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Communication Types in Nurses Caring for Patients on Hemodialysis (혈액투석실 간호사 의사소통 유형 분석)

  • Kim, Ri Whaol;Nam, Eun Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.42-50
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    • 2021
  • The purpose of this study was to identify and analyze the communication behavior styles of hemodialysis nurses based on the structured Q-methodology. The Q-population was formulated based on literature reviews and in-depth interviews with 10 hemodialysis nurses who were working in hospitals in Seoul and Anyang-si, Gyeonggi Province. A total of 50 Q-samples, which were believed to best represent the communication behavior styles of hemodialysis nurses, were selected from the Q-population by the author and a professor majoring in nursing. 30 P-samples were selected from hemodialysis nurses who were working in primary, secondary, and tertiary hospitals in Seoul. Q-sorting was performed by P-samples and data was analyzed through the pc-QUANL program. The results suggested that there are four types of communication behavior styles of hemodialysis nurses, namely: "type I: listening and speaking courteously with an active mind", "type II: listening and speaking courteously with a receptive mind", "type III: advising with an explanation" and "type IV: super-reasonable with a defensive mind". It is expected that the analytical results described here may provide basic information that can be used to develop educational material for hemodialysis nurses.

Research Trends in Dietary Factors Related to Obesity and Metabolic Syndrome in Koreans: A Scoping Review of Studies using Data from the Korean National Health and Nutrition Examination Survey and the Korean Genome and Epidemiology Study (스코핑 고찰 방법을 활용한 한국인의 비만과 대사증후군 관련 식생활 요인 연구동향 분석: 국민건강영양조사 및 한국인유전체역학조사사업 자료를 활용한 연구를 중심으로)

  • Seung Jae, Lee;Dayeon, Shin;Jina, Yoon;Haeng-Ran, Kim;Kyeong-A, Jang;Min-Sook, Kang;Kyung Won, Lee
    • Journal of the Korean Society of Food Culture
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    • v.37 no.6
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    • pp.477-494
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    • 2022
  • This study investigated the potential role of dietary factors associated with obesity and metabolic syndrome (MetS) in Koreans. The scoping review method was used to evaluate the studies that utilized the secondary data sets comprising the Korean National Health and Nutrition Examination Survey (KNHANES) and the Korean Genome and Epidemiology Study (KoGES). Articles published between 2012 and 2022 were identified using RISS, KISS, DBpia, PubMed, and ScienceDirect databases. In all, there were 32 published articles on obesity and 119 on MetS. Obesity research included eight articles on nutrients, 12 on food items/food groups, two on dietary patterns, nine on dietary behavior/eating habits, and one on the dietary index. MetS studies comprised 34 articles on nutrients, 43 on food items/food groups, seven on dietary patterns, 25 on dietary behavior/eating habits, and 10 on the dietary index. Carbohydrates, alcohol, and coffee consumption were the most frequently studied dietary factors for obesity and MetS. The primary areas of study were largely focused on nutrients and food items/food groups. Thus, to overcome the paucity of information on the relationship of dietary patterns and dietary indexes with obesity and MetS, there is a need for further research using the KNHANES and KoGES data sets.

Effect of Salvia plebeia Extract on Patients with Solid Cancer: A Preliminary Clinical Trial Protocol (배암차즈기의 투여가 고형암환자에 미치는 영향을 평가하기 위한 선행적 인체적용시험)

  • Boram, Lee;Sookjin, Pyo;Ae-Ran, Kim;Eunbin, Kwag;Jang-Gi, Choi;Hwaseung, Yoo;Hwan-Suck, Chung;Jongkwan, Jo
    • Herbal Formula Science
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    • v.30 no.4
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    • pp.241-248
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    • 2022
  • Objective : The purpose of this trial is to observe the preliminary effects of Salvia plebeia (SP) extract on quality of life in patients with solid cancer. Methods : This is a prospective, open-label, single-arm, and single-dose clinical trial. Twenty participants who have been diagnosed with solid cancer between the ages of 20 and 65 will be included. All participants will be administered SP granules for 12 weeks. Data will be collected at 4, 8, and 12 weeks after enrollment. The primary outcome is quality of life, using the Korean version of the Functional Assessment Cancer Therapy-General questionnaire. Secondary outcomes include tumor markers in blood tests for each cancer type, soluble programmed death-ligand 1, the percentage of natural killer cells among lymphocytes, ratio of T-helper and T-suppressor cells, ratio of total T, T-helper, T-suppressor, and B cells in lymphocytes, level of C-reactive protein, and tumor size via radiology examination. Safety will be assessed by clinical laboratory tests and monitoring of adverse events. Discussion : This study aims to observe the effects of an oral administration of SP preparations in patients with solid cancer on changes in quality of life and an improvement in immune function. It is expected to provide objective evidence of the effect and safety of SP for patients with solid cancer. Trial registration: KCT0007315 (Clinical Research Information Service)

