• Journal of Trauma and Injury
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• 제34권3호
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• pp.177-182
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• 2021

Purpose: Traumatic pancreatic injuries are rare, but their diagnosis and management are challenging. The aim of this study was to evaluate and report our experiences with the management of pancreatic injuries. Methods: We identified all adult patients (age >15) with pancreatic injuries from our trauma registry over a 7-year period. Data related to patients' demographics, diagnoses, operative information, complications, and hospital course were abstracted from the registry and medical records. Results: A total of 45 patients were evaluated. Most patients had blunt trauma (89%) and 21 patients (47%) had pancreatic injuries of grade 3 or higher. Twenty-eight patients (62%) underwent laparotomy and 17 (38%) received nonoperative management (NOM). The overall in-hospital mortality rate was 24% (n=11), and only one patient died after NOM (due to a severe traumatic brain injury). Twenty-two patients (79%) underwent emergency laparotomy and six (21%) underwent delayed laparotomy. A drainage procedure was performed in 12 patients (43%), and pancreatectomy was performed in 16 patients (57%) (distal pancreatectomy [DP], n=8; DP with spleen preservation, n=5; pancreaticoduodenectomy, n=2; total pancreatectomy, n=1). Fourteen (31%) pancreas-specific complications occurred, and all complications were successfully managed without surgery. Solid organ injuries (n=14) were the most common type of associated abdominal injury (Abbreviated Injury Scale ≥3). Conclusions: For traumatic pancreatic injuries, an appropriate treatment method should be considered after evaluation of the accompanying injury and the patient's hemodynamic status. NOM can be performed without mortality in appropriately selected cases.

• 대한환경공학회지
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• 제22권6호
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• pp.1027-1035
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• 2000

본 연구에서는 생활폐기물 매립지에서 발생되는 침출수에 함유된 고농도 $NH_4{^+}$-N 및 T-N의 적정처리를 위하여 pilot 규모의 MLE 공정을 이용하여 생물학적 질산화/탈질을 실시한 결과 $NH_4{^+}$-N온 99%이상, T-N은 88%정도의 처리효율을 얻을 수 있었으며, BOD/$NH_4{^+}$-N비를 약 3.5로 유지할 경우 T-N온 $0.09kgN{\cdot}m^{-3}{\cdot}day^{-l}$정도 제거되는 것으로 나타났다. 또한, 질산화/탈질과정에서 $NH_4{^+}$-N 산화량에 따른 알카리도 소비량은 평균 $3.4{\sim}3.5kgAlk{\cdot}kgNH_4{^+}-N^{-1}$정도로 나타났으며, 외부탄소원으로 투입된 메탄올에 대한 탈질균의 적용 기간은 약 20일 정도가 필요한 것으로 나타났다. 또한, 질산화조에 유동상 메디아를 투입한 결과 투입하지 않았을 때에 비하여 $SV_{30}$가 2배 정도 양호하게 나타났다.

• 중환자간호학회지
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• 제10권2호
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• pp.1-13
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• 2017

Purpose: This study investigated the effects that the use of a booklet for intensive care unit nurses had on radiation safety management education (knowledge about and behaviors in radiation safety management, and awareness of anxiety caused by radiation hazards). Methods: A randomized control group pretest-posttest design was used. A booklet about radiation safety management developed by the authors was used as educational material. Participants (N=42) were intensive care unit nurses of P hospital in B city. Training was provided to the experimental group (N=21). Knowledge about and behaviors in radiation safety management and awareness of anxiety caused by radiation hazards were measured by questionnaires before and after the intervention. Data was analyzed by an $X^2$-test, non-paired t-test, and paired t-test. Results: There was a significant difference between groups in knowledge of (t=-14.932, p<.001) and behaviors in (t=-8.297, p<.001) radiation safety management and awareness of anxiety caused by radiation hazards (t=9.378, p<.001). Conclusion: The levels of knowledge about and behaviors in radiation safety management and awareness of anxiety generated by radiation hazards of intensive care unit nurses increased after receiving one session of radiation safety management education using the booklet. Therefore, providing radiation safety management training is suggested as an effective strategy for improving radiation safety management.

