• 대한간호학회지
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• 제39권2호
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• pp.298-309
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• 2009

Purpose: To develop a web-based program on blood-borne infection control and to examine the effect of the newly developed program on perceived threat of diseases, knowledge, preventive health behaviors for blood-borne infections, and incidence rates of accidental needle sticks and other sharp object injuries in nurses. Methods: The program was developed through the processes of analysis, design, development, implementation, and evaluation. The research design involved a nonequivalent control group for pretest and posttest experiments. The setting was a 745-bed general hospital located in Korea. Results: The program was designed and developed after consulting previous studies. After development of the program was completed, it was evaluated and revised by a panel of experts. The total score for perceived threat of diseases, knowledge, preventive health behaviors in the experimental group was significantly higher compared to the control group (p<.05). The incidence rates for needle sticks and other sharp object injuries in the experimental group were significantly lower compared to the control group (p<.05). Conclusion: Application of a Web-based, blood-borne infection control program is effective, and can be expanded to other healthcare workers who also have a high risk of blood-borne infections.

• 센서학회지
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• 제21권1호
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• pp.39-45
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• 2012

Recently the convergence of healthcare technology is used for daily life healthcare monitoring. Cardiac arrhythmia is presented by the state of the heart irregularity. Abnormal heart's electrical signal pathway or heart's tissue disorder could be the cause of cardiac arrhythmia. Fatal arrhythmia could put patient's life at risk. Therefore arrhythmia detection is very important. Previous studies on the detection of arrhythmia in various ECG analysis and classification methods had been carried out. In this paper, an ECG signal processing techniques to detect abnormal ECG based on DTW minimum accumulation distance through the template matching for normalized data and variable threshold method for ECG R-peak detection. Signal processing techniques able to determine the occurrence of normal ECG and abnormal ECG. Abnormal ECG detection algorithm using DTW minimum accumulation distance method is performed using MITBIH database for performance evaluation. Experiment result shows the average percentage accuracy of using the propose method for Rpeak detection is 99.63 % and abnormal detection is 99.60 %.

• Geomechanics and Engineering
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• 제31권3호
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• pp.319-328
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• 2022

Ensuring the integrity of a country's infrastructure is necessary to protect surrounding communities in case of disaster. Embankment dam systems across the US are an essential component of infrastructure, referred to as lifeline structures. Embankment dams are crucial to the survival of life and if these structures were to fail, it is imperative that states be prepared. Southern California is particularly concerned with the stability of embankment dams due to the frequent seismic activity that occurs in the state. The purpose of this study was to create a numerical model of an existing embankment dam simulated under seismic loads using previously recorded data. The embankment dam that was studied in Los Angeles, California was outfitted with accelerometers provided by the California Strong Motion Instrumentation Program that have recorded strong motion data for decades and was processed by the Center for Engineering Strong Motion Data to be used in future engineering applications. The accelerometer data was then used to verify the numerical model that was created using finite element modeling software RS2. The results from this study showed Puddingstone Dam's simulated response was consistent with that experienced during previous earthquakes and therefore validated the predicted behavior from the numerical model. The study also identified areas of weakness and instability on the dam that posed the greatest risk for its failure. Following this study, the numerical model can now be used to predict the dam's response to future earthquakes, develop plans for its remediation, and for emergency response in case of disaster.

• Asian Pacific Journal of Cancer Prevention
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• 제15권17호
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• pp.7021-7027
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• 2014

Background: The problem of cancer, especially lung cancer, is very acute in Bangladesh. The present study was conducted to evaluate the risk of lung cancer among Bangladeshi people based on hereditary, socio-economic and demographic factors. Materials and Methods: This study was carried out in 208 people (patients-104, controls-104) from January 2012 to September 2013 using a structured questionnaire containing details of lung cancer risk factors including smoking, secondhand smoke, tobacco leaf intake, age, gender, family history, chronic lung diseases, radiotherapy in the chest area, diet, obesity, physical activity, alcohol consumption, occupation, education, and income. Descriptive statistics and testing of hypotheses were used for the analysis using SPSS software (version 20). Results: According to this study, lung cancer was more prevalent in males than females. Smoking was the highest risk factor (OR=9.707; RR=3.924; sensitivity=0.8872 and P<0.0001) followed by previous lung disease (asthma, tuberculosis etc.) (OR=7.095; RR=1.508; sensitivity=0.316 and P<0.0001)) for male patients. Highly cooked food (OR=2.485; RR=1.126; sensitivity=0.418 and P=0.004)) and also genetic inheritance (OR=1.93; RR=1.335; sensitivity=0.163 and P=0.138) demonstrated significant correlation with lung cancer as risk factors after these two and alcohol consumption was not prevalent. On the other hand, for female patients, tobacco leaf intake represented the highest risk (OR=2.00; RR=1.429; sensitivity= 0.667 and P=0.5603) while genetic inheritance and highly cooked food also correlate with lung cancer but not so significantly. Socioeconomic status and education level also play important roles in causing lung cancer. Some 78.5% male and 83.3% of female cancer patients were rural residents, while 58.2% lived at the margin or below the poverty line. Most male (39.8%) and female (50.0%) patients had completed only primary level education, and 27.6% male and 33.3% female patients were illiterate. Smoking was found to be more prevalent among the less educated persons. Conclusions: The results obtained in this study indicate the importance of creating awareness about lung cancer risk factors among Bangladeshi people and making appropriate access to health services for the illiterate, poor, rural people.

