• Journal of Trauma and Injury
• /
• 제32권1호
• /
• pp.40-46
• /
• 2019

Purpose: We perform an analysis of infection risk factors for fracture patients and confirm that the risk factors reported in previous studies increase the risk of actual infection among fractured patients. In addition, injury severity score (ISS) which is used as an evaluation tool for morbidity of trauma patients, confirms whether there is a relationship with infection after orthopedic fracture surgery. Methods: We retrospectively reviewed 1,818 patients who underwent fixation surgery at orthopedic trauma team, focused trauma center from January 1, 2015 to December 31, 2017. Thirty-five patients were infected after fracture surgery. We analyzed age, sex, open fracture criteria based on Gustilo-Aderson classification 3b, anatomical location (upper extremity or lower extremity) of fracture, diabetes, smoking, ISS. Results: Of 1,818 patients, 35 (1.9%) were diagnosed with postoperative infection. Of the 35 infected patients, nine (25.7%) were female and five (14.0%) were upper extremity fractures. Three (8.6%) were diagnosed with diabetes and eight (22.8%) were smokers. Thirteen (37.1%) had ISS less than nine points and six (17.1%) had ISS 15 points or more. Of 1,818 patients, 80 had open fractures. Surgical site infection were diagnosed in 12 (15.0%) of 80. And nine of 12 were checked with Gustilo-Aderson classification 3b or more. Linear logistic regression analysis was performed using statistical analysis program Stata 15 (Stata Corporation, College Station, TX, USA). In addition, independent variables were logistic regression analyzed individually after Propensity scores matching. In all statistical analyzes, only open fracture was identified as a risk factor. Conclusions: The risk factors for infection in fracture patients were found to be significantly influenced by open fracture rather than the underlying disease or anatomical feature of the patient. In the case of ISS, it is considered that there is a limitation. It is necessary to develop a new scoring system that can appropriately approach the morbidity of fracture trauma patients.

• Journal of Radiation Protection and Research
• /
• 제44권1호
• /
• pp.43-52
• /
• 2019

Background: The mid-term performance of clinical linear accelerator (LINAC) during volumetric modulated arc therapy (VMAT) treatment period is not performed in clinical practice and usually replaced with one-time plan quality assurance (QA). In this research we aim to monitor daily reproducibility of VMAT delivery from tracking individual leaf movement error and dosimetric error to evaluate the mid-term quality of the machine used. Materials and Methods: First, multileaf collimator (MLC) information was imported into MATLAB program to determine which of the MLC leaves in the leaf bank had the maximum RMS position error (maxRMS). We estimated where the maximum positional errors (maxPE) of the chosen leaf occur along its path length and tracked its daily variations over the entire treatment period. Secondly, picture information of dosimetric error from portal dosimetry was imported into MATLAB where representative high gamma index region (HGR) was determined as HGR with length of > 1 cm and their centers were daily tracked. Results and Discussion: The maxPEs in the brain and tongue cases were distributed broader than in other cases, but all data were found located within ${\pm}0.5mm$. From first day to last day all of five cases show the similar visual pattern of HGRs and Centers of the longest HGRs remained within ${\pm}1mm$ of that in first day. These findings prove excellent mid-term performance of the LINAC used in VMAT treatments over a full course of treatment. Conclusion: Tracking the daily location changes of leaf movement and dosimetric error can be a good indicator of predicting the daily quality like stability and reproducibility of beam delivering in VMAT treatment.

• 대한간호학회지
• /
• 제48권6호
• /
• pp.720-730
• /
• 2018

Purpose: The purpose of this study was to investigate patient safety teaching competency of nursing faculty and the extent of teaching patient safety topics in the nursing curriculum. Methods: A national survey was conducted with full-time nursing faculty in 4-year nursing schools. Regional quota sampling method was used. An online survey was sent to 1,028 nursing faculty and 207 of them were completed. Among the 207, we analyzed data from 184 participants. The revised Health Professional Education in Patient Safety Survey was used. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation analysis, and multiple linear regression analyses. Results: The faculty's self-confidence was lower than their perceived importance of patient safety education. The mean score of teaching patient safety was $3.52{\pm}0.67$ out of 5, and the contents were mostly delivered through lectures. The extent of faculty's teaching varied depending on faculty's clinical career, teaching subjects, participation in practicum courses, and previous experience of patient safety education. The significant predictors of the extent of teaching patient safety were the faculty's self-confidence in teaching patient safety (${\beta}=.39$) during clinical practicum, their perceived importance of patient safety education during lectures (${\beta}=.23$), and the teaching subject (${\beta}=.15$). Conclusion: To enhance the competency of nursing faculty for effective patient safety education, a patient safety education program tailored to faculty characteristics should be developed and continuously provided for faculty. In addition, it is necessary to improve patient safety curriculum, strengthen clinical and school linkages, and utilize various education methods in patient safety education.

