• 제목/요약/키워드: systematic contrast study

검색결과 68건 처리시간 0.029초

조영제 유발 신장병증 예방을 위한 수액요법에 관한 근거기반 임상실무지침 개발 (Evidence-Based Clinical Practice Guideline for Fluid Therapy to Prevent Contrast-induced Nephropathy)

  • 이경해;신경민;이현정;김소영;채정원;김미라;한민영;안미숙;박진경;정미애;추상희;황정화
    • 임상간호연구
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    • 제23권1호
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    • pp.83-90
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    • 2017
  • Purpose: This study was to develop evidence-based clinical practice guideline in order to prevent contrastinduced nephropathy (CIN) for patients undergoing percutaneous coronary intervention (PCI). Methods: The guideline was developed based on the "Scottish Intercollegiate Guidelines Network (SIGN)". The first draft of guideline was developed through 5 stages and evaluated by 10 experts.(1) Clinical questions were ensured in PICO format.(2) Two researchers conducted a systematic search through electronic database, identifying 170 studies. We selected 27 full text articles including 16 randomized clinical trials, 7 systematic reviews, and 4 guidelines. Quality of each studies were evaluated by the Cochran's Risk of Bias, AMSTAR, K-AGREEII. Among the studies, 11 studies were excluded.(3) The strength of recommendations were classified and quality of recommendations were ranked.(4) Guideline draft was finalized.(5) Content-validation was conducted by an expert group. All contents were ranked above 0.8 in CVI. Results: Evidence-based clinical practice guideline to prevent CIN was dveloped.(1) The guideline for preventing CIN recommends using 0.9% saline.(2) Standardized rate of fluid therapy is 1 to 1.5ml/kg/hr.(3) Execute hydration for 6~12hrs before PCI and after PCI. Conclusion: This study suggests evidence-based clinical practice guideline for preventing CIN which can be more efficiently used in clinical practice.

/W/-Variants in Korean

  • 오미라
    • 말소리와 음성과학
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    • 제2권3호
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    • pp.65-73
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    • 2010
  • No systematic study has examined the relationship between acoustic variability and /w/-deletion in Korean. Most previous studies on /w/-deletion have described /w/-variants in categorical terms, i.e., /w/-deletion or a full glide (Silva 1991; Kang 1997; Yun 2005). These studies are based either on impressionistic judgements without a systematic acoustic analysis or on an exclusive examination of internal acoustic variability of /w/ such as F2, without examining the availability of external acoustic cues such as voice onset time (VOT) of a consonant. However, given the important influence of the adjacent sounds for segmental realizations, it is necessary to examine possible acoustic variability in the differentiation of /w/-variants. The present study aims to address this issue by evaluating the acoustic properties of /CwV/, including VOT and formant transitions. In the analysis, 432 tokens in word-initial position (216 /CwV/ words and 216 /CV/ words) were examined. The results indicated that /w/ exhibits four different variants. Firstly, /w/ is realized as a full glide. Such a variant is characterized by a VOT difference and significant differences in F1 and F2 at voicing onset compared with /CwV/ and /CV/. Secondly, /w/ can be maintained but coarticulated with the following vowel. Such a variant is demonstrated by differences in VOT and F2. Thirdly, /w/ is categorically deleted, which is indicated by the absence of any differences in VOT, F1, and F2. Fourthly, /w/ overlaps a consonant. The F2 difference without VOT difference is manifested in the variant. In contrast to VOT, F1, and F2 differences, pitch plays little role in determining /w/-variants in Korean. These findings suggest that allophones can be produced along a gradient continuum of acoustic cues, exhibiting sounds intermediate between the full realization of a given category and its deletion. Furthermore, each variant can be cued by a set of internal and external acoustic cues.

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지역 정보통신 서비스의 개선방안 - 부산.경남을 중심으로 - (A Study on Improvement for Local Telecommunications Service - In Case of Kyungnam and Pusan Area -)

  • 박민수;김기문
    • 한국항해학회지
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    • 제19권4호
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    • pp.103-121
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    • 1995
  • As Daniel Bell says, that modern society is an information society. In contrast to earlier days, modern society has placed a high value on information and knowledge. Therefore, modern civilization depends largely on information and knowledged, which is the most valuable sources of all intelligence activities. By coordinating a large number of human action, the information creates a powerful social tool. It combines its personnel with its resources and new materials at various level. At the same time, It continually evaluates how well it is performing and tries to adjust itself accordingly in order to achieve social goals. As we shall see, all this allows information to sew the various needs of society. In connection with above mentioned problem consciousness, the study is designed to sew the following purposes. As its title indicates, and perhaps most significant. This study is to review and reinterpret the existing literature on local telecommunication system, networks, and policy direction in order to arrive at a somewhat more general approach to understanding them. In local telecommunications service, the service exploitation and promotion and database development must be accomplished by establishing local telecommunications. If we develop local telecommunications toward the progressing direction, we would dissolve the regional information disparity and could also make the local policy suited for high-intelligence society. It is true of any science that knowledge is never complete. It is also true of a science that knowledge should grow, through systematic reexamination of the body of findings. There are certainly true of this study on the developmental direction for local telecommunication system.

