• Journal of Communications and Networks
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• 제7권3호
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• pp.313-324
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• 2005

The success of the IEEE 802.11 standard has prompted research into efficiency of the different medium access methods and their support for different traffic types. A modified version of the point coordination function (PCF) called modified PCF has been introduced as a way to improve the efficiency over the standard method. It has been shown through a simulation study and a mathematical analysis that channel utilization can be much improved compared to the standard, in case there is no so-called hidden station problem. However, under the hidden station problem, the efficiency of the modified PCF would obviously decrease. In this paper, some enhancements of the modified PCF are introduced. Firstly, we propose a retransmission process to allow frames involved in collisions to be retransmitted. Then, we propose a collision resolution mechanism to reduce the frame collision probability due to the hidden station problem. In addition, we propose a priority scheme to support prioritization for different traffic types such as interactive voice and video, and real-time data traffic in the modified PCF. To prevent the starvation of one low priority traffic, minimum transmission period is also guaranteed to each traffic type via an admission control algorithm. We study the performance of the modified PCF under the hidden station problem and the performance of the modified PCF with priority scheme through simulations. To illustrate the efficiency of the priority scheme, we therefore compare its simulation results with those of some standardized protocols: The distributed coordination function (DCF), the enhanced distributed channel access (EDCA), the PCF, and our previously proposed protocol: The modified PCF without priority scheme. The simulation results show that the increment of delay in the network due to the hidden station problem can be reduced using the proposed collision resolution mechanism. In addition, in a given scenario the modified PCF with priority scheme can provide better quality of service (QoS) support to different traffic types and also support a higher number of data stations than the previous proposals.

• 대한한방소아과학회지
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• 제26권2호
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• pp.35-46
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• 2012

Objectives The purpose of this study was to find out the characteristics of children patients who had been treated in the Oriental Medical Hospital due to traffic accidents. Methods The study was carried out with 121 children patients who visited the Oriental Medical Hospital from April 2011 to March 2012 and was analyzed by reviewing the patients' charts. Results In the distribution of sex the ratio between boys and girls were similar, but regarding the age, 0~6 year-old group was more than that of 7~15 year-old group. In the traffic accident patterns, 87.6% of the entire children patients were injured by car crash. The highest type in the collision between cars was rear-ending impact. The most patients (48.8%) visited our hospital for oriental medical treatment in less than 3 days after the traffic accident. The number of the first visitors in the Oriental Medical Hospital were 77 (63.6%) and those who visited other western hospitals before and were 44 (36.4%). The most frequent duration of admission and treatment in OPD was less than 7 days. Sleeping disorders (37.1%) were diagnosed the highest in 0~6 year-old group and C-spine sprain (49.0%) was diagnosed the highest at 0~7 years-old group. Herb medications were prescribed to relieve anxiety for 0~6 year-old group and for 7~15 year-old group, those were prescribed to activate blood eliminating phlegm and to normalize Qi flow. The highest effective treatment period was less than 7 days. Conclusions This data suggested that the oriental medical care could be more effective in treating children victims of traffic accidents by confirming many different symptoms depending on the age.

• 한국산업보건학회지
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• 제18권1호
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• pp.72-79
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• 2008

This study was surveyed to assess the status of safety accidents occurred in work-places and prepare the fundamental data and prevent the safety accidents. The authors reviewed and analysed the charts of accident cases treated at a primary care clinic in A city from January 1991 to December 2006. The data were classified according to the USA Standards Institute and International Labour Organization method. We analyzed the data using SPSS program. The results were as follows : 1. The total cases of accidents were 455 for 8 years. 2. Accidents were mostly common in the workers who are in thirties and forties age(84.4%). 3. As season variation, spring and summer were common than others, but there was no statistical significance on season, month and weekday. 4. The most frequent injured part of the body were hand and finger, which was 36.0% among total cases. 5. According to the accidents type, cases of caught in, under or between were most frequently observed as 53.9% of the total cases. 6. The most common source of injuries was power machine(50.5%). 7. According to the unsafe acts, cases of carelessness and unsafe information were most frequently observed as 71.2% of the total cases. 8. Admission rate(5.5%) and official report rate(2.2%) were very low rate. As above results, the authors recommend to prepare the systemic control programs on environmental and human factors of safety accidents such as improving the working conditions, working facilities, working methods and safety education, and control of working time for working day.

