• Child Health Nursing Research
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• 제13권4호
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• pp.454-466
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• 2007

Purpose: To explore the experiences of parenting from the mothers of children with severe CHD and to develop a grounded theory about their experiences. Method: Grounded theory method guided the data collection and analysis. A purposeful sample of 16 mothers of children with severe CHD participated during the period 2003. The data were collected by semi-structured individual interviews. Results: "Raise with dignity" emerged as the core phenomenon. 'Powerlessness' came up as the central concept. The causal conditions working on powerlessness was 'living with a bomb in the heart': uncertainty and the context were 'confronting people's eyes', 'developing child's adaptability'. An intervening condition was 'forming a support system' and consequences for coping with powerlessness were 'overcome' or 'ambivalence' using the strategies for mother's positive personality, care role perception, accepting, acknowledgement, and managing the body and mind. Conclusions: In the results of this study, the mothers of children with severe CHD are continue to struggle with life during children's growth and repeated attacks of disease. They need to be provided with skills to cope with physical and mental problems in rearing the children with expertized information for the entire period of growth.

• Journal of international Conference on Electrical Machines and Systems
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• 제2권2호
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• pp.225-231
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• 2013

Low voltage ride through capability augmentation of a hybrid micro-grid system is presented in this paper which reflects enhanced reliability in the system. The control scheme involves parallel connected multiple ac-dc bidirectional converters. When the micro-grid system is subjected to a severe voltage dip by any transient fault single power converter may not be able to provide necessary reactive power to overcome the severe voltage dip. This paper discusses the control strategy of additional power converter connected in parallel with main converter to support extra reactive power to withstand the severe voltage dip. During transient fault, when the terminal voltage crosses 90% of its pre-fault value, additional converter comes into operation. With the help of additional power converter, the micro-grid system withstands the severe voltage fulfilling the grid code requirements. This multiple converter scheme provides the micro-grid system the capability of low voltage ride through which makes the system more reliable and stable.

• Restorative Dentistry and Endodontics
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• 제45권4호
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• pp.43.1-43.9
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• 2020

A variety of therapeutic modalities can be used for the endodontic treatment of a traumatized tooth with internal root resorption (IRR). The authors present a case report of the successful restoration of a traumatized upper central incisor that was weakened due to severe IRR and subsequent periapical lesion formation. A 20-year-old female patient was referred to our clinic with severe internal resorption and subsequent periapical pathosis destroying the buccal bone wall. Root canal treatment had been initiated previously at another dental practice, but at that time, the patient's condition could not be managed even with several treatments. After cone-beam computed tomography imaging and proper chemomechanical cleaning, the tooth was managed with a mineral trioxide aggregate plug followed by root canal filling using short fiber-reinforced composite, known as the Bioblock technique. This report is the first documentation of the use of the Bioblock technique in the restoration of a traumatized tooth. The Bioblock technique appears to be ideal for restoring wide irregular root canals, as in cases of severe internal resorption, because it can uniquely fill out the hollow irregularities of the canal. However, further long-term clinical investigations are required to provide additional information about this new technique.

• 한국지반환경공학회 논문집
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• 제7권2호
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• pp.67-76
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• 2006

본 논문은 수직 절리가 잘 발달된 지하수위가 높은 화산암질 지반에서 직경 3.3m의 도수터널 굴착을 하는 수력발전소 건설공사 내용이다. 취수시설은 발전소로부터 20.3km 상류에 위치하고 있으며, 20km의 도수터널과 연결되어 있고 440m의 낙차고를 갖는 펜스탁이 발전소와 연결되어 있다. 현장의 지질 조건은 전형적인 칼데라 호수인 토바호에 의해 지반 침식과 수직방향의 인장균열이 발달하였으며 이로 인해 지반의 초기응력이 이완되었다. 높은 지하수위(최대 수두 200m)를 가진 잘 발달된 수직 절리를 터널이 관통하면서 막대한 양의 지하수가 터널내로 유입되었다. 터널 굴착은 개방형 쉴드 TBM과 버럭반출에는 철로와 기관차를 사용하였다. 터널 내로의 유입수가 터널 바닥면에서 70cm 높이에 다다르고 이는 터널 직경(3.9m)의 17%에 해당하였다. 생산성을 향상하기 위해서 TBM과 버럭반출 차량과 같은 몇 가지의 개선과 수중펌프를 증설하는 방안을 사용하였다. 굴착 중에 만난 지반 조건이 설계보다 상당히 불량하여 RC라이닝에서 지하수 유입, 암반조건, 수압 등에 따라 PC 세그먼트 라이닝 또는 PC 세그먼트 라이닝과 현장타설 RC 라이닝, RC 라이닝, 그리고 강재 라이닝이 적용되었다. 이 PC 세그먼트 라이닝의 도입과 TBM과 다른 장비의 개조 및 개선을 통해서 심각한 지하수 조건 하에서 터널 굴착 공사를 성공적으로 완료하였다.