FMEA of Electric Power Management System for Digital Twin Technology Development of Electric Propulsion Vessels (전기추진선박 디지털트윈 기술개발을 위한 전력관리시스템 FMEA)

  • Yoon, Kyoungkuk;Kim, Jongsu
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.27 no.7
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    • pp.1098-1105
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    • 2021
  • The International Maritime Organization has steadily strengthened environmental regulations on nitrogen oxides and carbon dioxide emitted from marine vessels. Consequently, the demand for electric propulsion vessels based on eco-friendly elements has increased. To this end, research and development has been steadily conducted for various vessels. In electric propulsion systems, a redundancy configuration is typically adopted to increase reliability and facilitate the onboard arrangement. Furthermore, studies have been actively conducted to ensure the safety of electric propulsion systems through the combination with digital twin technology. A digital twin can be used to predict outcomes in advance by implementing real-world equipment or space in a virtual world like twins, integrating real-world information and data with the virtual world, and performing computer simulations of situations that can occur in a real environment. In this study, we perform failure modes and effects analysis (FMEA) to validate the electric power management system (PMS) redundancy scheme for the digital twin technology development of electric propulsion vessels. Then, we propose the role and algorithm of PMS as a compensation function for preventing primary and secondary damages caused by a single equipment failure of the PMS and preventing additional damages by analyzing the impact on the entire system under real vessel operating conditions based on the redundancy FMEA suggested for the ship classification and certification. We verified the improvement in propulsion conservation through tests.

Comparison of Risk Factors for Men and Women According to Severity Classification in Patients with Coronary Artery Disease (관상동맥질환 중증도 분류에 따른 성별 위험요인 비교)

  • Kweon, Mi-Soo
    • Journal of Industrial Convergence
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    • v.20 no.8
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    • pp.85-96
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    • 2022
  • The aim of this retrospective study was to compare risk factors between men and women through secondary data of nursing information and medical records according to the severity classification in patients of 340 men and 221 women with coronary artery disease(CAD) who were admitted for the first time at a general hospital and underwent first coronary artery angiography. Consequently, men presented with risk factors such as age(p=.004), total cholesterol(p=.040), triglycerides(p=.049), HbA1c(p<.001), smoking(p<.001), alcohol consumption(p=.002) and comorbidities(p=.036) that showed statistically significant differences. Among women, age(p=.002) and comorbidities (p=.018) were the only factors that showed significant differences. Significant risk factors influencing the classification of CAD severity in men were total cholesterol (OR 0.97, 95% CI 0.96-1.00, p=.014) in 1VD, alcohol consumption (OR 52.47, 95% CI 2.99-91.95, p=.007)in 2VD, and total cholesterol in the 3VD(OR 0.98, 95% CI 0.95-0.98, p=.026). A significant risk factor affecting the classification of CAD severity in women was comorbidity (OR 0.30, 95% CI 0.11-0.82, p=.020) in the 3VD. This study identified the importance of nursing care for male CAD patients, such as smoking cessation and quitting drinking, blood sugar control, cholesterol, and accompanying disease management, and provided evidence of individually tailored nursing care.

The Estimation of the Population by Using the Estimated Appropriate Rate Based on Customized Classification of Agriculture, Livestock and Food Industry (농축산식품산업 특수분류 기반 추정적격률을 이용한 모집단 추정 )

