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Impacts of Professional Autonomy and Role Conflict Clinical Decision-Making Ability of Nurses on Comprehensive Nursing Care Service Wards (간호간병통합병동 간호사의 전문직 자율성, 역할갈등이 임상적 의사결정능력에 미치는 영향)

  • Son, Yu-Lim;Kim, Eun-Ha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.7
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    • pp.463-473
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    • 2018
  • This investigation was a descriptive study that examined the relationship among factors including professional autonomy, role conflict, and clinical decision-making ability of nurses on comprehensive nursing service wards. To accomplish this, a survey of 234 nurses working at D city and G city who were selected based on convenience sampling was conducted. Data were collected using a self-reported questionnaire completed by 234 nurses at four clinical hospitals from October 12, 2017 to November 30, 2017. The collected data were evaluated by t-tests, ANOVA, Pearson's correlation and stepwise multiple regression analysis. The mean clinical decision-making ability score was $3.38{\pm}0.78$, which corresponded to an intermediate level of clinical decision-making ability. Clinical decision making ability was positively correlated with professional autonomy, but role conflict showed a negative correlation. The factors having the greatest impact on clinical decision-making ability were found to be, in order, length of work, education level, professional autonomy and role conflict, which together accounted for 38.7% of the total impact. To improve clinical decision making ability, it is important to improve autonomy and role conflict. Additionally, to improve clinical decision-making ability, it is necessary to improve clinical decision-making ability to determine nurses tasks through professional autonomy and role conflict. Overall, the results of this study can be utilized as baseline data when developing a program to enhance nurses' clinical decision making ability. Moreover, it is suggested that an interventional study analyzing validity and effectiveness of developed education programs be conducted.

The Activity Period and Feeding Ecology of the Korean Eastern Spined Loach, Iksookimia yongdokensis (Pisces: Cobitidae) (한국고유종 동방종개 Iksookimia yongdokensis(Pisces: Cobitidae)의 활동주기 및 섭식생태)

  • Ko, Myeong-Hun;Kim, Hyo-Jin;Myung, Ra-Yeon;Won, Yong-Jin
    • Korean Journal of Ichthyology
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    • v.30 no.1
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    • pp.27-35
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    • 2018
  • The activity period and feeding ecology of the Iksookimia yongdokensis were investigated to obtain baseline data for its ecological characteristics in the Chuksan Stream and Gokgang Stream, Gyeongsangbuk-do, Korea from 2015 to 2016. I. yongdokensis were active on cobble, pebble and sand bottom from March to November when the water temperature exceeded $10^{\circ}C$, but tended to overwinter in cobble and pebble during the winter months (December~February) when the water temperature was lower than $10^{\circ}C$. During the day from 9 am to 15 pm, individuals of I. yongdokensis were highly active with a high rate of food consumption. I. yongdokensis activley fed on the surface of stone, pebble and sand as a filter feeder. Their main food sources analyzed with an index of relative importance (IRI) include Chironomidae (54.7%), Branchiopoda (10.1%), Rotatoria (8.7%), Arcellidae (8.6%), Chlorophyceae (6.5%) and Bacillariophyceae (5.1%). Juveniles of I. yongdokensis (total length 20~39 mm) fed on small-sized preys such as Rotatoria, Branchiopoda and Arcellidae, but they exhibited a transition in their prey-size markedly dominated by large-sized preys such as Chironomidae and Ephemeroptera as they grow.

A Comparison on the Forest Type of Coastal Disaster Prevention Forest Between the Coastal Areas in Korea (우리나라 해안별 해안방재림의 유형특성 비교)

