital, patients who underwent ETV or endoscopic septostomy for shunt malfunction were retrospectively analyzed. Initial diagnosis (etiology of hydrocephalus), age at first shunt insertion, age at endoscopic procedure, magnetic resonance or computed tomography image, subsequent shunting data, and follow-up period were included. Results : Thirty-six patients were included in this retrospective study. Twenty-nine patients, 18 males and 11 females, with shunt malfunction underwent ETV. At the time of shunting, the age ranged from 1 day to 15.4 years (mean, 2.4 years). The mean age at the time of ETV was 13.1 years (range, 0.7 to 29.6 years). Nineteen patients remained shunt revision free. The 5-year shunt revision-free survival rate was 69% (95% confidence interval [CI], 0.54-0.88). Seven patients, three males and four females, with shunt malfunction underwent endoscopic septostomy. At the time of shunting, the age ranged from 0.2 to 12 years (mean, 3.9 years). The mean age at the time of endoscopic septostomy was 11.9 years (range, 0.5 to 29.5 years). Four patients remained free of shunt revision or addition. The 5-year shunt revision-free survival rate was 57% (95% CI, 0.3-1.0). There were no complications associated with the endoscopic procedures. Conclusion : The results of our study demonstrate that ETV or endoscopic septostomy can be effective and safe in patients with shunt malfunction.

• Nuclear Engineering and Technology
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• 제54권11호
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• pp.4329-4337
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• 2022

Jet impinging device is designed for decay heat removal on horizontal fuel rods in a low temperature heating reactor. An experimental system with a fuel rod simulator is established and experiments are performed to evaluate water film covering capacity, within 0.0287-0.0444 kg/ms mass flow rate, 0-164.1 kW/m² heating flux and 13.8-91.4℃ feeding water temperature. An effective method to obtain the film coverage rate by infrared equipment is proposed. Water film flowing patterns are recoded and the film coverage rates at different circumference angles are measured. It is found the film coverage rate decreases with heating flux during single-phase convection, while increases after onset of nucleate boiling. Besides, film coverage rate is found affected by Marangoni effect and film accelerating effect, and surface wetting is significantly facilitated by bubble behavior. Based on the observed phenomenon and physical mechanism, dry-out depth and initial dry-out rate are proposed to evaluate film covering potential on a heating surface. A model to predict film coverage rate is proposed based on the data. The findings would have reliable guide and important implications for further evaluation and design of decay heat removal system of new reactors, and could be helpful for passive containment cooling research.

• Nuclear Engineering and Technology
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• 제54권12호
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• pp.4809-4818
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• 2022

The decommissioning project of a nuclear facility is a large-scale process that is expected to take about 15 years or longer. The range of risks to be considered is large and complex, then, it is expected that various risks will arise in decision-making by area during the project. Therefore, in this study, the risk family derived from the Decommissioning Risk Management (DRiMa) project was reconstructed into a decommissioning project risk profile suitable for the Kori Unit 1. Two criteria of uncertainty and importance are considered in order to prioritize the selected 26 risks of decommissioning project. The uncertainty is scored according to the relevant laws and decommissioning plan preparation guidelines, and the project importance is scored according to the degree to which it primarily affects the triple constraints of the project. The results of risks are divided into high, medium, and low. Among them, 10 risks are identified as medium level and 16 risks are identified as low level. 10 risks, which are medium levels, are classified in five categories: End state of decommissioning project, Management of waste and materials, Decommissioning strategy and technology, Legal and regulatory framework, and Safety. This study is a preliminary assessment of the risk of the decommissioning project that could be considered in the preparation stage. Therefore, we expect that the project risks considered in this study can be used as an initial data for reevaluation by reflecting the detail project progress in future studies.