• 한국융합학회논문지
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• 제9권10호
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• pp.533-540
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• 2018

본 연구는 협동동료교수학습이 간호대학생의 의사소통능력과 셀프리더십에 미치는 융합적 효과를 확인하기 위해 시도되었다. 10회의 협동동료교수학습 전후 의사소통능력과 셀프리더십 조사 결과를 SPSS/WIN 19.0으로 시행한 Mann-Whitney U와 Kruskal-Wallis 검정 결과, 의사소통능력은 실험 전후 성격유형, 토론선호 및 리더역량에서 유의한 차이가 있었고, 셀프리더십은 간호학과 입학동기, 리더역량 및 학교성적에서 유의한 차이를 보였다. 처치 전후 의사소통능력과 셀프리더십 간 양의 상관관계가 있었고, Wilcoxon 부호순위검정 결과, 협동동료교수학습은 의사소통능력과 셀프리더십을 각각 유의하게 증가시켰다(p=.008, p<.001). 본 연구 결과 협동동료교수학습은 간호대학생들의 의사소통능력과 셀프리더십 향상을 위한 중재프로그램을 개발을 위해 적용가능한 효과적인 학습법으로 볼 수 있고, 대상자 수를 확대하고 대조군을 둔 실험연구를 제언한다.

• 한국환경보건학회지
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• 제32권5호
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• pp.387-397
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• 2006

This study was performed to investigate the characteristics of indoor air quality(IAQ) in 91 public facilities from September 2004 to March 2005 in the Honam province(Chonnam, Gwangju). The measured air pollutants are $PM_{10}$, formaldehyde(HCHO), CO, $CO_{2}$ and total suspended bacteria(TSB), the maintenance standard materials of IAQ management law established by ministry of environment in Korea(MOE). We also surveyed establishment and operation of ventilation equipment. It was measured $1.2m{\sim}1.5m$ on the floor between 8 o'clock AM and 7 o'clock PM. As the result, $PM_{10}$ and CO was showed the highest concentration, $188.89{\mu}g/m^{3}$, 8.67 ppm, at the indoor parking. The concentration of HCHO was the highest in large store and steamer room. The concentration was respectively $118.70{\mu}g/m^{3}\;and\;113.21{\mu}g/m^{3}$. The concentration of $CO_{2}$ was the highest at the reading room of the library on the condition of natural ventilation. The concentration of $CO_{2}$ was 1,816 ppm and higher than the IAQ standards established by MOE. The TSB was just measured in the hospital and silver town. It was the highest at the admission room of hospital. The concentration of TSB was $766CFU/m^{3}$. The public facilities of this study were not exceed each maintenance standards except $CO_{2}$ but it was surveyed that the management will be needed about some air pollutant according to target facilities.

• 디지털융복합연구
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• 제15권9호
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• pp.55-64
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• 2017

소프트웨어의 중요성이 널리 인지됨에 따라 대학에서도 소프트웨어 교육이 필수 교과로 지정되어 운영되고 있다. 하지만 비전공 학습자에 대한 충분한 이해가 없는 상태에서 교육이 이루어져, 교육 목표 달성에 어려움이 있다. 따라서 본 논문에서는 소프트웨어 기초 교육 과정을 수강한 인문대학생들의 의견을 분석하여 학생들의 디지털 마인드 변화를 확인하고, 이를 바탕으로 비전공 학생 대상 소프트웨어 기초 교육의 고려 사항을 제안한다. 설문 분석 결과, 입학 전 소프트웨어 교육은 대학에서의 교육에 기여하는 바는 크지 않은 반면, 학생들은 자신이 친숙함을 느끼는 주제를 활용한 실습 위주의 교육에 긍정적인 응답을 보였다. 따라서 비전공 학습자를 대상으로 한 소프트웨어 기초 교육에서는 학습자에게 실습을 바탕으로 한, 보다 많은 소프트웨어 접근 기회를 제공함으로써 학습자 스스로 자연스럽게 디지털 마인드를 함양할 수 있는 환경을 제공하는 것이 바람직하다.

• 중환자간호학회지
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• 제11권1호
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• pp.46-66
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• 2018

Purpose : The purpose of this study was to systematically review the instruments utilized to assess physical impairment in post-intensive care syndrome (PICS) of intensive care unit (ICU) survivors. Method : Online databases searched were MEDLINE, Cochrane, CINAHL, and Embase. Studies that met the following criteria were included: 1) the study population exclusively had experience with ICU admission; 2) the study assessed pulmonary, neuromuscular, and physical functions; and 3) the study was published in English language journals after 2007. Results : A total of 56 instruments (2 pulmonary, 25 neuromuscular, 29 physical function) from 94 studies were reviewed. They were classified into self-report, observation, and measurement according to the type of assessment. No instrument measured all 3 areas of physical impairment. Five instruments were originally developed for the ICU patients. The most frequently applied instruments were the Medical Research Council and the 36-item Short Form Survey (physical component summary), which were used in 23 studies each. Only 13.8% of reviewed studies reported the reliability or validity of the instruments. Conclusion : Our results suggest that the appropriateness of instruments assessing physical impairment in PICS cannot be guaranteed. Despite the multidimensional concept of physical disabilities, most studies measured only one area, and studies that reported psychometric properties were limited. Accordingly, we propose to develop a unique and multifaceted instrument for ICU survivors.

