• 성인간호학회지
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• 제21권2호
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• pp.187-198
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• 2009

Purpose: This study was to compare and examine the factors influencing burden of primary family caregivers according to the severity of illness of elderly patients admitted in an intensive care unit. Methods: Subjects were the families of elderly patients in intensive care units of K, S and Y hospitals in Seoul. Data were collected from March to October 2007. Subjects were 108 persons over age 65. Data were analyzed by SAS statistics. Results: First, groups 5 and 3 showed higher burden than that of group 4. Second, high correlation was found between stress and burden, stress and anxiety, and burden and anxiety. Third, factors influencing family burden were found to be stress for group 5, stress, anxiety, and monthly income for group 4, and stress and patient age for group 3. Conclusion: Specific nursing interventions to decrease the stress of primary family caregivers of serious ill elderly patients in an intensive care unit are needed. Additionally, more effective and systematic activation of a long-term medical insurance system for seriously ill seniors is considered necessary to mediate the burden of primary family caregivers.

• Asian Pacific Journal of Cancer Prevention
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• 제13권8호
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• pp.4063-4066
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• 2012

To determine the clinical outcome of breast cancer BI-RADS 4 lesions and seek a more effective management guideline, we conducted a retrospective study of all BI-RADS4 patients diagnosed between 2003-2008 with follow up time not less than 2 years. A total of 392 cases of BI-RADS 4 were identified and 320 could be sub-categorised as 4a, 4b and 4c. Overall malignant positive results were 7.65, 38.7 and 58.percent, respectively. In all cases assigned to the close follow up group, no malignancy was detectable (P<0.02). The results of the study suggested that BI-RADS sub-categories have benefit for cancer diagnosis and treatment decisions of clinicians and it might be possible to set up a safe follow-up guideline in selected groups of patients to minimize un-necessary tissue biopsy for breast cancer detection.

• Asian Pacific Journal of Cancer Prevention
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• 제15권8호
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• pp.3483-3486
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• 2014

Background: To evaluate the overtreatment rate with the see and treat approach in the management of women with abnormal cervical cytology. Materials and Methods: A retrospective review of patients with abnormal cervical cytology who underwent S&T at MSMC between January 2008 and December 2012 was conducted. Loop electrosurgical excision procedure (LEEP), histological results, cytology and colposcopic impression were analyzed to evaluate overtreatment rate, cyto-histologic correlation and related factors. Results: Average age of S&T cases was 42 years. Ninety seven percents were referred from affiliated health care providers. The study revealed 83.2% patients had HSIL or higher from cervical cytology. Correlation between HSIL and final histology was relatively low at 75% compared to other studies. Overtreatment rate was 28%. Conclusions: S&T was done in 197 patients in a tertiary care health facility with patient satisfaction. Overtreatment occurred, but the rate can be reduced with appropriate recommendations. HSIL Pap smears should be reexamined before S&T while low grade and lesser colposcopic impression groups should obtain conventional colposcopic approach for patient future reproductive benefit.

• 한국물환경학회지
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• 제31권6호
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• pp.700-714
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• 2015

The characteristic of the water quality and pollutant discharge was analyzed at the units watershed of the total amount management in Han-river basin, and after classified in a similar area by multivariate statistical analysis, the main trend such as the water quality trend and pollutant discharge characteristic were analyzed. As a result of this study, the density of the pollutant at the unit watershed is not necessarily identified as discharge density, and the primary management watershed and targeted substances were analyzed depending on the operating status of the environmental infrastructure in watershed and the main pollution factor and discharge path per pollutants. As a result of cluster analysis, watersheds were classified into four groups according to discharge characteristics. It will be used when selecting target area of primary management that is appropriate to the characteristics of each river and establishing efficient water quality improvement plans.

• 생태와환경
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• 제39권2호통권116호
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• pp.265-270
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• 2006

The nucleotide sequence variations of mitochondrial DNA were investigated to understand genetic differentiation for five different Pungitius kaibarae populations at five study sites from selected four streams flowing into the East Sea. The complete sequences of mtDNA control regions of them were determined the constant sites 342 bp and variable sites 183 bp including parsimony infromative sites 122 bp. Based on the phylogenetic tree, five populations were monophyletic unit (97% MPand 100% NJ) and separated two groups (Myongpa-Songhuen stream group and others group). The population of Baebong stream (82nd bp, G-A) consistently formed them of the Jasan stream into a monophyletic unit even though it is closer then Myongpa stream (99th bp, T-C) from the Baebong stream. Further studies on the molecular phylogeny for the primary freshwater fish are needed to establish for the fish biodiversity conservation in mountainous and upland streams.

