• Title/Summary/Keyword: 수정능력

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Patients' Self-rating and Nurses' Rating on Health Literacy of Hospitalized Patients (입원환자 의료정보이해능력에 대한 환자 자가평가와 간호사 평가)

  • Park, Soonjoo
    • The Journal of the Korea Contents Association
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    • v.17 no.4
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    • pp.434-443
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    • 2017
  • The study was carried out to identify the relationship of patients' self-rating and nurses' rating on health literacy of hospitalized patients. Data were collected using the Korean Functional Health Literacy Test (KFHLT) which was revised for hospitalized patients and Single Item Literacy Screener. A total of 178 subjects, which consisted of 89 hospitalized patients and 89 nurses taking care of them, were recruited from medical and surgical wards of E university hospital. Collected data were analyzed using SPSS 23.0 program. The results showed that the average health literacy score of the subjects was $11.45{\pm}4.22$ out of 17 and the average correct answer rate was 67.3%. Patient health literacy was significantly different by age, education, occupation and reading handouts. The patients' self-rating had significant correlation with health literacy measured by KFHLT while nurses' rating did not. There was no significant correlation between patients' self-rating and nurses' rating. The findings suggest that patients' self-rating might be available to assess patient health literacy in hospitals and a careful approach is required when nurses use a single-item rating.

고능력한우 유래의 수정란 생산 및 이식에 관한 연구

  • 한만희;최창용;정세환;김상희;신권희;권응기;최선호;손동수;이규승
    • Proceedings of the Korean Society of Developmental Biology Conference
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    • 2003.10a
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    • pp.144-144
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    • 2003
  • 본 연구는 수정란이식기술을 이용하여 혈통과 유전능력이 분석된 고능력한우로부터 수정란을 생산하고 이를 번식기반이 미약한 농가의 수란우에 이식함으로서 우수한우 유전자원을 조기확대 보급하여 농가단위의 개량 및 번식우 사육기반을 구축하기 위해 실시하였다. 공란우는 축산기술연구소 남원지소의 축군에서 유전능력이 평가된 우수암소를 선발하였고, 발정주기 9~11일째부터 Folltropin-V(Vetrepharm, Canada) 50mg씩을 4일간 12시간 간격으로 근육주사하고 투여 6회째에 dineprost (LutalyseTM, Upjohn, USA) 20mg을 근육주사하여 과배란을 유기하였다. 인공수정은 dinoprost 주사후 48시간 전후에 발정을 확인하고 12시간 간격으로 2straw씩의 정액으로 3회 실시하였으며, 2차 인공수정 후 100$\mu\textrm{g}$ GnRH를 근육주사하였다. 수정란 채란은 공란우의 발정확인후 7~8일째에 balloon catheter(FHK, Japan)를 이용하여 비외과적방법으로 수정란을 회수하였다. 수란우는 각기 다른 사육조건의 4개 농가(OB, BD, SH 및 SG농장)에서 양호한 번식성적을 가진 개체를 10두씩 선발하여 CIDR plus(EAZI-Breed, New-Zealand)를 질내 7일간 삽입하고, CIDR plus제거 1일전에 dinoprost 20mg을 근육주사하여 발정동기화를 유도하였다. 수란우의 발정상태가 정상이며 발정주기 7~8일째에 직장검사법으로 황체검사를 실시하여 황체가 존재하는 쪽의 자궁각에 수정란 1 개를 이식하였다. 수정란이식 후 13일째에 혈액을 채취하여 임신진단키트(제네디아프로테 트, 녹십자)를 이용하여 임신여부를 1차적으로 확인하였다. 과배란을 유기한 13두의 공란우중 9두(69.2%)가 과배란 반응을 나타내었으며, 회수된 수정란 51개중 이식가능수정란은 38개(74.5%) 였다. 발정동기화를 유도한 수란우 40두중에서 35두(87.5%)가 발정이 동기화되었으며, 그 중 황체검사를 통하여 30두의 수란우에 수정란을 이식하였다. 수정란이식후 13일(발정주기 21일)에 혈액을 이용한 임신진단에서 농가별 수태율은 각각 37.5%, 70.0%, 60.0% 및 71.4% 로서 평균 60.0%를 나타내었다.

