• Journal of Korean Academy of Nursing
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• v.25 no.1
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• pp.45-60
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• 1995

This study investigated the effects of education program conducted through individual home visit by CHPs, which was developed ,by the operational re-search technique for families of dementia patients. (Yeo Shin Hong et at,1994) The study was conducted in the form of a primary experimental design with 43 people as subjects, including dementia patients and family member in several Myon areas of Chungcheong Namdo between June 10 and August 20, 1994. The data was collected by questionnaires through the home visit by the CHPs. The results of study are as follows. 1. There is no difference in the quality of life between before and after the education program. 2. Role stress 'before the education program' was significantly different than 'after the education program'. 3. There was no difference in the feeling of burden between before and after the education program. 4. There was a significant difference in the abnormal behaviors of patients between before and after the education program. 5. The knowledge of dementia by the patient's family increased significantly after the education program, compared to that of 'before the education program'. 6. There was a significant difference in the attitude of family members toward the education program on dementia between before and after the education program. 7. The results of analysis on the coefficient relationship of various variables showed that the age of patients and family members have a significant correlation with role stress(p=.01). 8. In the subjective evaluation of family members on changes in actual nursing actions and the improvement of knowledge and technique in terms of daily living, (including abnormal behavior of patients, adjustment of environment for patients, activity programs for patients, communication technique with patients, ensuring the safety of patients, clothing, meals and elimination, 60-65% of family members responded that their knowledge had increased. As for improvement in techniques for each item, the technique for communication with patients showed the greatest improvement while the action program method for patients showed the least change. As for the nursing service provided to patients, most respondents showed a positive change. The specific items for which more than 80% respondents answered positively were as follows : recognizing the demand of patients, getting patients to do simple house works, talking softly and gently, removing dangerous things, preparing comfortable clothes that are easy to put on and take off, and limiting water consumption at night. As a result of study, the following suggestions can be made. The purpose of the study was to examine the effect of an education program developed and applied for dementia patients and family members in the community. This needs to be compared with a similar study conducted in the urban setting. In addition, a community service program (ex : nursing hem and shelter) including the application of the education program should be developed and the study done to investigate its effect.

• Health Policy and Management
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• v.23 no.1
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• pp.44-51
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• 2013

Background: This study designed to evaluate the homogeneity of Korean diagnosis related group (KDRG) version 3.4 classification system. Methods: The total 5,921,873 claims data submitted to the Health Insurance Review and Assessment Service during 2010 were used. Both coefficient of variation (CV) and reduction in variance of cost were measured for evaluation. This analysis was divided into before and after trimming outliers at the level of adjacent DRG (ADRG), aged ADRG (AADRG) split by age, and DRG split by complication and comorbidity. Results: At the each three level of ADRG, AADRG, and DRG, there were 38.9%, 38.7%, and 30.0% of which had a CV > 100% in the untrimmed data and there were 1.4%, 1.4%, and 1.9% in the trimmed one. Before trimming outliers, ADRGs explained 52.5% of the variability in resource use, AADRGs did 53.1% and DRGs did 57.1%. The additional explanatory power by age and comorbidity and complication (CC) split were 0.6%p and 4.6%p for each, which were statistically significant. After trimming outliers, ADRGs explained 75.2% of the variability in resource use, AADRGs did 75.6%, and DRGs did 77.1%. The additional explanatory power were 0.4%p and 2.0%p for each, which were statistically significant too. Conclusion: The results demonstrated that KDRG showed high homogeneity within groups and performance after trimming outliers. But there were DRGs CV > 100% after age or CC split and the most contributing factor to high performance of KDRG was the ADRG rather than age or CC split. Therefore, it is recommended that the efforts for improving clinical homogeneity of KDRG such as review of the hierarchical structure of classification systems and classification variables.

• Journal of Korean Medicine Rehabilitation
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• v.26 no.4
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• pp.67-75
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• 2016

Objectives The purpose of this study was to investigate the clinical usefulness of M-test (Meridian test) as an adjunctive evaluation and treatment in patients with chronic neck pain. Methods This study was a single arm pre-post comparison study. Thirty-six eligible subjects with chronic neck pain were recruited from August to September, 2015. M-test was used for evaluating the condition of meridian, which can induce the limitation of ROM and body discomfort. Subjects were offered intradermal acupuncture treatment on one-acupoint for 48 hours. Cervical numeric rating scale (NRS), cervical range of motion (ROM), neck disability index (NDI) and surface electromyography (SEMG) were measured before and after the treatment. Total NRS and the number of movement limitation of M-test were also measured before and after the treatment. Results Among the 36 participating subjects, 4 subjects were lost to follow-up or excluded in accordance with the criteria. Significant differences on Cervical NRS and NDI were found after the treatment (p<0.001). There was a significant difference in the range of left cervical rotation (p<0.05). Root mean square (RMS) of SEMG significantly decreased on the right sternocleidomastoid muscle (p<0.05), but significantly increased on the right trapezius muscle (p<0.05). Median frequency (MdF) of SEMG significantly increased on both sternocleidomastoid muscles. There appears to be significant differences after the treatment in total NRS and the number of movement limitation of M-test (p<0.05). Conclusions These results suggest that the evaluation and treatment of M-test based on the meridian and collateral theory were effective on cervical NRS and NDI, and also improved the movability of human body.