• 중환자간호학회지
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• 제11권3호
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• pp.1-11
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• 2018

Purpose : This study compares experiences of ethical dilemma between nurses working in intensive care units and those in general units under specific situations of treatment decisions and confidentiality. Method : This cross-sectional descriptive study utilizes the self-report survey method. The survey questionnaires were completed by 50 and 52 nurses working in intensive care units and general units, respectively. The instrument, which consisted of 16 items of ethical dilemma situations about treatment decision and confidentiality, was used. The mean scores for each item were compared between the two groups. Results : The study found no differences in terms of age, gender, education level, clinical experience in years, and being educated on healthcare ethics. For 9 out of 16 items, the mean scores of nurses in intensive care units were significantly higher than those of nurses in general units. Conclusions : Nurses in intensive care units experienced ethical dilemmas regarding treatment decisions and confidentiality more often than those in general units. This study emphasizes the need to establish strategies for improving the ethical competence of critical care nurses.

• 임상간호연구
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• 제19권2호
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• pp.265-274
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• 2013

Purpose: The aim of this study was to determine the risk factors contributed to unplanned readmission to intensive care unit (ICU) and to investigate the prediction model of unplanned readmission. Methods: We retrospectively reviewed the electronic medical records which included the data of 3,903 patients who had discharged from ICUs in a university hospital in Seoul from January 2011 to April 2012. Results: The unplanned readmission rate was 4.8% (n=186). The nine variables were significantly different between the unplanned readmission and no readmission groups: age, clinical department, length of stay at 1st ICU, operation, use of ventilator during 24 hours a day, APACHE II score at ICU admission and discharge, direct nursing care hours and Glasgow coma scale total score at 1st ICU discharge. The clinical department, length of stay at 1st ICU, operation and APACHE II score at ICU admission were the significant predictors of unplanned ICU readmission. The predictive model's area under the curve was .802 (p<.001). Conclusion: We identified the risk factors and the prediction model associated with unplanned ICU readmission. Better patient assessment tools and knowledge about risk factors could contribute to reduce unplanned ICU readmission rate and mortality.

• Composites Research
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• 제34권1호
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• pp.30-34
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• 2021

This paper present a three-dimensional unit cell finite element analysis to predict the pull-out behavior of a single stitch in a composite laminate. The stitching process used for this study correspond to the I-fiber stitching method that has been studied by the Composite Structures Lab (CSL) as a new through-thickness reinforced method. A total of six cases were analyzed, which were divided in two groups by the stitching yarn used, 6k and 12k. Each group of cases have three different thickness according to the amount of plies; 16 plies, 32 plies and 64 plies. The finite element analysis used the cohesive zone method to characterize the single stitch reinforcement in the interface. Due to the complexity of the load vs displacement curves taken from the experimental results, a bilinear and trilinear bridging laws were implemented in the models. The cohesive parameters used for each case showed a good agreement with the experimental data and can be used for future studies.

• 한국간호교육학회지
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• 제30권1호
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• pp.82-95
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• 2024

Purpose: This study aimed to identify the needs for the managerial competencies of nurse managers in general hospitals. Methods: A cross-sectional design was used. The participants were 203 nurse managers, 141 head nurses or unit managers, and 62 directors or team managers from 17 general hospitals. Data were collected by a self-administered questionnaire with 42 nursing management competencies and 181 behavioral indicators. Participants rated the importance and performance of each indicator. Data were analyzed using a paired t-test, independent t-test, importance-performance analysis, Borich's needs assessment model, and locus for focus model. Results: In all 42 competencies, importance was rated significantly higher than performance. The head nurses or unit managers had high demands for "human resource development," "performance management," and "information management," while the directors or team managers had high demands for "change management." Competencies in high demand in both groups were "development of nursing standards" and "self-management." Conclusion: Based on the results, it is necessary to select priorities and prepare educational content when developing educational programs to strengthen the nursing management competencies of general hospitals' nurse managers.

• 환경영향평가
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• 제24권5호
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• pp.407-419
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• 2015

본 연구는 영산강 수계 1지점과 섬진강 수계 1지점의 논 유출수 4년간 유량과 수질 모니터링 자료를 이용하여 원단위 산정방법에 따른 원단위 차이를 비교하였다. 원단위 산정방법은 실측부하량을 이용한 방법, 국립환경과학원의 새로운 원단위 산정 방법(NIER 방법), EMC 확률분포모형 중앙값을 이용한 방법, 산술평균 EMC와 산술평균 유출율을 이용한 방법을 활용하였다. 원단위 산정방법별 차이를 살펴본 결과 실측부하량을 이용한 방법과 NIER 방법의 원단위는 서로 비슷한 값을 보였지만, 확률분포모형(Lognormal, Gamma)을 이용한 원단위는 상대적으로 작게 나타났다. 한편 산술평균 EMC와 유출율을 이용하여 산정된 원단위는 NIER 방법보다 원단위가 크게 산정되는 것으로 나타났다. 또한 NIER 방법의 원단위는 1995에 조사된 환경부 원단위에 비해 BOD, COD, SS는 큰 값을 T-N은 작은값을, T-P는 비슷한 값을 산정되는 것으로 나타났다.