  • Kim, Chan-Beom;Park, Ki-Hyung;Lee, Chang-Woo;Youn, Ho-Joong;Kim, Kyongha
    • Journal of Korean Society of Forest Science
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    • v.103 no.4
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    • pp.564-573
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    • 2014
  • The objective of this study was to select a representative coastal disaster prevention forest type for each coastal area. In this study, we used cluster analysis with the results obtained from investigation for density of growing stock, tree height, DBH, and forest width and length of major coastal disaster prevention forests distributed in the west, the south, and the east coasts. The results showed that the coastal disaster prevention forests for each coast were classified into two types: a forest type with small DBH and high growing stock density (W1) or with high tree height (W2) in the west coast, a forest type with small tree height (S1) or with large DBH (S2) in the south coast, and a forest type with small growing stock density (E1) or with small tree height and low DBH (E2) in the east coast. The coastal disaster prevention forests located in Gurye beach (Hwangchon-ri, Wonbuk-myeon, Taean-gun, Chungcheongnam-do) and in Gohsapo beach (Unsna-ri, Byeonsan-myeon, Buan-gun, Jeollabuk-do) were selected as the representative forests of W1 and W2, respectively. In addition, the coastal disaster prevention forests located in Namyang beach (Namyang-ri, Seolcheon-myeon, Namhae-gun, Gyeongsangnam-do) and in Donggo beach (Donggo-ri, Sinji-myeon, Wando-gun, Jeollanam-do) were selected as the representative forests of S1 and S2, respectively. Last, the coastal disaster prevention forests located in Bonggil beach (Bonggil-ri, Yangbuk-myeon, Gyeongju-si, Gyeongsangbuk-do) and in Anmeok beach (Gyeonso-dong, Gangneung-si, Gangwon-do) were selected as the representative forests of E1 and E2, respectively. Our finding is expected to be used as baseline data in establishing the most appropriate coastal disaster prevention forest for each coast.

Corpus-based Korean Text-to-speech Conversion System (콜퍼스에 기반한 한국어 문장/음성변환 시스템)

  • Kim, Sang-hun; Park, Jun;Lee, Young-jik
    • The Journal of the Acoustical Society of Korea
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    • v.20 no.3
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    • pp.24-33
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    • 2001
  • this paper describes a baseline for an implementation of a corpus-based Korean TTS system. The conventional TTS systems using small-sized speech still generate machine-like synthetic speech. To overcome this problem we introduce the corpus-based TTS system which enables to generate natural synthetic speech without prosodic modifications. The corpus should be composed of a natural prosody of source speech and multiple instances of synthesis units. To make a phone level synthesis unit, we train a speech recognizer with the target speech, and then perform an automatic phoneme segmentation. We also detect the fine pitch period using Laryngo graph signals, which is used for prosodic feature extraction. For break strength allocation, 4 levels of break indices are decided as pause length and also attached to phones to reflect prosodic variations in phrase boundaries. To predict the break strength on texts, we utilize the statistical information of POS (Part-of-Speech) sequences. The best triphone sequences are selected by Viterbi search considering the minimization of accumulative Euclidean distance of concatenating distortion. To get high quality synthesis speech applicable to commercial purpose, we introduce a domain specific database. By adding domain specific database to general domain database, we can greatly improve the quality of synthetic speech on specific domain. From the subjective evaluation, the new Korean corpus-based TTS system shows better naturalness than the conventional demisyllable-based one.

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Local Stereo Matching Method based on Improved Matching Cost and Disparity Map Adjustment (개선된 정합 비용 및 시차 지도 재생성 기반 지역적 스테레오 정합 기법)

  • Kang, Hyun Ryun;Yun, In Yong;Kim, Joong Kyu
    • Journal of the Institute of Electronics and Information Engineers
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    • v.54 no.5
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    • pp.65-73
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    • 2017
  • In this paper, we propose a stereo matching method to improve the image quality at the hole and the disparity discontinuity regions. The stereo matching method extracts disparity map finding corresponding points between stereo image pair. However conventional stereo matching methods have a problem about the tradeoff between accuracy and precision with respect to the length of the baseline of the stereo image pair. In addition, there are hole and disparity discontinuity regions which are caused by textureless regions and occlusion regions of the stereo image pair. The proposed method extracts initial disparity map improved at disparity discontinuity and miss-matched regions using modified AD-Census-Gradient method and adaptive weighted cost aggregation. And then we conduct the disparity map refinement to improve at miss-matched regions, while also improving the accuracy of the image. Experimental results demonstrate that the proposed method produces high-quality disparity maps by successfully improving miss-matching regions and accuracy while maintaining matching performance compared to existing methods which produce disparity maps with high matching performance. And the matching performance is increased about 3.22(%) compared to latest stereo matching methods in case of test images which have high error ratio.