• Child Health Nursing Research
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• 제23권2호
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• pp.207-218
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• 2017

Purpose: The purpose of this study was to investigate parents' perceptions and attitudes regarding a screening test for and subsequent management of students' emotional and behavioral problems. Methods: A descriptive research design was used, and included disproportional stratified and cluster random sampling. The sample comprised 223 parents of elementary, middle, and high school students. Data were analyzed using descriptive statistics, Chi-squared test, and ANOVA with SPSS/WIN 21.0. Results: Overall, parents responded that they knew of the goals, types, and tools of screening tests for students' emotional and behavioral problems. In total, 64.6% of parents reported having information for the screening test in advance. Only 13.5%(n=30) of students had emotional and behavioral problems in the last year. Among these students, 56.7%(n=17) were referred to mental health facilities but only 29.4%(n=5) of them received ongoing management from these facilities. Conclusion: These findings suggest that parents should receive information about the screening test for and subsequent management of students' emotional and behavioral problems. Health professionals need to build strategies to provide ongoing management for students who have emotional and behavioral problems.

• 한국경영과학회지
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• 제32권1호
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• pp.53-60
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• 2007

We consider the discrete-time $Geo^x/G/1$ queues under N-policy with multiple vacations (a single vacation) and setup time. In this queueing system, the server takes multiple vacations (a single vacation) whenever the system becomes empty, and he begins to serve the customers after setup time only if the queue length is at least a predetermined threshold value N. Using the heuristic approach, we derive the mean waiting time for both vacation models. We demonstrate that the heuristic approach is also useful for the discrete-time queues.

• 한국경영과학회지
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• 제27권4호
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• pp.29-39
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• 2002

The transaction tables of the existing association algorithms have two column attributes : It is composed of transaction identifier (Transaction_id) and an item identifier (item). In this kind of structure, as the volume of data becomes larger, the performance for the SQL query statements came applicable decreases. Therefore, we propose advanced association rules algorithm of n-items which can transact multiple items (Transaction_id, Item 1, Item 2…, Item n). In this structure, performance hours can be contracted more than the single item structures, because count can be computed by query of the input transaction tables. Our experimental results indicate that performance of the n items structure is up to 2 times better than the single item. As a result of this paper, the proposed algorithm can be applied to internet shopping, searching engine and etc.

• Journal of Information Processing Systems
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• 제7권4호
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• pp.613-626
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• 2011

In this paper, we focus on the pinwheel task model with a variable voltage processor with d discrete voltage/speed levels. We propose an intra-task DVS algorithm, which constructs a minimum energy schedule for k tasks in O(d+k log k) time We also give an inter-task DVS algorithm with O(d+n log n) time, where n denotes the number of jobs. Previous approaches solve this problem by generating a canonical schedule beforehand and adjusting the tasks' speed in O(dn log n) or O($n^3$) time. However, the length of a canonical schedule depends on the hyper period of those task periods and is of exponential length in general. In our approach, the tasks with arbitrary periods are first transformed into harmonic periods and then profile their key features. Afterward, an optimal discrete voltage schedule can be computed directly from those features.

