• Title/Summary/Keyword: 4D Experience

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A Study on Disaster Preparedness, Core Competencies and Educational Needs on Disaster Nursing of Nursing Students (간호대학생의 재난준비도, 재난간호 핵심수행능력 및 교육요구도에 대한 연구)

  • Kim, Hee-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7447-7455
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    • 2015
  • This study was aimed to investigate disaster preparedness, core competencies and educational needs on disaster nursing of nursing students and to provide basic data needed for development of disaster nursing educational program. 254 nursing students enrolled in 3 college of nursing in D-city completed questionnaires. The data were collected from November 1, 2014 to November 30, 2014. The average level of core competencies on disaster nursing was 2.76 out of 5 points, which was moderate for the core competencies on disaster nursing. Disaster preparedness was 2.14 out of 5 points, suggesting that they are generally not well prepared for disaster. Factors affecting core competencies on disaster nursing were disaster preparedness, educational needs, grade, and experience of disaster education. It is necessary to develop disaster nursing educational program to reflect the needs of the field in Korea. And Nurse educator needs to develop strategies to prepare their students for disasters. Further research is needed to adequately address this issue.

CONSIDERATIONS REGARDING ROK SPENT NUCLEAR FUEL MANAGEMENT OPTIONS

  • Braun, Chaim;Forrest, Robert
    • Nuclear Engineering and Technology
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    • v.45 no.4
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    • pp.427-438
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    • 2013
  • In this paper we discuss spent fuel management options in the Republic of Korea (ROK) from two interrelated perspectives: Centralized dry cask storage and spent fuel pyroprocessing and burning in sodium fast reactors (SFRs). We argue that the ROK will run out of space for at-reactors spent fuel storage by about the year 2030 and will thus need to transition centralized dry cask storage. Pyroprocessing plant capacity, even if approved and successfully licensed and constructed by that time, will not suffice to handle all the spent fuel discharged annually. Hence centralized dry cask storage will be required even if the pyroprocessing option is successfully developed by 2030. Pyroprocessing is but an enabling technology on the path leading to fissile material recycling and burning in future SFRs. In this regard we discuss two SFR options under development in the U.S.: the Super Prism and the Travelling Wave Reactor (TWR). We note that the U.S. is further along in reactor development than the ROK. The ROK though has acquired more experience, recently in investigating fuel recycling options for SFRs. We thus call for two complementary joint R&D project to be conducted by U.S. and ROK scientists. One leading to the development of a demonstration centralized away-fromreactors spent fuel storage facility. The other involve further R&D on a combined SFR-fuel cycle complex based on the reactor and fuel cycle options discussed in the paper.

Calculation of preliminary site-specific DCGLs for nuclear power plant decommissioning using hybrid scenarios

  • Seo, Hyung-Woo;Sohn, Wook
    • Nuclear Engineering and Technology
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    • v.51 no.4
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    • pp.1098-1108
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    • 2019
  • Korea's first commercial nuclear power plant at Kori site was permanently shut down in 2017 and is currently in transition stage. Preparatory activities for decommissioning such as historical site assessment, characterization, and dismantling design are being actively carried out for successful D&D (Dismantling and Decontamination) at Kori site. The ultimate goal of decommissioning will be to ensure the safety of workers and residents that may arise during the decommissioning of nuclear facilities and, thereby finally returning the site to its original status in accordance with the release criteria. Upon completion of decommissioning, the resident's safety at a site released will be assessed from the evaluation of dose caused by radionuclides expected to be present or detected at the site. Although the U.S. commercial nuclear power plants with decommissioning experience use different site release criteria, most of them are 0.25 mSv/y. In Korea, both the unrestricted and restricted release criteria have been set to 0.1 mSv/y by the Nuclear Safety and Security Commission. However, since the dose is difficult to measure, measurable concentration guideline levels for residual radionuclides that result in dose equivalent to the site release criteria should be derived. For this derivation, site reuse scenario, selection of potential radionuclides, and systematic methodology should be developed in planning stage of Kori site decommissioning. In this paper, for calculation of a preliminary site-specific Derived Concentration Guideline Levels (DCGLs) for the Nuclear Power Plant site, a novel approach has been developed which can fully reflect practical reuse plans of the Kori site by taking into account multiple site reuse scenarios sequentially, thereby striking a remarkable distinction with conventional approaches which considers only a single site scenario.

