• Title/Summary/Keyword: CHIEF Method

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A Survey on Clinical Characteristics of patients Visiting Pain Clinics (통증클리닉 내원환자의 임상적 특성에 관한 분석)

  • Jo, Dae Hyun;Hong, Ji Hee;Kim, Myoung Hee
    • The Korean Journal of Pain
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    • v.18 no.2
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    • pp.146-150
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    • 2005
  • Background: Recently, the number of patients visiting pain clinics has been increasing with the augmented concerns of those patients about the management of their pain. We conducted this study in order to elucidate the characteristics of patients visiting pain clinics and to determine a method to further raise their awareness about pain treatment. Methods: We reviewed 1,424 new patients who visited our pain clinic from March 2003 to December 2004. We analyzed these patients according to their age and sex, treatment method before visiting the pain clinic, coexisting disease, chief complaint and pain location, resident district, route of visiting pain clinic, and degree of impairment due to pain by use of questionnaire. Results: In age distribution, the largest proportion (23.5%) was in their 50's. Most patients (64.0%) had received treatment in an oriental medicine clinic before visiting the pain clinic. The most common coexisting disease was hypertension (20.3%) and low back pain was the most common chief complaint (68.3%). Most of the patients lived in Gyeonggido (87%) and most visited our pain clinic on the recommendation of other patients who had visited our pain clinic before. Conclusions: We need to guide pain patients to undergo proper treatment much earlier using patient education or a referral system. Moreover, we should be more careful in patients with diabetes mellitus, and should have greater concern in the treatment of low back pain.

CLINICO-STATISTICAL STUDY ON THE RADIOGRAPHIC FINDINGS BY THE CLINICAL FINDINGS OF 115 AMELOBLASTOMAS (임상소견에 따른 법랑모세포종의 방사선학적 특징에 관한 임상통계학적 분석)

  • Park, No-Boo;Shin, Shang-Wook;Kim, Chin-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.4
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    • pp.415-428
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    • 1995
  • The author studied on the 115 cases of the ameloblastoma which had been diagnosed with biopsy during the period of 1962 to 1994 at the Kyungpook National University Hospital, Pusan National University Hospital, Youngnam University Hospital, Keimyung University Hospital, Catholic Medical School Hospital, and Maryknol Hospital. This study contains the statistical analysis of the clinico-pathological findings such as sex, age, location, chief complaint, duration,treatment method, size, recurrence and impacted teeth in relation to radiographic findings. The results were as follows : 1. The incidence rate was 60% in male and 40% in female. 2. At the time of diagnosis, the age of the patients ranged from 9 to 69 years old (average 31.4 years old). The cases of 73% were in the 2nd, 3rd and 4th decades of life. 3. The majority of cases, 88.7% occurred in the mandible, especially 59% in the mandibular angle area. 4. The most prevalent chief complaint of swelling was 56.5%. 5. As regards duration, the cases less than 12 months appeared 49.5%, and average duration is 30.45months. 6. Unilocular radiographic findings showed 43.5%, Multilocular radiographic findings appeared 56.5%. 7. Conservative treatment was performed 40.0%, and radical treatment was employed 60.0%. 8. There was the variation of lesional sizes between 2.0cm and 15cm, average size 6.19cm. 9. Recurrent cases were 28.7%, and impacted teeth were shown 30.43%. 10. The radiographic finding has no relationship with the factors of age, location, chief complaint, recurrence and impacted teeth, however there is slight indication that the below 30-year-old patient tend to be related to the multilocular type. 11. The multilocular radiographic findings were shown more frequently in the groups of females, over average of 30.45 months, over average size of 6.19cm and radical treatment.

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The Coping Process of Chief Executive Nurses(CENs) Who Had Experienced Unexpected Dismissal (예기치 않게 직위해임을 당한 간호부서장의 대처경험)

  • Yun, Soon-Nyung;Suh, Eun-Young;Kim, Chun-Mi
    • Korean Journal of Occupational Health Nursing
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    • v.19 no.2
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    • pp.140-149
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    • 2010
  • Purpose: The purpose of this study was to explore the coping process of chief Executive Nurses(CENs) Who Had Experienced Unexpected Dismissal.The research question was "would you tell me about your experience of sudden dismissal?" Method: The methodology of collecting and analyzing data used in this study followed the ground theory of Strauss and Corbin (1998). Data were collected through in-depth interviews with open-ended questions about the subjects' coping experiences, which were audio-taped and transcribed. The survey was conducted between April and May, 2007. The subjects of this study were 5 CENs. Result: The results of the study are as follows. Core category of This Study was "Battling unsupported against the overwhelming reality." The participants had to face the most unexpected reality of being laid off. Their emotional/psychological response were betrayal, powerlessness, lonesomeness, sorrow, and hopelessness. They felt like a general who is facing overwhelming enemy in a war. The coping process was found to have four stages: shocked stage, resisting stage, negotiating stage and reflecting and transcending stage. Conclusion: The result of this study suggested that ceaseless exertion and cooperation at organizational and individual levels are needed to establish stable status and power of nursing departments and CENs in hospitals.

