• 임상간호연구
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• 제26권1호
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• pp.10-25
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• 2020

Purpose: The purpose of this study was to update the previously developed nursing practice guideline for enteral nutrition (EN). Methods: The guideline update was done in 22 steps using standardized methodology for nursing practice guidelines. Results: The updated EN guideline consisted of 16 domains and 228 recommendations. The domains and number of recommendations in each domain were for IDSA (Infectious Diseases Society of America): 8 on general instruction, 9 on general instruction for special nutrition, 9 on general instruction for EN, 3 on assessment of EN, 10 on access to EN, 18 on EN device insertion, 16 on selection and preparation of nutritional supplements, 46 on administration and stopping EN, 22 on maintenance and management of EN, 9 on monitoring EN, 16 on prevention and management of complications of EN, 18 on medication administration, 20 on EN in various situations, 20 on prevention of errors, 1 on nursing education, and 3 on nursing documentation. For the levels of evidence, there were 9.7% for level I, 13.1% for level II, 62.5% for level III and 1.1% for GRADE (Grading of Recommendations Assessment, Development and Evaluation): 3.3% for low, 0.8% for moderate, 9.3% for very low. A total of 133 recommendations were newly developed and 10 previous recommendations were modified. Conclusion: This updated EN nursing practice guideline can be used to enhance evidence-based practice in fundamentals of nursing practice and it should be disseminated to nurses nationwide in order to improve the efficiency of EN practice.

• 한국건설순환자원학회논문집
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• 제7권2호
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• pp.131-137
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• 2019

본 연구에서는 공사중단 건축물이 위치한 지역의 공무원 및 주민 등의 관계자들을 대상으로 공사중단 건축물에 대한 인식을 조사하고 어떠한 문제가 내재되어 있고 효율적 관리 방안을 분석하였다. 전국에 산재하여 있는 공사중단 건축물은 강원지역에 63개가 위치하고 있고 이는 전체에서 16%를 차지하고 있으며, 용도별 분류로서는 공동주택이 31%로 가장 많이 차지하고 있으며, 10년 이상의 공사중단 장기방치 건축물이 241개로 62%를 차지하고 있었다. 공사중단 건축물을 효율적으로 관리하기 위하여 시특법 상에 준하는 시설물 등급관리와 주기적이고 지속적 관리를 통하여 안전성확보 및 범죄예방을 위한 보호조치가 이루어져야 한다. 공사중단 건축물의 효율적 관리를 위하여 예산과 인력부분에 대하여 효율적인 지원이 필요한 실정이다.

• 한국정보통신학회논문지
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• 제25권10호
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• pp.1302-1309
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• 2021

최근, 정부는 경기침체 극복에 대응하고 구조적 변환에 따른 국제활동을 주도하기 위한 국가발전 전략으로 "한국판 뉴딜 종합계획"을 도입하였다. 한국판 뉴딜에서 에너지와 관련된 '그린뉴딜'은 배출 가스 제로화를 목표로 하고 저탄소 녹색 경제로의 전환을 가속화하는 것이며, 이를 위해 정부는 재생에너지 사용 확대를 촉진한다는 계획이다. 본 논문에서는 저탄소 녹색 경제로의 전환을 촉진하기 위해 미활용 저온 열에너지를 활용하는 바이너리 발전과 실제 발전환경에서 무인 자동운전을 통해 저 비용으로 유지관리가 가능한 신경망 기반 제어시스템에 대해 검토한다. 이러한 바이너리 발전의 실현은 태양광, 풍력 등과 더불어 재생에너지의 도입을 가속화 할 것으로 기대된다.

• Journal of Yeungnam Medical Science
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• 제38권2호
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• pp.127-135
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• 2021

Background: Dialysis patients are prone to having disabilities. We aimed to evaluate the association between disability and various clinical outcomes in Korean dialysis patients. Methods: This study consisted of 1,615 dialysis patients from 27 centers. We evaluated disability by using four questions on the activities of daily living (ADLs) concerning whether help was needed for feeding, dressing/undressing, getting in/out of bed, or taking a bath/shower. We divided the patients into three groups: no disability (Non-D, none of the four ADL domains required help; n=1,312), mild disability (Mild-D, one ADL domain required some/full help; n=163), or moderate to severe disability (MS-D, two or more ADL domains required some/full help; n=140). We evaluated falls, frailty, health-related quality of life (HRQoL), mortality, and hospitalization. Results: The numbers of participants with a fall during the last 1 year were 199 (15.2%), 42 (25.8%), and 44 (31.4%) in the Non-D, Mild-D, and MS-D groups, respectively (p<0.001). The numbers of participants with frailty in the Non-D, Mild-D, and MS-D groups were 381 (29.0%), 84 (51.5%), and 93 (66.4%), respectively (p<0.001). In both univariate and multivariate analyses, the physical component scale and mental component scale scores decreased as the grade of disability increased (p<0.001 for both scores). Hospitalization-free survival rate at 500 days was 64.2%, 56.7%, and 51.1% in the Non-D, Mild-D, and MS-D, respectively (p=0.001 for trend). Patient survival rate at 500 days was 95.3%, 89.5%, and 92.3% in the Non-D, Mild-D, and MS-D, respectively (p=0.005 for trend). Conclusion: Disability was associated with falls, frailty, HRQoL scales, and survival trends in Korean dialysis patients.

