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Measurement of the Nursing Staff Needed for Two Specialized Nursing units in a University Hospital (간호업무량 측정 및 간호인력 수요산정)

  • 이윤신;박정호
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.589-603
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    • 1992
  • This study investigated a process to estimate the need for nursing staff on the basis of a patient elassification system and the required care needs and activities. The investigation was carried out in the following four steps. Step 1. Patients were classified according to the amount of nursing care need on each shift as class I (mildly ill), class II (mederately ill), class III (acutely ill), and class IV (critically ill). Step 2. Measurement of the direct nursing care hours needed for each patient class, and measurement of indirect nursing care hourse and personal time of the nursing staff. Step 3. Calculation of he total nursing workload in a nursing unit. Step 4. Estimation of the nursing staff needed. The investigation was carried out from July 17th to 30th, during 24hours every other day. The subjects were the patients and the nursing staff on two units of Seoul National University Hospital, Korea. Some of the results from the investigation are as follows : 1) Distribution of patient classification On the neuro surgical (N.S.), the distribution was class I, 22 patient, 3, class II, 27 patients, class III, 26 patients, and class IV, 25 patients, For the orthopedic surgical unit(0.5.), it was class I, 43 patients, class II, 43 patients, class III, patients, and class IV, 3 patients. 2) Direct nursing care hours per day On the N.S. unit, 3.2 hours of direct nursing care were needed for class I, 3.9 hours for class II, 5.1 hours of class III, and 6.2 hours for class IV patients, while 2.0 hours for class I, 2.5 hours for class II, 3.5 hours for class III, 5.0 hours class IV patients were needed on the 0.5. units. 3) Analysis of direct nursing care activities Activities were classified into assessment and observation(47%), medication(38.7%), communiontion(5.1%), exercise(2.4%), elimination and irrigation(1.3%), treatmemt(1.1%), hygiene(0.8%), nutrition(0.8%), and hot and cold compress(0.1%). 4) Average hours of indirect nursing care per day. On the N.S. unit 4.2 hours, and on the O.S. unit, 3.5 hours of RN indirect care was needed. 5) The average personal time used by the of nursing staff was 17 minutes for both RNs and nursing assistants in the N.S. unit, and 32 minutes for both RNs and nursing assistants in the O.S. unit. 6) Estimation of nursing staff needed on two specialized units of a university hospital For the N.S. nursing unit of 43 beds, 31 nursing staff would be indicated. For the 0.5. nursing unit of the same number of beds, 19 nursing staff would be indicated.

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FORMULAS OF GALOIS ACTIONS OF SOME CLASS INVARIANTS OVER QUADRATIC NUMBER FIELDS WITH DISCRIMINANT D ≡ 1(mod 12)

  • Jeon, Daeyeol
    • Journal of the Chungcheong Mathematical Society
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    • v.22 no.4
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    • pp.799-814
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    • 2009
  • A class invariant is the value of a modular function that generates a ring class field of an imaginary quadratic number field such as the singular moduli of level 1. In this paper, using Shimura Reciprocity Law, we compute the Galois actions of some class invariants from the generalized Weber functions $\mathfrak{g}_0,\mathfrak{g}_1,\mathfrak{g}_2$ and $\mathfrak{g}_3$ over quadratic number fields with discriminant $D{\equiv}1$ (mod 12).

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ON SPECTRAL CONTINUITIES AND TENSOR PRODUCTS OF OPERATORS

  • Kim, In Hyoun
    • Journal of the Chungcheong Mathematical Society
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    • v.24 no.1
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    • pp.113-119
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    • 2011
  • Let T be a bounded linear operator on a complex Hilbert space $\mathcal{H}$. An operator T is called class A operator if ${\left|{T^2}\right|}{\geq}{\left|{T^2}\right|}$ and is called class A(k) operator if $({T^*\left|T\right|^{2k}T})^{\frac{1}{k+1}}{\geq}{\left|T\right|}^2$. In this paper, we show that ${\sigma}$ is continuous when restricted to the set of class A operators and consider the tensor products of class A(k) operators.

Pericardiectomy in Constrictive Pericarditis -23 Cases- (만성 교약성 심낭염의 외과적 치료)

  • 하현철
    • Journal of Chest Surgery
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    • v.28 no.2
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    • pp.143-149
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    • 1995
  • From January, 1983, to August, 1993, 23 cases of pericardiectomy for chronic constrictive pericarditis were carried out. The 15 male and 8 female patients ranged in age from 7 to 68 years[mean 39.1 years . All patients underwent pericardiectomy through a median sternotomy. Postoperative complications were low cardiac output[2 patients , wound infection[2 patients , pneumonia[2 patients , and unilateral phrenic nerve palsy[2 patients . One patient died of low cardiac output 1 day after pericardiectomy due to the associated transposition of great artery and hypoplastic right lung. Clinical and pathological findings showed that the cause of constrictive pericarditis was tuberculous in 8 cases[34.8% , idiopathic in 12 cases[52.2% and pyogenic in 3 cases[13.0% . Central venous pressure fell below 10cmH2O by immediate in 6 cases, fell below 10cmH2O by 24hrs in 5 cases and continued above 10cmH2O after 24hrs in 12 cases. Preoperative NYHA functional class of patients showed class I-1, classII-4, class III-14, and class IV-3. Postoperativly NYHA functional class was improved to class I-15, classII-6, class III-1.

