• 한국엔터테인먼트산업학회논문지
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• 제14권3호
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• pp.83-91
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• 2020

이 연구의 목적은 간호대학생을 위한 창의성 기반 창의융합교과목을 개발하는 것이다. 연구의 목적을 위해 Bobbitt의 교육과정 개발 모형에 의해 요구분석, 교육목표 설정, 교육목표 세분화, 교육내용 선정 및 조직의 과정을 거쳐 교과목 내용을 선정하고 전문가의 타당도 검증과정을 거쳐 창의융합교과목을 개발하였다. 창의융합교과목은 이론적 검토를 통해 창의성을 중심으로 다른 분야와 융합하는 교육내용을 구성하였으며 2학점의 교양교과목으로 제시하였고, 교육방법으로서 블랜디드 러닝을 활용한 온라인 수업과 팀별활동 중심의 오프라인 수업을 제시하였다. 또한, 교과과정을 이해, 적용, 종합·심화로 구분하여 학생들이 창의 융합적 사고의 개념을 이해하고 사고기법 및 전략학습 과정을 통해 적용하고 팀별 프로젝트를 통해 창의융합적 사고력을 향상할 수 있도록 하였다.

• Journal of Periodontal and Implant Science
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• 제53권1호
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• pp.85-95
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• 2023

Purpose: In recent years, guided implant surgery has been widely used for the convenience of patients and surgeons. Further streamlining the surgical procedure would make implant surgery more convenient. Low-speed water-free conditions are often used in guided implant surgery. Therefore, in this study, we attempted to confirm once again whether drilling was safe at a low speed without water. The main purpose of this study was to evaluate whether a simplified drilling protocol that omits some intermediate steps in the drilling process was safe from the viewpoint of heat generation. Methods: D1 density artificial bone blocks were drilled under 50 rpm, 10 N·cm water-free conditions, and the surface temperature was measured using a digital infrared camera. First, drilling was performed with the sequential drilling method, which is the most widely used technique. Second, for each drill diameter, the temperature change was measured while performing simplified drilling with omission of the previous 1, 2, or 3 steps. Results: In sequential drilling, the heat generated during drilling at all diameters was less than the critical temperature of osteonecrosis (47℃) except for the ⌀2 drill. Statistical significance was observed in all groups when comparing sequential and simplified drilling in the ⌀3.2, ⌀3.8, and ⌀4.3 drills (P<0.001). However, in the simplified drilling procedures, the temperature was below the osteonecrosis threshold temperature (47℃) except for the ⌀4.3 drill with the omission of the previous 3 steps (⌀3.0, ⌀3.2, and ⌀3.8). Conclusions: In general, drilling under low-speed, water-free conditions has shown stable results in terms of heat generation. Simplified drilling showed statistically significantly greater heat generation than sequential drilling. However, most of the diameters and omitted steps seem to be clinically acceptable, so it will be useful if an appropriate selection is made according to the patient's clinical condition.

• 국제학술발표논문집
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• The 8th International Conference on Construction Engineering and Project Management
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• pp.63-74
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• 2020

The assembly of modular construction requires a series of thoroughly-considered decisions for crane lifting including the crane model selection, crane location planning, and lift path planning. Traditionally, this decision-making process is empirical and time-consuming, requiring significant human inputs. Recently, research efforts have been dedicated to improving lift planning practices by leveraging cutting-edge technologies such as automated data acquisition, Building Information Modelling (BIM) and computational algorithms. It has been demonstrated that these technologies have advanced lift planning to some degree. However, the advancements tend to be fragmented and isolated. There are two hurdles prevented a systematic improvement of lift planning practices. First, the lack of formalized lift planning workflow, outlining the procedure and necessary information. Secondly, there is also an absence of a shared information environment, enabling storages, updates and the distribution of information to stakeholders in a timely manner. Thus, this paper aims to overcome the hurdles. The study starts with a literature review in combination with document analysis, enabling the initial workflow and information flow. These were contextualised through a series of interviews with Australian practitioners in the crane-related industry, and systematically analysed and schematically validated through an expert panel. Findings included formalized workflow and corresponding information exchanges in a traditional lift planning practice via a Business Process Model and Notation (BPMN). The traditional practice is thus reviewed to identify opportunities for further enhancements. Finally, a BIM-based lift planning workflow is proposed, which integrates the scattered technologies (e.g. BIM and computational algorithms) with the aim of supporting lift planning automation. The resulting framework is setting out procedures that need to be developed and the potential obstacles towards automated lift planning are identified.

