• Child Health Nursing Research
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• v.30 no.2
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• pp.142-153
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• 2024

Purpose: This study aimed to describe the process of developing a validated pediatric nursing simulation scenario template using the real-time Delphi method. Methods: A panel of 13 pediatric nursing experts participated in a real-time Delphi survey conducted over two rounds. Initially, 83 items were included in the questionnaire focusing on the structure and content of the simulation scenario template. Data analysis involved calculating the content validity ratio (CVR) and the coefficient of variation to assess item validity and stability. Results: Through iterative rounds of the Delphi survey, a consensus was reached among the experts, resulting in the development of a pediatric nursing simulation scenario template comprising 41 items across nine parts. The CVR values ranged from 0.85 to 1.0, indicating a high consensus among experts regarding the inclusion of all items in the template. Conclusion: This study presents a novel approach for developing a pediatric nursing simulation scenario template using real-time Delphi methods. The real-time Delphi method facilitated the development of a comprehensive and scientifically grounded pediatric nursing simulation scenario template. Our template aligns with the International Nursing Association for Clinical Simulation and Learning standards, and provides valuable guidance for educators in designing effective simulation scenarios, contributing to enhanced learning outcomes and better preparation for pediatric clinical practice. However, consideration of cultural and contextual adaptations is necessary, and further research should explore alternative consensus criteria.

• Asia pacific journal of information systems
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• v.31 no.1
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• pp.76-101
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• 2021

Digitalization and digital transformations have metamorphized the face of Financial Inclusion globally, more so, in cash obsessed economies like India. The purpose of our study is to empirically analyze the users' intention to adopt digital payment systems, post Demonetisation, during the COVID-19 pandemic in India. The conceptual framework for the study is based on the Unified Theory of Acceptance and Use of Technology (UTAUT) adoption model with added operationalized constructs of Perceived Risk and Stickiness to use Cash. A total of 326 respondents were surveyed using a pre-tested questionnaire during the Nationwide Lockdown 3.0 in India. These responses were analyzed using Partial Least Squares - Structural Equation Modelling (PLS-SEM) technique. The findings of the study revealed that performance expectancy and facilitating conditions directly influence the intention of individuals to use digital payment systems, whereas the effect of perceived ease of use on digital payment systems is mediated through the attitude towards the digital payment systems during COVID-19 pandemic situation. Implications of the proposed adoption model are discussed. This will enable the other developing economies to formulate a digital ecosystem, that is here to stay even after the pandemic.

• Applied Chemistry for Engineering
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• v.7 no.1
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• pp.75-82
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• 1996

Acrylic acid was graft-copolymerized on polyethylene film in the presence of additives such as acid and $FeSO_4(NH_4)_2SO_4{\cdot}6H_2O$ using peroxide grafting technique by ${\gamma}$-ray and electron beam, and the effect of $FeSO_4(NH_4)_2SO_4{\cdot}6H_2O$ and acid on the grafting yield was evaluated. The grafting mechanism and the physical property of grafted films were also examined. The results showed that the inclusion of $FeSO_4(NH_4)_2SO_4{\cdot}6H_2O$ in acidified acrylic acid grafting solution was extremely beneficial and led to a most unusual enhancement effect in the radiation grafting. In the other hand, inclusion of mineral acid in the grafting solution in the absence of $FeSO_4(NH_4)_2SO_4{\cdot}6H_2O$ could not lead to he suitable grafting reaction by the severe homopolymerization of acrylic acid. The addition of $H_2SO_4$, and HCl led to much higher grafting yield than $HNO_3$and $CH_3COOH$. It was shown that grafting yield of ${\gamma}$-ray irradiated-polyethylene was higher than that of electron beam irradiated polyethylene.

• 보존과학연구
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• s.27
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• pp.5-22
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• 2006

Mireuksa is a temple that was established in the Baekjea Period and continued around to the 16thcentury. The sites of the temple throughout diverse periods such as the United Shilla Period, KoryuPeriod, and Chosun Period including the one of the early temple in the late Baekjea Period were discovered. In those temple sites, there were lots of diverse artifacts discovered including artifacts in the Bronze Age. In this study, the compositions of four bronze bells excavated from Mireuksa site in Iksan were analyzed and the manufacturing technique of bronze bells was studied through the observation of microstructure. Also, the analytical cases of ancient bronze bells were collected and compared. Furthermore, the provenance study of the bronze bells site was attempted with the Pbisotope ratio. The results aim to offer crucial keys for discovering the aspect of society as well as information about the origin, development, and the route of propagation of ancient technologies. Bronze bell No. 1 showed an unexpected composition as Cu was found 98.5% in it. There were shown twins which were created by annealing and an even phase in the fine grains. It was also shown that bronze bell No. 2 and 4 had a high content of Pb although they showed a similar composition with general bronze bells in terms of Sn content. As shown in the analysis characteristics table of Korean bronze bell of this study, the ancient bronze bell used Pb of which content was limited to 2.12% in general, however, the results showed 15.5% and 13.2% respectively, which is an excessive amount. Asa result of analyzing inclusion in the microstructure of bronze bell No. 2, it was found that sulfide group mineral was used since there appeared S(14.55%). Also, it was proven that $CuFeS_2$ or$Cu_5FeS_4$ was used as a raw material because there was a small amount of Fe. As a result of analyzing inclusion of bronze bell No. 4, the bronze bell sample contained S(13.43%) and it is thought that sulfide group mineral was used, however, it had no Fe. Therefore, it is not connected to $CuFeS_2$ which is the main mineral of Korea. In addition, a strain line was shown with processing in bronze bell No. 2 and 4. As a result of provenance study of bronze bell No. 2 and 4 using the Pb isotope ratio, they or their raw materials are estimated to come from the southern China. Bronze bell No. 3 showed only Cu and Sn, and it is featured with a relatively low amount of Sn(6.63%). The microstructure has only phase, andintergranular corrosion was highly in progress.

