• Journal of Korean Academy of Nursing
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• 제49권5호
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• pp.575-585
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• 2019

Purpose: The purpose of this study was to develop predictive models for pressure ulcer incidence using electronic health record (EHR) data and to compare their predictive validity performance indicators with that of the Braden Scale used in the study hospital. Methods: A retrospective case-control study was conducted in a tertiary teaching hospital in Korea. Data of 202 pressure ulcer patients and 14,705 non-pressure ulcer patients admitted between January 2015 and May 2016 were extracted from the EHRs. Three predictive models for pressure ulcer incidence were developed using logistic regression, Cox proportional hazards regression, and decision tree modeling. The predictive validity performance indicators of the three models were compared with those of the Braden Scale. Results: The logistic regression model was most efficient with a high area under the receiver operating characteristics curve (AUC) estimate of 0.97, followed by the decision tree model (AUC 0.95), Cox proportional hazards regression model (AUC 0.95), and the Braden Scale (AUC 0.82). Decreased mobility was the most significant factor in the logistic regression and Cox proportional hazards models, and the endotracheal tube was the most important factor in the decision tree model. Conclusion: Predictive validity performance indicators of the Braden Scale were lower than those of the logistic regression, Cox proportional hazards regression, and decision tree models. The models developed in this study can be used to develop a clinical decision support system that automatically assesses risk for pressure ulcers to aid nurses.

• International Area Studies Review
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• 제16권3호
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• pp.159-180
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• 2012

The objectives of this study are to identify significant antecedents of trust and satisfaction and to examine the relationship between trust and satisfaction and interrelationship between trust, satisfaction, loyalty, relationship retention and intention of words of mouth based on buyers of Chinese internet shopping mall. The questionnaire was collected by personal interview. A total of 448 completed questionnaires were collected. Confirmatory factor analysis was conducted to test the validity of the measurement model, and the structural model also was analyzed to examine the associations hypothesized in the research model. This study uses AMOS program to investigate the research model. Results in this paper indicate that the antecedents of trust and satisfaction have three dimensions, namely communicational, traditional and relational factors. All these three functions are positively related to trust and satisfaction. Also the results show that trust and satisfaction are positively related to loyalty, relationship retention and intention of words of mouth. Finally, this study suggests the implications of these findings and offers directions for future research.

• Archives of Plastic Surgery
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• 제49권2호
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• pp.275-284
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• 2022

Background Population aging has led to an increased incidence of pressure ulcers, resulting in a social burden and economic costs. We developed a three-dimensional knitted fabric (3-DKF) with a pressure-reducing function that can be applied topically in the early stages of pressure ulcers to prevent progression. Methods We evaluated the effects of the 3-DKF in a streptozotocin-induced diabetes mellitus pressure ulcer mouse model, and the fabric was preliminarily applied to patients. Twelve-week-old male C57BL/6 mice were used for the animal experiments. In the pressure ulcer mouse model, an ischemia-reperfusion injury was created using a magnet on the dorsa of the mice. Pressure was measured with BodiTrak before and after applying the 3-DKF to 14 patients at risk of sacral pressure ulcers. Results In the 3-DKF-applied mice group, the ulcers were shallower and smaller than those in the control group. Compared with the mice in the control group, the 3-DKF group had lower platelet-derived growth factor-α and neutrophil elastase expression, as parameters related to inflammation, and increased levels of transforming growth factor (TGF)-β1, TGF-β3, proliferating cell nuclear antigen, and α-smooth muscle actin, which are related to growth factors and proliferation. Additionally, typical normal tissue staining patterns were observed in the 3-DKF group. In the preliminary clinical analysis, the average skin pressure was 26.2 mm Hg before applying the 3-DKF, but it decreased to an average of 23.4 mm Hg after 3-DKF application. Conclusion This study demonstrated that the newly developed 3-DKF was effective in preventing pressure ulcers through testing in a pressure ulcer animal model and preliminary clinical application.

• Restorative Dentistry and Endodontics
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• 제19권2호
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• pp.384-408
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• 1994

The purpose of this study was to evaluate the fracture resistance of tooth restored with gold inlay. A profound understanding of the isthmus width factor, which is one of the several parameters of cavity designs, would facilitate the appropriate cavity preparation in a specific clinical situation. In this study, the cavities for gold inlay were prepared in maxillary left first premolar. A three-dimensional model was designed using I-DEAS program. The model was composed of 2515- nodes and 2172 isoparametric brick elements. In the model isthmus width was varied into 1/4, 1/3 and 1/2 of intercuspal width respectively, and numeric values of the material properties of enamel, dentin and gold was set. Three types of load : concentrated load, divided load and distributed load was 500N. The empty cavities in the model were also examined using divided load and distributed load. The three - dimensional Finite Element Method was used to analysis the displacement and stress distribution. The results were as follows : 1. All of the experimental models which were filled with gold inlay revealed similar direction of displacement to that of the natural tooth model under the same load type. But in the models with empty cavities, as the isthmus width increased, the degree of displacement increased in the case of divided load type. 2. All experimental models which were filled with gold inlay showed stress concentration at load points, but in the models with empty cavities at divided load type, as isthmus width increased, stress was concentrated at the comer of the pulpal floor. 3. In the models with empty cavities at divided load type, tooth fracture was expected regardless of isthmus width, but all experimental models which were filled with gold inlay after cavity preparation were not susceptible to fracture. 4. In all experimental models which were filled with gold inlay after cavity preparation, displacement patterns were similar under both concentrated and divided load types. In the models with empty cavities, a divided load resulted in a bucco-lingual cuspal displacemenat in both sides, but a distributed load resulted in a lingual displacement of the tooth.