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The Relationship of the Empathy and Biomedical Ethics Awareness with University Student (대학생의 공감과 생명의료윤리의식의 연관성)

  • We, Ji Hee;Chang, Back Hee;Lim, Myung Ho
    • The Journal of the Korea Contents Association
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    • v.17 no.4
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    • pp.500-509
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    • 2017
  • The purpose of this study was to evaluate the level of biomedical ethics awareness, empathy among college students. The participants were 469 university students in South Korea. The average score for biomedical ethics awareness was $2.89{\pm}.21$ ; The average the scores of empathy was $2.41{\pm}.35$. Biomedical ethics awareness showed a positive correlation with empathy(r=.203, p<.001). Emotional empathy showed a significant effect on biomedical ethics awareness. And the empathic concern of emotional empathy showed a significant effect on right to life fetus, artificial abortion, artificial insemination, prenatal diagnosis of fetus, right to life of newborn, euthanasia, brain death of biomedical ethics awareness. The results of this study suggest that biomedical ethics education to the emotional empathy should need for general university students.

A Construction Scheme for the Personalized e-Learning System Composed of Horizontal Learning Objects (수평적 학습객체로 구성된 e-러닝 콘텐츠의 개인 맞춤형 학습시스템 구축 방안)

  • Oh, Yong-Sun
    • Proceedings of the Korea Contents Association Conference
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    • 2008.05a
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    • pp.725-731
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    • 2008
  • In this paper, we propose a novel construction scheme for the personalized e-Learning system based on IRT(item response theory), which can be applied to the content including non-hierarchical and horizontal learning objects in its learning nodes. Especially the proposed system performs tests and re-estimates examinee ability during the learning nodes are operating so that the results are directly applied to the next node. This scheme can be called a dynamic relationship between test and learning which is totally different from conventional customization based on learning procedures separated from test steps. Moreover, we should periodically modify the averages of node difficulties, item parameters, and ability parameters of students so that the system have more accurate personalized learning capability. As a result, this scheme maximizes learning efficiency offering the most appropriate learning objects and items to the individual students according to their estimated abilities and the system itself should obtain continuous improvements by modifying the parameters and fulfilling periodical feedbacks.

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Path analysis of major satisfaction, clinical competence, career decision-making self-efficacy, and career decision level in undergraduate nursing students (간호 대학생의 전공만족도, 임상수행능력, 진로결정 자기효능감과 진로결정 수준 간의 경로분석)

  • Lee, Ji-Won;Lee, Nae-Young;Eo, Yong-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.311-320
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    • 2018
  • This study was conducted to investigate the relationship among major satisfaction (MS), clinical competence (CC), career decision-making self-efficacy (CDMS), and career decision level (CDL) for undergraduate nursing students. A self-report instrument was used to measure MS, CC, CDMS, and CDL. Questionnaires were completed by 307 nursing students in three nursing colleges, and path analysis was employed to validate the proposed model and analyze the causal relationships among variables. Four constructs (MS, CC, CDMS, and career decision) were analyzed. To build a path model, MS and CC were linked to CDMS and career decision. The initial analysis suggested that the modification needed modification; therefore, a covariance link was added. The overall goodness of fit for indices indicated satisfactory path analysis. The indices were revealed as $x^2=2412$, GFI=0.996, AGFI=0.961, and RMSEA=0.068. As a result, the proposed model was acceptable with a good fit, and there were significant direct and indirect effects of paths in the model. Specifically, MS and CC had a direct influence on CDMS, and MS and CDMS directly affected CDL. Moreover, MS and CC had indirect effects on CDL through CDMS. These results imply that students' CDMS should be seriously considered when designing counseling programs for career guidance, and substantiality of CC education is needed to improve CDMS. These results may provide a practical guideline to provide educational intervention for nursing students.

Effect of Demand Spectrums on the Accuracy of Capacity Spectrum Method (요구곡선 산정방법에 따른 능력스펙트럼법의 유효성 평가 및 비교)

  • Kim, Hong-Jin;Min, Kyung-Won;Park, Min-Kyu
    • Journal of the Earthquake Engineering Society of Korea
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    • v.8 no.3
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    • pp.33-42
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    • 2004
  • While transforming the inelastic system into the equivalent elastic one gives an advantage of simpler analysis, the actual inelastic behavior of the system is hardly modeled in the capacity spectrum method (CSM). Therefore, the accuracy of CSM depends on the precise estimation of equivalent period and damping ratio as well as the modification of the elastic response spectrum and the corresponding demand spectrum. In this paper, the effect of demand spectrums on the accuracy of CSM is evaluated. First, the response reduction factors provided in ATC-40 and Euro Code are evaluated. Numerical analysis results indicated that the acceleration responses obtained using the factor of Euro Code are closer to the actual response than those obtained using the factors of ATC-40. Next, the accuracy of CSM is evaluated constructing the demand spectrum using the absolute acceleration responses and pseudo acceleration responses. The results obtained using the absolute acceleration responses were found to be generally larger than those obtained using the pseudo ones. Since CSM often underestimates the response, the use of absolute acceleration response gives the response relatively closer to the exact ones. However, the difference becomes negligible as the hardening ratio and the yield strength ratio become larger.

