• Computers and Concrete
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• 제15권4호
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• pp.589-606
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• 2015

It is well-documented that the major deterioration of coastal RC structures is chloride-induced corrosion. Therefore, regional investigations are necessary for durability based design and evaluation of the proposed service life prdiction models. In this paper, four reinforced concrete jetties exposed to severe marine environment were monitored to assess the long term chloride penetration at 6 months to 96 months. Also, some accelerated durability tests were performed on standard samples in laboratory. As a result, two time-dependent equations are proposed for basic parameters of chloride diffusion into concrete and then the corrosion initiation time is estimated by a developed probabilistic service life model Also, two famous service life prediction models are compared using chloride profiles obtained from structures after about 40 years in the tidal exposure conditions. The results confirm that the influence of concrete quality on diffusion coefficients is related to the concrete pore structure and the time dependence is due to chemical reactions of sea water ions with hydration products which lead a reduction in pore structure. Also, proper attention to the durability properties of concrete may extend the service life of marine structures greater than fifty years, even in harsh environments.

• Asian Pacific Journal of Cancer Prevention
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• 제13권10호
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• pp.4973-4977
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• 2012

Introduction: Tobacco use is a global health care problem. Repetitive exposure to nicotine produces neuroadaptation resulting in nicotine dependence. Smoking is associated with a range of diseases, causing high levels of morbidity and mortality and is one of the leading causes of preventable deaths, with more than 4.6 million smokers worldwide dying each year from smoking related illnesses. Stopping smoking has major health benefits. Quitting at any age provides both short and long term benefits. Materials and methods: 45 patients attending the outpatient department at the Oxford Dental College, Bangalore, were randomly allocated to three groups of interventions namely placebo, counseling and nicotine replacement therapy (NRT). Initially each one was assessed for carbon monoxide levels using a breath analyser (pico smokerlyser bedfont UK). They were followed up for six months and the carbon monoxide levels were again assessed using the same instrument. The paired t test was used to compare the results before and after the intervention. Results: The scores before the initiation of intervention and after treatment were compared and all three interventions were found to be statistically significant after six months. It was noticed that patients with very low or low dependence followed by high dependence had good response in the placebo group (68% and 47.6% respectively), in the counseling group maximum response was seen in the medium followed by the very low group (61% and 59% respectively), and maximum response was seen in very high followed by the very low group with NRT (78.7% and 60.5% respectively). Conclusion: The inference that can be drawn from the present study is that non-invasive, non pharmacological methods like placebo and counseling are effective in low to medium groups, and NRT is effective with higher nicotine dependence.

• The Korean Journal of Pain
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• 제37권1호
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• pp.73-83
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• 2024

Background: Failed back surgery syndrome (FBSS) is a chronic condition that is characterized by persistent back pain following one or more spinal surgeries. Pharmacological interventions, such as the use of opioids and gabapentinoids, are frequently used in the treatment of FBSS. However, prolonged and excessive use of these medications can lead to dependence and adverse effects. This study investigates trends in opioid and gabapentinoid prescriptions among patients with FBSS in Korea from 2016 to 2020. Methods: Data from the Health Insurance and Review Agency were analyzed, and claims listing FBSS were selected for the study. Prescription patterns of opioids and gabapentinoids were classified based on the number of days prescribed per year. Results: Of the 390,095 patients diagnosed with FBSS, 41.6% of the patients were prescribed gabapentinoids, and 42.0% of them were prescribed opioids, while 10.6% of the patients were classified as long-term gabapentinoid users, 11.4% as long-term opioid users, and 7.4% of the patients were found to have long-term prescriptions for both drugs. The proportion of patients who received both gabapentinoid and opioid prescriptions increased annually. The doses of opioids prescribed have also increased along with the increase in the number of patients receiving opioid prescriptions. Conclusions: The prescription rates of opioids and gabapentinoids among patients with FBSS in Korea continue to increase steadily, posing potential risks of addiction and adverse effects. Further research is needed to better understand the actual status of addiction in patients with FBSS.

