• Journal of Oral Medicine and Pain
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• v.30 no.2
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• pp.257-268
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• 2005

It is recently suggested in Korea that Resource-Based Relative Value Scale (RBRVS) is an alternative plan of Korean Dental Fee Schedule which has been operated on a fee-for-service basis since the introduction of the national health insurance program in 1977. RBRVS applicable to diagnosis and treatment for temporomandibular disorders (TMD), a common cause of orofacial pain, is needed to be estimated in Korea and the establishment of the standard terminology of dental procedures for TMD should be preceded. The purposes of this study were to develop a new classification system of health care service items for TMD and to investigate time needed for each item, which enables RBRVS to be estimated prior to establishment the payment system of health care services for TMD. The dental service items for TMD in this study were categorized through Delphi process which 10 TMD specialists were participated in and the time needed for each service item was investigated by work sampling and time study method with a stopwatch. The results of this study demonstrated the new classification system of dental services for TMD comprising 151 service items and exhibited the average time for each items ranging from 7.22 min for cold laser therapy to 171.71 min for direct fabrication of anterior repositioning splint. Conclusively, it is suggested that the classification system for TMD developed in this study, considering specific characteristics on basis of resources for health care service of dental procedures, should be helpful to estimate payment level for each service item.

• Journal of Periodontal and Implant Science
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• v.26 no.2
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• pp.511-521
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• 1996

Periodontal pocket is one of the most frequently developed clinical feature on the teeth with periodontal disease. In order to determine the gingival curettage effect of intrapocket irradiation of a pulsed Nd : YAG laser on periodontally involved teeth, bilateral 60 teeth with $4{\sim}6mm$ in probing pocket depth 1 week after supragingival scaling were selected. On half of them the intrapocket irradiation($300{\mu}m$ fiber optic, 1.5W power, for 2min.) of a pulsed-Nd : YAG laser(EL.EN.EN06O, Italy) was applied as the lased group. On the contralateral 30 teeth the subgingival curettage was accomplished by Gracey curettes as the curattage group. The periodontal pocket tissues were surgically excised by the modified Widman flap technique immediately after the intrapocket irradiation or subgingival curettage, subsequently fixed with 10% neutral formalin, sectioned in $4{\sim}6{\mu}m$ thickness, and stained with hematoxylin-eosin. Surface characteristics and incomplete removal of the pocket epithelium were evaluated under light microscope. And the difference between the lased group and the curettage group was statistically analyzed by Chi-square test in Microstat program. The results were as follows ; 1. The plane surface was observed more frequently in the curettage group(73.3%) than in the lased group(23.3%), and the rough surface was observed more frequently in the lased grOoup(63.3%) than in the curettage group(6.7%)(p<0.05). 2. The rate of incomplete removal of the pocket epithelium was relatively high in both the lased group(76.6%) and the curettage group(86.6%), and there was no significant difference between the lased group and the curettage group(p>0.l). The results suggest that the further studies including various power control of laser should be succeeded in order to obtain more favorable results by the intrapocket irradiation of a pulsed Nd:YAG laser than the subgingival curettage with Gracey curettes.

• Journal of Radiation Protection and Research
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• v.37 no.3
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• pp.116-122
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• 2012

A short-term atmospheric dispersion factor (${\chi}/Q$) is an essential element for radiological dose assessment following a hypothetical accidental releases of light-water nuclear power plants. The U. S. NRC developed PAVAN program to comply with the U. S. NRC's Regulatory Guide 1.145. Meteorological data is an essential element for atmospheric dispersion, and PAVAN uses a joint frequency distribution data, which represents the occurrence probability of wind speed and wind direction for atmospheric stability. Using the meteorological data measured at Kori and Wolsung sites for the last 5 years (from 2006 to 2010), a variety of joint frequency distribution data were prepared to evaluate ${\chi}/Q$ values with different wind speed classifications (U. S. NRC's recommendation and even distribution of occurrence probability) and periods of meteorological data to be analyzed (1 year, 2 year, 3 year, 4 year, 5 year). As a result, it was found that the influence of the wind speed classification on ${\chi}/Q$ values is little, while the influence of the periods of meteorological data to be analyzed is relatively significant, representing more than 1.5 times in the ratio of maximum to minimum values.

