• Journal of Home Health Care Nursing
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• v.22 no.2
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• pp.216-227
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• 2015

Purpose: This study aimed at understanding terminal care provided in nursing homes. Method: An interview survey with staff in charge of terminal care was conducted in 97 nursing homes using questionnaires. The questionnaire was reviewed by 3 experts and pretested at 5 facilities. Data were analyzed using descriptive statistics, chi-square test, and Fisher's exact test. Result: Dyspnea was the most prevalent symptom predicting death. The most prevalent services were vital sign check for physical care, providing services by talking despite an unconscious state for psychosocial care, and respecting the faith of the elder for spiritual care. Employment of a registered nurse showed a significant difference in tube feeding (p=.035), analgesic administration (p=.022), informing the elder of end-of-life state (p=.020), helping an elderly person say good-byes through a visit with friends and acquaintances (p=.023), and helping express feelings related to death (p=.002). Lack of service was noticed for elderly resident, family, and staff after death of an elder. Problems related to terminal care were indifference of family members, difficulty in obtaining medical prescription, difficulty in predicting death, and so forth. Conclusion: Terminal care must be improved by making specific guidelines and it must become a part of nursing home evaluation.

• Molecules and Cells
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• v.38 no.7
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• pp.610-615
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• 2015

Alveolar epithelial cells have been functionally implicated in Mycobacterium tuberculosis infection. This study investigated the role of ursolic acid (UA)-a triterpenoid carboxylic acid with potent antioxidant, anti-tumor, anti-inflammatory, and anti-tuberculosis properties in mycobacterial infection of alveolar epithelial A549 cells. We observed that M. tuberculosis successfully entered A549 cells. Cytotoxicity was mediated by nitric oxide (NO). A549 toxicity peaked along with NO generation 72 h after infection. The NO generated by mycobacterial infection in A549 cells was insufficient to kill mycobacteria, as made evident by the mycobacteria growth indicator tube time to detect (MGIT TTD) and viable cell count assays. Treatment of mycobacteria-infected cells with UA reduced the expression of inducible nitric oxide synthase, NO generation, and eventually improved cell viability. Moreover, UA was found to quench the translocation of the transcription factor, nuclear factor kappa B (NF-${\kappa}B$), from the cytosol to the nucleus in mycobacteria-infected cells. This study is the first to demonstrate the cytotoxic role of NO in the eradication of mycobacteria and the role of UA in reducing this cytotoxicity in A549 cells.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.27 no.6
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• pp.930-937
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• 2003

The extension of design life among power plants is increasingly becoming a world-wide trend. Kori #1 unit in Korea is operating two cycle. It has two man-ways for tube inspection in a steam generator which is one of the important components in a nuclear power plant. Especially, stud bolts fur man-way cover have damaged by disassembly and assembly several times and degradation for bolt materials for long term operation. It should be evaluated and compared by ASME Code criteria for integrity evaluation. Integrity evaluation criteria which has been made by the manufacturer is not applied on the stud bolts of nuclear pressure vessels directly because it is controlled by the yield stress of ASME Code. It can apply evaluation criteria through FEM analysis to damaged female threads and to evaluated safety fer helical-coil method which is used according to Code Case-N-496-1. From analysis results, we found .that it is the same results between stress intensity which got from FEM analysis on damaged female threads over 10％ by manufacture integrity criteria and 2／3 yield strength criteria on ASME Code. It was also confirmed that the helical-coil repair method would be safe.

• Journal of Power System Engineering
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• v.14 no.4
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• pp.43-49
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• 2010

In the present study, optimization of throttle margin for high pressure turbine to be retrofitted or partially modified for power uprating or life extension in nuclear power plant, has been performed to increase the electrical output. Throttle margin for high pressure turbine is required to maintain all the time the rated power by opening more of governor valves whenever inlet pressure is decreased due to the tube plugging of steam generator. If throttle margin of high pressure turbine is too much compared to remaining lifetime, loss of electrical output due to pressure drop of governor valves is inevitable. On the contrary, if it is too little, the rated power operation can not be accomplished when inlet pressure of high pressure turbine is dropped after many years operation. So, throttle margin for high pressure turbine in nuclear power plant is compromised considering for the degradation of steam generator, governor valve capacity, manufacturing tolerance of high pressure turbine, future plan of power uprating, and remaining lifetime of power plant.

• Transactions of the Korean Society of Machine Tool Engineers
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• v.17 no.1
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• pp.1-6
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• 2008

There are some methods that have been used to manage a degasing process in recent years, such as an injection method that uses aluminum molten metal powder and chemicals supplier and input method that supplies argon and nitrogen, or chlorine gas by using a gas blow-tube. However, these methods show some problems, and it shows that it is a difficult process to handle, pollution due to producing a lot of toxic gases like chlorine and fluoride gas, irregular effects, and lowering work efficiency due to the excessive processing time. The problems that are the most fatal are the producing a lot of sludge due to the reaction of aluminum molten metal with chemicals, loss of metals, and decreasing the life of refractory materials. In order to solve these problems, this paper develops a technology that is related to aluminum continuous casting molten metal and monolithic degasing apparatus. A degasing apparatus developed in this study improved the existing methods and prevented environmental pollution with smokeless, odorless, and harmlessness by using a new method that applies argon and nitrogen gas in which the methods used in the West and Japan are eliminated. The method developed in this study decreases the molten metal processing and settling time compared to the existing methods and improves the workers' health, safety, and environment because there is no pollution in processes.