• 비만대사연구학술지
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• 제1권2호
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• pp.78-82
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• 2022

Liraglutide (Saxenda^R) is prescribed to induce and sustain weight loss in obese patients. The starting dose of liraglutide is 0.6 mg/day for 1 week, which is increased by 0.6 mg/day every week until the full maintenance dose of 3 mg/day is achieved. Such dose titration is needed to prevent side effects, which primarily include gastrointestinal problems such as nausea, diarrhea, constipation, vomiting, dyspepsia, and abdominal pain. A 35-year-old, reportedly healthy obese man receiving liraglutide treatment for obesity visited the emergency room complaining of generalized weakness and dizziness accompanied by repeated diarrhea and vomiting. He reported over 20 episodes of diarrhea starting the day after liraglutide dose escalation from 1.2 mg/day to 1.8 mg/day. Laboratory findings suggested pre-renal acute kidney injury, including serum creatinine 4.77 mg/dl, blood urea nitrogen (BUN) 37 mg/dl, estimated glomerular filtration rate (eGFR) 15 ml/min/1.73 m², and Fractional excretion of sodium 0.08. After volume repletion therapy, his renal function recovered to a normal range with laboratory values of creatinine 1.08 mg/dl, BUN 14 mg/dl, and eGFR 88 ml/min/1.73 m². This case emphasizes the need for caution when prescribing glucagon-like peptide-1 receptor agonists, including liraglutide, given the risk of serious renal impairments induced by volume depletion and dehydration through severe-grade diarrhea and vomiting.

• 한국건축시공학회지
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• 제20권6호
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• pp.555-566
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• 2020

최근 국내 공공시설물의 노후화가 가속화되며 기존의 사후 유지관리 방식은 총체적이고 선제적인 시설자산관리의 개념으로 변화하고 있다. 이에 향후 공공시설물관리는 안전성 제고와 유지관리뿐만 아니라, 시설에 대한 가치 평가, 생애주기 관리 계획, 재원 마련 등의 확장된 역량 확보가 강조되고 있다. 본 연구는 국제 기준을 기반으로 공공시설물관리를 위한 역량 진단 모델을 개발하고, 관리 주체별 환경을 고려해 대응할 수 있도록 역량의 성숙도 개선 자료를 제공한다. 개발된 역량 진단 모델은 공공시설물의 10개 관리 역량, 113개의 역량 진단 요인, 관리 역량의 계량화 지수, 관리 활동을 정의하는 성숙도 수준으로 제시되었다. 향후 10년간 지속적으로 공공시설물관리의 중요성이 부각되는 상황에서 본 고에서 제시한 시설자산관리지수는 공공시설물을 운영하는 관리기관들의 강점과 약점을 파악하고 역량 향상을 위한 방향을 수립하는데 유용하게 활용될 것으로 기대된다.

• 사상체질의학회지
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• 제32권4호
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• pp.86-95
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• 2020

Objectives Meal and nutrition are important lifestyle factors that affect maintenance and promotion of health status and are also associated with chronic diseases. In Sasang constitutional medicine, dietary behavior according to the characteristics of Sasang constitution (SC) types is a key component in health management. The aim of this study was to evaluate the nutritional status and quality of meals according to the SC. Methods This was a cross-sectional study of 1,947 subjects surveyed in a community-based cohort called the Korean Medicine Daejeon Citizen Cohort study. Data were collected including demographic characteristics, Korea Sasang Constitutional Diagnostic Questionnaire, and nutrition quotient (NQ) for adults. We analyzed the differences in NQ grade and scores among three SC types: Taeeumin (TE), Soeumin (SE), and Soyangin (SY), by conducting chi-square and ANCOVA tests. Results The distribution of SC into TE, SE, and SY types was 43.1%, 25.2%, and 31.8%, respectively. The mean NQ score of all subjects was 53.4±8.6. There was a significant difference in the distribution of NQ grades and mean of NQ scores among SC types, including total and four sub-factors: balance, diversity, moderation, and dietary behavior. The TE type had the lowest score for the moderation factors in the crude model. The SE type showed lower NQ scores than the TE and SY types in all domains except moderation after adjusting for variables. Conclusions We found that dietary behaviors had to be distinct according to the SC types. These results elucidate why it is important to develop a customized dietary habit management program considering the SC types.

