• Journal of agricultural medicine and community health
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• v.38 no.2
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• pp.85-96
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• 2013

Objectives: This study measures nursing students' ability to recognize child abuse and identifies the factors related to varying levels of recognition. Methods: In this cross-sectional study, data were collected from 370 third and fourth year nursing students using a self-reported questionnaire during November 15-30, 2011. The measuring tool for child abuse recognition used in the study was developed by Ozasa (2011) and is composed of 44 items including physical, mental, and sexual abuse, and neglect. For data analysis, descriptive statistics, two sample t-tests, and regression analysis were evaluated with the SPSS/PC ver20.0 program. Results: Nursing students were concerned about child abuse(85.4%), but knew little about related laws and regulations(14.3%), and they had almost no formal education or training regarding how to recognize child abuse. They only 1.6% reported child abuse even if they encountered such incidents; however, they correctly recognized even infrequent incidents of child abuse. Recognition of sexual abuse ranked highest, while recognition of neglect ranked lowest. Those with higher levels of concern over child abuse showed higher recognition scores. Regression analysis revealed that physical abuse, mental abuse, and neglect had different related factors, while sexual abuse had none. Conclusion: Education and training on the subject of child abuse is strongly recommended in nursing curriculums so that nurses will be able to appropriately respond to and report suspected child abuse.

• Korean Journal of Bronchoesophagology
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• v.16 no.2
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• pp.121-125
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• 2010

Background: Penetrating neck injuries are potentially dangerous and require emergency management because of the presence of vital structures in the neck. The risk of airway, vascular, neurological, and pharyngoesophageal injuries leads to many difficult diagnostic decisions. The purpose of this retrospective study is to evaluate our experience with management of penetrating neck injuries, and to assess treatment outcome. Material and Method: Forty-two consecutive patients were identified (26 patients from Korea university Ansan hospital, 16 patients from Guro hospital) as having penetrating neck injuries from 2003 to 2009. With review of medical records, variables were collected and evaluated including the location of injury, mechanism of injury, number of significant injuries, diagnostic modalities, duration of hospital stay and outcome. Results: The location of injury was zone I (lower neck) in 13 cases (31%), zone II (midportion of the neck) in 22 (52%), and zone III (upper neck) in 7 (17%). Injuries were caused by stab wounds in 23 patients, penetrating foreign bodies in 12. Among 35 patients who had deep injuries that violated the platysma, significant injuries, including major vascular (20), trachea (5) Pharyngoesophageal injuries (5) were identified in 24 patients. The mean hospital stay was 9.5 days. Conclusion: The penetrating trauma in the neck may show various degrees of severity. However, Cervical penetrating injury should not be underestimated in spite of the minimal width of the lesion.

• Journal of radiological science and technology
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• v.28 no.2
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• pp.111-115
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• 2005

The quality of image from the system that creates medical images by using X-ray depends on the various different reasons such as the X-ray generator, the subject and the image transmission medium. In other words, thereare various factors existing that can influence on the quality of image from the moment when the X-ray is generated and until the final image is created. Therefore, the operator who creates images at the clinical site should make continuous evaluation and observation from the final image. There are various methods of evaluating the medical images, but it is assumed that the MTF measurement method can be suitable for measuring actual or effective resolution. So in this study, the MTF measurement method by using X-ray film has been avoided and the MTF features according to the deterioration of the X-ray system have been measured by using the software (the program used Borland C++ builder software and LEAD tools software) that can measure the MTF of the digital medical images. As the result of this measurement, it has been found out through the MTF graph that the resolution and sharpness from the old x-ray generator with a many years of using and many numbers of times of using were deteriorated for the quality of image comparing to those from the new system. Also a simple and easy measurement method for the MTF from the digital medical images can be obtained in this study.

• Journal of Korean Clinical Nursing Research
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• v.26 no.1
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• pp.117-130
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• 2020

Purpose: This study aimed to develop a bedside nursing shift report protocol and evaluate the effect of the protocol in a tertiary hospital in South Korea. Methods: The bedside nursing handoff protocol with patient engagement was developed based on the literature review and the validation of an expert group. The effect of the protocol on clinical implication was tested in three medical-surgical units in a tertiary hospital. Outcomes were assessed by patient perception, nurse perception, and reporting time. Data collected from June to August in 2018 and analyzed with descriptive statistics and One-way ANOVA using SPSS version 25.0. Results: The bedside nursing shift report protocol with patient engagement consisted of two steps: nurse to nurse report and bedside report with patients. Nurse's perception with patient engagement was significantly increased after applying protocol (F=17.85, p<.001). Patient's perception was significantly improved in the areas of discharge plan (F=7.86, p<.001), health information privacy (F=4.46, p=.012) and identify attending nurse (F=3.19, p=.042). There were no differences in reporting time between the bedside nursing shift report and a traditional shift report (F=0.61, p=.054). Conclusion: Patient perception was significantly increased, while nurse perception was not different after applying this protocol. For the change in the perception of nurses, education may be preceded to improve nurses' competence for the bedside shift report. Furthermore, the support in enough nurse staffing should be needed for encouraging the bedside shift report. The bedside shift report may enhance patient engagement. Therefore it may improve patient safety and health outcome in clinics.