• Analytical Science and Technology
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• v.13 no.4
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• pp.403-411
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• 2000

This study described a method of thermoluminescence dating of pottery shards using subtraction method. TL measurement was achieved using two different types of samples prepared by quartz inclusion method and fine-grain technique. Fine grains (size range: $5-10{\mu}m$) were separated by suspending grounded pottery samples into acetone solution and sedimentation quantitatively. In quartz inclusion method quartz grains in the size range of 90 to $125{\mu}m$ diameter were obtained by extracting the quartz crystals embed in the pottery shards and etching them with 1.0 M HF solutions. The archaeological dose of both the quartz and fine grains was determined from the dose calibration curves obtained from sequential irradiation of $^{137}Cs$ gamma and $^{241}Am$ alpha source to the samples and TL measurement of natural samples, in which the alpha dose of 4.60 Gy for the Packjae pottery was obtained using subtraction method. Annual alpha dose rates ($3.05{\pm}0.11$ mGy/yr.) were determined by the analysis of U, Th contents in the pottery shards and evaluation of the values with Bell's equation. Dividing the alpha dose accumulated in the pottery shards by the annual alpha dose rate, we found age of approximately $1508{\pm}80$ years B.P. (AD. ca. 492 yr.) for the Packjae pottery. It matches well with the archeological age estimate (middle of 5th century) within 10 percent uncertainty and thereby conforms the age of the pottery sample.

• Journal of Chest Surgery
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• v.38 no.1 s.246
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• pp.23-28
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• 2005

Ross procedure is ideal aortic valve replacement method with several merits of hemodynamic superiority and durability without the need of anticoagulation. Based upon this presumption, we studied its procedure performed in our hospital and tried to get the mid-term results Material and Method: From Jan 1999 to Oct 2001, 22 patients underwent the Ross procedure. The mean age of experimented (including 17 men and 5 women) was $30.9{\pm}8.1(17\~44)$. The diagnosis before the surgery had shown 20 as accompanied with AR and the rest 2 as with ASR. The follow-up period ranged from 0.6 to 40.6 months, mean of $38.9{\pm}1.6\;months,\;and\;follow-up\;rate\;was\;100{\%}$. Result. There was no operative death and two late deaths, one of whom was cardiac originated and the other, non-cardiac relate The survival rate was $94.1{\pm}5.7{\%}$(40.6 months). Postoperatively there were 2 exploration for bleeding, 3 low cardiac output patients. The pulmonary autograft technique was root replacement in 14 and inclusion technique in 8. Pulmonary homografts were used at the pulmonary position in all cases. There was no patient with significant aortic regurgitation. Conclusion: These showed that the mortality and morbidity of the Ross procedure were acceptable and postoperative AR was not significant. However, further long-term follow-up will be necessary for the improvement of the function of pulmonary autograft and homograft.

• Archives of Craniofacial Surgery
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• v.16 no.3
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• pp.119-124
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• 2015

Background: The Kirschner wire (K-wire) technique allows stable fixation of bone fragments without periosteal dissection, which often lead to bone segment scattering and loss. The authors used the K-wire fixation to simplify the treatment of laborious comminuted zygomatic bone fracture and report outcomes following the operation. Methods: A single-institution retrospective review was performed for all patients with comminuted zygomatic bone fractures between January 2010 and December 2013. In each patient, the zygoma was reduced and fixed with K-wire, which was drilled from the cheek bone and into the contralateral nasal cavity. For severely displaced fractures, the zygomaticofrontal suture was first fixated with a microplate and the K-wire was used to increase the stability of fixation. Each wire was removed approximately 4 weeks after surgery. Surgical outcomes were evaluated for malar eminence, cheek symmetry, K-wire site scar, and complications (based on a 4-point scale from 0 to 3, where 0 point is 'poor' and 3 points is 'excellent'). Results: The review identified 25 patients meeting inclusion criteria (21 men and 4 women). The mean age was 52 years (range, 15-73 years). The mean follow up duration was 6.2 months. The mean operation time was 21 minutes for K-wire alone (n=7) and 52 minutes for K-wire and plate fixation (n=18). Patients who had received K-wire only fixation had severe underlying diseases or accompanying injuries. The mean postoperative evaluation scores were 2.8 for malar contour and 2.7 for K-wire site scars. The mean patient satisfaction was 2.7. There was one case of inflammation due to the K-wire. Conclusion: The use of K-wire technique was associated with high patient satisfaction in our review. K-wire fixation technique is useful in patient who require reduction of zygomatic bone fractures in a short operating time.