Nursing students' Awareness of Well-dying, Attitude toward Withdrawal of Life-Sustaining Treatment and Attitude toward Euthanasia (간호대학생의 웰다잉에 대한 인식과 연명치료중단과 안락사에 대한 태도)

  • Kim, Mi-Ja
    • Journal of Industrial Convergence
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    • v.18 no.6
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    • pp.51-59
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    • 2020
  • Although the life-sustaining treatment decision law is in effect, health care worker have many difficulties in determining life-sustaining treatment. Therefore, the relationship between the awareness of well-dying(WD), the attitude toward withdrawal of life-sustaining treatment(AWLST), and the attitude toward euthanasia(AE) for nursing students who will take care of dying patients in the future will be analyzed and used as basic data for bioethics classes. The study period was from April 1 to May 6, 2018, and a survey was conducted on 288 nursing students in D City. As a result of the study, WD was found to have positive (+) correlations with AWLST and AE, while AWLST was positive (+) with active and passive euthanasia. As nurses are expected to experience many ethical conflicts in the life-sustaining treatment process, it is necessary to receive education related to well-dying awareness, bioethics education, and life-sustaining treatment during the nursing student period.

A Study on the Status of e-Books Usage in Small University Library: Focusing on the D University Library (소규모 대학도서관의 전자책 이용실태에 관한 연구 - D대학교도서관을 중심으로 -)

  • Kim, Jin Young;Han, Sang Woo
    • Journal of Korean Library and Information Science Society
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    • v.52 no.2
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    • pp.429-445
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    • 2021
  • The purpose of this study is to analyze the status of e-books usage in small university library and to suggest implications for e-book management policies. To do that, a survey was conducted with students in a local small university, and the valid responses of 259 people were analyzed. As a result of the analysis, the preference of paper books (71%) was higher than that of e-books (12%). However, satisfaction with e-books (45.6%) was higher than that of paper books (27.9%) if they had experience using e-books. In addition, satisfaction was highest when using e-books for general reading, and it was found that the use device preferred to use a tablet. Based on the results of this study, we proposed some suggestions; 1) establishment of e-books service policy and promotion plan, 2) use of e-books dedicated devices and development of user-friendly e-books using environment, 3) providing various topics of e-books, 4) formation of an association for joint use of e-books between small library universities.

A Study on the Possibilities and Limits of the University-Industry Collaboration Faculty System based on their Experiences (산학협력중점교수제도의 가능성과 한계: 교수들의 경험 분석을 토대로)

  • Chae, Jae-Eun
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.538-547
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    • 2021
  • This article explores the possibilities and limits of the University-Industry Collaboration (UIC) Faculty System from their perspectives. A qualitative research study is conducted to gain an in-depth understanding of experiences of the UIC faculties. Semi-structured interviews of eight UIC faculties working for A University located in the Seoul Metropolitan area were conducted for the date collection. The results suggest that the UIC Faculty System has provided retirees with an opportunity to move into a second career. Their intangible assets such as industrial field experience, R&D competency, organizational competency, and network all together have contributed to the innovation of the university education. However, the short-term performance-oriented operation has prevented the development of the UIC faculty system. These findings suggest that the system should be improved in order to promote its mutual benefits to both universities and UIC faculties.

Effects of Pregnant Woman Social Support, Pregnancy Stress and Anxiety on Quality of Life (임부의 사회적 지지, 임신 스트레스, 그리고 불안이 삶의 질에 미치는 영향)

  • Kim, Jeong-Suk
    • Journal of Convergence for Information Technology
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    • v.11 no.5
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    • pp.50-56
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    • 2021
  • This study was done develop the factors that affect the quality of life among pregnant women supportive, stress and anxiety. This study was a descriptive survey of 117 pregnant women residing in two regions D and S. Before the questionnaire, the purpose and purpose of the study were explained and proceeded SPSS 21.0 was used for the data, frequency analysis, variance analysis, t-test, correlation analysis, and rare analysis. The data was collected from January to February 2020. The results of this study are as follows. The differences in quality of life of pregnant women according to general characteristics showed significant differences in sleep time, economic status, health status, activity status and pregnancy cycle. Variables affecting quality of life were social support (β= .432, p= .000), pregnancy stress (β=- .407, p= .000), anxiety (β=- .182, p= .010). If pregnant women experience pregnancy stress and anxiety, the quality of life may be degraded, so it is necessary to develop a health promotion program for pregnant women.