The existential phenomenology in Parse's and Watson's theory of nursing (파시(R. R. Parse)와 왓슨(J. Watson)의 간호이론에서의 실존적 현상학)

  • Kong, Byung-Hye
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.3
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    • pp.431-449
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    • 2000
  • The purpose of this study is to contribute to a understanding the philosophical foundation of Parse's and Watson's theory of nursing. Parse's human becoming Research Methodology, Principle and main concepts are based on existential phenomenology. And Watson's theory of human care indicate that the optimal method for studying and inquiring theory of trans-personal caring is phenomenological-existential methodology. The chief theme of this study ist to illuminate how ideas and concepts of existential phenomenology are applied to Parse's and watson's theory of nursing. Content of this Study are summarized as follow; 1. Principles, concepts, theoretical structure of Man-Living-Health theory were investigated in Parse's theory of nursing as Human science. 2. Essential assumptions, chief concepts and methodology of human science and human care were investigated in Watson's theory of trans- personal caring. 3. Phenomenological analysis of "Human being" und poetic thinking of truth were described in the context of the Heidegger's fundamental ontology und existential phenomenology. 4. Meaning of existential subjectivity, freedom and choice war interpreted according to Sartre's existential philosophy 5. Phenomenological analysis of perception und function of body were investigated in the context of Merleauponty's existential phenomenology. 6. Ultimately this study provided how ideas and concepts of existential phenomenology war applied to Parse's und Watson's nursing theory und methodology.

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Factors Affecting Utilization of Clinical Nurses' Hospital Information System (병원간호사의 병원정보시스템 활용정도에 영향을 미치는 요인)

  • Kim, Sam-Sook;Ju, Hyeon-Ok;Park, In-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.4
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    • pp.440-447
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    • 2008
  • Purpose: This study was to identify the factors affecting utilization of clinical nurses' hospital information system. Method: Using a convenient sampling, 450 nurses from 9 secondary or tertiary university hospitals in B metropolitan city were selected. Results: The extent that nurses utilize the hospital information system was 3.22 point on average. The hospital information system utilization was positively correlated with personal information utilization skill, information-oriented education, attitude toward computer, and support of the chief manager, while as negatively correlated with the organizational atmosphere. The causal factors of influencing on the hospital information system utilization were personal information technology, education experience of the hospital information system, age, attitude toward computers, education level and support of the chief manager. The total eigenvalue of the variables was 38%. The major variables of influencing on the hospital information system utilization were the personal information technology and education experience of the hospital information system. Conclusions: Thus, nurse managers should provide training courses to improve personal information technology of nurses, and consistently promote them so that nurses can readily apply the hospital information system which have been recently introduced in various ways and thus improve the efficiency of nursing.

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A case report of Hypoxic ischemic encephalopathy (저산소성 허혈성 뇌손상 환아의 치험 1례)

  • You, Han-Jung;Koh, Duck-Jae;Cho, Hyung-Jun;Lee, Jin-Yong
    • The Journal of Pediatrics of Korean Medicine
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    • v.18 no.2
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    • pp.143-160
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    • 2004
  • Objective: There were few reports on the treatment of Hypoxic ischemic encephalopathy. We treated a hypoxic ischemic encephalopathic patient after accident with Oriental medical approach, and get a significant result. this treatment shows the possibility of healing Hypoxic ischemic encephalopathy, So we are reporting that case. Method : The acupuncture, herb medication. rehabilitation therapy was applied for treting patient's chife symptom(involuntary movement, dystonia, aphasia, dysuria, constipation) Results : 1. Generally patients with Hypoxic ischemic encephalopathy show language impairment and cognition disorder for several weeks to months. After coma stage, first they recover consciousness but have various degree of confusional mentality, visual agnosia, extrapyramidal stiffness and motor disturbance. 2. Consciousness loss in acute stage of Hypoxic ischemic encephalopathy can be considered as Mental Confusion due to Phlegm(Dammisimgyu) in veiw point of Oriental medicine. 3. After oriental medical treatment, patient's chief symptoms were improved. Conclusion: We treated a hypoxic ischemic encephalopathic patient with Oriental medical approach and patient's chief symptoms were improved. this treatment shows the possibility of healing Hypoxic ischemic encephalopathy.

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A Study on the DDoS Defense Algorithm using CFC based on Attack Pattern Analysis of TCP/IP Layers (TCP/IP Layer별 공격패턴 분석에 기반한 CFC를 이용한 DDoS 방어 알고리즘 연구)

  • Seo, Woo Seok;Park, Dea Woo;Jun, Moon Seog
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.6 no.4
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    • pp.117-130
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    • 2010
  • Paper is on defense for so-called internet crisis, the attack of DDoS (Distributed Denial of Service) which was targeted to the central government ministries, financial sector, and portal sites of chief counties including Korea on June 7th, 2009 as its start. By conducting attack with various DDoS attacking methods in the lab environment and dividing networks targeted by the attack by layers, this paper records and analyzes the chief information for attack, destination information of packets, defense policy setting, and the flow of packet attack with the subjects of the networks separated. This study suggests CFC system using multiple firewalls applying defense policy corresponding to the target layer for ultimate attack and tests it according to the result of analyzing the attack packet information and its amount, log analysis, access recording port, and MAC and IT information, etc. by layers. This article is meaningful in that it analyzes the attack by layers, establishes firewall policy for protecting each layer, and secures accurate mechanism for detect and defense.

