• Journal of Trauma and Injury
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• 제21권1호
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• pp.22-27
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• 2008

Purpose: Treatment and prognosis in patients with pelvic bone fracture depend on the characteristics of the fracture and the stability of the pelvic ring. The purpose of this study is to analyze the characteristics of and the relationships between fracture patterns, injury mechanisms, clinical courses, and prognoses according to the hemodynamic pattern. Methods: Between January 2004 and September 2006, 89 patients under diagnosis of pelvic bone fracture were retrospectively analyzed on the basis of medical records and radiologic examinations. Patients with confirmed hemorragic shock with a systolic pressure of less than 90 mmHg were defined as the shock group. Young's classification was used to characterize fracture patterns. Factors relating to the clinical manifestation and to treatments such as transfusion and surgery were analytically compared. Results: The mean age of the patients was $48.8{\pm}18.7$, among which 49 (55.1%) were male. The numbers of shock and non-shock patients were 35 (39.3%) and 54 (60.7%) respectively. Eighteen (51.4%) of the shock patient had injuries resulting from pedestrian accidents (p=0.008). According to Young's classification, lateral impact fractures amounted to 20 and 33, front-rear impact fractures to 9 and 20, and multiple fractures to 6 and 1 among the shock and non-shock patients, respectively (p=0.027). Thirty-nine (39) cases in non-shock injuries were conservatively managed while 18 cases in shock injuries were surgically treated. In the shock group, the liver and the kidney were often damaged, as well. Among the shock patients, the average admission period was $7.5{\pm}8.7days$ in intensive care and $55.1{\pm}47.9days$ in total, which were longer than the corresponding numbers of days for the non-shock patients (p<0.05). No deaths occurred in the non-shock group while 5 deaths (14.2%) occurred in the shock group (p=0.007). Conclusion: The factors affecting hemodynamic instability in patients with pelvic bone fracture are injury mechanism, classification of fracture, and associated injuries.

• 한국콘텐츠학회논문지
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• 제22권10호
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• pp.320-329
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• 2022

본 연구는 신규간호사의 재직의도에 영향을 미치는 요인을 파악하기 위한 횡단적 조사연구이다. 경기도 소재 일개의 대학 부속병원에서 근무하는 1년 미만의 신규간호사 127명을 대상으로 2020년 12월 30일부터 2021년 1월 13일까지 자료를 수집하였다. 수집된 자료는 SPSS 25.0 프로그램을 통해 기술통계, Independent t-test, One-way ANOVA, Pearson's correlation coefficient, Multiple regression으로 분석하였다. 연구결과 연구대상자의 재직의도는 현실충격과 음의 상관관계가 있었으며, 극복력과 양의 상관관계가 있었다. 재직의도에 영향을 미치는 요인은 간호직 만족도, 현실충격, 임상경력, 극복력으로 나타났으며, 이들 변수의 설명력은 44.2%이었다. 따라서 신규간호사의 재직의도를 향상시키기 위해서 임상상황에 대한 사전경험이나 훈련을 통해 현실충격을 줄이고, 극복력을 증진시킬 수 있는 프로그램 개발이 필요하다. 또한 간호직 만족도를 향상시키는 지지체계와 근무환경을 구축하고, 신규간호사의 업무적응을 돕는 6개월 이상의 장기적인 교육 프로그램이 필요하다.

• 간호행정학회지
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• 제20권3호
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• pp.292-301
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• 2014

Purpose: The purpose of this study was to identify factors that affect reality shock in new nurses. Methods: Participants were 216 newly graduated nurses with less than 1 year experience in 5 university and 10 general hospitals in Busan, Ulsan and Gyeongnam, A self-report questionnaire was completed by the nurses between November 18 and December 25, 2013. Data were analyzed using t-test, ANOVA and hierarchial multiple regression analysis with the SPSS/WIN 21.0 Program. Results: Average scores for work environment and environmental reality shock were $2.63{\pm}0.33$ and $2.66{\pm}0.43$ points respectively. Regression analysis showed that with the nurses' demographic and work characteristics controlled, work environment explained 4.2% of the reality shock. Factors significantly affecting reality shock included nurses' changing residence because of job (${\beta}$=.21, p=.001), whether they were able to work on the unit of their choice (${\beta}$=-.13, p=.031) and whether they had a choice in days off (${\beta}$=-.14, p=.038). Conclusion: When these factors are considered, reduction in nurses' reality shock requires improvement in work environment, placing new nurses in a department of their choice and allowing them a choice in off-duty days. These measures would also help achieve organizational goals and develop the new nurses as professional nurses.