Analyzed the Computed Tomography Dose Index (CTDI) to the Pediatric Brain CT by Reason of the Observation for the Exposure Dose: Base on a Hospital (소아 두부 전산화단층촬영 선량지표 분석을 통한 피폭선량 모니터링: 일개병원 사례 중심으로)

  • Lee, Jae-Seung;Kim, Hyun-Jin;Im, In-Chul
    • The Journal of the Korea Contents Association
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    • v.15 no.6
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    • pp.290-296
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    • 2015
  • The purpose of this study was to derive the proposals and to suggest the exposure dose reduction scheme on pediatric head CT scan by analyzing and comparing CT dose index (CTDI) and the national diagnostic reference levels. From January 2014 to December, 231 children under 10years who were requested a pediatric head CT scan with head injury were examined. Research methods were to research and analyze the general characteristics kVp, mA test coverage $CTDI_{vol}$ and DLP referring to dose reports and electronic medical record (EMR). As a result, 7.4%(17 patients) of the total subjects in $CTDI_{vol}$ showed a national diagnostic reference levels exceeding. For DLP 41.6%(96 patients) in excess was relatively higher than $CTDI_{vol}$. DLP was exceeded more than about 60% that is higher than the CT dose index presented by Korea Food & Drug Administration. it is cause of high DLP that scan range increased more than about 30% wider than the standard test coverage presented in Health Insurance Review & Assessment Service. In conclusion, it is able to significantly lower the dose if it is complied with checking the baseline scan range of pediatric head CT scan and appropriately adjusting the protocol.

Harmonic Preference of Primary and Secondary School Students Depending on Age and Musical Training (연령과 음악적 배경에 따른 아동 및 청소년의 화음 선호도)

  • Kim, Hye-Kyung
    • Journal of Music and Human Behavior
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    • v.12 no.1
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    • pp.23-42
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    • 2015
  • This study investigated the harmonic preference of children and adolescents depending on age and musical training. A total of 684 primary and secondary school students participated in this study. For this study, a four-measure melody was composed and constructed in four levels of harmonic complexity, determined by the rate of nonharmonic notes used and immediacy of harmonic resolution. Participants rated the degree of their perceived complexity and their preferences after listening to each musical stimulus. Ratings from the participants were analyzed in terms of the effect of age and the length of musical training. The results showed that younger students demonstrated little to no change in their preference regardless of the complexity level. Middle and high school students showed significantly decreased preference with increased harmonic complexity. High school students with more musical instrument training perceived changes in harmonic complexity more sensitively and showd higher level of optimal complexity. Younger students was affected by musical training relatively less than older students. This study presents the baseline data to be considered when determining the appropriate level of harmonic complexity for music appreciation of young population.

Hepatic artery anastomosis in liver transplantation (간이식에서 간동맥 문합술)

  • Park, Myong Chul;Kim, Chee Sun;Park, Dong Ha;Pae, Nam Suk;Wang, Hee Jung;Kim, Bong Wan
    • Archives of Plastic Surgery
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    • v.36 no.1
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    • pp.33-37
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    • 2009
  • Purpose: Liver transplantation is considered as the treatment of choice in many acute and chronic liver diseases, and it is becoming more common. Since successful microscopic anastomosis of hepatic artery is a crucial requirement of successful liver transplantation, we studied and analyzed the result of hepatic artery anastomosis of liver transplantation in our liver transplantation center. Methods: 145 liver transplantations were performed between February 2005 and May 2008. Male to female ratio of the liver transplantation recipients was 3.4 : 1. Anastomosis of portal vein, hepatic vein and biliary tract was performed by the general surgeon, and anastomosis of hepatic artery was performed by the plastic surgeon under the loupe or microscopic vision. After the hepatic artery was reconstructed, anastomosed site status and flow were checked with Doppler ultrasonography intraoperatively and with contrast enhanced CT or angiography postoperatively if necessary. Results: Out of 145 liver transplantations, cadaveric liver donor was used 37 cases and living donor liver transplantation was performed 108 cases including the 2 dual donor liver transplantations. As for the baseline diseases that resulted in the liver transplantation, there were 57 cases of liver cirrhosis and hepatocellular carcinoma due to hepatitis B, taking up the greatest proportion. Single donor hepatic artery was used in 114 cases, and mean artery diameter was 2.92 mm and mean artery length was 24.25 mm. Hepatic artery was used as the recipient artery in every case except the 8 cases in which gastroepiploic artery was used as alternative. Out of 145 cases of hepatic artery anastomosis, 3 cases resulted in the thrombosis of the hepatic artery, requiring thrombectomy and re - anastomosis. In all 3 cases, thrombosis was found in left hepatic artery and there was no past history of hepatic artery chemoembolization. Conclusion: Incidence of hepatic artery thrombosis after the anastomosis of hepatic artery during liver transplantation was 2.1%, which is considered sufficiently low.

