• Journal of Korean Critical Care Nursing
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• v.13 no.2
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• pp.12-23
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• 2020

Purpose : This study aimed to evaluate the clinical outcomes of direct interhospital transfers (IHTs) of patients with acute aortic syndrome (AAS) led by advanced practice nurses (APNs). Methods : From September 2014 to June 2017, the study retrospectively investigated 183 patients with AAS who were transferred to a high-volume tertiary hospital. Results : One hundred forty-eight (81%) patients were admitted through direct IHTs, and 35 (19%) patients were admitted through non-direct IHTs. The direct IHT group had a significantly shorter time from symptom onset to hospital arrival than the non-direct IHT group (11.4 vs. 32.1 h, p=.043). There were no significant differences in other clinical outcomes, such as peri-transfer status, mortality, hospital length of stay, and readmission, between the two groups. In the direct IHT group, 55% of transfers were led by APNs. There was no significant difference in outcomes between APN- and physician-led transfers. Conclusions : Implementation of direct IHTs markedly shortened the time from symptom onset to hospital arrival in patients with AAS. Finally, direct IHTs can potentially improve the outcomes of patients with AAS, a condition with time-dependent mortality and morbidity. In addition, APNs can effectively lead the direct IHT of patients with AAS.

• Korean Journal of Medicinal Crop Science
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• v.11 no.3
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• pp.216-223
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• 2003

This experiment was carried out to investigation the growth differentiation between direct sowing and transplanting on P. ginseng cultivated on field and underwood. The results were as follows: In direct sowing treatment, emergence rate of P. ginseng cultivated on field and under conifer forest was above 80%, but it was only 40% at cultivated under broad-leaved forest. And survival rate was directly diminished about 10% every year. In transplanting treatment, survival rate was also diminished every year, it was slighter than that of direct sowing treatment. The growth amount of P. ginseng cultivated underwood was poor, compared to field culture, but there was no significant between conifer forest and broad-leaved forest. In transplanting treatment of 1 to 6 year-root seedling, survival rate of P. ginseng cultivated underwood was equal or slightly good compared to that of cultivated on field. Among seedling age, survival rate of elder seedling was lower than that of younger seedling. In P. ginseng cultivated underwood, the annual growth increment of 1 and 2 year-root seedling increased slowly and continually, whereas, that of 3 to 6 year-root seedling stopped or decreased slightly.

• Journal of The Korean Society of Emergency Medicine
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• v.29 no.5
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• pp.415-422
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• 2018

Objective: This study compared the prognosis of patients who visited the trauma center directly (direct visit group) with those transferred from the non-trauma center (transferred group). Methods: The patients, who were 18 or older with Injury Severity Score of 15 or more in the trauma center at Busan, were studied from October 2015 to October 2016. To compare the treatment time between the direct visit and transferred group, first treatment time, final treatment time, and time to visit the trauma center were examined. To compare the prognosis, this study compared the 48-hour, 7-day, and in-hospital mortality rate as well as the duration of intensive care unit (ICU) and total hospital stay. To analyze the factors affecting the outcome of transferred group, the physician's level and procedures that had been performed at the non-trauma center were examined. Results: The mortality was similar in the direct visit and transferred group (48-hour 7.6% vs. 4.6%, P=0.111; 7-day 11.1% vs. 7.2%, P=0.89; and in-hospital 14.6% vs. 11.3%, P=0.214). The length of ICU and total hospital stay were similar in the two groups. The mortality was higher in the patients in the transferred group when using intubation, transfusion, and pressure intensifier. The intubated patients showed higher mortality according to logistic regression. Conclusion: The mortality, length of ICU, and hospital stay were similar but the time to visit the trauma center and the final treatment time were longer in transferred group. Stabilizing the patient at the near non-trauma center may be more helpful for some patients.

• Journal of Korean Society of Water and Wastewater
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• v.19 no.1
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• pp.38-46
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• 2005

In this research, we tried to combine the coagulation/sedimentation process as pre-treatment with UF membrane filtration to reduce the membrane fouling and to improve the permeate water quality. We used the Jet Mixed Separator (JMS) as coagulation/sedimentation process. We observed that the HPC and E.Coli can't be removed through the direct UF memebrane filtation of surface water. The removal efficiency of dissolved organic substances, indicated by E260 and DOC, was 40% and 15%, respectively. However, the removal efficiency of it increased two time as a result of combination of JMS process as coagulation/sedimentation pre-treatment. This was resulted from the formation of high molecular humic micro-floc through JMS process. The accumulation amount of irreversible cake layer which was not removed by backwashing was less than direct UF membrane filtration of surface water. Moreover, the loading rate of fouling induced substances, such as humic substances and suspended substances, on membrane surface decreased drastically through JMS process. As a result, the accumulation amount of irreversible cake on membrane surface was decreased.

• The Korean Fashion and Textile Research Journal
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• v.8 no.4
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• pp.441-448
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• 2006

This research is the hair damage as treating a permanent wave before and after that is compared and analyzed the change of physical and mechanical properties. This is the survey of women's hair in 20 years old. On the basis of this we would like to analyze a extend of hair damage. Also, we would to show a basic data for hair damage prevention and hair improvement to keep the beautiful and healthy hair. The conclusion is as follow. : The swelling degree after the treatment was found to be greater than before permanent wave treatment. For the formational characteristics wave, untreated hair certainly had more elastic S curl wave than damaged hair in all the permanent wave treatments, and damaged hair and extremely damaged hair had less elasticity and had saggy S curl wave. The protein permanent and soft permanent wave had thicker, gorgeous, and better elastic wave than the regular permanent wave and direct heating permanent wave in all the hair condition. As the degree of damage on hair got greater, the tensile strength dramatically decreased and as the degree of damage got greater, the elongation was great as well. For treatment method, direct heating permanent wave showed the greatest effect, causing the most damage.