Liver transplantation in pediatric patients with progressive familial intrahepatic cholestasis: Single center experience of seven cases

  • Jung-Man Namgoong;Shin Hwang;Hyunhee Kwon;Suhyeon Ha;Kyung Mo Kim;Seak Hee Oh;Seung-Mo Hong
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.26 no.1
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    • pp.69-75
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    • 2022
  • Backgrounds/Aims: Progressive familial intrahepatic cholestasis (PFIC) is an autosomal recessive inherited disease requiring liver transplantation (LT). The objective of this study was to investigate the clinicopathological features and posttransplant courses of seven LT recipients with PFIC. Methods: This was a retrospective single-center study of patients with PFIC who underwent LT from January 2013 to June 2020. Results: Two and five patients were diagnosed with PFIC type 1 and type 2, respectively. For all seven patients, age of PFIC onset was at birth. Jaundice was present in all cases. Mean pretransplant total and direct bilirubin levels were 16.1 ± 8.1 mg/dL and 12.4 ± 6.2 mg/dL, respectively. Median patient age and body weight at LT were 10 months and 7 kg, respectively. Types of donors were mothers of patients in four and deceased donors in three. All five patients with PFIC type 2 recovered uneventfully. One patient each with PFIC type 1 underwent retransplantation due to graft failure or died due to multi-organ failure. Overall graft and patient survival rates at five years were 66.7% and 83.3%, respectively. Bile salt export pump immunohistochemical staining showed normal canalicular expression in two patients with PFIC type 1, focal loss in two patients with PFIC type 2, and total loss in three patients with PFIC type 2. Conclusions: LT is currently the only effective treatment for PFIC-associated end-stage liver diseases. It is mandatory to perform regular follow-up due to the risk of complications including steatohepatitis, especially for patients with PFIC type 1.

The Survey of Dentists: Updated Knowledge about Basic Life support and Experiences of Dental Emergency in Korea

  • Cho, Kyoung-Ah;Kim, Hyuk;Lee, Brian Seonghwa;Kwon, Woon-Yong;Kim, Mi-Seon;Seo, Kwang-Suk;Kim, Hyun-Jeong
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.14 no.1
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    • pp.17-27
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    • 2014
  • Background: Various medical emergency situations can occur during dental practices. Cardiac arrest is known to comprise approximately 1% of emergency situation. Thus, it is necessary for dentists to be able to perform cardiopulmonary resuscitation (CPR) to increase the chance of saving patient's life in emergency situation. In this paper, we conducted a survey study to evaluate to what extent dentists actually understood CPR practice and if they had experience in handling emergency situations in practice. Method: The survey was done for members of the Korean Dental Society of Anesthesiology (KDSA), who had great interest in CPR and for whom survey-by-mail was convenient. We had selected 472 members of the KDSA with a dental license and whose office address and contact information were appropriate, and sent them a survey questionnaire by mail asking about the degree of their CPR understanding and if they had experience of handling emergency questions before. Statistical analyses -frequency analysis, chi-square test, ANOVA, and so on- were performed by use of IBM SPSS Statistics 19 for each question. Result: Among 472 people, 181 responded (38.4% response rate). Among the respondents were 134 male and 47 female dentists. Their average age was $40.4{\pm}8.4$. In terms of practice type, there were 123 private practitioners (68.0%), 20 professors (11.0%), 16 dentists-in-service (8.8%), 13 residents (specialist training) (7.2%) and 9 military doctors (5%). There were 125 dentists (69.1%) who were specialists or receiving training to be specialist, most of whom were oral surgeon (57, 31.5%) and pediatric dentists (56, 30.9%). There were 153 people (85.0%) who received CPR training before, and 65 of them (35.9%) were receiving regular training. When asked about the ratio of chest pressure vs mouth-to-mouth respiration when conducting CPR, 107 people (59.1%) answered 30:2. However, only 27.1% of them answered correctly for a question regarding CPR stages, C(Circulation)- A(Airway)- B(Breathing)- D(Defibrillation), which was defined in revised 2010 CPR practice guideline. Dentists who had experience of handling emergency situations in their practice were 119 (65.6%). The kinds of emergency situations they experienced were syncope (68, 37.6%), allergic reactions to local anesthetic (44, 24.3%), hyperventilation (43, 23.8%), seizure (25, 13.8%), hypoglycemia (15, 8.3%), breathing difficulty (14, 7.8%), cardiac arrest (11, 6.1%), airway obstruction (6, 3.3%), intake of foreign material and angina pectoris (4, 2.2%), in order of frequency. Most respondents answered that they handled the situation appropriately under the given emergency situation. In terms of emergency equipment they had blood pressure device (70.2%), pulse oximetry (69.6%), Bag-Valve-Mask (56.9%), emergency medicine (41.4%), intubation kit (29.8%), automated external defibrillator (23.2%), suction kit (19.3%) and 12 people (6.6%) did not have any equipment. In terms of confidence in handling emergency situation, with 1-10 point scale, their response was $4.86{\pm}2.41$ points. The average point of those who received regular training was $5.92{\pm}2.20$, while those who did not was $4.29{\pm}2.29$ points (P<0.001) Conclusion: The result showed they had good knowledge of CPR but the information they had was not up-to-date. Also, they were frequently exposed to the risk of emergency situation during their dental practice but the level of confidence in handling the emergency situation was intermediate. Therefore, regular training of CPR to prepare them for handling emergency situation is deemed necessary.

