• The Journal of Korean Academic Society of Nursing Education
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• v.21 no.2
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• pp.168-181
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• 2015

Purpose: This study was conducted to determine the factors affecting the prevention of needle stick injury. Methods: Data collection was conducted during the period July 15-31, 2013 by a self-administered questionnaire involving 220 nurses working in 7 hospitals. The data was analyzed by SPSS v18 and AMOS v18. Results: Actions by nurses to prevent needle stick injury were directly and indirectly influenced by perceived benefits, attitude toward the behavior, perceived behavioral control, and intention underlying the behavior. Specially, perceived behavioral control is verified to have not only direct influence but also indirect influence on the performance of preventive action through the intention underlying the behavior. Also, perceived benefits indirectly influence the intention toward the behavior and performance of preventive action through attitude toward the behavior and perceived behavioral control. The predictor variables in this model are 52% explicable in terms of intention of prevention action against needle stick injury, and 66% explicable in terms of performance of preventive action. Conclusion: To ensure high performance of preventive action against needle stick injury, constructing not only the solution that inspires the intention toward behavior but also a system that can positively solve and improve obstructive factors in behavioral performance is of primary importance.

• Korean Journal of Animal Reproduction
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• v.19 no.1
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• pp.15-34
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• 1995

1970년말부터 뇌하수체 성선자극호르몬(gonadotropic hormone ; GTH)의 유전자 구조(FSH$\beta$, LH$\beta$ 및 공동의 $\alpha$쇄)가 다양한 종에서 밝혀지기 시작하였으나 이러한 유전자의 조직/세포 특이적 분비양식과 세포외 신호에 의한 조절양식은 정확히 밝혀져 있지 않다. 그러나 최근 들어 형질전환 맞추스 제작기법에 의해 $\alpha$쇄 유전자 상류에 세포특이적 발현을 조절하는 특이부위가 존재함이 보고됨을 시작, FSH$\beta$ 및 LH$\beta$쇄 유전자발현을 조절하는 특이부위 또한 가까운 시기내 발견되리라 기대된다. 한편, 성선자극 호르몬 방출호르몬(GnRH), 스테로이드 호르몬 및 여러 결합단백질과 같은 세포의 신호는 각기 다른 신호전달체계를 통하여 GTH유전자 발현을 일으킨다. 또한 뇌하수체에서도 그 존재가 확인된 전사인자들 (cFos, cJun)과 미지의 인자들은 상호간에 다양한 이량체를 형성하여 유전자 발현을 조절하는 각 특이부위에 결합함으로써 전사단계에서의 다양한 제어가 존재함이 밝혀지고 있으며 이러한 유전자상의 특이발현영역과 세포의 신호별 전사인자에 관한 연구는 번식에 있어 중요한 성선자극호르몬에 관한 분자수준의 조절기전을 밝혀내리라 기대되어진다.

• Journal of computational fluids engineering
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• v.19 no.4
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• pp.20-28
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• 2014

An efficient solution algorithm for simulating free surface problem is presented. Navier-Stokes equations for variable density incompressible flow are employed as the governing equation on Cartesian meshes. In order to describe the free surface motion efficiently, VOF(Volume Of Fluid) method utilizing THINC(Tangent of Hyperbola for Interface Capturing) scheme is employed. The most time-consuming part of the current free surface flow simulations is the solution step of the linear system, derived by the pressure Poisson equation. To solve a pressure Poisson equation efficiently, the PCG(Preconditioned Conjugate Gradient) method is utilized. This study showed that the proper application of the preconditioner is the key for the efficient solution of the free surface flow when its pressure Poisson equation is solved by the CG method. To demonstrate the efficiency of the current approach, we compared the convergence histories of different algorithms for solving the pressure Poisson equation.

