• Journal of Korean Clinical Nursing Research
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• v.21 no.1
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• pp.11-20
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• 2015

Purpose: The purpose of this study was to identify effects of video-based information provision on anxiety and education satisfaction of patients with thyroid cancer who are undergoing radioiodine treatment. Methods: This study was a quasi-experimental study with a nonequivalent control group and nonsynchronized design. Data were collected from September 4 to December 31, 2013. Participants in this study were 60 patients (experimental group=30, control group=30) admitted after thyroidectomy. Video-based information developed by the authors was used with the experimental group at admission. The control group was provided with a booklet. State anxiety was measured using the Korean version of Spielberger's State-Trait Anxiety Inventory (STAI). Education satisfaction was measured with Visual Analogue Scale (VAS). Collected data were analyzed using SPSS windows 18.0 programs for Chi square test and t-test. Results: There was no significant difference in status anxiety between the two groups (t=1.05, p=.300). The experimental group had significantly higher level of education satisfaction than the control group (t=3.34, p=.001). Conclusion: Results indicate that providing video-based information is effective in increasing education satisfaction. Therefore, it is recommended that complementing and existing education with video-based information will contribute to enhanced nursing practice.

• Journal of Chest Surgery
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• v.25 no.7
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• pp.685-692
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• 1992

In spite of multiple technical advances, large amount of homologous blood transfusions usually required for open heart surgery. Because the complications associated with transfusion are increased as the number of homologous transfusion increase, especially as transfusion related acquired immunodeficiency syndrome has appeared in recent years, such risks have stimulated recent interest in the use of autologous blood. This is a report concerning 23 consecutive adult autologous donors[autologous group] who had elective cardiac surgery at the Yonsei Cardiovascular Center, Yonsei University College of Medicine, from march, 1990 to august, 1991. A similar group of 23 patients operated during the same periods without autologous blood donation was used for comparison [control group] to investigate the effect of predonated autologous blood in decreasing the need of homologous transfusion and to investigate predonation related adverse effect. Autologous group consisted of 15 men and 8 women. Control group consisted of 7 men and 16 women. There were no significant differences in mean age, hemoglobin, hematocrit, RBC count, platelet count and prothrombin time on admission between the two groups. The mean autologous blood donation in autologous group was 2.2 units. In 10[43.5%] of the 23 atuologous group patients, no homologous RBC products transfusion was required. However, all patients required homologous transfusion in control group. In autologous group, patients required less homologous RBC products than control patients[2.1 units versus 5.3 units; p<0.001]. There were no significant differences in hemoglobin, hematocrit, RBC count and platelet count between the two groups before discharge. There were no serious complications related to preoperative blood donation, although 3 patients complained of mild dizziness during donation We conclude that preoperative autologous predonation of blood is a safe and effective method for reducing homologous transfusion and is recomended in all patients undergoing elective cardiac surgery except limited contraindications such as severe aortic valve stenosis or unstable angina pectoris.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.18 no.5
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• pp.708-720
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• 1993

The new preventive control mechanisms for traffic management in BISDN/ATM networks can be divided into Connection Admission Control(CAC), Usage Parameter Control (UPC), and Priority Control. Of these mechanism, Usage Parameter Control continuously monitors the parameters admitted in the network's entry point to guarantee quality of service of connections already admitted. Upon detecting traffic that violates the negotiated parameter, it takes the necessary control measures to prevent congestion. Among these traffic control methods, this paper focuses on the Usage Parameter Control method, and proposes and designs GRACE-LB(Guaranteed Rate Acceptance & Control Element-using Leaky Bucket) which improves upon existing UPC models. GRACE-LB modifies the previous LB model by eliminating the cell buffer, dividing the token Pool into two pools, Long-term pool, Short-term pool, and changing the long-term token generating form using 'Cycle Token' into the same bursty form as the traffic source. Through this, GRACE-LB achieves effective control of the Average Bit Rate(ABR) and burst duration of bursty multimedia traffic which previous LB models found difficult to control. Also, since GRACE-LB can e implemented using only simple operations and there are no cell buffers in it, it has the merit of being easily installed at any place.

