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A Comparison of Empowerment, Job Satisfaction, Organizational Commitment between Advanced Practice Nurses and Registered Nurses of Hospitals (전문간호사와 일반간호사의 임파워먼트, 직무만족, 조직몰입 비교)

  • Jung, Im-Jin;Kim, Yun-Mi
    • The Journal of the Korea Contents Association
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    • v.16 no.3
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    • pp.354-365
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    • 2016
  • The purpose of the study was to identify and compare levels of recognition of empowerment, job satisfaction, organizational commitment between Advanced Practice Nurses(APN) and Registered Nurses(RN) of hospitals. Data collection was done by the 85 APN and 120 RN of six large hospitals, four medium sized hospitals in Seoul and Incheon. T-test and ANOVA using SPSS 18.0 were performed. There were no significant differences of empowerment between APN($3.56{\pm}0.53$) and RN($3.50{\pm}0.54$)(t =-. 861, p = 0.390). job satisfaction between APN($3.36{\pm}0.53$) and RN($3.25{\pm}0.46$)(t =- 1.575, p = 0.117), organizational commitment between APN($3.11{\pm}0.34$) and RN($3.05{\pm}0.36$)(t =- 1.301, p = 0.195). Empowerment, job satisfaction, organizational commitment of APN and RN showed no significant differences. There are some reasons why it resulted in no significant difference between APN and RN. APN's role in Korea is not clearly established and distinguished from RN, lack of appropriacy of employment and reward, and lack of the institutional foundation for APN's operation and efficiency.

Diagnostic performance of dental students in identifying mandibular condyle fractures by panoramic radiography and the usefulness of reference images

  • Cho, Bong-Hae
    • Imaging Science in Dentistry
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    • v.41 no.2
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    • pp.53-57
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    • 2011
  • Purpose : The purpose of this study was to evaluate the diagnostic performance of dental students in detection of mandibular condyle fractures and the effectiveness of reference panoramic images. Materials and Methods : Forty-six undergraduates evaluated 25 panoramic radiographs for condylar fractures and the data were analyzed through receiver operating characteristic (ROC) analysis. After a month, they were divided into two homogeneous groups based on the first results and re-evaluated the images with (group A) or without (group B) reference images. Eight reference images included indications showing either typical condylar fractures or anatomic structures which could be confused with fractures. Paired t-test was used for statistical analysis of the difference between the first and the second evaluations for each group, and student�fs t-test was used between the two groups in the second evaluation. The intra- and inter-observer agreements were evaluated with Kappa statistics. Results : Intra- and inter-observer agreements were substantial (k=0.66) and moderate (k=0.53), respectively. The area under the ROC curve (Az) in the first evaluation was 0.802. In the second evaluation, it was increased to 0.823 for group A and 0.814 for group B. The difference between the first and second evaluations for group A was statistically significant (p<0.05), however there was no statistically significant difference between the two groups in the second evaluation. Conclusion : Providing reference images to less experienced clinicians would be a good way to improve the diagnostic ability in detecting condylar fracture.

The Effect of the Experience of Diabetes Education on Knowledge, Self-Care Behavior and Glycosylated Hemoglobin in Type 2 Diabetic Patients (당뇨교육경험이 제2형 당뇨환자의 지식, 자가간호행위, 당화혈색소에 미치는 영향)

  • Moon, Seung Hei;Lee, Young Whee;Ham, Ok-Kyung;Kim, Soo-Hyun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.1
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    • pp.81-92
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    • 2014
  • Purpose: This study was to identify the effect of the experience of diabetes education on knowledge, self-care behavior and glycosylated hemoglobin (HbA1C). Further, this study was held to examine about patient's preferred methods of education and re-education frequency. Methods: 166 type 2 diabetes patients from two hospitals in Incheon participated in this study. Data were analyzed by using descriptive analysis, t-test, ANOVA, Scheffe's test and multiple regression analysis. Results: 72.3% patients needed re-education and the average interval of re-education was 8.53 months. Patients preferred education methods were lectures, practical training, and studying from pamphlet. Depending on the frequency of diabetes education, there were significant differences in the level of diabetes knowledge (F=10.88, p<.001) and self-care behaviors (F=4.59, p=.012), but there was not significant difference with HbA1C (F=1.53, p=.220). As to how much the diabetes education helped managing diabetes, there was a significant difference in the level of self-care behaviors (t=2.01, p=.049), but there were not significant differences in level of knowledge (t=1.10, p=.275) and HbA1C (t=-.33, p=.746). The experience of diabetes education was a significant factor which influenced patient's knowledge (t=3.93, p<.001) and self-care behaviors (t=2.21, p<.001). But HbA1C was not influenced by the experience of diabetes education (t=-1.68, p=.096). Conclusion: It is necessary to provide diabetes education with appropriate interval and methods and subjects that reflect the needs of patient through the study results.