• Proceedings of the Korea Water Resources Association Conference
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• 2017.05a
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• pp.211-211
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• 2017

장기유출해석 모델은 수자원의 안정적인 확보와 이용, 유역단위 기초자료 조사관리 등을 위하여 수자원 장기종합계획 및 전국유역조사사업 등에 활용되고 있다. 주로 국외에서 개발된 모형이 활용되고 있어, 국내의 여건에 맞추어 편의성이 개선된 모형을 찾는 것은 매우 어려운 일이다. 또한, 유출해석을 수행하기에 앞서 지속적으로 업데이트된 모델에 대한 객관적인 평가를 수행한 사례는 드물다. 따라서, 본 연구에서는 국내에서 주로 활용되고 있는 장기유출해석모델(TANK, SWAT, SSARR, PRMS 등)에 대한 비교검토를 토대로 각종 사업과의 연계성, 계산의 효율성, 정확도 등을 고려하여 USGS에서 개발한 PRMS v.4.0.2를 기반으로 국내유역에 활용이 가능하도록 개선한 $K-BASIN^{RR}$ 및 입력자료 전처리기를 개발하였다. PRMS 모형은 융설 및 지하수 흐름 등 다양한 기능을 포함하여 강우유출 분석에 활용성 높은 모형으로 평가받고 있으나, 국내 OS환경 및 활용 단위계에서 활용성이 떨어지는 단점이 있다. 본 연구에서는 소스코드 개선 및 GUI구축을 통하여 PC 환경에서 구동이 쉽도록 재구성하였고, 사용자 편의성 확보를 위한 입력자료 전처리기를 개발함으로써 수자원단위지도 3.0, 임상도 재분류 테이블, 토양도 재분류 테이블의 DB화 및 모형의 구동을 위한 HRU분할, 입력자료 생성이 가능하도록 하였다. 매개변수 최적화를 위하여 하천 유량뿐만 아니라 기저유출량을 대상으로 Monte-Carlo 시뮬레이션 기반의 매개변수를 최적화 기능을 탑재하였다. 개발된 모형의 적용성 평가를 위하여 용담댐 시험유역을 대상으로 11년 간(2005-2015)의 강우 및 온도자료를 입력자료로 활용하여 모의한 결과 샘플의 개수에 따라 NSE(Nash-Sutcliffe Efficiency)를 0.9까지 추정이 가능함을 파악하였다. 또한, 유출량과 기저유출에 대하여 동시에 최적화를 수행하는 경우 NSE를 유출량에 대하여 0.8, 기저유출량에 대하여 0.6까지 추정이 가능하였다. 최적화된 모의 결과에 대한 검토를 위하여 계산증발산량을 측정증발산량과 비교한 결과, 유사한 패턴을 나타내는 것을 확인할 수 있었다. 본 연구에서 개발한 $K-BASIN^{RR}$을 활용하는 경우 장기유출해석 업무에 효율성 및 정확도를 향상할 수 있을 것으로 판단된다.

• Journal of Korean Clinical Nursing Research
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• v.25 no.2
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• pp.120-132
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• 2019

Purpose: This study aimed to investigate the performance of patient engagement nursing services perceived by nurses and necessity in Korea. Methods: This study was a descriptive research. A total of 205 nurses participated in the study. The Smart Patient Engagement Assessment Checklist was developed by the investigators to assess patient engagement nursing services performance and necessity. The data were collected using online survey. Descriptive analysis and $x^2$ analysis were performed using SPSS 25.0 program. Results: The mean age of participants was $36.6{\pm}8.5years$ and the mean working experience was $12.92{\pm}9.23years$. Seventy eight percent of participants reported that patients and family participated in care as advisors through customer's suggestion or patient satisfaction assessment. The rate of patients' and family's engagement in care as advisors was significantly higher in tertiary hospitals ($x^2=28.54$, p<.001). About 89% of participants communicated with patients and family to make clinical decisions with a multidisciplinary approach. The rate of communication for multidisciplinary decision making was significantly higher in tertiary hospitals ($x^2=6.30$, p=.012). With regards to nurses' bedside patient handoff, 22.0% of participants reported that they were performing bedside patient handoff, and there was no significant difference between type of hospitals. About discharge planning, 72.2% of participants reported utilizing discharge checklist. Conclusion: Currently, patient engagement nursing services are applied partially in Korea. It seems that care protocols to be applied for patient engagement nursing services are insufficient. Therefore, patient engagement care protocols need to be developed to improve patient's health outcome and safety.

