• Journal of Dental Anesthesia and Pain Medicine
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• v.19 no.6
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• pp.323-341
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• 2019

Background: Local anesthetics alone or in combination with adjuncts, such as oral medications, have routinely been used for pain control during endodontic treatment. The best clinical choice amongst the vast numbers of agents and techniques available for pain control for irreversible pulpitis is unclear. This network meta-analysis combined the available evidence on agents and techniques for pulpal anesthesia in the maxilla and mandible, in order to identify the best amongst these approaches statistically, as a basis for future clinical trials. Methods: Randomized trials in MEDLINE, DARE, and COCHRANE databases were screened based on inclusion criteria and data were extracted. Heterogeneity was assessed and odds ratios were used to estimate effects. Inconsistencies between direct and indirect pooled estimates were evaluated by H-statistics. The Grading of Recommendation, Assessment, Development, and Evaluation working group approach was used to assess evidence quality. Results: Sixty-two studies (nine studies in the maxilla and 53 studies in the mandible) were included in the meta-analysis. Increased mandibular pulpal anesthesia success was observed on premedication with aceclofenac + paracetamol or supplemental 4% articaine buccal infiltration or ibuprofen+paracetamol premedication, all the above mentioned with 2% lignocaine inferior alveolar nerve block (IANB). No significant difference was noted for any of the agents investigated in terms of the success rate of maxillary pulpal anesthesia. Conclusion: Direct and indirect comparisons indicated that some combinations of IANB with premedication and/or supplemental infiltration had a greater chance of producing successful mandibular pulpal anesthesia. No ideal technique for maxillary anesthesia emerged. Randomized clinical trials with increased sample size may be needed to provide more conclusive data. Our findings suggest that further high-quality studies are required in order to provide definitive direction to clinicians regarding the best agents and techniques to use for mandibular and maxillary anesthesia for irreversible pulpitis.

• Research in Community and Public Health Nursing
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• v.11 no.1
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• pp.245-261
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• 2000

Based on the literature, status and role the music therapist in America was reviewed for this study. The process of developing a music therapy program in America suggests to us many things: In America, music therapists have sustained a mutually beneficial status with their clients for, over fifty years. Excellence in academic education and clinical training enable music therapists to continue to provide quality music therapy. The magnitude of change in to music therapy in the United States, however creates the challenge of providing real access to music therapy continues in the future. Music therapy is the use of music in the accomplishment of therapeutic aims: the restoration, maintenance, and improvement of mental and physical health. Music therapists work with individuals of all ages who require special services due to behavioral. social. learning, or physical disabilities. Employment may be in hospitals, clinics, day care facilities, schools, community mental health centers, substance abuse facilities, nursing homes, hospices, rehabilitation centers, correctional facilities, or private practices. The American Music Therapy Association (AMTA) was founded in 1998 as a result of a union between the American Association for Music Therapy (founded in 1971) and the National Association for Music Therapy(founded in 1950). Music therapists are highly qualified professionals who have completed approved degree programs and had clinical training in order to receive Board Certification(MT-BC), with the designation of Registered, Certified, or Advanced Certified Music Therapist(RMT. CMT - or ACMT). AMTA provides several mechanism for monitoring the quality of music therapy programs: Standards of Practice. a Code of Ethics, a system for Peer Review, a Judical Review Board, and an Ethics Board. According to the results of this study, the suggestions were as follows: 1. It is concluded that music therapy as a nursing intervention can be effective for the clients. 2. It is a great challenge to develope a music therapy program for nursing intervention however, it is also task and responsibility to further the development of nursing.

• Journal of Labour Economics
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• v.26 no.1
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• pp.23-52
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• 2003

This study focus on unemployment and nonparticipation of youth. By dividing youth nonparticipants into 'house work and child care', 'studying and training', 'the others' categories, we estimate the potential wages with selectivity bias model and analyse the factors of choosing unemployment or nonparticipation with multinomial logit model. The differences between the potential market wage and the desired wage of the groups of 'studying and training', 'the others' in the nonparticipants are greater than those of the unemployment group. In the case of the man and lower age, and low schooling the differences of potential and desire wage are larger than woman and higher age, and high schooling. In the choice of unemployment and nonparticipation, man and higher age, and householder, and holder of qualification are not likely to opt nonparticipation. The experience of job lower the rate of probability to choose employment, but raise the rate of probability to choose unemployment and nonparticipation. These results mean that the quality of youth employment is very inferior.

