• Human Ecology Research
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• v.56 no.4
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• pp.347-360
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• 2018

We surveyed 223 road workers between 2017 July-August about wearing and satisfaction in order to find basic data to develop safety clothing that enhances visibility of motion and comfort while meeting international standards. It was found that most of the current warning clothing owned by road cleaners and about 2/3 of policemen clothes were provided by public institutions. The purpose of wearing, color, properties, satisfaction and protectiveness differed significantly by occupation. Second, the most popular response for the type and quantity of warning clothing was 2 sets of spring/autumn, summer, and winter type for road cleaners, whereas policemen chose 2 sets of all types plus a safety vest. Therefore, a top-level (3rd class) warning clothing study is required. Third, satisfaction ranked Moderate>Good>Poor; in addition, the main reason for satisfaction was that 'retroreflective tape increases safety at night (54.4%)' for road cleaners and 'the fluorescent color stands out (43.7%)' for policemen. Thus, it was accepted that visibility contributed to safety. Fourth, body-protectiveness was evaluated higher compared to wearing satisfaction, and it was recognized more by road cleaners than policemen. Overall satisfaction was higher for road cleaners versus policemen both in Seoul than Incheon. Fifth, the main dissatisfaction in both groups was 'low sweat absorbency' showing improving the air permeability, moisture regain and permeability was the highest priority. Finally, those working 8 hours a day tended to evaluate more positively the 6 properties of the material.

• Journal of muscle and joint health
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• v.11 no.2
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• pp.136-152
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• 2004

Purpose: The purpose of this study was to summarize trends and status of nursing research utilizing experimental designs in the Journal of Rheumatology Health over the past 10 years. Method: The Journal of Rheumatology Health published 37 experimental research articles between 1994 and 2004. These articles were included in a retrospective descriptive analysis. A checklist was utilized for data collection. Results: Qoasi-experimental researches were more frequent than pre-experimental research, but there were 8 research studies which had no hypothesis. The most frequently used nursing interventions were exercise/movement, and cognitive, followed by sensitive, and social interventions. There were very few research studies that used random assignment for internal validity. The rate of effectiveness of self-help interventions was lower than socio-psychological, cognitive, or motor-physical interventions. There was no research regarding families of patients with rheumatoid disease. Conclusion: Rigorous experimental research design is needed for internal and external validity in future research. Generalizing the effects of nursing interventions that are the results of rigorous experimental designs will contribute to promote the quality of life of patients with rheumatism and their families.

• The Journal of the Korea Contents Association
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• v.10 no.2
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• pp.35-42
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• 2010

The increasing regular medical check up rate for early diagnosis in disease has increasing sleep endoscopy rate because of reduction with discomfort. The purpose of this study was to determine the number of recovery bed as increasing sleep endoscopy rate using check up time, waiting time & recovery time at a general hospital in Seoul. This study was analyzed using ARENA 10.0 program. At present and as increasing of sleep endoscopy rate 10%, 20% was increased recovery time, waiting time & the rate of bed inflection. So at present, the number of recovery bed has to increase for client's safety and as increasing of sleep endoscopy rate 10%, 20% has to increase 3 and then waiting time decreased in 2 minutes.

• BMB Reports
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• v.45 no.1
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• pp.51-56
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• 2012

The purpose of this study was to determine the effects of duration and timing of glucocorticoid treatment on the expansion and differentiation of porcine neonatal pancreas cell clusters (NPCCs) into ${\beta}$-cells. After transplantation of NPCCs, the ductal cyst area and ${\beta}$-cell mass in the grafts both showed positive and negative correlations with duration of dexamethasone (Dx) treatment. Pdx-1 and HNF-3${\beta}$ gene expression was significantly downregulated following Dx treatment, whereas PGC-1${\alpha}$ expression increased. Pancreatic duct cell apoptosis significantly increased following Dx treatment, whereas proliferation did not change. Altogether, transdifferentiation of porcine NPCCs into ${\beta}$-cells was influenced by the duration of Dx treatment, which might have been due to the suppression of key pancreatic transcription factors. PGC-1${\alpha}$ plays an important role in the expansion and transdifferentiation of porcine NPCCs, and the initial 2 weeks following transplantation of porcine NPCCs is a critical period in determining the final ${\beta}$-cell mass in grafts.