• Restorative Dentistry and Endodontics
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• 제45권4호
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• pp.48.1-48.11
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• 2020

Objectives: This systematic review aimed to identify mean oxygen saturation values (SpO₂) using pulse oximetry in permanent maxillary anterior teeth. Materials and Methods: The MEDLINE, Scientific Electronic Library Online, Cochrane Central Register of Controlled Trials, EMBASE, and Literatura Latino Americana em Ciências da Saúde electronic databases were searched. Combinations and variations of "oximetry" AND "dental pulp test" were used as search terms. Studies reporting means and standard deviations of SpO₂ values were included. Two reviewers independently extracted data following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Heterogeneity was assessed using the I² statistic, and all analyses were performed using R software. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool and the Newcastle-Ottawa scale. Results: Of the 251 studies identified, 19 met the eligibility criteria and were included (total sample, 4,541 teeth). In the meta-analysis, the mean SpO₂ values were 84.94% (95% confidence interval [CI], 84.85%-85.04%) for the central incisors, 89.29% (95% CI, 89.22%-89.35%) for the lateral incisors, and 89.20% (95% CI, 89.05%-89.34%) for the canines. The studies were predominantly low-quality due to the high risk of bias associated with the index test, unclear risk regarding patient selection, and concerns about outcome assessment. Conclusions: Although most studies were low-quality, the oxygen saturation levels in normal pulp could be established (minimum saturation, 77.52%). Despite the risk of bias of the included studies, the reference values reported herein are clinically relevant for assessments of changes in pulp status.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제50권3호
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• pp.123-133
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• 2024

Dentoalveolar (DA) trauma, which can involve tooth, alveolar bone, and surrounding soft tissues, is a significant dentofacial emergency. In emergency settings, physicians might lack comprehensive knowledge of timely procedures, causing delays for specialist referral. This systematic review assesses the literature on isolated DA fractures, emphasizing intervention timing and splinting techniques and duration in both children and adults. This systematic review adhered to PRISMA guidelines and involved a thorough search across PubMed, Google Scholar, Semantic Scholar, and the Cochrane Library from January 1980 to December 2022. Inclusion and exclusion criteria guided study selection, with data extraction and analysis centered on demographics, etiology, injury site, diagnostics, treatment timelines, and outcomes in pediatric (2-12 years) and adult (>12 years) populations. This review analyzed 26 studies, categorized by age into pediatrics (2-12 years) and adults (>12 years). Falls were a common etiology, primarily affecting the anterior maxilla. Immediate management involved replantation, repositioning, and splinting within 24 hours (pediatric) or 48 hours (adult). Composite resin-bonded splints were common. Endodontic treatment was done within a timeframe of 3 days to 12 weeks for children and 2-12 weeks for adults. Tailored management based on patient age, tooth development stage, time elapsed, and resource availability is essential.

• Clinical Nutrition Research
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• 제12권2호
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• pp.126-137
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• 2023

Hemodialysis (HD) patients face a common problem of malnutrition due to poor appetite. This study aims to verify the appetite alteration model for malnutrition in HD patients through quantitative data and the International Classification of Functioning, Disability, and Health (ICF) framework. This study uses the Mixed Method-Grounded Theory (MMGT) method to explore various factors and processes affecting malnutrition in HD patients, create a suitable treatment model, and validate it systematically by combining qualitative and quantitative data and procedures. The demographics and medical histories of 14 patients were collected. Based on the theory, the research design is based on expansion and confirmation sequence. The usefulness and cut-off points of the creatinine index (CI) guidelines for malnutrition in HD patients were linked to significant categories of GT and the domain of ICF. The retrospective CIs for 3 months revealed patients with 3 different levels of appetite status at nutrition assessment and 2 levels of uremic removal. In the same way, different levels of dry mouth, functional support, self-efficacy, and self-management were analyzed. Poor appetite, degree of dryness, and degree of taste change negatively affected CI, while self-management, uremic removal, functional support, and self-efficacy positively affected CI. This study identified and validated the essential components of appetite alteration in HD patients. These MM-GT methods can guide the selection of outcome measurements and facilitate the perspective of a holistic approach to self-management and intervention.

• Clinical Endoscopy
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• 제57권1호
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• pp.96-104
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• 2024

Background/Aims: Selective bile duct or pancreatic duct cannulation remains a significant initial hurdle in endoscopic retrograde cholangiopancreatography (ERCP) despite advances in endoscopy and accessories. This study evaluated our experience with a rotatable sphincterotome in cases of difficult cannulation. Methods: We retrospectively reviewed ERCP cases using TRUEtome, a rotatable sphincterotome, as a rescue device for cannulation at a cancer institute in Japan from October 2014 to December 2021. Results: TRUEtome was used in 88 patients. Duodenoscopes were used for 51 patients, while single-balloon enteroscopes (SBE) were used for 37 patients. TRUEtome was used for biliary and pancreatic duct cannulation (84.1%), intrahepatic bile duct selection (12.5%), and strictures of the afferent limb (3.4%). Cannulation success rates were similar in the duodenoscope and SBE groups (86.3% vs. 75.7%, p=0.213). TRUEtome was more commonly used in cases with steep cannulation angles in the duodenoscope group and in cases requiring cannulation in different directions in the SBE group. There were no significant differences in adverse events between the two groups. Conclusions: The cannulation sphincterotome was useful for difficult cannulations in both unaltered and surgically altered anatomies. It may be an option to consider before high-risk procedures such as precut and endoscopic ultrasound-guided rendezvous techniques.

