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Comparison of Delirium Screening Instruments for the Elderly (노인의 섬망 사정을 위한 도구의 임상적 사용 용이성에 관한 연구)

  • Lee, Young Whee;Chang, Sung Ok;Kong, Eun Suk;Kim, Nam Cho;Kim, Chun Gill;Kim, Hee Kyung;Song, Misoon;Ahn, Soo Yeon;Cho, Myung Ok;Choi, Kyung Sook
    • Korean Journal of Adult Nursing
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    • v.25 no.6
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    • pp.655-664
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    • 2013
  • Purpose: This study was undertaken to identify which delirium screening instrument would be more useful in clinical practice. Methods: Data were collected from 118 nurses from six hospitals in five provinces in Korea. For the delirium screening three instruments were compared: NEECHAM Confusion Scale (NEECHAM), Nursing Delirium Screening Scale (Nu-DESC), Delirium Observation Scale (DOS). The MMSE-K was used for concurrent validity. The nurse subjects were surveyed as to the practical clinical value of each instrument. Cronbach's ${\alpha}$ coefficient and Kuder-Richardson 20 were used to confirm the reliability. Results: The range of three scales reliability was .70~.82 and the range of correlation coefficient was .63~.82 with MMSE-K. For sensitivity of NEECHAM, Nu-DESC and DOS was 1.00, 1.00 and 0.81 respectively and specificity NEECHAM, Nu-DESC and DOS was 0.88, 0.89 and 0.89 respectively. Nurses rated the practical use of the DOS scale as significantly easier to use than the NEECHAM and Nu-DESC. Conclusion: NEECHAM, Nu-DESC and DOS scales were acceptable in terms of reliability, validity, sensitivity and specificity. However, nurses rated the DOS scale as easier scale to use and had more relevance to their practice.

A study on the apparent and partial molal volumes of n-Alkyl amine hydrochloride in water (n-Alkyl amine 鹽酸鹽의 水溶液 中에서의 apparent 및 partial molal volumes에 관한 硏究)

  • Yoon Sang Ki
    • Journal of the Korean Chemical Society
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    • v.13 no.2
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    • pp.121-129
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    • 1969
  • The apparent and partial molal volumes({\phi}\nu$and $V^{\circ}$) of a series of homologous n-alkylamine hydrochlorides $C_nH_{2n+1}NH_3^+Cl^-$, where n varies from zero to four, have been determined by means of a float method at 30$^{\circ}C$ to the fifth decimal place down to 0.01M in aqueous solutions. The experimental results indicate that the partial molal volumes of the salts are almost additive for successive homologues depending on the increment of molecular weight ($CH_2$). It has been observed that the concentration dependence of the ${\Phi}v$ are linear in general and limiting slopes are positive and relatively close to the theoretical values. Anionic partial molal volume of chlorides anion $V^{\circ}_{Cl^-}$ is found to be 18.6 ml $mole^{-1}$, which is in good agreement with the results of other workers. {\phi}\nu$ data also show that in solution the hydrophobic effect of ions are in competition with the charge effect, but the latter, that is, electrostriction seemed to be considerably predominant.

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THERMALHYDRAULIC EVALUATIONS FOR A CANFLEX BUNDLE WITH NATURAL OR RECYCLED URANIUM FUEL IN THE UNCREPT AND CREPT CHANNELS OF A CANDU-6 REACTOR

  • Jun, Ji-Su
    • Nuclear Engineering and Technology
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    • v.37 no.5
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    • pp.479-490
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    • 2005
  • The thermalhydraulic performance of a CANDU-6 reactor loaded with various CANFLEX fuel bundles is evaluated by the NUCIRC code, which is incorporated with recent models of pressure drop and critical heat flux (CHF) predictions based on high-pressure steam-water tests for the CANFLEX bundle as well as a 37-element bundle. The distributions of channel flow rate, channel exit quality, critical channel power (CCP), and critical power ratio (CPR) for the CANFLEX bundles (with natural or recycled uranium fuel) in the CANDU-6 reactor fuel channel are calculated by the code. The effects of axial and radial heat flux on CCP are evaluated by assuming that the recycled uranium fuel (CANFLEX-RU) has the same geometric data as the natural uranium fuel bundle (CANFLEX-NU), but a different power distribution due to different fuel composition and refueling scheme. In addition, the effects of pressure tube creep and bearing-pad height are examined by comparing various results of uncrept, and $3.3\%\;and\;5.1\%$ crept channels loaded with CANFLEX bundles with 1.4 mm or 1.7 mm high bearing-pads with those of the 37-element bundle. The distributions of the channel flow rate and CCP for the CANFLEX-NU or -RU bundle show a typical trend for a CANDU-6 reactor channel, and the CPRs are maintained above at least 1.444 (NU) or 1.455 (RU) in the uncrept channel. The enhanced CHF of the CANFLEX bundle (particularly with 1.7mm height bearing-pads) produces a higher thermal margin and considerably less sensitivity to CCP reduction due to the pressure tube creep than the 37-element bundle. The CCP enhancement due to the raised bearing-pads is estimated to be about $3\%\~5\%$ for the CANFLEX-NU and $2\%\~6\%$ for the CANFLEX-RU bundle, respectively.