• The Journal of the Acoustical Society of Korea
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• v.15 no.6
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• pp.59-65
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• 1996

This paper proposes a 4 kbps PSI-VSELP(Pitch Synchronous Innovation-Vector Sum Excited Linear Prediction) speech coder which produces speech equivalent to that of the conventional 4.8 kbps VSELP. Since the 'half-rate' is differently defined from country to country, there may be a need to reduce the bit rate of conventional half-rate coder. To minimize the degradation of speech quality caused by bit-rate reduction, it is desirable to perform bit-allocation based on the carefull consideration of the effect of various transmission parameters. This paper adopts this analytical approach for bit-allocation at 4 kbps. To improve the quality of the VSELP coder at 4 kbps, basis vectors which play the most important role in the performance, are optimized by an iterative closed-loop training process and the PSI technique is employed in the VSELP performance, are optimized by an iterative closed-loop training process and the PSI technique is employed in the VSELP coder. To demonstrate the performance of the proposed speech coder, we peformed experiments under the noiseless and error free conditions. From experimental results, even though the proposed 4 kbps PSI-VSELP coder showed lower scores in the objective measure, higher scores in subjective measure was obtained compared with those of the conventional 4.8 kbps VSELp.

• Journal of Welding and Joining
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• v.11 no.2
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• pp.27-41
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• 1993

The estimation of nugget sizes was attempted by utilizing the artificial neural networks method. Artificial neural networks is a highly simplified model of the biological nervous system. Artificial neural networks is composed of a large number of elemental processors connected like biological neurons. Although the elemental processors have only simple computation functions, because they are connected massively, they can describe any complex functional relationship between an input-output pair in an autonomous manner. The electrode head movement signal, which is a good indicator of corresponding nugget size was determined by measuring the each test specimen. The sampled electrode movement data and the corresponding nugget sizes were fed into the artificial neural networks as input-output pairs to train the networks. In the training phase for the networks, the artificial neural networks constructs a fuctional relationship between the input-output pairs autonomusly by adjusting the set of weights. In the production(estimation) phase when new inputs are sampled and presented, the artificial neural networks produces appropriate outputs(the estimates of the nugget size) based upon the transfer characteristics learned during the training mode. Experimental verification of the proposed estimation method using artificial neural networks was done by actual destructive testing of welds. The predicted result by the artifficial neural networks were found to be in a good agreement with the actual nugget size. The results are quite promising in that the real-time estimation of the invisible nugget size can be achieved by analyzing the process variable without any conventional destructive testing of welds.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.20 no.2
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• pp.271-276
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• 2020

In terms of supply of manpower in the energy industry, domestic universities cannot realistically operate flexibly to meet manpower demand in accordance with various regulations related to the department, and there are only a few independent energy related departments. There are many difficulties in closure, increase and decrease of capacity, and foster convergence. In addition to the limited aspects of human resource development of universities, changes in the energy paradigm, namely: 1) changes in the energy industry from stable supply and energy security to new growth engines and export industries, 2) Revitalization of the energy industry, 3) including diversification of energy sources and the spread of new technologies. Therefore, in this paper, we propose a training program for nurturing new renewable energy specialists to independently develop various high-quality human resources such as intangible and convergent human resources in line with changes in the energy paradigm.

• Journal of the Korean Society of Fisheries and Ocean Technology
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• v.40 no.3
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• pp.225-231
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• 2004

The power and scale of 950 hPa typhoon "Maemi" which struck the shore of Gosung in Kyungnam Province was same as that of 951 hPa typhoon "Saraho" in 1959. For the purpose of getting the safety of training ship "KAYA", we anchored at Jinhae Bay with riding at two anchors paid out 8 shackles of cable respectively. By the way when wind force being over 30m/s, we could not keep the safety of the ship "KAYA" by means of the holding power of an anchor only. Just by using the main engine moderately, we were able to maintain the security of the ship. The holding the main engine moderately, we were able to maintain the security of the ship. The holding power of an anchor according to the way of anchoring, the quality of sea bottom, the direction and speed of wind and current, and the length of an anchor cable were analyzed. The obtained results are summarized as follows : 1. When riding at two anchors rather than lying at single anchor we could get a good holding power. 2. There was a big difference in holding power according to the quality of the bottom. 3. It would be best anchoring in a soft mud area than in any other place as possible. 4. It would also be desirable to set anchor shackles much more than equipment number prescribed in regulation in order to get safety of a ship providing against typhoon.

