• Advances in pediatric surgery
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• 제7권2호
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• pp.112-117
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• 2001

With the advances in neonatal intensive care, pediatric surgeons experience very low birth weight infants, weighing <1,500 g, more frequently. We report our 14 cases of very low birth weight infants with intestinal perforations without congenital causes, at the Asan Medical Center during the 11-year period from 1989 to 2000. The average birth weight was 919 g(563-1,490), and average gestational age was 206 days(161-286). There were nine males and five females, Operation was performed at an average age of 14.0 days(3-38). Ten neonates with symptomatic PDA were given indomethacin in an attempt to close the ductus. Bowel perforation involved the jejunum in two and ileum in twelve. At laparotomy, there were seven focal intestinal perforations, five typical NEC, one intussusception, and an unknown cause, Four neonates underwent resection and anastomosis of the bowel, and nine underwent exteriorization. One underwent resection and anastomosis after peritoneal drainage. Four patients had postoperative complications; two leakage of anastomosis, one stoma necrosis, and one internal herniation. Seven of fourteen patients survived(50.0 %). Seven patients died of septic complication. There was a significant difference in the birth weight and gestational age in survivors compared with those who died(p<0.05). There was an increased risk of bowel perforation in indomethacin treatment for PDA. Careful clinical observation and keen judgment are essential for this particular group of infants.

• Asian Pacific Journal of Cancer Prevention
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• 제13권7호
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• pp.3287-3292
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• 2012

Purpose: To study the overall treatment time (OTT) and acute toxicity of intensity-modulated radiotherapy (IMRT) treatment for nasopharyngeal carcinoma (NPC). Methods: This retrospective study covered all NPC patients who underwent radical IMRT treatment at the Penang General Hospital from June 2011 to February 2012. Patients of any age and stage of disease with histologically proven diagnosis were included. Information was collected on patient demographics, clinical stage, treatment received, including any neoadjuvant and/or concurrent chemotherapy, acute toxity and completion of IMRT within the OTT. Results: A total of 26 NPC patients were treated with IMRT during the study period; 88.5% had stage III/IV disease. 45.2% received neo-adjuvant chemotherapy while 50.0% were given concurrent chemo-irradiation. All patients completed the treatment and 92.3% within the 7 weeks OTT. Xerostomia was present in all patients with 92.3% having grade 2. Severe grade III/IV acute toxicity occurred in 73.1% of patients, the commonest of which was oral mucositis (57.6%). This was followed by dysphagia which occurred in 53.8%, skin reactions in 42.3% and weight loss in 19.2%. However, haematological toxicity was mild with only one patient having leucopaenia. Conclusion: IMRT treatment for NPC is feasible in our center. More importantly, it can be delivered within the 7 weeks OTT in the majority of patients. Severe grade 3/4 toxicity is very common (73.1%) and thus maximal nutritional and analgesic support is required throughout the treatment.

• 성인간호학회지
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• 제14권4호
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• pp.564-572
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• 2002

Purpose: This study was conducted to describe qualitatively the entities of nurse's experiences in general hospitals and to suggest basic data guiding research on developing Standards of clinical nursing practice in Korea. Method: Fourteen nurses working at general hospitals with over 300 beds in Seoul were interviewed in-depth until saturation using tape-recorders and transcription. Result: The central theme of clinical nursing practice experienced by subjects was "being with clients" that means accepting client's personal character, solving client's needs and providing client-centered nursing. A also "being with clients" was felt to be the responsibility of nurses which was learned from their nursing schools. The nursing strategies performed in order to be with patients were proving skillful nursing techniques, accepting, educating, emotional support, advocating, and self-reflecting, the subjects experienced somewhat problematic affects such as difficulties in interpersonal relationship, work overload, negative image of nursing, deficit of self-confidence for nursing actions, poor working conditions, and unfair treatment. Nurses at the hospital practiced with pride when they felt that they were accepted by clients. Conclusion: Further research is needed to analysis problems in clinical practice and the comparison of nurses' experiences of clinical practice, with nurses' experiences in various settings.

