• Women's Health Nursing
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• v.6 no.2
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• pp.234-257
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• 2000

At present in the medical care, the study and effort for producing health service to consider efficiency, effectiveness, and quality are urgently called for because of the difficulty in the keen competition according to the inter- nationalization and opening, the operation in the medical institution service testing system, the change in the medical policy of KDRGs, and the lack of the health care cost increasing rate. As an alternative, the case management for the new management system is introduced in the U.S., and the Critical Pathway that is the method designing the contents of activity and its result has been developed and applied in order to anticipate and manage the patient-outcome for the realization of the cost-effective case-management. Thus, this study intended to analyze the effectiveness to obtain by developing the Critical Pathway presented as the method to improve the quality-betterment and cost effectiveness through the continuous and consistent patient management for the hysterectomy patient and applying it to the real practice. As a study method, this author formed a conceptual framework through considering five Critical Pathway used in the current U.S. and three Critical Pathway presented in the literature to develop the Critical Pathway for the hysterectomy patient, and made out the preliminary Critical Pathway through reviewing the old chart. This author made the verified the validity of the expert group about the developed Critical Pathway, and to confirm the possibility of practice application, completed and settled the final Critical Pathway after using the Critical Pathway to the hysterectomy patient from March 1st to 15th, 1997. Finally, to analyze the application-effect of the developed Critical Pathway, this author offered health care service applying the Critical Pathway to the hysterectomy patient from April 15th to August 31th, 1997. The guide for the Critical Pathway was carried out in advance by outpatient setting nurse for outpatient setting visit before the operation, and after hospitalization the primary nurse monitored the execution degree on the every duty. After discharge this author surveyed the complication through phone visiting, and one month after discharge surveyed the patient's reaction about the offered service when outpatient setting visit and analyzed the result. The source for health care cost was obtained by the statistics about the hospital charge which was offered by the General Business Department. The results were as follows. 1. It was decided that the vertical line of the Critical Pathway was made up of eight items such as monitoring/assessment, treatment, line/drains, activity, medication, lab test, diet, patient teaching, and the horizontal line of the Critical Pathway was made up of from hospitalization to discharge. 2. After the analysis of service contents through reviewing the old chart, it was decided that the horizontal line of the preliminary Critical Pathway was made up of from hopitalization to fourth postoperative day, and the vertical line of it was divided into eight items which were the contents to occur with the time frame of the horizontal line. 3. After the verifying the validity of the expert group about the preliminary Critical Pathway, the horizontal line was amended from hopitalization to third postoperative day, and taking their consensus, some contents of the horizontal line was amended and deleted. 4. From March 1st to 15th, 1997, to confirm the clinical suitability, this author offered eight hysterectomy patients the medical service through the Critical Pathway. The result was that three of them could be discharged at the expected discharge day, and the others later than that day. Supplementing the preliminary Critical Pathway through analyzing the cause of that delay- case, this author developed the final Critical Pathway. 5. There were no significant differences between the experimental and the control group in the incidence of complication(P > 0.05). 6. The 92.4% of experimental group was satisfied with the Critical Pathway service. 7. The length of hospital stay of the experimental group offered with the Critical Pathway service was 4.6 days and there was a significant difference that it was 1.3 days shorter than that of the control group(t=-29.514, P=0.000). 8. There wsa a significant difference that the mean medical charge per one patient of the experimental group offered the Critical Pathway service was cheaper \124,150 than that of the control group(t=-9.826, P=0.000). 9. The result that the author assumed and analyzed hospital income with the rate of turning bed was assumed that the increase of hospital income was \63,245,072 for that study, and the income increase was expected with \68,704,864 for a year. The result that this author applied the Critical Pathway to the hysterectomy patient have no differences in the incidence of complication, high satisfaction with that service, and the length of hospital stay decreased in the experimental group, and the mean hospital charge per one patient decreased, but hospital income increased. Suggestions for further study and nursing practice are as follows. 1. The study to apply the Critical Pathway for a year, verify the validity, and measure the effect repeatedly is needed. 2. To apply and manage the Critical Pathway effectively, the study to computerize it is needed. 3. The study to develop hospital-based Critical Pathway about other diseases or procedure, and measure the effect is needed.

