• 농촌의학ㆍ지역보건
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• 제43권4호
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• pp.234-249
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• 2018

이 연구는 심폐소생술의 인지, 교육경험, 시행능력 간의 관계를 확인함으로써 인구학적요인, 지역적 요인, 의료 현황, 교육적 경험 등이 심폐소생술 시행능력에 미치는 영향을 파악하고자 하였다. 이러한 연구목적을 달성하기 위해 2014년도 지역사회 건강조사 자료를 활용했다. 이 자료는 대한민국 전체 인구를 대상으로 2014년 7월 기준 시, 군, 구에 거주하는 만 19세 이상의 성인 중, 조사에 참여한 228,712명에서 보건소별로 평균 900명(목표오차 ${\pm}3%$)으로 고려하여 표본을 추출해 실시하였다. 자료분석은 R 통계프로그램 3.1.3.을 사용하여 카이제곱검정, 상관분석, 다중로지스틱회귀분석 등으로 이루어졌다. 심폐소생술의 시행능력은 남성에서(3.34배), 젊은 층에서(1.06배), 교육수준이 높을수록(1.61배), 화이트 칼라 직업일수록(1.14배), 소득수준이 높을수록(1.07배), 급만성질환 및 사고중독의 비경험자일수록(0.91배), 고혈압 비진단자 일수록(1.12배), 당뇨병 비진단자 일수록(1.16배, 이상지질혈증 비진단자 일수록(0.86배), 뇌졸중 비진단자 일수록(1.54배), 주관적 건강이 높을수록(1.08배, 1.16배), 비고령사회일수록(0.90배), 심폐소생술 교육경험이 높을수록(3.25배), 심폐소생술 마네킹 실습경험이 있을수록(4.30배) 유의하게 더 높았다. 분석결과, 개인 및 지역사회 요인과 심폐소생술 인지, 교육경험 등은 심폐소생술 시행능력에 영향을 미치는 것으로 확인되었다. 이러한 결과를 바탕으로 국내 환경에 적합한 심폐소생술 교육정책 마련에 적극 고려되어야 할 것이며, 이를 통해 병원 전단계 심폐소생술 능력 향상에 기여할 수 있을 것이다.

• Transactions on Electrical and Electronic Materials
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• 제15권5호
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• pp.275-278
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• 2014

We deposited TiAgN and ZrAgN nanocomposite coatings on pure Titanium specimens, by using arc ion plating (AIP) with single alloy targets. TiAg ZrAg alloy targets of 5 wt.%, 10 wt.% silver content by vacuum arc remelting (VAR), followed by homogenization for 2 hours at $1,100^{\circ}C$ in non-active Ar gas atmosphere and characterized these samples for morphology and chemical composition. We investigated the biocompatibility of TiAg and ZrAg alloys by examining the proliferation of L929 fibroblast cells by MTT test assay, after culturing the cells ($4{\times}10^4cells/cm^2$) for 24 hours; and exploring the antibacterial properties of thin films by culturing Streptococus Mutans (KCTC3065), using paper disk techniques. Our results showed no cytotoxic effects in any of the specimens, but the antibacterial effects against Streptococus Mutans appeared only in the 10 wt.% silver content specimens.

• 한국의료질향상학회지
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• 제7권1호
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• pp.46-58
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• 2000

Background : Despite favorable effects of guidelines on patient care, guidelines often fail to achieve their objectives. Poorly implemented medical practice guidelines can produce only weak effects on the process of health care delivery. Therefore, we performed this study to investigate barriers related development of clinical practice guidelines. Methods : Cardiopulmonary resuscitation was selected as a target problem. Self questionnaires about management of cardiopulmonary resuscitation were developed by a researcher with advisory 8 experts. The questionnaires were designed as a unstructured methods. The data were collected from March 1 to May 31, 1999. A total 50 death case admitted inpatient to Inha University Hospital were subjected to evaluate the development and application of clinical practice guidelines for cardiopulmonary resuscitation. The data were examined by frequency, t-test with SPSS. Result : The article reviewed several common barriers that might limit successful implementation of guidelines in clinical practice, as illustrated by evaluating recommendations for cardiopulmonary resuscitation clinical practice guidelines. Some major problems with guidelines were characterized as follows (1) ethical problem : euthanasia, (2) occurrence on various emergency event and setting, (3) non-medical problems (4) unreliable of medical record etc. Conclusion : Careful analysis of guideline attributes, anticipated effect on medical care, and organizational factors revealed several barriers to successful guideline implementation that should be addressed in the design of future guideline-based interventions.

