• Journal of Hospice and Palliative Care
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• v.22 no.3
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• pp.125-133
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• 2019

Purpose: The purpose of this study was to investigate the relationship between end of life care competencies and terminal care stress of nurses in long term care hospitals. Methods: For this study, 140 nurses were sampled among those that have over 6-month end of life care experience and were working at long term care hospitals located in A city and C city of Chungcheongnam-do. Using a questionnaire, data were collected from January 2018 through March 2018. Data were analyzed using the SPSS, Windows version 21.0, according to the purpose of the study and analyzed by descriptive statistics, t-test, one way ANOVA, $Sch\acute{e}ffe^{\prime}s$ test, and Pearson's correlation coefficient. Results: The mean score on terminal care stress of nurses was above the normal level. The scores on end of life care competencies significantly varied by age, total career at hospitals, death/hospice and palliative care education, and bereavement experience. The mean score of end of life care competencies was negatively correlated with the mean score of lack of knowledge and skills among the subitems of the terminal care stress category (r=-0.260, P=0.002). Conclusion: To decrease the terminal care stress of long term care hospital nurses, it is suggested to carry out end of life care education tailored to nurses characteristics.

• The Journal of Korean Academic Society of Nursing Education
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• v.17 no.3
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• pp.454-463
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• 2011

Purpose: The purpose of this study was to examine the effects of a hospice and palliative care education program including meaning in life on attitudes to end-of-life care and meaning in life for nursing students. Methods: This study used a quasi-experimental and non- synchronized with a non-equivalent control group design. The experimental group (n=28) participated in a hospice and palliative care education program including meaning in life. The control group (n=28) participated only in a hospice and palliative care education program. The 30-hour course examined hospice and palliative nursing care and logotherapy. Data were collected using a structured questionnaire consisting of general characteristics, attitudes to end-of-life care, and meaning in life. Collected data were analyzed for frequency, percentage, ${\chi}^2$-test, and t-test using SPSS 19.0 WIN Program. Results: Scores for the attitude towards end-of-life care in the experimental group were significantly higher than in the control group. The meaning in life scores in the experimental group were significantly higher than in the control group. Conclusion: These findings suggest that the hospice and palliative care education program, including meaning in life, was effective in enhancing the attitude to end-of-life care and meaning in life among nursing students.

• Steel and Composite Structures
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• v.26 no.6
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• pp.793-808
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• 2018

In this study, the seismic performance of the connections between L-shaped columns composed of concrete-filled steel tubes (L-CFST columns) and H-beams used in high-rise steel frame structures was investigated. Seven full-scale specimens were tested under quasi-static cyclic loading. The variables studied in the tests included the joint type, the axial compression ratio, the presence of concrete, the width-to-thickness ratio and the internal extension length of the side plates. The hysteretic response, strength degradation, stiffness degradation, ductility, plastic rotation capacity, energy dissipation capacity and the strain distribution were evaluated at different load cycles. The test results indicated that both the corner and exterior joint specimens failed due to local buckling and crack within the beam flange adjacent to the end of the side plates. However, the failure modes of the interior joint specimens primarily included local buckling and crack at the end plates and curved corners of the beam flange. A design method was proposed for the flexural capacity of the end plate connection in the interior joint. Good agreement was observed between the theoretical and test results of both the yield and ultimate flexural capacity of the end plate connection.

• Restorative Dentistry and Endodontics
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• v.28 no.6
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• pp.449-456
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• 2003

The purpose of this study is to evaluate the sealing effect of several root-end filling materials using spectrophotometric analysis. 180 single root teeth with one canal were instrumented and canal filled. Root resected and root end preparation was made. Teeth were randomly classified to S experimental group(MTA, EBA, IRM, TCP, ZOE) and 1 control group according to root-end filling material MTA group used PRO ROOT MT A, EBA group used Super EBA. TCP group used NEW APATITE LINER TYPE II main component of which is ${\alpha}-tricalcium$ phosphate (TCP). According to manufacture's instruction experimental material was mixed and retrfilled. After 2% methylene blue solution penetration absorbance for each test sample was measured with spectrophotometer (JASCO UV-530, Japan). The mean absorbance of control and experimental group was as follows; MTA: 0.092, IRM: 0.226, Super EBA: 0.255, ZOE: 0.374, Control: 0.425, TCP: 0.501 and the result analyzed by Turkey test at P=0.05 level. Conclusions of this study are as follows; 1. The absorbance increase in following sequence MTA, IRM, Super EBA, ZOE, Control. TCP. 2. MTA showed the least leakage but was not significant with IRM or Super EBA and was significant with control or TCP(p<0.05). 3. TCP had the most leakage and was not significant with control group.

• Korean Journal of Bronchoesophagology
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• v.3 no.1
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• pp.94-100
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• 1997

Background and Objectives : In children with tracheal stenosis, operative management remains a challenging problem due to difficulties of operative techniques and postoperative care. The purpose of this study was to determine the effectiveness of tracheal resection with end to end anastomosis as operative management for tracheal stenosis in children. Materials and Methods : 6 children with severe tracheal stenosis underwent tracheal resection with end to end anastomosis. Causes of stenosis were trauma in 1 case and prolonged intubation or tracheotomy in 5 cases. The diagnoses were made by radiologic evaluation (plain X-ray, CT, 3-Dimensional CT) and confirmed by direct laryngoscopy and ventilating bronchoscopy under general anesthesia. Thyroplasty and unilateral arytenoidectomy were performed in 1 case. Suprahyoid release was done in 1 case with severe adhesion. Decanulation was achieved following postoperative endoscopic examination and pulmonary function test. Postoperative physical and radiologic examinations were given at regular intervals. Results : Stenosis were improved from grade III grade I in 4 cases and from grade II to grade I in 2 cases. Decanulation was achieved on average postoperative 6 months in 5 cases, and 10 years in 1 case due to exertional dyspnea. There were 1 each case of immediate postoperative subcutaneous emphysema, pneumothorax and wound infection. Postoperative granulomas at anastomosis site were treated with laser vaporization under suspension laryngoscope and bronchoscope in 3 cases. There was 1 each case of delayed postoperative vocal cord palsy, aspiration pneumonia and loss of cough reflex. Conclusion In tracheal stenosis of children, tracheal resection with end to end anastomosis has good result with preservation of normal airway. Preoperative evaluation of local factors such as swallowing, vocal cord movement and cough reflex and general condition was important for successful treatment. As the cases in adults, authors considered this operation to be a curable operative management for tracheal stenosis.

