• 여성건강간호학회지
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• 제27권3호
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• pp.230-242
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• 2021

Purpose: The purpose of this study was to develop a maternal nursing competency reinforcement program for nursing students and assess the program's effectiveness in Korea. Methods: The maternal nursing competency reinforcement program was developed following the ADDIE model. This study employed an explanatory sequential mixed methods design that applied a non-blinded, randomized controlled trial with nursing students (28 experimental, 33 control) followed by open-ended interviews with a subset (n=7). Data were analyzed by both qualitative and quantitative analysis methods. Results: Repeated measures analysis of variance showed that significant differences according to group and time in maternal nursing performance; assessment of and intervention in postpartum uterine involution and vaginal discharge (F=24.04, p<.001), assessment of and intervention in amniotic membrane rupture (F=36.39, p<.001), assessment of and intervention in delivery process through vaginal examination (F=32.42, p<.001), and nursing care of patients undergoing induced labor (F=48.03, p<.001). Group and time improvements were also noted for problem-solving ability (F=9.73, p<.001) and emotional intelligence (F=4.32, p=.016). There were significant differences between groups in self-directed learning ability (F=13.09, p=.001), but not over time. The three main categories derived from content analysis include "learning with a colleague by simulation promotes self-reflection and learning," "improvement in maternal nursing knowledge and performance by learning various countermeasures," and "learning of emotionally supportive care, but being insufficient." Conclusion: The maternal nursing competency reinforcement program can be effectively utilized to improve maternal nursing performance, problem-solving ability, and emotional intelligence for nursing students.

• 한국지반환경공학회 논문집
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• 제20권5호
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• pp.39-46
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• 2019

준설점토를 활용한 연약지반은 장비주행성 및 진입로의 확보를 위해 시멘트 계 고화재 및 무기질 고화재 등을 활용한 표층고화처리공법이 사용되고 있으나 환경에 유해한 물질의 용출로 인한 문제가 제기되고 있어 환경과 기능성을 모두 만족하는 표층고화처리 공법의 개발이 필요하다. 표층처리 공법으로는 조기강도와 장기적인 안정 등을 고려하여 시멘트계 고화재를 이용한 표층고화처리공법이 많이 활용되고 있으며, 지반개량 효과가 크고 경제적 효율성으로 인해 국 내외에서는 시멘트계 고화재를 이용한 표층개량에 대한 연구과 수행되어 지고 있다. 그러나 최근 환경과 기능성의 문제가 제기되어 시멘트에서 발생되는 6가크롬(Cr6+), 수은(Hg) 등의 유해물질로 인해 지반오염과 환경문제가 발생되어 다양한 친환경적인 공법의 개발이 요구되고 있는 실정이다. 따라서 이 연구에서는 자연함수비의 준설점토를 시멘트와 친토양고화재를 혼합한 혼합토를 대상으로 동일한 배합조건 및 양생조건에 따른 일축압축강도를 분석하고 이 결과를 기준으로 표층개량범위 적용 및 실내모형토조시험을 수행하여 초연약지반의 강도특성 및 지지력 특성을 검토하고자 한다.

• Nutrition Research and Practice
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• 제13권2호
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• pp.105-114
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• 2019

BACKGROUND/OBJECTIVES: Several previous studies have investigated whether regular walnut consumption positively changes heart-health-related parameters. The aim of this study was to investigate the effects of daily walnut intake on metabolic syndrome (MetS) status and other metabolic parameters among subjects with MetS. SUBJECTS/METHODS: This study was a two-arm, randomized, controlled crossover study with 16 weeks of each intervention (45 g of walnuts or iso-caloric white bread) with a 6 week washout period between interventions. Korean adults with MetS (n = 119) were randomly assigned to one of two sequences; 84 subjects completed the trial. At each clinic visit (at 0, 16, 22, and 38 weeks), MetS components, metabolic parameters including lipid profile, hemoglobin A1c (HbA1c), adiponectin, leptin, and apolipoprotein B, as well as anthropometric and bioimpedance data were obtained. RESULTS: Daily walnut consumption for 16 weeks improved MetS status, resulting in 28.6%-52.8% reversion rates for individual MetS components and 51.2% of participants with MetS at baseline reverted to a normal status after the walnut intervention. Significant improvements after walnut intake, compared to control intervention, in high-density lipoprotein cholesterol (HDL-C) (P = 0.028), fasting glucose (P = 0.013), HbA1c (P = 0.021), and adiponectin (P = 0.019) were observed after adjustment for gender, age, body mass index, and sequence using a linear mixed model. CONCLUSION: A dietary supplement of 45 g of walnuts for 16 weeks favorably changed MetS status by increasing the concentration of HDL-C and decreasing fasting glucose level. Furthermore, consuming walnuts on a daily basis changed HbA1c and circulating adiponectin levels among the subjects with MetS. This trial is registered at ClinicalTrials.gov as NCT03267901.

