• Quality Improvement in Health Care
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• v.29 no.2
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• pp.64-84
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• 2023

Purpose:Plaster splints are routinely performed in the Emergency Department (ED) and avoidable complications such as skin ulcerations and fracture instability arise mainly due to improper techniques. Despite its frequent use, there is often no formal training on the fundamental principles of plaster splint application for a medical officer rotating through ED. We aim to use Quality Improvement (QI) methodology to reduce number of incorrect plaster splint application to improve overall patient care via a bundled educational solution. Methods: We initiated a QI program implementing concepts derived from the Institute for Healthcare Improvement models, including Plan-Do-Study-Act (PDSA) cycles, to decrease the rate of incorrect plaster splint application. A bundled education solution consisting of three sequential interventions (practical teaching session, online video lecture and quick reference cards) were formulated to specifically target critical factors that had been identified as the cause of incorrect plaster splints in ED. Results: With the QI intervention, our overall rate of incorrect plaster splints was reduced from 84.1% to 68.6% over a 6-month period. Conclusion: Following the QI project implementation of the bundled educational solution, there has been a sustained reduction in incorrect plaster splints application. The continuation of the training program also ensures the sustainability of our efforts in ED.

• The Journal of Korean Society for Radiation Therapy
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• v.29 no.2
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• pp.43-51
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• 2017

Purpose: The purpose of this study is to evaluate the dosimetric effects of couch attenuation and air gaps using 3D phantom for prone breast radiation therapy. Materials and method: A 3D printer(Builder Extreme 1000) and computed tomography (CT) images of a breast cancer patient were used to manufacture the customized breast phantom. Eclipse External Beam Planning 13.6 (Varian Medical Systems Palo Alto, CA, USA) was used to create the treatment plan with a dose of 200 cGy per fraction with 6 MV energy. The Optically Stimulated Luminescence Detector(OSLD) was used to measure the skin dose at four points (Med 1, Med 2, Lat 1, Lat 2) on the 3D phantom and ion-chamber (FC65-G) were used to perform the in-vivo dosimetry at the two points (Anterior, Posterior). The Skin dose and in-vivo dosimetry were measured with reference air gap (3 cm) and increased air gaps (1, 2, 3, 4, 5, 6 cm) from reference distance between the couch and 3D phantom. Results: As a result, measurement for the skin dose at lateral point showed a similar value within ${\pm}4%$ compared to the plan. While the air gap increased, skin dose at medial 1 was reduced. And it was also reduced over 7 % when the air gap was more than 3 cm compared to radiation therapy plan. At medial 2 it was reduced over 4 % as well. The changes of dose from variety of the air gap showed similar value within ${\pm}1%$ at posterior. As the air gap was increased, the dose at anterior was also increased and it was increased by 1 % from the air gap distance more than 3 cm. Conclusion: Dosimetrical measurement using 3D phantom is very useful to evaluate the dosimetric effects of couch attenuation and air gaps for prone breast radiation therapy. And it is possible to reduce the skin dose and increase the accuracy of the radiation dose delivery by appling the optimized air gap.

• Journal of the korean academy of Pediatric Dentistry
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• v.43 no.1
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• pp.109-116
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• 2016

Sedation is an indispensable part of contemporary pediatric dentistry. The Korean Academy of Pediatric Dentistry (KAPD) organized the dental sedation committee to help members perform safer and more effective sedation. The committee surveyed 111 members who practice dental sedation to figure out the present state of sedation in 2014. According to the survey, 86% of the respondents indicated that they were interested in continuing education of sedation. The most interesting topic was sedation related emergency management, followed by safe dosages of sedative drugs. However, it is not realistic to establish the recommended dosages as a guideline since the selection of agents and dosages depend on various factors. In order to provide successful sedation, pediatric dentist should make an individual sedation plan for each procedure. It is important to understand not only the properties of each sedative, but also interactions with other drugs. This article reviews useful information of commonly used agents for dental sedation and summarizes the recommended dosages from the Physicians' Desk Reference (PDR) and some famous pediatric dentistry textbooks.

• Journal of the Korea Society of Computer and Information
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• v.25 no.1
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• pp.117-124
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• 2020

In this paper, we proposed a plan to maintain comfortable indoor air quality in nursing homes by suggesting ways to reduce items temporarily exceeding the reference values through real-time concentration variation analysis of indoor air quality. Five items including PM10, CO₂, CO, VOC, and Radon are measured at nursing homes in spring (April) and autumn (September) was carried out and all of the measured items were analyzed to satisfy the criteria set by the Indoor Air Quality Control Act. As a result of the analysis of the real-time concentration change, the concentration of CO₂ was close to the reference value based on the number of occupants in the sick room. Due to the disinfectant (alcohol) used to disinfect and the auxiliary tools (adhesive) used in the operation of the program such as making and coloring, it was analyzed to temporarily exceed the standard value in the hall. In conclusion, it is possible to provide pleasant indoor air quality and contribute to securing the nursing home's competitiveness if periodic ventilation, natural disinfectant and eco-friendly product are used in consideration of the thermal environment.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.5
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• pp.661-671
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• 2018

