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A Study on Pain and Anxiety of Burn Patients (화상환자가 지각하는 통증과 불안에 관한 연구)

  • Park Young Sook;Kim Eun Hee
    • Journal of Korean Public Health Nursing
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    • v.15 no.1
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    • pp.83-95
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    • 2001
  • The purpose of this study is to examine intensity of pain and anxiety of burn patients. This study selected 99 adult patients of 18 years old or older who have been hospitalized and treated for a second-degree burn at the surgery ward or burn ward of 3 university hospitals which are located in 2 metropolitan cities, and a university hospital in Seoul Special City from July 1 to October 20, 2000. This study used STAI(State-Trait Anxiety Inventory) developed by Spielberger, and translated by Kim, Jung Taek and Shin, Dong Kyun to examine the degree of anxiety and VAS to examine the pain. This study was carried out by interview and using SPSS 9.0 statistical program. Results were as follows : 1) As for general characteristics of the subjects, they were mostly male. 30s-40s, married, and high school graduates. 2) Forty-seven patients were burned by fire and $49.6\%$ of the patients had burn 10 to $20\%$ of BSA. seventy-nine percents of patients received one dressing change a day and $74.3\%$ received medication once or twice a day. 3) As for intensity of anxiety and pain. the mean intensity of pain was 6.41. The intensity of trait anxiety and the state anxiety were 39.76. and 51.81. 4) Subject's age was significantly different in their pain intensity and other variables were insignificant. Correlations between trait-anxiety and state-anxiety(r=.286, p=.004), and state-anxiety and VAS(r=.294, p=.003) showed weak correlation. There wasn't statistically any significance in trait- anxiety and VAS(r=.183, p=.070).

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Photometric Transformation from RGB Bayer Filter System to Johnson-Cousins BVR Filter System

  • Park, Woojin;Pak, Soojong;Shim, Hyunjin;Le, Huynh Anh N.;Im, Myungshin;Chang, Seunghyuk;Yu, Joonkyu
    • The Bulletin of The Korean Astronomical Society
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    • v.40 no.2
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    • pp.43.2-43.2
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    • 2015
  • The RGB Bayer filter system consists of a mosaic of R, G, and B filters on the grid of the photo sensors which typical commercial DSLR (Digital Single Lens Reflex) cameras and CCD cameras are equipped with. Lot of unique astronomical data obtained using an RGB Bayer filter system are available, including transient objects, e.g. supernovae, variable stars, and solar system bodies. The utilization of such data in scientific research requires that reliable photometric transformation methods are available between the systems. In this work, we develop a series of equations to convert the observed magnitudes in the RGB Bayer filter system (RB, GB, and BB) into the Johnson-Cousins BVR filter system (BJ, VJ, and RC). The new transformation equations derive the calculated magnitudes in the Johnson-Cousins filters (BJcal, VJcal, and RCcal) as functions of RGB magnitudes and colors. The mean differences between the transformed magnitudes and original magnitudes, i.e. the residuals, are (BJ - BJcal) = 0.064 mag, (VJ - VJcal) = 0.041 mag, and (RC - RCcal) = 0.039 mag. The calculated Johnson-Cousins magnitudes from the transformation equations show a good linear correlation with the observed Johnson-Cousins magnitudes.

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Perceptions of Anticoagulation Therapy and Medication Adherence among Patients taking Warfarin (와파린 복용 환자의 항응고요법에 대한 인식과 약물복용 이행)