• Journal of muscle and joint health
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• v.26 no.3
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• pp.290-306
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• 2019

Purpose: This study aimed to describe the experiences of health-care providers about advanced practice nurses (APNs) focusing on the perspectives of physicians and APNs in Korea. Methods: Qualitative data were collected with snowball sampling. Six physicians and 13 APNs participated in this study through in-depth interviews or a focus-group interview. Qualitative content analysis was employed. Results: Three themes and seven categories were emerged. Three themes were 1) challenging start and attempts to settle down on unfamiliar system, 2) being positioned as an APN at clinical settings, 3) long journey for social recognition and legal institutionalization of APNs' role. Seven categories were 1) challenges to new area, 2) introduction and conflict of APN system, 3) driving force for stepping toward becoming APNs, 4) dedication and commitment to role development, 5) efforts to prove APNs' competency, 6) approaches to guarantee legal APNs' activities, and 7) filling the gap in health-care service. Conclusion: The findings suggest that health-care providers who have collaborated with APNs are aware of the needs to operate APN system more stably through the legislation of APNs' scope of practices. Further research is needed to provide the evidences of APNs' practice outcomes such as health care quality, patient safety, reduction of medical expenses, etc.

• Journal of the Korean Society for Precision Engineering
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• v.32 no.6
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• pp.517-521
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• 2015

Recent development of core techniques the IT electronics industry can condense into lightweight and slimmer. In this circumstance, researches for the lightweight materials and subminiature screw have been attracted. In this study, the CFRP was produced by stacking angle to obtain the tensile properties. And Comparing the coated screws and non-coated screws on the specimen, and evaluating the adequacy for the application of CFRP using the result. So The clamping force measured by comparison evaluation. Low screw reverse and Superior torque value at each stacking angle were found the optimum conditions, when Subminiature Screw is applied on smart devices. Both tensile strength and stiffness of $[{\pm}0^{\circ}]_{10}$ is the highest. Followed by $[90^{\circ}/0^{\circ}]_{10}$ is the highest. The largest clamping torque is $[90^{\circ}/0^{\circ}]_{10}$ When Subminiature Screw is applied coating and non-coating to prevent loosening. Based on the above, Subminiature Screw should be applied in smart devices, because $[90^{\circ}/0^{\circ}]_{10}$ meet both tensile properties and clamping force.

• Journal of Preventive Medicine and Public Health
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• v.48 no.5
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• pp.239-248
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• 2015

Objectives: The purpose of this study was to assess the inter-rater reliability and intra-rater reliability of medical record review for the detection of hospital adverse events. Methods: We conducted two stages retrospective medical records review of a random sample of 96 patients from one acute-care general hospital. The first stage was an explicit patient record review by two nurses to detect the presence of 41 screening criteria (SC). The second stage was an implicit structured review by two physicians to identify the occurrence of adverse events from the positive cases on the SC. The inter-rater reliability of two nurses and that of two physicians were assessed. The intra-rater reliability was also evaluated by using test-retest method at approximately two weeks later. Results: In 84.2% of the patient medical records, the nurses agreed as to the necessity for the second stage review (kappa, 0.68; 95% confidence interval [CI], 0.54 to 0.83). In 93.0% of the patient medical records screened by nurses, the physicians agreed about the absence or presence of adverse events (kappa, 0.71; 95% CI, 0.44 to 0.97). When assessing intra-rater reliability, the kappa indices of two nurses were 0.54 (95% CI, 0.31 to 0.77) and 0.67 (95% CI, 0.47 to 0.87), whereas those of two physicians were 0.87 (95% CI, 0.62 to 1.00) and 0.37 (95% CI, -0.16 to 0.89). Conclusions: In this study, the medical record review for detecting adverse events showed intermediate to good level of inter-rater and intra-rater reliability. Well organized training program for reviewers and clearly defining SC are required to get more reliable results in the hospital adverse event study.

