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Development of the Clinical Pathway for the Allogeneic Bone Marrow Transplantation Donor Nursing (동종골수이식 공여자 간호를 위한 표준임상지침서 개발)

  • Seol, Mi-Ee
    • Asian Oncology Nursing
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    • v.4 no.2
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    • pp.110-123
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    • 2004
  • The purpose of this study was to develop a clinical pathway for the allogeneic bone marrow transplantation donor. For this study, a conceptual framework was developed through a review of the literature including six steps which are using in Jones Hopkins Hospital. USA. The researcher reviewed 129 medical re-cords of donor who had bone marrow donation between January 2002 to January 2004, to identify the overall service contents required by these patients and to make a preliminary clinical pathway. A content validity test was done for the preliminary clinical pathway, a professional group screened 51 medical re-cords and adopted with 3 hospitalization days as the clinical pathway framework. In the fifth step, clinical pathway test was also done to 7 donors from April 28th to July, 2004. After these processes the final clinical pathway was developed. The results of this study are as follows: 1. The vertical axis of the clinical pathway Includes the following 9 items: vital signs, nursing assessment, activity, diet, intervention, medication, test, consultation and patient teaching. The duration of the horizontal axis was 3days from admission to discharge 2. Analysis of the 129 medical records indicated that the average length of stay was 3 4 days. The medical performance according to the vertical axis in the preliminary clinical pathway consisted of 51 items After clinical validity test, it steel consisted of 51 items in the final form. 3. Clinical Validity test was done to 7 bone marrow donors. During these process, The first patient was deleted because he was out of the criteria the investigate set and 6 patients were used, finally The result of this study indicated all of 7 donors were discharged on expected day. 4. Clinical pathway enables to improve the quality of care, multidisciplinary team work It also helps nursing bone marrow donor, effective education to donor or medical member. The results of this study suggest that clinical pathway may be able to improve the quality of nursing care for bone marrow transplantation donors.

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Analysis and monitoring on jacking construction of continuous box girder bridge

  • Li, Fangyuan;Wu, Peifeng;Yan, Xinfei
    • Computers and Concrete
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    • v.16 no.1
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    • pp.49-65
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    • 2015
  • It is hard to guarantee the strict synchronization of all the jacking-up points in the integral jacking of a large-span continuous box girder bridge. This paper took the Hengliaojing Bridge as background, which need jacking up as an object with 295m length and more than 10,000tons weight, adopted 3D software to calculate the unsynchronized jacking-up working conditions, and studied the relationships between the unsynchronized vertical difference and the girder's deformation behaviour. The aim is to verify the maximum value of the unsynchronized vertical difference, and guide the construction and ensure safety. The monitoring system with its contents is introduced corresponding to the analysis. The results of the deck relative elevations prove that it is difficult to avoid the deck torsional deformation for jacking different; especially the side span shows more deformations for its smaller stiffness. The maximum difference is smaller than the limited value with acceptable stresses in the sections. The jacking heights of the pier in each construction step are controlled regularly according to the design. The shifting of the whole bridge in longitudinal direction is smaller than in transverse direction. The several beginning steps are the key to adjust their support reactions. This study is one parts of the fundamental research for the code "Technical specification for bridge jacking-up and reposition of China". The whole synchronous jacking project of the main bridge set a world record by the World Record Association for the whole bridge jacking project with the longest span of the world.