  • Chu, Sang-Hui;Kang, Seok-Min;Kim, Do-Ree;Lee, Yoon-Ju
    • Journal of Korean Biological Nursing Science
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    • v.14 no.1
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    • pp.66-75
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    • 2012
  • Purpose: This study was conducted to measure medication adherence and perceptions of anticoagulation therapy and its relationship to patients taking warfarin. Methods: in a cross-sectional survey, 150 patients taking warfarin who had visited an outpatient clinic of a cardiovascular center in Seoul were included as research subjects. Medication adherence was measured using a visual analogue rating scale (VAS). Barriers and attitudes toward adherence, and oral anticoagulation knowledge, were measured using a structured questionnaire. Participants' medical records also were reviewed to identify clinical characteristics. Results: About one third of the participants (30.7%) reported medication adherence as 100%. The major barriers to adherence were identified as "Forgetting the time of medication" and "Not carrying their medication". Overall attitudes toward medication adherence were high, but oral anticoagulation therapy knowledge was low. To determine the relationship of medication adherence and perceptions of anticoagulation therapy, participants were stratified into three groups, based on their medication adherence levels (high adherence, moderate adherence, low adherence). Participants in the high adherent group more likely to be older (OR: 1.04, 95% CI: 1.005-1.071) and to have positive attitudes toward medication adherence (OR: 1.12, 95% CI:1.013-1.229) compared to the other two groups. Conclusion: The results show that age and attitude exerts significant influence on medication adherence in patients taking warfarin.

Clinical Aspects of the Organochlorine Intoxicated Patients (유기염소계 농약 중독 환자 임상 양상)

  • Cho, Jun-Ho;Oh, Bum-Jin;Suh, Joo-Hyun;Kwon, Woon-Yong;Park, Joon-Seok;Eo, Eun-Kyung;Lee, Mi-Jin;Lee, Sung-Woo;Roh, Hyung-Keun;Park, In-Cheol
    • Journal of The Korean Society of Clinical Toxicology
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    • v.5 no.1
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    • pp.15-20
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    • 2007
  • Purpose: To analyze the general characteristics and clinical aspects of the organochlorine intoxicated patients in Korea. Methods: We prospectively evaluated the organochlorine intoxicated patients visiting to the 38 emergency medical centers in Korea from the 1, Aug. 2005 to the 31, Jul. 2006. Results: There were 38 patients intoxicated by the organochlorine during the study periods. The mean age of patients was 55.1 years old. The mean amount of the organochlorine intoxicated is 246.1 mL. The most frequent place where the patients got and took the organochlorine was their home. Twenty eight patients(73.7%) intended to suicide. Nine patients out of 38 patients(23.7%) were died and they all intended to suicide. Conclusion: There were 38 patients intoxicated by the organochlorine during the study periods. The suicidal attempts and the number of the dead were higher in Korea than the developed countries.

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Mother's perceptions and practices of Taegyo, Belief toward Korean Mother-Fetus Interaction (임부의 태교관련 지각, 태교관행 및 태교관점 모-태아상호작용 신념)

  • Han, Kyung-Ja;Kim, Jeong-Soo
    • Korean Parent-Child Health Journal
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    • v.7 no.2
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    • pp.144-159
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    • 2004
  • Purpose: The purpose of this study is to explore mother's perception and practice of Taegyo. In addition, belief factors toward Taegyo oriented Korean mother-fetus interaction are identified in order to obtain baseline data for the development of Taegyo oriented program enhancing mother-fetus interaction. Method: The sample consisted to 186 pregnant women who visited public health center or hospital for prenatal care. Self-reporting questionnaire devised by investigator was used. Data were analyzed by SPSS win program and contents analysis was used. Result: Although mothers intended to a pregnancy, many of them were perceived negatively toward pregnancy. The study revealed that most of pregnant women continued cultural practices related to Taegyo, they focused on mother-fetus interaction behavior-such as listen to the music, reading a book, talk to fetus, stroke the fetus- with being altered traditional beliefs toward Taegyo or Taemong. Most of pregnant women had Taemong and believed a it's predictive functions. Beliefs toward mother-fetus interaction were classified to 6 factors, pregnancy, Taemong. fetus, practice behavior, infant's abilities and mother-fetus interaction behavior. The scores of belief toward mother-fetus interaction and each factors of pregnancy, fetus, practice behavior, infant's ability were statistically significant different depending upon husbands education. Also pregnancy factor in belief toward mother-fetus interaction was statistically significant different depending upon the number of children, child birth, experience of abortion, premature birth. Conclusion: Developing Taegyo oriented program enhancing the mother-fetus interaction need to include the elements of being facilitated maternal identity formation and maternal confidence for the pregnant women. In addition, it should be developed the program concerning with the characteristics of the pregnant women.