• 한국지반공학회논문집
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• 제24권4호
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• pp.37-46
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• 2008

포장재료의 역학적 특성을 대표하는 회복탄성계수는 '86 AASHTO 설계법에서 노상의 기본입력 물성치로 적용한 이후 포장 설계, 해석뿐 아니라 포장 평가, 유지관리 등에도 보편적 개념으로 정착되어 가고 있다. 국내 노상토의 회복탄성계수는 함수비와 건조단위중량으로 대표되는 재료적 요인과 축차응력 및 구속응력에 대단히 큰 영향을 받고 있고, 하중주파수의 영향은 있으나 그 정도가 크지 않고, 하중반복횟수의 영향은 무시 가능한 것으로 알려져 있다(건설교통부 2003). 따라서 국내 포장재료에 따른 회복탄성계수의 적절한 평가는 국내 포장구조체의 역학거동 및 공용성 평가를 위해 매우 중요한 사항이다. 이와 같은 배경으로 본 연구에서는 국내 노상토 재료의 역학적 특성 변화를 포장 단면설계에 합리적으로 반영하기 위한 노상토 해석모델을 제안하였고, 제안된 모델을 적용한 유한요소해석 결과와 시험도로 실측치와의 비교 검증을 통해 제안된 모델의 신뢰성을 검증하였다.

• 한국식생활문화학회지
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• 제24권2호
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• pp.146-154
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• 2009

This study was conducted to investigate the vegetable eating behaviors and preferences of elementary school students by stage of change for vegetable intake. The subjects consisted of 191 fourth and fifth grade elementary school students from Gyeonggi province. The stage of change for vegetable intake was categorized into three groups: precontemplation (PC, 18.4%), preparation (P, 43.5%), and action/maintenance (A&M, 48.2%). The trend to eat a variety of foods was more distinctive as the students went from the PC to the A&M stage. The stage of change for vegetable intake was closely related with the kimchi-eating pattern of the students. The A&M group ate more vegetables than the PC group because they liked vegetables and/or wanted to prevent disease. The PC group had a lower tendency to follow recommendations for vegetable eating than the P and A&M groups. The PC group also had an incorrect notion that low vegetable consumption over an extended time would not have a big impact on their health. The vegetables of high preference for the elementary school students were potato, sweet potato, lettuce, radish, perilla leaf, cucumber, and cabbage. The vegetables of low preference were spinach, onion, balloon flower, and green pepper. The PC group had lower preferences for most vegetables than the P and A&M groups. Therefore, careful nutrition education is necessary especially for students in the PC group in order to explain the positive effects of vegetable intake and negative effects of an unbalanced diet. It is also necessary to survey students' tastes consistently and to develop recipes that encourage them to consume more vegetables agreeably.

• 임상간호연구
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• 제29권3호
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• pp.211-222
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• 2023

Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline for indwelling urinary catheterization (IUC). Methods: The guideline have been revised in 22 steps based on international standards. The quality of the practice guidelines to be used for revision was evaluated using the Appraisal of Guidelines for Research and Evaluation II. The evaluation of the content appropriateness and applicability of the draft recommendations of the revised practice guidelines was performed using the RAND/UCLA Appropriateness Method, a decision-making method developed by the RAND Corporation. Four guidelines were used for the revision. Results: The updated nursing practice guideline for IUC consisted of 9 domains and 134 recommendations. The numbers of recommendations in each domain were: 4 Assessment, 20 Equipment, 11 Catheter insertion, 52 Catheter maintenance, 4 Catheter and drainage bag change, 9 Catheter removal, 22 Complications management, 5 Education and consult, and 7 Hospital support. The recommended grade was 8.2% for A, 38.1% for B, and 53.7% for C. Among these, the major revision was done in 11 recommendations (8.2%). A total of 29 recommendations (21.6%) were newly added. 30 (22.4%) recommendations had minor revisions such as changes or addition for some words or sentences, and 13 (9.7%) recommendations were deleted. Conclusion: Revised nursing practice guideline is expected to serve as an evidence-based practice guideline for IUC in Korea. This guideline will provide health care providers, patients, and caregivers with information to help manage IUC, leading to improved patient outcomes.