• 대한인간공학회지
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• 제30권3호
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• pp.427-435
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• 2011

Objective: The objective of this study was to evaluate a work of building cleaners using the ergonomic methods. Background: Previous studies about cleaning worker describe typical physical demands of this work. They found that the most significant risk factors associated with the physical work of cleaners are static loads and repetitive movements and high output of force. Method: A head of ergonomics estimation was work analysis(define of combined task, work tool, work time and frequency of combined task) and posture analysis of worker. Results: The results showed that combined task of building cleaners was classification sweeping, mopping(wet), mopping(oil), moving barrels/carts, dumping trash bags, scrubbing, arrangement of cleaning tool, arrangement of circumferential, moving of cleaning tool, and waiting. The work time of combined task such as mopping(wet) and scrubbing indicated high ratio. The posture analysis of building cleaners indicated high value in bending of the head, lower arm, and hands. Conclusion: The findings appear to indicate that building cleaner were related to high risk of work-related musculoskeletal disorders. So, building cleaner would be required an interventional strategy, improvement of cleaning tools and working environment. Application: If ergonomics rule can be integrated into existing cleaning tools and work environments, the risk of occupational injuries will be reduced.

• 기본간호학회지
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• 제7권1호
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• pp.122-136
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• 2000

Stroke patient needs rehabilitation after receiving an acute treatment in a hospital. When stroke patient gets involved in an early discharge program, home care nurse plays a pivotal role to make them to gain a full strength and to come back to his/her prior life before he/she is sick. In spite of the importance of home care nursing intervention protocol for home care nurses to perform home care nursing autonomously, home care nursing intervention protocol for stroke patient is rarely developed. Therefore this study was conducted to develop home care nursing protocol that is applicable for stroke patients in home care nursing area. 41 home care nursing charts for stroke patients registered in home care nursing agencies from December 1st 1994 to August 31st 1999 at Y hospitals in Seoul and Won-Ju city were analyzed. 44 home care nurses who were having over three years' experience on stroke patients were participated in this study as a user validity validation group. The results of this study are as follows. 1. 28 nursing diagnoses were selected on the basis of evaluation of nursing diagnoses of stroke patients presented in a previous literature and case studies on home care nursing. 2. 17 nursing diagnoses were classified through the frequency analysis of home care nursing charts for 41 stroke patients who had received home care nursing. The order of sequence was like these: impaired skin integrity, risk for infection, nutritional deficit, impaired physical mobility, constipation, knowledge deficit, ineffective airway clearance, anxiety in family members, risk for aspiration, self care deficit, altered urinary elimination, ineffective individual coping, social isolation, risk for injury, self-esteem disturbance, impaired verbal communication, fatigue of family caregiver. 3. Based on validation on expert and user validities, 44 nursing interventions which were above ICV=.80 were chosen. 4. Nursing intervention protocols which showed above ICV=.90 were developed and were like these; pressure ulcer care, position change, preventive care for circulatory dysfunction, tube care : catheter, vital sign monitor, constipation/impaction management, artificial airway management, suction of airway secretion, environmental management : safety, and fall prevention.

• 한국운동역학회지
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• 제26권4호
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• pp.369-375
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• 2016

Objective: The purpose of this study was to investigate the possibility of injuries and the types of movement related to damage by body parts, and to prepare for prevention of injuries and development of a training program. Method: For this study, the experiment was conducted according to levels of 60 percentages (ST) and 85 percentages (MA) and 10 subjects from the Korean elite national weightlifting team were included. Furthermore, we analyzed joint moment and muscle activation pattern with three-dimensional video analysis. Ground reaction force and EMG analyses were performed to measure the factors related to injuries and motion. Results: Knee reinjuries such as anterior cruciate ligament damage caused by deterioration of the control ability for the forward movement function of the tibia based on the movement of the biceps femoris when the rectus femoris is activated with the powerful last-pull movement. In particular, athletes with previous or current injuries should perceive a careful contiguity of the ratio of the biceps femoris to the rectus femoris. This shows that athletes can exert five times greater force than the injury threshold in contrast to the inversion moment of the ankle, which is actively performed for a powerful last pull motion and is positively considered in terms of intentional motion. It is activated by excessive adduction and internal rotation moment to avoid excessive abduction and external rotation of the knee at lockout motion. It is an injury risk to muscles and ligaments, causing large adduction moment and internal rotation moment at the knee. Adduction moment in the elbow joint increased to higher than the injury threshold at ST (60% level) in the lockout phase. Hence, all athletes are indicated to be at a high risk of injury of the elbow adductor muscle. Lockout motion is similar to the "high five" posture, and repetitive training in this motion increases the likelihood of injuries because of occurrence of strong internal rotation and adduction of the shoulder. Training volume of lockout motion has to be considered when developing a training program. Conclusion: The important factors related to injury at snatch include B/R rate, muscles to activate the adduction moment and internal rotation moment at the elbow joint in the lockout phase, and muscles to activate the internal rotation moment at the shoulder joint in the lockout phase.

