• Journal of Trauma and Injury
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• 제35권2호
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• pp.118-122
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• 2022

The usual cause of penetrating thoracoabdominal injuries with evisceration are stab wounds with knives and other sharp weapons used during fights and conflicts. Evisceration of the abdominal viscera as a result of trauma, with its attendant morbidity and mortality, requires early intervention. Gunshot wounds can also cause penetrating thoracoabdominal injuries. We report the case of a 52-year-old male patient, a worker at a timber-processing factory, who was assaulted with a chainsaw by his colleague following a disagreement. He was seen at the accident and emergency department of Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria with a thoracoabdominal injury about 1.5 hours after the attack. He had a left thoracoabdominal laceration with abdominal evisceration and an open left pneumothorax. He was managed operatively, made a full recovery, and was discharged 16 days after admission. He was readmitted 4 months after the initial surgery with acute intestinal obstruction secondary to adhesions. He underwent exploratory laparotomy and adhesiolysis. He made an uneventful recovery and was discharged on the 9th postoperative day for subsequent follow-up.

• 대한약침학회지
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• 제25권4호
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• pp.317-325
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• 2022

Polymers are the major constructive material of pharmaceutical formulations that play a prime role in designing effective drug-delivery systems and releasing drugs at their sites of application. Polymers are composed of multiple repeating units of high molecular mass components with attendant properties. Most synthetic polymers are non-biocompatible, expensive, and extremely inclined to deliver adverse impacts. Meanwhile, edible polymers obtained from natural sources have gained remarkable recognition for their promising use in modern medicine. Moreover, polymers derived from natural sources are generally preferred due to certain of their unique features such as abundant availability, biocompatibility, nontoxicity, economical, safe, and effective functions that fit the purpose. Polysaccharides including starch, cellulose, hemicellulose, pectin, and mucilage are identified as a major class of naturally obtained molecules that have a substantial role as functional polymers. This review summarizes the potential role of polysaccharides derived from vegetable sources such as adhesives, anticaking agents, binders, disintegrants, emulsifiers, film-framing agents, and thickeners. This is simply an opportunity to abandon synthetic excipients that hurt our bodies and think back to nature from where we originate.

• 수완나부미
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• 제6권1호
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• pp.161-191
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• 2014

The entry of the logging industry in the once heavily forested riverine middle Agusan Valley where aboriginal Manobos live meant the entry of the material practice of wage labor into this out-of-the-way place. Wage labor converted the once relatively isolated, subsistence animist Manobos into laborers of the expanding capitalist regime. A symptom of modernity, this wage labor also accompanied the coming of Visayan settlers (also loggers paid by wage) who introduced indigenous Manobos the compadrazgo social relationship. This friendly relationship across ethnic identities legitimated social ties and is a social material practice represented in recent bilingual Manobo possession rituals where the Visayan spirit is incarnated along with Manobo spirits. To understand the idea behind spirit embodiment, I explore Manobo ritual as mimesis or poeisis. This representation is shaped by concrete material realities as much as these realities, in turn, are reconfigured by ritual practice. In the older Manobo cosmology, which is based on subsistence economy and dependent on the forest and rivers, individuals have an externalized self (as manifest in the idea of twin soul), in which the inner vital principle is co-extensive with a spirit double in cosmos. Manobos imitate the perceived workings of nature in ritual so as to control them in times of illnesses. In contrast, the mimesis of the Visayan spirit is based on a different political economic set up with its attendant asymmetrical interpersonal relationship. By symbolically representing the Visayan patron as friend, Manobos are able to negotiate the predicament of their subalternity in local modernity.

• Asia pacific journal of information systems
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• 제28권2호
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• pp.114-132
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• 2018

Quantified-self technologies (QSTs) provide functions for users to collect, track, and monitor personal data for self-reflection and acquisition of self-knowledge. Although QSTs require prolonged use to reap the attendant benefits, many users stop using their devices or tracking within weeks or months. To address this issue, this study seeks to determine ways to sustain the use of QSTs. Combining motivational affordance theory with technology continuance theory, this study develops a theoretical model that accounts for an individual's continued intention to use a QST. Within the proposed model, unique QST affordances were identified as antecedents of individual motivation in relation to technology continuance, and their different roles in stimulating hedonic, utilitarian, and eudaimonic motivations were examined. The model was tested using data collected from 180 QST users. Results demonstrate that although utilitarian and eudaimonic motivations are complementary forces in determining continuance intention, hedonic motivation loses its predictive power in favor of eudaimonic motivation. Tracking, visualizing, and sharing affordances play different roles in elevating user motivations. The sharing affordance does not influence utilitarian and eudaimonic motivations, but it positively influences hedonic motivation. This research contributes to the literature on technology continuance by shifting scholarly attention from hedonic-utilitarian duality to eudaimonic motivation, characterized by meaning, self-growth, and pursuit of excellence.