• Horticultural Science & Technology
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• v.35 no.2
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• pp.170-177
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• 2017

This study was conducted to estimate the light pollution damage caused by night-break lighting in 'Kyoho' grapes. Night irradiation was performed every night for four hours (10 p.m. to 2 a.m.) from the full bloom to the harvest stage using red, blue, and white lamps as artificial light. Fruit yield, soluble solid content, anthocyanin content, and chlorophyll a content were affected by night irradiation. The soluble solid content of the control was $17.5^{\circ}Brix$, approximately $1^{\circ}Brix$ higher than the red ($16.4^{\circ}Brix$), blue ($16.2^{\circ}Brix$), and white light treated grapes ($16.3^{\circ}Brix$). The anthocyanin content of the skin was also higher in the control at $4.08{\mu}g{\cdot}cm^{-2}$ compared to the red ($3.14{\mu}g{\cdot}cm^{-2}$), blue ($2.47{\mu}g{\cdot}cm^{-2}$), and white ($2.82{\mu}g{\cdot}cm^{-2}$) light treated samples. On the other hand, the chlorophyll a content of the control was the lowest at $0.268{\mu}g{\cdot}cm^{-2}$ as compared with the red ($0.339{\mu}g{\cdot}cm^{-2}$), blue ($0.345{\mu}g{\cdot}cm^{-2}$), and white ($0.372{\mu}g{\cdot}cm^{-2}$) light treated samples. Considering that higher soluble solid contents, higher accumulation of anthocyanin, and lower chlorophyll a contents are factors involved in fruit maturation, night irradiation may delay fruit maturation and red light treatment may result in decreased yield. Our results confirmed that night-break lighting regardless of the wavelength provoked light pollution in 'Kyoho' grapes. Therefore, fruit maturation may be poor in the presence of artificial light, including streetlamps, in neighboring vineyards.

• Food Science of Animal Resources
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• v.29 no.2
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• pp.168-177
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• 2009

This study was conducted to investigate the dietary effects of locally grown herbs (Mentha piperascens, PM; Rubus coreanus, RC; Tagetes patula, MG) on the growth performance and meat quality of broiler chicken. A total of 600 1-d-old Ross male broiler chicks were divided into eight groups and were fed control diets (antibiotics-medicated or non-medicated commercial diets) or experimental diets (non-medicated diets containing 0.3 or 0.5% PM, 0.3 or 0.5% RC, or 0.3 or 0.5% MG) for 5wk. The body weight gains and feed conversion rates (FCRs) in all the groups that were fed diets containing PM, RC, or MG were significantly improved compared to those in the non-medicated control group (p<0.05). The relative weights of various organs, the serum cholesterol levels, and the GOT/GPT activities in all the groups were also not significantly different. The superoxide dismutase (SOD)-like activities in the groups that were fed diets containing 0.3% PM or 0.3% MG were significantly increased compared to those in the non-medicated control group (p<0.05). The number of cecal lactic-acid bacteria in the groups that were fed diets containing 0.3% PM or 0.5% RC tended to increase. The malondialdehyde contents in the leg muscles were significantly lowered by feeding with PM or MG (p<0.05). The physicochemical properties of the edible meat, including the shear force, water-holding capacity, heat loss, pH, and muscle color degrees $(CIEL^*.\;a^*.\;b^*)$, were not affected by the dietary treatments. It has been suggested that spontaneous Korean plants promote the growth of broilers and may delay lipid oxidation in edible muscles without any negative effect when added in broiler diets.

• Journal of Dental Rehabilitation and Applied Science
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• v.28 no.1
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• pp.67-78
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• 2012

The purpose of this study was to determine whether there were differences in shear bond strength to human dentin using IDS technique compared with DDS. Forty freshly extracted human molars were and devided into 4 groups. The control group specimens were, on the morrow of tooth preparation, light-cured after application of dentin bonding agent and cemented with resin cement. The IDS/SE(immediate dentin sealing, Clearfil$^{TM}$ SE Bond) and IDS/SB (immediate dentin sealing, Adapter$^{TM}$ Single Bond 2) specimens were, on the morrow of tooth preparation, light-cured after application of dentin bonding agent(Clearfil$^{TM}$ SE Bond and Adapter$^{TM}$ Sing Bond 2, respectively), whereas DDS specimens were not treated with any dentin bonding agent. IDS/SE, IDS/SB and DDS specimens were thermocycled. Following that delay, specimens were cemented with resin cement. The dentin bonding agent was left unpolymerized until the application of porcelain restoration. Shear bond strengths were measured using a universal testing machine. Specimens also were evaluated for mode of fracture using an optical microscope. The mean shear bond strengths of control group and IDS/SE groups were not statistically different from one another. The bond strength of IDS/SE group had a significantly higher mean than that of DDS group. There was no significant difference in the mean shear bond strength between IDS/SB(4.11MPa) and DDS group. The evaluation of failure modes indicates that most failures in the control group and IDS/SE groups were mixed, whereas failures in the DDS group were interfacial. When preparing teeth for indirect ceramic restoration, IDS with Clearfil$^{TM}$ SE Bond results in improved shear bond strength compared with DDS.

