• Journal of Korean Academy of Nursing Administration
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• v.9 no.3
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• pp.379-389
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• 2003

Purpose: The objective of our study was to figure out costs of nursing services in general nursing units based on the PCS in order to determine an appropriate nursing fee schedule. Method: The data were collected from 8 hospitals from September 9 to October 8, 2002. The costs of nursing services in general nursing units was analyzed by nursing hours based on the nursing intensity. The inpatient in the general nursing units were classified by Park's PCS tool(2000). Results: The distribution of patients by PCS ranged from class I to Class III in general nursing units. The higher PCS in general nursing units consumed more nursing hours. As a result, the higher nursing intensity, the more the daily average nursing costs in general nursing units. Conclusion: We found that the higher PCS, the more the daily average nursing costs in general nursing units. In conclusion, our study provides the evidence to refine the current nursing fee schedule that it does not differentiated from the volume of nursing services based on the nursing hours.

• Journal of Radiation Protection and Research
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• v.36 no.3
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• pp.107-118
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• 2011

Conventional (SRS) and fractionated (FSRS) stereotactic radiosurgery necessarily require stringent overall target point accuracy and precision. We determine three-dimensional intracranial target point deviations (TPDs) in a whole treatment procedure using magnetic resonance image (MRI)-based polymer-gel dosimetry, and suggest a technique for overall system tests. TPDs were measured using a custom-made head phantom and gel dosimetry. We calculated TPDs using a treatment planning system. Then, we compared TPDs using mid bi-plane and three-dimensional volume methods with spherical and elliptical targets to determine their inherent analysis errors; finally, we analyzed regional TPDs using the latter method. Average and maximum additive errors for ellipses were 0.62 and 0.69 mm, respectively. Total displacements were 0.92 ${\pm}$ 0.25 and 0.77 ${\pm}$ 0.15 mm for virtual SRS and FSRS, respectively. Average TPDtotal at peripheral regions was greater than that at central regions for both. Overall system accuracy was similar to that reported previously. Our technique could be used as an overall system accuracy test that considers the real radiation field shape.

• Spatial Information Research
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• v.13 no.3 s.34
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• pp.297-307
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• 2005

This study was performed to get the basic data for the dredging project and logical maintenance of the Yaedang reservoir. The survey of reservoir capacity for calculation of sediment volume carried out using DGPS Echo-Sounder during November $25\~30$ in 2004. The latitude and longitude signal from GPS satellite was received a second interval with the UTM coordinate system. Water depth was measured 0.2 second interval by Echo-sounder sensor in MIDAS Surveyor. The UTM coordinate datum were transformed into standard coordinate datum of Korean(TM coordinate datum) using Arc Info System. Mapping of contour was used Sufer, Arc View and Auto CAB Program Storage capacity of Yaedang reservoir was estimated by average contour area method. Result of this time investigation for useful storage determination of Yaedang reservoir was showed 4,601.585 ha-m and was differenced less 5.425ha-m the bygones useful storage.

• Journal of Korean Neurosurgical Society
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• v.38 no.4
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• pp.281-286
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• 2005

Objective : The authors report our experience of urokinase thrombolysis in treating patients harboring nonaneurysmal spontanesous intraventricular hemorrhage[IVH] and evaluated complications, safety and feasibility of this procedure retrospectively. Methods : Fifty-three patients with nonaneurysmal IVH>15mL without underlying structural etiology or coagulopathy were recruited. The patients with Glasgow Coma Scale[GCS]<5 were excluded. A catheter was directed into the IVH. Hematoma aspiration was followed by instillation of urokinase at the ear level of drainage bag under intracranial pressure monitoring system. This was repeated every 6hours until half of its initial volume. For analysis of prognostic factors, we classified the patients into two groups by Glasgow outcome scale[GOS]; good [$GOS\;{\ge}3$] and bad [GOS<3] prognosis group, and performed comparative analysis between two groups. Results : Mean age was 60.2years. The baseline hematoma size ranged 16 to 72mL. IVH volume reduction was done by an average of 74.2%. As complications, there were 3cases of rebleeding and 2cases of ventriculitis. No intracranial adverse effects were observed during thrombolytic theraphy. At 6months after the procedure, 29patients had achieved a good recovery, 15remained vegetative. 9patients died in hospital. The main good prognostic factors were young age, small IVH volume, and high GCS. Conclusion : The results of this study suggest that this relatively easy and safe method of treatment will improve the prognosis. However, further clinical studies also must assess optimal thrombolytic dosage, frequency, and timing of urokinase instillation for safety and effectiveness and must include controlled comparisons of mortality, disability outcome, quality of life, time until convalescence, and cost of care in treated and untreated patients.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.2
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• pp.703-706
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• 2014

