• Journal of Korean Academy of Nursing Administration
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• v.21 no.3
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• pp.243-253
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• 2015

Purpose: The purpose of this study was to identify the impact of practical communication strategies (PCS) on the reduction of AEs (Adverse Events) in pediatric cardiac ICU (PCICU). Methods: Intra-operative findings and care plans were documented and shared between staff members on a daily basis from the day of operation to the day of general ward transfer. Incidence of AEs was investigated in all patients who were admitted to the PCICU and was compared with incidence of AEs one year after establishment of PCS. Results: The study population consisted of 216 patients in pre-PCS group and 156 patients in post-PCS group. Incidence of readmission decreased from 6.0% (13/216) in pre-PCS group to 0.6% (1/156) in post-PCS group (${\chi}^2=7.23$, p=.010). Incidence of other major complications decreased from 4.2% (9/216) to 0.6% (${\chi}^2=6.66$, p=.012). Minor AEs such as intervention omission, order error, and protocol misunderstanding were reduced from 23.3 cases per 100 patient-days to 7.5 cases per 100 patient-days (${\chi}^2=20.31$, p<.001). Conclusion: Handover protocol is an effective strategy to reduce AEs for critically ill patients after pediatric cardiac surgery. Efforts to develop effective communication strategies should be continued and outcome research about communication strategies for patient safety should be further studied.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.35 no.1
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• pp.31-34
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• 2009

Purpose: This study compared the frequency of postoperative infections in patients for a closed mandibular fracture with that without the postoperative antibiotic prophylaxis. Patients and Methods: 48 patients without any specific medical history were divided into two groups depending on whether or not antibiotics had been applied after the surgery. The 24 patients in group 1 received only a second-generation cephalosporin ($Cefotetan^{(R)}$) intravenously from admission to immediate after the surgery. Likewise, 24 patients in group 2 received 1.0g of $Cefotetan^{(R)}$ twice daily longer than the third day after surgery. The mean (SD) duration of antibiotics administration after surgery was 6.9 (${\pm}3.56$). The patients were evaluated after surgery for any postoperative infections according to the criteria: purulent drainage from a wound, spontaneous wound dehiscence accompanied by swelling, pain, and fever around the wound. Results: Postoperative infections were encountered in 2 out of 24 patients in group 1, who received antibiotic medication until shortly after surgery, and in 3 out of the 24 patients in group 2, in whom the medication was continued even after the surgery. There was no sig nificant difference in the incidence of postoperative infections between the two groups. Conclusion: From this study, postoperative use of antibiotics seems to be unnecessary with view of the little significance of the factors that could affect the wound infection.

• Archives of Craniofacial Surgery
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• v.17 no.3
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• pp.119-127
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• 2016

Background: Conventional correction of malunioned zygoma requires complete regional exposure through a bicoronal flap combined with a lower eyelid incision and an upper buccal sulcus incision. However, there are many potential complications following bicoronal incisions, such as infection, hematoma, alopecia, scarring and nerve injury. We have adopted a zygomaticofrontal suture osteotomy technique using transconjunctival incision with lateral paracanthal extension. We performed a retrospective review of clinical cases underwent correction of malunioned zygoma with the approach to evaluate outcomes following this method. Methods: Between June 2009 and September 2015, corrective osteotomies were performed in 14 patients with malunioned zygoma by a single surgeon. All 14 patients received both upper gingivobuccal and transconjunctival incisions with lateral paracanthal extension. The mean interval from injury to operation was 16 months (range, 12 months to 4 years), and the mean follow-up was 1 year (range, 4 months to 3 years). Results: Our surgical approach technique allowed excellent access to the infraorbital rim, orbital floor, zygomaticofrontal suture and anterior surface of the maxilla. Of the 14 patients, only 1 patient suffered a complication-oral wound dehiscence. Among the 6 patients who received infraorbital nerve decompression, numbness was gradually relieved in 4 patients. Two patients continued to experience persistent numbness. Conclusion: Transconjunctival incision with lateral paracanthal extension combined with upper gingivobuccal sulcus incision offers excellent exposure of the zygoma-orbit complex, and could be a valid alternative to the bicoronal approach for osteotomy of malunioned zygoma.