Effects of Different Dietary Levels of Mannanoligosaccharide on Growth Performance and Gut Development of Broiler Chickens

  • Yang, Y.;Iji, P.A.;Choct, M.
    • Asian-Australasian Journal of Animal Sciences
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    • v.20 no.7
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    • pp.1084-1091
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    • 2007
  • Different levels of dietary mannanoligosaccharide (Bio-MOS, Alltech Inc.) were evaluated for their efficacy on performance and gut development of broiler chickens during a 6-week experimental period. Experimental diets contained (g MOS/kg diet) a low (0.5 g during the entire period), medium (1 g during the entire period), high (2 g during the entire period), or step down (2 g in the first week; 1 g in the second and third week; 0.5 g in the last three weeks) level of MOS. Control diets included a negative and a positive control (zinc bacitracin, ZnB, 50 ppm and 30 ppm in the first and last three weeks, respectively). MOS supplementation improved the growth performance of young birds and the effects became less when the birds got older. The growth response of birds was more obvious at the high dosage level of MOS treatment than the other MOS treatments and the growth performance of birds fed on the high MOS diet was comparable to that of birds fed on the ZnB diet. Depending on the dosage level and the age of birds, MOS seemed to reduce the size of the liver and the relative length of the small intestine but did not affect the relative weight of the other visceral organs (proventriculus, gizzard, pancreas, bursa and spleen) and that of the small intestine. A numerical increase in the small intestine digestibility of nutrients was noticed in the young birds fed on the MOS diet(s), but not in the older ones. Medium and/or high MOS treatment also increased the villus height of the small intestine of birds at different ages. Similar results were observed on the ZnB treatment. However, MOS and ZnB affected caecal VFA profile in different ways. MOS increased, or tended to increase, whereas ZnB reduced individual VFA concentrations in the caeca.

Clipping of the Anterior Communicating Artery Aneurysm without Sylvian Fissure Dissection

  • Yun, Ji-Kwang;Kang, Sung-Don;Kim, Joon-Moon
    • Journal of Korean Neurosurgical Society
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    • v.42 no.5
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    • pp.388-391
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    • 2007
  • Objective : The focus of aneurysm surgery is eliminating unnecessary operative manipulations and preparing the surgeon for any crises that might arise. With this concept in mind, we have tried resection of the gyrus rectus without routine sylvian fissure dissection in selected patients with anterior communicating artery (ACom) aneurysms, and compared these results with those from the conventional transsylvian approach. Methods : This retrospective study included 231 surgically treated patients with ACom aneurysms from March, 1997 to May, 2005. The patients were divided into two groups : Group A (96 with sylvian fissure dissection, March, 1997-December, 2000) and Group B (135 without sylvian fissure dissection, January, 2001-May, 2005). Overall surgical outcomes were compared, and operative times have been prospectively recorded since January, 04 to evaluate how this maneuver affected the length of surgical procedures. Results : All aneurysms were satisfactorily clipped, and there was no evidence of increased number of procedure-related retraction injuries in group B. Overall outcome was good in 186 (80.5%); 76 (79.2%) in group A, and 110 (815%) in group B ($x^2$ test, p=0.79). In good clinical grade of group A, good outcome was observed in 60 patients (89.6%) and in group B, 97 patients (94.2%) (Fisher's exact test, p=0.38) (Fig. 2). Conclusion : In this study, eliminating the step of sylvian fissure dissection by gentle lateral basal-frontal retraction to the side of the sylvian fissure did not increase morbidity and mortality. However, we do not intend to modify the standard approach to the ACom aneurysm that is familiar to and has been mastered by many others. Rather, we report our experience on the basis of our anatomic understanding of the technique and its results.

Improvements in Balance of Patients with Hemiplegia A Literature Review (편마비환자의 균형기능 향상에 관한 문헌적 고찰)

