• Journal of Korean Critical Care Nursing
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• v.9 no.1
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• pp.66-76
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• 2016

Purpose: This study was conducted to examine the relationship between lateral position change and sternal complications after cardiac surgery through median sternotomy. Methods: This study was a retrospective descriptive case-control study, involving 241 patients who underwent cardiac surgery through median sternotomy. Data from October 2011 to September 2014 were collected. Results: Sternal complications (i.e. dehiscence, sternal instability, mediastinitis) developed in 33 patients (13.7%). Primary symptoms of complications were discharge and erythema, and the mean time difference from surgery to appearance of symptoms was 15 days (range, 1-138 days). The factors associated with sternal complications were cancer comorbidity (${\chi}^2=5.22$, p=.039), internal mammary artery procedure (${\chi}^2=4.16$, p=.041), and duration of extra-corporeal membrane oxygenation (p=.033). Position change was not related to incidence of sternal complications (${\chi}^2=0.14$, p=.704). Pressure ulcers appeared in 63 patients (26.1%). Mean time difference from surgery until occurrence of ulcers was 6.7 hours (range, 0-323.0 hours), but position change was started from 132.4 hours (range, 27.1-503.2 hours) after intensive care unit admission. Conclusions: These results provide baseline data to create a standard position change and activity protocol for patients after median sternotomy. Furthermore, the study could help clinical practitioners establish evidence-based nursing practices.

• Korean Journal of Food Science and Technology
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• v.24 no.1
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• pp.97-100
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• 1992

Tofu-residue (biji) which was made on a laboratory scale from the three U.S. and three Korean soybean varieties contained approximately 57% dietary fiber, 20% protein, while the commercial residue contained 59% dietary fiber and 17% protein. The percent soluble fiber in total dietary fiber were 3% and 46% for residue and tofu, respectively. The tofu-residue was wet milled by blade grinding once or twice, followed by sieving and centrifugation of the liquid fraction. For twice-ground residue, the dietary fiber content increased from 58.70 to 80.6% in the sieved residue, with a fiber recovery of 90.4%. On the other hand, twice-ground centrifuged solids contained 46.8% protein, representing 42.4% of the total protein. Lipid levels in the sieved residue were much lower than in the original residue.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.31 no.9A
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• pp.913-919
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• 2006

In this paper, TE(transverse electric) scattering problems by a resistive strip grating over grounded dielectric multilayers according to the strip width and grating period, the relative permittivity and thickness of dielectric multilayers, and incident angles of a TE plane wave are analyzed by applying the FGMM(Fourier-Galerkin Moment Method) known as a numerical procedure. The induced surface current density is simply expanded in a Fourier series by using the exponential function as a simple function. Generally, the relected power gets increased according as the relative permittivity and thickness of dielectric multilayers gets increased, the sharp variations of the reflected power are due to resonance effects that take place and were previously called wood's anomallies$^{[7]}$. To verify the validity of the proposed method, the numerical results of normalized reflected power for the uniform resistivity R = 0 as a conductive strip case show in good agreement with those in the existing paper.

• Korean Journal of Community Nutrition
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• v.2 no.4
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• pp.470-476
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• 1997