• 한국해양학회지:바다
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• 제23권4호
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• pp.204-217
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• 2018

본 연구에서는 이내비게이션 시스템이 장착된 연안 및 국제여객선을 활용하여 효율적으로 해양환경관측을 실시하고 관측된 해양 환경 빅데이터를 분석할 수 있는 방안을 제시하였다. 먼저, 이내비게이션 시스템과 운영 개념을 소개하고, 우리나라 연안의 해양환경모니터링 현황을 개괄한 후, 기존 관측망의 단점을 보완하고 장점을 강화할 수 있도록 이내비게이션을 활용한 해양환경모니터링 관측방법과 관측요소(기상, 물성, 유속 및 수심)를 제안하였다. 또한, 이내비게이션 시스템이 장착된 여객선에서 관측한 자료를 실시간으로 분석하는 시공간 혼합효과모형, 앙상블기법 및 무요소기법과 같은 해양빅데이터 분석 기법을 제안하였다. 본 연구는 연안 선박과 소형어선에 중점을 둔 한국형 이내비게이션 추진에 도움이 될 것으로 기대한다.

• 지역사회간호학회지
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• 제29권4호
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• pp.450-466
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• 2018

Purpose: The purpose of this study is to identify trends in research on cultural competency of nursing students and nurses in Korea and to provide suggestions for future studies. Methods: A literature search was conducted with 432 papers published between 1985 and 2016 from five electronic databases and other sources using such key words as 'cultural competency', 'cultural nursing', 'multi-cultural competency', 'nursing students', 'nurses', etc. Results: The research design of 86 nursing researches on the cultural competence of nurses and nursing students analyzed in this study was 90.7% in quantitative research, 9.3% in qualitative research, and 2.3% in mixed research. Cultural competence was the most measured concept. A total of 41 papers (47.7%) out of 86 papers were used to measure cultural competence. Ten different tools were used various instruments of cultural competency were used in 41 papers. In 11 experimental studies, new methods such as role playing, case study, four stage 3D puzzle model, newspaper reading, and writing reflection note were used other than traditional method of lecture. Conclusion: The overall findings of this study suggest that future research should include more well-designed experimental studies, qualitative studies and repeated studies to confirm the effects of findings from previous studies. Development of effective and highly diverse teaching methods is recommended to increase cultural competency. Supporting systems and funding are required to help activate research of nurses.

• 보건행정학회지
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• 제29권2호
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• pp.237-244
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• 2019

Background: Weekend admission is known for having association with increased mortality attributed by poor quality of care and severe patients. We investigated the association between hospital admission on weekends and the in-hospital mortality rates of patients with cardiovascular disease. Furthermore, we examined this association stratified by admission via emergency room or not. Methods: We analyzed claim data provided by the Health Insurance Review & Assessment in 2013. In total, 80,817 cardiovascular patients were included in this study, which treated in-hospital mortality (early and during total length of stay) as a dependent variable. A generalized linear mixed effects model was used. We conducted subgroup analyses stratified by admission via emergency room or not. Results: Patients who admitted on weekend showed higher in-hospital mortality both early (odds ratio [OR], 1.48; 95% confidence interval [CI], 1.23-1.78) and during total length of stay (OR, 1.17; 95% CI, 1.02-1.33) compared to those admitted on weekdays. Patients who were admitted to the hospital on a weekend by emergency room were more likely to experience early in-hospital mortality compared to those admitted on weekdays. Furthermore, we found that patients not admitted to the hospital through the emergency department were more likely to experience both early and total length of stay in-hospital mortality. Conclusion: Our study shows higher in-hospital mortality rates for cardiovascular patients admitted on weekends. Efforts to improve the quality of care on weekend are important to mitigate the 'weekend effect' and improve patient outcomes.

• 대한간호학회지
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• 제50권6호
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• pp.863-875
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• 2020

Purpose: This study was conducted to develop and test the effects of a program for practice application of intravenous infusion evidence based nursing practice (EBP) guidelines in small and medium-sized hospitals. Methods: A mixed method research design was used, combining non-equivalent control group pre-post test design with qualitative study analysis. The subjects consisted of 55 nurses. The practice application program was developed based on the Advancing Research and Clinical practice through close Collaboration (ARCC) model. Data were collected for analysis in the following areas: nurses' EBP organizational culture and readiness, EBP beliefs, EBP implementation, importance about intravenous infusion, and performance about intravenous infusion, with data assessed using valid and reliable instruments. Patient outcomes were collected from the hospital's medical records. Data were analyzed using t-test, χ2-test, and Shapiro-Wilk test, with qualitative content analysis used for interview data. Results: Following the intervention, nurses' EBP organizational culture and readiness, EBP beliefs, EBP implementation, and performance of intravenous infusion and perceptions of its importance showed significant improvement in the experimental group. Phlebitis rates decreased in the experimental group compared to the control group. Conclusion: This program is effective to improve nurse's perception and practice of evidence based nursing. Therefore we recommend to use this program at same levels of hospitals.