• 유통과학연구
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• 제22권4호
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• pp.79-89
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• 2024

Purpose: This study aims to enhance airport service quality by examining their impact on brand image, advocacy, and mediating brand trust in the aviation service distribution sector. Research Design, Data, and Methodology: Using existing literature, we propose a structural model exploring the relationships between key components which are service quality, brand trust, brand Image and brand advocacy. An online survey, based on prior literature, was administered to 287 Koreans who have experienced using facilities or services at Incheon International Airport (IIA). Statistical analysis employed confirmatory factor analysis (CFA) and structural equation modelling (SEM). Results: Research findings show significant impacts of airport service quality on brand trust. Increased brand trust positively influences airport brand image and advocacy. Conclusion: The study emphasizes the aviation industry's potential to boost brand trust through improved airport service quality via users' interactions. Service quality is critical factors in building brand trust. The findings emphasize the critical role of service quality in fostering brand trust. It underscores the importance of user's satisfaction with service quality in fostering brand trust which can lead to brand image and brand advocacy. The aviation industry should formulate policies and strategies to enhance brand trust improved service quality, thereby improving brand image and brand advocacy.

• Journal of Hospice and Palliative Care
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• 제8권2호
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• pp.143-151
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• 2005

목적: 가톨릭대학교 성빈센트병원 호스피스팀에서는 사별가족들에 대한 지지로서 해마다 사별가족모임 및 추모제를 실시해왔다. 호스피스 환자 및 사별가족의 어려움, 욕구, 대처양상, 품위 있는 임종에 대한 견해에 대해서는 선행연구가 진행되어 왔으나, 사별가족모임에 참석한 가족들의 태도에 대한 선행연구는 찾기가 어려웠다. 최근 1년 이내에 사별 경험이 있는 가족을 중심으로 견해조사를 실시하면서, 향후 사별가족지지프로그램에 대한 욕구와 보완점 파악, 객관적 기준을 마련하기 위해 본 연구를 시작하였다. 방법: 2003년 11월부터 2004년 10월까지 12개월 동안 성빈센트병원 호스피스 병동에서 임종한 사별가족 180가족들에게 초대장을 발송하였고, 사별가족모임에 참석한 22가족에게 설문지 조사하였고, 전화연결된 가족 18가족에 대해서는 연구자 1인이 전화설문을 시행하였다. 설문지는 일반적인 사항을 제하고는 개방형 질문으로 조사하였다. 결과: 총 응답자의 평균연령은 56세($16{\sim}79$세)였고, 남자(3명), 여자(37명)이었다. 