• Nuclear industry
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• v.27 no.4 s.290
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• pp.46-50
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• 2007

고리 1호기는 한국에서 최초로 규제 기관에 계속운전을 신청한 원전이다. 2007년 6월에 설계 수명 기간 만료가 되는 고리 1호기는 규제 기관으로부터 계속운전(Continued Operation)에 대한 안전성 심사를 받고 있다. 한수원은 고리 1호기 계속운전 승인을 금년 12월에 받기 위해 최선을 다하고 있으며 지역 주민의 사회적 수용성 확보를 위해 노력중이다. 고리 1호기의 계속운전 기간 동안 안전성을 평가하고 정리한 안전성평가보고서를 한수원은 2006년 6월에 정부에 제출하였다. 고리 1호기는 웨스팅하우스의 2루프 가압경수로이다. 이와 동일한 원전인 일본의 미하마 1,2호기와 겐까이1호기가 계속운전중이며, 미국의 기네이와 포인트 비치 1,2호기가 계속운전 승인을 받았다. 제출한 안전성평가보고서에 대해 한국원자력안전기술원이 심사중이며, 해외 원전과 같이 계속운전을 할 수 있을 것으로 예상하고 있다. 또한 계속운전을 위한 사회적 수용성(Public Acceptance) 확보는 설비의 철저한 안전성 확보 및 지역 주민의 공감대 형성을 통해서 이루어질 것이다. 설계 수명 이후 원자력발전소를 계속 운전하는 것은 이미 선진국에서 시행되고 있다. 2007년 3월 기준으로 미국에서 48기가 운영 허가 갱신 승인을 받았고, 영국은 8기, 일본은 12기가 계속운전중이다. 고리 1호기 성능 지표를 개선시키기 위해서 한수원은 증기발생기, 저압 터빈, 원자로 냉각재 펌프 내장품, 주변압기, 주발전기 등을 교체하였으며, 수명관리 연구, 주기적안전성 평가, 환경 영향 평가를 수행하였다. 2005년 9월에는 미국의 운영 허가 갱신 제도를 참조하여 원자력법이 개정되었다. 이에 한수원은 개정된 원자력법에 맞추어 주기적 안전성평가, 주요 기기에 대한 수명 평가 및 방사능 환경 영향평가를 하였다. 이 세가지 보고서들로 구성된 안전성평가보고서를 2006년 6월에 규제 기관에 제출하였다. 계속운전은 한국을 비롯하여 부존 자원이 부족한 국가들에게는 에너지 자원의 효율적 활용 및 온실 가스 배출을 고려할 때 반드시 필요한 것이다.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• v.29 no.1
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• pp.325-332
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• 2005

As ship builder companies have a tendency to pursuit the effect of scale economy, recently the ultra-large sized container ship is discussed very actively among them. It is expected that these situation will be continued for the time being. The need of accommodation re-arrangement is carefully proposed according to the tendency of ultra-large sized ship. In this paper, accommodation re-arrangement of ultra-large container ship is examined in the view of economy. We proposed separation of engine room and accommodation part through review and supplementaition of drawing generation in intial design stage. Also we investigated its merits and demerits to find out whether it can be realized or not in the view of economical efficiency. The RFR(Required Freight Rate) is considered as the objective function to evaluate the re-designed vessel. The economical benefits for increasing the number of TEU(Twenty-foot Equivalent Units)'s and the re-arranged space are analyzed in the view of ship owner and shipyards respectively.

• The Journal of the Korea Contents Association
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• v.11 no.9
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• pp.384-394
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• 2011

This study was conducted to develop a web-based learning contents that assists nursing students' clinical practice on operating room nursing and to examine its learning effects. Based on contents and need analysis, 6 learning modules were developed regarding nursing care in surgical operation and operating equipments. In order to verify the effects of the program, this study employed a quasi-experimental pretest-posttest control group design. Knowledge was significantly higher in experimental group that was enhanced by the web-based learning contents than that of the control group (p<.001). However, there was no significant difference between the two groups in self-directed learning. Experimental group had significantly higher motivation toward learning, which was examined posttest only, compared to control group (p<.001). These results support that the implementation of an web-based learning contents need to be continued as an effective educational material but we need more research to establish how this can be effectively implemented in a students' practicum.

