• Journal of Computational Design and Engineering
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• 제2권3호
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• pp.176-182
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• 2015

Head-and-neck cancer is often treated with intensive irradiation focused on the tumor, while delivering the minimum amount of irradiation to normal cells. Since a course of radiotherapy can take 5-6 weeks or more, the repeatability of the patient posture and the fastening method during treatment are important determinants of the success of radiotherapy. Many devices have been developed to minimize positional discrepancies, but all of the commercial devices used in clinical practice are operated manually and require customized fixtures for each patient. This is inefficient and the performance of the fixture device depends on the operator's skill. Therefore, this study developed an automated head-and-neck immobilizer that can be used during radiotherapy and evaluated the positioning reproducibility in a phantom experiment. To eliminate interference caused by the magnetic field from computed tomography hardware, Ni-Ti shape-memory alloy wires were used as the actuating elements of the fixtures. The resulting positional discrepancy was less than 5 mm for all positions, which is acceptable for radiotherapy.

• 한국실내디자인학회논문집
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• 제26권6호
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• pp.97-105
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• 2017

Korea is promoted STEAM education since 2011. Furthermore, in high school education, based on the in-depth elective course's teaching and learning contents of science. The STEAM program can improve students' competence because it encourages to self-directed learning through the vocational project performance. Therefore, in this study, we researched a design education program for the experience of fusion and complex design based on STEAM education concept. We developed an education program to design insulation wall systems using up-cycling concepts to increase energy efficiency. As a result, the characteristics of the fusion education and the theoretical study about the learner-centered education curriculum, the analysis of the high school curriculum, the STEAM elements, The program was revised and supplemented through consultation with STEAM experts. In addition, the developed program was applied to high school students, and each step were analyzed based on the educational method theory. The following results were obtained. First, this study presented a program to cope with the needs of high school intensive education. Second, it provided learning motivation by combining flipped-learning as a way to train STEAM education contents. Third, it is required to develop differentiated and continuous program development and data sharing Fourth, in order to operate and promote the future environment design STEAM school, it is necessary to expand educational programs for high school students in the region through linkage with various universities.

• 대한간호학회지
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• 제9권2호
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• pp.73-83
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• 1979

The objectives of this study have been conducted to establish effective clinical teaching program to I.C.U in terms of proper assignment of the clients for the students, proper rotation schedule, priorities in critical nursing problems and selection of the teaching and learning. We have analyzed statistically 1,850 patients who have been admitted during a period from January 1977 to October 31 1979 in Ewha Woman's University Hospital. The results are as follows: 1. The proportion to the total inpatients number was 6.5% and mortality rate was 16.3%. 2. The average hospitalized days were 5.8 days in I.C.U and the total death was occured from 1 st hospital day to 5th hospital day. So it shows a certain difficulties for clinical experiences of the senior students in I.C.U. 3. In the age of the death, 41.3% of the patients were in the 41-60 year age group. It shows highest mortality rate in socially active and productive age groups. 4. The mortality rates of the departments of the medicine was 18.7%, general surgery 18.5%, and neurosurgery 14.7%. 5. The number of patients admitted to the department of neurosystem was 30.6%, cardiovascular system 22.6%, respiratory system 11.1 ％ and urinary system 2.9%. 6. On utilizing instruments and machine for diagnosis and client's assessment in I.C.U, they have utilized everything a usual. But they never utilize angiogram and cardiac catheterization in cardiovascular system, and retroperitoneal pneumography in the urologic system. Further more we would recommend as follows 1. In consideration of the average hospital days and the date of death, the rotation program for clincal experience need to be adjusted as continuing practice program in apposite to current alternative practice program for comprehensive nursing care. 2. Socioeconomic needs for the patient's families and himself should be emphasized by the students in addition to physical needs. 3. Course content for critical care might be built up in considering of core disease centered nursing problems. 4. The diagnostic procedures and client's assessment items which could not experience in our university hospital by the students might be considered and refilled as filled trips to another hospital and visual aids.

• 대한약침학회지
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• 제16권4호
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• pp.14-21
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• 2013