• Clinical and Experimental Reproductive Medicine
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• 제51권2호
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• pp.142-150
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• 2024

Objective: Diminished ovarian reserve (DOR) is a disorder characterized by impaired ovarian function. Sleep disorders are disruptions of the circadian rhythm, which appears to be closely linked to reproductive systems. This study aimed to investigate the impact of poor sleep quality on the ovarian reserve of childbearing-age women. Methods: A cross-sectional study was conducted in China from June 2021 to March 2023. In total, 102 participants diagnosed with chronic insomnia disorder were included in the study. Questionnaires were administered to assess participants' menstrual patterns, insomnia severity, anxiety, and depression. The anti-Müllerian hormone level and the basal antral follicle count were measured for ovarian reserve evaluation. Correlation analysis and ordinal logistic regression analysis were conducted. Results: The women with insomnia presented high percentages of hypomenorrhea, premenstrual syndrome, and dysmenorrhea (78.4%, 74.5%, and 46.1%, respectively). Severe sleep disorder in the past month was identified as an independent risk factor for hypomenorrhea and premenstrual syndrome (odds ratio [OR], 2.64 and OR, 2.688; p<0.05). The prevalence of DOR among women with insomnia (33.3%) was significantly higher than the average reported in previous studies for young women. Insomnia duration exceeding 1 year was determined to be an independent risk factor for DOR in women aged 36 to 40 years (OR, 4.5; p=0.033). Conclusion: This study highlights the association between sleep disorders and menstrual problems. Prolonged poor sleep quality in women aged 36 to 40 years was identified as a significant risk factor for DOR. We should pay more attention to improving sleep quality in order to maintain normal ovarian function.

• 한국건축시공학회지
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• 제22권4호
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• pp.391-402
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• 2022

최근 해외사업은 민간자본을 유입하여 SOC 사업을 발주하는 형태의 사업들이 증가추세이기 때문에, 해외건설 글로벌 기업들은 해외수주전략을 이에 맞게 수립하여 진출할 필요가 있다. 따라서 본 연구는 개발도상국가의 PPP 역량 평가모델을 개발하여 국내 해외건설기업들이 해외진출 전략을 수립하는데 활용하고자 한다. PPP 역량평가모델은 선행연구 고찰과 해외건설전문가 면담조사를 통하여 PPP 역량평가 항목과 인프라 환경 역량평가 항목과 중요도를 분석하였다. 상기 분석결과와 전문가 조사를 통하여 해외건설기업의 PPP시장 진출시 문제점과 개선방안을 제안하였다. 특히 우리나라의 해외건설기업들이 PPP사업 진출 가능성이 높은 국가는 PPP 제도 수준이 성숙하고, 건설리스크가 낮고, 인프라 시장규모와 성장률이 높은 진출환경이 양호한 국가가 선정되었다. 또한 해외건설PPP 시장진출시 문제점으로는 PPP 투자 경험부족, PPP역량 및 인프라 환경 정보부족, PPP 전문가 부족이 도출되었고, 개선방안으로 단독진출보다는 국내외 업체와 협력하여 진출하고, PPP 사업진출 국가 환경에 맞는 사업에 맞게 진출하는 것을 제안하였다. 또한 PPP 금융 및 계약전문가의 확보를 위한 교육과정 개발과 각 국가별 PPP 정보 제공하는 방안을 제안하였다. 이러한 결과는 해외건설기업이 해외건설 시장진출 전략을 제안하여 해외진출 전략과 정책수립에 활용하는데 기여할 것으로 기대된다.

• 융합정보논문지
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• 제10권3호
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• pp.1-6
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• 2020

정보시스템은 새로운 기술의 변혁에 영향을 받는다. 따라서 정보시스템은 외부환경 변화에 신속하게 대응하여야 하며, 특히 정보시스템 장애발생시 그 복원능력이 중요시되어야 한다. 본 연구에서는 Delone과 McLean의 성공요인에 복원탄력성을 추가한 정보시스템 평가모형을 제안하였다. 또한 국내 중견제조업체의 115 사용자 들을 대상으로 한 설문조사를 바탕으로 한 자료포락분석으로 복원탄력성의 영향을 평가하였다. 연구방법으로 채택한 자료포락분석 모형은 금융권에서 주로 적용하는 Charnes 등의 모형을 적용하여 노드생성 중단값 5%에서 민감도분석에 의해 순위화된 인자들을 찾아 다른 인자들에 미치는 영향도를 탐색하였다. 분석결과, 복원탄력성에 대한 영향력은 이전의 연구에서 적용했던 다른 요인들보다 강한 영향을 미치는 것으로 나타났다. 복원탄력성을 ISO27001 정보보호규격의 평가요인으로 포함하여 정보시스템의 흡수역량을 강화하여야 할 것이다.