• Journal of Digestive Cancer Research
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• v.11 no.3
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• pp.125-129
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• 2023

Appropriate sedation and analgesia are crucial for successful endoscopic procedures, patient safety, and satisfaction. Endoscopic resection for upper gastrointestinal tumors requires a deep sedation level because the procedure is lengthy and induces moderate to severe pain. Continuous patient consciousness assessment and vigilant vital signs monitoring are required for deep sedation. General anesthesia may unintentionally occur even during deep sedation for endoscopic tumor resection, which may cause unexpected complications, especially in high-risk patients. Previous studies have revealed that general anesthesia increases the en bloc resection rate and decreases the procedure time. Complications, such as perforation, aspiration pneumonia, and cardiopulmonary instability, including hypoxemia, hypotension, and arrhythmia, occurred more frequently in patients with sedation compared to those with general anesthesia. Therefore, general anesthesia demonstrated potential benefits in endoscopic treatment results and patient safety. General anesthesia should be considered a useful alternative for sedation in patients undergoing endoscopic gastrointestinal tumor resection. However, more high-quality prospective studies are required to determine the safety and effectiveness of general anesthesia in endoscopic upper gastrointestinal tumor resection because most studies comparing general anesthesia and sedation in these procedures have been retrospectively conducted and the results were inconsistent.

• Proceedings of the KSME Conference
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• 2007.05b
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• pp.3464-3466
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• 2007

Power uprate is the process of increasing the maximum power level at which a commercial nuclear power plant may operate. Power uprate applications(113 units) for NPPs(Nuclear Power Plants) were recently approved in the United States. Utilities have been using power uprates since the 1970s as a way of increasing the power output of their nuclear plants. To increase the power output of a reactor, typically more highly enriched uranium fuel and/or more fresh fuel is used. This enables the reactor to produce more thermal energy and therefore more steam, driving a turbine generator to produce electricity. In this paper, the propriety of power uprate is explained through the review on the power uprate method and the changes of the physical parameters due to power uprate. The analysis results showed that the CDF(Core Damage Frequency) and LERF(Large Early Release Frequency) are affected in the current probabilistic safety assessment (PSA) model.

• Proceedings of the Technology Innovation Conference
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• 1996.12a
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• pp.77-98
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• 1996

This study is a critical assessment of research productivity through publication among scientists and engineers. This study scrutinizes previous findings on the correlates and determinant3 of publication productivity: Provides overview and organization of that knowledge ; indicates gape and shortcomings n the research; and identifies the questions and issues which are both answered and unanswered. through the analysis of the 223 mail questionnaires collected from professors of mechanical engineering, electrical engineering, chemistry and physics, this study obtains the particular determinants of publication productivity at the science and engineering schools in Korea. Especially, early research productivity and the number of doctoral students are very important to publish good research articles. Also the qualities of professors' Ph. D. institution and employing university are critical influencing factors to publication productivity. The data are analyzed using correlation, ANOVA, and multiple regression analysis and all the regression models are statistically significant. All the variables in this study are focused on the socialization of individual research scientists and any psychological or personal background variables are excluded, because the perspective of this article is not that of scientific sociologist but of science and technology Policy interest. This study proves that there exists an scriptive advantage according to the individual background such as his Ph. D. institution and employing university in Korea. This study also shows that all research resources and research performances are unequally distributed. This result proposes that supporting basic research at university must begins with relative assessment of researchers, departments, and institutions in consideration with their research environment and to evaluate researchers in compared with excellent research university like SNU, KAIST, POSTECH is unequal and inadequate.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.27 no.2
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• pp.15-25
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• 1997

This study was performed to prepare the quantitative method of judging the sensitive prognosis of chronic apical periodontitis as early as possible. The subjects were 25 cases with periapical radiolucencies of which were treated with endodontic treatment. Serial radiographs were taken by standardized method longitudinally. The density slice function of digital radiographic system were employed for quantitative and longitudinal assessment of the radiolucent area and the condensing osteitis simultaneously. Obtained results were as follows: 1. The amount of bone repair after endodontic treatment could be detected quantitatively by the density slice function of digital radiographic system. 2. Within the 6-week period after root canal filling, the prognosis could be evaluated by assessment both radiolucent area and condensing osteitis on digital radiographic system. 3. The pattern of bone repair showed peripheral type in most cases from the 6th week after root canal filling. 4. In longitudinal change, bone repair showed two patterns; the succeeding reduction of radiolucent area showing the increase of condensing osteitis in size till 6th week and following by static state or reduction tendency and the reduction following the initial increase of both areas. 5. Cases with pulpitis by trauma showed initial increase of condensing osteitis at 2nd week, marked reduction of radiolucent area and condensing osteitis at 6th week, and approximately normal bone state at 8th week after root canal filling.

• Korean Journal of Health Education and Promotion
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• v.29 no.2
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• pp.1-12
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• 2012

Objectives: Several practice guidelines recommended both medication and behavior modification to control hypertension. The objective of this study was to analyze ambulatory care utilization pattern and related factors. Methods: A retrospective cohort study was conducted among 45,267 new users who initiated treatment with hypertensive drugs in 2003. Korean National Health Insurance Claims Data was used to study the medical care utilization behavior and related factors after treatment initiation for up to four years. Taking prescription was considered as medical care utilization. Results: More than 20% of patients discontinued visiting physicians for prescription after initiating antihypertensive drug therapy. The average number of institutions visited by patients was about 1.3 annually. Clinic was the most frequently visited institution by patients. In GEE analysis, probability of continuous visit one institution after initiating antihypertensive drug treatment increased in patients who were women, old, have comorbidity, visited clinic or hospital mainly in previous year. Conclusions: Young hypertensive male patients who have no major comorbidity showed high possibility to discontinue medical service utilization. It is necessary to educate these targeted patients about importance of hypertension management in early stage after treatment initiation.