Heat transfer characteristics of the heat pipe using simplified heat transfer model (단순 열전달 모델을 이용한 히트파이프의 열전달 성능특성에 관한 연구)

  • Seo, Jae-Hyeong;Bang, Yu-Ma;Seo, Lee-Soo;Lee, Moo-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.1
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    • pp.15-20
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    • 2015
  • The objective of this study was to examine numerically the heat transfer and flow characteristics of the heat pipe with a wick using the simplified heat transfer model to enhance the cooling effects of high heat flux devices and minimizing the energy consumption for electric vehicles. The heat pipe with a wick was analyzed using commercial software with COMSOL and water was used as the working fluid. The velocity and temperature characteristics of the heat pipe were simulated numerically along the heat pipe and the local and average Nusselt numbers were calculated. As a result, the driving force occurred because of the temperature difference between the hot side and the cold side. The heat transfer of the heat pipe occurred from the hot side to the cold side and increased toward the center position. In addition, the average Nusselt numbers were 1.88 for the hot side and 0.1 for the cold side, and the maximum Nusselt number was 4.47 for the hot side and 0.7 for the cold side.

The Study on the Phenomenon of Heat Transfer on a Downward Isothermal Circular Surface by an Impinging of Upward Circular Nozzle Jet (상향 원형노즐 제트에 의한 하향 등온 원형평면에서의 열전달 현상에 관한 연구)

  • Lee, In Jae;Eom, Yong Kyoon
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.28 no.11
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    • pp.450-457
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    • 2016
  • While many studies on the heat transfer effect of an impinging jet have been published, most studies focus on the downward impinging jet. This study investigates the impinging jet heat transfer phenomenon when water at a temperature of $24^{\circ}C$ impinges on the downward isothermal circular plate at 60, 70, and $80^{\circ}C$ and when the upward round jet nozzle is 4, 6, and 8 mm diameter with a flow rate 3.6, 4.6, and 5.6 L/min, respectively, and when the ratio of the nozzle clearance/nozzle diameter (H/D) is 1. The results showed that, as the nozzle diameter decreases, the heat transfer coefficient increases at a constant flow rate. The correlation equation of $Nu_r$, $Pr_r$, and $Re_{jg}$ is obtained in the impinging and constant velocity flow region $(Nu_r/Pr^{0.4}_r)Dr=4.6[Re_{jg}(r/R_c)Dr]^{0.8}$ at all flow rates, in the deceleration and falling flow regions $(Nu_r/Pr^{0.4}_r)Dr=42.7{\mid}Re_{jg}(r/R_c)Dr-345.7{\mid}^{0.3}$ at 3.6 L/min, $(Nu_r/Pr^{0.4}_r)Dr=92.4{\mid}Re_{jg}(r/R_c)Dr-16.8{\mid}^{0.2}$ at 4.6 L/min, and $(Nu_r/Pr^{0.4}_r)Dr=322.4{\mid}Re_{jg}(r/R_c)Dr-536.2{\mid}^{0.01}$ at 5.6 L/min.

Resveratrol Exerts Differential Effects in Vitro and in Vivo against Ovarian Cancer Cells

  • Stakleff, Kimberly Sloan;Sloan, Tricia;Blanco, Denise;Marcanthony, Sharon;Booth, Tristan D.;Bishayee, Anupam
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.4
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    • pp.1333-1340
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    • 2012
  • Epithelial ovarian cancer represents the most lethal gynecological cancer, and the high mortality rate makes this malignancy a major health concern. Poor prognosis results from an inability to detect ovarian cancers at an early, curable stage, as well as from the lack of an effective therapy. Thus, effective and novel strategies for prevention and treatment with non-toxic agents merit serious consideration. Resveratrol, obtained from grapes, berries, peanuts and red wine, has been shown to have a potent growth-inhibitory effect against various human cancer cells as well as in in vivo preclinical cancer models. The objective here was to evaluate potential antitumor effects of resveratrol in both in vitro and in vivo NuTu-19 ovarian cancer models. In vitro an invasion assay was performed. After 48 h, the numbers of viable cells that invaded the extracellular matrix layer were reduced by 94% with resveratrol in comparison to control. For the in vivo anti-tumor assessment, 10 rats were injected with NuTu-19 cells into the ovarian bursa. Thereafter, half were provided with a diet mixed with a dose of 100 mg resveratrol/kg body weight/day for 28 days. Following sacrifice, anticancer effects were assessed by histological evaluation of ovarian as well as surrounding tissues, and immunohistochemical detection of cell proliferation and apoptosis, but there were no observable differences between the control and resveratrol-treated groups for any of the biological endpoints. While resveratrol is effective in suppressing the in vitro cellular invasion of NuTu-19 ovarian cancer cells, these effects do not appear to impact on in vivo NuTu-19 ovarian cancers in rats.

