• Title/Summary/Keyword: 이월

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Practical Communication Strategies to Improve the Surgical Outcomes in a Pediatric Cardiac Intensive Care Unit (소아심장외과 중환자실에서의 실무의사소통 프로토콜이 수술 후 성과에 미치는 영향)

  • Uhm, Ju-Yeon;Lee, Worlsook
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.3
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    • pp.243-253
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    • 2015
  • Purpose: The purpose of this study was to identify the impact of practical communication strategies (PCS) on the reduction of AEs (Adverse Events) in pediatric cardiac ICU (PCICU). Methods: Intra-operative findings and care plans were documented and shared between staff members on a daily basis from the day of operation to the day of general ward transfer. Incidence of AEs was investigated in all patients who were admitted to the PCICU and was compared with incidence of AEs one year after establishment of PCS. Results: The study population consisted of 216 patients in pre-PCS group and 156 patients in post-PCS group. Incidence of readmission decreased from 6.0% (13/216) in pre-PCS group to 0.6% (1/156) in post-PCS group (${\chi}^2=7.23$, p=.010). Incidence of other major complications decreased from 4.2% (9/216) to 0.6% (${\chi}^2=6.66$, p=.012). Minor AEs such as intervention omission, order error, and protocol misunderstanding were reduced from 23.3 cases per 100 patient-days to 7.5 cases per 100 patient-days (${\chi}^2=20.31$, p<.001). Conclusion: Handover protocol is an effective strategy to reduce AEs for critically ill patients after pediatric cardiac surgery. Efforts to develop effective communication strategies should be continued and outcome research about communication strategies for patient safety should be further studied.

An Eyetracking Study on the Measurement of Newspaper Advertising Exposure Effects : Comparison with Data Collected by Recognition Measurement (안구운동 추적을 활용한 신문광고 노출효과 측정 방법론 연구 : 보조인지 설문 응답과 비교를 통하여)

  • An, Byung-Wook;Jung, Dae-Hoon;Lee, Joon
    • 한국HCI학회:학술대회논문집
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    • 2007.02b
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    • pp.136-144
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    • 2007
  • 1990년대 후반까지 줄곧 광고 시장 점유율 1위를 차지하던 신문광고가 2001년을 기점으로 광고 시장 점유율의 지속적인 하락세를 보이고 있다. 이는 인터넷과 같은 경쟁적인 뉴미디어가 급격히 성장하는 데 그 원인이 있을 뿐만 아니라, 신문의 광고효과를 산출하는 과학적 방법론이 부족하다는 데에도 그 원인이 있다. 이러한 문제의식에서 출발하여, 본 연구에서는 안구운동 추적(eyetracking)을 활용하여 신문광고의 노출효과를 측정했다. 이를 위하여, 기존 신문 구독자의 인구통계학적 분포에 따라 추출된 50명의 표본을 대상으로, 신문의 면내 광고별 체류시간을 헤드 마운트형 안구운동 추적기(head-mounted eyetracker)를 활용하여 측정했다. 실험 결과, 데이터의 95%가 기존의 주의-기억 단계를 따르는 순차적인 정보처리모델과 스타치 구독률 조사(starch readership reports) 결과와 안구운동 추적 결과와 일치했다. 하지만, 5%의 데이터가 주의와 기억 단계의 차이에 기인한 이월 효과(carry-out)로 순차적인 정보처리모델과 일치하지 않는 것으로 나타났다. 즉 5%가량이 광고를 보지 않았음에도 봤다고 표시했다. 또한, 기존에 스타치 구독률 조사와 같은 재인 측정 방법을 통하여 간접적으로 측정하였던 기존의 신문 광고 노출율(보통 30%)에 비하여, 직접 측정한 결과 60%에 달하는 광고 노출율을 보였다. 이는 기존의 인식과 달리, 스타치 구독률 조사가 단순 노출 정도가 아니라, 응답자의 선택적인 기억 결과를 측정한 것임을 보여준다. 이로써, 안구운동 추적을 활용한 노출효과측정은 기존에 스타치 구독률 조사에서 놓치고 있는 부분을 보완할 수 있는 기법임을 보여준다. 또한 이 기법에 의하여 도출된 노출율은 60%에 달하여 기존의 약30%로 제시된 연구결과들이 실제로 측정기법의 한계로 인하여, 기억이 가지고 있는 왜곡을 그대로 반영한 노출율에 관한 자료를 쓰는 것으로 나타났다. 본 연구에서 제안된 노출효과 측정방법론은 기존의 왜곡된 데이터를 보완하고, 신문 광고 시장의 과학적인 측정기법을 발전시키는 데 의미 있는 기여를 할 것으로 기대한다.