• Journal of Environmental Impact Assessment
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• v.14 no.4
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• pp.147-155
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• 2005

This study was designed to investigate the effect of plant as a botanical air purification on the indoor pollution by formaldehyde. Three indoor plants such as Dracaena marhginata, Spathiphyllum and Dracaena reflexa, were placed in the artificially contaminated reactor under laboratory condition. Both plant and soil effects on removal of formaldehyde from contaminated indoor air were observed. Reductions in the formaldehyde levels appeared to have been associated with soil medium factors as well as plant factors. The effect of soil on formaldehyde reduction was high in the early stage of the experiment and the results suggest that sorption could be more important factor than microbial degradation in the initial dissipation of contaminants in the soil. It was suggested that the effect of plant on formaldehyde reduction might be related to the plant species, total leaf surface area of plant, degree of contribution of soil medium, and exposed concentration level. The results of this study showed that air purification using plants is an effective means of reduction on indoor formaldehyde level, though, utilization of soil media with high sorption capacity and/or supplementary purifying aids were also suggested when the source is continuous or exposed concentration level is high.

• Journal of Korean Academy of Nursing
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• v.34 no.6
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• pp.1129-1142
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• 2004

Purpose: This research was conducted to evaluate the effects of asystemic follow-up care program on health promotion and risk reduction in 64 high-risk infants(HRI) including premature infants and their mothers. Method: The intervention consisted of systemic NICU education, tele-counseling and 3 home visits in 6 months. The subjects were divided into either the intervention group or the control group receiving the conventional NICU education without the tele-counseling and home visiting. Infant health promotion was measured using physical assessment, types of health problems, reflexes, OPD visiting history, DDST, immunization, feeding assessment, Infant death rate, etc. Maternal self-esteem, postpartum depression and family function were measured using the maternal self-report inventory(MRI), EPDS, and family apgar score(Fapgar), retrospectively. Result: All premature infants in the intervention group were in the normal range of growth and development, and the regular vaccination schedule. The health problems in the intervention group were addressed early so not to develop into adverse effects. The follow-up program for 6 months showed beneficial effects on MRI, EPDS, and Fapgar. Conclusion: A systemic follow-up health care program is beneficial on health promotion and risk reduction in 64 HRI including premature infants and their mothers.

• Korean Journal of Human Ecology
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• v.19 no.1
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• pp.39-49
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• 2010

This study introduces the construct of meta-parenting or a superordinate category of effortful cognition, including anticipation, assessment, reflection and problems. Also, it aims to analyse meta-parenting in terms of demographic variables and investigate how it relates to other cognitions on parenting and parenting behaviors. One hundred seventy three mothers of preschool children were surveyed on Hawk's (2007) Meta-Parenting, Sameroff and Feil's (1985) Concepts of Development, Stipek, Danniels, Galluzzo, & Milburn's (1992) Activities Sub-scales. They also commented on their views of appropriate methods of child-rearing and the starting age of extra-curricula activity and the number of extra-curricula activities. The main results were as follows: Mothers showed the highest score on assessment followed by anticipation, reflection and problems while these four components of meta-parenting were highly correlated to each other. Among demographic variables, only the mothers' age and education were linked to some component of meta-parenting. Meta-parenting was correlated with complexity of thinking but not with views on appropriate methods of child-rearing. Also, meta-parenting was associated with formal and informal activities at home and the beginning time of providing the extra-curricula activity with the total number of extra-curricula activities provided at present.

• Nuclear Engineering and Technology
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• v.31 no.3
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• pp.267-275
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• 1999

This paper deals with the industrial problem of thermal striping damage on the French prototype fast breeder reactor, Phenix and it was studied in coordination with the research program of IAEA. The thermomechanical and fracture mechanics evaluation procedure of thermal striping damage on the tee-junction of the secondary piping using Green's function method and standard FEM is presented. The thermohydraulic(T/H) loading condition used in the present analysis is the random type thermal loads computed by T/H analysis on the turbulent mixing of the two flows with different temperatures. The thermomechanical fatigue damage was evaluated according to ASME code section 111 subsection NH. The results of the fatigue analysis showed that fatigue failure would occur at the welded joint within 90,000 hours of operation. The assessment for the fracture behavior of the welded joint showed that the crack would be initiated at an early stage in the operation. It took 42,698.9 hours for the crack to propagate up to 5 mm along the thickness direction. After then, however, the instability analysis, using tearing modulus, showed that the crack would be arrested, which was in agreement with the actual observation of the crack. An efficient analysis procedure using Green's function approach for the crack propagation problem under random type load was proposed in this study. The analysis results showed good agreement with those of the practical observations.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.38 no.10
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• pp.1179-1184
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• 2014

Reliability allocation is generally used during the early stage of system development to apportion the system reliability target to its individual modules. This paper presents a comprehensive method for performing the reliability allocation of KTX door systems. Nine criteria for reliability allocation include failure criticality, operating time, risk, complexity, failure rate, maintenance, manufacturing technology, working condition, and reliability cost. For satisfying the system reliability target, the allocated $B_{10}$ lives of four modules are provided.