본 연구는 북한 식량사정의 실상과 탈북자들의 북한에서의 영양상태 및 남한에서의 정착 후 영양섭취 변화와 이에 따른 건강상태의 변화를 파악하기 위해 탈북한 일가족 10명을 대상으로 하여, 식이섭취 조사를 실시하였다. 또한 탈북직후와 4개월 후 의료기관에서 검진한 결과를 이용하여 분석한 결과는 다음과 같다. 일반적으로 이들의 체위는 남한의 평균 체위보다 매우 왜소하였으며. 4개월동안 평균 4.5kg 정도의 체중이 증가하였다. 이들의 식생활은 북한에서 주로 감자, 강냉이밥, 강냉이로 만든 국수, 산나물등 식물성 식품위주의 식사였으나 남한에서는 동물성 식품의 섭취가 급격히 증가하였다. 이북에서 이들의 평균 열량섭취량은 한국인 영양권장량에 비교할 때 50% 정도로 매우 낮은 수준을 보였으며, 남한에서도 열량섭취는 증가하지 않았다. 그러나 대부분의 영양소의 섭취는 북한과 비교할 때 남한에서 증가를 보였고, 특히 콜레스테롤 섭취는 급격한 증가를 보였다. 탈북직후의 이들 혈중 알부민, 포토당, 헤모글로빈, 헤마토크리트 농도는 대부분 정상이었으며, 혈액의 지질농도도 정상범위에 속하는 것으로 나타났다. 현재 북한 식량난은 더욱 심각할 것으로 추측할 수 있으나 이들의 거주할 당시의 북한에서는 하루 2끼 식사에 강냉이를 주로 하는밥이나 죽, 그리고 나물 등을 주로 먹은 것으로 나타났다. 명절은 김일성 생일, 김정일 생일, 8.15해방절, 조국 해방전쟁 승리일등이 있고, 이런 명절에서는 설탕, 밀가루등 특별배급이 추가되나 특별한 명절음식은 없는 것으로 조사되었다. 북한에는 양념이 매우 귀하며, 특히 고춧가루가 귀해서 주로 백김치를 담가서 먹고 있었다. 현재 북한에서 가장 필요로 하는 것으로 쌀, 잡곡류, 고기 그리고 참깨 등의 양념류와 의약품 및 비누 등을 제시하였다. 현재 자료수집이 극도로 제한된 상황에서 북한 주민들의 정확한 식이섭취 상태와 영양상태 판정은 불가능한 것으로 사료된다. 본 연구의 대상자가 극히 소수이고, 실제로 이들이 북한에서 소외된 계층이었으므로 본 연구결과가 북한의 사정을 정확히 대표한다고 할 수는 없으나 이들의 조사가 앞으로 북한주민의 영양상태를 판정하는데 중요한 자료가 되었으면 한다. 앞으로 통일에 대비하여 북한 주민들의 식생활의 양상과 정확한 영양상태에 대해 많은 연구가 시도되어야 할 것이다.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.21 no.3
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• pp.226-234
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• 2014

Purpose: This study was done to present guidelines for deciding appropriate times for measuring blood pressure (BP) in patients with neurological disorders who had surgery due to brain damage. Method: It was a repeated measures-experimental research on time variants in BP after nursing care. SBP (Systolic BP) and DBP (Diastolic) were measured every 2 minutes up to 5 times using an EKG patient monitor. Measured data were analyzed using repeated measures ANOVA and paired t-test. Results: For suctioning, there were significantly higher differences for SBP averages after 2 min. (138mmHg, p<0.01) and 4 min. (133mmHg, p<0.01) compared to before suctioning (120mmHg). For position change, there were significant differences in SBP averages after 2 min. (136mmHg, p<0.01) and 4 min. (130mmHg, p=0.01) compared to before changing position (121mmHg). For position change followed by suctioning there were significant differences in SBP averages after 2 min. (136mmHg, p<0.01), 4 min. (136mmHg, p<0.01) and 6 min. (125mmHg, p=0.003) compared to before the interventions (121mmHg). Conclusions: Results indicate that there are significant differences in SBP and DBP over time during nursing interventions, suggesting clinical measurement of BP after 6 min. or 8 min. be done for patients with neurological disorders in neurosurgery clinics.

• Proceedings of the ESK Conference
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• 1993.10a
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• pp.189-204
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• 1993