• 노인간호학회지
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• 제21권2호
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• pp.125-134
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• 2019

Purpose: The purpose of this study was to investigate factors related to use of restraints for older adults with dementia in long-term care settings. Methods: This study analyzed secondary data from the Nationwide Survey on Dementia Care in Korea (NaSDeCK). Demographic characteristics, disease characteristics, and functional characteristics were analyzed. Data were analyzed with χ² test, t-test, ANOVA, and logistic regression analysis. Results: Among participants, 8.2% experienced use of restraints. 'Strap' (78.3%) was the most commonly used restraint and 'Behavioral problem' (51.3%) was a major reason for the restraint. Persons who have low levels of daily activity and cognition deficits, higher levels of dependence, histories of falls within the past 3 months, and living in long-term hospitals have greater probability of restraint experience. Conclusion: Developing interventions for older adults who have a high risk of being restrained is essential to minimize unnecessary restraint use among older adults with dementia in long-term care settings. Further study exploring the interacting roles of organizational and staff factors related to use of physical restraints would provide more comprehensive perspectives in understanding this phenomenon.

• 기본간호학회지
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• 제6권1호
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• pp.78-95
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• 1999

The grafting of a kidney has been found to be the best medical treatment for patients who have renal insufficiency failure, but the patients still have experienced much trouble and apprehension. This study was done to further nursing theory developing for patients who have has a kidney graft from another person. The research method followed grounded theory methodology of Strauss and Corbin. The subjects were three female and four male patients. This study done befween Oct. 1997 and Mar. 1998. All of the subjects were interviewed by the author. Interview were done by the long interview technique and observation. In the process of data analysis, 'heart-boiling' was found to be the core phenomenon. The results were composed to 101 concepts. These concepts were grouped into nineteen categories, and then to twelve categories. There were 12 super-class categories as follows ; 'pain', 'heart-boiling', 'experience of dialysis', 'term of admission to a hospital', 'support of other person', 'dependence on God', 'direction', 'negative reaction', 'positive reaction', 'comfortable', 'lacking', 'acceptance'. In this process, 14 hypotheses were derived from the categories as follows ; (1) The more experience with dialysis that the patients have, the stronger the heart-boiling will tend to be. (2) The less experience with dialysis the patients have, the weaker the heart-boiling will tend to be. (3) The longer admission to hospital the patients have, the stronger the heart-boiling will be. (4) The shorter the admission to hospital the patients have, the weaker the heart-boiling will be. (5) The weaker the intense-grief is, the more positive the reaction to heart-boiling the patients wll have. (6) The stronger the intense-grief is, the more negative the reaction to heart-boiling the patients will have. (7) The stronger the support of other persons that the patients have, the more positive the reaction to heart-boiling the patients will have. (8) The weaker the support of other person that the patients have, the more negative the reaction to heart-boiling the patients will have. (9) The stronger the dependence on God that the patients have, the mure positive reaction to heart-boiling the patients will have. (10) The weaker the dependence on God that the patients have, the more negative reaction to heart-boiling the patients will have. (11) The more positive thoughts that the patients have, the more positive reaction to heart-boiling the patinets will have. (12) The more negative thoughts that the patients have, the more negative reaction to heart-boiling the patients will have. (13) The more positive reaction the patients have, the more free from heart-boiling the patients tend to be. (14) The more negative reaction the patients have, the less free from heart-boiling the patients tend to be. From the analysis of observed data and comparing each class, I concluded that there are four formula relation types between reaction of patients and heart-boiling. (1) If patients have the experience of dialysis, have a long term admission to hospital, are strong in heart-boiling, depend on God, have positive thoughts and another's strong support, they experience release by positive reaction to the intense-grief. (2) If patients have the experience of dialysis, have a short term admission to hospital, are weak in heart-boiling, do not depend on God, have negative thoughts, and have few supports from others, they experience attachment to heart-boiling though a negative reaction. (3) If patients have the experience of dialysis, have a long term admission to hospital, are strong in heart-boiling, do not depend on God, and have negative thoughts, they experience attachment to heart-boiling through negative reaction in spite of support from another. (4) If patients have the experience of dialysis, have a long term admission into hospital, are strong in heart-boiling and satisfaction is low, but they have positive thoughts, then they experience acceptance and harmony through the positive reaction to heart-boiling. The results of this study are expected to help the way nurses care for patients who have had a kidney graft from another.