Objectives: The objective of this study was to examine how an integrated approach to type 2 diabetes mellitus treatment could improve glycemic control and immune-potentiating activities adherent to oral hypoglycemic agents along with a botanical compound, among primary care patients. Methods: In this study, we used the self-control and the group-control methods. Candidates meeting the trial conditions were selected from among volunteers who had taken the test substance for 45 days. During the trial, all groups were on a controlled diet; neither were the original medications nor their dosages changed. Results: The results showed that the botanical compound (Glyco-Persica$^{(R)}$) significantly reduced the main clinical symptoms in diabetes type 2. In the treatment group, 36 of 52 patients (69.23%) and in the control group 10 of 52 patients (19.23%) showed reduced symptoms, and this difference was statistically significant (P < 0.05). The fasting blood sugar in the treatment group after treatment compared with that before treatment and with that in the control group after treatment was statistically different (P < 0.05). The post-prandial glucose in the treatment group after treatment was significantly different from that before treatment and from that in the control group after treatment (P < 0.05); the post-prandial blood sugar in the treatment group was reduced by 8.98%. Conclusions: The results revealed that the botanical compound (Glyco-Persica$^{(R)}$) has significant hypoglycemic properties which affect main clinical symptoms in diabetes type 2. Body weight, blood pressure, heart rate, routine blood, stool and urine tests showed no meaningful negative changes after the course of treatment. There was no significant adverse reaction during the trial.

• 한국가금학회지
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• 제7권2호
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• pp.18-27
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• 1980

IBDV는 양계업이 전업화된 모든지역에서 발생하고 있다. 이 질병의 임상증상은 매우 특징적이기도 하지만 IBDV 감염시의 닭의 연령 또는 바이러스의 병원성에 따라 임상증상 업이 내과 하기도 한다. IBDV에 의한 BF의 종장이나 출혈성 병변은 감염 후 짧은 기간에만 관할되며 질병이 경과함에 따라 BF는 위축된다. IBDV는 감염력이 극히 높으며, 오염된 계분, 사료, 물 등에 의하여 전파된다. 이 바이러스는 외계 환경에 대하여 극히 높은 저항성을 갖고 있으며 Ribovirus군의 Diplorna 바이러스로서 크기는 55-60nm이다. IBDV는 계태아나 계태아 조직 또는 감수성이 있는 닭의 BF에서 용이하게 증식시킬 수 있다. agar gel을 사용한 면역 확산법은 IBDV 감염을 진단할 수 있는 가장 간편한 방법이다. IBDV에 대한 항체는 감염 후 1주일 후부터 증명되며 장기간 지속된다. 감수성 계군일 경우 높은 역가의 항체형성이나 지속은 계군의 연령에 비례한다. IBDV에 대한 모체이행 항체는 critical age때의 병아리를 야외 감염으로부터 보호하여 준다. IBDV 단독 감염에 의한 IBD 피해는 경미한 것이지만 면역부전증에 의하여 유발되는 복합성 질병인 Inclusion body hepatitis, 전염성 빈혈, 괴저성 피부염 등은 닭의 생산성을 크게 저하시킨다.

• Journal of Veterinary Science
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• 제22권2호
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• pp.23.1-23.10
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• 2021

Background: Pseudorabies (PR), caused by the pseudorabies virus (PRV), is an endemic disease in some regions of China. Although there are many reports on epidemiological investigations into pseudorabies, information on PRV gI antibody dynamics in one pig farm is sparse. Objectives: To diagnose PR and analyze the course of PR eradication in one pig farm. Methods: Ten brains and 1,513 serum samples from different groups of pigs in a pig farm were collected to detect PRV gE gene and PRV gI antibody presence using real-time polymerase chain reaction and enzyme-linked immunosorbent assay, respectively. Results: The July 2015 results indicated that almost all brain samples were PRV gE gene positive, but PRV gI antibody results in the serum samples of the same piglets were all negative. In the boar herd, from October 2015 to July 2018 three positive individuals were culled in October 2015, and the negative status of the remaining boars was maintained in the following tests. In the sow herd, the PRV gI antibody positive rate was always more than 70% from October 2015 to October 2017; however, it decreased to 27% in January 2018 but increased to 40% and 52% in April and July 2018, respectively. The PRV gI antibody positive rate in 100-day pigs markedly decreased in October 2016 and was maintained at less than 30% in the following tests. For 150-day pigs, the PRV gI antibody positive rate decreased notably to 10% in April 2017 and maintained a negative status from July 2017. The positive trend of PRV gI antibody with an increase in pig age remarkably decreased in three tests in 2018. Conclusions: The results indicate that serological testing is not sensitive in the early stage of a PRV infection and that gilt introduction is a risk factor for a PRV-negative pig farm. The data on PRV gI antibody dynamics can provide reference information for pig farms wanting to eradicate PR.