• Journal of the Korean Wood Science and Technology
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• v.18 no.3
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• pp.34-41
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• 1990

본 연구는 CCA로 방부(防腐)처리된 Lodgepole pine 각재(角材)의 재건조(再乾燥)시 고온건조법(高溫乾燥法)의 적용이 건조속도(乾燥速度) 및 건조결함(乾燥缺陷)의 발생에 어떻게 영향하는가를 고찰하고자 수행되었다. 고온건조시 건조속도는 통당(通常) 열기건조(熱氣乾燥)시보다 약(約) 2.5배 증가되었으며, 방부처리재의 재건조 속도는 처리전(前)의 전건조속도보다 약간 감소됨을 보였다. 표면할열(表面割裂)의 발생정도(程度)은 전건조시의 경우, 고온건조시 보다 심(甚)하였으나 재건조시에는 건조방법간에 큰 차이가 없었다. 방부제의 침투(浸透)를 도모(圖謀)하기 위하여 자상(自傷)처리(Incising)된 각재의 경우에는 재건조시 절개부(切開部)의 연장(延長)에 의해 할렬의 정도가 증가됨을 보였다. 뒤틀림(Warping)의 발생정도는 고온건조시가 통상 열기건조에 비해 심하지 않았으며, 전(全) 건조과정을 통하여 발생된 뒤틀림은 WWPA가 정(定)해놓은 Lodgepole pine 2등급(等級)(No. 2 grade)의 뒤틀림 허용치(許容値)의 범위내(範圍內)에 있음을 보였다. 결론적(結論的)으로, 고온건조시 증가되는 건조속도와 건조재의 질(質)에 큰 영향을 주지않는 범위내에서 발생되는 건조결함을 고려할 때, Lodgepole pine의 전건조및 CCA 처리후 재건조를 위해 큰 문제없이 고온건조법이 적용될 수 있음을 보였다.

• Journal of Chest Surgery
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• v.25 no.4
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• pp.429-434
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• 1992

We experienced a rare case of traumatic ventricular septal defect by penetrating stab injury The patient was 26-year-old women who got stab wound at the left anterior third intercostal space and left sternal border with a knife. seven hours after admission, the patient was undertaken an emergency thoracotomy due to hypovolemic shock caused by massive bleeding from transected left internal mammary artery, vein, and right ventricular outflow tract. On postoperative second day, the patient was suffered from moderate dyspnea, and arterial blood gas analysis and chest X-ray revealed hypoxemia and pulmonary edema. Right heart cardiac catheterization with Swan-Ganz Cathater showed oxygen step-up between right atrium and main pulmonary artery and a 1.6:1 ratio of pulmonary to systemic blood flow. At operation, harsh systolic thrill was palpable along right ventricular outflow tract. Through small vertical right ventriculotomy, the linear ventricular septal laceration on infundibular septum was noticed, and its size was 1.5cm with sharp margin This defeat was repaired by three interrupted matress sutures using Prolene 4-O with pledget. Her postoperative course was uneventful, and she discharged with good physical condition.

• Journal of Chest Surgery
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• v.29 no.8
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• pp.927-930
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• 1996

We experienced six cases of pseudoaneurysm of the peripheral artery which occurred after stab wound or after diagnostic and operative procedures. Among 6 cases, 4 cases of pseudoaneurysm were developed in the femoral arteries, and others were the subclavian and the axillary artery. Two of 6 cases were combined with previous arterio enous fistula. Doppler imaging and angiogram were performed for the dignosis and an operation. Operative procedures were resection of the aneurysm, ligation of the involved arteries and reconstruction of the artery with the autogenous saphenous vein or the cephalic vein graft. Each operations were successfully performed without any disability.

• Korean Journal of Microbiology
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• v.28 no.2
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• pp.109-113
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• 1990

The mutagenesis-enhancing plasmid pKM101 and its mutant pSL4 were introduced into Escherichia coli B/r strains possessing different DNA repair capacities ($phr^{-}, recA^{-}, uvrA^{-}, uvrB^{-}$) and determined the protection effect and mutagenecity for UV and MNNG. The mutability and protection effect of plasmid pKM101 and pSL4 were affected by different DNA repair capacity. The mutagenecity and resistance of two plasmids were increased against UV and MNNG, and plasmid pSL4 had a higher effect than pKM101. We suggest that the functional differences between pKM101 and pSL4 is due to the variety of mutator gene.