• 대한치과교정학회지
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• 제51권2호
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• pp.95-104
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• 2021

Objective: To evaluate the trueness and precision of full-arch scans acquired using five intraoral scanners and investigate the factors associated with the dimensional accuracy of the intraoral scan data. Methods: Nine adult participants (mean age, 34.3 ± 8.3 years) were recruited. Four zirconium spheres (Ø 6 mm) were bonded to the canines and the molars. Following acquisition of reference scans using an industrial-grade scanner, five intraoral scanners, namely i500, CS3600, Trios 3, iTero, and CEREC Omnicam, were used to scan the arches. Linear distances between the four reference spheres were automatically calculated, and linear mixed model analysis was performed to compare the trueness and precision of the intraoral scan data among the different scanners. Results: The absolute mean trueness and precision values for all intraoral scanners were 76.6 ± 79.3 and 56.6 ± 52.4 ㎛, respectively. The type of scanner and the measured linear distances had significant effects on the accuracy of the intraoral scan data. With regard to trueness, errors in the intermolar dimension and the distance from the canine to the contralateral molar were greater with Omnicam than with the other scanners. With regard to precision, the error in the linear distance from the canine to the molar in the same quadrant was greater with Omnicam and CS3600 than with the other scanners. Conclusions: The dimensional accuracy of intraoral scan data may differ significantly according to the type of scanner, with the amount of error in terms of trueness being clinically significant.

• 동의생리병리학회지
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• 제35권6호
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• pp.235-241
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• 2021

Sogunjung-tang (SGJT) is traditional herbal prescriptions used to treat abdominal pain. In this study, we evaluated the effect on inflammation and gastritis through SGJT formulation development. SGJT composition herbal medicine was boiled in water at 95~100℃ for 3 hours and then concentrated. Sogunjung-tang mix soft extract (STM) was prepared using pharmaceutical excipients such as purified water, sodium benzoate, β-cyclodextrin and CMC-Na. Anti-inflammatory experiment was conducted using STM and lipopolysaccharide (LPS) in RAW 264.7 cells. Cell survival was measured by MTT method. Nitric oxide (NO) was measured using griess reagents, and pro inflammatory cytokines were measured by enzyme-linked immunosorbent assay and RT-PCR. Also, we verified STM validity in acute gastritis using the ICR mouse. STM was administered oral for three days. And 150 mM HCl in 60% ethanol was oral administered 0.5 mL one hour after the last drug administration. Mice were sacrificed 1 hour after 150 mM HCl in 60% ethanol administration. The gastric mucosa was visually observed. STM were not toxic in RAW 264.7 cells. Treatment of STM inhibited the production of NO and inflammatory cytokine at the protein and mRNA levels. Also, in the acute gastritis model with the mouse, the treatment of STM improved gastric mucosal bleeding and edema. In summary, it was confirmed that the treatment of STM exerts anti-inflammatory and anti-gastritis effects. Therefore, we suggest that STM may provide a preclinical evidence for the prevention and treatment of inflammatory and gastritis diseases.

• 천문학회보
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• 제45권1호
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• pp.59.2-59.2
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• 2020

Disks around protostars are the birthplace of planets. The first step toward planet formation is grain growth from ㎛-sized grains to mm/cm-sized grains in a disk, particularly in dense regions. In order to study whether grains grow and segregate at the protostellar stage, we investigate the ALMA Band 3 (3.1 mm) and 7 (0.87 mm) dust continuum observations of the protostellar disk WL 17 in ρ Ophiuchus L1688 cloud. As reported in a previous study, the Band 3 image shows substructures: a narrow ring and a large central hole. On the other hand, the Band 7 image shows different substructures: a non-axisymmetric ring and an off-center hole. The two-band observations provide a mean spectral index of 2.3, which suggests the presence of mm/cm-sized large grains. Its non-axisymmetric distribution may imply dust segregation between small and large grains. We perform radiative transfer modeling to examine the size and spatial distributions of dust grains in the WL 17 disk. The best-fit model suggests that large grains (>1 cm) exist in the disk, settling down toward the midplane, whereas small grains (~10 ㎛) well mixed with gas are distributed off-center and non-axisymmetrically in a thick layer. The low spectral index and the modeling results suggest that grains rapidly grow at the protostellar stage and that grains differently distribute depending on sizes, resulting in substructures varying with observed wavelengths. To understand the differential grain distributions and substructures, we discuss the effects of the protoplanet(s) expected inside the large hole and the possibility of gravitational instability.