고인과의 관계는, 아내(22명), 남편(5명), 어머니(4명), 딸(4명), 시어머니(1명), 아들(1명), 형제자매(1명), 며느리(1명), 형수(1명)이었다. 임종 후 경과기간은 $1{\sim}3$개월(17명), $4{\sim}6$개월(12명), $7{\sim}9$개월(4명), $10{\sim}12$개월(7명)이었다. 고인이 품위 있는 임종을 했다고 생각하는 가족은 36명이었고, 4명은 그렇지 않다고 생각하였다. 품위 있는 임종이라고 생각하는 이유로는 '준비된 죽음을 맞이했기 때문에'(16명)가 가장 많았고, '편안한 임종을 하셨기에'(7명)가 다음으로 많았다. 품위 있는 임종의 정의에 대한 견해는 '영적으로 안녕한 상태에서 임종하는 것'(9명), '신체적 안녕'(7명), '심리사회적안녕'(7명), 무응답자(16명)이었다. 21명의 가족들이 '아직은 슬픔을 극복하는 데 어려움이 있다.' 라고 하였고, 사별 후 가장 어려운 점은, 참석가족들은 '외로움'(7명), '우울감'(10면)이나, 비참석가족들은 '외로움(7명)', '경제적 문제/역할수행상의 어려움'(7명)의 빈도였다. 대처방법에서는, '영적 승화'(13명), '일상생활에의 몰두'(10명), '애도과정에의 몰입(계속 슬퍼함)'(3명)으로 응답하였다. 병원으로부터 사별가족모임의 초대장을 받았을 때의 느낌에 대해서는 '반가움과 고마움'(21명), '슬픔'(4명), '괴로움'(4명), 무응답(11명)이었다. 비 참석 가족들은 '반가움과 고마움'(4명)이었다. 사별가족 모임 참석에 대한 망설임의 유무와 이유에 대해서는, '망설이지 않았다'(34명)가 '망설였다'(6명)보다 높게 나타났다. 사별가족모임에 참석한 후의 소감, 개선사항, 아쉬운 점에 대한 질문에는, 대부분의 응답자들이 '의미 있는 시간이었다', '사별가족에 대한 배려와 관심에 대해 감사한다.'라는 긍정적인 응답이 있었고, '고인에 대한 회상을 할 수 있는 자리여서 좋았다.' '사별가족모임이 일년에 한 번이 아니라 계속적으로 있었으면 한다.', '한편은 슬프고 한편은 기쁘다.' 등의 의견이 있었다. 사별 후 느끼는 가장 큰 어려움에 대해 참석가족은, '우울감'(10명), '외로움'(7명)의 빈도가 높았고, '그리움'(1명), '경제적/역할상 어려움'(4명), 무응답(6명)으로, '우울감'이 가장 큰 어려움으로 나타났다. 반면에, 비참석 가족에서는, 가장 큰 어려움은 '경제적/역할상 어려움'(6명), '외로움'(5명), '우울감'(3명), '후회감'(1명), '고인에 대한 원망감'(1명), '특별히 어려움이 없다'(1명)라고 답하였다. 결론: 호스피스 서비스를 경험한 사별가족들은 고인이 품위 있는 임종을 맞이하였다고 생각하는 견해가 높았고, 그 이유가 준비된 죽음을 맞이하였기 때문이라는 견해였다. 이는 호스피스 서비스가 품위 있는 임종에 도움이 됨을 시사한다. 본 연구조사에서 임종 후 $1{\sim}3$개월 이내의 사별가족들이 사별모임에의 참석빈도가 가장 높았다. 사별 후 슬픔을 극복하기에 아직 어려움을 겪고 있는 가족들이 가장 많았다. 그들이 겪는 가장 큰 어려움은 외로움이고, 이에 대해 영적 승화, 일상생활에 몰두로 극복하고자 노력하는 경향이나, 애도과정 자체에 몰입한다는 견해도 있었고, 사별가족모임에 대한 반응은 반가움과 고마움이 높았으면서도 모임참석에 망설이지 않는 경향이 높으면서도 실제 참석도는 전체 임종자 가족에 비해 낮았다. 사별가족모임에 비참석한 가족들은 참석한 가족들보다 경제적/역할 어려움을 더 느끼는 경향이나, 응답자 전체수가 적기에 일반화를 내리기에는 한계가 있다. 따라서 향후 연구에서 사별가족 모임에의 참석에 대한 망설임 요인, 요구도에 대한 추가 조사를 통해 객관적 기준을 마련하는 것을 추후 연구 과제로 삼아야겠다.

• 한국강구조학회 논문집
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• 제12권5호통권48호
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• pp.595-604
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• 2000

유공합성보는 공기조화설비등의 각종 배관으로 인한 용적률의 저하를 완화할 수 있고, 바람과 같은 수평력에 의한 층모멘트 감소등의 구조적 측면에서도 유용하다. 또한 휨강성도 증가되어 하중에 의한 처짐이 적어지고 진동하중이나 충격하중에도 유리하게 되어 건축물의 강성 및 내력을 높이기 위해 사용되고 있다. 그러나 개구부 위치 및 편심여부에 따라 외력에 대한 구조적인 거동이 달라지게 되므로 이에 대한 적절한 검토가 요구된다. 이에 본 논문은 편심유공합성보의 종국내력 및 변형능력에 관한 실험적 연구로서, 무공합성보인 기준시험체와 중심 및 상 하 편심유공합성보 시험체의 실험 및 이론적 고찰을 통하여 각 시험체들의 항복 및 최대내력, 휨 및 전단강성, 개구부주위의 응력분포, 그리고 모멘트-전단력 상관관계등의 구조적 특성을 규명코자 한다.