• Journal of Bio-Environment Control
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• v.20 no.4
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• pp.326-332
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• 2011

The growth and bolting characteristics of spring Chinese cabbage cultivars at two night-time temperature treatments such as $5^{\circ}C$ and $10^{\circ}C$ during seedling stage were investigated to establish a safe environmental management strategy for raising seedlings. The low night-time temperature treatments were applied at 5, 10, and 15 days after sawing and the treatment durations were 5, 10, and 15 days in each of treatment beginning. The growth of seedlings in all the tested cultivars were linearly reduced as the treatment duration was extended and no symptoms of bolting were found. The reduction rate in seedling growth of 'Chunkwang' reached to 59.3% at most by 15 days of $5^{\circ}C$ treatment when it be compared to that of control. However, no symptoms of bolting were shown in the treatments of two night-time temperatures until the harvest at 90 days after sawing, indicating that the vernalization effect by low night-time temperature could be mitigated by subsequent day-time optimal temperature management. This study showed that the major spring Chinese cabbage cultivars require more ultimate level of low night-time temperature treatment for the vernalization than this study. It is also supposed that the optimal day-time temperature management can reduce or delay the rate of bolting, even if the seedlings were exposed to short-term low temperature below $5^{\circ}C$ during night-time.

• 한국노년학
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• v.38 no.1
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• pp.83-102
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• 2018

According to socioemotional selectivity theory, if people perceive their time left in life as expanded, they have a future-oriented goal of life, but if perceive as limited the goal of life is changed into the pursuit of present emotional satisfaction. Thus, if we perceive our time left as getting limited as we get older, we pay more attention to the positive stimuli than the negative ones and remember more the positive stimuli in order to maintain the current emotional state as positive. This is known as the positivity effect. This study examined whether the positivity effect is caused by a limited future time perspective. The participants were presented with scenarios for hypothetical situations in which the future time was expanded or limited, and were encouraged to immerse in the virtual situation by talking about what they would like to do and whom they wanted to spend time with. Then the participants were presented with 48 positive, negative, and neutral emotional pictures and were asked to recall after 10 minutes delay. 75 university students and 65 elderly participated in the study. In the control condition where the future time perspective was not manipulated, the elderly showed the positivity effect but the youth showed the bias toward negative pictures. The elderly in the expanded time condition recalled positive pictures less and negative pictures more than the elderly in the control condition. On the other hand, the youth in the limited time condition recalled less the negative pictures than the youth in the control condition. These results demonstrated that the elderly did not show the positive bias when the future time perspective was expanded, and that the youth showed the positive bias when the future time perspective was limited. These results show that the positivity effect is related with the limited future time perspective.

• Journal of Korean Academy of Nursing Administration
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• v.1 no.2
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• pp.388-407
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• 1995

This study is (a) to describe the history of Total Quality Management (TQM) generated in the industry, health care service, and nursing society ; (b) to define the concept, total quality management including the definition of quality ; (C) to explain the each principle of TQM theory developed by main theorists, E. Deming, J. Juran, and B. Crosby ; (d) to give the examples related to TQM implementation at the health care organization ; and (e) to mention the extent to which the health care organizations are able to evaluate their cultural organization toward TQM and have had the way to measure the effect of TQM implementation. TQM referred to Continuous Quality Improvement(CQI), Quality Improvement(QI), and Total Quality Improvement(TQI), was not recognized by experts in the United States industry, but by economists in Japan until the end of the 1970's. However, the United States' government led to introduce the principles of TQM to general industry as well as health care service area so that TQM became a main philosophy to manage the organizations in health care service. TQM is a structured, systematic process for creating organization-wide participation in planning and implementing continuous improvement in quality. E. Deming established the "Chain reaction in Quality" and the fourteen point of TQM. The Chain reaction in quality is to describe the relationship among the reduction of waste, rework, and delay, quality improvement, customer satisfaction, and productivity. There are fourteen points to explain the principles of TQM by E. Deming. Juran defined the "Quality Trilogy" to improve the level of quality in any organization. Quality Trilogy has three steps such as quality planning, quality control, and quality improvement for implementing the TQM projects. Crosby describes his TQM theory by establishing "Four Absolutes" and "Fourteen steps in TQM" implementation. Until now, most healthcare organizations have made efforts to organize the TQM task team and to implement TQM principles with various issues. There are three priorities to select the TQM issues : High-volume, High-risk, and Problem-prone. However, there is no absolute, credible measurement yet to evaluate the effects of TQM implementation in health care organization regardless of the classification of health care organizations, geographical background, and social influence. Thus, developing the evaluation way in terms of TQM is the foremost task in health service area. The most important thing for TQM implementation in the organization is to settle up the concept, cultural transformation from traditional management toward quality.