• Journal of Korean Society for Quality Management
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• v.45 no.4
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• pp.995-1002
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• 2017

Purpose: The purpose of this study was to evaluate the color stability of composite resins used for splinting teeth by comparing a self-cure resin cement (Superbond C&B, SB), a flowable composite resin (G-aenial Universal Flo A2, GU), and a composite resin exclusively used for splinting teeth (G-Fix, GF) before and after aging in NaOCl. Methods: Resin samples were fabricated to a size of 2 mm thickness and 8.5 mm diameter and light-cured with an LED light curing unit (G-Light, n = 12). Immediately after fabrication, CIE L*a*b* values of the resin samples were measured with a spectrophotometer (CM-5) as baseline. Then, the resin samples were immersed in 5% NaOCl at $60^{\circ}C$ and the color was measured after 23 hours every day for 4 days. Data were analyzed with one-way ANOVA followed by Duncan post hoc test (p<0.05), and color differences (${\Delta}E$) of resin samples before and after NaOCl aging were also calculated. Results: For SB, there were no changes in L* and a* values but changes were observed in b* values. For GU, there were no changes in L* and b* values but in a* values. For GF, changes were observed in L*, a*, and b* values. All resin samples showed highest ${\Delta}E$ between baseline and the 1st day of NaOCl immersion. ${\Delta}E$ of SB, GU, and GF was 4.6 - 5.8, 4.9 - 7.9, and 9.9 - 16.9, respectively. GF showed highest color change during NaOCl aging. Conclusion: The results of this color quality evaluation showed that the composite resin exclusively used for splinting teeth might be more vulnerable to color change during intraoral service.

• Journal of Adhesion and Interface
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• v.8 no.3
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• pp.9-15
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• 2007

The interfacial evaluation of surface modified Jute fiber/polypropylene (PP) composites before and after hydration was investigated using micromechanical test and dynamic contact angle measurement. The IFSS of alkaline and silane-treated Jute fiber/PP composites increased, whereas after hydration, the IFSS of the untreated, alkaline- and silane-treated Jute fibers/PP composites decreased due to swelled fibrils by water infiltration. The interfacial adhesion of silane treated fiber/PP composites was higher than alkaline-treated or the untreated cases. The surface energies of Jute fiber treated under various conditions were obtained using dynamic contact angle measurement. Especially after hydration, the thermodynamic work of adhesion was calculated by considering water interlayer, which indicated the stability of IFSS between silane treated Jute fiber and PP matrix showing better than others.

• KIEAE Journal
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• v.2 no.4
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• pp.57-64
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• 2002

Nowadays the importance of Building Remodeling as a means to create an architectural environment capable of responding to the social, economic changes has increased more than before. After long time pass, the aged building have faced the need for the overall repair of the structure and function. Remodeling is much more saving the time and cost than new construction in the office building. This study was focused in functional and efficient evaluation. Based on these points, we developed the evaluation factors, and verified a validity of evaluation factors through a survey. The purpose of this study was focused on the Analysis for Recognizing the priority of Indoor Environmental Factors in office Remodeling. This study provides us the competitive guidance of remodeling. The owners and tenants take the maximum efficiency with the minimum cost.

• 한국방재학회:학술대회논문집
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• 2008.02a
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• pp.59-62
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• 2008

Scour vulnerability evaluation for shallow foundations was performed to assure bridge safety against scour in the national capital region. The case studies for 26 shallow foundations consisted of site investigation including boring test, bridge scour analysis for the design flood, bearing capacity evaluation of the bridge foundation before and after scour, and comprehensive evaluation of bridge scour vulnerability. Bridge scour vulnerability was determined based on the interdisciplinary concept considering predicted scour depth for the design floods and bearing capacity of foundation as well as dimensions of foundation. Nine of 26 shallow foundations showed the potential future vulnerability to scour with significant decrease in the bearing capacity of foundations due to scour and the remaining 17 were expected to maintain their stability against scour.

• Journal of Navigation and Port Research
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• v.31 no.2
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• pp.121-126
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• 2007

Evaluation of collision risk plays a key role in developing the expert system of navigation and collision avoidance. This paper presents a new collision risk model formula that is one modification model on the basis of one approach to the evaluation of collision risk using sech function produced in earlier studies. And as a tool of the evaluation field of ship collision, this paper applied the new model in appraising the collision risk and represented how to decide the safe range of own ship's action. Moreover this paper also analyzed theoretically how to determine the coefficients as described in the new modification model, and suggested the appropriate values as applicable.

• Journal of the Architectural Institute of Korea Structure & Construction
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• v.34 no.1
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• pp.19-26
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• 2018

After the Gyeongju earthquake, school buildings were designated as earthquake shelters. However, the ratio of designed for seismic of domestic school buildings is only 23.2% in Korea, and it is necessary to secure the seismic safety of those. Therefore, in this paper, a target building was selected before the seismic design criteria was established and the seismic performance of the building was evaluated. After the evaluation, reinforcement of the building was carried out using seismic retrofit systems which was previously tested. For this purpose, the evaluation was carried out using OpenSees program and the reliability of the seismic retrofit systems was also verified. In this way, we can more precisely reproduce the response of the building in case of actual earthquake and predict damage of the earthquake in the future.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.15 no.3
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• pp.371-379
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• 2008

Purpose: The objective of the present study was to develop and evaluate a legal communicable diseases (LCDs) electronic system for infection control. Method: The system was developed through the procedure of analysis, design, implementation, application and evaluation, and was applied within an OCS (order communication system). Results: As indicated by the main menu, the present system is composed of an improved perception system for enhancing perception of LCDs, LCDs identification system, and improved efficiency in the report system. Detailed items included in the main menu are introduction and log-in screen, pop-up window for checking the outbreaks of LCDs, decision making icon, electronic signature icon, electronic report form, email system, etc. The total number of reports was greater after the application of the system (n=99) than before (n=80), and the adequacy of report time was statistically significantly higher after application of the system (P<0.05) Conclusion: The present system suggests a new method for LCDs report and infection control, and is expected to be adopted by other medical institutions in the future.