• Journal of international Conference on Electrical Machines and Systems
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• 제2권4호
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• pp.460-465
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• 2013

Electrical equipments of nuclear power plant are divided into class 1E and non-class 1E. Electrical equipment and systems that are essential to emergency reactor shutdown, containment isolation, reactor core cooling, and containment and reactor heat removal, are classified as class 1E. batteries of nuclear power plant are divided into four channels, which are physically and electrically separate and independent. The battery bank of class 1E DC power system of the nuclear power plant use lead-acid batteries in present. The lead acid battery, which has a high energy density, is the most popular form of energy storage. Kt factor of lead-acid battery is used to determine battery size and it is one of calculatiing coefficient for capacity. this paper analyzes Kt factor of lead-acid battery for the DC power system of nuclear power plant. In addition, correlation between Kt parameter and peukert's exponent of lead-acid battery for nuclear plant are discussed. The analytical results contribute to optimize of determining size Lead-acid battery bank.

• 한국간호교육학회지
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• 제22권3호
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• pp.316-325
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• 2016

Purpose: This study was conducted to identify the effects of early exercise education using videos on exercise knowledge and compliance of elderly patients who undergo total knee replacement surgery. Methods: This is a quasi-experimental study with a nonequivalent control group non-synchronized design. The participants were 70 elderly patients who had total knee arthroplasty in the C university hospital located in G city, Korea. Thirty-five patients were assigned to an experimental group and the other patients were assigned to a control group. After the total knee arthroplasty, the early exercise education accompanied by watching video instruction was conducted on the experimental group at post-operation second and third day for 15 minutes. General exercise education was administered to the control group. The exercise knowledge and compliance of the elderly patients were measured through structured questionnaires. Conclusion: The results of this study indicate that early exercise education using videos has positive effects to improve the exercise knowledge and compliance of elderly patients after total knee arthroplasty. This early exercise education can be used going forward as nursing intervention for elderly patients who undergo total knee replacement surgery.

• Child Health Nursing Research
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• 제26권3호
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• pp.376-384
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• 2020

Purpose: This study aimed to determine the influence of a breastfeeding coaching program (BCP) for mothers of late preterm infants (LPIs) on the breastfeeding rate and neonatal morbidity within 1 month after discharge. Methods: This was a non-randomized quasi-experimental study with a time series design. The participants were 40 LPIs and their mothers who were hospitalized in a neonatal intensive care unit at a university hospital. Nineteen LPIs were assigned to the control group, and 21 to the experimental group. The mothers of the LPIs in the experimental group received the BCP once on the discharge day and then once a week for 1 month. Neonatal morbidity was defined as an outpatient department or emergency room visit due to an LPI's health problem. Results: The breastfeeding rate in the experimental group was significantly higher than in the control group at the fourth week after discharge (χ²=7.17, p=.028). Five and two LPIs in the control group and the experimental group, respectively, visited a hospital due to neonatal jaundice. Neonatal morbidity was not significantly different between the two groups (χ²=1.95, p=.164). Conclusion: The BCP was useful for improving the breastfeeding rates of LPIs and may have potential to reduce neonatal morbidity.

