• Child Health Nursing Research
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• 제24권1호
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• pp.68-77
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• 2018

Purpose: The purpose of this study was to develop parent coaching domains for the health management of childhood leukemia survivors. Methods: In this study, we conducted a literature review and in-depth interviews with 6 parents of childhood leukemia survivors who were identified using convenience sampling. We identified areas of parent coaching through the 4 stages of the GROW model, which are: goal setting, realistic grasp, confirmation of realization, and search for alternatives. Results: Nine domains and 27 subcategories emerged from the study. The 9 parent coaching domains for the health management of childhood leukemia survivors were routine life management, education and information provision, emotional support for the surviving children, social support for the surviving children, follow-up management, family support, school life management, symptom management, and improvement of growth and development. Conclusion: This research developed 9 parent coaching domains for the health management of children surviving leukemia. The results of this study are expected to contribute to the efficient health management of childhood leukemia survivors by enabling practitioners to continuously identify new coaching domains as needed for their health management. Researchers should improve the health management of childhood leukemia survivors by developing nursing interventions for these new coaching areas.

• 한국임상약학회지
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• 제5권2호
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• pp.17-31
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• 1995

Pharmacist-managed Anticoagulation Service(ACS) was estabilished and the effectiveness of warfarin monitoring by ACS in maintaining therapeutic INR was evaluated. The primary goal of ACS is to maximize the control of therapy, to maintain therapeutic INR and to decrease morbidity and hospitalization caused by inadequate dosage regimen. Clinical pharmacists performed chartreview, laboratory interpretation, recommendations for warfarin dosage adjustments, physician and patient education, and coordination of follow-up in ACS. Patients receiving warfarin sodium were evaluated via retrospective chart review. Sixty-two patients were referred to ACS by primary physicians were compared with 117 patients in the physician-amtrolled group. The ACS patients maintained $88.6\%$ in the therapeutic range for anticoagulant therapy and the control group maintained $63.7\%$, where the difference was statistically significant.(P<0.001) The ACS improved warfarin dose determination, PT stability, patient compliance and provided improved therapy compared with the control group. ACS offers safe and efficient anticoagulant therapy in the ambulatory setting.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2010년도 춘계 학술논문 발표대회 1부
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• pp.125-129
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• 2010

The ultimate goal of construction is to complete the given work in the most economical and safest way within the required construction period while meeting the quality standards specified in the design drawing. There are a few characteristics of finish work. First, executed in subdivided processes, finish work involves a very diverse and complex structure. Second, there are no criteria for each segmented process with regard to the appropriate time of input. Third, it is not very necessary to set priorities for lead and lag works. This study intends to provide information on the completion of a project in accordance with the required duration by setting priorities in the delay of each detailed process of finish work to minimize delay in finish work. In this study, finish work is divided into wet work and other types of finish work, and the importance of each process is classified based on the given details of each process. In addition, the study employs a survey to analyze delay factors of a designer, a constructor, and a supplier. Using the survey results, the study sets priorities in delay of final work to provide information on the completion of an apartment project within the planned construction period.

• Journal of Communications and Networks
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• 제7권3호
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• pp.337-352
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• 2005

In this paper, a fuzzy logic implementation of the random early detection (RED) mechanism [1] is presented. The main objective of the proposed fuzzy controller is to reduce the loss probability of the RED mechanism without any change in channel utilization. Based on previous studies, it is clear that the performance of RED algorithm is extremely related to the traffic load as well as to its parameters setting. Using fuzzy logic capabilities, we try to dynamically tune the loss probability of the RED gateway. To achieve this goal, a two-input-single-output fuzzy controller is used. To achieve a low packet loss probability, the proposed fuzzy controller is responsible to control the $max_{p}$ parameter of the RED gateway. The inputs of the proposed fuzzy controller are 1) the difference between average queue size and a target point, and 2) the difference between the estimated value of incoming data rate and the target link capacity. To evaluate the performance of the proposed fuzzy mechanism, several trials with file transfer protocol (FTP) and burst traffic were performed. In this study, the ns-2 simulator [2] has been used to generate the experimental data. All simulation results indicate that the proposed fuzzy mechanism out performs remarkably both the traditional RED and Adaptive RED (ARED) mechanisms [3]-[5].

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2008년도 춘계학술대회논문집
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• pp.1000-1004
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• 2008

As performance of medical air compressor improve, the problem of noise increased. Noise is very important to medical air compressor because most of this installed inside of building. The main goal of this paper is show TPA (Transfer Path Analysis) result for contribution analysis using PAK system. Generally, the conventional TPA method consists of two steps. First, transfer functions between output sound and sources are measured by excitation experiment. Second, transferred sound in each transfer path is generated by multiplying the transfer function and the sound source signal. Then, if the output sound synthesized from all transferred sounds doesn't give good agreement with the measured output sound (i.e., the accuracies of the transfer functions are low), setting a suitable countermeasure guideline becomes difficult. For obtaining highly accurate transfer functions, eliminating correlations among transfer functions and noise included in the measured data are necessary. In the new method with PAK system, the vibration acceleration and sound signals around the sound sources and the output sound were measured simultaneously to obtain the transfer functions when compressor was operating. By applying PAK system, a highly accurate and efficient transfer path analysis method was developed that does not require an excitation experiment.