• 간호행정학회지
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• 제11권1호
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• pp.33-44
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• 2005

Purpose: This study was aimed to estimate nursing cost for hemodialysis of tertiary hospitals using Resource Based Relative Value Scale(RVRBS). Method: First, we calculated nursing workload of the each hemodialysis-nursing behaviors compared with basic nursing behavior(check vital sign) for the most severe hemodialysis patients in general hospitals. Second, we measured each spent time according to each nursing behaviors. Third, we computed Resource Based Relative Value(RBRV) scores and nursing expenses of each 14 nursing behavior for hemodialysis. Finally, we estimated nursing cost of each hemodialysis-behavior for the most severe hemodialysis-patients in general hospitals. Result: The mean RBRV scores for each nursing behaviors were from 218.9 to 383.9 points. The highest RBRV socres were 383.9(Complication during hemodialysis). The Nursing behavior that spent the most time was "access the vascular( 31.7 minutes)". Nursing cost per hemodialysis for the patient with severe condition was estimated 63,455(won). Conclusion: Total average workload was 347.6 points and total spent time was 306.5 minutes for 14 hemodialysis nursing behaviors provided to severe patients. There were clear differences in nursing workload and cost according to patient's severity-mild, moderate and severe class.

• Nuclear Engineering and Technology
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• 제45권5호
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• pp.625-636
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• 2013

Pressing demands of economic competitiveness, the need for large-scale deployment, minimizing the need of human intervention, and experience from the past events and incidents at operating reactors have guided the evolution and innovations in reactor technologies. Indian innovative reactor 'AHWR' is a pressure-tube type natural circulation based boiling water reactor that is designed to meet such requirements, which essentially reflect the needs of next generation reactors. The reactor employs various passive features to prevent and mitigate accidental conditions, like a slightly negative void reactivity coefficient, passive poison injection to scram the reactor in event of failure of the wired shutdown systems, a large elevated pool of water as a heat sink inside the containment, passive decay heat removal based on natural circulation and passive valves, passive ECC injection, etc. It is designed to meet the fundamental safety requirements of safe shutdown, safe decay heat removal and confinement of activity with no impact in public domain, and hence, no need for emergency planning under all conceivable scenarios. This paper examines the role of the various passive safety systems in prevention and mitigation of severe plant conditions that may arise in event of multiple failures. For the purpose of demonstration of the effectiveness of its passive features, postulated scenarios on the lines of three major severe accidents in the history of nuclear power reactors are considered, namely; the Three Mile Island (TMI), Chernobyl and Fukushima accidents. Severe plant conditions along the lines of these scenarios are postulated to the extent conceivable in the reactor under consideration and analyzed using best estimate system thermal-hydraulics code RELAP5/Mod3.2. It is found that the various passive systems incorporated enable the reactor to tolerate the postulated accident conditions without causing severe plant conditions and core degradation.

• Tuberculosis and Respiratory Diseases
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• 제70권1호
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• pp.51-57
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• 2011

Background: Early recognition and treatment of sepsis would improve patients' outcome. But it is difficult to distinguish between sepsis and non-infectious conditions in the acute phase of clinical deterioration. We studied serum level of procalcitonin (PCT) as a method to diagnose and to evaluate sepsis. Methods: Between 1 March 2009 and 30 September 2009, 178 patients had their serum PCT tested during their clinical deterioration in the medical intensive care unit. These laboratories were evaluated, on a retrospective basis. We classified their clinical status as non-infection, local infection, sepsis, severe sepsis, and septic shock. Then, we compared their clinical status with level of PCT. Results: The number of clinical status is as follows: 18 non-infection, 33 local infection, 39 sepsis, 26 severe sepsis, and 62 septic shock patients. PCT level of non-septic group (non-infection and local infection) and septic group (sepsis, severe sepsis, septic shock) was $0.36{\pm}0.57$ ng/mL and $18.09{\pm}36.53$ ng/mL (p<0.001), respectively. Area under the curve for diagnosis of sepsis using cut-off value of PCT >0.5 ng/mL was 0.841 (p<0.001). Level of PCT as clinical status was statistically different between severe sepsis and septic shock ($^*severe$ sepsis; $4.53{\pm}6.15$ ng/mL, $^*septic$ shock $34.26{\pm}47.10$ ng/mL, $^*p$ <0.001). Conclusion: Level of PCT at clinical deterioration showed diagnostic power for septic condition. The level of PCT was statistically different between severe sepsis and septic shock.