• 한국치위생학회지
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• 제22권6호
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• pp.541-550
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• 2022

Objectives: This study aimed to verify the degree of clinical practice transition shock, resilience, and academic burnout of dental hygiene students, and analyze factors affecting academic burnout. Methods: From September 1 to September 20, 2022, this study collected data from 201 dental hygiene students who experienced clinical practice, and subsequently conducted a t-test, one-way ANOVA, Pearson correlation analysis, and multiple regression analysis using the SPSS Statistics 22. Results: The transition shock and resilience showed a significantly negative correlation (r=-0.211), transition shock and academic burnout showed a significantly positive correlation (r=0.484), and resilience and academic burnout showed a significantly negative correlation (r=-0.568). Regarding factors affecting academic burnout, academic burnout increased when the transition shock was greater (β=0.263, p<0.001), major satisfaction after clinical practice was lower (β=0.180, p<0.05), and the average grades were lower (β=0.169, p<0.01). Academic burnout decreased when resilience was greater (β=-0.435, p<0.001). Conclusions: To prevent clinical practice transition shock and academic burnout, and to increase the resilience of dental hygiene students, it would be necessary to establish learning strategies, change the educational environment, and establish a systematic clinical practice management program.

• 한국가시화정보학회지
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• 제9권1호
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• pp.55-60
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• 2011

Pulsed supersonic liquid jets injected into an ambient air are empirically studied by using a high pressure ballistic range system. Ballistic range systems which are configured with high-pressure tube, pump tube, launch tube and liquid storage nozzle. Experimental studies are conducted to use with various impact nozzle geometry. Supersonic liquid jets are generated by an impact of high speed of the projectile. High speed liquid jets are injected with M = 3.2 which pressure is 1.19 GPa. Multiple jets which accompany with shock wave and pressure wave in front of the jet were observed. The shock-wave affects significantly atomization process for each spray droplets. As decreasing orifice diameter, the averaged SMD of spray jets had the decreasing tendency.

• 한국분무공학회지
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• 제17권2호
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• pp.86-93
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• 2012

The effects of projectile impact system on the transient spray characteristic which is supersonic liquid tip velocity were studied by experimentally. Supersonic liquid jets were generated by impact of a high speed projectile driven by a Two-stage light gas gun. A high speed camera and schlieren optical system were used to capture the spray structures of the supersonic liquid jets. In a case of nozzle assembly Type-A, expansion gases accelerate a projectile which has a mass of 6 grams from 250 m/s at the exit of the launch tube. Accelerated projectile collides with the liquid storage part, then supersonic liquid jets are injected with instantaneous spray tip velocity from 617.78 m/s to 982.54 m/s with various nozzle L/d. However, In a case of nozzle assembly Type-B which has a heavier projectile (60 grams) and lower impact velocity (182 m/s), an impact pressure was decreased. Thus the liquid jet injected at 210 m/s of the maximum velocity did not penetrate a shock wave and fast break-up was occurred. Pulsed injection of liquid column generated second shock wave and multiple shock wave.