• Journal of Chest Surgery
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• 제26권8호
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• pp.654-660
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• 1993

The incidence of pulmonary leiomyosarcoma is very rare as a primary lung tumor. Usually, pulmonary leiomyosarcoma arise from the smooth muscle present in the bronchi or blood vessles. We had experienced two cases of primary pulmonary leiomyosarcoma. The first case was 28-year old male patient who had been in good health until admission, when he experienced an episode of dyspnea and sudden hemoptysis. The chest X-ray film revealed a large round tumor mass in left lower lobe measuring 6.5x9.5x5.3cm in dimension. On physical examination,the patient was friction rub and rales on the left lower chest and postoperative course was smooth and non-eventful. Emergency left lower lobectomy was performed due to repeated hemoptysis. Chemotheraphy was done postoperatively as an adjuvant therapy.The second case was 52-year-old man who had been well prior to admission, when recently he noticed a abrupt growing tendency of old pulmonary coin lesion in right lower lobe on routine physical examination. Since 1968, small round mass was gradually enlarged very slowly, during recent one year interval, the tumor mass was enlarged abruptly as twice in size on chest X-ray. Bronchoscopic examination revealed no specipic findings. Right lower lobectomy was performed and pathologic examination was answered as primary leiomyosarcoma without lymph node metastasis. Postoperative course was smooth, except local wound infection.

• BMB Reports
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• 제50권2호
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• pp.85-90
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• 2017

Recently, we demonstrated that superoxide dismutase 3 (SOD3) is a strong candidate for biomedicine. Anti-oxidant function of SOD3 was accomplished without cell penetration, and it inhibited the inflammatory responses via non-enzymatic functions. SOD3 has the heparin binding domain associating cell surface. Interestingly, we found that $Zn^{2+}$ promotes transduction effects of recombinant human SOD3 (rhSOD3) by increasing uptake via the heparin binding domain (HBD). We demonstrated an uptake of rhSOD3 from media to cell lysate via HBD, resulting in an accumulation of rhSOD3 in the nucleus, which was promoted by the presence of $Zn^{2+}$. This resulted in increased inhibitory effects of rhSOD3 on NF-{\kappa}B and STAT3 signals in the presence of $Zn^{2+}$, which shows elevated association of rhSOD3 into the cells. These results suggest that an optimized procedure can help to enhance the inflammatory efficacy of rhSOD3, as a novel biomedicine.

• 한국항해항만학회지
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• 제34권4호
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• pp.293-298
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• 2010

The residential comfort and safety on ship are more focused than ever, in accordance with the increase of the crews' onboard time and interest in cruiser sailing. To grasp the safety characteristics on ships against various scenarios of evacuations, this study performed experiments and simulations for the evacuation times on a training ship. Through the experiments, the average walking speed is 3.0m/s on 100% visibility, and 1.2m/s on 8% visibility, but the speeds go down 1.3m/s and 0.7m/s, respectively, when obstacles are happened without any previous notification. From the simulation, it is clearly reconfirmed that the worse visibility and many people make evacuation time comparatively longer. And unlike the common expectation of the effect of emergency announcement, the difference of evacuation times between cases of announcement and non-announcement is negligible on this study. From the survey after experiments, it is known that experiment participants feel unsafe and fear when the evacuation routes are longer in bad visible condition, even if they know the perfect evacuation route. And the survey results also show that the evacuees give more careful consideration to make a evacuation route decision under bad visibility.

• Journal of Trauma and Injury
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• 제27권2호
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• pp.33-37
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• 2014

Central venous catheterization through a subclavian approach is indicated for some special purposes but it may cause many complications such as infection, bleeding, pneumothorax, thrombosis, air embolization, arrhythmia, myocardial perforation, and nerve injury. A case involving a mistaken central venous catheterization into the right vertebral artery through the subclavian artery is presented. A 33-year-old man who had deteriorated mentality after head injury underwent an emergency craniotomy for acute epidural hematomas on the right frontal and temporal convexities. His mentality improved rapidly, but he complained of continuous severe pain in the right posterior neck even though he had no previous symptom or past medical history of such pain. Three-dimensional cervical spine computed tomography (3D-CT) was performed first to rule out unconfirmed cervical injuries and it revealed a linear radiopaque material intrathoracically from the level of the 1st rib up to the level of C6 in the right vertebral foramen. An additional neck CT was performed, and the subclavian catheter was indwelling in the right vertebral artery through right subclavian artery. For the purpose of proper fluid infusion and central venous pressure monitoring, the subclavian vein catheterization had been performed in the operation room after general anesthesia induction before the craniotomy. Sufficient anatomical consideration and prudence is essential because inadvertent arterial cannulation at a non-compressible site is a highly risky iatrogenic complication of central venous line placement.