  • Wee Seong Seung;Lee MinCheol;Kim Jin Min;Shin Yong Tae
    • KIPS Transactions on Software and Data Engineering
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    • v.12 no.3
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    • pp.117-124
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    • 2023
  • Through reorganization in 2008, The ministry of Agriculture, Food and Rural Affairs integrated management of the food industry by transferred functions which was scattered in the Ministry of Health and Welfare, and established comprehensive policies covering the primary, secondary, and tertiary industries. In the agricultural industry sector, new business concepts such as smart farm and food tech have recently emerged alongside the fourth industrial revolution. In order for the Ministry of Agriculture, Food, and Rural Affairs to develop appropriate policies for the fourth industrial revolution, it is necessary to accurately estimate the size of agricultural and livestock-related businesses. In 2017, the Ministry of Agriculture, Food, and Rural Affairs initiated research for the agriculture, livestock and food industry's special classification, which was approved by the National Statistical Office in 2020. The estimation of the agriculture, livestock and food industry's size based on special classification is crucial because it has a substantial impact on the formulation and significance of policies. In this paper, the appropriate rate was derived from samples extracted from the special classification and the Korean standard industrial classification. Proposed are a method for estimating the population of the agricultural and livestock food industry, as well as a method for calculating the appropriate rate that more accurately reflects the population than the method currently in use.

Detection of Tracheal Sounds using PVDF Film and Algorithm Establishment for Sleep Apnea Determination (PVDF 필름을 이용한 기관음 검출 및 수면무호흡 판정 알고리즘 수립)

  • Jae-Joong Im;Xiong Li;Soo-Min Chae
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.23 no.2
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    • pp.119-129
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    • 2023
  • Sleep apnea causes various secondary disease such as hypertension, stroke, myocardial infarction, depression and cognitive impairment. Early detection and continuous management of sleep apnea are urgently needed since it causes cardio-cerebrovascular diseases. In this study, wearable device for monitoring respiration during sleep using PVDF film was developed to detect vibration through trachea caused by breathing, which determines normal breathing and sleep apnea. Variables such as respiration rate and apnea were extracted based on the detected breathing sound data, and a noise reduction algorithm was established to minimize the effect even when there is a noise signal. In addition, it was confirmed that irregular breathing patterns can be analyzed by establishing a moving threshold algorithm. The results show that the accuracy of the respiratory rate from the developed device was 98.7% comparing with the polysomnogrphy result. Accuracy of detection for sleep apnea event was 92.6% and that of the sleep apnea duration was 94.0%. The results of this study will be of great help to the management of sleep disorders and confirmation of treatment by commercialization of wearable devices that can monitor sleep information easily and accurately at home during daily life and confirm the progress of treatment.

Characteristics of poisoning patients visiting emergency departments before and after the COVID-19 pandemic (코로나바이러스감염증-19 대유행 전, 후의 응급실로 내원한 중독 환자의 특성)

  • Seung Jae Kee;Yongil Cho;Hyunggoo Kang;Tae Ho Lim;Jaehoon Oh;Byuk Sung Ko;Juncheol Lee
    • Journal of The Korean Society of Clinical Toxicology
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    • v.20 no.2
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    • pp.66-74
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    • 2022
  • Purpose: This study investigates the characteristics and prognosis of acute poisoning patients visiting nationwide emergency departments before and after the Coronavirus disease 2019 (COVID-19) pandemic. Data were obtained from the National Emergency Department Information System (NEDIS). Methods: This nationwide retrospective observational study included acute poisoning patients who visited the emergency departments between February 1 to December 31, 2020, which has been determined as the pandemic period. The same periods in 2018 and 2019 were designated as the control periods. The primary outcome assessed was the length of stay in emergency departments (EDLOS). The secondary outcomes examined were intensive care unit admission rate and in-hospital mortality rate before and after the pandemic. A subgroup analysis was performed for inpatients and intentional poisoning patients. Results: A total of 163,560 patients were included in the study. During the pandemic, the proportion of women increased from 50.0% in 2018 and 50.3% in 2019 to 52.5% in 2020. Patients aged 20-29 years increased from 13.4% in 2018 and 13.9% in 2019 to 16.6% in 2020. A rise in cases of intentional poisoning was also noted - from 33.9% in 2018 and 34.0% in 2019 to 38.4% in 2020. Evaluating the hospitalized poisoned patients revealed that the EDLOS increased from 3.8 hours in 2018 and 3.7 hours in 2019 to 4.2 hours in 2020. ICU admissions were also markedly increased (2018, 48.2%; 2019, 51.8%; 2020, 53.2%) among hospitalized patients. Conclusion: The COVID-19 pandemic has changed the epidemiology, clinical characteristics, and prognosis of acute poisoning patients visiting nationwide emergency departments in Korea. The proportion of young adults, women, and intentional poisoning patients has increased after the COVID-19 pandemic. Prolonged length of stay at the emergency department and an increased rate of intensive care unit admissions were determined in hospitalized acute poisoning patients.