Objective: To evaluate the safety and efficacy of sequential transcatheter arterial chemoembolization (TACE) and portal vein embolization (PVE) before major hepatectomy for patients with hepatocellur carcinoma (HCC). Methods: In this retrospective case-control study, data were collected from patients who underwent sequential TACE and PVE prior to major hemihepactectomy. Liver volumes were measured by computed tomography volumetry before TACE, and preoperation to assess degree of future remnant liver (FRL) hypertrophy and to check whether intro- or extrohepatic metastasis existed. Liver function was monitored by biochemistry after TACE, prior to and after major hepatectomy. Results: Mean average FRL volume increased 32.3-71.4% (mean 55.4%) compared with preoperative FRL volume. After TACE, liver enzymes were elevated, but returned to normal in four weeks. During PVE and resection, no patient had intro- or extrohepatic metastasis. Conclusion: Sequential TACE and PVE is an effective method to improve resection opportunity, expand the scope of surgical resection, and greatly reduce postoperative intra- and extrahepatic metastasis.

• Journal of Korean Neurosurgical Society
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• v.39 no.2
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• pp.102-108
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• 2006

Objective : The management of diffuse astrocytomas is one of the most controversial areas in clinical neurooncology. There are numerous reviews and editorials outlining the difficulties in the management of these lesions. In this study, we assess the role of Gamma Knife radiosurgery[GKS] for diffuse astrocytomas. Methods : Twenty-three patients with a diffuse astrocytoma were treated with GKS as a primary or adjuvant method from February 1995 to October 2003. The mean marginal dose was $13.6\;[8.5{\sim}17.5]Gy$ and the mean maximal dose was $27.3\;[17.0{\sim}35.0]Gy$. Local control and the pattern of radiologic response were evaluated. The probable factors affecting local control, such as tumor volume, margin dose, previous history of craniotomy or stereotactic biopsy, and the presence or absence of previous radiotherapy were statistically analyzed. The average duration of follow-up was 39.7 [$11.3{\sim}101.5$] months after GKS. Results : Of the 23 lesions treated, 16 lesions [69.6%] were controlled during the follow-up period. The mean progression-free interval was 57.4 months and the 5-year progression-free rate was 68%. Only tumor volume was found to be a statistically significant factor for local control. Smaller tumors were better controlled by GKS; it was significantly effective in tumors with less than $10cm^3$ volume. Conclusion : GKS could be a valuable therapeutic modality both as a primary treatment and as a postoperative adjuvant therapy in some selected cases.

• Journal of the Korean Ceramic Society
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• v.41 no.11
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• pp.864-871
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• 2004

Porous pseudo-boehmite gel was prepared through the aging process of amorphous aluminum hydroxides gel precipitated by the hydrolysis reaction of dilute NaOH solution and AlCl$_3$ solution. In this study, the synthesis method was studied on porous pseudo-boehmite gel having maximum pore volume, as being investigated the changes of crystal structure, infrared rays absorption spectrum, BET surface area and pore structure when the hydrolysis reaction is controlled in the range of pH 7.6~11.6 and the aging process is hold up for 2~24 h at 60~10$0^{\circ}C$. We could find that the gel precipitates deposited in in range of pH 7.6~9.6 were developed into porous pseudo-boehmite which surface area was 250~357 $m^2$/g, pore volume was 0.4~0.7 cc/g and average pore size was 58~l14$\AA$. However, the gel precipitates deposited in range of pH 10.6~11.6 were developed into bayerite which pore volume was very little.