• 한국구조물진단유지관리공학회 논문집
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• 제11권6호
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• pp.77-86
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• 2007

표면침투제를 사용하여 콘크리트 표면을 경화시키는 보수공법은 간단한 시공방법 뿐 아니라 경제적인 방법으로 최근들어 많이 사용되고 있다. 이러한 표면보호공 또는 보수방법은 강도에 대해서는 크게 개선효과를확보하기는 어렵지만, 공극을 치밀하게 형성함으로서 내구적인 저항을 개선하고 내수구명을 연장할 수 있다. 본 연구에서는 다양한 유/무기계 표면침투제를 사용한 콘크리트 시편에 대하여 흡수성, 투수성과 같은 기초적인 실내실험을 수행하였으며, 이에따라 최적의 표면침투제를 선정하였다. 이후 선정된 표면침투제에 대하여 다양한 내구성 실험(탄산화, 동결융해, 염해저항성, 내화학성)이 수행되었으며, 선정된 2가지 표면침투제를 사용한 콘크리트 시편은 우수한 내구적 저항성을 가지고 있음을 실험적으로 규명하였다.

• Korean Circulation Journal
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• 제52권4호
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• pp.288-300
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• 2022

Background and Objectives: We compared real-world clinical outcomes of patients receiving intravascular lithotripsy (IVL) versus rotational atherectomy (RA) for heavily calcified coronary lesions. Methods: Fifty-three patients who received IVL from January 2017 to July 2020 were retrospectively compared to 271 patients who received RA from January 2017 to December 2018. Primary endpoints were in-hospital and 30-day major adverse cardiovascular events (MACE). Results: IVL patients had a higher prevalence of acute coronary syndrome (56.6% vs 24.4, p<0.001), multivessel disease (96.2% vs 73.3%, p<0.001) and emergency procedures (17.0% vs 2.2%, p<0.001) compared to RA. In-hospital MACE (11.3% vs 5.9%, p=0.152), MI (7.5% vs 3.3%, p=0.152), and mortality (5.7% vs 3.0%, p=0.319) were not statistically significant. 30-day MACE was higher in the IVL cohort vs RA (17.0% vs 7.4%, p=0.035). Propensity score adjusted regression using IVL was also performed on in-hospital MACE (odds ratio [OR], 1.677; 95% confidence interval [CI], 0.588-4.779) and 30-day MACE (OR, 1.910; 95% CI, 0.774-4.718). Conclusions: These findings represent our initial IVL experience in a high-risk, real-world cohort. Although the event rate in the IVL arm was numerically higher compared to RA, the small numbers and retrospective nature of this study preclude definitive conclusions. These clinical outcomes are likely to improve with greater experience and better case selection, allowing IVL to effectively treat complex calcified coronary lesions.

• 한국문헌정보학회지
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• 제58권3호
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• pp.35-64
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• 2024

본 연구의 목적은 다원적인 사회의 흐름에 따라 도서관이 기록관, 박물관과 협력을 통해 공간과 역할을 확장하는 변화에 주목하여 융합적 공간으로 전환하는 도서관의 미래지향적 요소를 학교도서관 교육에 적용하고 교육전략 및 모형을 개발하는데 있다. 본 연구에서는 지식문화복합공간을 의미하는 용어로 '라키비움'을 설정하고 개념과 기능을 파악하여 요소를 도출하였고 기록관, 박물관, 미술관이 수집·관리하는 자료의 특성 및 국내외 교육정보서비스를 분석하여 학교도서관 교육과 연계할 수 있는 방안을 모색하였다. 본 연구는 학교도서관에서 교수-학습 매체가 효율적으로 선정 및 활용될 수 있도록 매체 사용이 강조된 ASSURE 교수설계 모형을 기반으로 하여 '탐구기반정보활용', '교과연계, 융합', '협업, 공유, 확산', '디지털 아카이브'의 라키비움 전략을 수립하고 교육 내용을 구성하였다. 단계별 수행 및 절차에 대해서는 현장 전문가의 평가와 의견을 반영하고 수정·보완을 거쳐 라키비움 전략과 자원 및 탐구중심 수업을 포함하는 협력적 교육모형을 개발하였다.