Study on the Effects of Composition Consisting of GGT and JG D in the Treating and Preventing for Myoma of the Uterus (가미귀출리경탕과 좌궁단이 자궁근종에 미치는 영향에 대한 임상적인 연구)

  • Ryu Gyeong Ho;Kim Gyeong Cheol;Lee Yong Tae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.17 no.4
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    • pp.923-929
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    • 2003
  • The purpose of this study is to examine various Oriental Medical approaches to uterine myoma treatments which have been previously proposed, and find out an appropriate method with the verification of its clinical acceptance. The treatment with GGT(Gami-gwichulikyeong-tang) and JGD (Jagungdan) has been applied to uterine myoma patients visiting Sangdang Oriental medical clinic. After the treatment, 81 cases showing significant results are selected and analyzed in terms of patients' age, social environment, previous history of treatment, condition of uterine myoma, chief complaint, and the comparison between menstrual phases before the treatment and those after it. As for the size change, no-change is dominant. For the change chief complaint take a favorable turn is better after the treatment. Color of menstruation, pathologic blood drainage, hypermenorrhea or menorrhagia. dysmentorrhea show high percentage of improvement. The results above show GGT and JGD are effective treatments for uterine myoma patients. These two are also similar to the typical prescription of Jingga, which is Gwichulpajing-tang. Thus GGT and JGD are effective to the treatment for Jingga and Jingga is one of the most valid Oriental Medical approaches to uterine myoma.

Prediction of crack trajectory by the boundary element method

  • Bush, M.B.
    • Structural Engineering and Mechanics
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    • v.7 no.6
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    • pp.575-588
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    • 1999
  • A boundary element method is applied to the analysis of crack trajectory in materials with complex microstructure, such as discontinuously reinforced composite materials, and systems subjected to complex loading, such as indentation. The path followed by the crack(s) has non-trivial geometry. A study of the stress intensity factors and fracture toughness of such systems must therefore be accompanied by an analysis of crack trajectory. The simulation is achieved using a dual boundary integral method in planar problems, and a single boundary integral method coupled with substructuring in axisymmetric problems. The direction of crack propagation is determined using the maximum mechanical energy release rate criterion. The method is demonstrated by application to (i) a composite material composed of components having the elastic properties of aluminium (matrix) and silicon carbide (reinforcement), and (ii) analysis of contact damage induced by the action of an indenter on brittle materials. The chief advantage of the method is the ease with which problems having complex geometry or loading (giving rise to complex crack trajectories) can be treated.

An Observation of the Chief Complaints of Pediatric Outpatients (소아과(小兒科) 외래(外來) 환자(患者)의 주소증(主訴症)에 관(關)한 연구(硏究)(동국분당한방병원 : 1997년 1월 1일 ${\sim}$ 1997년 12월 31일))

  • Oh Ha-Seok;Kim Jang-Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.12 no.1
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    • pp.63-76
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    • 1998
  • BACKGROUND : The purpose of this study was to investigate the new effective oriental medical treatments in pediatric diseases and its clinical applicability. METHOD : The study was composed of 1725 new patients who had been treated at the pediatric unit in the Dongguk Bun-Dang Oriental Medicine Hospital for 1 year, from 1 January 1997 to 31 December 1997, and had ages between 0 and 18 years. The chief complaint was mainly categorized by oral examination on patients and their care-givers. RESULT 1. The ratio of male to female was 1.35:1 and the number of each age group and its percentage distribution was 228 patients (13.2%) for the age group between 0 and 1 year, 746 patients (43.2%) between 2 and 6 years, and 751 patients (43.6%) for the age group over 7 years. 2. The chief complaint of the new outpatients was weakness, asthma, common cold, sinustis, skeletal disease, atopic dermatitis, stomach-ache, short stature, diarrhea, nasal blooding, night terror, allergic rhinitis, gastric disorder, enuresis, dermatitis, strabismus in the order of majority.3. The number of patients and its percentage for the most three complaints was 494 patients (28.6%) for weakness, 647 patients (37.4%) for respiratory disease, 144 patients (8.3%) for digestive disease. 4. The digestive disease tended to increase in summer, and appeared mostly in the age group between 0 and 2 years. The respiratory disease increased In inter-season and winter, but decreased significantly in summer. The age group between 1 and 5 years was the largest group of respiratory disease. CONCLUSION 1. The chief complaint in pediatric diseases that needed an oriental medical treatment was mainly the disease that tends to take long time and the weakness, and appeared frequently in digestive and respiratory diseases. 2. The oriental medical treatment was still preferred as a way to improve the weakness by patients, rather than a way to overcome their disease. In particular, the study shows that the oriental medical treatment should be emphasized in terms of preventing the disease. 3. The new diseases, which were developed with the change of human life and environment, (atopic dermatitis, enuresis, short stature, obesity, dysthymic disorder, strabismus), should be investigated as a new field of oriental medical treatment.

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