The effects of elastic band exercises and nutritional education on frailty, strength, and nutritional intake in elderly women

  • Bong, Yena;Song, Wook
    • Korean Journal of Exercise Nutrition
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    • v.24 no.1
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    • pp.37-45
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    • 2020
  • [Purpose] The purpose of this study was to examine the effects of elastic band exercises and nutritional education, as well as to identify the factors influencing frailty, strength, and nutritional intake of elderly women. [Methods] The subjects in this study were 30 elderly women who were divided into four groups. All groups agreed to participate in four programs: health education only (HE), elastic band exercises only (EX), nutritional education only (NU), and elastic band exercises plus nutritional education (EX+NU). Frailty was evaluated by measuring the frailty factors according to Fried et al. Leg strength was measured using a leg-extension machine. Nutritional intake was assessed by the 24-hour recall method and food records. Nutritional intake was analyzed by CAN Pro 5.0 program. [Results] After three months, the prevalence of frailty significantly decreased in the EX+NU group (P=0.013) compared with that of the HE group (P=0.088). There was significant improvement in leg strength in both the EX (P=0.012) and EX+NU groups (P=0.003) compared with that of the HE group (EX, P=0.005; EX+NU, P=0.002). The nutritional intake significantly decreased in the EX group compared with that of the HE group (P<0.05, P<0.05). [Conclusion] The combination of elastic exercises and nutrition education had positive effects on frailty and leg strength, while having negative effects on total calories, carbohydrate, sodium, and iron intake in elderly women. Elastic exercises only had positive effects on leg strength while having negative effects on nutritional intake in elderly women.

FUZZY IDEALS IN NEAR-RINGS

  • Hong, Sung-Min;Jun, Young-Bae;Kim, Hee-Sik
    • Bulletin of the Korean Mathematical Society
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    • v.35 no.3
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    • pp.455-464
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    • 1998
  • In this paper, we give another proof of Theorem 2.13 of [4] without using the sup property. For the homomorphic image $f(\mu)$ and preimage $f^{-1}(\nu)$ of fuzzy left (resp. right) ideals $\mu$ and $\nu$ respectively, we establish the chains of level left (resp. right) ideals of $f(\mu)$ and $f^{-1}(\nu)$, respectively. Moreover, we prove that a necessary condition for a fuzzy ideal $\mu$ of a near-ring $R$ to be prime is that $\mu$ is two-valued.

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The Analysis of TSC Equation by Asymptotic Estimation (점근해법에 의한 열자격 전류식의 분석)

  • Oh, Yong-Cheul;Hong, Jin-Woong;Kim, Ki-Joon
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2003.05d
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    • pp.96-99
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    • 2003
  • In this paper, it presents a method to calculate the escape frequency factor$(\nu)$ and its verification from TSC(Thermally Stimulated Current) equation and their simulation curves. To apply calculation method of $\nu$ using asymptotic estimation, it utilized TSC data with 1K interval. This method enables one to get the exact value of $\nu$ and activation energy at the same time by using computer programming. So, it regards their calculation method as a useful process to obtain the value of physical behavior.

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BAYESIAN ROBUST ANALYSIS FOR NON-NORMAL DATA BASED ON A PERTURBED-t MODEL

  • Kim, Hea-Jung
    • Journal of the Korean Statistical Society
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    • v.35 no.4
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    • pp.419-439
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    • 2006
  • The article develops a new class of distributions by introducing a nonnegative perturbing function to $t_\nu$ distribution having location and scale parameters. The class is obtained by using transformations and conditioning. The class strictly includes $t_\nu$ and $skew-t_\nu$ distributions. It provides yet other models useful for selection modeling and robustness analysis. Analytic forms of the densities are obtained and distributional properties are studied. These developments are followed by an easy method for estimating the distribution by using Markov chain Monte Carlo. It is shown that the method is straightforward to specify distribution ally and to implement computationally, with output readily adopted for constructing required criterion. The method is illustrated by using a simulation study.