• Journal of Korean Academy of Nursing
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• v.44 no.2
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• pp.219-227
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• 2014

Purpose: To assess whether the Modified Early Warning Score (MEWS) predicts the need for intensive care unit (ICU) transfer for patients with severe sepsis or septic shock admitted to general wards. Methods: A retrospective chart review of 100 general ward patients with severe sepsis or septic shock was implemented. Clinical information and MEWS according to point of time between ICU group and general ward group were reviewed. Data were analyzed using multivariate logistic regression and the area under the receiver operating characteristic curves with SPSS/WIN 18.0 program. Results: Thirty-eight ICU patients and sixty-two general ward patients were included. In multivariate logistic regression, MEWS (odds ratio [OR] 2.02, 95% confidence interval [CI] 1.43-2.85), lactic acid (OR 1.83, 95% CI 1.22-2.73) and diastolic blood pressure (OR 0.89, 95% CI 0.80-1.00) were predictive of ICU transfer. The sensitivity and the specificity of MEWS used with cut-off value of six were 89.5% and 67.7% for ICU transfer. Conclusion: MEWS is an effective predictor of ICU transfer. A clinical algorithm could be created to respond to high MEWS and intervene with appropriate changes in clinical management.

• Korean Journal of Biological Psychiatry
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• v.20 no.1
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• pp.21-27
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• 2013

Objectives There is a controversy regarding the construct validity of anxiety and depression. Some believe that these two symptoms are basically the same construct, that is, both measure what is called 'general distress' or two phenomena are distinct experiences which often coexist. To further understand relationship between anxiety and depressive symptoms, we investigated the factor structure of a combined anxiety and depression scale among psychiatric outpatients. Methods Data of Zung's Self-Rating Depression and Anxiety Scales were gathered from 401 newly visiting psychiatric outpatients at a university-affiliated hospital. We performed a component analysis on the 40 items from two scales. Results Exploratory factor analysis revealed a seven factor structure explaining 56% of total variance. Overall finding indicated that depression and anxiety scales consisted of four symptom domains : mainly depressive symptoms, mainly anxiety symptoms, common somatic symptoms, and others. Conclusions Our results suggest that the construct of self-reported depressive and anxiety symptoms are more complex than previously thought, i.e., either one or two factor theories. These findings also support that anxiety and depression can be better modeled by dimensional approach. Clinicians may be alert for the fact that both depression and anxiety scales measure distinct and also common aspects. Further researches on other scales especially, interview based instruments are needed.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.7 no.2
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• pp.149-163
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• 2000

The purposes of this study were to investigate the pathway which stroke patients take in seeking medical care and to identify factors which influence that pathway. This study was conducted by a survey. The subjects were 130 adults, who were diagnosed with a stroke between January and April of 2000. Data was collected by means of a interview, questionnaires, and an Activity Index. The result of this study are summarized as follows: 1. The mean age of subject was 61.58 years. Forty-nine percent were men and fifty percent were women. The majority of the subjects were married. For educational level, thirty-three percent finished elementary school, and twenty-three percent, high school. Most of the subjects reported 'middle' economic status. Ninety-two percent lived with their spouse and children. The diagnosis for seventy-two percent was ischemic stroke and for twenty-two percent, hemorrhagic stroke. 2 The most frequent early sign of stroke was hemiplegia(43.3%), loss of consciousness (36.7%), dysarthria(33.3%). The type of hospital first used was a herb hospital(40.8%), or a western hospital(59.2%). The factors in their choice were ; distance from the hospital to the place that the stroke occurred(47.5%), desire for a herb hospital(15.8%), and an invitation(12.9%). The ischemic stroke patients preferred herb hospitals, but hemorrhagic stroke patients preferred a western hospitals. 3. The pattern of stroke patients seeking medical care was that forty-three percent of stroke patients pass through step 1, forty-six percent, through step 2, and 8.5% through step 3. The more steps, the higher the use of herb hospitals. 4. The factors influencing the pathway of stroke patients seeking medical care were diagnosis, and level of consciousness. Ischemic stroke patients used herb hospitals, more frequently hemorrhagic stroke patients, who used western hospitals. The alert patient preferred a herb hospital, but stupor patients preferred a western hospital. 5. The Activity Index was not related to the pathway which stroke patients used in seeking medical care.

• Journal of the Korean Society for Aeronautical & Space Sciences
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• v.44 no.7
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• pp.611-619
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• 2016

This paper proposes a collision prevention system for an agricultural unmanned helicopter. The collision prevention system consists of an obstacle detection system, a mapping algorithm, and a collision avoidance algorithm. The obstacle detection system based on a LiDAR sensor is implemented in the unmanned helicopter and acquires distance information of obstacles in real-time. Then, an obstacle mapping is carried out by combining the distance to the obstacles with attitude/location data of the unmanned helicopter. In order to prevent a collision, alert is activated to an operator based on the map when the vehicle approaches to the obstacles. Moreover, the developed collision prevention system is verified through flight test simulating a flight pattern aerial spraying.