• Journal of Nutrition and Health
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• v.54 no.3
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• pp.262-276
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• 2021

Purpose: Although, the rate of skipping breakfast among adolescents has increased in recent years, there has been an increase in the consumption of home meal replacement (HMR). This study examines the recognition and preference of rice-based Korean style HMR for breakfast among adolescents in located at Jeollabuk-do. Methods: Total of 550 middle- and high-school students of Jeollabuk-do enrolled in this study signing a consent of participation. After conducting a preliminary survey, the questionnaire employed was modified according to the purpose of this study, and the self-recording method was appliedto fill out the questionnaire. Data were analyzed using IBM SPSS Statistics 25. The 𝛘²-test was performed for categorical variables, whereas continuous variables were analyzed by the independent t-test. Results: Results of this study determined that 272 students (54.6%) belonged tobreakfasteating group and 226 (45.4%) were in the breakfast-skipping group. The reasons specified by both groups for eating HMR were 'convenient to cook', 'delicious', and 'time-saving'. The a result of analyzing perception of the importance of HMR by classifying as whether to eat or not to eat breakfast, revealed that compared to the breakfast-skipping group, the breakfast-eating group considered 'hygiene and cleanliness' as important factors (p < 0.001). Considering the gender, school, and breakfast consumption, the most preferred Korean HMR were 'triangular gimbap', 'gimbap', and 'rice balls'. Conclusion: Results of this study indicate, when considering adolescents, there is a necessary for continuous researches to develop convenient breakfast substitutes that are easily consumed. Moreover, we believe that it is essential to impart proper cooking education and recipe distribution of the menu.

• Journal of the Korean Society of Radiology
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• v.18 no.1
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• pp.37-44
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• 2024

Even though MR can reveal excellent soft-tissue contrast and functional information, CT is also required for electron density information for accurate dose calculation in Radiotherapy. For the fusion of MRI and CT images in RT treatment planning workflow, patients are normally scanned on both MRI and CT imaging modalities. Recently deep-learning-based generations of CT images from MR images became possible owing to machine learning technology. This eliminated CT scanning work. This study implemented a CycleGan deep-learning-based CT image generation from MR images. Three CT generators whose learning is based on T1- , T2- , or T1-&T2-weighted MR images were created, respectively. We found that the T1-weighted MR image-based generator can generate better than other CT generators when T1-weighted MR images are input. In contrast, a T2-weighted MR image-based generator can generate better than other CT generators do when T2-weighted MR images are input. The results say that the CT generator from MR images is just outside the practical clinics and the specific weight MR image-based machine-learning generator can generate better CT images than other sequence MR image-based generators do.

• Journal of Food Hygiene and Safety
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• v.39 no.3
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• pp.260-265
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• 2024

During the coronavirus 2019 (COVID-19) pandemic, wastewater-based epidemiology was used for surveying infectious diseases. In this study, wastewater surveillance was employed to monitor COVID-19 outbreaks. Wastewater influent samples were collected from four sewage treatment plants in Ulsan (Gulhwa, Yongyeon, Nongso, and Bangeojin) between August 2022 and August 2023. The samples were concentrated using the polyethylene glycol-sodium chloride pretreatment method. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA was extracted and detected using real-time polymerase chain reaction. Next generation sequences was used to perform correlation analysis between SARS-CoV-2 concentrations and COVID-19 cases and for COVID-19 variant analysis. A strong correlation was observed between SARS-CoV-2 concentrations and COVID-19 cases (correlation coefficient, r = 0.914). The COVID-19 variant analysis results were similar to the clinical variant genomes of three epidemics during the study period. In conclusion, monitoring COVID-19 via analyzing wastewater facilitates early recognition and prediction of epidemics.

• Journal of dental hygiene science
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• v.5 no.2
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• pp.45-49
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• 2005

This study is designed to present basic materials necessary for offering the more effective way of dental hygienists, or those who are in charge of the education of Oral health, the treatment and prevention of dental problems, educating Oral health by stage by dint of determining the actual condition of the knowledge and management of dental hygiene, or prevention of the basic dental disease except the professional methods of dental management and evaluating their abilities to manage dental hygienes. In terms of the real conditions of the management of dental hygienes, the majority of the subjects said, "not bad" or "healthy". Most of them (62.1%) said that they brush their teeth three times a day, and most of them (85.2%) depend on rolling methods. 69.2% of them used brushes that are neither hard nor soft, and 28.4% of them use soft brushes and 49.7% of them brush their teeth for about 3 minutes. In terms of brushing time, 27.8% of them brush their teeth after lunch, while 23.8% of them brush their teeth after breakfast. 66.3% of them use fluoric tooth pastes while 19.5 percent of them said, "I have no idea." and 14.2% of them said, "No." In terms of complementary dental hygiene goods, dental goggles are used by 23% of them, and dental threads are used by 78.1% and tooth brushes are used by 78.1% of them, and 42.4% of the subjects use the instruments one to twice a day, and 53.8% of them use them for less than one minute a time. In terms of dental health care, 17.2% of them have a chew of gum and 8.3% of them pay a regular visit to dental clinics and 5.3% of them don't smoke.