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Effectiveness of Deep Breathing Exercise for Postoperative Pulmonary Complications Prevention: A Systematic Review (수술 후 폐 합병증 예방을 위한 심호흡 운동의 효과에 대한 체계적 고찰)

  • Lee, Worlsook;Yang, You Lee;Oh, Eui Geum
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.4
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    • pp.423-432
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    • 2014
  • Purpose: This study was done to evaluate effectiveness of deep breathing exercise as a postoperative intervention to prevent pulmonary complications. Methods: A search of databases from 1990 to 2012 was done including MEDLINE, EMBASE, CINAHL, Cochrane Library and eight Korean databases. Ten studies met eligibility criteria. Researchers trained in systematic review, independently assessed the methodological quality of selected studies using the Cochrane's risk of bias tool. Data were analyzed using RevMan 5.2 program. Results: Among ten RCTs in four studies, deep breathing exercise was compared with an instrument using interventions such as incentive spirometry, in the other four studies deep breathing exercise was compared with non-intervention, and in last two studies bundles of interventions including coughing and early ambulation were assessed. A significant difference was found between deep breathing exercise group and non-intervention group. The odds ratio (OR) of occurrence of pulmonary complications for deep breathing exercise versus non-intervention was 0.30. However, there was no significant difference between deep breathing exercise group and incentive spirometry group (OR=1.22). Conclusion: Deep breathing exercise is vital to improving cost-effectiveness and efficiency of patient care in preventing postoperative pulmonary complications. For evidence-based nursing, standardized guidelines for deep breathing in postoperative care should be further studied.

Comparison of GEE Estimators Using Imputation Methods (대체방법별 GEE추정량 비교)

  • 김동욱;노영화
    • The Korean Journal of Applied Statistics
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    • v.16 no.2
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    • pp.407-426
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    • 2003
  • We consider the missing covariates problem in generalized estimating equations(GEE) model. If the covariate is partially missing, GEE can not be calculated. In this paper, we study the performance of 7 imputation methods to handle missing covariates in GEE models, and the properties of GEE estimators are investigated after missing covariates are imputed for ordinal data of repeated measurements. The 7 imputation methods include i) Naive Deletion ii) Sample Average Imputation iii) Row Average Imputation iv) Cross-wave Regression Imputation v) Carry-over Imputation vi) Bayesian Bootstrap vii) Approximate Bayesian Bootstrap. A Monte-Carlo simulation is used to compare the performance of these methods. For the missing mechanism generating the missing data, we assume ignorable nonresponse. Furthermore, we generate missing covariates with or without considering wave nonresp onse patterns.

Effect of Gamma Irradiation and Post-Irradaition Treatment of Preservatives on the Cut Flower Longevity of Rose and Mum. (감마선 조사와 조사 후 보존제 처리가 절화 장미 및 국화의 수명에 미치는 영향)

  • 박인환;정연승;이월순;권중호;변명우
    • Food Science and Preservation
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    • v.6 no.3
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    • pp.286-291
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    • 1999
  • This study was carried out to determine the effect of dose and timing of gamma irradiation and post-irradiation treatment with some preservatives of cut flowers on their longevity of rose and chrysanthemum. Cut roses which were soaked in 2% sugar solution persist to 0.75 kGy irradiation treatments. In post-treatments with some preservative solutions, the mixture group of 2% sucrose,2000m silver nitrate and 3.0% crysal were available in flower quality, but the 200 ppm silver nitrate solution treatment showed serious blackening of floral stems and resulted On negative effect in flower quality. Effect of gamma irradiation and all preservative solutions on the cut mum longevity were showed almost same tendency with rose cut flower longevity experiments. The 2% sugar dipping solution in mum cut flower showed the most superior preservative effect compared with the my other preservative solutions tested. Also non-irradiated treatment extended to flower up to complete wilt.

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Detection of Marine Birnavirus(MABV) from Marine Fish in the Southern Coast of Korea (남해안 자연산 어류에서 Marine birnavirus(MABV)의 검출)

  • Yun, Hyun-Mi;Kim, Seok-Ryel;Lee, Wol-La;Jung, Sung-Ju;Oh, Myung-Joo
    • Journal of Aquaculture
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    • v.21 no.1
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    • pp.13-18
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    • 2008
  • Marine birnavirus(MABV) are well known fish pathogens in Asian countries such as Korea, Japan, and China. Prevalence of viral disease, geological distribution and host or reservoir of viruses were investigated from wild marine fishes in southern coast of Korea in 2003 and 2005. RT-PCR results showed that MABV were detected in 17 fishes(10.6%) from 160 fishes. Comparative analysis of the nucleotide sequences and the deduced amino acids of MABV genome from wild fishes were similar to reference strains of MABV and distinguished with IPNV strains.

Reexamination on Materials related to Wolji Palace - East Palace is not the Crown Prince's Palace (월지궁(月池宮) 관련 자료 재검토 - 동궁(東宮)은 태자궁(太子宮)이 아니다 -)

  • Choi, Young Sung
    • (The)Study of the Eastern Classic
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    • no.55
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    • pp.173-192
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    • 2014
  • Through excavation on Anapji Pond from March 1975 to December 1976, it was discovered that the whole area around Anapji Pond had been called East Palace (東宮) since 7th century and that the original name of East Palace was Wolji Palace (月池宮) through excavation in 1980. The excavation proved that the original name of Anapji Pond was 'Wolji.' In academic world, there are many scholars who recognize this place as the Crown Prince's palace for being called East Palace. East Palace (which is read Dong Palace with pronunciation in Korean alphabet) actually is another name for Crown Prince's palace. This place, however, cannot have served as Crown Prince's palace as 'independent, exclusive space.' After 7th century, there were detached palaces in Silla including East Palace South Palace North Palace and Yang Palace other than Jeong Palace in Wolseong. East Palace is a palace located in the east. The palace's name is based on bearing and it does not indicate Crown Prince's palace. This article proves that East Palace cannot have been Crown Prince's palace through newly analyzing materials related to Wolji Palace.