• International Journal of Contents
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• v.11 no.3
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• pp.14-23
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• 2015

This paper presents the findings of a study in which students at a four-year university were surveyed in an effort to analyze and verify the differences in perceived security awareness, security-related activities, and security damage experiences when using smartphones, based on demographic variables such as gender, academic year, and college major. Moreover, the perceived security awareness items and security-related activities were tested to verify whether they affect the students' security damage experience. Based on survey data obtained from 592 participants, the findings indicate that demographic differences exist for some of the survey question items. The majority of the male students replied "affirmative" to some of the questions related to perceived security awareness and "enthusiastic" to questions about security-related activities. Some academic year differences exist in the responses to perceived security awareness and security-related activities. On the whole, freshmen had the lowest level of security awareness. Security alert seems to be very high in sophomores, but it decreases as the students become older. While the difference in perceived security awareness based on college major was not significant, the difference in some security-related activities based on that variable was significant. No significant difference was found in some items such as storing private information in smartphones and frequency of implementation of security applications based on the college major variable. However, differences among the college majors were verified in clicking hyperlinks in unknown SMS messages and in the number of security applications in smartphones. No differences were found in security damage experiences based on gender, academic year, and college major. Security awareness items had no impact on the experience of security damage in smartphones. However, some security activities, such as storing resident registration numbers in a smartphone, clicking hyperlinks in unknown SMS messages, the number of security apps in a smartphone, and the frequency of implementation of security apps did have an impact on security damage.

• Korean Journal of Clinical Pharmacy
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• v.21 no.4
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• pp.383-389
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• 2011

CSS for identifying ADEs are sufficiently developed for broad use and they are much more accurate than spontaneous reporting and more time- and cost-effective than manual chart review. Also computer alert systems can be used to identify opportunities to prevent or reduce patient injury associated with a broad range of ADEs. This CSS can be used to identify opportunities to prevent or reduce patient injury associated with preventable ADEs and increase patient safety, increase quality of drug therapy and decrease the extra-cost of the treatment for ADEs. In the future, increasing utilization of this concurrent CSS should have an enormous beneficial impact on the quality of medical care.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2016.05a
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• pp.794-796
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• 2016

Recently terrestrial mobile multimedia broadcasting(T-DMB) service is being provided throughout the country are expanding and demand is increasing day by day. T-DMB has the advantage of being cheaper in cost than installing another mobile multimedia broadcasting. However, there are a variety data of additional and provide it difficult for localized emergency alert broadcasting services. In this paper, a method to solve this problem feature was designed to restrict incoming unidirectional / bidirectional authentication via T-DMB system. In the mobile device is received by the T-DMB broadcasting service authentication mechanism for re-transmission to the mobile device, and T-DMB receiving other registered users can view it impossible to receive the broadcast. Through the proposed system it is considered to be able to solve the problems of the existing T-DMB technology.

• Journal of the Korean Society for Railway
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• v.11 no.4
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• pp.364-370
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• 2008

In this paper, we proposed new sensor network architecture with autonomous robots based on beacon mode and implemented real time monitoring system in real test-bed environment. The proposed scheme offers beacon based real-time scheduling for reliable association process with parent nodes and dynamically assigns network address by using NAA (Next Address Assignment) mechanism. For the large scale multi-sensor processing, our real-time monitoring system accomplished the intelligent database processing, which can generate not only the alert messages to the civilians but also process various sensing data such as fire, air, temperature and etc. Moreover, we also developed mobile robot which can support network mobility. Though the performance evaluation by using real test-bed system, we illustrate that our proposed system demonstrates promising performance for emergence monitoring systems.

• Quality Improvement in Health Care
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• v.23 no.2
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• pp.23-34
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• 2017

Purpose: Nurse's second victim experiences could influence organizational negative work-related outcome. The purpose of this study was to investigate the casual relationship between nurses' second victim experience and third victim experience and multiple mediation effects of second victim supports. Methods: A cross-sectional, self-report survey (the Second Victim Experience and Support Tool) was conducted with 305 nurses working in a general hospital. Data were collected from October 20 to November 25, 2016 and analyzed using SPSS Win version 23.0. Results: The nurses' perceived second victim experience was $3.24{\pm}0.61$ and the third victim experience was $3.12{\pm}0.92$. Nurses' second victim experience was found to have a direct effect on increasing third victim experience and indirect effect of colleague support as mediator (p<.05). However, institutional support and supervisor support had not a partial and indirect effect on third victim experience. Conclusion:This study is one of the first to connect second victim experience to third victim experience in South Korea. This study broadens the understanding of the negative effects of a second victim experience influence third victim experience. When involvement in patient safety events, the important role of colleague support in limiting nurse's third victim experience have been acknowledged. This study reinforces the efforts health care leaders are making to develop interventional programs to colleague support their staff as they recover from adverse event involvement.

• Journal of Navigation and Port Research
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• v.39 no.6
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• pp.473-478
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• 2015

In this paper, we suggest a flexible multiband antenna which can be equipped on an inflatable life-jacket. The antenna can send distress alert and location data of survivors to assist rescue operation when crew or people are in distress. The antenna operate in three frequency bands such as VHF-DSC band (156MHz), COSPAS-SARSAT band (406MHz) and GPS band (1,575MHz). The GPS band is implemented with a square ring-slot planar antenna, the COSPAS-SARSAT band and the VHF-DSC band antenna is implemented by monopole type. In order to give flexibility of substrate to be equipped on life-jacket, FR4-epoxy substrate of thickness 0.2mm is used to make antenna. The reflection coefficients of the fabricated antenna are -8.8dB, -20.4dB and -10.7dB at each bandwidth like VHF-DSC, COSPAS-SARSAT and GPS band, respectively, when people are wearing life-jacket integrated multiband antenna.