• 중환자간호학회지
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• 제5권2호
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• pp.37-48
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• 2012

Purpose: The purpose of the study was to evaluate how advanced practice nurses (APNs) recognized their work by analyzing nursing outcomes. The ultimate goal was to examine the utility of APNs by connecting their work to the outcomes. Methods: Cross-sectional survey was conducted to collect the data from 59 APNs in a tertiary hospital lovated in Seoul, Korea. The questionnaire with 84 outcome indicators for advanced practice nurses was used. Descriptive statistics were used to analyze the data. Results: Among 84 outcome indicators, 11 indicators were associated with the work of APNs. Majority of these findings were included in the categories of clinical results and satisfaction. Items identified to be associated with the work of APNs were different among oncology nursing area, surgical speciality area, emergency care area, and critical care area. Conclusion: The results of the study indicated that the works of APNs were relevant to education/counseling/training and interpersonal relationship with other health professionals. The results of the study could be helpful to delineate the work characteristics of APNs and increase the utility of APNs in Korea where roles of APNs are not yet clearly delineated in most clinical settings.

• 한국대기환경학회지
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• 제12권2호
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• pp.167-177
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• 1996

To investigate the source-receptor relationships aerosol model has been used to simulate the distribution behavior of the yellow sand. Data for meteorological fields were obtained by Meso-scale Analysis and Prediction Model System/Seoul National University (MAPMS/SNU) for five days (10-14 April 1988). To obtain the distributions of concentration of yellow sand,the aerosol model has been modified to allow quantifications of relative concentration distributions of yellow sand. Source regions of yellow sand were delineated by soil maps of China and emission rate as a function of wind stress(Westphal et al., 1987). Using 3-dimensional wind fields the backward trajectories from 3 receptor grids at the layer of .sigma. =0.95, 0.9, 0.85, 0.8 were calculated. In order to facilitate quantitative assessment of source-receptor relationships, it was assumed that the perturbations in along-trajectory and cross-trajectory proceed linearly with time, in accord with Gaussian distribution characteristics. On the basis of this assumption, the probability fields were calculated from every grid point with source strength 1. Using these probability fields and emission retes, the potential contributions of upstream sources along the trajectories were estimated. The results of this study indicate that the application of trajectory modeling is useful in investigating the quantitative relationship between source and receptor regions.

• 지역연구
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• 제15권3호
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• pp.15-31
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• 1999

This study examines the economic effects of ill-defined property rights on the resource usage with special reference to the Korean Green Belt. Property rights are considered ill-defined, when their whereabouts are not clearly delineated, they are not assigned to those who utilize them most efficiently, and they are not exercised precisely. If properly, and they are not exercised precisely. If properly rights are ill-defined, it is more likely that economic agents pursue opportunistic and illegal behaviors and even their rational behaviors tend to bring about undesirable outcomes, and social conflicts occur around the assignment of the rights. Upon the completion of a case study, we found that the ill-defined property right system of the Korean Green Belt has, in fact, resulted in several problems in resource usatge. Inefficient land use, compromising reassignment of property rights, the prevalence of illegal activities, huge management costs, and the spread of social conflicts are the problems in question. These problems can be resolved by the realignment of property rights, since they are caused by the ill-defined property right system. To resolve such problems, we need to reassign properly rights so that their delineation may be complete and those who value them highest may exercise the rights, and social justice in terms of wealth distribution may be achieved.

• 한국의료질향상학회지
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• 제5권2호
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• pp.296-310
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• 1998

Background : Performance evaluation of medical care providers has become more important than before in Korea. Especially in university hospitals, job contents of medical staffs are so complicated that evaluation is not easily performed. In addition, in order that the feedback of evaluation be successful, acceptance of staffs to be evaluated is essential. This study is aimed at the development of items for evaluation and weighting of each item in one university hospital, and clustering departments by different weight given by medical staffs. Methods : Through resource group meeting. performance items were listed up by categories of education, research, medical services, and other activities in and out of the hospital. For each item, all the medical staffs were asked how important they thought, compared with publishing one original article. By factor analysis, the items in each category were grouped into a few subgroups. In turn, cluster analysis was done for the purpose of grouping departments by priority the medical staffs gave. Results and Conclusion : Among five major categories, medical staffs regard education, research, and medical services more important than other activities in and out of the hospital. Five categories consisted of two or three components. Departments in hospital were grouped into three. However, characteristics of each group was not clearly delineated. This result suggests that more comprehensive tool should be developed and applied in the process of performance evaluation in university hospitals.

• Clinical and Experimental Pediatrics
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• 제51권4호
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• pp.339-342
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• 2008

The Korean Health Insurance (KHI) has been introduced since 1977 and it took only 12 years that KHI had accomplished the total coverage of Korean population. The remarkable success of KHI can be compared with other OECD countries which had taken some 30 years to over 100 years to establish the total coverage of the population. Life expectancy at birth and the infant mortality rate in Korea in 2005 both surpassed the average figures of the OECD countries, The main reason for the success of KHI can be delineated with the three characteristics in KHI development; low premiums, low benefits, and low fee-schedule charges. However, these three characteristics of KHI, which had been the key for the rapid development of the system, have become terrible disadvantages for the stable development of KHI. The dissatisfaction and discontent of health care providers are ever increasing. The population is reluctant to pay more premiums though it seems essential for the better care coverage. The health care system has been heavily distorted toward high technology-oriented expensive care. There should be several factors seriously tackled for the secure development of KHI in the future. This paper will review a brief history of KHI development, and I would like to make a suggestion of health insurance for children.