• 한국임상보건과학회지
• /
• 제7권1호
• /
• pp.1248-1256
• /
• 2019

Purpose: The purpose of this study was to identify the effects of the gender role conflict on nursing professionalism in male nursing college students. Method: The subjects were 113 male college students in D and J city. The data were collected from April 24 to May 3, in 2017 using a structured questionnaire. The data were analyzed using the SPSS WIN 24.0 program. For data analysis, independent t-test, One-way ANOVA, Pearson's correlation coefficient and multiple linear regression analysis were carried out. Results: The results are follows. First, the individual characteristics in gender role conflict were significantly different in motivation(F=2.62, p=0.028) and the entering college decision(F=3.14, p=0.028), and nursing professionalism were significantly different in the entering college decision(F=4.34, p=0.006). Second, a negative relationship was observed between the gender role conflict and nursing professionalism(r=-.287, p=<0.01). The success, power and competition(${\beta}=0.19$, p<0.05) and male superiority(${\beta}=-0.47$, p<0.001) were found to influence nursing professionalism. Conclusion: These results highlight the need to develop educational intervention to lower the superiority of the male and to encourager success, power and competition of male nursing college students.

• 한국환경과학회지
• /
• 제28권3호
• /
• pp.357-369
• /
• 2019

In this study, the water quality components (pH, BOD, COD, TOC, SS, DO, TP) and the water quality, observed for 10 years (2008~2017) in the five tributaries of the Nakdong River with the highest flow rates, were analyzed. Monthly levels of the water quality components were estimated and regression functions were used to quantitatively explain the changes in the BOD and COD components, with respect to the TOC components. The results of analyzing the water quality levels in terms of the living environmental standards show that the lowest water quality was observed midstream (ST-3) and the highest water quality was observed upstream (ST-1 and ST-2). The regression function was estimated to be a linear function in all five tributaries, and the goodness of fit of the function was high upstream (ST-2), midstream (ST-3), and downstream (ST-4). According to the regression analysis using the observation data from 2008~2017, we found that the consumption of dissolved oxygen increased with an increase in organic matter in the major tributaries of the Nakdong River.

• 한국환경과학회지
• /
• 제28권6호
• /
• pp.571-579
• /
• 2019

In this study, monthly average values of BOD, COD, and TOC observed for 10 years (2008-2017) in the Nam River were estimated, and monthly variations of BOD, COD, and TOC were analyzed. Monthly average COD was always higher than monthly average BOD; monthly average TOC was high from June to September when rainfall was high. Monthly correlation coefficients between BOD and COD ranged from 0.57 to 0.94, those between BOD and TOC from 0.45 to 0.93, and those between COD and TOC from 0.75 to 0.93. The correlation coefficients were high from November to February when rainfall was low. Regression analyses for monthly average water quality data of the Nam River classified into dry season (October to April) and wet season (May to September) were conducted. Correlation coefficients were higher in the dry season than those in the wet season, and the determination coefficients of linear regression functions for BOD and COD with TOC were also higher in the dry season than those in the wet season. From this study, it can be concluded that it is appropriate to use monthly data to analyze the correlations among BOD, COD, and TOC in the stream. To analyze the relationship between TOC flowing into the stream and BOD/COD, it was found that seasonal characteristics should be considered.

• Safety and Health at Work
• /
• 제10권1호
• /
• pp.95-102
• /
• 2019

Background: In a cluster-randomized trial, the Safety and Health Involvement For Truck drivers intervention produced statistically significant and medically meaningful weight loss at 6 months (-3.31 kg between-group difference). The current manuscript evaluates the relative impact of intervention components on study outcomes among participants in the intervention condition who reported for a post-intervention health assessment (n = 134) to encourage the adoption of effective tactics and inform future replications, tailoring, and enhancements. Methods: The Safety and Health Involvement For Truck drivers intervention was implemented in a Web-based computer and smartphone-accessible format and included a group weight loss competition and body weight and behavioral self-monitoring with feedback, computer-based training, and motivational interviewing. Indices were calculated to reflect engagement patterns for these components, and generalized linear models quantified predictive relationships between participation in intervention components and outcomes. Results: Participants who completed the full program-defined dose of the intervention had significantly greater weight loss than those who did not. Behavioral self-monitoring, computer-based training, and health coaching were significant predictors of dietary changes, whereas behavioral and body weight self-monitoring was the only significant predictor of changes in physical activity. Behavioral and body weight self-monitoring was the strongest predictor of weight loss. Conclusion: Web-based self-monitoring of body weight and health behaviors was a particularly impactful tactic in our mobile health intervention. Findings advance the science of behavior change in mobile health intervention delivery and inform the development of health programs for dispersed populations.