𝓦-RESOLUTIONS AND GORENSTEIN CATEGORIES WITH RESPECT TO A SEMIDUALIZING BIMODULES

  • YANG, XIAOYAN
    • Journal of the Korean Mathematical Society
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    • v.53 no.1
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    • pp.1-17
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    • 2016
  • Let $\mathcal{W}$ be an additive full subcategory of the category R-Mod of left R-modules. We provide a method to construct a proper ${\mathcal{W}}^H_C$-resolution (resp. coproper ${\mathcal{W}}^T_C$-coresolution) of one term in a short exact sequence in R-Mod from those of the other two terms. By using these constructions, we introduce and study the stability of the Gorenstein categories ${\mathcal{G}}_C({\mathcal{W}}{\mathcal{W}}^T_C)$ and ${\mathcal{G}}_C({\mathcal{W}}^H_C{\mathcal{W}})$ with respect to a semidualizing bimodule C, and investigate the 2-out-of-3 property of these categories of a short exact sequence by using these constructions. Also we prove how they are related to the Gorenstein categories ${\mathcal{G}}((R{\ltimes}C){\otimes}_R{\mathcal{W}})_C$ and ${\mathcal{G}}(Hom_R(R{\ltimes}C,{\mathcal{W}}))_C$ over $R{\ltimes}C$.

Cerebellar Schistosomiasis: A Case Report with Clinical Analysis

  • Wan, Heng;Lei, Ding;Mao, Qing
    • Parasites, Hosts and Diseases
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    • v.47 no.1
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    • pp.53-56
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    • 2009
  • The authors report here a rare case of cerebellar schistosomiasis identified by pathological diagnosis, lacking extracranial involvement. The clinical symptoms included headache, dizziness, and nausea. Studies in blood were normal and no parasite eggs were detected in stool. Computed tomography of brains showed hypodense signal, and magnetic resonance imaging showed isointense signal on T1-weighted images, hyperintense signal on T2-weighted images, and intensely enhancing nodules in the right cerebellum after intravenous administration of gadolinium. A high-grade glioma was suspected, and an operation was performed. The pathologic examination of the biopsy specimen revealed schistosomal granulomas scattered within the parenchyma of the cerebellum. The definitive diagnosis was cerebellar schistosomiasis japonica. A standard use of praziquantel and corticosteroid drugs was applied, and the prognosis was good. When the pattern of imaging examinations is present as mentioned above, a diagnosis of brain schistosomiasis should be considered.

Analysis of the Apoptotic Mechanisms of Snake Venom Toxin on Inflammation-induced HaCaT Cell-line

  • Chun, Youl Woong;Song, Ho Sueb
    • Journal of Acupuncture Research
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    • v.34 no.1
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    • pp.23-30
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    • 2017
  • Objectives : In this study, the roles of Interleukin (IL)-4 and Signal transducer and activator of transcription 6 (STAT6), which have been reported to play a role in the pathogenesis of inflammation and cancer, were evaluated in snake venom toxin (SVT)-induced apoptosis. Methods : Inflammation was induced in human HaCaT kerationocytes, by lipopolysaccharide (LPS; $1{\mu}g/mL$) or tumor necrosis factor-${\alpha}$ (TNF-${\alpha}$), followed by treatment with SVT (0, 1, or $2{\mu}g/mL$). Cell viability was assessed by MTT assays after 24 h, and the expression of levels of IL-4, STAT6, and the apoptosis-related proteins p53, Bax, and Bcl-2 were evaluated by western blotting. Electro mobility shift assays (EMSAs) were performed to evaluate the DNA binding capacity of STAT6. Results : MTT assays showed that inflammation-induced growth of HaCaT cells following LPS or TNF-${\alpha}$ stimulation was inhibited by SVT. Western blot analysis showed that p53 and Bax, which promote apoptosis, were increased, whereas that of Bcl-2, an anti-apoptotic protein, was decreased in a concentration-dependent manner in LPS- or TNF-${\alpha}$-induced HaCaT cells following treatment with SVT. Moreover, following treatment of HaCaT cells with LPS, IL-4 concentrations were increased, and treatment with SVT further increased IL-4 expression in a concentration-dependent manner. Western blotting and EMSAs showed that the phosphorylated form of STAT6 was increased in HaCaT cells in the context of LPS- or TNF-${\alpha}$-induced inflammation in a concentration-dependent manner, concomitant with an increase in the DNA binding activity of STAT6. Conclusion : SVT can effectively promote apoptosis in HaCaT cells in the presence of inflammation through a pathway involving IL-4 and STAT6.