Whose Science is More Scientific? The Role of Science in WTO Trade Disputes

  • Kim, Inkyoung;Brazil, Steve
    • Analyses & Alternatives
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    • v.2 no.1
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    • pp.31-69
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    • 2018
  • This study examines the role of science in resolving trade disputes. After the Great East Japan Earthquake of 11 March 2011 that not only jeopardized the people of Japan, but also put the safety of an entire region at risk, the Republic of Korea (Korea) has imposed import bans as well as increased testing and certification requirements for radioactive material on Japanese food products. Japan has challenged these restrictions at the World Trade Organizations Dispute Settlement Body (DSB). This study aims to explain how international trade agreements and previous DSB rulings have dealt with different scientific viewpoints provided by confronting parties. In doing so, it will contrast the viewpoints espoused by Korean and Japanese representatives, and then analyzes the most similar case studies previously ruled on by the DSB, including the case of beef hormones and the case of genetically modified crops including biotech corn, both between the United States and the European Communities (EC). This study finds that science is largely subordinate to national interests in the case of state decision-making within the dispute settlement processes, and science has largely been relegated to a supportive role. Due to the ambiguity and lack of truly decisive decisions in the Appellate Body in science-based trade disputes, this study concludes that the Appellate Body avoids taking a firm scientific position in cases where science is still inconclusive in any capacity. Due to the panel's unwillingness to establish expert review boards as it has the power to do, instead favoring an individual-based system so that all viewpoints can be heard, it has also developed a system with its own unique weaknesses. Similar to any court of law in which each opposing party defends its own interests, each side brings whatever scientific evidence it can to defend its position, incentivizing them to disregard scientific conclusions unfavorable to their position. With so many questions that can arise, combined with the problems of evolving science, questions of risk, and social concerns in democratic society, it is no wonder that the panel views scientific information provided by the experts as secondary to the legal and procedural issues. Despite being ruled against the EC on legal issues in two previous cases, the EC essentially won both times because the panel did not address whether its science was correct or not. This failure to conclusively resolve a debate over whose science is more scientific enabled the EC to simply fix the procedural issues, while continuing to enforce trade restrictions based on their scientific evidence. Based on the analysis of the two cases of disputes, Korea may also find itself guilty of imposing an unwarranted moratorium on Japan's fish exports, only to subsequently pass new restrictions on labelling and certification requirements because Japan may have much scientific evidence at its disposal. However, Korea might be able to create enough uncertainty in the panel to force them to rule exclusively on the legal issues of the case. This will then equip Korea, like the EC in the past, with a way of working around the ruling, by changing whatever legal procedure they need to while maintaining some, if not most, of its restrictions when the panel fails to address its case on scientific grounds.

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A Study on the Prediction of Nitrogen Oxide Emissions in Rotary Kiln Process using Machine Learning (머신러닝 기법을 이용한 로터리 킬른 공정의 질소산화물 배출예측에 관한 연구)

  • Je-Hyeung Yoo;Cheong-Yeul Park;Jae Kwon Bae
    • Journal of Industrial Convergence
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    • v.21 no.7
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    • pp.19-27
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    • 2023
  • As the secondary battery market expands, the process of producing laterite ore using the rotary kiln and electric furnace method is expanding worldwide. As ESG management expands, the management of air pollutants such as nitrogen oxides in exhaust gases is strengthened. The rotary kiln, one of the main facilities of the pyrometallurgy process, is a facility for drying and preliminary reduction of ore, and it generate nitrogen oxides, thus prediction of nitrogen oxide is important. In this study, LSTM for regression prediction and LightGBM for classification prediction were used to predict and then model optimization was performed using AutoML. When applying LSTM, the predicted value after 5 minutes was 0.86, MAE 5.13ppm, and after 40 minutes, the predicted value was 0.38 and MAE 10.84ppm. As a result of applying LightGBM for classification prediction, the test accuracy rose from 0.75 after 5 minutes to 0.61 after 40 minutes, to a level that can be used for actual operation, and as a result of model optimization through AutoML, the accuracy of the prediction after 5 minutes improved from 0.75 to 0.80 and from 0.61 to 0.70. Through this study, nitrogen oxide prediction values can be applied to actual operations to contribute to compliance with air pollutant emission regulations and ESG management.