Efficacy of Hormone Replacement Therapy on Lipid Profile and Bone Mineral Density in Postmenopausal Women: Continuous vs. Sequential Treatment (페경기 여성에서 호르몬 대체요법의 지질대사 및 골밀도에 대한 효과: 지속적 요법과 순차적 요법의 비교)

  • Lee, Chang Yun;Lee, Sukhyang
    • Korean Journal of Clinical Pharmacy
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    • v.10 no.3
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    • pp.101-106
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    • 2000
  • Menopausal women experience urogenitory and vasomotor symptoms with increased risk of osteoporosis and cardiovascular diseases, which can be reduced by hormone replacement therapy. However unopposed estrogen therapy has been associated with an increased risk of endometrial hypeiplasia or cancer. The objectives of this study were to compare effects of continuous vs. sequential hormone replacement therapy (HRT) on lipid profile, bone mineral density and menopausal symptoms of postmenopausal women and to assess how they perceive the menopause and HRT culturally. In this retrospective study, women in menopause longer than 6 months, normal in the mam-mogram and Papanicolaou smear, cholesterol level lower than 190 mg/dL or triglyceride level lower 4han 500 mg/dL were treated with Srogen (conjugated equine estrogen 0.625 mg tablet) and Provera (medroxyprogesterone acetate 2.5 mg tablet) for continuous treatment(CT) or Cycloprogynova (Estradiol valerate 2 mg and Norgestrel 0.5 mg complex tablet) for sequential treatment(ST). They were evaluated for lipid profile, bone mineral density, menopausal symptoms, side effects and their perception of menopause and HRT. As results, total sixty-seven patients out of ninety-four enrollees were included in final analysis (33 in continuous therapy, 34 in sequential therapy). There were significant decrease in total cholesterol ($15.04\pm3.17$, p=0.0001), LDL ($19.72\pm3.27$, p=0.0001), and increase in HDL ($5.89\pm1.63$, p=0.0001). Bone minora) density increased significantly with HRT ($0.02\pm0.11$, p=0.0001). But, there were no significant differences in change of lipid profile between continuous and sequential therapy: Total cholesterol, $13.12\pm4.7\;vs.\;16.91\pm4.3;\;LDL\;20.53\pm4.1\;vs.\;18.93\pm5.12:HDL\;7.15\pm2.3\;vs.\;4.67\pm2.2,\;p>0.05$. Incidences of flush reduced from $75\%\;(CT)\;to\;3.13\%\;and\;71.88\%\;(ST)\;to\;9.35\%$. The change of endometrium and breast were found 3 (CT) and 5 (ST) women, respectively. Most of women recognized that HRT is necessary $(70\%)$ for postmenopausal period but did not understand well the cardiovascular protective effect. In conclusion, hormone replacement therapy was effective in improving lipid profile, bone mineral density and menopausal symptoms in both continuous and sequential treatments with similar efficacy.

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