• Journal of the korean society of oceanography
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• 제38권3호
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• pp.135-142
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• 2003

Gas flux across the air-sea interface is often determined by the product of gas transfer velocity k) and the difference of concentrations in water and air. k is primarily controlled by wind stress on the air-sea interface, thus all parameterizations ofk involve wind speed, a rough indicator of wind stress, as one of the independent variables. We attempted to explore the spatial and temporal variations of k in the East (Japan) Sea using a database from Naet al. (1992). Three different parameterizations were employed: those of Liss and Merlivat (1986), Wanninkhof(1992), and Wanninkhofand McGillis (1999). The strong non-linear dependence of k on wind speed in all parameterizations leads us to examine the effect of time resolution, in which the binned wind speeds are averaged, on the estimation ofk. Two time resolutions of 12 hours (short-term) and one month (long-term) were chosen. The mean wind speeds were fed into the given parameterizations, resulting in six different transfer velocities of $CO_2$ ranging from 12 to 32 cm/h. In addition to the threefold difference depending on the choice of parameterization, the long-term average of wind speed results in a value ofk up to 20% higher than the short-term (12 hours) average of wind speed due to the non-Rayleigh wind distribution in the East (Japan) Sea. While it is not known which parameterization is more reliable, this study proposes that the time-averaged wind speed should not be used in areas where non-Ralyleigh wind distribution prevails such as the East (Japan) Sea. The net annual $CO_2$ flux was estimated using the value of k described above and the monthly ${\Delta}fCO_2$ of Oh et al. (1999); this ranges from 0.034 to 0.11 Gt-C/yr.

• Journal of Magnetics
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• 제3권4호
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• pp.105-111
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• 1998

The low energy excitations of spin waves (SWR) in thin films can be used for determination of the surface anisotropy constant and the nonhomogeneities of magnetization in the close-to-surface layer. The dispersion relation in SWR is sensitive on the geometry of experiment. We report on temperature dependence of surface magnetic anisotropy energy constant in magnetic semiconductor thin films of$ CdCr_{2-2x}In_{2x}Se_4$ at spin glass state. Samples were deposited by rf sputtering technique on Corning glass substrate in controlled temperature conditions. Coexistence of the infinite ferromagnetic network (IFN) and finite spin slusters (FSC) in spin glass state (SG) is know phenomena. Some behavior typical for long range magnetic ordering is expected in samples at SG state. The spin wave resonance experiment (microwave spectrometer at X-band) with excited surface modes was applied to describe the energy state of surface spins. We determined the surface magnetic anisotropy energy constant versus temperature using the surface inhomogeneities model of magnetic thin films. It was found that two components contribute to the surface magnetic anisotropy energy. One originates from the exchange interaction term due to the lack of translation symmetry for surface spin as well as from the originates from the exchange interaction term due to the lack of translation symmetry for surface spin as well as from the stray field of the surface roughness. The second one comes from the demagnetizing field of close-to surface layer with grad M. Both term linearly decrease when temperature is increased from 5 to 123 K, but dominant contribution is from the first component.

• 대한간호학회지
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• 제37권7호
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• pp.1139-1148
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• 2007

Purpose: The purpose of this study was to investigate the effects of a community-based group smoking cessation program among adult smokers in a rural community. Method: The study design was quasi-experimental with a pre and posttest. A total of 55 adult smokers participated in the study. They were evaluated 1, 3, and 6 months after the program to identify the long-term effectiveness of the program. The program consisted of a total of 5 sessions provided twice a week. To test the effectiveness of the program, urine creatinine, expired air carbon monoxide, nicotine dependence, and smoking-related knowledge were used as dependent variables. Data was analyzed with the SPSS 10.0 program with a t-test, paired t-test, and Scheffe test. Result: Urine creatinine, expired air carbon monoxide, and nicotine dependence were significantly decreased after the program. Also, the rates of continuous abstinence were 81.8% at posttest, 65.5% at 1 month, 54.5% at 3 months, and 54.5% at 6 months follow-up. Conclusion: This community-based group smoking cessation program implemented by a nurse and smoking cessation counselors was effective for quitting smoking and decreasing urine creatinine and nicotine dependence. Therefore, this smoking cessation program could be recommended to induce smoking cessation as health promotion management in the rural community.