• Journal of The Korean Association For Science Education
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• v.18 no.4
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• pp.643-650
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• 1998

In order to assess students' higher mental abilities, such as scientific inquiry thinking skills, the essay type items would be more adequate than the multiple choice itmes. However, due to the present condition in which a huge number of students take the examination at the same time, it is inevitable to use the multiple choice type. For this reason, it is necessary to develop a new type of multiple choice items which can reduce the disadvantages of the traditional multiple choice type and can achieve a similar level of validity as subjective type assessment. The three-tier multiple choice test items which can be used for a large sample of students and especially for scientific inquiry thinking abilities, are proposed and examined. The three-tier multiple choice test items asked firstly conclusion or the results of calculation or experimental apparatus, secondly the processes of calculation or of developing conclusion, thirdly asking relevant scientific concepts. For the item analysis, 1 point was given to the correct answer, while 0 point was given to the wrong one. The data were processed through the computer program developed in Turbo C 2.0 language with an IBM compatable personal computer. The average score in the sub-items asking for scientific concepts was lower than that in the sub-items asking for results or processes. The score of guessing by chance in the three-tier multiple choice items was only 0.13%, so that the probability of making correct answers by just guessing would be extremely low. The three-tier multiple choice items, even if they are objective items, are thought to assess thinking skills of the scientific inquiry meaningfully excluding the possibility of guessing by chance.

• Child Health Nursing Research
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• v.7 no.1
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• pp.35-50
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• 2001

The ability of neonates to perceive and react to pain, has been acknowledged recently. Recent researches have been shown that even short term pain can have lasting negative effects. We know that most of the anatomical pathway and neurotrans-mitter function necessary for pain perception are fully or nearly fully developed in the neonatal period. Many people are still reluctant to believe that pain felt by neonates may be as severe as that felt by older children or adults yet. The objective of the study is to assess and compare the analgesic effects of orally administered sucrose and pacifiers. And to determine the synergistic analgesic effects of sucrose and pacifiers. The tools for this study is Lawrence's NIPS (neonatal infant pain scale) with behavioural pain responses and index for pain physiological reponses as heart rate, respiratory rate and degree of SaO₂. The participants are 96 healthy infants of neonatal age 1-7days and randomised to receive heel prick before 2minutes to blood sampling and physiological test in Nursery of K Medical University Hospital on May-July, 2000. The experimental group assigned to one of three treatment groups : no treatment; a pacifier; placebo(2ml 25％ sucrose). Collected data were analyzed with the SAS program using X²-test, ANOVA and Duncan's multiple range test as post hoc. The results were as follows. 1) Pain behaviour responses: The pain score of placebo group(2ml 25％ sucrose) is lower than no treatment group and pacifier group significantly(P=.000). Placebo group is different from no treatment and pacifier group with Duncan's multiple range test. 2) Pain physiologic responses (1) heart rate: The heart rate of placebo group(2ml 25％ sucrose) is different from that of no treatment group and pacifier group significantly(P=.000). The heart rate change of placebo group is less than the other groups. (2) respiratory rate: The respiratory rate of placebo group(2ml 25％ sucrose) is different from that of no treatment group and pacifier group insignificantly (P=.2340). But, the respiratory rate of placebo group is lower than the other groups. (3) SaO₂: The SaO₂ score of placebo group(2ml 25％ sucrose) is different from that of no treatment group and pacifier group insignificantly (P=.3265). But, the change of SaO₂ score of placebo group is less than the other groups. In conclusion, the sucrose placebo showed pain relief effect in behavior responses and less physiological responses. Accordingly, the sucrose placebo should be applied nursing intervention for simple pain management as heel prick.

• Child Health Nursing Research
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• v.8 no.3
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• pp.260-271
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• 2002

This study was performed to identify the level of stress recognized by the parents as a support system for their infant patients who were hospitalized in an emergency department, thus to provide the resulting data as the basic material of care intervention for the families of infant patients. This study subjected the parents with infant patients who were hospitalized in emergency department of C University Hospital in Daejeon, and the data was collected from questionnaires for them, dating from Mar. 20, to Jun. 24, 2001 This study used the tool(30 questions) which was originally developed by Ji, Dong-ok (1992) for measuring the stress of families of infant patients in emergency room, and then was modified and complemented by this researcher suitably for infant patients. Collected data was statistically analyzed with frequency, percentage, mean, standard deviation, t-test, ANOVA, by using SPSS WIN10.0 program, and the results were as follows: 1. The stress of parents with infant patients hospitalized in emergency department averaged 3.31 on the basis of 5-point measure, which means that they felt stress beyond means. 2. The factor with high average out of stress factors the parents of infant patients recognized included the followings: 'about the pain of infant patients due to examination(3.91±1.00)'; 'about rare opportunity to be in contact with physician(3.78±1.09)'; 'delay in emergent treatment required for infant patients(3.75±1.31)'; 'delay in the general treatment of infant patients(3.72±1.32)'. Factors of the stress level includes the followings: 'care and medical treatment'(3.46±.72); 'body and diseases'(3.41±.97)'; 'lack of information and supportable resources (3.25±.77)'; and so on. 3. For the stress level according to general characteristics, there were statistically significant differences in the result of the condition of infant patients, medical treatment(P<.01), religion, the procedure of treatment(P<.05). With little preceding studies for infant patients hospitalized in emergency department, this study looked through the level of stress recognized by the parents of infant patients. Based on the comprehension on the parents with infant patients and the knowledge on stress factors recognized by the parents, it is expected that we can seek the methods of care intervention such as explanation of care and treatment procedures, unit policies, continuous interest and emotional supports as well as the provision of information to understand the responses of parents and reduce accompanied stresses.