Effect of Flipped learning on the Learning Attitude, Self-esteem, Lesson Satisfaction for Nursing Students of the University (간호대학생의 플립러닝 학습이 학습태도, 자아존중감, 수업만족도에 미치는 영향)

  • Kim, Jin;Cha, Nam Hyun
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.3
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    • pp.9-14
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    • 2022
  • The purpose of this study performed to confirm the effect of flipped learning on learning attitude, self-esteem, and lesson satisfaction for nursing students of the university. The research participants and data collection were conducted on 38 nursing students in A city from September 1 to December 30, 2021, and the research design is a one-group pretest-posttest design. Learning attitude, self-esteem, and lesson satisfaction were investigated, and flipped learning lectures were applied to the experimental group as experimental treatment. SPSS 27.0 version was used for statistical analysis. As a result, the learning attitude of nursing students showed a positive correlation with self-esteem and lesson satisfaction, and the flipped learning education method showed learning attitude (t=-4.01, p<.01) and self-esteem (t=-3.53, p<).001, lesson satisfaction (t=-4.20, p<).001) All were statistically significant.

GENERALIZED CAYLEY GRAPH OF UPPER TRIANGULAR MATRIX RINGS

  • Afkhami, Mojgan;Hashemifar, Seyed Hosein;Khashyarmanesh, Kazem
    • Bulletin of the Korean Mathematical Society
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    • v.53 no.4
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    • pp.1017-1031
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    • 2016
  • Let R be a commutative ring with the non-zero identity and n be a natural number. ${\Gamma}^n_R$ is a simple graph with $R^n{\setminus}\{0\}$ as the vertex set and two distinct vertices X and Y in $R^n$ are adjacent if and only if there exists an $n{\times}n$ lower triangular matrix A over R whose entries on the main diagonal are non-zero such that $AX^t=Y^t$ or $AY^t=X^t$, where, for a matrix B, $B^t$ is the matrix transpose of B. ${\Gamma}^n_R$ is a generalization of Cayley graph. Let $T_n(R)$ denote the $n{\times}n$ upper triangular matrix ring over R. In this paper, for an arbitrary ring R, we investigate the properties of the graph ${\Gamma}^n_{T_n(R)}$.

Sequence Diversity in MIC6 Gene among Toxoplasma gondii Isolates from Different Hosts and Geographical Locations

  • Li, Zhong-Yuan;Song, Hui-Qun;Chen, Jia;Zhu, Xing-Quan
    • Parasites, Hosts and Diseases
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    • v.53 no.3
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    • pp.341-344
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    • 2015
  • Toxoplasma gondii is an opportunistic protozoan parasite that can infect almost all warm-blooded animals including humans with a worldwide distribution. Micronemes play an important role in invasion process of T. gondii, associated with the attachment, motility, and host cell recognition. In this research, sequence diversity in microneme protein 6 (MIC6) gene among 16 T. gondii isolates from different hosts and geographical regions and 1 reference strain was examined. The results showed that the sequence of all the examined T. gondii strains was 1,050 bp in length, and their A + T content was between 45.7% and 46.1%. Sequence analysis presented 33 nucleotide mutation positions (0-1.1%), resulting in 23 amino acid substitutions (0-2.3%) aligned with T. gondii RH strain. Moreover, T. gondii strains representing the 3 classical genotypes (Type I, II, and III) were separated into different clusters based on the locus of MIC6 using phylogenetic analyses by Bayesian inference (BI), maximum parsimony (MP), and maximum likelihood (ML), but T. gondii strains belonging to ToxoDB #9 were separated into different clusters. Our results suggested that MIC6 gene is not a suitable marker for T. gondii population genetic studies.

Pollutant Load Characteristics by Baseflow in a Small Agricultural Watershed (농업소하천 유역의 기저유출에 의한 오염부하특성)

  • Shin, Yongchul;Lyou, Changwon;Choi, Ye Hwan;Lim, Kyuong Jae;Choi, Joongdae
    • Journal of Korean Society on Water Environment
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    • v.22 no.2
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    • pp.244-249
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    • 2006
  • Natural environment of Weolgokri watershed has been well preserved as a traditional agricultural watershed. A year record of streamflow, $NO_3-N$, T-N and T-P concentrations data (April 2004 - Mar. 2005) were examined to estimate annual and seasonal patterns of pollutant loads in streamflow and baseflow from the agricultural watershed. To estimate pollutant loads from baseflow, baseflow component was separated from streamflow using the digital filter method in the Web-based Hydrograph Analysis Tool system and loads of $NO_3-N$, T-N and T-P from streamflow and baseflow were evaluated. The $NO_3-N$, T-N, and T-P loads from streamflow were 13.85 kg/ha, 45.92 kg/ha and 1.887 kg/ha, respectively, while corresponding loads from baseflow were 7.43 kg/ha, 24.70 kg/ha, 0.582 kg/ha, respectively. It was found that $NO_3-N$ and T-N loads were contributed slightly more by the baseflow (53% and 53% of Total-loads) than by the direct runoff (47% and 47% of Total loads). However, only 30% of total T-P load was contributed by the baseflow. It is recommended that one needs to assess pollutant load contribution by the baseflow to identify appropriate pollution control strategies for an effective watershed management.