• 한국자기학회지
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• 제9권6호
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• pp.301-305
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• 1999

보자력의 차이는 나타내는 NiFe(60$\AA$)/Co(5$\AA$) 두 자성층으로 구성된 NiFe(60$\AA$)/Co(5$\AA$)/Cu(40~60$\AA$)/Co(30$\AA$) 스핀밸브 박막을 일반적인 사진식각 공정을 사용하여 $\mu\textrm{m}$크기의 자기저항 메모리 셀로 패턴하고, 형상자기이방성이 자기저항 메모리 셀의 스위칭 특성에 미치는 영향에 대해 연구하였다. 자기저항 메모리 셀의 출력 및 스위칭 특성은 셀의 크기에 따라 1mA의 일정한 전류와 30 Oe 이내의 스위칭 자장에서 수 ~ 수십 mV의 출력 전압을 나타내었다. 특히, NiFe/Co/Cu/Co 스핀밸브 박막의 증착시 기판에 의해 유도된 결정성에 의한 일축자기이방성과 스핀밸브 박막을 직사각형 형태의 셀로 패턴할 때 부가되는 형상자기이방성의 크기 및 방향을 적절히 조절함으로써, 메모리 셀을 구성하는 NiFe/Co 층의 스위칭 자장을 약 1/3로 감소시킬 수 있었으며, 이는 자기저항 메모리 셀의 크기가 서브마이크론 범위로 감소될 때 발생하는 스위칭 자장의 증가 문제를 해결하는 데 도움이 될 것으로 사료된다.

• Restorative Dentistry and Endodontics
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• 제40권2호
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• pp.155-160
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• 2015

Objectives: Achieving adequate anesthesia with inferior alveolar nerve blocks (IANB) is of great importance during dental procedures. The aim of the present study was to assess the success rate of two anesthetic agents (bupivacaine and lidocaine) for IANB when treating teeth with irreversible pulpitis. Materials and Methods: Sixty volunteer male and female patients who required root canal treatment of a mandibular molar due to caries participated in the present study. The inclusion criteria included prolonged pain to thermal stimulus but no spontaneous pain. The patients were randomly allocated to receive either 2% lidocaine with 1:80,000 epinephrine or 0.5% bupivacaine with 1:200,000 epinephrine as an IANB injection. The sensitivity of the teeth to a cold test as well as the amount of pain during access cavity preparation and root canal instrumentation were recorded. Results were statistically analyzed with the Chi-Square and Fischer's exact tests. Results: At the final step, fifty-nine patients were included in the study. The success rate for bupivacaine and lidocaine groups were 20.0% and 24.1%, respectively. There was no significant difference between the two groups at any stage of the treatment procedure. Conclusions: There was no difference in success rates of anesthesia when bupivacaine and lidocaine were used for IANB injections to treat mandibular molar teeth with irreversible pulpitis. Neither agent was able to completely anesthetize the teeth effectively. Therefore, practitioners should be prepared to administer supplemental anesthesia to overcome pain during root canal treatment.

• 한국정보통신학회논문지
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• 제19권2호
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• pp.386-392
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• 2015

영상압축코덱은 데이터를 일정한 블록크기로 나누어 처리하며 블록크기로 나누어진 데이터는 필요에 따라 처리 순서가 바뀌게 되므로 블록단위의 순서 재배열을 위해서는 블록의 크기에 해당하는 데이터를 메모리에 저장한 후 새로운 순서로 읽는다. 처리 속도를 유지하기 위해서는 두 개의 메모리를 이용하여 입력 데이터를 저장하는 동시에 이전에 저장된 데이터를 읽는 방법을 사용한다. 본 논문에서는 단일 메모리를 적용한 불규칙한 입출력 순서 변환의 경우에도 주소의 변화가 유한한 갱신 횟수 안에 반복되는 예측 가능한 규칙성을 가짐을 보이고 하드웨어 구현을 위한 효율적인 방법을 제안한다. 제시한 방법은 HDL로 설계하여 TSMC 0.18 CMOS 공정 라이브러리를 이용하여 합성하였고 다양한 입출력 순서변환 스캔블록에 대해 40%이상의 면적 절감효과가 있음을 확인하였다.