• Tuberculosis and Respiratory Diseases
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• v.61 no.3
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• pp.233-238
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• 2006

Study objectives: To determine the factors associated with mortality after an in-hospital diagnosis of tuberculosis in a region with low levels of HIV coinfection. Methods: From January 2003 to December 2004, all subjects who were > 15 years of age and had received a diagnosis of tuberculosis were registered. The clinical, radiological and laboratory aspects of the patients who died (n=27) were compared with those of an age and gender matched control population(n=54). Logistic regression analyses were carried out, which included age, gender, hospital admission source, initial site of admission, dyspnea, general weakness and initial laboratory data. Results: The mean age of the patients was $60{\pm}16$ years and male patients outnumbered female patients. Univariate analysis identified hemoglobin, blood urea nitrogen, albumin, cholesterol, aspartate aminotransferase (AST), C-reactive protein and the risk factors for tuberculosis to be significantly associated with mortality. Among the characteristics of disease presentation and treatment, emergency department admission, intensive care unit, disease severity, general weakness and dyspnea at the time of admission were associated with mortality. Multiple regression analysis revealed the initial management in the intensive care unit and lower serum albumin to be independently associated with mortality. Conclusion: The markers of disease chronicity and severity appear to be associated with in-hospital mortality. Identifying potentially reversible factors such as malnutrition and respiratory failure suggests specific intervention that might lead to an improvement in the patients' outcomes.

• Childhood Kidney Diseases
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• v.13 no.2
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• pp.138-145
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• 2009

Purpose : This study was aimed to evaluate the changes of immunologic parameters during hospitalization, and the relationship between IgG and other laboratory or clinical indices in patients with acute poststreptococcal glomerulonephritis (APSGN). Methods : We reviewed the medical charts of 36 children with APSGN who showed ASO titer>250 Todd U/L and C3<70 mg/dL. We evaluated the levels of IgG and other laboratory parameters including C3 and ASO at admission and at discharge (14 cases). Results : The mean age of APSGN patients was $7.5{\pm}2.6$ year of age, and male-to-female ratio was 2.3:1. At presentation, hypertension (systolic blood pressure>125 mmHg), gross hematuria, and weight gain were observed in 27.8% (10/36), 80.1% (29/36), and 80% (24/30) of the patients, respectively. The mean IgG level was $1,432{\pm}322$ mg/dL ($1,025{\pm}234$ mg/dL in control group, P<0.001), and C3 and ASO levels were $26.1{\pm}16.1$ mg/dL and $1,068{\pm}730$ Todd U, respectively. There were no correlation between IgG level and the levels of any of the parameters analyzed (ASO, C3, BUN, creatinine and white blood cell count), and the severity of the disease assessed by the weight-change during admission. The patients aged<6 years of age (10 cases) had less degree of the weight-change, compared to those of the patients aged>8 years of age (15 cases) (-0.6% vs. -5.7%, P=0.01). The IgG and ASO levels did not change, but C3 (P=0.001) and IgM (P=0.02) levels increased during admission. Conclusion : Increased IgG and ASO levels in APSGN did not change, but C3 level increased during admission. IgG level was not correlated with other laboratory parameters (ASO and C3) and the severity of the disease. Younger children seem to have less severe clinical course compare to older children. With our hypothetic pathogenesis of APSGN, further studies are needed to resolve the pathogenesis of the disease including the increase of IgG.

• Journal of Korean Academy of Nursing
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• v.48 no.1
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• pp.1-11
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• 2018

Purpose: The purpose of this study was to examine the effects of aromatherapy on stress responses, autonomic nervous system (ANS) activity, and blood pressure in patients hospitalized to receive coronary angiography (CAG). Methods: A non-equivalent control group with a pretest-posttest design was used. The subjects were patients admitted to the day angiography room to receive CAG at E University Hospital (34 in the experimental group and 30 in the control group). The experimental group treatment was inhalation of the aroma oil blended with lavender, ylang-ylang, and neroli at a ratio of 4:2:1 twice before and after CAG. The measurements of stress index, ANS activity, and blood pressure were performed 5 times as follows: at admission, at pre-CAG after treatment I, at post-CAG, 2 hours after treatment II, and 4 hours after treatment II. The data were analyzed using the Mann-Whitney U Test and repeated-measures analysis of variance. Results: Significant interactions in the high frequency of ANS (F=5.58, p=.005) were observed between group and time. Stress index (z=2.14, p=.016), systolic blood pressure (z=4.14, p<.005), and diastolic blood pressure (z=3.28, p=.001) were significantly different between the experimental and control groups after 4 hours of treatment II. Conclusion: The findings showed that aromatherapy was not effective before CAG, but was effective after CAG. Therefore, aromatherapy can be used as a nursing intervention for patients receiving CAG.