산업화로 인한 급속한 경제성장과 증가하는 여성들의 사회진출은 의생활에서 보다 편 하고 간소화된 생활양식을 추구하게 되고, 이에따라 의복의 구입에 있어서도 맞춤복보다 는 시간, 경제면에서 유리한 기성복을 선호하게 되었다. 불특정다수를 위한 기성복의 생산에 있어서 개개인의 체형에 보다 적합성이 좋은 제품의 개발을 위해 다수인의 다항 목계측치에 근거한 치수체계의 설정은 무엇보다 중요한 문제가 된다. 우리나라에서는 1979년 공업진흥청에 의해 제 1차 국민표준체위조사가 실시되었으며, 1986년에는 제 2차 조사가 실시되어 그 결과를 토대로 한국 공업규격의 의류치수 규격이 제정 발표되었다. 그러나 이것은 연령에 따른 신체적 변화를 고려한 체형분류가 되어 있지 않으며, 제품 호수에 따라 동일한 간격을 둔 체계였다. 1992년에는 제 3차 국민표준체위조사가 실시 되어 그 결과가 발표되었다. 의복은 인체계측에 의한 신체 각 부위의 치수와 형태를 기초로 2차원적인 소재에 적절한 원형을 사용하여 재단, 봉제과정을 거쳐 3차원의 입체 로 구성하고 인체에 대응시킨 것이므로 기성복에 대하여 소비자의 치수적합성을 만족시 키기 위해서는 체형의 특징을 고려해야 할 것이다. 특히, 성장이 완료된 성인 여성은 출산후 중년에 접어들면서 신체적 특성이 변하여 체형이 바뀌는 경향이 있으므로 전 여성에대한 의류치수규격보다는 연령의 구분과 체형의 분류가 필요하다고 본다. 더우기 의류업체들의 판매대상의 세분화는 이를 더욱 뒷받침해주고 있다. 따라서 체형의 분류는 의복 치수 규격에 적용되어 의복의 종류에 따라 대다수의 불특정 다수 에게 보다 잘 맞는 의복 치수를 제공할 것이며, 그 치수의 정확성을 증대시키게 된다. 김성득(1991)은 소비자의 기성복에 대한 구매확률을 높이기 위해서는 규격치를 등간격 으로 하기 보다는 소비자의 분포밀도가 높은 곳일수록 규격치 간격들을 좁게 설정함으 로써 생산자 입장에서 총손실을 줄이고, 상대적 비용절감효과를 갖게할 수 있다고 하였다. 따라서 본 연구에서는 성인 여성기성복의 치수적합성을 높이기위하여 출산 후 중년에 접어 들면서 체형이 변화되는 것을 고려하여 연령을 분류하고(18세-34세, 30세-51세), 각 연령 집단에 따른 체형을 각각 3가지로 분류하였다. 이에 따라 의복 생산시의 총손실을 줄이기위한 상의, 하의생산시 필요한 부위별 최적규격치 간격을 제시하였다.

• Journal of Korean Society of Transportation
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• v.18 no.1
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• pp.17-26
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• 2000

U-turns are allowed widely at the intersections by local police department while the left-turn Phases have been gradually Prohibited. However, any strategies for U-turn movements at signalized intersections are unavailable. Therefore, the Purpose of this study is to Propose the efficient operational method of Urban arterial adopting U-turn strategies. Four alternatives are evaluated they are, 1) U-turn movements are allowed at the adjacent intersection with exclusive U-turn lane while the major or the minor approach is Prohibited, 2) U-turn movements are allowed at the adjacent mid-block Pedestrian crossing with exclusive U-turn lane while the major approach is Prohibited. 3) U-turn movements are allowed at the adjacent mid-block Pedestrian crossing with exclusive U-turn lane while the minor approach is prohibited and 4) Comparative one between alternative 3 and 4. From the results of this study, it concludes that the method of U-turn movements allowed at the adjacent mid-block pedestrian crossing with exclusive U-turn lane is the most effective strategy among those alternatives. The strategies of alternative 1 and 4 are Proposed by the boundary based on the major through and left-turn volumes and the minor left-turn volume.

• Journal of Yeungnam Medical Science
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• v.24 no.2
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• pp.206-215
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• 2007