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뇌활용성향과 기업경영 : 이병철회장과 정주영회장을 통한 탐험적 추론 (Brain Preference and Management : An Exploratory Reasoning from the Founders of Samsung and Hyundai Group, Lee and Chung)

  • 이홍
    • 한국경영과학회지
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    • 제30권1호
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    • pp.105-128
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    • 2005
  • The Purpose of the current study is to identify the differences between Samsung and Hyundai Group and the causes why the differences occurred. The study focuses on the founders of the two group as a main source of the differences, especially brain preference of the two founders. Two steps were employed to perform the study. Firstly, the two founders' characteristics were analyzed by using archival research. It was implicitly hypothesized that Group founders' characteristics explained the differences of the two Groups. It was found that the founder of Samsung Group, the late president Lee emphasized rationality, analysis, and cause/effect relationship and low risk taking, suggesting that he had left-brain preference. In contrast. the late president Chung, the founder of Hyundai Group, emphasized intuition, wholeness, contextual meaning, and risk taking, showing that he had right-brain preference. Secondly, a comparison between the two groups was performed in terms of business and financial risk in corporate portfolio, and management system. It was found that Hyundai Group was pursuing higher risk than Samsung Group. And it was observed that Samsung Group put more emphasis on formality in decision making and systematic control, and less emphasis on risk taking than Hyundai Group. From the two step research relationship between brian preference and management was reasoned. Research implications and limitations were discussed at the end of the study.

고효율 LED 제작을 위한 비,반극성 GaN의 성장 및 결함 분석

  • 공보현;김동찬;김영이;안철현;배영숙;우창호;서동규;남옥현;유근호;장종진
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2009년도 추계학술대회 논문집
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    • pp.172-172
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    • 2009
  • In this study, we presented comparative discrimination methods to identify various line and planar defects observed in nonpolar a-GaN epilayers on r-sapphire substrates. Unlike the case of conventional c-GaN, which is dominated by perfect threading dislocations, systematic identification of undistinguishable defects using transmission electron microscopy (TEM) is necessary to suppress the propagation of defects in nonpolar GaN epilayers. Cross-sectional TEM images near the [0001] zone axis revealed that perfect mixed and pure screw type dislocations are visible, while pure edge, partial dislocations, and basal stacking faults (BSFs) are not discernible. In tilted cross-sectional TEM images along the [$1\bar{2}10$] zone axis, the dominant defects were BSFs and partial dislocations for the $g=10\bar{1}0$ and 0002 two-beam images, respectively. From plan view TEM images taken along the [$11\bar{2}0$] axis, it was found that the dominantpartial and perfect dislocations were Frank-Shockley with b=${\pm}1/6$<$20\bar{2}3$> and mixed type without an 1 component including b=${\pm}1/3$<$1\bar{2}10$> and ${\pm}1/3$<$\bar{2}110$>, respectively. Prismatic stacking faults were observed as inclined line contrast near the [0001] zone axis and were visible as band contrast in the two-beam images along the [$1\bar{2}10$] and [$11\bar{2}0$] zone axes.

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의료서비스에 대한 접근성의 형평 분석 (Equity of Access to Health Services under National Health Insurance System in Korea)

  • 장동민;문옥륜
    • 보건행정학회지
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    • 제6권1호
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    • pp.110-143
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    • 1996
  • The purpose of this study is to assess the extent of inequality in health outcomes and the distribution of health services according to health need under National Health Insurance System in Korea. For the empirical analysis, data were collected through an interview survey during one month of October, 1994. Interview were conducted with a total of 10, 875 of the employees and the self-employed selected through cluster, systematic sampling. The major findings of this research are as follows: 1. The analysis of the differentials in morbidity rates by socio-economic group showed that health inequality in the pro-higher groups existed in all self-reported morbidity indicators. 2. The findings of the conventional use measures showed that the lower socio-economic groups had more ambulatory and inpatient services than the higher groups. In contrast to the level of the medical care utilization, however, the higher socio-economic groups were more likely to use the high-quality source of care in terms of their treatment place compared to the lower groups. 3. By using the need-based use measures, the results were different from each use-disability ration indicator. Using the use-disability ration measured by physician visits per 100 restricted-activity days in the population, it was found that there was no evidence favoring the higher socio-economic groups. In contrast, the use-disability ration based on physician visits per a chronic patient in one year displayed that there was remarkable relative difference by income group as well as the evidence of the pro-higher income groups. 4. The results of logistic regression analysis and two-stage estimation method indicated that although the utilization is significantly affected by type and duration of insurance coverage, the use or nonuse of service and the volume of physician care consumed is determined by health need and demographic characteristics rater than economic status. In sum, these findings suggest that physician service is equitably distributed according to health need under national health insurance system in Korea. As there were some evidences of inequality including the differential in physician visits of chronic patients by income group, however, the government should strengthen the activities to guarantee the equity of health services utilization.