• 한국간호교육학회지
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• 제7권2호
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• pp.349-359
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• 2001

The purpose of this study was to find the experiences to be cared of nursing students in the teaching-learning process of nursing education and provided the fundamental data of nursing education. For this study, the analytical theory of Benner's Interpretive Phenomenology was applied and the research question was 'How do the nursing students to be cared in the teaching-learning process of nursing education?' All 64 junior and senior nursing students who volunteered for this study were interviewed. The data was collected by open-ended audiotaped interview or written descriptions of situations they had experienced with a caring faculty member. All the contents of interview were recorded while interviewing with the each participants from the April 1998 to September 2000. The conclusions, obtained from the study on experiences to be cared of nursing students, were as follows ; 1. The nursing students considered the relationship with professor as very important matter. 2. The significant and important themes to nursing student be cared in the teaching-learning process of nursing education were Concern, Support, Information and Acceptance. 3. The result of this study explained the content and stage of nursing education applying 4 themes, therefore its practical use as material of nursing education was considered. Based on this study, the practical use of this results as nursing education data and the experimental study for measuring the effect of caring in the teaching-learning process of nursing education were suggested.

• 한국간호교육학회지
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• 제23권4호
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• pp.419-429
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• 2017

Purpose: The purpose of this study was to investigate the effect of the development and application of the new nurses' core skill program on the clinical skill, confidence, knowledge and performance of new nurses. Methods: This study was a nonequivalent control group post-test design on 46 new nurses with 3 to 6 months work experience in a general hospital. Data were collected from August 2015 to August 2016. A training program of core fundamental nursing skills was applied on 23 new nurses from 2016 in the experiment group, and an existing training method was applied on 23 new nurses from 2015 in the comparison group. The collected data were analyzed using SPSS/WIN 23.0. Results: The experimental group ($89{\pm}4.29$) showed higher score in practical skill assessment compared to the control group ($85.09{\pm}3.99$) and showed a statistically significant difference (p<001). Conclusion: A training program of core fundamental nursing skills for new nurses proved effective in improving practical skills. Further research on the development of a systemic training program that can improve clinical nursing knowledge and work ability for new nurses according to the extended enforcement of a Nursing Care Integrated Service ward is needed.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2018년도 추계학술대회
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• pp.213-216
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• 2018

인공지능과 음성인식을 기반으로 한 스마트 디바이스의 장점이 부각되면서, 가상 비서(Virtual Assistant)가 인기를 끌고 있다. 가상 비서는 스마트 스피커를 통해 사용자 경험을 제공하며, 일반 소비자들이 가장 사용하기 쉬운 IoT 디바이스로 평가받고 있다. 본 연구는 주요 가상 비서브랜드의 음성인식 플랫폼과 디바이스에 대한 사람들의 인식에 차이가 있는지 살펴보고자 한다. 이를 위해, 트위터에서 가상비서 서비스를 하는 세 기업의 총 6가지 키워드를 포함한 트윗을 수집했다. 수집한 데이터는 의미 연결망 분석 기법(Semantic network analysis)을 적용해 키워드에 대한 사람들의 인식을 분석했다. 추가로 LIWC 감성분석을 통해 사람들의 긍정/부정적 반응을 분석했다. 분석 결과 사람들은 각 키워드에 대한 반응이 다른 것으로 나타났다. 주로 Virtual Assistant가 제공하는 기능과 서비스에 대한 기대와 사용성에 대한 내용이었다. 또한 대부분의 키워드에 긍정적 반응을 보였다.

• 소성∙가공
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• 제13권5호
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• pp.422-428
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• 2004

At present, the design of extrusion dies and operation in extrusion companies are primarily based on trial and error. The experience of the die designer, the press operator and the die corrector determine the performance of the extrusion die and the efficiency of the process. In order to produce defect-free products of desirable quality in terms of strength, surface quality and geometrical dimensions, it is important to obtain more knowledge of the processes that occur during extrusion. Recently, to reduce the costs of designing and manufacturing of extrusion dies, and to ensure the quality of the extruded products, numerical simulation for extrusion processes such as FEM (finite element method) is applied increasingly and becomes a very important tool for the design and development of new products. However, most of the studies about FE simulation have been accomplished for simple geometry and low extrusion ratio in the filed of steady metal flow conditions. The extruded products of AI alloy in industrial practice involve complicated sectional geometry. This study was designed to reduce the time of die design and manufacturing in the extrusion process using FEM simulation. FEM simulations of extrusion process were performed in non-steady states conditions by changing weld plate included in extrusion die set. Product which was employed in this study is heat sink that has been used in the parts of heat exchanger of electric circuits. It is generally applied for aluminum or its alloys due to heat efficiency and easy production of complicated shapes, and manufactured by extrusion process. The simulated results showed that weld plate shape in extrusion dies influences meta] flow and dimensional accuracy of products.