Background : The prone position is often used for operations involving the spine and provides excellent surgical access. The complications associated with the prone position include ocular and auricular injuries, and musculoskeletal injuries. In particular, the prone position during general anesthesia causes hemodynamic changes. To evaluate the cardiovascular effects of the prone position in surgical patients during general anesthesia, we investigated the effects on hemodynamic change of the prone position with the Jackson spinal surgery table. Materials and Methods : Thirty patients undergoing spine surgery in the prone position were randomly selected. After induction of general anesthesia, intra-arterial and central venous pressures (CVP) were monitored and cardiac output was measured by $NICO^{(R)}$. We measured stroke volume, cardiac index, cardiac output, mean arterial pressure, heart rate, CVP and systemic vascular resistance (SVR) before changing the position. The same measurements were performed after changing to the prone position with the patient on the Jackson spinal surgery table. Results : In the prone position, there was a significant reduction in stroke volume, cardiac index and cardiac output. The heart rate, mean arterial pressure and CVP were also decreased in the prone position but not significantly. However, the SVR was increased significantly. Conclusion : The degree of a reduced cardiac index was less on the Jackson spinal surgery table than other conditions of the prone position. The reduced epidural pressure caused by free abdominal movement may decrease intraoperative blood loss. Therefore, the Jackson spinal surgery table provides a convenient and stable method for maintaining patients in the prone position during spinal surgery.

• Journal of Nutrition and Health
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• v.41 no.1
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• pp.65-76
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• 2008

This study was performed to identify association between nutritional status and health risks of the elderly. This was a cross-sectional study involving low income elderly women in Gwangju, Korea (${\geq}$65y, n = 92). Socio-demographics, life style characteristics, health conditions, dietary intakes based on 24h-recall method, anthropometric measures, and clinical biochemistry parameters were examined. Anthropometric and clinical parameters included wt, ht, waist, hip, body protein, body fat, abdominal fat, total cholesterol, HDL-cholesterol, triglyceride, total protein, albumin, hemoglobin, hematocrit, fasting blood glucose, ferritin, IL-2, IL-6, TNF-${\alpha}$, CRP, TAS, TBARS, systolic blood pressure, and diastolic blood pressure. The subjects were divided into three groups based on age (65-74y, 75-84y, 85y${\leq}$) and were divided into two groups according to the sum of the Nutrition Screening Initiative (NSI) checklist score (adequate nutritional status, NSI score ${\leq}$3; at risk of malnutrition, NSI score >3). Mean and frequency of variables were estimated. Analysis of Variance, Tukey test, Chi-square test, and Multiple linear regression analyses were performed. Mean BMI and body fat were 25.1 $kg/m^2$ and 40.0%, respectively. However, for over 80% of subjects, the intakes of energy, fiber, thiamin, riboflavin, niacin, folate, Ca, K, and Zn were less than the Korean DRI (EAR or AI). The subjects who had lower NSI score tended to have better health status, eat meals frequently, have less depression, and exercise regularly. The subjects who had higher NSI score tended to have tooth problems, to eat alone most of time, and to be physically unable to cook or feed. Serum IL-6 and TNF-${\alpha}$ were significantly related with nutritional status which suggested higher tendency of inflammatory response. Serum IL-2, TAS, and glucose were significantly correlated with body fat (%) or abdominal fat (%). These results suggest that improving the nutritional status, increasing regular exercise, maintaining normal weight are beneficial to health care of low income elderly women.

• Proceedings of the Society of Korea Industrial and System Engineering Conference
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• 2002.05a
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• pp.297-302
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• 2002

족형 설계를 위한 발 치수의 측정과 관련된 국내 연구는 매우 부진한 형편이다. 발과 관련된 치수의 자료로는 1992년 공업진흥청(현 중소기업청)에서 실시한 국민인체 측정 조사 연구 (공업 진흥청, 1992)와 1997년 국민체위조사를 바탕으로 국민 치수 표준화 연구(기술표준원, 1999) 등 극히 미미한 실정이다. 그리고 측정된 데이터는 주로 마틴식기기를 사용하여 측정함으로 측정시 생길 수 있는 여러 오차, 즉 측정오차, 입력오차 등을 내재하고 있는 실정이다. 이 논문에서는 측정시 생길 수 있는 오차를 최소화하면서 반복성과 재현성이 뛰어난 3D 측정기기를 선정, 사용하여 일반적인 신발제작자들이 필요로 하는 그리고 일반 논문에서 제시한 신발 제작시 요구되는 발 치수에 관련된 데이터를 얻기 위한 의사결정지원시스템을 전개하였다.