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일본의 남성 맞춤복 테일러링 문화에 관한 구술사 연구 (Oral history study on Japanese menswear custom-tailoring culture)

  • 이예영;류웅현
    • 복식문화연구
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    • 제28권2호
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    • pp.166-180
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    • 2020
  • This oral history study explores the past and present Japanese menswear custom-tailoring culture. Two master tailors with more than 50 years of experience and two young tailors with less than a year of experience were interviewed about the tailor training process and environment, working conditions, thinking and behavior, and societal and governmental efforts for vitalizing custom-tailoring. The results indicate, first, a 10-year apprenticeship was required in the past, whereas young tailors today must register for three-year professional tailoring classes. Tailors then and now have been trained in a similar sequence of pants, vests, and jackets. Second, regarding working conditions, tailors had to provide gratitude services to their masters for a few years, even after their training ended. In contrast, young tailors today must continue a probationary period after their three-year schooling; however, they experience difficulty with finding tailoring shops for their probation. Third, in terms of thinking and behavior, master tailors learned their trade to earn a living, whereas young tailors today entered the field due to their interests in it. In addition, young tailors want a systematic learning process, whereas master tailors learned their skills while on the job. Last, tailoring academies today are run by tailoring shops and societies. Career exploration programs are offered to elementary and middle school students by the Kobe government in association with the local tailoring society to provide tailoring experiences.

Factors Associated with Suicide Risk in Advanced Cancer Patients: A Cross-Sectional Study

  • Park, Sun A;Chung, Seung Hyun;Lee, Youngjin
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권11호
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    • pp.4831-4836
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    • 2016
  • The study aimed to find out to what degree suicidal thoughts and associated factors affect the suicide risk of advanced cancer patients. The frequency of suicidal thoughts among patients with cancer, especially in the advanced stages, is about 3 times greater than the adult average in South Korea. We recruited 457 participants with four types of cancers (colon, breast, cervical, and lung) using stratified sampling. Data collection was carried out through one-on-one interviews by trained nurses using a structured questionnaire. Advanced cancer patients with high, vs. low, levels of anxiety and pain had a higher suicide risk. In contrast, having one's spouse as the primary care provider was associated with a low suicide risk. Overall, the three factors of anxiety, pain, and the primary caregiver being one's spouse explained 17.2% of the variance in suicide risk. In conclusion, we derived influencing factors of suicide risk using a sample of patients with various types of advanced cancer. The results provide systematic baseline data for preparing nurse-led interventions to prevent suicidal thoughts and suicide attempts among advanced cancer patients.

The role of the living lab in smart city projects: A comparative case study of two Northeast Asian cities

  • Sangbum Shin;Xinyu Li
    • 분석과 대안
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    • 제7권2호
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    • pp.7-33
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    • 2023
  • Extant literature has emphasized the role of citizen participation in creating a successful smart city. However, previous works are lacking in a systematic analysis of the specific mechanisms by which citizen participation makes a positive impact on smart city projects. We attempt to bridge the gap by focusing on the role of the living lab, a citizen-driven mechanism that has used innovative ideas, new technologies, and cooperation with various participants to address local problems. As co-creation is the common ground for smart cities and living labs in terms of citizen participation, we provide a theoretical framework in which the notion of co-creation mediates smart cities and living labs. To examine the living lab's effect of co-creation on smart cities, we conduct a comparative case study of two Northeast Asian cities: Taipei and Busan. We explore (1) the factors behind the different outcomes in these two cities, despite many similarities that might affect smart cities' effectiveness, and (2) the relationship between smart cities and living labs and how to systematically understand the interaction between the two. We find that living labs have played a key role in making Taipei's smart city projects effective and successful, which allows the city to keep showing a high level of performance. In contrast, citizens could not find channels to participate in such projects in Busan. We conclude that the living lab explains why the smart cities in Busan have been less successful than in Taipei.

해외 남성 프리미엄 아우터 브랜드의 색채 특성 (Color Characteristics of Foreign Men's Premium Outer Brand)

  • 홍윤정
    • 패션비즈니스
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    • 제26권2호
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    • pp.48-66
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    • 2022
  • This study aimed to investigate and analyze the overall color utilization characteristics as design elements of advanced men's premium outer brands. From the analysis of a total of 889 color samples, PB showed the highest distribution in color, Bk, R, and P. The use of ltg and p of high and low chroma was high, centering on dkg of low value and low chroma, and g of medium chroma. The men's premium outer brand displays a luxurious color image centered on color planning due to color contrast between dark and grayish shades. The characteristics of colors and color distribution by brand were considered. The brands that utilized the most diverse colors and shades were Herno, which pursues sportswear of the Elegance image, and Stone Island, which pursues casual images of workwear style. These results show that systematic planning using colors and shades are utilized by all premium outer brand concept. The results of this study are meaningful because they can be used as basic data for effective product planning, men's outer design development, and color planning of outer clothing brands are they represent premium outer brands for men, and identifies color characteristics as differentiated design elements.