Analysis of Relationship Between Spermatozoa Ability and Reactive Oxygen Species in Porcine: I. Sperm Preincubation by Xanthine and Xanthine Oxidase (돼지정자의 수정능력과 Reactive Oxygen Species의 관계분석 I. Xanthine과 Xanthine Oxidase에 의한 정자의 전배양)

  • Park, C.K.;Cheong, H.T.;Kim, J.H.;Lee, S.C.;Yang, B.K.;Kim, C.I.
    • Clinical and Experimental Reproductive Medicine
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    • v.25 no.3
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    • pp.315-322
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    • 1998
  • The objective of this study was to test the effect of catalase on penetration in vitro by spermatozoa preincubated with xanthine and/or xanthine oxidase. The penetration rates were, significantly (p<0.05) higher in spermatozoa preincubated without (66 and 38%) than with (40 and 15%) catalase for 0 and 30 min. When spermatozoa were preincubated and inseminated in medium with xanthine, the penetration rates were significantly higher (p<0.05) in medium with (68, 70 and 49% for 0, 30 and 60 min) than without (33, 41 and 19% for 0, 30 and 60 min) catalase. However, in oocytes were' inseminated with spermatozoa pre incubated with or without catalase in the presence of xanthine oxidase, no decrease in penetrations rates were observed for up to 60 min of preincubation. In another experiment, the penetration rates were significantly (p<0.00l) higher in medium with (75, 55 and 52%) than without (14, 4 and 8%) catalase when oocytes were inseminated with spermatozoa preincubated for 0, 30 and 60 min in the presence of xanthine plus xanthine oxidase. On the other hand, The rate of polyspermy in oocytes penetrated in medium without catalase in the presence of xanthine or xanthine plus xanthine oxidase decreased with time of spermatozoa preincubation. However, no differences were observed in polyspermy rates in the medium with xanthine oxidase alone despite presence of catalase. These results indicate the advantages of spermatozoa pre incubated with xanthine plus xanthine oxidase in the presence of catalase to increase penetration potential and with suppressed polyspermy in porcine.

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동결정액을 이용한 싸움소 생산

  • 정연길;송해범;김종열
    • Proceedings of the Korean Society of Embryo Transfer Conference
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    • 2002.11a
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    • pp.93-93
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    • 2002
  • 싸움소(투우)는 1999년 문화관광부지정‘한국의 10대 지역문화 관광축제’로 선정되어, 청도군 투우대회가 한국을 대표하는 축제가 되었고, 상설투우장의 건설로 새로운 레져 산업으로 부상하고 있다. 그러나 싸움소 생산에 소요되는 유전인자 보존 및 생산기반은 전무한 실증이며, 본 연구는 청도군내 우수 종모우을 선별하여 정액채취 및 동결정액을 생산하여 군내 한우번식 농가에서 인공수정을 실시하고 계절별 수태율과 송아지의 성비를 조사하였다. 종모우 번개(나이6세, 체중850kg, 97, 98년 우승)와 사자(나이6세, 체중870kg 98, 99년 준우승) 2두로부터 일반적인 방법으로 인공질을 이용하여 1999년 10월에 정액을 채취하였다. 채취된 정액은 35$^{\circ}C$에서 3~5배정도로 희석하여 정자농도와 활력을 평가하였다. 희석정액은 90분간에 걸처 5$^{\circ}C$ 까지 냉각하면서 글리세롤을 첨가한 난황구염산나트륨액으로 여러번 나누어 희석하여 정자의 충격을 피하였다. 글리세롤평형 2시간 후 0.5$m\ell$스트로에 정자수가 3500만/스트로의 분주.봉인하여, 정액의 동결은 액체질소상에서 4~5cm 위에 스트로를 평행으로 놓아 액체질소 가스로 10~15분간 예비동결한 다음, -8$0^{\circ}C$의 초저온 냉장고에서 케니스터에 넣어 -196$^{\circ}C$ 액체질소에 보관하였다. 인공수정을 실시하고 40일 전후에 직장검사를 통해 임신율과 수태율을 조사하고 분만한 송아지의 성비를 기록하였다. 채취한 싸움소의 정액량은 번개와 사자가 각각 평균 4.6$m\ell$와 3.8$m\ell$이고, 동결전의 정자의 활력은 번개와 사자의 정액이 각각 70.3 vs 75.3%, 동결후의 활력은 37.3 vs 40.3%로 유의한 차이는 없었다. 번개와 사자의 동결정액으로 각각 44두와 127두를 인공 수정하였고, 40일 전후의 임신율은 26두 vs 80두(59.1 vs 63.0% )였으며, 수태율은 26두 vs 66두(59.1 vs 52.0% )로 이들간의 유의한 차이는 없었다. 번개와 사자의 수송아지의 성비는 각각 65.3 vs 42.4%로 유의한 차이가 있었다. 싸움소 정액 동결보존과 인공수정으로 싸움소 혈통을 가진 송아지가 생산되었다. 그러나 생산된 송아지가 싸움소의 능력을 가진 것을 선별하여 혈통을 고정시키고, 훈련으로 싸움소의 제질을 발굴하는 것이 앞으로의 연구과제이다.