• Journal of Korean Society for Atmospheric Environment
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• v.1 no.1
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• pp.93-98
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• 1985

Mass size distribution of atmospheric particulates were measured using an Andersen using an Andersen sampler in urban air. The atmospheric particulates were fractionated in eight stages of an Andersen sampler operating at 28.4$\ell/min$ and collected on polyester sheets. A quartz filter was placed behind the last stage collect permeated partculates. The size distribution of atmospheric particulates were divided around 1-2 $\mu$m into two groups, coarse and fine particulates regardless of sampling times. The variation of course particulates concentration was higher than fine particulates among sampling times. Different meterorological conditions and natural phenomena brought high variation of course particulates' concentration. The rain caused removal of coarse particulates seriously and the yellow and may take part in a increase of the course particulates in spring. The average concentration of atmospheric particulates to be collected by Andersen sampler was 170.8 $\mug/m^3$ during 3 times of sampling. Among them the average concentration of atmospheric particulates which could penetrated under a bronchi and alveoli were 70.4$\mug/m^3$ and 36.6$\mug/m^3$ respectively.

• Journal of Trauma and Injury
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• v.23 no.1
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• pp.49-52
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• 2010

A hemothorax usually occur, due to injuries to the intercostal and great vessels, pulmonary damage, and sometimes fractured ribs. We report a case in which the hemothorax that occurred, neither intrathoracic injury nor injury to internal thoracic vessels and organs, via lacerated diaphragmatic and liver laceration due to a right upper part of anterior chest stab injury caused by a sharp object. The patient's general conditions gradually worsened, so chest and abdominal computed tomogram were taken. The abdominal computed tomogram revealed diaphragmatic injuries and bleeding from the lacerated liver. We performed an exploratory laparotomy to control the bleeding from the lacerated liver with simple primary sutures. In addition exploration was performed in the right pleural space through the lacerated diaphragm with a thoracoscopic instrument. There were no bleeding foci in the right pleural space, the vessels, or the lung on the thoracoscopic video. Closure of the lacerated diaphragm was achieved with simple, primary sutures. The postoperative course of the patient was uneventful, and the patient was discharged.

• Korea journal of population studies
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• v.32 no.3
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• pp.21-41
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• 2009

본 연구는 소비자의 의료서비스 만족도에 영향을 미치는 중요한 요인들을 규명해 보고 그 관계를 살펴보고자 하였다. 특히 의료소비자가 인지하는 의료서비스의 만족도에 영향을 미치는 구성요소 가운데 의사, 간호사 등 의료인력 요소와 시설, 대기시간, 행정절차 등 비의료적 구성요소를 중심으로 만족도에 영향을 미치는 관련요인을 규명해 보았다. 본 연구에서 사용된 실증적 자료는 서울에 거주하는 사람으로 조사시점인 2007년 10월을 기점으로 지난 3개월 내에 의료서비스를 이용한 경험이 있는 사람을 대상으로 설문조사에 의해 수집되었고, 최종 543사례가 분석에 활용되었다. 의료서비스에 대한 만족도와 요인들간의 관련성을 파악하기 위해 상관관계 분석과 다중회귀분석을 실시하였고 특히 의료서비스의 질과 만족도에 직접적인 영향을 미치는 의료 인력의 자질과 태도와의 연관성에 초점을 두어 분석하였다. 분석결과, 소비자의 의료서비스 만족도에 영향을 미치는 핵심적인 관련 요인으로는 의료인력 구성요소로서 통계적으로 유의미한 영향을 미치는 것으로 나타났다. 특히 "의사실력", "의사의 자상한 설명과 친절", "의사의 믿음직함", 그리고 "의사가 환자의 얘기를 귀담아 들어줌"이라는 의사의 자질과 태도가 가장 중요한 요인이라고 할 수 있다. 이와 같은 의료서비스의 질과 만족도연구는 소비자의 의료서비스 만족도 정보로 활용하므로 의료서비스 공급자와 의료기관 종사자들의 책임의식 고취와 고객중심적 의료서비스 문화 정착에 도움이 되고 소비자들에게 좀 더 나은 의료서비스를 제공할 수 있도록 의료공급자들에게 동기를 부여해 준다는 점에서도 의의가 있을 것이다.