• Quality Improvement in Health Care
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• v.21 no.1
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• pp.52-61
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• 2015

Objectives: Because recently hospital had to faced with financial hardship, we have to have more effective hospital management. The purpose of this study was to reduce loss costs of the hospital through the systematic management of medical supplies and increase operational efficiency. Methods: The team was composed of outpatient nursing staff, medical record administrator, nurses in medical insurance, medical computer center, dermatologists for this study. We surveyed for 114 people including outpatient nursing staff, nurse aids, medical assistant, physician assistant. Pre-survey period was 2013.03.11 ~ 03.30(2 weeks), and post-survey period was 2013.09.03 ~ 09.17(2 weeks). Result: We improved this way through the computational improvement, conservation campaigns, inventory management, staff training, replaced by low-cost medical supplies. The finding of this study were as follows: Comparing before and after the activity of outpatient nursing staff's degree of knowledge, performance, economic consciousness, the degree of knowledge, performance was increased, but there was no significant change in economic consciousness. Performance of Married person is higher than the unmarried, In addition, the high-position people were more the degree of knowleage, economic consciousness. After activity, correlation of goods and treatment, examinations is increasing, but statistically there was no mean. Conclusion: This study revealed that knowledge in a short period of activity, but also can improve, perform the same change in behavior is not easy. This one shows the intensive training required to sustained and systematic behavioral changes, such as changes in behavior, perform rituals to help the economy. Expensive medical supplies to replace a similar effect as the cost of materials just to have a lot of cost savings. Therefore, more medical supplies change is necessary to develop alternative treatment and cost cutting.

• Convergence Security Journal
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• v.13 no.2
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• pp.195-202
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• 2013

Defense reform our military for the globalization of information. Scientific command structure, troop structure, unit structure, step-by-step into the power structure while promoting a history of quantitative-oriented structure, and structure of the quality of state-of-the-art technology-driven transition in the middle of the bottle numberplans about the current 3.3-fold increase in reducing the cadre(officers and NCOs). NCO groups in the executive, especially expanding the current level of 100% increase in the rate of long-serving, while ensuring a stable job and to superior resources to secure a stable policy through science. Military alliance is now underway. In the midst of this group, and urged the group at the University of the leading military and specialized resources to ensure each agreement required by subjects to reflect. Thus effectively improve the quality of education and the demands of the job analysis, DACUM curriculum development methods and procedures can be applied at the time of urgent need for foster an excellent resource for the discharge of curriculum development at the University of Selected as a core job, career, and job classification configuration inside of Duty according to KST derived from the group reflect on the training courses to meet the requirements in the curriculum through the development of curriculum, job definition, job model set to propose.

• Journal of Korean Academy of Nursing
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• v.43 no.3
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• pp.420-430
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• 2013

Purpose: The aim of this study was to review the literature to determine whether intensive pelvic floor muscle training during pregnancy and after delivery could prevent urinary and fecal incontinence. Methods: Randomized controlled trials (RCT) of low-risk obstetric populations who had done Kegel exercise during pregnancy and after delivery met the inclusion criteria. Articles published between 1966 and 2012 from periodicals indexed in Ovid Medline, Embase, Scopus, KoreaMed, NDSL and other databases were selected, using the following keywords: 'Kegel, pelvic floor exercise'. The Cochrane's Risk of Bias was applied to assess the internal validity of the RCT. Fourteen selected studies were analyzed by meta-analysis using RevMan 5.1. Results: Fourteen RCTs with high methodological quality, involving 6,454 women were included. They indicated that Kegel exercise significantly reduced the development of urinary and fecal incontinence from pregnancy to postpartum. Also, there was low clinical heterogeneity. Conclusion: There is some evidence that for antenatal and postnatal women, Kegel exercise can prevent urinary and fecal incontinence. Therefore, a priority task is to develop standardized Kegel exercise programs for Korean pregnant and postpartum women and make efficient use of these programs.