• Journal of Chest Surgery
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• 제48권1호
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• pp.46-51
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• 2015

Background: Maintenance of adequate vascular access for hemodialysis is important in patients with end-stage renal disease. Once arteriovenous fistula (AVF) occlusion occurs, the patient should be treated with rescue therapy. This study was performed to evaluate the results of a rescue therapy for AVF occlusion. Methods: From January 2008 to December 2012, 47 patients who underwent surgical rescue therapy for AVF occlusion after graft AVF formation, were enrolled in this study. The patients were divided into two groups, namely the graft repair group (group A, n=19) and the thrombectomy group (group B, n=28). Postoperative results of both groups were analyzed retrospectively. Results: There were no statistically significant differences in the clinical characteristics between the two groups. In terms of the duration of AVF patency after the first rescue therapy, group A showed a longer AVF patency duration than group B ($24.5{\pm}21.9$ months versus $17.7{\pm}13.6$ months), but there was no statistically significant difference (p=0.310). In terms of the annual frequency of AVF occlusion after the rescue therapy of group A was lower than that of group B (0.59 versus 0.71), but there was no statistically significant difference (p=0.540). The AVF patency rates at 1, 2, 3, and 5 years after the first rescue therapy in group A were 52.6%, 31.5%, 21.0%, and 15.7%, respectively, and those in group B, they were 32.1%, 25.0%, 17.8%, and 7.14%, respectively. There was no statistically significant difference (p=0.402). Conclusion: Graft repair revealed comparable results. Although there was no statistically significant difference, the patent duration and annual frequency of AVF occlusion of group A were better than those of group B. Therefore, graft repair is considered as a safe and useful procedure for maintaining graft AVF.

• 기본간호학회지
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• 제25권3호
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• pp.220-230
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• 2018

Purpose: This study was a cross-sectional study comparing differences in self-management knowledge, self-management, physiologic indexes, and symptoms experience for two methods of dialysis. Methods: Participants were 90 patients on hemodialysis and 91 on peritoneal dialysis at A hospital. Results: There was no significant difference between the two groups for knowledge of self-management. A comparison of the categories in the evaluation of self-management showed that patients in the peritoneal dialysis group took better care of their dialysis access route (F=17.61, p<.001) and dialysis schedule (F=4.30, p=.040). The physiologic indexes between the two dialysis groups showed that hemoglobin levels were higher in the hemodialysis group (F=5.28, p=.023). The product of serum calcium and phosphate was higher in the peritoneal dialysis group (F=11.42, p=.001). Serum sodium level was also higher in the peritoneal dialysis group (t=5.36, p<.001) while serum albumin level (t=-3.36, p=.001) and mean arterial blood pressure (t=-2.50, p=.013) were higher in hemodialysis patients. There were no significant differences in the proportion of uncomfortable experiences between the two groups. Conclusion: Medical personnel should consider differences in self-management knowledge/self-management, physiologic indexes, and symptoms experience for hemodialysis and peritoneal dialysis populations, and should provide adequate education accordingly and promote behavioral change to improve physiologic indexes and reduce symptoms.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제25권3호
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• pp.15-23
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• 2019

Purpose: As the medical laboratories in general hospitals have made an efforts on quality management and employee health, they recognized the need of design guideline for clinical laboratory. As laboratories are prohibited to patients, their environments are becoming more congested and deteriorated as time goes by. So, this study investigates the current status of facility and equipment of laboratory medicine focusing on less than three hundred patient bed hospitals, and searches the improving matters. Methods: Questionnaires to technologist captains and field surveys to medical laboratories in korean hospitals have been conducted for the data collection. 18 answers have been analysed statistically by MS Excel program. Results: The result of this study can be summarized into followings. Clinical laboratory functions are all hematology, clinical chemistry, immunology, transfusion and urine microscopy, and except for three including microbiology for infection and bio safety level. Average man power of lab are 12.3 man including lab director and captain. Patient bed number, space area and total specimen numbers are not correlated with each other, but specimen numbers and employee number are correlated with. Work space distances are usually good, but exit distances are not adequate for escape owing to obstacles. Specimen delivery system by courier, test method by automatic analyzer, access floor for exposed plumbing and electricities are more practical. Open lab layed out in the center and lab support layed peripheral in space diagram. Lab space configuration by SD method showed that lab support area and employee support area are dissatisfied. Implications: Specialized hospital and yearly total specimen numbers are related to the space area and organization for laboratory planning and design.

• 한국임상약학회지
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• 제33권1호
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• pp.51-61
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• 2023

Background: Mobile applications (apps) on dietary supplements can increase consumers' access to information. However, it can lead to indiscriminate use of dietary supplements. This study aims to systematically review dietary supplement apps released in English and Korean and evaluate the quality of those apps. Methods: Through the app stores, apps on dietary supplements were systemically searched and examined. Two independent evaluators evaluated the apps and presented a mean score using the Mobile App Rating Scale (MARS). The correlation between MARS scores, user and evaluator ratings, and the number of secondary features of the apps were analyzed. Results: Of the 2,772 dietary supplement apps identified, 17 apps were included according to the selection criteria. The mean MARS score was 3.28 (standard deviation: 0.29) out of 5. Apps had higher scores in aesthetics and functionality dimensions, while engagement and information dimensions had lower scores. There was a positive correlation between the number of app downloads and information among MARS dimensions. The subjective evaluation also correlated with the information dimension. There was a positive correlation between the secondary features of the apps and MARS total score as well as the engagement dimension. Conclusion: The dietary supplement apps need to be managed at a higher level of quality to provide safe and reliable information to consumers. Especially, quality on information and engagement dimensions can be improved. Involvement of healthcare professionals in the app development, management with adequate referencing of information, and use of secondary features for enhanced user engagement can be helpful.