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A study on Modified Method of Orthogonal Neural Network for Nonlinear system approximation (비선형 시스템의 근사화를 위한 직교 신경망의 수정 기법에 관한 연구)

  • 김성식;이영석
    • Journal of the Korean Institute of Intelligent Systems
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    • v.8 no.3
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    • pp.33-40
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    • 1998
  • This paper presents an Modified Orthogonal Neural Network(MONN), new modified model of Orthogonal Neural Network(0NN) based on orthogonal functions, and applies it to nonlinear system approximator. ONN proposed by Yang and Tseng, doesn't have the problems of traditional multilayer feedforward neural networks such as the determination of initial weights and the numbers of layers and processing elements. And tranining of ONN converges rapidly. But ONN cannot adapt its orthogonal functions to a given system. The accuracy of ONN, in terms of the minimal possible deviation between system and approximator, is essentially dependent on the choice of basic orthogonal functions. In order to improve ability and effectiveness of approximate nonlinear systems, MONN has an input transformation layer to adapt its basic orthogonal functions to a given nonlinear system. The results show that MONN has the excellent performance of approximate nonlinear systems and the input transfnrmation makes the ability of MONN better than one of ONN.

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Influence of Human Follicular Fluid for IVF on PN Grade and Development of Human Embryos (사람 난포액에 의한 정자 처리가 체외수정란의 전핵과 발달에 미치는 영향)

  • B. G. Jeon;Lee, S. L.;S. A. Ock;Kim, K. S.;J. S. Moon;D. O. Kwack;Park, G. J.;S. Y. Choe
    • Journal of Embryo Transfer
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    • v.18 no.2
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    • pp.125-134
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    • 2003
  • 본 연구는 사람의 시험관아기 프로그램에서 체외 수정란의 질을 향상시키는 한 방법으로 난포액으로 처리된 정자를 체외 수정에 사용하여 생산된 체외 수정란의 전핵 등급과 발달 능력을 조사하였다. 정상적인 시험관 아기 시술을 시행한 실례 환자를 대상으로 과배란을 유기하여 배란 직전의 난자를 채취하여, 난포액으로 처리된 정자와 체외 수정시킨 후 사람 체외 수정란의 전핵 등급과 체외발달율을 조사하였다. 체외수정을 위한 정자의 처리 방법으로 synthetic serum substitute (SSS)를 15% 첨가한 modified human total fluid (m-hTF) 혹은 난포액에서 정자를 2시간 동안 swimming-up 처리 후 각각 체외수정에 사용한 결과, 수정율은 75.3 및 82.1%를 나타내어 유의적인 차이는 없었으나, 1등급 전핵란은 각각 48.0 및 65.5%를 나타내어 난포액에서 유의적으로 (P<0.05) 높았고, 배양 후 3일째에 수정란의 등급을 조사한 결과, 1등급 체외수정란은 각각 44.9 및 60.5%를 나타내어 난포액에서 유의적으로 (P<0.05) 높았다. 또한 체외수정란을 배양 후 3일째에 수정란의 발달 단계를 조사 한 결과, 5-세포기 단계 이상을 발달하는 비율은 각각 51.0 및 70.5%를 나타내어 난포액에서 유의적으로 (P<0.05) 높았다.