• 산경연구논집
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• 제7권3호
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• pp.19-25
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• 2016

Purpose - This study explores the role of construal levels in predicting online consumer behavior on a retail website. It builds on the conceptualization that simply browsing a website and making actual purchases can be an outcome of how abstractly or concretely one thinks about that experience. This study examines the differential effects of intermediary websites' attributes and seller's product offerings in predicting frequency of visits and actual purchases. Research design, data, and methodology - Data were collected from 188 undergraduate students in a large university of Korea. Hierarchical regression model was utilized to test the proposed effect of website characteristics and seller attributes on visit and purchase. Results - We propose and find that online shopping website visits and purchase frequency have different antecedents. The results reveal that website visit frequency and purchase have different predictors and this can be explained through construal level theory. Specifically, we find purchase frequency is predicted more by website image and financial benefits can be more predictive in actual purchases. Conclusions - Consumer behavior on the internet can be delineated into website visits and actual purchases. First, uplifting the image of the website itself is much more important than just making offerings cheaper. Online shopping website should try to match its features to mental representations that customers go through from just visit (abstract) to purchase (concrete).

• KIEAE Journal
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• 제16권1호
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• pp.111-120
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• 2016

Purpose: The purpose of the study was to extract the sustainable characteristics of skyscraper housing design. Method: The method of the study was literature survey and content analysis techniques, and the target cases were 8 skyscraper housing design projects awarded from eVolo Skyscraper international competition. The sustainable features for analysis were categorized into social, cultural, economical and ecological sustainability and total 26 elements. Result: As a result, important elements were extracted, and profiles of elements in the projects were delineated, out of 26 design elements: 'Aesthetics', 'Climate Change', 'Resource Using Efficiency', 'Technical Innovation', 'local Employment' were shown dominant. While 8 projects showed the whole range of 26 elements, even though the project what by now is still an important problem for skyscraper, the result gives an insight into future sustainable skyscraper housing design.

• 대한전기학회논문지
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• 제36권12호
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• pp.874-887
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• 1987

The efficiency of a synchronous motor can be substantially improved by controlling armature voltage, field excitation, and load angle on optimum values which yield minimum input power at any specified torque and speed. This improvement is particularly noticeable in the case of light loads. In addition, the control of armature input voltage improves the power factor at which the motor operates. Employed in the analysis is a new equivalent circuit model of the motor which incorporates the frequency dependent nature of the motor parameters and the effects of iron loss. The stability of synchronous motor operation is studied by applying the Nyquist stability criterion to the linearized equations which describe the behavior of the motor as the motor loads perturb about a steady-state operating point. This investigation reveals that, in some cases, the stable region of the motor is delineated from the results of a computer simulation. With a view to reducing harmonic loss and improving torque pulsation from harmonic components, a very poweful pulse amplitude modulation (PAM) method using an 16-bit microcomputer has been developed. This method has the advantages of simplicity of control algorithms and requires small memory space for storing thyristor trigger angles for a three-phase PAM inverter. The method can be used for smooth control of both modulation depth and frequency over a wide range.

• 대한수의학회지
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• 제48권3호
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• pp.317-321
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• 2008

Four 5 month old calves were died after showing respiratory distress after long-distance transportation at winter season. They were diagnosed as fibrinous lobar pneumonia caused by Mannheimia (M.) haemolytica. Grossly, lungs were attached onto the pleura by fibrin, with a rich yellowish fluid in thorax. The cut surface of the lung was showed marbled pattern of the reddish or greyish consolidation and widened interlobular septa by fibrin deposition. Histopathologically, parenchymal necrosis was delineated by a band of the degenerated inflammatory cells, and distended interlobular septa with serofibrinous exudates and vascular thrombosis with alveolar capillaries degeneration and abundant serofibrinous exudates in alveoli. M. hemolytica were isolated from all calves, and bovine viral diarrhea virus and parainfluenza type 3 virus in one calf were detected by RT-PCR. Thus, it was concluded that this case was diagnosed as pneumonic mannheimiosis suggested by complex infection with viruses after long-distance transportation and coldness.

• Radiation Oncology Journal
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• 제35권2호
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• pp.180-184
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• 2017

Patients with locally advanced lung cancer and very limited pulmonary function (forced expiratory volume in 1 second $[FEV1]{\leq}1L$) have dismal prognosis and undergo palliative treatment or best supportive care. We describe two cases of locally advanced node-positive non-small cell lung cancer (NSCLC) patients with very limited lung function treated with induction chemotherapy and moderate hypofractionated image-guided radiotherapy (Hypo-IGRT). Hypo-IGRT was delivered to a total dose of 45 Gy to the primary tumor and involved lymph nodes. Planning was based on positron emission tomography-computed tomography (PET/CT) and four-dimensional computed tomography (4D-CT). Internal target volume (ITV) was defined as the overlap of gross tumor volume delineated on 10 phases of 4D-CT. ITV to planning target volume margin was 5 mm in all directions. Both patients showed good clinical and radiological response. No relevant toxicity was documented. Hypo-IGRT is feasible treatment option in locally advanced node-positive NSCLC patients with very limited lung function ($FEV1{\leq}1L$).