• Explosives and Blasting
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• v.30 no.2
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• pp.86-97
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• 2012

Ground vibration induced by a bench blasting in the construction site should cause the damage to the structure and indirect damage to a human body, and the vibration level is most practical descriptor for regulating the damage to human body and peak particle velocity is the descriptor for direct damage assesment of the structure. Meantime, the vibration level has not been considered for the blasting design but this study is the case that apply not only peak particle velocity but also vibration level on the blasting design. Also, we strongly believe that this study will be helpful for the management in the blasting site which some civil appeal is concerned. Total 232 measurements of both ppv and vibration level was used to estimate the scale distance. When the regulating threshold was ppv 0.3 cm/s and vibration level 75 decibel, the charge per delay to be estimated with vibration level could be recommended by 1.2~1.4 times than it of ppv. So, it is proven that considering vibration level on the blasting design is reasonable for not only prevention of the civil appeals but also effective blasting. Again, the blasting design which follows the law, "Noise and Vibration Control Act" can actually serve good condition to carry much more economical and effective blasting. The instruments used for this study are the SV-1 model, as first instrument in korea which can measure vibration velocity and vibration level at the same time.

• 제어로봇시스템학회:학술대회논문집
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• 2004.08a
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• pp.777-781
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• 2004

This paper presents an algorithm for multichannel slotted-ring topology medium access protocol (MAC) using in wavelength division multiplexing (WDM) networks. In multichannel ring, there are two main previously proposed architectures: Tunable Transmitter - Fixed Receiver (TTFR) and Fixed Transmitter - Tunable Receivers (FTTR). With TTFR, nodes can only receive packets on a fixed wavelength and can send packets on any wavelengths related to destination of packets. Disadvantage of this architecture is required as many wavelengths as there are nodes in the network. This is clearly a scalability limitation. In contrast, FTTR architecture has advantage that the number of nodes can be much larger than the number of wavelength. Source nodes send packet on a fixed channel (or wavelength) and destination nodes can received packets on any wavelength. If there are fewer wavelengths than there are nodes in the network, the nodes will also have to share all the wavelengths available for transmission. However the fixed wavelength approach of TTFR and FTTR bring low network utilization. Because source node with waiting data have to wait for an incoming empty slot on corresponding wavelength. Therefore this paper presents Tunable Transmitter - Tunable Receiver (TTTR) approach, in which the transmitting node can send a packet over any wavelengths and the receiving node can receive a packet from any wavelengths. Moreover, the self-similar distributed input traffic is used for evaluation of the performance of the proposed algorithm. The self-similar traffic performs better performance over long duration than short duration of the Poison distribution. In order to increase bandwidth efficiency, the Destination Stripping approach is used to mark the slot which has already reached the desired destination as an empty slot immediately at the destination node, so the slot does not need to go back to the source node to be marked as an empty slot as in the Source Stripping approach. MATLAB simulator is used to evaluate performance of FTTR, TTFR, and TTTR over 4 and 16 nodes ring network. From the simulation result, it is clear that the proposed algorithm overcomes higher network utilization and average throughput per node, and reduces the average queuing delay. With future works, mathematical analysis of those algorithms will be the main research topic.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.40 no.11
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• pp.2218-2229
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• 2015

Recently Wi-Fi Alliance defined Wi-Fi direct, which can communicate through a direct connection between the mobile device anytime, anywhere. In Wi-Fi direct, all devices are categorized by group of owner (GO) and client. Since portability is emphasized in Wi-Fi direct devices, it is essential to control the energy consumption of a device very efficiently. In order to avoid unnecessary power consumed by GO, Wi-Fi direct standard defines two power management schemes: Opportunistic power saving scheme and Notice Of Absence (NOA) scheme. But, these two schemes do not consider the traffic pattern, so we cannot expect high energy efficiency. In this paper, we suggest an algorithm to enhance the energy efficiency of Wi-Fi direct power saving, considering the characteristics of multimedia video traffic. Proposed algorithm utilizes the statistical distribution for the size of video frames and adjusts the length of awake interval dynamically. Also, considering the inter-dependency among video frames, the proposed algorithm assigns priorities to video frames and ensures that a video frame with high priority is transmitted with higher probability than other frames with low priority. Simulation results shows that the proposed method outperforms the traditional NOA in terms with average delay and energy efficiency.