• 한국IT서비스학회지
• /
• 제17권4호
• /
• pp.101-117
• /
• 2018

Companies are responding appropriately to the rapidly changing business environment and striving to lead those changes. As part of that, we are meeting our strategic goals through IT projects, which increase the number of simultaneous projects and the importance of project portfolio management for successful project execution. It also strives for efficient deployment of human resources that have the greatest impact on project portfolio management. In the early stages of project portfolio management, it is very important to establish a reasonable manpower plan and allocate performance personnel. This problem is a problem that can not be solved by linear programming because it is calculated through the standard deviation of the input ratio of professional manpower considering the uniformity of load allocated to the input development manpower and the importance of each project. In this study, genetic algorithm, one of the heuristic methods, was applied to solve this problem. As the objective function, we used the proper input ratio of projects, the input rate of specialist manpower for important projects, and the equal load of workload by manpower. Constraints were not able to input duplicate manpower, Was used as a condition. We also developed a program for efficient application of genetic algorithms and confirmed the execution results. In addition, the parameters of the genetic algorithm were variously changed and repeated test results were selected through the independent sample t test to select optimal parameters, and the improvement effect of about 31.2% was confirmed.

• 디지털융복합연구
• /
• 제17권5호
• /
• pp.391-398
• /
• 2019

본 연구는 육상의 세부종목에 따라 성별, 나이범주, 운동경력, 금지약물에 대한 정보 및 교육 여부, 완벽주의성향 및 지각된 동기 분위기가 도핑에 대한 태도에 미치는 영향을 확인하여 육상선수에게 특성화된 도핑예방프로그램 개발에 유용한 정보를 제공하고자 한다. 172명의 국내 육상선수를 대상으로 설문지를 통해 인구통계학적 특성과 도핑정보 관련 질문, 도핑에 대한 태도, 완벽주의성향 및 지각된 동기 분위기에 대한 자료를 수집하였고, 각 요인 중 도핑에 대한 태도에 관한 영향요인을 탐색하기 위해 단계적 다중회귀분석을 실시하였다. 그 결과, 필드종목과 트랙종목의 성인선수는 청소년선수에 비해 도핑에 대한 태도에 더 허용적인 것으로 확인되었고, 트랙종목 선수의 경우에는 완벽주의성향의 하위요인 중 코치의 비판을 더 큰 의미로 받아들일수록 도핑에 대해 더 허용적인 태도를 보이는 반면, 개인적 기준이 중요할수록 도핑에 대해 더 억압적인 태도를 보였다. 이러한 결과는 육상의 세부종목의 특성을 고려한 반도핑 전략 마련에 있어 유용한 정보가 될 것으로 생각된다.

• 한국전자통신학회논문지
• /
• 제16권4호
• /
• pp.617-624
• /
• 2021

도래각 추정, 간섭제거, 신호 수신 등을 위해 수신신호에 포함되는 신호의 개수를 정확히 파악하는 것이 필요하다. 대표적인 신호 개수 추정 알고리즘으로 AIC(: Akaike Information Criterion)와 MDL(: Minimum Description Length) 알고리즘이 있는데, 이들 알고리즘은 각 기준이 최소화되는 값을 찾아 신호의 개수를 추정한다. 수신기의 배열 안테나 요소 개수가 증가하면 추정 성능이 향상되지만, 최소값을 찾기 위해 모든 안테나 요소에 대한 기준값을 계산하여야 하므로 복잡도가 크게 증가한다. 이러한 문제를 해결하기 위해, 본 논문에서는 빔공간 처리를 통해 차원을 축소시켜 계산량을 줄이면서 효율적으로 신호의 개수를 추정할 수 있는 빔공간 기반의 AIC와 MDL 알고리즘을 제안한다. 또한, 다양한 시나리오 기반의 컴퓨터 시뮬레이션을 통해 제안된 알고리즘의 성능을 평가하고 분석한다.