• Earthquakes and Structures
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• 제22권5호
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• pp.503-515
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• 2022

This paper presents the development of seismic fragility curves for a precast reinforced concrete bridge instrumented with a structural health monitoring (SHM) system. The bridge is located near an active seismic fault in the Dominican Republic (DR) and provides the only access to several local communities in the aftermath of a potential damaging earthquake; moreover, the sample bridge was designed with outdated building codes and uses structural detailing not adequate for structures in seismic regions. The bridge was instrumented with an SHM system to extract information about its state of structural integrity and estimate its seismic performance. The data obtained from the SHM system is integrated with structural models to develop a set of fragility curves to be used as a quantitative measure of the expected damage; the fragility curves provide an estimate of the probability that the structure will exceed different damage limit states as a function of an earthquake intensity measure. To obtain the fragility curves a digital twin of the bridge is developed combining a computational finite element model and the information extracted from the SHM system. The digital twin is used as a response prediction tool that minimizes modeling uncertainty, significantly improving the predicting capability of the model and the accuracy of the fragility curves. The digital twin was used to perform a nonlinear incremental dynamic analysis (IDA) with selected ground motions that are consistent with the seismic fault and site characteristics. The fragility curves show that for the maximum expected acceleration (with a 2% probability of exceedance in 50 years) the structure has a 62% probability of undergoing extensive damage. This is the first study presenting fragility curves for civil infrastructure in the DR and the proposed methodology can be extended to other structures to support disaster mitigation and post-disaster decision-making strategies.

• Safety and Health at Work
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• 제14권3호
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• pp.332-339
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• 2023

Background: The aim of the study was to test the validity and reliability of the Perceived Future Decent Work Securement Scale for Turkish nursing students. Methods: A cross-sectional, methodological study design was used. The study was carried out at three nursing undergraduate programs in Turkey during the academic year of 2020-2021 with 336 senior nursing students. Language validity and content validity analyses were performed for the scale adaptation, followed by confirmatory factor analysis (CFA) for construct validity. The reliability of the scale was determined using the test-retest and Cronbach's alpha internal consistency coefficient. Results: The scale-content validity index score was 0.988. In CFA, all goodness-of-fit indices verified the acceptable fit of the model; its root mean square error of approximation was 0.076; the normed fit index was 0.909; the standardized mean square residual was 0.097; the relative fit index was 0.881; the goodness-of-fit index was 0.915; the adjusted goodness-of-fit index was 0.872 and χ²/df = 2.932. The overall reliability was α = 0.86. The item-total correlations of the scale were above the acceptable level, and the test-retest analysis had a high correlation. The access to healthcare (14.68, SD 3.53) obtained the highest average score, and the adequate compensation (8.52, SD 3.76) was the lowest rated by the senior nursing students. Conclusion: The Perceived Future Decent Work Securement Scale is a valid and reliable scale to assess nursing students' future decent work securement.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제27권1호
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• pp.43-52
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• 2024

Purpose: In this study, we investigated the clinical profile, survival at discharge, and proportion of children with acute liver failure (ALF) meeting the criteria for, yet surviving without, liver transplantation (LT). Methods: Medical case records of children aged >28 days to ≤15 years over a period of 7 years, identified from pediatric admission and discharge registers, were screened. Children satisfying the criteria for ALF were included in this study. Results: A total of 71 records meeting the pediatric ALF (PALF) criteria were included. The survival rate at discharge was 61% (n=44). A considerable proportion of children satisfied the King's College Criteria (KCC) (56.3%) and the European Association for the Study of the Liver (EASL) criteria (7%) for LT at admission. Nonetheless, the survival rate in the absence of LT was 42.5% in children who satisfied the KCC and 20% in those who met the EASL criteria. Infection (29.5%) and paracetamol overdose (19.7%) were the major identifiable causes of PALF. Hepatitis A was the most common infection identified. No significant predictors of poor outcomes were identified in multivariable analysis. Conclusion: Our study highlights the changing survival rates and the clinical and etiological profiles of patients with PALF. In areas with poor access to LT services, survival in these children could be improved through early referral to centers with adequate intensive care facilities. Preventing ALF and referring patients to LT services are paramount to reducing mortality.