• 한국기계가공학회지
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• 제7권4호
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• pp.121-127
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• 2008

Automatic grease lubricator is an equipment that provides adequate amount of fresh grease constantly to the shaft and bearings of machines. It minimizes the friction heat and reduces the friction loss of machines to the least. This paper is developing an automatic grease lubricator using a mode of the gas generation type from galvanic electricity. The ultimate goal of this equipment is to lubricate an adequate amount of grease with galvanic corrosion. In an electrolyte, combining anode(Mo) with cathode(Zn) is pressing out hydrogen gas of an galvanic element with galvanic reaction. The characteristics of this method is continuous flowing small hydrogen gas and controling the usage of the amount of the generation of hydrogen gas. The exterior body of grease lubricator was analyzed by Digital Mock-up of CATIA V5 and finite element analysis. The maximum stress is distributed over the outlet part where the grease lubricator suddenly narrowly contracts. The outlet part is analyzed with different constructed angle due to the different loading and setting angles. Using the analyzed design, RP trial products were producted and tested.

• 의학교육논단
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• 제18권3호
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• pp.156-166
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• 2016

Medical school students learn a lot about medical knowledge and clinical experience in the classroom. Teaching is a main focus in medical schools; therefore, it is necessary to identify the characteristics of good teaching. The aim of this study is to analyze the characteristics of high-quality education in medical schools. In this study, in-depth interviews were conducted over two weeks on twelve fourth-year medical students. Participants were asked to define high-quality education, list the general ways in which high-quality classes are delivered, mention cases where they have experienced high-quality teaching, and describe the attitude required of students to make high-quality education possible. The results showed that students want to be taught in an interactive way on the core content needed in an actual clinical setting for the goal of cultivating primary care physicians. They want their education to include not only medical knowledge, but also liberal art subjects such as politics, economics, sociology, culture and ethics education to help instill a sound value system. In particular, students stressed the importance of instructors delivering appropriate post-evaluation feedback, and they also emphasized that learner mindset and attitude is important in supporting high-quality teaching in class. This paper also summarizes the elements of high-quality teaching in terms of educational goals, content, and method, and examines cases of instructors who have delivered high-quality classes.

• 통상정보연구
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• 제7권1호
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• pp.95-117
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• 2005

The purpose of this study is to provide a conceptual understanding of ASP service for ERP implementation in small-to-medium enterprises under the current market situation in which the significance of information systems was standing out to respond to the rapid changes of managerial environment caused by the spread of Internet. In addition, it was to extract practical causes of introduction of ERP through ASP services by analyzing the causes and benefits considered by small-to-medium enterprises which use it. This study confirms that using ASP is better, faster and cheaper. Therefore, it is inevitable. The enterprises can reduce many risks of in-House ERP system such as excessive initial investment and operational expenses, lengthened constructional time, and the possibility of failure while achieving the benefit of ERP solution. However, there are many considerations which the enterprise carefully take into in order to implement the systems successfully such as selecting the system which is right for the enterprise's environment by setting the goal of implementing the system clearly, reducing the construction time by minimizing the customizing of the system, including the core people who knows the business process well, enough education before and after the implementation, and considering many aspect of ASP service provider. Also, the service provider should develop new way to provide customized service with cheap price while guaranteeing the reliability and supporting the customer's needs actively.

• 간호행정학회지
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• 제18권2호
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• pp.146-154
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• 2012

Purpose: The purpose of this study was to examine the effects of preceptor nurses' self-leadership on role recognition and job satisfaction. Method: The participants were 171 preceptor nurses worked in one of three general hospitals in Seoul. The data were collected from April 12 to May 12, 2011 and analyzed using descriptive statistics, t-test, ANOVA, pearson correlation, Scheffe, and regression with SPSS Win 19.0 program. Result: The results of the study were as followed. The average score for preceptor nurses' self-leadership was 3.55, for role recognition, 3.81 and for job satisfaction, 3.28. The factors of the preceptors' self-leadership affecting role recognition were self-expectation (${\beta}$=260, p=.002) and goal setting (${\beta}$=199, p=.030), and those factors accounted for 18.9% of explanatory power. The factors of self-leadership influencing job satisfaction were self-expectation (${\beta}$=18.3, p=.021), and rehearsal (${\beta}$=-168, p=.030), and those factors accounted for 31.3% of explanatory power. Among the factors of self-leadership, self-expectation influenced both role recognition and job satisfaction. Conclusions: The results of the study indicate that to improve preceptor's role recognition and job satisfaction, there should be special training programs to enhance preceptor's self leadership.

• 재활간호학회지
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• 제18권2호
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• pp.75-87
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• 2015

Purpose: The purpose of this study was to develop a home-based self-management support intervention (SMSI) for enhancing pulmonary rehabilitation (PR) in patients with chronic obstructive pulmonary disease (COPD) in Korea. Methods: This methodological study was conducted by following these 4 steps: constructing the preliminary draft of a home-based SMSI from existing recommendation and a literature review on PR and self-management interventions; testing content validity with 6 experts in COPD; exploring clinical applicability of the intervention by applying it to 4 COPD patients; determining the final intervention. Results: The final intervention included 4 components and contents identified from the literature review as essentials for self-management of COPD patients: education; exercise training and practice including breathing, muscle strengthening and aerobic exercises; cognitive behavioral strategies including informative self-decision making, collaborative goal setting and supportive advice; and action planning for exacerbation. The intervention was designed to be run by a trained nurse and had 8 weekly sessions consisting of three 60-minute face-to-face sessions and five 20-minute phone-call sessions. Conclusion: The intervention developed in this study incorporates essential components of self-management, i.e. action plan and cognitive behavioral strategies, and will contribute to enhancing and maintaining effects of PR by increasing self-management in COPD patients.