• Journal of the Korean GEO-environmental Society
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• v.14 no.3
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• pp.19-27
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• 2013

Recently, the natural and man-made slope collapses occur frequently because of sudden heavy rains. So, a variety of slope reinforcement methods have been developed and applied to failure slopes. Soil nailing method usage has been increased because of its workability and economic aspects. This method has been applied in combination with other slope stability methods. Soil nailing method is a kind of combinational structure of steel bar and cement grouting. This method uses skin friction between adjacent ground and cement grouting to stabilize the slope. In this study, End-expanded soil nailing method was developed. This method consists of steel bar and anchor body attached at the tip of the nail. During construction, the anchor body at steel bar tip is settled to the ground through the expanding action. In this study, field pull-out tests were performed for un-grouting soil nailing and grouting soil nailing. From the test results, a wedge force of End-expanded soil nailing method was analyzed. And the behavior characteristics of End-expanded soil nailing were studied.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2005.10a
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• pp.456-463
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• 2005

This paper describes a design process of end-milling cutters: solid model of the designed cutter is constructed along with computation of cutter geometry, and the wheel geometry as well as wheel positioning data fur fabricating end-mills with required cutter geometry is calculated. In the process, the main idea is to use the cutting simulation method by which the machined shape of an end-milling cutter is obtained via Boolean operation between a given grinding wheel and a cylindrical workpiece (raw stock). Major design parameters of a cutter such as rake angle, inner radius can be verified by interrogating the section profile of its solid model. We studied relations between various dimensional parameters and proposed an iterative approach to obtain the required geometry of a grinding wheel and the CL data fer machining an end-milling cutter satisfying the design parameters. This research has been implemented on a commercial CAD system by use of the API function programming, and is currently used by a tool maker in Korea. It can eliminate producing a physical prototype during the design stage, and it can be used fur virtual cutting test and analysis as well.

• Steel and Composite Structures
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• v.23 no.5
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• pp.493-499
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• 2017

The behaviour of steel frames is highly influenced by the beam-column connections. Traditionally, Steel frames were usually designed assuming that connections are ideally pinned or fully rigid. A semi-rigid connection, however, creates a balance between the two extreme approaches mentioned above. In this research, two full scales of Extended End Plate Connections (EEPCs) were tested. Mathematical and numerical models were used to analyse the connections, and close correlations were found between these models and the corresponding tested specimens, which confirmed the confidence in the experimental results. The experimental results obtained enrich the available test data about behaviour of EEPC. In addition, the purpose of studying EEPC experimentally is to compare the stiffness and moment-rotation curve of EEPCs with that of Cap Plate Connections (CPCs), which were tested in a previous work. CPCs have not been studied sufficiently in the literature. The results obtained show that the typical CPC reduces the connection stiffness and these results will make a valuable contribution to the available test data in the research area of CPC.

• Journal of Environmental Health Sciences
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• v.34 no.1
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• pp.95-100
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• 2008

An automatic titration system using a PC-camera with a color filter on its lens was used in the $KMnO_4$ consumption test of tap water and distilled water in relation to blank tests. The very faint pink color of titration end point could be effectively detected by using a yellow cellophane paper as a color filter. The average hue value (Havg) of 192 pixels in the image of the sample solution being titrated was computed and followed up at regular time intervals during titration in order to detect the titration end point. The Havg decrease of 2 degrees from the average of first 10 Havgs was regarded as reaching the end point. The volume of 0.01N $KMnO_4$ consumed by a tap water sample was $0.728{\pm}0.022ml$ in manual titration and $0.735{\pm}0.013ml$ in automatic titration (p=0.580). The volume of 0.01N $KMnO_4$ consumed by a distilled water sample was $0.383{\pm}0.015ml$ in manual titration and $0.367{\pm}0.015ml$ in automatic titration (p=0.252). The high p-values for t-test suggested that there were good agreements between manual and automatic titration data and the automatic method proposed in this article was considered to effectively replace the manual titration.

• Transactions of the Korean Society for Noise and Vibration Engineering
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• v.14 no.10
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• pp.962-967
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• 2004

A bogie is the device that connects a car body and wheel sets of a rail vehicle. It is the critical component that determine:; the running safety, The bogie consists of a frame, suspensions, brakes and wheel sets. Various analyses including a numerical simulation using a finite element method, a static load test, a fatigue test, ai)d r running test should be carried out to design the bogie. However cracks have been found at some end beams of the bogies mounted on the freight cars running with the high speed. The cracks of the end beam results in deterioration of the brake performance an the running safety, A new design has been suggested to solve this problem by ROTEM company and it's performance has been tested in this paper. Numerical simulations and dynamic tests are carried out to figure out the causes of cracks in the conventional bogie, and the vibrational characteristics of the improved bogie are compared with those of the conventional one.