• International Journal of Oral Biology
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• 제34권4호
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• pp.185-190
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• 2009

This study examined the effects of red light generated from a light emitting diode (LED) upon proliferation and mitochondrial stress in human gingival fibroblasts (hGFs). Cells were exposed to LED-generated red light at a clinically relevant intensity and distance with a 610-630 nm wavelength for various times (0-48 min). At different exposure times, cells were processed for the analysis of succinate dehydrogenase (SDH) activity, proliferation, mitochondrial membrane potential (MMP) and cytotoxicity. Cell cycle progression was also investigated by flow cytometry after staining with propidium iodide. Red light exposure was found to inhibit SDH activity and DNA synthesis in hGFs in a time-dependent manner. Light exposure also reduced the MMP levels in these cells and this was closely associated with a $G_0/G_1$ arrest. In contrast, exposure of hGFs to red light for 48 min led to a dramatic loss of MMP with an attendant increase in cytotoxicity. These findings demonstrate that LED-generated red light may cause mitochondrial stress and growth inhibition in hGFs during tooth whitening therapy, depending on the length of the exposure.

• 디지털융복합연구
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• 제16권8호
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• pp.99-107
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• 2018

항공사 승무원 유니폼에 관한 선행연구와 실증적 연구를 살펴보고 항공사 승무원의 유니폼이 고객이 지각하는 소비정서에 미치는 영향을 규명하는 것이 연구의 목적이다. 연구방법은 항공 관광 관련학과 재학생을 대상으로 2018년 3월 11일부터 25일까지 15일간 설문조사를 하였고, 총 289부의 유효표본 수를 분석하였다. 연구결과는 고객들은 승무원의 유니폼에 대하여 대형항공사와 저비용항공사 간의 지각하는 소비정서에 대한 영향에서 차이가 있는 것을 연결망 관계를 통해 증명하였다. 또한 저비용항공사에 대해 고객이 지각하는 소비정서는 편안하고, 친숙하며, 활기찬 등이며, 이러한 결과는 대형항공사인 깔끔하고 세련된 등으로 저비용항공사와 차별화되었다는 것을 증명하였다. 항공사는 적절한 시기에 승무원 유니폼을 변화시켜왔고, 회사의 이미지 변화에 상당히 중요하게 여기는 마케팅 도구로 생각할 때, 본 연구결과가 의미가 있다고 볼 수 있다.

• 대한간호학회지
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• 제10권2호
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• pp.1-12
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• 1980

The process of having baby including pregnancy, labor and birth; is considered as crises of life cycle. It is noted that most pregnat women experience fear and anxiety through the gestational period and this may effect to the health of the baby and the mother. Therefore, we, nurses must focuse on this fear and anxiety of pregnant women and make an effort to relieve their emotional discomfort. This study was conducted to determine the pregnant women's intensity of fear and anxiety during pregnancy thus to provide some information for maternal care in terms of antenatal care. The specific objectives of this study are : 1. to determine what are the most frequently experienced fear and anxiety and how frequently the pregnant women perceive them as a fearful and anxious experience. 2. to find out the relations between the intensity of fear and anxiety of pregnancy and the demographic characteristics of the subjected women During the period May 15,1980 to June 4,1980,212 pregnant were asked to question are by trained student mures who visited to 4 obstetric clinic for antenatal care in C-city. The questionare were designed and and scheduled by author which covers 38 items about fears and anxiety during pregnancy and each item was answered by 5 seales according to it's intensity. The result analysed as percentile , mean and S.D. statistically and obtained as rollows 1) The mean age was 27,4 years, the proportion of women completed high school are 45.3%, and 51.4% has no religion 2）68.6% seplied“positive”response about fears and anxiety during pregnancy. 3) Fear relevant to pain, particularly during labor noted most frequent rate. 4) Social factors may relate to the intensity of the fears or anxiety further more socioeconomic problem take important role and affects to the expectant women, 5) Primigravida noted more fears and anxiety about pregnancy compared to multigravida and more in-tensity during aerly half gestational period than late. Majority of pregnant women have experienced fear and anxiety attendant upon pregnancy and so nurse can help the patient to be able experience 1ha difficult adjustment to be course of pregnancy and be able to get good result both fetus and mother through antenatal care.