  • Kang, Kwon-Young;Song, Byung-Ho
    • Journal of Korean Physical Therapy Science
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    • v.15 no.2
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    • pp.87-95
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    • 2008
  • Background: Hemiplegic patients usually have difficulty maintaining balance. Balance training is a major component of there habilitation program for patients with neurological impairment. The purpose of this study was to investigate the effects of PLS(Posterior Leaf Spring), FES(Functional Electrical stimulation), treadmill training, and neurodevelopmental treatment on the improvement of balance in patients with hemiplegia. Methods: We looked into published studies from Dankook University’s electronic library databases of RISS4U, KMbase, NCBI, and MEDLIS concerning the effectiveness of any form of intervention leading to improvement of balance. All types of studies relevant to the topic that were published in English during the time period of 1986 to 2005 were included. Results: 1. There were significant differences in standing balance, dynamic activity balance, and gait speed between barefoot subjects and subjects who wore SPAFO and HPAFO(p<.05). 2. The changes in ROM and FRT related to sex, age, height, and weight part of the diagnosis, as well as experience relapse, was of meaningless value. Changes in ROM related to the duration of pain and experiences of falling down were also meaningless. However, FRT showed significant static differences(p<.05). 3. The body-weight-support treadmill training scoring of standing balance, step length, and a timed 10m walking test showed definite improvement. 4. The proprioceptive control approach improved dynamic balance in patients with hemiplegia. Conclusion: Consequently, further study is needed to verify methods when physical therapists are researching balance ability in hemiplegic patient.

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A Study on the Research of Actual Condition and the Analysis for the Weir to Develope the Agricnltural Irrigation Water (around Gangwon-Do) (농업용수 개발을 위한 보의 실태조사와 그 분석 (강원도를 중심으로))

  • Choi, Ye-Hwan;Hwang, Eun
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.20 no.1
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    • pp.4614-4625
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    • 1978
  • The construction of the equipment of water utilization has been developed since the ancient Korea period, 1906 in order to develope and modernize the agriculture. As the results, 83% of total paddy field area, 1,268,949.8 ha has developed into the irrigated paddy field, and the rest of area, 17% has remained nonirrigated paddy field (due to the data of the statistics of 1975). The ratio of the irrigated paddy field area among the total weir was marked 13.14% (area, 137,926.3 ha) and the third grade of total irrigated paddy field in accordance with the facilities of water utilization. In case of Gangwon-Do, the 44.18 percentage of the total irrigated paddy field, 51,057.2ha has been and pointed out first grade. As the results, we found out the following articles : 1. The total weir, 1,641 that sumed concrete weir 647 and conventional weir 967 has been constructed and has irrigated the 44.l8% of total irrigated paddy field of Gangwon-Do. 2. These weirs have been public possession of those villages to be 96.1 percentage of total weir and was controled by them. 3. Those weirs that were constructed across tributary (first, secondary and third tributary) at vallies (elevation 100∼1,000m) have marked that 45 percentage of total number of catchment area has 100∼1,000 ha, and 70 percentage of total number of basin area has been below 10 ha and has constructed about 5 of step-shape. 4. The construction of most weirs has became generally about 50m length, about 1m height. 5. The 80 percentage of newly constructed concrete weir has aged below 10 years. It seemed that 79 percentage of conventional weir has aged over 20 years and 41% of contructed weir has needed to be improved quickly. 6. If privious weirs, 296 will constructed newly, they can irrigate 3,600.8 ha of paddy field and 45.8% of total irrigated paddy field will have been and will contribute to the production of much rice.

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The effect of treadmill gait training with patellar taping on gait abilities in chronic stroke patients

  • Shin, Jin;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • v.4 no.2
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    • pp.94-102
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    • 2015
  • Objective: The purpose of this study is to investigate the effect of treadmill gait training with patellar taping on gait abilities in chronic stroke patients. Design: Randomized controlled trial. Methods: Thirty chronic stroke patients who have been diagnosed at least six months or before were recruited in Gyeongin Rehabilitation Center Hospital, located in Incheon. Patients who were enrolled in this study were randomized to experimental group (n=15) or control group (n=15). Treadmill with patella taping training group patients were applied with patellar taping when they were being trained on a treadmill. Control group patients were being trained on a treadmill without any kind of taping. Gait parameters were measured with a GAITRite$^{(R)}$ system which evaluated gait performances. Gait trainings were done for 30 min/day, 5 days/week, for 4 weeks. Results: After treadmill training, treadmill with patella taping training group showed a significant improvement in gait abilities, including velocity, cadence, paretic and non-paretic step length, and double support period (p<0.05). However, in general treadmill group, there were no significant differences in gait parameters except velocity and cadence. There was a significant difference in gait performance in the experimental group compared with the control group, except for the gait symmetry ratio (p<0.05). Conclusions: According to this result of this study, it seems that application of patellar taping in treadmill gait training for chronic stroke patients significantly improved gait abilities of these patients. Also, we can conclude that patella taping is thought to be useful in real clinical settings where there are many chronic patients who are in need of improvement in their gait abilities.

