• Journal of Korean Critical Care Nursing
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• v.4 no.2
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• pp.47-60
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• 2011

Purpose: The purpose of this study was to develop a standardized education protocol for peritoneal dialysis patients. Methods: First, the demand for education was investigated from the 27 patients on peritoneal dialysis and 16 guardians, and later, the standardized nursing education protocol has been developed through the comprehensive literature review and the critical analysis of the related studies. Contents validity and applicability have been tested through the expert group survey. Results: The standardized peritoneal dialysis nursing education protocol with 9 areas and 20 items has been developed. The content validity for timing and duration, contents, method, and place of education proposed by the protocol were all above than 0.8. In terms of the applicability of the protocol, the experts scored between 4.20 to 4.93 for all items except one. The item on home visit education acquired the lowest applicability score, because there might exist potential restrictions in visiting patient's home. Conclusion: The standardized education protocol developed in this study turned out to be adequate by representing high content validity for all items and the applicability also was high except the item on home visit education. Further researches to test the effects of this education protocol should be done.

• Tuberculosis and Respiratory Diseases
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• v.58 no.6
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• pp.576-581
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• 2005

Background : Thoracic actinomycosis is a relatively uncommon anaerobic infection caused by Actinomyces israelii. There have been only a few case reports of endobronchial actinomycosis. The aim of this study was to evaluate the clinical manifestation and treatment of endobronchial actinomycosis. Material and Methods : Seven patients with endobronchial actinomycosis, who were diagnosed in the past 10 years, were retrospectively reviewed. Results : Cough and sputum were the most common symptoms. The chest radiograph and computed tomography showed necrotic consolidation (n=3), atelectasis (n=2), mass (n=1) and an endobronchial nodule (n=1). Proximal broncholithiasis was observed in five patients. All cases were initially suspected to have either lung cancer or tuberculosis. In these patients, the median duration of intravenous antibiotics was 3 days (range 0-12 days) and the median duration of oral antibiotics was 147 days (range 20-412 days). Two patients received oral antibiotic therapy only. There was no clinical evidence of a recurrence. Conclusion : Endobronchial actinomycosis frequently manifests as a proximal obstructive calcified endobronchial nodule that is associated with distal post-obstructive pneumonia. The possibility of endobronchial actinomycosis is suggested when findings of broncholithiasis are present at chest CT. The traditional recommendation of 2-6 weeks of intravenous antibiotics and 6-12 months of oral antibiotic therapy are not necessarily essential in all cases of endobronchial actinomycosis.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.35 no.6
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• pp.1269-1276
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• 2015

The methodology of utilizing Intensity-Duration-flood Quantity (IDQ) curve for flood alert and warning was introduced and its performance was evaluated. For this purpose the lumped parameter model was calibrated and validated for gauged basin data set and the index precipitation equivalent to alert and warning flood was estimated. The index precipitation and IDQ curves associated by three different Antecedant Moisture Conditions (AMCs) are made provision for various possible flood scenarios. The test basin is Wonju-cheon basin ($94.4km^2$) located in Gangwon province, Korea. The IDQ curves corresponding to alert (50% of design flood level) and warning (70% of design flood level) level was estimated using the Clark unit hydrograph based lumped parameter model. The performance evaluation showed 0.704 of POD (Probability of Detection), 0.136 of FAR (False Alarm Ratio), and 0.633 of CSI (Critical Success Index), which is improved from the result of IDQ with single fixed AMC.

• Journal of the Korean Society of Tobacco Science
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• v.20 no.2
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• pp.166-171
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• 1998

In order to improve the efficiency of F$_1$ hybrid seeds production(KF 114), some experiments were carried out in a greenhouse this year. Mother plant(MSNC567) and pollen plant(NC) were grown in some pots (30 x 30cm, WxH). The gathered pollens were mixed with celite, pollen deluent dusts and stored in refrigerator at l$0^{\circ}C$ before pollination. To establish the critical range of the mixed rate and the storage period of pollens, the change in a percent of capsule set, number of seed and seed weight per capsule, weight of 1000 seeds and germination percent of seed resulted of pollination with pollen deluent dusts were investigated. The results are as follows; Percent of capsule set showed the mixed rate 1:5 resulted in no difference and those of 1:10 and 1:20 decreased about 5 ～15% when compared with trials using pollen alone. There was no difference among duration of storage in a same mixed rate. Numbers of seed per capsule showed a significant difference among the mixed rates and among durations of storage. Numbers of seed per capsule were decreased about 55 ～ 90 % as the mixed rate increase, about 2 ～ 28 % as the duration of storage increase. Weight of seed per capsule decreased about 16 ～ 23 % as the duration increase and decreased about 3 ～ 89 % as the mixed rate increase when compared with trials using pollen alone. Weight of 1000 seeds showed non significant difference among duration of storage but were higher than trials used pollen alone as the mixed rate increase.