• Journal of the Korean Geotechnical Society
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• 제31권1호
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• pp.47-52
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• 2015

In the slope stability analysis and design, Limit Equilibrium Method (LEM) and Shear Strength Reduction technique (SSR) are mainly used. Both methods are able to perform two and three dimensional analysis. SSR is considered to be more sensitive and more reasonable than LEM by many researchers. However, in practice LEM is still widely used because of the increase of analysis time and complexity of the model in SSR. In this study, three dimensional analysis of the protruding rock slope is performed by SSR in order to study the effects of protruding length using rock slope FLAC 3D. In this study, as results of analysis variations of the safety factor have been studied according to slope angle, slope height, the soil strength, protruding slope length projected variables. The results show that the factor of safety as more affected by the shapes of the protruding rock slope than the rock strength.

• The Journal of the Korea Contents Association
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• 제21권9호
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• pp.164-175
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• 2021

The purpose of this study is to develop the 'Kkondae Scale' and verify its validity. For this purpose, three constructive concepts (attribution error, cognitive rigidity, and one-way communication) were derived through expert interviews, prior research and literature analysis, and 15 preliminary questions were selected. In addition, a preliminary scale was developed by modifying or adding items to conform to each constructive concept through expert content validity evaluation. Next, as a result of the exploratory factor analysis of about 250 adults, a three-factor structure model was derived. As a result of the confirmatory factor analysis on the preliminary scale for about 401 adults, it was confirmed that the fit of the three-factor structure was good. As a result of convergence and discriminatory validity analysis, it was confirmed that the developed scale was a valid tool to measure Kkondae by showing appropriate correlations with listening attitude, empathy, acceptance of others, and intellectual humility. Finally, based on the results of this study, the significance, limitations, and future research direction of the study were discussed.

• Journal of Mechanical Science and Technology
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• 제16권4호
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• pp.564-571
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• 2002

Three-dimensional numerical analysis of the turbulent premixed flame propagation in a constant volume combustion chamber is performed using the KIVA-3V code (Amsden et. al. 1997) by the flame surface density (FSD) model. A simple near-wall boundary condition is eaployed to describe the interaction between turbulent premixed flame and the wall. A mean stretch factor is introduced to include the stretch and curvature effects of turbulence. The results from the FSD model are compared with the experimental results of schlieren photos and pressure measurements. It is found that the burned mass rate and flame propagation by the FSD model are in reasonable agreement with the experimental results. The FSD combustion model proved to be effective for description of turbulent premixed flames.

• Transactions of Materials Processing
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• 제20권8호
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• pp.548-554
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• 2011

A Finite Element (FE)-based model is proposed for predicting the roll force in an edger. The model is developed on the basis of the hypothetical mode of rolling and the least-squares regression analysis from the result of the FE approach. This model reflects the effect of process variables affected by the roll force, and has three dimensionless parameters, I.e., shape factor, reduction ratio and width-to-thickness ratio. The model prediction compared satisfactorily with experiment observations.

• Transactions of Materials Processing
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• 제23권3호
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• pp.145-150
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• 2014

Precision control of the slab is crucial for product quality and production economy in hot strip mills. The current study presents a new model for predicting width spread of a slab with a rectangular cross section during roughing. The model is developed on the basis of the extremum principle for a rigid plastic material and a three dimensional admissible velocity field. This model incorporates the effect of process variables such as the shape factor and the ratio of width to thickness. We compare the results of this model to 3-D finite element (FE) process simulations and also to results from a previous study.

• Journal of Korean Society for Atmospheric Environment
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• 제22권3호
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• pp.287-295
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• 2006

PAHs (Polycyclic Aromatic Hydrocarbons), one of the carcinogenic materials in environment, were investigated in this study. The standardized analysis conditions were tested, and then various factors which affect to the ambient PAHs concentration in Seoul were estimated. Moreover, the emissions of PAHs from major stationary sources were investigated to determine the quantitative relationships between ambient PAHs concentrations and emission sources. From the factor analysis, three factors relevant to the ambient PAHs in Seoul were found. Factor 1 was related to the concentrations of chrysene, pyrene, indeno (1, 2, 3-cd)pyrene, benzo[b]fluoranthene, benzo[k]fluoranthene, and benzo prerylene which were mainly emitted from gasoline and diesel fueled cars. Factor 2 showed higher loadings in phenanthrene and anthracene which were due to LNG and BC oil combustion in industry and home. And factor 3 included dibenz(a, h)anthracene and acenaphthene which were emitted from open burning and municipal solid waste incineration. Conclusively, all of three factors were consisted in 82% of total variance. The contribution of mobile sources in ambient air in Seoul was estimated at 64%, that of industrial and home sources at 17%, and that of open burning and municipal incineration at 1%.