• 기록학연구
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• 제2호
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• pp.129-168
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• 2000

$Chos{\check{o}}n$ Dynasty was governed by the words of king, however, if they were not announced by the form of public document, they were useless. Therefore, the form of public document was the symbol of governing activity, and it was very important to manage the public record in operating the nation affairs. However, the point we should consider is that $Chos{\check{o}}n$ Dynasty, in the case of managing the public record, edited 'the original' instead of preserving them. And so, the preservation of the public record was deeply related to the editing of history. In Late Korea dynasty, the management of the public record got into utter confusion and so many troubles were occurred. In order to resolve these problems, the movements which innovated the public record managements system was gradually extended. This movements were continued in $Chos{\check{o}}n$ Dynasty. Finally, through the several modification procedures, the rules of public record management were legislated by 'Kyong Kuk Dae Jeon'(經國大典). Especially, by laws of 'Kyong Kuk Dae Jeon', not only the daily records of Secretary Department(承政院) but also the important documents which was related to the government branch should be booked in the last decade of the year and the number of the books had to be reported to the king. This rule made certification of the fact that the king was the last confirmer of the public record management. In addition, through the procedure of printing the record of the national affairs, and the diplomatic once in three years, and then preserving that public record in the National Department(議政府), other departments responsible and the archives, the National Department practically took part in the public record management. The management system was also changed in order that the public record was virtually used and consulted before taking the procedure of immortal preservation. All public documents were classified by the definite rule and filed in a same volume. After classifying and filing, certainly, for making convenience of reference and application of public record, records were indicated by the paper card. It may be that, after the step of reference, application and indicating, the public documents were gradually transferred to the next step. In these procedures, Early $Chos{\check{o}}n$ public documents system was confirmed.

• 한국환경농학회지
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• 제26권3호
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• pp.223-227
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• 2007

토양의 질산태 질소를 이용하여 시설 오이의 적정 질소 시비량을 결정하고자 질산태 질소 함량이 67-343 mg/kg의 범위를 갖는 8곳의 시설재배 토양으로부터 오이를 공시작물로 표준시비구와 무시비구에 대한 생산력 검정시험을 포트 재배로 조사하였다. 오이의 수량은 최소 1,006 g/plant에서 최대 2,369 g/plant로 토양 질소함량 수준에 따라 다양한 생산능력의 차이를 보였다. 토양의 질산태 질소는 Agronomic efficiency(AE)과 N use efficiency(NUE)와는 부의 상관을 보였다. 질소 무비 재배를 위한 시험 전 토양의 질산태 질소 임계기준은 토양의 질산태 질소 함량에 대한 AE 및 NUE의 관계를 Cate-Nelson 일원분류의 분산분석법으로 비교하고 또한 무비구의 수량 및 지상부의 질소 흡수량과의 관계로부터 추정하였을 때 약 260 mg/kg으로 나타났다. 질소 표준 시비가 요구되는 시험 전 토양의 질산태 질소 임계기준은 70 mg/kg으로 추정되었다. 질산태 질소 함량이 70-260 mg/kg 범위의 토양에서는 Y=-1.032X + 269.2(Y: 질소시비량, kg/ha; X: 시험 전 토양의 질산태 질소 함량, mg/kg) 추천식으로 질소시비량을 결정할 수 있다.

• 정보처리학회논문지C
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• 제12C권6호
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• pp.817-826
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• 2005

증가된 QoS 제공과 보안 능력, IPv6를 가진 BcN이 다양한 네트워크 애플리케이션을 지원하기 위하여 개발되고 있다. BcN과 같은 고속망에서는 네트워크 자원들이 여러 가지의 침입 행위에 더욱 노출되기 쉽다. 침입의 전파 속도도 기존 인터넷에서보다 더욱 빨라질 것으로 보인다. 본 논문에서는 BcN의 다중 도메인에서 전역적인 침입탐지를 위하여 사용될 수 있는 다중 도메인 보안관리 프레임워크를 제안하고 특성을 기술한다. 성능평가를 위하여, 먼저 보안 노드에 대한 시험 결과를 제시하고 다른 제품과 성능을 비교한다. 다음에 제안된 프레임워크에 대한 OPNET 시뮬레이터를 설계 및 구현하고 시뮬레이션 결과를 제시한다. 시뮬레이션 모델에서는 보안 오버레이 네트워크에서 경보 정보의 성능에 초점을 맞춘다.