• Journal of Pharmacopuncture
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• v.23 no.1
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• pp.25-29
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• 2020

Objectives: Heavy menstrual bleeding has a significant effect on women's daily life and health consequences for theirs. Attention to women's and girls' menstrual health is critical for their health. This study presents the results of a novel research on the effect of chamomile capsule on the amount of bleeding, and the duration and interval of menstrual cycles. Methods: The current study was a randomized, double-blind, clinical trial, which was carried out on 118 female students living in dorms of Guilan University of Medical Sciences. The participants were divided into two groups of 59, each receiving either chamomile capsule 250 mg or placebo three times a day, for an interval beginning from 7 days before the starting menstruation till the next onset. Higham chart is the pictorial blood loss assessment to determine the amount and duration of menstrual bleeding. Data were analyzed using SPSS version 20. Alpha was set at 0.05 for all analyses. Results: The average amount of bleeding in the chamomile group decreased after taking the capsule (p = 0.001). However, statistical tests did not show any significant difference in terms of duration and interval between two bleeding in both the experimental and control groups (p > 0.05). Conclusion: The present study showed that the chamomile capsule decreases the amount of menstrual bleeding and can be used as a therapeutic method. Conclusion:The present study showed that the chamomile capsule decreases the amount of menstrual bleeding and can be used as a therapeutic method.

• Journal of The Korean Society of Agricultural Engineers
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• v.60 no.5
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• pp.17-27
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• 2018

The objective of this study is to identify the priority area where the nonpoint source pollution (NPS) management is required and to set up the load reduction goals for the identified priority area. In this study, the load duration curve (LDC) was first developed using the flow and water quality data observed at 286 monitoring stations. Based on the developed LDC, the priority area for the NPS pollution management was determined using a three-step method. The 24 watersheds were finally identified as the priority areas for the NPS pollution management. The water quality parameters of concern in the priority areas were the total phosphorus or chemical oxygen demand. The load reduction goals, which were calculated as the percent reduction from current loading levels needed to meet target water quality, ranged from 67.9% to 97.2% during high flows and from 40.3% to 69.5% during moist conditions, respectively. The results from this study will help to identify critical watersheds for NPS program planning purposes. In addition, the process used in this study can be effectively applied to identify the pollutant of concern as well as the load reduction target.

• Tuberculosis and Respiratory Diseases
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• v.84 no.3
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• pp.217-225
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• 2021

Background: Despite the proven benefits of dexamethasone in hospitalized coronavirus disease 2019 (COVID-19) patients, the optimum time for the administration of dexamethasone is unknown. We investigated the progression of COVID-19 pneumonia based on the timing of dexamethasone administration. Methods: A single-center, retrospective cohort study based on medical record reviews was conducted between June 10 and September 21, 2020. We compared the risk of severe COVID-19, defined as the use of a high-flow nasal cannula or a mechanical ventilator, between groups that received dexamethasone either within 24 hours of hypoxemia (early dexamethasone group) or 24 hours after hypoxemia (late dexamethasone group). Hypoxemia was defined as room-air SpO₂ <90%. Results: Among 59 patients treated with dexamethasone for COVID-19 pneumonia, 30 were in the early dexamethasone group and 29 were in the late dexamethasone group. There was no significant difference in baseline characteristics, the time interval from symptom onset to diagnosis or hospitalization, or the use of antiviral or antibacterial agents between the two groups. The early dexamethasone group showed a significantly lower rate of severe COVID-19 compared to the control group (75.9% vs. 40.0%, p=0.012). Further, the early dexamethasone group showed a significantly shorter total duration of oxygen supplementation (10.45 days vs. 21.61 days, p=0.003) and length of stay in the hospital (19.76 days vs. 27.21 days, p=0.013). However, extracorporeal membrane oxygenation and in-hospital mortality rates were not significantly different between the two groups. Conclusion: Early administration of dexamethasone may prevent the progression of COVID-19 to a severe disease, without increased mortality.