• Neonatal Medicine
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• 제28권3호
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• pp.116-123
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• 2021

Purpose: The aim of this study was to estimate the effect of targeting risk factors for the control of central line-associated bloodstream infection (CLABSI) among high-risk infants in a tertiary neonatal intensive care unit (NICU). Methods: Infants admitted to the NICU and diagnosed with CLABSI from January to December 2013 were eligible for inclusion to the study. The CLABSI group (n=47) was matched in a 1:2 ratio to the control group (n=94) based on gestational age, birth weight, and Score for Neonatal Acute Physiology-II. Risk factors for CLABSI were identified using the Cox proportional hazard model, and analysis of the effect of these risk factors targeting infection control was performed. Results: The risk factors associated with CLABSI were prolonged central line dwell days (adjusted hazard ratio [HR], 1.028; 95% confidence interval [CI], 1.011 to 1.045; P=0.001), use of a silicone catheter (adjusted HR, 5.895; 95% CI, 1.893 to 18.355; P=0.002), surgical treatment (adjusted HR, 3.793; 95% CI, 1.467 to 9.805; P=0.006), and less probiotic supplementation (adjusted HR, 0.254; 95% CI, 0.068 to 0.949; P=0.042). By targeting these risk factors with a quality improvement initiative, the mean CLABSI incidence rate per 1,000 catheter-days decreased from 6.6 to 3.1 (P=0.004). Conclusion: Targeting risk factors for infection control significantly reduced the rate of CLABSI among high-risk infants in the NICU.

• International Journal of Advanced Culture Technology
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• 제6권4호
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• pp.20-28
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• 2018

Background: As a result of the South Korean government's medical tourism strategies, the number of UAE inbound medical tourists have the highest annual increase rate among the Middle Eastern countries. The need for medical interpreters in such cases is inevitable, especially considering the languages spoken in both countries differs. The work of a medical interpreter affects patient satisfaction, quality of care, and the UAE patients' revisit intention. However, there is a lack of literature that focuses on the role of medical interpreters for the Arabic-speaking medical tourists in South Korea. The purpose of this study is to assess the satisfaction and the experience of UAE medical tourists in South Korea who have used medical interpretation services. Method: A descriptive exploratory design, including semi-structured interviews, was used in this study to examine factors influencing the satisfaction of UAE patients seeking medical attention in South Korea, who considered travelling exclusively for medical purposes. Eleven UAE medical tourists were selected for the interview using convenience sampling. Results: Two types of interpreters were revealed by the analysis: interpreters with Arabic as their mother tongue and interpreters with Korean as their mother tongue. Patients emphasized the origin of the interpreters and differentiated between the two types of interpreters' professionalism, abilities, and personal skills. However, due to the huge gap between the two cultures, languages, and religions, the UAE patients mainly preferred the Arabic medical interpreters. Further, each type had certain traits that impacted the medical care process and patients' satisfaction. Conclusion: This study shows that the South Korean government needs to focus on the training and assessment system for Arabic language interpreters. Additionally, cultural differences training for the interpreters may help to increase UEA patients' satisfaction.

• 한국정보통신학회논문지
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• 제24권11호
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• pp.1403-1410
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• 2020

최근, 비대면 경험 및 서비스에 관한 관심이 증가하면서 스마트폰이나 태블릿과 같은 모바일 기기를 이용하여 손쉽게 이용할 수 있는 웹 동영상 콘텐츠에 대한 수요가 급격히 증가하고 있다. 이와 같은 요구사항에 대응하기 위하여, 본 논문에서는 애니메이션이나 영화에 등장하는 명소를 방문하는 무대 탐방 경험을 제공할 수 있는 영상 콘텐츠를 보다 효율적으로 제작하기 위한 기법을 제안한다. 이를 위하여, Google Maps와 Google Street View API를 이용하여 무대탐방 지역에 해당하는 이미지를 수집하여 이미지 데이터셋을 구축하였다. 그 후, 딥러닝 기반의 style transfer 기술을 접목시켜 애니메이션의 독특한 화풍을 실사 이미지에 적용한 후 동영상화하기 위한 방법을 제시하였다. 마지막으로, 다양한 실험을 통해 제안하는 기법을 이용하여 보다 재미있고 흥미로운 형태의 무대탐방 영상 콘텐츠를 생성할 수 있음을 보였다.