• Child Health Nursing Research
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• v.19 no.1
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• pp.59-68
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• 2013

Purpose: This study was conducted to identify current health care management and barriers in health care management according to ecological systems, and to develop an ecological model for enhancing health care in child care centers. Methods: Focus group interviews were conducted with directors and teachers of child care centers, and with parents of children enrolled in child care. Data were analyzed by the latent content analysis method. Results: Twelve categories of health care management were identified. Barriers to child health care included knowledge deficit and lack of competence in health care by teachers, lack of useful health care manuals, non-existence of professional child health care personnel in child care centers, lack of mutual information sharing and disagreement on child health conditions between child care personnel and parents, lack of specific health related child care inspection criteria and time flexible child care centers with a lack of policy on collaboration with health care facilities. The ecological model developed included specific strategies to improve health care management in child care. Conclusion: The proposed ecological model to improve child health care management should be useful to plan future health care program considering both the immediate and indirect social environment surrounding children in child care.

• Journal of the Korea Concrete Institute
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• v.29 no.1
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• pp.3-10
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• 2017

In case of Korea highways, about 60% of highways are paved by concrete and more than 50% of them were repaired due to reduction in required performance such as damage in pave or joint and delamination of cover pavement. However, repairing old material in such structure generally costs a lot of money and induces difficulty in maintenance. Thus, enhanced material for ensuring economic efficiency should be developed. The present study designed concrete mixtures with 3 levels of replacement using OPC (0, 10, 20%) in calcium aluminate cement and to evaluate material performance for load pavement, experimental works for setting time, compressive strength and flexural strength were carried out on those materials. As a result, 20% replacement for OPC was determined as an optimized material in terms of required physical performance and its unit price. Moreover, to determine cost in load pavement economy analysis using a program (CA4PRS) was conducted with widely used paving materials. Result showed that application for 20% replacement for OPC was the most efficient in economical aspect, arising from 4.052 and 1.577 billion won for total construction and user cost, respectively.

• Journal of the Korean Geosynthetics Society
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• v.19 no.1
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• pp.93-101
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• 2020

In order to predict the nonlinear behaviour of the soil, the elasto-plastic hyperbolic model was selected, which was considered to be relatively simple and highly predictable. The soil parameter determination and the behavior analysis program were developed by formalizing the functions related to the constitutive model. Each soil parameter was determined from the results of the drained triaxial compression tests of Baekma river sand with the change of relative density. The stress-strain behavior was predicted using the soil parameters determined under each condition. As a result, the deviator stress for the axial strain is verified to have a good match between the measured value and predicted value at each relative density. In the relationship between the volumetric stain and the axial strain, when the relative density is loose, the measured value and predicted value tend to match, and when relative density is dense, the predicted value of the volumetric strain appears somewhat smaller than the measured value due to the limitation of the constitutive model.

• Journal of the Korean Geotechnical Society
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• v.20 no.9
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• pp.57-64
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• 2004

In order to establish the design method of anchored retention walls in cut slope, the behavior of anchored retention walls and backside ground needs to be investigated and checked in detail. In this study, the behavior of anchored retention walls was investigated by instrumentation installed in cut slope for an apartment construction site stabilized by a row of piles and anchored retention walls. When the anchor was installed at each excavating stages, the horizontal deflection of retention wall decreased, while the horizontal deformation of backside ground increased. The deflection of anchored retention wall decreased as the anchor was prestressed. The prestressed anchor farce has a great effect on the deflection of retention walls, while it has little effect on the deformation of its backside ground. The maximum horizontal deflection of anchored retention walls was developed between $1\%\;and\;4\%$ of excavation depth, which are $2\~8$ times larger than max. horizontal deflection of anchored retention walls including rock layers with backside horizontal ground. Meanwhile, SLOPILE (ver. 3.0) program analyzes the slope stability effects for anchored retention walls. As a result of analysis on slope stability analysis, the lateral earth pressure applied at anchored retention piles could be used as the mean values of empirical lateral pressures using anchored retention wall with horizontal ground at its backside.