• Journal of Korea Multimedia Society
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• v.12 no.3
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• pp.419-426
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• 2009

The WiMedia Alliance has specified a Distributed Medium Access Control (D-MAC) protocol based on UWB for high speed wireless home networks and WPANs. The WiMedia D-MAC fundamentally removes the problems of the centralized MAC revealed at IEEE 802.15.3 MAC, by adopting a distributed architecture. However, there is no completely distributed method for allocating fair data rates to all traffic streams by considering each stream's QoS parameter. In this paper, a novel fair distributed QoS admission control method is proposed. The proposed method is a fair, adaptive QoS provisioning method, by allocating time slots to devices according to the current traffic load condition, through executing only a proposed single satisfaction of QoS (SoQ) algorithm at each device.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.28 no.1B
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• pp.34-44
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• 2003

As the recent rapid development of internet technology and the wide spread of multimedia communications, massive increase of network traffic causes some problems such as the lack of network paths and the bad quality of service To resolve these problems, this paper presents a web-based traffic control system which supports QoS of realtime packet transmission for the multimedia communication The traffic control system presented in this paper applies the integrated service model and provides QoS of packet transmission by means of determining the packet transmission rate according to the policies of network manager and the optimal resource allocation considering the end-to-end traffic load It also provides QoS for the realtime packet transmission through the admission controller and the packet scheduler by the modified $WF^2Q^+$ algorithm support asynchronous and class-based queuing.

• The KIPS Transactions:PartD
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• v.9D no.3
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• pp.501-510
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• 2002

A various multimedia application services should be developed with techniques of high speed networks and computer. Among these, video-conference system over Internet is useful and important, and the standardization for it should be showed in ITU-T H.323. H.323 standardization consists of four components such as Terminal, MCU(Multipoint Control Unit), Gatekeeper, and Gateway. Among these, the functions of Gatekeeper are as follows, firstly the address translation service to translate the alias address into the IP address, secondary conference admission control service to control of conference start and termination, thirdly bandwidth management service for H.323 terminals. In this paper, we implemented the Gatekeeper for an efficient management of video-conference components in Internet environment, and will introduce our system. As the experimental results with CUSeeMe and Netmeeting which are well-known H.323 terminal, it is known that our gatekeeper should be satisfied with H.323 standardization.

• Clinical and Experimental Pediatrics
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• v.62 no.7
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• pp.281-285
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• 2019

Purpose: To evaluate the association between elevated S100B levels with brain tissue damage seen in abnormalities of head magnetic resonance imaging (MRI; diffusion tensor imaging [DTI] sequence) in patients with status epilepticus (SE). Methods: An analytical observational study was conducted in children hospitalized at Dr Soetomo Hospital, Surabaya, from July to December 2016. The patients were divided into 2 groups: SE included all children with a history of SE; control included all children with febrile seizure. Blood samples of patients were drawn within 24 hours after admission. SE patients also underwent cranial MRI with additional DTI sequencing. The Mann-Whitney test and Spearman test were used for statistical analysis. Results: Fifty-three patients were enrolled the study. In the 24 children with SE who met the inclusion criteria, serum S100B and cranial MRI findings were assessed. Twenty-two children admitted with febrile seizures became the control group. Most patients were male (66.7%); the mean age was 35.8 months (standard deviation, 31.09). Mean S100B values of the SE group ($3.430{\pm}0.141{\mu}g/L$) and the control group ($2.998{\pm}0.572{\mu}g/L$) were significantly different (P<0.05). A significant difference was noted among each level of encephalopathy based on the cranial MRI results with serum S100B levels and the correlation was strongly positive with a coefficient value of 0.758 (P<0.001). Conclusion: In SE patients, there is an increase of serum S100B levels within 24 hours after seizure, which has a strong positive correlation with brain damage seen in head MRI and DTI.