• Archives of Craniofacial Surgery
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• v.13 no.1
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• pp.29-35
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• 2012

Purpose: In surgical treatment of the medial orbital wall fractures, restoring the original position of the orbital wall is difficult in some cases. Under such condition, the orbital wall is often reconstructed with synthetic material, without bony reduction, which is considered to be the conventional reconstruction. The purpose of this study is to compare the outcomes of anatomical reconstruction, which restores the bony wall to the anatomical position, from that of the conventional reduction in the isolated medial orbital wall fractures. Methods: Thirty patients, who underwent reconstruction surgery for the isolated medial orbital wall fractures from March 2007 to August 2011, were reviewed retrospectively. The surgical outcomes of two groups, the conventional reconstruction group (15 patients) and the anatomical reconstruction group (15 patients), were studied in 2 measurements, a one day before and 6 months after the surgery. The changes of orbital volume were calculated by the images from a computed tomography scan and enophthalmos was measured by a Hertel exophthalmometer. Results: The orbital volume ratio was decreased by an average of 1.05% in the conventional reconstruction group, while in the anatomical reconstruction group, the ratio decreased by 5.90% (p<0.05). The changes in the Hertel scale were 0.20 mm in the conventional reconstruction group, and 0.70 mm in the anatomical reconstruction group. However, the difference in the Hertel scale was statistically insignificant (p>0.05). Conclusion: In conclusion, the anatomical reconstruction technique of the isolated medial orbital wall fracture results in a better outcome than that of the conventional reconstruction, in terms of restoring of the original orbital volume and anatomic position. Thus, it can be considered as a useful method for the isolated medial orbital wall fractures.

• Journal of environmental and Sanitary engineering
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• v.9 no.2
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• pp.1-7
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• 1994

Rainwater was collected in Seoul area from January 1991 to December 1993 (over 3years) and by the analysis of the chemical components contained in rainwater, investigated the components that effect on rainwater pH Through the above studies the following conclusions were obtained. 1) Method for Averaging pH Volume weighted method is considered to be acceptable providing that precipitation is measured at the same time when the samples are taken, without precipitation data a simple averaging method should be the next choice. 2) Annual average rainwater pH was 4.98 in 1991, 4.80 in 1992, 4.67 in 1993, measurement range was 3.6-8.1. 3) In the relationship between rainwater pH and rainfall amounts rainwater pH for light rain(<15mm rainfall) was existent in the wide range(pH 4-7), but for heavy rain was corresponded to the annual average values. 4) Annual frequency of pH was Birrndat the frequency($\gamma $) between the density of the [$H^{+}$] and pH in the rainwater(over 3years ), $NO_{3}^{-}$ was excellent and the obtained results was 0.62 in 1992. Also In the correlation coefficient($\gamma $) according to the pH range $SO_{4}^{2-}, NO_{3}^{-}$, were 0.85 ,0.68 at 3.6 $Cl^-$ was 0.99(1993). At 4.1$NO_{3}^{-}(\gamma=0.48)$ in 1992, SO_4^{2-}($\gamma$=0.54), $NO_{3}^{-}(\gamma$=0.72), $Cl^- (\gamma$=0.49) in 1993. 6) pH values gradually increased with increase in $Ca^{2+}/SO_{4}^{2-}$.

• Current Research on Agriculture and Life Sciences
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• v.5
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• pp.158-167
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• 1987

The purpose of this study is to inquire and analyse the relation between traveltime (Tc) and watetshed physical characteristics surveyed such as river length (L), Lea, river main slope (s), base length of time area diagram, and storage constant (k). The results obtained in this study are as follows. The average widths of watersheds were with the range from 4.6 kilometers to 16.7 kilometers. The shape factors of main stream ranged from 0.08 to 0.37. The average slopes to main 8tream were within the range of 1.7-5.5 meter per kilometer. The relation between the base length and traveltime from S. C. S. method, Rational method, and RZIHA+KRAVEN method were derived $Tc=0.524{\times}1.35^c$ (r=0.98), $Tc=0.628{\times}1.339^c$, (r=0.98), $Tc=0.667{\times}1.342^c$ (r=0.97). The base length of the time-area diagram (c) for the IUH was derived as $c=0.9(\frac{L.L_{ca}}{\sqrt{s}})^{0.35}$ and correlation coefficient was 0.98 which defined a high significance. The storage constant K, derived in this study was $K=8.32+0.0213{\frac{L}{\sqrt{s}}}$ with correlation coefficient (0.96). The relation between storage Constant and conventional formula were figured out $Tc=0.0003{\times}3.323^k$ (r=0.97). $Tc=0.00045{\times}3.268^k$ (r=0.99) and $Tc=0.0004{\times}3.26^k$ (r=0.963). The base length (c) and storage constant (k) of time-Area Diagram were very important parts that determined traveltime for flood events. In the estimate of travel time for predicting flood volume, the formula of $Tc=0.524{\times}1.35^c$ that would be available to apply the Nak - Dong river watershed area and homogeneous watershed characteristics was found.