• Journal of Korean Neurosurgical Society
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• v.56 no.4
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• pp.348-352
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• 2014

High-flow vertebral arteriovenous fistulas (VAVF) are rare complications of cervical spine surgery and characterized by iatrogenic direct-communication of the extracranial vertebral artery (VA) to the surrounding venous plexuses. The authors describe two patients with VAVF presenting with ischemic presentation after C1 pedicle screw insertion for a treatment of C2 fracture and nontraumatic atlatoaxial subluxation. The first patient presented with drowsy consciousness with blurred vision. The diffusion MRI showed an acute infarction on bilateral cerebellum and occipital lobes. The second patient presented with pulsatile tinnitus, dysarthria and a subjective weakness and numbness of extremities. In both cases, digital subtraction angiography demonstrated high-flow direct VAVFs adjacent to C1 screws. The VAVF of the second case occurred near the left posterior inferior cerebellar artery originated from the persistent first intersegmental artery of the left VA. Both cases were successfully treated by complete occlusion of the fistulous portion and the involved segment of the left VA using endovascular coil embolization. The authors reviewed the VAVFs after the upper-cervical spine surgery including C1 screw insertion and the feasibility with the attention notes of its endovascular treatment.

• Journal of Fashion Business
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• v.10 no.2
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• pp.18-26
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• 2006

In this study, the effects of chitosan pre-treatment on the mordanting effect and dyeability were investigated in the dyeing using Japanese pagoda tree. The chitosan treatment effects were evaluated mainly focused on the colors after dyeing of cotton and nylon fabrics which were treated with acidic aqueous solution of chitosan. In the case of chitosan untreated fabrics, the mordanting effects on the cotton and nylon were insignificant and the dyeability was very low. Regardless of the mordant types(Al, Sn, and Fe), the dyed fabrics exhibited almost identical yellowish colors. In the case of chitosan treated fabrics, dark colors were obtained compared to the case of chitosan untreated and ${\Delta}E$ values were increased significantly. In cotton fabrics, the most excellent result was obtained under the condition of unmordanted and chitosan treated fabrics. This verifies the fact that routin coloring matters establish direct linkages with the chitosan components, which exhibit cationic nature, easily. In nylon fabrics, the effects of mordanting treatment and chitosan treatment are so insignificant that the routin coloring matters are presumed to establish direct dyeing with the nylon molecular chains.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.21 no.1
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• pp.26-37
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• 2008

Objective : The present study was carried out to investigate the effects of NaisoOkseol-Tang (NOT) on solid tumor in mice in terms of immune-potentiating and direct cytotoxic action of NOT in vitro and vivo study. Methods: The present author investigated thymocyte proliferation and NO production to confirm immune-potentiating activity of NOT and also investigated body/tumor weight and survival rates in tumor bearing mice. In this study, administration of NOT decreased tumor/weight ratio significantly, and prolonged survival duration compared to non-treated control. Treatment with NOT also elevated proliferation rates of thymocytes isolated from tumor bearing mice. Results: In vitro study, treatment with NOT suppressed proliferation rate of Sarcoma 180 (S-180) cells. Contrary, treatment with NOT elevated proliferation rate of thymocytes. These results were co-related with in vivo study. In addition, NO production from abdominal macrophages isolated from normal mice was not affected by treatment with NOT. Conclusion : NOT is useful to treat patient with solid tumor, because NOT has direct toxic action for tumor cell and immune-potentiating action for T cells.

• Journal of Korean Clinical Nursing Research
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• v.21 no.1
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• pp.116-126
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• 2015

Purpose: The purpose of this study was to examine the relationship between social support (family, healthcare provider, friends/peer), treatment belief, hope, and health status in patients on hemodialysis, and to identify direct and indirect effects of the variables on patients' health status. Methods: The self-regulation model was used to establish a path model. Data were collected from 240 patients. Multidimensional Scale of Perceived Social Support, Revised Illness Perception Questionnaire, Herth Hope Index, and Medical Outcomes Study Short Form-12 were used. Data were analyzed using the SPSS and AMOS programs. Results: The model was supported by fit statistics ($x^2=3.33$, p=.343, GFI .995, RMSEA .021, AGFI .968, NFI .986, CFI .999, TLI .993). Family and friends/peer support showed a significant direct influence on hope, while healthcare provider support directly influenced treatment belief. Social support, treatment belief, and hope directly and indirectly influenced health status, explaining 28.7% of the variance. Conclusion: These results show mechanisms underlying connections between social support and health status by demonstrating impact of social support and showing treatment belief and hope as mediators between social context and outcomes. To promote health of patients on hemodialysis, it is necessary for patient, family, healthcare professional, and friends to collaborate.

• The Korean Fashion and Textile Research Journal
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• v.9 no.3
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• pp.341-346
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• 2007

This research is the hair damage as treating a perm before and after that is compared the change of surface characteristics of human hair. On the basis of this, we would to show a basic data for hair damage prevention and hair improvement to keep the beautiful and healthy hair. Results are as follows; For the change of formational characteristics of hair surface, untreated hair before the perm treatment had smooth appearance overall and undamaged scale that is in pattern and finely folded was observed but damaged hair and extremely hair had uneven edge and damages throughout along with the dissolution of scale which the border of epidermal gap is unclear. Hair after a perm treatment caused cortical exposures due to extensive loss of scale during the treatment and even bubble effect. Protein perm, regular perm, soft perm, and direct heating perm, in that order, had the most damages to the hair.