Domestic studies on steel plate concrete structures have focused on nuclear structures with high strength. In this study, the SC structure was applied to the general structure, and the SC structure that is advantageous in terms of safety and construction was limited to a special structure. As a basic study for applying SC, this paper proposes basic design information of a SC structure applying cement concrete to plan the structure, which is suitable for eco - friendliness by replacing concrete cement, an important factor in a SC structure, with blast furnace slag. This study examined the compression characteristics and the effective length factor under central compression load. To calculate the effective length factor, the Euler column theory was applied without applying plate theory. The effective length factor was calculated from the yield strength of the steel plate, buckling of the steel plate, and the point at which the concrete was broken. In addition, this study examined whether the maximum compressive strength meets the national and international reference equations with the slenderness ratio (B/t) as a parameter. By analyzing the buckling of the specimen by applying the column theory and selecting the strain of the measured steel plate, the effective length factor was analyzed and compared with the value presented in the reference equation.

• Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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• v.6 no.3
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• pp.225-232
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• 2008

An estimation has been made for inventories and characteristics of spent nuclear fuel(SNF) to be generated from existing and planned nuclear power plants based on the 3rd Basic Plan for Electric Power Demand and Supply. The characteristics under consideration in this study are dimensions, a fuel rod array, a weight, $^{235}U$ enrichment, and the discharge burnup in terms of fuel assembly. These are essentially needed for designing a pyroprocessing facility. It is appeared that the anticipated quantity by the end of 2077 is about 23,000 tU for PWR spent nuclear fuel. It is revealed that the proportion of SNF with the initial $^{235}U$ enrichment below 4.5 weight percent(wt.%) is approximately 95 % in total. For SNF with 16$\times$16 fuel rod array the proportion is expected approximately 74% in total. It appears that the average burnup of SNF will be 55 GWd/tU after the medium and/or latter part of 2010s while the average burnup is 45 GWd/tU at present. Finally, a requirement in terms of reference SNF for designing the pyroprocessing facility has been derived from the above-mentioned results. The anticipated SNF seems to be 16$\times$16 Korean Standard Fuel Assembly with a cross section of 21.4 cm$\times$21.4 cm, a length of 453 cm, a mass of 672 kg, the initial $^{235}U$ enrichment of 4.5 wt.%, and the discharge burnup of 55 GWd/tU.

• International Journal of Human Ecology
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• v.8 no.1
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• pp.67-78
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• 2007

The aim of this paper was to compare differences and similarities of farmhouses between Denmark and Korea as a cross-cultural study. Farmhouses built during the 18th and 19th centuries in Denmark, and ones from Chosun Dynasty (AD. 1392-1910) in Korea were targets of this study. Literature study and field trips to districts and open-air museums in both countries were used. Field trips were carried out during summer of 2005 in Denmark, and fall of 2005 in Korea. Detailed comparisons focused on farmhouse plans, the use of rooms and furnishing, and building materials. As a conclusion, some differences were found between the two countries. In terms of farmhouse plans, square types with four wings, and parallel types were the most frequent forms in Denmark, while a few types, such as the "I", "L", "U" shapes and square types, were more frequently found in Korea. In Denmark, the most important room was the dwelling-room, in which daily family life took place. Every member of the family slept, ate, and worked here, and kept geese and young animals during the winter season. Therefore, this room was laid out in the center of the house. However, Anbang, the most important room in Korea, was not situated in the best part of the house. Instead, the Daechung-maru occupied the center and the best place because the daechung-maru, in which the ancestral ceremony was held, was thought of as more important than a place for live people. Also the use of rooms and furnishing was quite different between the two countries, reflecting each life style. Danish furnishings represented practical daily life, while Korean furnishings reflected more conceptual aspects. It might have resulted from Confucianism in the Chosun Dynasty, which ruled daily life and even influenced use of rooms and furnishings. In other word, philosophy influenced common peoples' daily life and living environment. With reference to building materials, there was rarely a difference between the two countries. Major materials for farmhouse were quite common, such as half-timbering wood and clay, but the difference was in bricks and roof coverings. Bricks were rarely used in Korean farmhouses, while rice-straw was rare for the roof of a Danish farmhouse. Of course, the choice of materials was strongly affected by the local surroundings and overall environment. This result can give some clues for design ideas when architects and interior designers plan housing that is adapted for local peoples. This kind of cross-cultural study can also contribute to one's understanding of foreign culture, especially in housing and culture. And, it can broaden one's insight of design ideas for designers who have to compete frequently with designers in foreign countries.