• Journal of the Korean Society of Manufacturing Technology Engineers
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• v.20 no.5
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• pp.564-569
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• 2011

The current establishment of city gas piping polyethylene (PE) tube used as bonding state or part of the health or safety of fusion is very important. A part of these fusion methods to determine the soundness of the short-term trials and long-term tests can be largely classified. Typical tests include short-term strength, tensile strength, impact strength, compressive strength, resiliency and compression. Polyethylene (PE) pipes installed in the domestic terms of overall penetration rate of 45% has been used. However, polyethylene (PE) pipes have reliability problems, and these occurs mostly in part by defective welding. Therefore, the test is necessary for safety. Non-destructive methods (ultrasonic testing) are difficult to be used. Therefore, Polypropylene copolymer (PP-C), polypropylene homopolymer (PP-H), and polyethylene (PE) pipe are used. Fusion of these materials is necessary in these field however, its technical, and basic research has not been studied well. In this research, short-term strength of welding parts, its tensile strength, hardness, fatigue, and microstructure have been analyzed to find the optimum process conditions to improve mechanical properties.

• Proceedings of the Korean Institute of Surface Engineering Conference
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• 2017.05a
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• pp.148-148
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• 2017

Surface modification is a type of mechanical manipulation skills to achieve extensive aims including corrosion control, exterior appearance, abrasion resistance, electrical insulation and electrical conductivity of substrate materials by generating a protective surface using electrical, physical and chemical treatment on the surface of parts made from metallic materials. Such surface modification includes plating, anodizing, chemical conversion treatment, painting, lining, coating and surface hardening; this study conducted cavitation experiment to assess improvement of durability using anodizing. In order to observe surface characteristics with applied current density, the electrolyte temperature, concentration was maintained at constant condition. To prevent hindrance of stable growth of oxide layer due to local temperature increase during the experiment, stirring was maintained at constant speed. In addition, using galvanostatic method, it was maintained at processing time of 40minutes for 10 to $30mA/cm^2$. The cavitation experiment was carried out with an ultra sonic vibratory apparatus using piezo-electric effect with modified ASTM-G32. The peak-to-peak amplitude was $30{\mu}m$ and the distance between the horn tip and specimen was 1mm. The specimen after the experiment was cleaned in an ultrasonic bath, dried in a vacuum oven for more than 24 hours, and weighed with an electric balance. The surface damage morphology was observed with 3D analysis microscope. As a result of the study, differences were observed surface hardness and anti-cavitation characteristics depending on the development of oxide film with the anodizing process time.

• Journal of the Korean Society for Precision Engineering
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• v.34 no.4
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• pp.247-251
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• 2017

Titanium alloy has been widely used in the aerospace industry because of its high strength and good corrosion resistance. During cutting, the low thermal conductivity and high chemical reactivity of titanium generate a high cutting temperature and accelerates tool wear. To improve cutting tool life, cryogenic machining by using a liquid nitrogen (LN2) jet is suggested. In cryogenic jet cooling, evaporation of LN2 in the tank and transfer tube could cause pressure fluctuation and change the cooling rate. In this work, cooling uniformity is investigated in terms of liquid nitrogen jet pressure in cryogenic jet cooling during titanium alloy turning. Fluctuation of jet spraying pressure causes tool temperature to fluctuate. It is possible to suppress the fluctuation of the jet pressure and improve cooling by using a phase separator. Measuring tool temperature shows that consistent LN2 jet pressure improves cryogenic cooling uniformity.

• Journal of The Korean Dental Society of Anesthesiology
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• v.10 no.2
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• pp.190-196
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• 2010

Difficult airway management including difficult intubation, difficult ventilation and difficult mask ventilation is a life threatening issue during anesthesia care. A 23-year-old woman with Treacher Collins syndrome was scheduled for distraction osteogenesis. She had hypoplasia of mandible and malar bone, bilateral deformities of auricles with partial deafness and antimongoloid slant of the palpebral fissures. A 56-year-old woman with mandibular hypoplasia due to childhood trauma was scheduled for distraction osteogenesis. She had a history of difficult intubation. We anticipated a difficult intubation and ventilation. Fiberoptic bronchoscopic guided awake intubation was selected for anesthesia induction. After intravenous injection of midazolam and remifentanil, 10% lidocaine pump spray on the pharyngolarynx with a direct laryngoscope and on the nasal canal. However fiberoptic bronchoscopic guided awake intubation was failed due to severe gag reflex. After intravenous injection of propofol and remifentanil using the target controlled infusion (TCI), mask ventilation was easily performed and, after intravenous injection of vecuronium, fiberoptic bronchoscopic guided intubation was easily performed using a wire reinforced endotracheal tube. The operation was completed successfully without any adverse events.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.41 no.3
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• pp.162-169
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• 2018

Net neutrality, which has not been a problem, has recently become a problem for ISPs (Internet Service Providers), and their complaints have been paid by domestic platform companies, but overseas global IT companies such as Google and YouTube, generate huge revenues from domestic markets. In this situation, domestic IT companies claim that it is natural to impose more expensive charges or restrict speed on users who generate huge traffic. On the other side, however, the telecommunication network has become an essential public good that is essential to our everyday life, and because it has been given a monopoly position by a private company to efficiently respond to the explosive demand for telecommunication services, It is necessary to provide equal and universal service and fulfill public duty. In this paper, we deal with the network neutrality problem, focusing on the price elasticity between the CP (Contents Provider) and the ISP, rather than the user who is one side of the two-sided market for the already saturated satellites communication market. We present a game model that determines the optimal price for each platform by Nash equilibrium and analyze how the net neutrality affects CP according to the change of exogenous variables through the proposed game model.