• 생물정신의학
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• 제5권2호
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• pp.235-242
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• 1998

Objectives : Alcohol-induced oxidative stress has been known to injure various tissues or organs. This stress is related with free radicals which are produced as the result of long-term alcohol consumption. Malonyldialdehyde(MDA) is produced by the interaction of free radicals and cell membrane lipids, and indicates the degree of lipid peroxidation indirectly. The purpose of this study was to investigate the relationship between red blood cell(RBC) membrane lipid peroxidation by free radicals, and associated hepatic injuries and hematologic changes. Methods : Thirty-three subjects diagnosed as alcohol dependence according to DSM-IV diagnostic criteria were evaluated within 72 hours after discontinuing alcohol drinking. Clinical characteristics were evaluated by CAGE questionnaire and Korean Michigan Alcoholism Screening Test(MAST). RBC membrane MDA level was measured as the marker of RBC membrane lipid peroxidation. Aspartate aminotransferase(AST), alanine aminotransferase(ALT) and gamma-glutamyltransferase(GGT) were used as the biochemical markers of liver damage due to alcohol ingestion. The alcohol-induced hematologic change was assessed by mean corpuscular volume(MCV). Results : The results were as follows. Clinical characteristics were not different between two groups having normal and abnormal levels of AST, ALT, GGT or MCV. The levels of MDA were not correlated with the clinical characteristics and serum levels of AST, ALT and GGT. However, there was a significant correlation between the levels of MDA and the value of MCV(p=0.017). Conclusions : These findings suggest that oxidative stress in alcohol dependence may not be reflected in liver enzyme markers such as AST, ALT and GGT, but may be reflected in MCV.

• 한국유통학회지:유통연구
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• 제15권2호
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• pp.35-70
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• 2010

1980년대 후반 관계마케팅이 소개된 후로 많은 연구자들에 의해 관계의 질을 향상시킬 수 있는 방안을 찾으려는 노력들이 있었으나 B2C와 달리 B2B에서는 주로 분석적이고 인지적인 요인에 초점을 두었을 뿐, 구성원들의 정서적인 요인을 검토하려는 노력은 부족하였다. 또한 관계에서 발생하는 다양한 현상들을 충분히 이해하기 위해서는 관계를 유지하는 동기가 무엇인가를 알아야 할 필요가 있다. 이러한 필요성에 의해 본 연구는 통합모형을 사용하여 공급자 특유투자(인지요인)와 소매상의 정(감정요인), 의존도(동기요인)가 관계의 질과 관계성과에 어떤 영향력을 미치고 있는가를 검토하고자 하였다. 전국의 작물보호제 소매상으로부터 설문자료 272부를 수집하여 분석한 결과, 인지적 요인인 공급자 특유투자의 영향력이 가장 크게 나타났으며, 다음으로 정서적 요인인 정, 동기적 요인인 의존도의 순서로 나타났다. 또한 신뢰와 몰입은 협력행동과 장기지향성을 증가시키고 관계갈등을 감소시키는 효과가 있는 것으로 확인되었다. 이러한 결과에서 공급자는 관계의 질을 향상시키기 위해 특유투자를 증가시켜야 한다는 결론을 얻을 수 있다. 그러나 특유투자는 금전적인 자원을 필요로 하기 때문에 무한정 증가시킬 수 없다는 제약을 가지고 있다. 따라서 기업은 관계의 질을 향상시키는 유력한 변수로 밝혀진 정의 중요성을 인식하고 이를 잘 활용할 필요가 있다. 본 연구는 이론적인 측면에서 통합모형을 사용하여 관계의 질에 대한 각 선행요인들의 영향력을 포괄적으로 검토함과 동시에 B2B에서 최초로 한국인의 정을 실증하였다는 것에서 의의를 찾을 수 있다. 또한 실무적으로는 유통경로 구성원들의 관계 관리에 대한 새로운 방안을 제공하였다.