The Dynamic Effects of Customer Satisfaction on Firm's Profitability and Value (기업의 수익성과 가치에 미치는 고객만족의 동태적 영향)

  • Yi, Youjae;Cha, Kyoung Cheon;Lee, Cheonglim
    • Asia Marketing Journal
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    • v.10 no.1
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    • pp.1-23
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    • 2008
  • It is natural that firms would like to increase their profits and value through customer satisfaction (CS). It is therefore important for the academic and practical purposes to investigate the relationship between CS and firm's performance. Previous studies about this relationship have examined mainly the current effect of CS on firm's performance. According to the research that many marketing activities have dynamic effects over time, however, the dynamic effect of CS on firm's performance needs to be tested. Failure to assess the dynamic effects might lead to the underestimation of the impact of CS. This study thus attempts to investigate the dynamic effects of CS on firm's profitability and value by panel data analysis. The results show that CS has dynamic effects on firm's profitability and value. There was a significant improvement in model fit compared with the model examining the current effects only. On the other hand, it was difficult to interpret the estimation results of the alternative model incorporating two lagged variables of CS, and there was also a multicollinearity problem.

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Evaluation of an Automated Liquid-Handling System with Fixed Pipetting Tips in Radioimmunoassay (고정용 팁을 사용하는 Automated Liquid-Handling System의 RIA적용의 평가)

  • Shin, Sun-Young;Kim, Hee-Sun;Lee, Hyun-Ju;Jang, Hyun-Young;Woo, Jae-Ryong;Lee, Ho-Young
    • The Korean Journal of Nuclear Medicine Technology
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    • v.14 no.2
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    • pp.190-196
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    • 2010
  • Purpose: This study was undertaken to investigate the feasibility of using automated liquid-handling systems equipped with reusable fixed tips in Radioimmunoassays and to demonstrate that the use of an automated pipetting instrument can decrease in the typical daily workload. Materials and Methods: The precisions of the automated pipettor and the manual pipettor were determined gravimetrically (n=30). A total of 30 specimens for HBs Ag were repeatedly pipetted (three replicates) with the automated pipettor and then retested. PSA samples were simultaneously pipetted with either the automated pipettor or the manual pipettor and then analyzed (n=40). Sample carryover test assessed for CA19-9, AFP and HCG when the automated pipettor was used. Pipetting speed of the automated pipettor and the manual pipettor were compared by evaluation of each workload. Results: The precisions coefficients of variation (CV) were 2.1% for the automated pipettor and 1.6% for manual pipettor. The mean cpm and CV for each group of replicates were 41,203 cpm and 3.7% for HBs Ag positive specimens, and 99 cpm and 7.9% for HBs Ag negative specimens, respectively. PSA results showed no significant differences between automated pipettor and manual pipettor (p=0.15, r=0.999). Carryover for CA19-9, AFP and HCG analytes was <0.1 ppm or below the assay limit of detection. Pipetting speed was significantly improved by using the automated instrument. Conclusion: There was no evidence that the use of an automated pipettor adversely affected any of the performance characteristics of the assay. Indeed, routine use of the Tecan automated pipettor has resulted in a decrease in the typical daily workload.

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Comparison of Changes Over Time between In and Outside the Regional Resident's Cognition for Image of Daegu City - Focused on Representative Image and Environmental Image - (대구광역시 도시이미지에 대한 지역 내외 주민 의식의 경시적 변화 비교 - 대표 이미지와 환경 이미지를 중심으로 -)

  • Eom, Boong-Hoon;Kim, Geum-Yong
    • Journal of the Korean Institute of Landscape Architecture
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    • v.41 no.3
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    • pp.12-21
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    • 2013
  • This paper deals with a comparative analysis of changes in cognition of city image of Daegu City, focusing on image of representative and environmental conditions. Two-questionnaire surveys were conducted to compare the change of image cognition between the last decades. Major results are: Firstly, the most frequent representative images of Daegu City were hot weather, Palgong Mountain, textile industry, etc. and representative places were Palgong Mountain, Dongsung-ro Street, E world(Woobang Land), etc. Compared to the results of year 2000, the frequency of apple, and textile industry were remarkably decreased. Secondly, mean scores of image rating for environmental conditions were comparatively high in human environment such as women, and kindness. By individual variables, accessibility to Daegu City, women, living environment such as shopping, showed higher mean scores. Generally, mean scores of 2011 survey were higher than that of 2000. Thirdly, major factors affecting city image were human environment, living environment, natural environment, and transportation environment, respectively. These results can be used as a basic data for strategies to improve higher brand image of Daegu City.