• Archives of Plastic Surgery
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• v.38 no.1
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• pp.89-92
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• 2011

Purpose: Electrical burn of scalp is uncommon. Much more, chronically exposed dura in unstable burn scar is quite exceptional. Hence, we report a case of chronically exposed dura following electrical burn. Methods: A 63-year-old man presented with an about 40 years history of an ulcerative lesion arising from electrical burn scar with 'squeeze like sensation' around wound. Wound was about $6{\times}8$ cm. Area in the center was $3{\times}3$ cm nonviable dura without sequestrum. Tangential excision with an intraoperative neurosurgical consultation and transposition flap under general anesthesia was done. Intraoperative biopsy was done. The wound was diagnosed as chronic osteomyelitis, not Marjolin ulcer. Flap was taken successfully. But after 5 days, infectious discharge had been appeared during 2 weeks, despite irrigation and drainage. As flap was re-evaluated, we could see remnant necrotic dura. After that, latissimus dorsi muscle free flap with meshed split thickness skin graft was transferred without excision of necrotic dura. Results: Flap was taken successfully. Follow-up at 10 weeks has been uneventful, with good and stable coverage of the wound. Conclusion: It is true that complete excision of devitalized tissue with sagittal sinus obliteration is prerequisite to flap taken. But necrotic dura was tangentially excised instead of total dura excision, because, posterior two-thirds of the sagittal sinus was involved underneath. Muscle is rich in blood vessels and decrease the recipient-site bacterial count effectively. In this case, muscle flap with skin graft without total dura excision is an alternative treatment.

• Korean Journal of Adult Nursing
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• v.15 no.4
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• pp.531-541
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• 2003

Purpose: The purpose of the study was to explore how hospital nurses decide to quit working as professional nurses using the grounded theory method. Method: The data was collected by individual in-depth interviews with 12 hospital nurses who recently resigned from work and it was analyzed using 'constant comparative analysis.' Result: The core category that emerged was "in search of new balance with self, work, and family". Three stages were identified: 1) "unconditionally accepting the working situation of itself," 2) "weighing advantages and disadvantages of working as a hospital nurse", and 3) "redesigning a future". Each stage contains three major strategies. The major strategies of the first stage are "maintaining a learning attitude", "enduring physical burnout," and "enduring unfair interpersonal relationships". The second stage contains "identifying advantages of working", "identifying disadvantages of working", and "comparing the advantages with the disadvantages". Lastly, the third stage includes "reassessing the aim of life", "beginning to construct an alternative life", and "deciding to quit working at a certain point". Conclusion: The results of the study will help nursing administrators in designing and implementing an effective turnover prevention program for nurses by understanding more deeply the process of turnover phenomenon among hospital nurses.

• Archives of Pharmacal Research
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• v.21 no.3
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• pp.253-259
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• 1998

In this study, we developed immunoassay methods for the more convenient and effective detection of rat tracheal mucin and the results were compared with those of [$3^H$]glucosamine based gel-filtratioh method. A monoclonal anti-rat tracheal mucin antibody, mAbRT03, which specifically recognizes rat tracheal mucins, was used throughout in this study. To induce mucin secretion, varying concentrations of ATP (0-2 mM) were applied to the primary rat tracheal surface epithelial (RTSE) cell culture which had been metabolically radiolabeled with [$3^H$]glucosamine and the secretion of mucin was analyzed both by the immunoassay and the gel-filtration chromatography methods. For the immunoassay, the following two procedures were employed. 1) Simple ELISA; the culture spent media were directly coated onto the assay plate and the immunoreactivity with mAbRT03 was assessed from the standard curve generated with the purified rat mucin. 2) Inhibition ELISA; A known amount of the purified rat mucin was coated onto the assay plate and then ATP-stimulated culture spent media were added to inhibit the immunorelitivity with mAbRT03. The contents of mucin in the sample were calculated from the standard inhibition curve which was generated with the purified rat mucin. The assay results obtained from the immunoassays were identical with those from the gel-filtration methods. The present result indicates that ELISA can be substituted for the laborious, time-consuming gel-filtration assay in studying the regulation of airway mucin release from cultured airway epithelial cells.