• 대한핵의학회지
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• 제34권2호
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• pp.154-158
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• 2000

This is a case report of a 5-month-old male who was brought in to hospital for evaluation of jaundice from birth. The baby had a history of ileal atresia operated 2 days after birth. At the age of one month, Tc-99m DISIDA hepatobiliary scintigraphy was performed at other hospital and reported to show good hepatic uptake of the tracer but no uptake in the biliary tree, gall bladder, or intestine for 24 hours post injection. He was judged to have biliary atresia. However, subsequent exploratory laparotomy revealed that the hepatobiliary tree appeared intact and that there was a gall bladder. Additionally, the patient had central aorto-pulmonary shunt for the right ventricular septal defect with pulmonary stenosis of a peripheral type at the age of 4 months. The second hepatobiliary scintigraphy was performed on admission at the age of 5 months, showing a gall bladder but no intestinal uptake up to 24 hours. Retrospectively, the histological specimen of the liver obtained at the exploratory laparotomy was re-evaluated, and by the histological findings coupled with clinical data, arteriohepatic dysplasia (Alagille's syndrome) was diagnosed. In this report, we emphasize the diagnostic limitation of hepatobiliary scintigraphy and the importance of overall clinical and histologic evaluation in a case of Alagille's syndrome.

• Annals of Geriatric Medicine and Research
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• 제20권3호
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• pp.125-130
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• 2016

Background: Conventionally, elderly hip fracture patients are assessed by orthopedists to decide whether they need geriatric intervention. We aimed to evaluate the effect of perioperative geriatric intervention on healthcare outcomes in patients undergoing surgery for hip fractures. Methods: Our care model for hip fracture surgery resembles a combination of a routine geriatric consultation model and a geriatric ward model. We retrospectively reviewed the medical records of patients aged ${\geq}65years$ undergoing surgery for hip fracture at a single tertiary hospital from January 2010 to December 2013. We assessed comorbidity, indwelling status, fracture type, and mode of anesthesia. We also evaluated in-hospital expenditure, duration of admission, disposition at discharge and 1-year mortality as clinical outcomes. We developed a propensity score model using the variables of age, cholesterol, and creatinine and examined the effect of perioperative geriatric intervention on intergroup differences of clinical variables. Results: Among 639 patients, 138 patients received the geriatric intervention and 501 patients received the usual care. Univariate analysis showed that factors such as age; Charlson comorbidity index; and serum levels of cholesterol, albumin, and creatinine differed significantly between these 2 groups. There was no significant difference between the groups in terms of 1-year mortality, disposition at discharge, and in-hospital expenditure in the propensity matched model. However, the duration of hospitalization was shorter in the intervention group ($8.9{\pm}0.8days$) than in the usual care group ($14.2{\pm}3.7days$, p=0.006). Conclusion: This care model of geriatric intervention for patients with hip fracture is associated with reduced hospitalization duration.

• Journal of Clinical Nutrition
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• 제10권2호
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• pp.38-44
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• 2018

Purpose: Parenteral nutrition (PN) is known to provide therapeutic beneficial improvements in malnourished patients for whom enteral nutrition is not feasible. The objective of this study was to investigate the current clinical characteristics and utilization of PN in Korea. Methods: We analyzed the Health Insurance Review Agency National Inpatients Sample database from 2014 to 2016, which included 13% of all hospitalized patients in Korea. Adult patients aged 20 years or older and receiving premixed multi-chamber bag containing PN were included for this study. Patient characteristics, admission type, primary diagnosis, and hospital demographics were evaluated. SAS version 9.4 was used for data analysis. Results: From 2014 to 2016, 149,504 patients received premixed PN, with 226,281 PN prescriptions being written. The mean patient age was 65.0 years, and 81,876 patients (54.8%) were male. Premixed 3-chamber bag and 2-chamber bag PN solutions were utilized in 131,808 (88.2%) and 32,033 (21.4%) patients, respectively. The number of patients hospitalized through the emergency department were 70,693 (47.3%), whereas 43,125 patients (28.8%) were administered PN in intensive care units. In the adult PN patients, the highest primary diagnosis was malignant neoplasm of the stomach (8,911, 6.0%), followed by organism unspecified pneumonia (7,008, 4.7%), and gastroenteritis and colitis of unspecified origin (6,381, 4.3%). Overall, 34% of adult PN patients were diagnosed with malignancies, the most common being neoplasm of the stomach (17.7%), neoplasm of bronchus/lung (11.2%), neoplasm of colon (11.1%), and neoplasm of liver/intrahepatic bile ducts (10.0%). PN solutions were most frequently administered in the metropolitan area (55.0%) and in hospitals with more than 1,000 beds (23.6%). Conclusion: PN was commonly administered in older patients, with primary diagnosis of malignancy in a significant number of cases. This study is the first large-scale description of PN-prescribing patterns in real-world clinical practice in South Korea.