• 근관절건강학회지
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• 제3권1호
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• pp.50-62
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• 1996

The purpose of this study was to identify and construct a substantive theory about the experience of fatigue among the female elderly with osteoarthritis. The interviewees were 6 female elderly with osteoarthritis. Of them 3 were admitted General hospital, the remaining 3 didn't admitted hospital. The data were collected through in-depth interviews by the investigators from May 20th, 1995 to June 19th, 1995. The collected data were coded into concepts and categories according to Strauss & Corbin's grounded method. The data thus collected were analyzed immediatly after interviews and fed into next round of interviews until the data collection reaches the saturation point where no additional concepts emerge. The 35 concepts were from analyzing the grounded data. The results of this study were as follows : 'change of the health condition','change of the life pattern', 'physiologic change', 'change of the coping pattern', 'performance of homework', 'activity daily living', 'tireness', 'ache', 'change of general apperance', 'sleep disturbance', 'powerlessness'. 'Physiologic unbalance', 'change of the family dynamics', 'physical imbalance', 'loss of the control', aviodance', 'conversion', 'leaving', 'indifference', 'hesitation', 'the pursue of information and trial', 'the western therapy', 'heat therapy', 'the oriental therapy','exercise', 'weight control', 'support', 'solution', 'being as before', 'adding more'. Six categories emerged from the analysis of ground data. They were as follows : 'stimuli', 'fatigue', 'passive coping', 'active coping', 'disolution', 'remains'. 13 hypothesis were derived from the integration of categories as follows : 1. The stronger the stimulus as perceived by the subjects, the more the fatigue will exrerience. 2. The more severe the fatigue, the more severe the tireness. 3. The more severe the fatigue, the more the hardness. 4. The more severe the fatigue, the more the variability of appear will experience. 5. The more severe the fatigue, the more the pain will experience. 6. The more severe the fatigue, the more the insomnia will experience. 7. The more severe the fatigue, the more the powerless will experience. 8 The more severe the fatigue, the more the psychological unbalance will experience. 9. The more severe the fatigue, the more variability of the family dynamics will experience. 10. The more severe the fatigue, the more the physical unbalance will experience. 11. The more severe the fatigue, the more loss of control will experience. 12. The subjects who experienced the fatigue will be to show passive coping and active coping mechanism.

• 한국지진공학회논문집
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• 제2권4호
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• pp.1-10
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• 1998

지진규모, 진앙거리, 지반조건 및 가옥의 노후도를 고려하여 역사지진의 규모를 추정하였다. 진진규모 6-8, 진앙거리 5 km-350km, 단단한 지반 및 연약 지반 특성을 갖는 18개의 인공지진파를 작성하여 우리 나라 전통 초가삼간에 대한 비선형 동적해석을 수행하였다. 가옥의 경년에 따른 노후도는 목조 프레임의 수평내력에 관한 이력특성이 선형적으로 감소하는 것으로가정하였다. 초가삼간을 1질점계의 1자유도 모델로 모델링하였으며, 비선형 이력특성은 개량형 Double-Targe모델을 이용하였다. 해석결과 원거리 지진에 대해서는 지진규모, 지반조건 및 노후도에 상관없이 매우 적은 피해를 보였다. 중거리 지진의 경우 연약지반에서 규모 6.5 이상의 지진시 반파 이상의 피해가 발생하였다. 근거리 지진의 경우 지반조건 및 노후도에 상관없이 규모 6.5 이상에서 반파 이상의 피해를 나타내었다. 우리 나라 역사지진의 규모는 약 6.2로 추정된다. 우리 나라에 적합한 지반가속도-진도의 경험식을 제안하였다.

• 한국원자력학회:학술대회논문집
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• 한국원자력학회 2005년도 춘계학술발표회
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• pp.639-640
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• 2005