Management of Enteral Nutrition in the Pediatric Intensive Care Unit: Prokinetic Effects of Amoxicillin/Clavulanate in Real Life Conditions

  • Chiusolo, Fabrizio;Capriati, Teresa;Erba, Ilaria;Bianchi, Roberto;Atti, Marta Luisa Ciofi degli;Picardo, Sergio;Diamanti, Antonella
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.23 no.6
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    • pp.521-530
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    • 2020
  • Purpose: Malnutrition is a common feature in critically ill children. Enteral nutrition (EN) is the main strategy to nutritionally support critical ill children, but its use can be hindered by the development of intolerance. The study aimed to assess the effectiveness and safety of amoxicillin/clavulanate (A/C) to treat EN intolerance. Methods: We retrospectively evaluated patients admitted to the pediatric intensive care unit from October 2018 to October 2019. We conducted a case-control study: in the first 6 months (October 2018-April 2019) we implemented the nutritional protocol of our Institution with no drug, whereas in the second half (May 2019-October 2019) we employed A/C for 1 week at a dose of 10 mg/kg twice daily. Results: Twelve cases were compared with 12 controls. At the final evaluation, enteral intake was significantly higher than that at baseline in the cases (from 2.1±3.7 to 66.1±27.4% of requirement, p=0.0001 by Wilcoxon matched-pairs signed rank test) but not in the controls (from 0.2±0.8 to 6.0±14.1% of the requirement, p=NS). Final gastric residual volume at the end of the observation was significantly lower in the cases than in the controls (p=0.0398). The drug was well tolerated as shown by the similar safety outcomes in both cases and controls. Conclusion: Malnutrition exposes critically ill children to several complications that affect the severity of disease course, length of stay, and mortality; all may be prevented by early EN. The development of intolerance to EN could be addressed with the use of A/C. Future prospective clinical trials are needed to confirm these conclusions.

Determination of 3D Object Coordinates from Overlapping Omni-directional Images Acquired by a Mobile Mapping System (모바일매핑시스템으로 취득한 중첩 전방위 영상으로부터 3차원 객체좌표의 결정)

  • Oh, Tae-Wan;Lee, Im-Pyeong
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.28 no.3
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    • pp.305-315
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    • 2010
  • This research aims to develop a method to determine the 3D coordinates of an object point from overlapping omni-directional images acquired by a ground mobile mapping system and assess their accuracies. In the proposed method, we first define an individual coordinate system on each sensor and the object space and determine the geometric relationships between the systems. Based on these systems and their relationships, we derive a straight line of the corresponding object point candidates for a point of an omni-directional image, and determine the 3D coordinates of the object point by intersecting a pair of straight lines derived from a pair of matched points. We have compared the object coordinates determined through the proposed method with those measured by GPS and a total station for the accuracy assessment and analysis. According to the experimental results, with the appropriate length of baseline and mutual positions between cameras and objects, we can determine the relative coordinates of the object point with the accuracy of several centimeters. The accuracy of the absolute coordinates is ranged from several centimeters to 1 m due to systematic errors. In the future, we plan to improve the accuracy of absolute coordinates by determining more precisely the relationship between the camera and GPS/INS coordinates and performing the calibration of the omni-directional camera