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A Study on the Impact of Mastery on Appraisal of Uncertainty in Women Patients with Rheumatoid Arthritis (극복력(Mastery)이 여성 류마티스 관절염 환자가 자각하는 불확실성 인지에 미치는 효과)

  • Yoo, Kyung-Hee
    • Research in Community and Public Health Nursing
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    • v.13 no.2
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    • pp.249-259
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    • 2002
  • Objectives: This study was conducted to investigate the effects of mastery on appraisal of uncertainty in women patients with rheumatoid arthritis. Methods : The study subjects consisted of 168 patients who were recruited from the outpatient clinic of a rheumatic center in Seoul. Self report questionnaires were used to measure the study variables that included uncertainty, mastery, danger appraisal of uncertainty, and opportunity appraisal of uncertainty. Cronbach's alpha reliabilities of these instruments ranged from .72 to .93. For data analysis. the SPSSWIN 10.0 program was utilized to exam descriptive statistics. Pearson's correlation. and regression analysis. Results: The results were as follows.: 1) The uncertainty scores of the subjects ranged from 33 to 87 with the mean score of 63.27. 2) The mastery scores of the subjects ranged from 10 to 27 with a mean score of 18.70. 3) The danger appraisal of uncertainty scores of the subjects ranged from 8 to 32 with a mean score of 20.22. 4) The opportunity appraisal of uncertainty scores of the subjects ranged from 7 to 28 with a mean score of 17.80. 5) Significant factors that explained the danger appraisal of uncertainty were mastery (=-.444. p<.001), and education level (=-.184. p<.05). 6) Significant factor that explained the opportunity appraisal of uncertainty was level of uncertainty (=-.328. p<.001). Conclusion: Among the independent variables. the most significant factor that explained the danger appraisal of uncertainty in the women patients with rheumatoid arthritis was mastery. Therefore, a nursing intervention with strategies to improve sense of mastery should be developed for women patients with rheumatoid arthritis.

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Endovascular Treatment with Intravenous Thrombolysis versus Endovascular Treatment Alone for Acute Anterior Circulation Stroke : A Meta-Analysis of Observational Studies

  • Kim, Chul Ho;Jeon, Jin Pyeong;Kim, Sung-Eun;Choi, Hyuk Jai;Cho, Yong Jun
    • Journal of Korean Neurosurgical Society
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    • v.61 no.4
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    • pp.467-473
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    • 2018
  • Objective : The aim of this study was to determine outcome of ischemic stroke patients in the anterior circulation treated with endovascular treatment (EVT) with intravenous thrombolysis (IVT) versus EVT alone group. Methods : A systemic literature review was performed using online database from January 2004 to January 2017. Primary outcomes were successful recanalization seen on finial angiography and good outcome at three months. Secondary outcomes were mortality and the development of symptomatic intracranial hemorrhage (S-ICH) after the procedure. A fixed effect model was used when heterogeneity was less than 50%. Egger's regression test was used to assess publication bias. Results : Five studies were included for final analysis. Between EVT with IVT and EVT alone group, successful recanalization (odds ratio [OR] 1.467, p=0.216), good clinical outcome at three months (OR 1.199, p=0.385), mortality (OR 0.776, p=0.371), and S-ICH (OR 1.820, p=0.280) did not differ significantly. Egger's regression intercept with 95% confidence interval (CI) was 1.99 (95% CI -2.91 to 6.89) in successful recanalization and -0.27 (95% CI -6.35 to 5.80) in good clinical outcome, respectively. Conclusion : The two treatment modalities, EVT with IVT and EVT alone, could be comparable in treating acute anterior circulation stroke. Studies to find specific beneficiary group for EVT alone, without primary IVT, are needed further.