• Journal of Chest Surgery
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• 제52권1호
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• pp.25-31
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• 2019

Background: The primary goal of this study was to characterize the clinical outcomes of adult patients with hematologic malignancies (HM) who were treated with extracorporeal membrane oxygenation (ECMO) support when conventional treatments failed. Methods: In this retrospective, observational study at a tertiary medical center, we reviewed the clinical course of 23 consecutive patients with HM requiring ECMO who were admitted to the intensive care unit at Asan Medical Center from March 2010 to April 2015. Results: A total of 23 patients (8 female; median age, 44 years; range, 29-51 years) with HM and severe acute circulatory and/or respiratory failure received ECMO therapy during the study period. Fourteen patients received veno-arterial ECMO, while 9 patients received veno-venous ECMO. The median ECMO duration was 104.7 hours (range, 37.1-221 hours). Nine patients were successfully weaned from ECMO. The in-hospital mortality rate was 91.1% (21 of 23). There were complications in 3 patients (cannulation site bleeding, limb ischemia, and gastrointestinal bleeding). Conclusion: ECMO is a useful treatment for patients with circulatory and/or pulmonary failure. However, in patients with HM, the outcomes of ECMO treatment results were very poor, so it is advisable to carefully decide whether to apply ECMO to these patients.

• 한국치위생학회지
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• 제19권5호
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• pp.625-633
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• 2019

The aim of this study was to review the history of dental hygiene education in Korea on its $50^{th}$ anniversary in 2015. Internal resources and documents from the Korean Dental Hygienists' Association and other accessible resources were examined to verify the historical facts of dental hygiene education in Korea. From 1965 to 1967, the first class of four dental hygiene students graduated, and the legal basis for dental hygiene as a profession was established, which led to the start of the profession Registered Dental Hygienist in 1971. From 1977 to 1993, 13 higher educational institutions started dental hygiene programs. The Korean Dental Hygienists' Association (1977) and Korean Association of Dental Hygiene College Professors (1987) were established in this period. From 1994 to 2006, the duration of major-intensive course programs in dental hygiene was extended to three from the two years of 1994, and the first bachelor's degree program in dental hygiene started in 2002. In this period, studies on dental hygiene became significantly active owing to vigorous activities by academic societies. The master's degree program in dental hygiene was established in 2007. Academic dental hygiene journals, the Journal of Dental Hygiene Science, and Journal of Korean Academy of Dental Hygiene Education were promoted as the registered journals of the Korean Research Foundation. From 1965 to 2015, dental hygiene education in South Korea expanded both quantitatively and qualitatively and is now ready for further progress in the future.

• Journal of Trauma and Injury
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• 제34권4호
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• pp.225-232
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• 2021

Purpose: Trauma is the top cause of death in people under 45 years of age. Deaths from severe trauma can have a negative economic impact due to the loss of people belonging to socio-economically active age groups. Therefore, efforts to reduce the mortality rate of trauma patients are essential. The purpose of this study was to investigate preventable mortality in trauma patients and to identify factors and healthcare-related challenges affecting mortality. Ultimately, these findings will help to improve the quality of trauma care. Methods: We analyzed the deaths of 411 severe trauma patients who presented to Gachon University Gil Hospital regional trauma center in South Korea from January 2015 to December 2017, using an expert panel review. Results: The preventable death rate of trauma patients treated at the Gachon University Gil Hospital regional trauma center was 8.0%. Of these, definitely preventable deaths comprised 0.5% and potentially preventable deaths 7.5%. The leading cause of death in trauma patients was traumatic brain injury. Treatment errors most commonly occurred in the intensive care unit (ICU). The most frequent management error was delayed treatment of bleeding. Conclusions: Most errors in the treatment of trauma patients occurred in early stages of the treatment process and in the ICU. By identifying the main causes of preventable death and errors during the course of treatment, our research will help to reduce the preventable death rate. Appropriate trauma care systems and ongoing education are also needed to reduce preventable deaths from trauma.

• 융합정보논문지
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• 제11권8호
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• pp.224-231
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• 2021

본 연구의 목적은 비판적 사고 집중교육을 포함한 교과 교육이 간호대학생의 비판적 사고 성향을 향상시키는지를 알아보기 위함이다. 연구대상은 2학년 173명이었고 교육은 2시간씩 3회 총 6시간의 비판적 사고 집중교육과 간호과정과 비판적 사고 강의시간에 지속적인 교육을 시행하였다. 사전·사후 설문은 개강 첫 주와 14주차에 실시하였으며 수집된 자료는 IBM SPSS 21.0으로 분석하였다. 연구결과 교육 전·후 비판적 사고 성향의 평균 평점이 상향되었으며(3.65±0.41→3.83±0.46, t=6.796, p<.001) 하부 항목 중 교육 전 가장 낮은 점수를 보였던 창의성이 가장 많이 상향되었다(3.13±0.78→3.43±0.86, t=5.842, p<.001). 비판적 사고 관련 교육의 효과는 확인되었으나 세부 항목별 관련성에 대한 근거가 부족하며 교육의 질 보장을 위한 반복연구와 교수방법 개발 및 효과 검증을 위한 도구 개발이 필요함을 제언한다.