• 한국산학기술학회논문지
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• 제17권11호
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• pp.114-127
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• 2016

최근 들어 글로벌 경제는 국가 간 경쟁에서 지역 기반 경쟁으로 변모하고 있다. 이 같은 변화 속에 지역공간에 기반한 지식생산과 활용이 강조되고 있다. 우리나라도 고급 과학기술인재를 양성하고 지역산업을 육성한다는 목적 하에 KAIST를 비롯한 5개 과학기술특성화대학을 대전, 대구, 광주, 포항, 울산 지역에 설립한 바 있다. 이들 과학기술특성화대학은 국내 최고 수준의 연구역량과 교육여건을 보유하고 있으며 일반대학과 비교해 우수한 연구성과를 창출하고 있다고 평가된다. 하지만 이들이 설립의 목적과는 달리 우수 연구거점으로서의 역할에 중점을 두었고, 지역혁신 거점으로서 역할은 미흡하다는 지적도 있다. 이 같은 문제의식을 바탕으로 본 연구에서는 과학기술특성화대학의 성과를 Mode 1 성과와 Mode 2 성과로 구분하고 일반대학과 비교함으로써 이들 특성화대학이 설립목적에 부합하며 동시에 지역혁신에 기여하고 있는지를 실증분석 하고자 하였다. 분석결과, 특성화대학은 Mode 1 성과에 있어 일반대학에 비해 높게 나타났으나 Mode 2 성과는 이들에 비해 오히려 낮은 것으로 나타났다. 또한 학과의 구성이나 연구 분야에 있어서도 대학별 차별성이 적고, 지역 특화산업과의 연계 정도도 낮음을 확인할 수 있었다. 결론적으로 Mode 2 관점의 지역과 연계성에 있어 분석의 대상으로 삼은 특성화대학이 일반대학에 오히려 못 미치는 성과를 보였고, 그 특성화 정도에 있어 차이점을 확인하기 어려웠다.

• Clinical and Experimental Reproductive Medicine
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• 제51권1호
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• pp.63-68
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• 2024

Objective: This study was conducted to investigate the impact of previous delivery mode on pregnancy outcomes in patients with secondary infertility after frozen-thawed embryo transfer. Methods: This prospective observational study included 140 patients experiencing secondary infertility. Of these, 70 patients had a previous cesarean delivery (CD), while the remaining 70 patients had a previous normal vaginal delivery (NVD). The primary outcome was the implantation rate. The secondary outcomes included rates of clinical pregnancy, chemical pregnancy, miscarriage, and ectopic pregnancy. Results: The comparison of all fertility outcomes between the two groups revealed no statistically significant differences. The implantation rate was 40.4% in the CD group and 41.7% in the NVD group (p=0.842). The clinical pregnancy rate was 50% in the CD group and 49.3% in the NVD group (p=0.932), while the chemical pregnancy rate was 14.6% in the CD group and 19% in the NVD group (p=0.591). The miscarriage rates in the CD and NVD groups were 20% and 17.6%, respectively (p=0.803). One case of tubal ectopic pregnancy occurred in the NVD group (1.4%). Conclusion: The mode of prior delivery did not significantly impact pregnancy outcomes following frozen-thawed embryo transfer.

• Asian Journal of Innovation and Policy
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• 제7권1호
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• pp.55-78
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• 2018

This paper investigates the linkage between the mode of transformation of entrepreneurial learning into outcomes and the subsequent impact of these learning outcomes in enhancing the survival of high-tech startups in India. The study uses data from 45 high-tech startups headquartered across different locations in India for the purpose of analysis. Survival Analysis of the data is conducted to determine which mode of learning transformation and what type of en trepreneurial decision making preference have a significant influence on the survival of Indian high-tech startups and to what extent do they impact their survival. The results indicate that entrepreneur's prior startup experience, explorative mode of learning transformation, causal decision making of the entrepreneur and availability of funding for the startup as the key factors that reduce the time to survival of Indian high-tech startups. They also provide key insights on how these factors impact the startup survival in this region.