• Journal of Nutrition and Health
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• v.41 no.8
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• pp.887-899
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• 2008

Recently the Ministry of Health and Welfare, Republic of Korea, announced the “Dietary Guidelines for Korean Adults (DGKA)”, which includes ten Dietary Goals, six Dietary Guidelines, and twenty-three Action Guidelines. DGKA are developed as the revision of the 2003 Dietary Guidelines for Koreans, targeting adult population. Dietary Guidelines are developed for general purpose as well as for different age groups. They are revised periodically to accommodate changes in diet and health problems of the population. The process of developing new DGKA can be summarized as 1) selection of focus areas, 2) analysis and review of available data for each area selected, and 3) derivation of guidelines based on the analyzed data, and 4) finalizing the guidelines after open discussions among the experts and general public. Five focus areas were selected by examining the Nutrition Goals of the Health Plan 2010 of Korea, soliciting proposals from the experts in the related fields, and reviewing existing and international guidelines. Five areas selected were 1) adequate intake of nutrients and foods, 2) balance of energy intake and physical activities, 3) alcohol intake, 4) food security and nutrition service, and 5) food safety. Adequacy of nutrient and food intakes of the Korean adult population was assessed using 2005 Korea National Health and Nutrition Examination Survey (KNHANES) data. Newly developed Dietary Reference Intakes for Koreans were used as reference values to assess the prevalence of inadequacies and excesses in nutrient intakes. Energy balance was examined with energy intake of 2005 KNHANES survey and results of physical activity questionnaire in the survey. Alcohol intake was also examined using 2005 KNHANES results of dietary intakes as well as the results of questionnaire survey on alcohol intakes. Food security, nutrition services, and food safety were analyzed using various government data and published results on the issues. Ten Dietary Goals and six Dietary Guidelines were developed after data analysis and were subjected to reviews of experts and general public. The final DGKA are: 1) Eat a variety of foods from each food group, 2) Increase physical activity and maintain healthy weight, 3) Eat proper amount of clean foods, 4) Avoid salty foods and try to eat foods with bland taste, 5) Avoid foods with high fat contents and deep-fried foods, and 6) When you drink alcohol, limit the amount. Twenty-three action guidelines are developed in order to achieve these guidelines in actual diet and life among the population. The government is disseminating the guidelines with “337” slogan and emblem. “337” indicates everyone should practice “3” guidelines of promoting good eating practice, “3” guidelines to limit or decrease in your diet, and you should practice them for “7” days a week. The guidelines will be useful in promoting healthy food habits and good nutritional status which will result in decrease nutrition related health problems in Korea.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.26 no.1
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• pp.18-23
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• 2000

The changes of the microorganism composition after therapeutic radiation for oral cancer patients are not well known and the long-term follow-up data are not reported. To obtain basic data for understanding of pathogenesis and prevention and treatment of dental caries and mucositis occuring after radiation therapy, 7 of the oral cancer patients presented at the Seoul National University Oral & Maxillofacial Department between 1997 and 1998 whose treatment plan included radiation therapy were recruited to investigate the changes in bacterial composition(total aerobic count, Candida, Staphylococci, Lactobacilli, S. mutans, and S. salivarius (mitis, sanguis)) of the saliva before, during, and after radiation therapy. The basic data obtained from this study on identification and composition change of the bacteria in saliva of patients treated with radiation therapy can be used (1) as a reference for deciding on the ideal anti-microbial spectrum of the oral rinsing agent to be used in patients treated with radiation therapy for malignant tumor of the head and neck region. (2) to enhance the understanding of increase of opportunistic infection after immunochemical changes of the saliva and its relation to specific bacterial infection. (3) as a reference in prescribing prophylactic antibiotics in immunodepressed patients after radiation therapy.

• Journal of Korean Society for Geospatial Information Science
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• v.24 no.1
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• pp.81-87
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• 2016

It is important to analyze the exact damage information for fast recovery when natural disasters cause damage on river-side facilities such as dams, bridges, embankments etc. In this study, we shows the method to effectively damage analysis plan using UAV(Unmanned aerial vehicle) images and accuracy assessment of it. The UAV images are captured on area near the river-side facilities and the core methodology for damage analysis are image matching and change detection algorithm. The result(point cloud) from image matching is to construct 3-dimensional data using by 2-dimensional images, it extracts damage areas by comparing the height values on same area with reference data. The results are tested absolute locational precision compared by post-processed aerial LiDAR data named reference data. The assessment analysis test shows our matching results 10-20 centimeter level precision if external orientation parameters are very accurate. This study shows suggested method is very useful for damage analysis in a large size structure like river-side facilities. But the complexity building can't apply this method, it need to the other method for damage analysis.