On the Suitable Shape of Bottom for the Application of Air Cavity on Hull Bottom to the Practical Hull Form (선저부 공기공동을 이용한 실선선형의 저항성능 개선을 위한 선저형상 개량연구)

  • Seok-Cheon Go;Hyo-Chul Kim
    • Journal of the Society of Naval Architects of Korea
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    • v.36 no.3
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    • pp.1-7
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    • 1999
  • This paper describes the modification of hull bottom for the air lubrication technique to the passenger boat in service at the Chung-Ju lake, which has a large beam-draft ratio. From numerical analysis of 2-D cavity problem by potential theory, the cavity shape, length and the pressure in cavity are estimated for the simplified geometry of hull bottom, and the non-dimensional parameters affecting air cavity phenomena are investigated. Extensive resistance tests for the model ship which has variation of step height and side strip have been performed to investigate the formation of air cavity and the drag reduction effectiveness. And also, the development of attached cavity to the bottom were observed from the flat bottom made by transparent acrylic plate. From this survey on the modification of bottom shape and the air lubrication technique, the total resistance of model ship could be reduced by about 25% at the design speed compared to the proto type hull form.

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Dual-Band Class-F Power Amplifier based on dual-band transmission-lines (이중 대역 전송선로를 활용한 이중 대역 F급 전력 증폭기 개발)

  • Lee, Chang-Min;Park, Young-Cheol
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.47 no.4
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    • pp.31-37
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    • 2010
  • In this paper, highly efficient dual-band class-F power amplifiers(PAs) for cellular and WLAN bands are suggested and implemented. For the first step, single-band class-F amplifiers at 840MHz, 2.4GHz are designed using commercial E-pHEMT FETs. The performance of two single band PAs are as much as 81.2% of efficiency with the output power of 24.4dBm with 840MHz PA and 93.5% of efficiency with 22.4dBm from the 2.4GHz. For the dual-band class-F PA, the harmonic controlling circuit with ideal SPDT switch was suggested. The length of transmission line is variable by a SPDT switch. As a results, the operation in 840MHz showed the peak efficiency of 60.5% with 23.5dBm, while in 2.4GHz mode the efficiency was 50.9% with the output power of 19.62dBm. Besides, it is shown that the harmonic controller of class-F above 2Ghz could be implemented on the low cost FR-4 substrate.

A Study on the Dynamic Response of Highway Bridges by 4-Axles Single Truck (4축 단일차량에 의한 도로교의 동적응답에 관한 연구)

  • Chung, Tae-Ju
    • Journal of Korean Society of Steel Construction
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    • v.23 no.3
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    • pp.397-404
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    • 2011
  • In this paper, a research for the dynamic wheel loads of a 3D vehicle model, which relates to a tire-enveloping model, is carried out. A single truck with four axles is modeled as a 10-D.O.F. vehicle by modeling both contact length of tires and pitching of tandem spring axles. The dynamic equations of the vehicle are obtained using the Lagrange's equation, the solution of the equations is calculated by Newmark-${\beta}$ method. The validity of the developed 3D vehicle model is demonstrated by comparing results obtained from the proposed method with those from experimental data. The maximum impact factors of tire force are evaluated according to the various step bumps on which a 24-ton dump truck is running.