• Journal of Korean society of Dental Hygiene
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• v.9 no.2
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• pp.111-124
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• 2009

This study analyzes through the review of literature and laws the exposure time, clinical frequency, and radiation exposure of intraoral and extraoral radiography as well as of panoramic radiography performed by dental hygienists in dental clinics, compares the dental radiology curriculums of radiological science and dental hygiene departments, and proposes the expansion of dental hygienists' radiography operations. The radiology curriculums were compared between the radiological science and dental hygiene departments of colleges. For new analysis by radiography for dental diagnosis, the exposure time, radiation absorbed dose, effective dose, and number of days of natural radiation were compared by the type of oral radiation films and radiographical techniques proposed by domestic and international studies. The exposure time of panoramic radiography is 15 seconds and it takes about two minutes for completion, whereas the exposure time of the standard radiography is 0.2~0.8 seconds and it takes 10 times longer for completion of the radiography of full mouth than the panoramic radiography. The standard radiography can cause distortions of radiation at severely curved parts of dental arch and palatopharyngeal reflex. However, panoramic radiography can be performed even for lock jaw patients, causes less inconvenience to patients and is much simpler than the standard radiography. The percentage of dental clinics where radiography is performed by dental hygienists was 92.0%, and the percentage of standard film radiography by dental hygienists was 98% whereas the percentage of panoramic radiography by dental hygienists was 92%. For the absorbed dose which is an indicator of radiation exposure, the When the effective dose which is an indicator of the danger of radiation exposure was converted to the number of days of natural radiation, it was 3.3 days for panoramic radiography, but 13.9 days for the full mouth standard radiography by bisecting angle technique which was 4.2 times longer than the panoramic radiography. There were two colleges that had a dental radiology course with two credits in the departments of radiological science. The credits for dental radiology courses in the department of dental hygiene ranged varied by college, ranging from 3 to 8; on average, the theory course was 2.2 credits and the practice course was 2.02 credits. To summarize the above results, the percentage of dental clinics where panoramic radiography is performed by dental hygienists under the guidance of dentists is high. Panoramic radiography has become an essential facility for dental clinics. It is faster than standard film radiography and less dangerous due to low radiation exposure. Panoramic radiography is a simple mechanical job that does not require training of oral radiography by radiotechnologist. Because panoramic radiography is one of major operations which must be performed at all times in dental clinics, it must be designated as intraoral technique rather than extraoral technique, or legalized for inclusion in the scope of operations of dental hygienists.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.14 no.2
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• pp.317-324
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• 1994

The circulation of Lake Paldang is analysed numerically as an ultimate goal to develop a vehicle predicting the dispersion and concentration of pollutants and sediment flowed into the lake. In finite difference formulation of 2-D depth averaged governing equations. Abbott's 3-time level scheme is employed and for nonlinear terms time centering iteration technique in time and space is used. Model parameters for shear stresses and eddy diffusivities are determined through measured data in and near the lake. Predicted velocities for steady flow are shown to be close to the measured velocities and further improved by taking into account of wind effect. This indicates that the wind effect is needed for proper circulation analysis and it calls for the inclusion of the wind effect. Simulated results of unsteady flow caused by flood inflows and release through Paldang dam are found to characterize the flow features quite well as expected. This implies that the developed model can be used as a tool to analysing the circulation in the lake.

• Archives of Plastic Surgery
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• v.46 no.6
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• pp.572-579
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• 2019

Background Even with satisfactory anastomosis technique and adequate experience of the surgeon, flap loss due to thrombosis can still occur due to the patient's underlying condition. Patients with hypercoagulability due to etiologies such as malignancy, hereditary conditions, and acquired thrombophilia are among those who could benefit from free flap procedures. This review aimed to evaluate the risk of free flap thrombosis in patients with hypercoagulability and to identify the most effective thromboprophylaxis regimen. Methods This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline. The PubMed, Embase, and Cochrane Library databases were explored. Types of free flaps, types of hypercoagulable states, thrombosis prevention protocols, thrombosis complication rates, and flap vitality outcomes were reviewed. Samples from the included studies were pooled to calculate the relative risk of free flap thrombosis complications in patients with hypercoagulability compared to those without hypercoagulability. Results In total, 885 articles underwent title, abstract, and full-text screening. Six articles met the inclusion criteria. The etiologies of hypercoagulability varied. The overall incidence of thrombosis and flap loss in hypercoagulable patients was 13% and 10.3%, respectively. The thrombosis risk was two times higher in hypercoagulable patients (P=0.074) than in controls. Thromboprophylaxis regimens were variable. Heparin was the most commonly used regimen. Conclusions Hypercoagulability did not significantly increase the risk of free flap thrombosis. The most effective thromboprophylaxis regimen could not be determined due to variation in the regimens. Further well-designed studies should be conducted to confirm this finding.