• Journal of Chest Surgery
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• 제57권1호
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• pp.36-43
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• 2024

Background: Coronavirus disease 2019 (COVID-19) can lead to acute respiratory failure, which frequently necessitates invasive mechanical ventilation and extracorporeal membrane oxygenation (ECMO). However, the limited availability of ECMO resources poses challenges to patient selection and associated decision-making. Consequently, this retrospective single-center study was undertaken to evaluate the characteristics and clinical outcomes of patients with COVID-19 receiving ECMO. Methods: Between March 2020 and July 2022, 65 patients with COVID-19 were treated with ECMO and were subsequently reviewed. Patient demographics, laboratory data, and clinical outcomes were examined, and statistical analyses were performed to identify risk factors associated with mortality. Results: Of the patients studied, 15 (23.1%) survived and were discharged from the hospital, while 50 (76.9%) died during their hospitalization. The survival group had a significantly lower median age, at 52 years (interquartile range [IQR], 47.5-61.5 years), compared to 64 years (IQR, 60.0-68.0 years) among mortality group (p=0.016). However, no significant differences were observed in other underlying conditions or in factors related to intervention timing. Multivariable analysis revealed that the requirement of a change in ECMO mode (odds ratio [OR], 366.77; 95% confidence interval [CI], 1.92-69911.92; p=0.0275) and the initiation of continuous renal replacement therapy (CRRT) (OR, 139.15; 95% CI, 1.95-9,910.14; p=0.0233) were independent predictors of mortality. Conclusion: Changes in ECMO mode and the initiation of CRRT during management were associated with mortality in patients with COVID-19 who were supported by ECMO. Patients exhibiting these factors require careful monitoring due to the potential for adverse outcomes.

• 성인간호학회지
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• 제26권1호
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• pp.107-116
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• 2014

Purpose: The purpose of this study was to identify the effects of multi-mode simulation learning on critical thinking disposition, on the problem solving process and on clinical competence of nursing students. Methods: A non-equivalent control group with pre-posttest was designed. The participants in this study were 65 students who were enrolled in an emergency and critical nursing course at N university. The treatment group consisted of 33 juniors in 2010 and the control group 32 juniors in 2011. Collected data were analyzed using chi-square, independent t-test, and ANCOVA with the SPSS/WIN 18.0 for Window Program. Results: There were significant increases in problem solving process and clinical competence in the treatment group who participated in the multi-mode simulation learning compared to the control group who did not (t=-2.39, p=.020; F=12.76, p=.001). However, there were no significant differences in critical thinking disposition between the treatment and control group (t=0.40, p=.692). Conclusion: Multi-mode simulation is an effective teaching and learning method to enhance the problem solving process and clinical competence of nursing students. Further exploration is needed to develop and utilize multi-mode simulation for diverse scenarios, depending on emergency nursing educational goals and environments and to develop a universal method to measure outcomes.

• The Journal of Asian Finance, Economics and Business
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• 제8권9호
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• pp.35-43
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• 2021

This study aims to investigate factors affecting eBook acceptance and learning outcomes among students experiencing online distance learning. As conventional textbooks are now switched into eBooks, the effects of contextual factors including lecturer, student computer competency, content and design of the course, access ability, infrastructure, and university support on eBook acceptance and learning outcome needs to be evaluated. The sample of this study is represented by students at the Universiti Teknologi MARA, City Campus Melaka, undertaking 'strategic management course'. Non-probability random sampling was selected as the sampling technique and a purposive sampling method was chosen to select the samples. The samples comprised 171 students randomly selected through Google Form. The questionnaire data was analyzed by using PLS-SEM. The results indicated that these factors contributed 62.3% variations in the eBook acceptance and 67.1% variations in the learning outcomes. The strongest factor affecting both dependent variables was content and design of course. Managerial implication suggested that the content for all courses taught through the eBook platform needs to be revisited and improved in accordance with the mode of online deliverance. Tutorial on how to navigate the eBook platform is important to all users as this would enhance acceptance and produce better learning outcomes among students.

• Journal of Chest Surgery
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• 제54권5호
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• pp.348-355
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• 2021