• Archives of Plastic Surgery
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• v.38 no.1
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• pp.81-84
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• 2011

Purpose: Nerve injury is one of the complication which can develop after brow lift. Peripheral nerve ending which is stretched from supraorbital nerve and supratrochlear nerve can be injured and symptoms such as pain, dysesthesia may appear. Usually, developed pain disappeared spontaneously and does not go on chronic way. We experienced a case that a patient complained chronic pain after brow lift which was not controlled by conservative management such as medications, local nerve block and report a successful surgical treatment of chronic pain after brow lift. Methods: A 24-year-old male who received brow lift with hairline incision at local hospital was admitted for chronic pain at the right forehead. The pain was continued for 3 months even though fixed thread was removed. Local nerve block at trigger point with mixed 1 mL 2% lidocaine and 1 mL Triamcinolone acetonide was done and oral medications, Gabapentine and carbamazepine, were also applied but there was no difference in the degree of pain. Therefore the operation was performed so that careful dissection was carried out at right supraorbital neurovascular bundle and adhered supraorbital nerve was released from surrounding tissues and covered with silastic sheet to prevent adhesion. Results: The pain was gradually relieved for a week. The patient was discharged without complications. No evidence of recurrence has been observed for 2 years. Conclusion: The pain developed after brow lift was engaged with nerve injury and sometimes remains chronically. Many kinds of conservative management to treat this complication such as medications, local nerve block have been reported and usually been used. But there are some chronic cases that conservative treatment do not work. In sum, we report 1 case of successful surgical treatment for relief of intractable pain developed after brow lift surgery.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.14 no.8
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• pp.3437-3456
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• 2020

The computational science and engineering field, which combines basic science and computing technology, has emerged as a third scientific methodology, following theories and experiments. This study aimed to identify factors and relationships that affect the continued use of the computational science and engineering (CSE) platform for its successful operation, utilization, and diffusion. To that end, the quality factors of the platform were derived by combining the information system success model and the technology acceptance model. These factors affected user satisfaction and intention to reuse through users' perceived usefulness and perceived ease of use of the platform. An empirical analysis was conducted through a questionnaire survey of 373 users of the EDISON platform, a representative CSE platform in Korea. The results revealed that all quality factors have a positive influence on perceived usefulness and perceived ease of use. Specifically, information quality has a significant influence on perceived ease of use, and system quality has a significant influence on perceived usefulness. Perceived ease of use has a greater impact on user satisfaction than perceived usefulness, and satisfaction affects intention to reuse. The results can contribute to the development of CSE platforms and the development strategy to expand the number of users.

• Journal of Korean Society on Water Environment
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• v.33 no.4
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• pp.403-408
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• 2017

In these days, wastewater reclamation and seawater desalination play essential role in addressing the challenge of worldwide water scarcity. Particularly, reverse osmosis (RO) for seawater desalination process is commonly used due to less energy consumption than conventional thermodynamic systems. However, membrane fouling and electrical energy consumption during operation of RO system for seawater desalination haver continued to be a obstruction to its application. In this study, therefore, wastewater secondary effluent is used for osmotic dilution of seawater. Firstly, fouling behaviour of RO by simulating wastewater effluent in osmotic dilution process was measured and we calculated energy consumption of overall desalination process by theoretical equations and commercial program. Our results reveal that RO membrane fouling can be efficiently controlled by pre-treatment systems such as nano filtration (NF) or forward osmosis (FO) process. Especially FO system for osmotic dilution process is a non-pressurized membrane system and, therefore, the operating energy consumption of overall desalination system was the lowest. Moreover, fouling layer on FO membrane is comparatively weak and reversible enough to be disrupted by physical cleaning. Thus, RO system with low salinity feed water through FO process is possible as a less energy consuming desalination system with efficient membrane fouling control.

• Journal of The Korean Dental Society of Anesthesiology
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• v.10 no.1
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• pp.20-26
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• 2010

This type of neuropathic pain(atypical odontalgia) is seen most often in middle-aged women or men after dentoalveolar operation. Atypical odontalgia probably is caused by deafferentation leading to intraneural changes in the medullary dorsal horn. Treatment of this problem is difficult, but some success has been reported in uncontrolled, open-labeled studies using high doses of tricyclic antidepressants. This is the management report of a patient case, that had a neuropathic atypical odontalgia recognized with the right maxillary lateral incisor. The patient was consulted to the Department of Pain Clinics, ENT & Neurology and diagnosed the adenoid cystic carcinoma on left cerebellum and right paranasal sinus with extension to the cavernous sinus. In spite of the osteoplastic craniotomy, neurosurgical mass removal and radiation therapy were done with chemotherapy, atypical odontalgia was continued. In addition to the consultation to Psychology, stress management and antidepressant medication were done and improved slowly.