An Introduction to the Expansion Plan of the Underground Repository of Low- and Intermediate-level Radioactive Waste In Forsmark, Sweden (스웨덴 포쉬마크 중저준위 방사성 폐기물 지하 처분장 확장 계획 소개)

  • Kwon, Saeha;Min, Ki-Bok;Stephansson, Ove
    • Tunnel and Underground Space
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    • v.26 no.5
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    • pp.339-347
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    • 2016
  • The world's first underground repository for low- and intermediate- level radioactive waste (SFR1) has been in operation since 1988. SFR1 can accommodate $1,000m^3$ of radioactive waste per year with 4 chambers and 1 silo with a total capacity of $63,000m^3$ of radioactive waste. With extended operation time of 10 of the 12 nuclear power reactors and dismantling of the other 2 nuclear reactors, more nuclear waste need to be disposed in the future. Therefore, Swedish Nuclear Fuel and Waste Management Company (SKB) submitted a license application for a repository extension (SFR3) that consists of 6 additional rock chambers with a capacity of $108,000m^3$ of radioactive waste and for accommodating 9 boiling water reactor tanks. In this study, plans for the extension SFR3 are presented with the geological, geomechanical and hydrogeological issues to be considered.

Research on the technical development by the CAD/CAM System (CAD/CAM시스템을 이용한 기술개발에 대한 연구 (워엄기어 개발을 중심으로))

  • Jeong, Seon-Mo
    • Journal of the Korean Society for Precision Engineering
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    • v.3 no.3
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    • pp.40-71
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    • 1986
  • By developing a computer program for the systematic design of worm gears, the design formulae and tables of AGMA, JGMA, BS and DIN are analized and compared. The computer program can be used on micro-computers. According to the input data of the reduction ratio, the center distance. the driving torque and the material as design parameters, the program calculate the most efficient worm gear dimension. The variation of the design parameters and other empirical coefficients in case of resulting an inadequate design gear dimension can be easily modified throuth the way of interactive method between the user and the monitoring system of computer. A proposal of the standardization of worm gears was made in which a standard module according to the DIN 323 standard series number was applied. For the more exact and effective calculation of the stress concentration and the deformation of gear teeth, a computer program using the boundary element method is also developed. Even the strength of the special gear shape such as Niemann's "Cavex" gear can be calculated in a short CPU-time. The most effort of this study has been layed on the developing a computer program for the correction of a tooth profile and face width which is most important design factor for an exact and wide teeth contacts under loads, especially by great and wide gears. For this purpose were investigated the tooth stiffness, the mesh interferences and the kinematics and the dynamics of gear mesh. The deflection and the deformation of the gear shaft due to the loads acting on gear and shaft were aslo considered. Some examples have shown the sufficient good status of teeth contact in which the correction of the tooth profile and face width were accomplished due to the calculated results.d results.

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The Change of Blood Flow Velocity of Radial Artery after Linear Polarized Infrared Light Radiation near the Stellate Ganglion: Comparing with the Stellate Ganglion Block (성상신경절 부위의 직선편광 근적외선 조사 후 요골동맥에서의 혈류속도의 변화: 성상신경절 차단술과의 비교)

  • Han, Soung-Moon;Lee, Sang-Chul
    • The Korean Journal of Pain
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    • v.14 no.1
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    • pp.37-40
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    • 2001
  • Background: It had been reported by authors that linear polarized infrared light radiation (Superizer: SL) near the stellate ganglion had a similar effect on the change of skin temperature of hand compared with the stellate ganglion block (SGB). We hypothesized that this was due to dilatation of vessels and an increased blood flow. The aim of this study was to measure the velocity of blood flow in peripheral vessels after linear polarized infrared light radiation near the stellate ganglion and to compare the effect of SL with that of SGB using local anesthetics. Methods: Forty patients whose clinical criteria were matched for the symptoms of SGB were selected for study. We radiated the stellate ganglion by linear polarized infrared light radiation and measured the blood flow of radial artery using Ultrasound Doppler blood flow meter before and after 10, 20 and 30 minutes post-radiation. After 3 days, SGB was performed using 8 ml of 1% mepivacaine to the same patient, and the radial artery blood flow was measured in the same manner. Results: The blood flow velocity was increased by 40% and 27% at 10 min and 20 min after SL and by 42% and 41% at 10 min and 20 min after SGB. However, there was no statistically significant difference in blood flow velocity between SGL and SGB. Conclusions: We could conclude that linear polarized radiation is a clinically simple and useful noninvasive therapeutic tool in clinical area.

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