• Journal of Trauma and Injury
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• 제27권4호
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• pp.204-207
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• 2014

Non-occlusive mesenteric ischemia (NOMI) encompasses all forms of mesenteric ischemia with patent mesenteric arteries. NOMI is commonly caused by decreased cardiac output resulting in hypoperfusion of peripheral mesenteric arteries. We report a case of NOMI secondary to hemorrhagic shock and rhabdomyolysis due to trauma. A 42-year-old man presented to our trauma center following a pedestrian trauma. On arrival, he was drowsy and in a state of hemorrhagic shock. He was found to have multiple fractures, both lung contusion and urethral rupture. An initial physical examination and abdominal computed tomography (CT) scan revealed no evidence of intra-abdominal injury. High doses of catecholamine were administered for initial 3 days due to unstable vital sign. On day 25 of hospitalization, follow-up abdominal CT scan demonstrated that short segment of small bowel loop was dilated and bowel wall was not enhanced. During exploratory laparotomy, necrosis of the terminal ileum with intact mesentery was detected and ileocecectomy was performed. His postoperative course was uneventful and is under rehabilitation.

• 한국추진공학회지
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• 제22권5호
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• pp.97-106
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• 2018

본 논문은 충격파 터널을 이용한 이중압축램프 흡입구 형상의 모델 스크램제트 시험에서 나타난 기술적 난제 및 그 해결 방안들을 정리하였다. 시험 설비 불시동, 격막 파편에 의한 유동 교란 및 모델 손상, 다중 분사에 따른 연료 제트 미발달, 그리고 짧은 시험 시간이 이에 해당한다. 파악된 기술적 난제들을 해결한 이후, 개선된 결과를 쉐도우그래프 이미지 및 저압관 끝단 전압력 측정 결과를 통해 확인하였다.

• 대한의생명과학회지
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• 제9권2호
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• pp.59-65
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• 2003

When cells are exposed to proteotoxic stresses such as heat shock, amino acid analogs, and heavy metals, they increase the synthesis of the heat shock proteins (HSPs) by activating the heat shock transcription factor 1 (HSF1), whose activity is controlled via multiple steps including homotrimerization, nuclear translocation, DNA binding, and hyperphosphorylation. Under unstressed conditions, the HSF1 activity is repressed through its constitutive phosphorylation by glycogen synthase kinase 3$\beta$ (GSK3$\beta$), extracellular regulated kinase 1/2 (ERK1/2), and stress-activated protein kinase/c-Jun N-terminal kinase (SAPK/JNK). However, the protein kinase (s) responsible for HSF1 hyperphosphorylation and activation is not yet identified. In the present study, we observed that profile of p38 mitogen-activated protein kinase (p38MAPK) activation in response to heat shock was very similar to those of HSF1 hyperphosphorylation and nuclear translocation. Therefore, we investigated whether p38MAPK is involved in the heat shock-induced HSF1 activation and HSP expression. Here we show that the p38MAPK inhibitors, SB202190 and SB203580, but not other inhibitors including the MEK1/2 inhibitor PD98059 and the PI3-K inhibitor LY294002 and wortmannin, suppress HSF1 hyperphosphorylation in response to heat shock and L-azetidine 2-carboxylic acid (Azc), but not to heavy metals. Furthermore, heat shock-induced HSF1-DNA binding and HSP72 expression was specifically prevented by the p38MAPK inhibitors, but not by the MEK1/2 inhibitor and the PI3-K inhibitors. These results suggest that SB202190- and SB203580-sensitive p38MAPK may positively regulate HSP gene regulation in response to heat shock and amino acid analogs.

• 임상간호연구
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• 제26권3호
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• pp.344-351
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• 2020

Purpose: The purpose of this study was to identify related factors in the organizational socialization of new nurses, focusing on the reality shock of new nurses and social support by education specialist nurses. Methods: Participants were 122 new nurses with clinical experience of 1 year or less as nurses working in a general hospital that is carrying out a pilot project for a new nurse training system. Data were collected using self-report questionnaires which included identification of participants' characteristics, social support of education specialist nurse, reality shock and organizational socialization. Results: The organizational socialization score was 3.07±0.45 points. The results of the stepwise multiple regression showed that factors affecting organizational socialization of new nurses were social support by gender, education specialist nurse and reality shock. These three variables accounted for 72.0% of organizational socialization. Conclusion: These findings suggest that the social support of education specialist nurses be enhanced to increase the organizational socialization of new nurses. There is also a need for a program to decreased the reality shock of new nurses.