• Acute and Critical Care
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• v.33 no.4
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• pp.238-245
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• 2018

Background: Infection by multidrug-resistant (MDR) pathogens leads to poor patient outcomes in intensive care units (ICUs). Contact precautions are necessary to reduce the transmission of MDR pathogens. However, the importance of the surrounding environment is not well known. We studied the effects of ICU relocation on MDR respiratory pathogen detection rates and patient outcomes. Methods: Patients admitted to the ICU before and after the relocation were retrospectively analyzed. Baseline patient characteristics, types of respiratory pathogens detected, antibiotics used, and patient outcomes were measured. Results: A total of 463 adult patients admitted to the ICU, 4 months before and after the relocation, were included. Of them, 234 were admitted to the ICU before the relocation and 229 afterward. Baseline characteristics, including age, sex, and underlying comorbidities, did not differ between the two groups. After the relocation, the incidence rate of MDR respiratory pathogen detection decreased from 90.0 to 68.8 cases per 1,000 patient-days, but that difference was statistically insignificant. The use of colistin was significantly reduced from 53.5 days (95% confidence interval [CI], 20.3 to 86.7 days) to 18.7 days (95% CI, 5.6 to 31.7 days). Furthermore, the duration of hospital stay was significantly reduced from a median of 29 days (interquartile range [IQR], 14 to 50 days) to 21 days (IQR, 11 to 39 days). Conclusions: Incidence rates of MDR respiratory pathogen detection were not significantly different before and after ICU relocation. However, ICU relocation could be helpful in reducing the use of antibiotics against MDR pathogens and improving patient outcomes.

• Journal of the Korea Institute of Building Construction
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• v.4 no.3
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• pp.109-116
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• 2004

Normally easy task of plat in urban architecture is that using underground full of activities for increase building site efficiency. Especially for using underground space for the parking lot. Also utilize underground is more increase for fulfill requirement in modern society considered with environmental friendly architecture. The primary objective of this study is to apply analyzed formal foundation type for selecting the optimum type of parking lots considered with structural stability, economical efficiency, construction efficiency, construction duration. This study aim to on criteria decided through the questionaries for the selection considered with in the scale of second stories parking lots underground, parking volume is 80 and reinforced concrete structure. The bearing capacity is 6～8m and downward from surface, healthy ground bearing capacity is 40 t/m2. This study comparative analysis and discuss economical efficiency, construction efficiency, construction duration based constructivist stability which applied Single foundation, Mat foundation, Drop Mat foundation. The result of this study is as follows: First, the result of economical efficiency is that on the basis of single foundation, Drop Mat foundation is 1.88, Mat foundation 2.04 as a comparative analysis on the basis of total construction cost included material cost, labor coast and machinery cost. Second, the result of construction efficiency order is single foundation, Drop Mat foundation, Mat foundation as a comparative analysis on the based connected characteristics. Third, the result of construction duration is that on the basis of Mat Foundation, Drop Mat foundation is 1.33, single foundation is 1.87 as a comparative analysis Critical Path. Forth, Each foundational type characteristics order through the matrix method is that overall each formal type of foundation contraries at economical efficiency and construction efficiency, construction duration. Also expect contradiction between engineers and owners due to engineer pursuit construction duration and ewer to begin with economical efficiency. Fifth, The selection of suitable foundation formal type needs that based consider project characteristic and field condition as according to above result of a comparative analysis. As a result, a comparative analysis economical efficiency, construction efficiency, construction duration of Mat foundation, Drop Mat foundation, single foundation with 3Bay reinforced structure underground parking lots on the healthy ground.

• Archives of Plastic Surgery
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• v.43 no.6
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• pp.544-550
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• 2016

Background Although the use of temporary shunts in proximal extremity amputations has been reported, no study has described the use of temporary shunts in distal extremity amputations that require vein grafting. Moreover, the total volume of blood loss when temporary shunts are used has not been reported. The aim of this study was to investigate the applicability of a temporary shunt for distal extremity amputations requiring repair by vessel grafting with an ischemia time of >6 hours. This study also aimed to determine the total volume of blood loss when temporary shunts were used. Methods Patients who underwent distal major extremity replantation and/or revascularization with a vessel graft and who experienced ischemia for 6-8 hours between 2013 and 2014 were included in the study. A 6-Fr suction catheter was cut to 5 cm in length after the infusion of heparin, and secured with a 5-0 silk suture between the distal and the proximal ends of the artery. While bleeding continued, the bones were shortened and fixed. After the complete restoration of circulation, the arterial shunt created using the catheter was also repaired with a vein graft. Results Six patients were included in this study. The mean duration of ischemia was 7.25 hours. The mean duration of suction catheter use during limb revascularization was 7 minutes. The mean transfusion volume was 7.5 units. No losses of the extremity were observed. Conclusions This procedure should be considered in distal extremity amputations requiring repair by vessel grafting during critical ischemia.