Background: Congenital diaphragmatic hernia (CDH) is a rare disease often requiring mechanical ventilation after birth. In severe cases, extracorporeal membrane oxygenation (ECMO) may be needed. This study analyzed the outcomes of patients with CDH treated with ECMO and investigated factors related to in-hospital mortality. Methods: Among 254 newborns diagnosed with CDH between 2008 and 2020, 51 patients needed ECMO support. At Asan Medical Center, a multidisciplinary team approach has been applied for managing newborns with CDH since 2018. Outcomes were compared between hospital survivors and nonsurvivors. Results: ECMO was established at a median of 17 hours after birth. The mean birth weight was 3.1±0.5 kg. Twenty-three patients (23/51, 45.1%) were weaned from ECMO, and 16 patients (16/51, 31.4%) survived to discharge. The ECMO mode was veno-venous in 24 patients (47.1%) and veno-arterial in 27 patients (52.9%). Most cannulations (50/51, 98%) were accomplished through a transverse cervical incision. No significant between-group differences in baseline characteristics and prenatal indices were observed. The oxygenation index (1 hour before: 90.0 vs. 51.0, p=0.005) and blood lactate level (peak: 7.9 vs. 5.2 mmol/L, p=0.023) before ECMO were higher in nonsurvivors. Major bleeding during ECMO more frequently occurred in nonsurvivors (57.1% vs. 12.5%, p=0.007). In the multivariate analysis, the oxygenation index measured at 1 hour before ECMO initiation was identified as a significant risk factor for in-hospital mortality (odds ratio, 1.02; 95% confidence interval, 1.01-1.04; p=0.05). Conclusion: The survival of neonates after ECMO for CDH is suboptimal. Timely application of ECMO is crucial for better survival outcomes.

• 한국정밀공학회지
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• 제27권6호
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• pp.75-81
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• 2010

The purpose of this study was to investigate the short-term effects of electrical massager on stress-related parameters including heart rate variability (HRV), heart rate (HR) using the photoplethysmogram (PPG) signal with motion artifact correction. Twenty healthy subjects were randomly allocated to receive a 15-min section of three types ((1) resting mode (control group), (2) light massage mode, (3) strong massage mode). Results indicated that self-report, VAS (Visual Analog Scale) significantly decreased for two massage modes after massage except control group. In strong massage mode, it was associated with significant increases in HF, but significant decreases in LF and LH/HF ratio compared with the light massage mode. For all outcomes, similar changes were not observed in the control group. Also, the result founded that mean HR of all groups decrease. We conclude that electrical massager reduces perceived stress and improves adaptive autonomic response to stress in healthy adults.

• Journal of Chest Surgery
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• 제57권2호
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• pp.195-204
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• 2024

Background: Extracorporeal membrane oxygenation (ECMO) is an intervention for severe heart and lung failure; however, it poses the risk of complications, including gastrointestinal bleeding (GIB). Comprehensive analyses of GIB in patients undergoing ECMO are limited, and its impact on clinical outcomes remains unclear. Methods: This retrospective study included 484 patients who received venovenous and venoarterial ECMO between January 2015 and December 2022. Data collected included patient characteristics, laboratory results, GIB details, and interventions. Statistical analyses were performed to identify risk factors and assess the outcomes. Results: GIB occurred in 44 of 484 patients (9.1%) who received ECMO. Multivariable analysis revealed that older age (odds ratio [OR], 1.04; 95% confidence interval [CI], 1.01-1.06; p=0.0130) and need to change the ECMO mode (OR, 3.74; 95% CI, 1.75-7.96; p=0.0006) were significant risk factors for GIB, whereas no association was found with antiplatelet or systemic anticoagulation therapies during ECMO management. Half of the patients with GIB (22/44, 50%) underwent intervention, with endoscopy as the primary modality (19/22, 86.4%). Patients who underwent ECMO and developed GIB had higher rates of mortality (40/44 [90.9%] vs. 262/440 [59.5%]) and ECMO weaning failure (38/44 [86.4%] vs. 208/440 [47.3%]). Conclusion: GIB in patients undergoing ECMO is associated with adverse outcomes, including increased risks of mortality and weaning failure. Even in seemingly uncomplicated cases, it is crucial to avoid underestimating the significance of GIB.

• 한국의류학회지
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• 제30권6호
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• pp.916-927
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• 2006

The purpose of this study was to identify psychological and behavioral outcomes of commitment to apparel brand community by test structural equation model. Subjects of 317 members for 9 selected apparel communities responded the questionnaire in the home-page or in the attached file. The results were as follows: 1) The suggested structural equation mode was accepted by data from apparel brand communities with hish brand strength(${\chi}^2=97.42$, d.f.=89, p=0.25, GFI=0.92, AGFI=0.88, RMR=0.05, NFI=0.94). However, this model wasn't accepted by data kom apparel brand communities with low brand strength. 2) Three types of commitment to brand community(emotional, continuous and normative commitments) influenced brand identification positively and brand identification positively influenced three types of behavioral outcomes(favorable word-of-mouth, co-production and repurchase of brand). Therefore, managements need to develop marketing programs to promote each type of commitment to their's own brand community.