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A Study on Achievement and Learning Attitude Through Task Learning by Level (수준별 과제학습을 통한 학력신장과 학습태도에 대한고찰)

  • 이종연;이창수
    • Journal of Educational Research in Mathematics
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    • v.9 no.1
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    • pp.279-294
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    • 1999
  • The level-based task learning had an effect on enhancing the math achievement of enrichment and ordinary classes. Besides, the analysis of mathematical attitude change showed that the level-based task learning took effect in the experimental class in every domain, including self-confidence, flexibility, will power, reaction and value, while it made little difference to the comparative class. The findings were as follows in detail. 1. The Outcome of the Achievement Test 1) The Enrichment Class In the first two tests, there were little differences in the enrichment class, But the disparity between the experimental and comparative classes became larger as this study advanced with 4.3 for the third test, 6.4 for the fourth and 6.1 for the fifth. 2) The Ordinary Class In the first to fifth achievement tests, the ordinary class made less difference than the enrichment class did. But there appeared some effect as this study progressed, since the mean grade disparity between the experimental and comparative classes was 2.1 for the first test, 3.5 for the second, 3.9 for the third, 4.4 for the fourth and 6.3 for the fifth. 3) The Supplementary Class The supplementary class showed no big difference in the first two tests. But, like the ordinary class, there was some effect with the lapse of the third 2.9 for the test, 3.2 for the fourth and 4.1 for the fifth. 2. The Change of Mathematical Attitude 1) The Experimental Class The task learning by level had a great deal of effect on the experimental class, as the pre-and post-comparative analyses showed that this class's grades were 5.1 for self-confidence, 10.8 for flexibility, 11.3 for will power, 9.7 for curiosity, 10.9 for reaction and 2.8 for value. 2) The Comparative Class The relative comparison between the comparative class and experimental class revealed that there was a hole effect on the comparative class. 3. The Outcome of Questionnaire Survey 1) They showed a positive reaction, as 40.1% of them answered the level-based task loaming served to raise their achievement, and 48.0% told so-so, and 11.9% replied they weren't helped by it. 2) The results after the experiment were;37.8% of the students say they under- stood practically everything while 12.6% of them say they under stood almost half. 3) The will to learn after the experiment shows dramatic changes between the two classes, The students in the enrichment class showed better will to learn than the students in the ordinary and supplementary classes did.

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Microdecompression for Extraforaminal L5-S1 Disc Herniation; The Significance of Concomitant Foraminal Disc Herniation for Postoperative Leg Pain

  • Lee, Dong-Yeob;Lee, Sang-Ho
    • Journal of Korean Neurosurgical Society
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    • v.44 no.1
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    • pp.19-25
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    • 2008
  • Objective : To analyze the relationship of concomitant foraminallumbar disc herniation (FLDH) with postoperative leg pain after microdecompression for extraforaminallumbar disc herniation (EFLDH) at the L5-S1 level. Methods : Sixty-five patients who underwent microdecompression for symptomatic EFLDH at the L5-S1 level were enrolled, According to the severity of accompanying FLDH, EFLDH was classified into four categories (Class I : no FLDH; Class II : mild to moderate FLDH confined within a lateral foraminal zone; Class III : severe FLDH extending to a medial foraminal zone; Class IV : Class III with intracanalicular disc herniation). The incidence of postoperative leg pain, dysesthesia, analgesic medication, epidural block, and requirement for revision surgery due to leg pain were evaluated and compared at three months after initial surgery. Results : The incidences of postoperative leg pain and dysesthesia were 36.9% and 26.1%, respectively. Pain medication and epidural block was performed on 40% and 41.5%, respectively, Revision surgery was recommended in six patients (9.2%) due to persistent leg pain, The incidences of leg pain, dysesthesia, and requirement for epidural block were higher in Class III/IV, compared with Class I/II. The incidence of requirement for analgesic medication was significantly higher in Class III/IV, compared with Class I/II (p=0,02, odds ratio=9,82). All patients who required revision surgery due to persistent leg pain were included in Class III/IV. Conclusion : Concomitant FLDH seems related to postoperative residual leg pain after microdecompression for EFLDH at the L5-S1 level.

The Relevance of Socioeconomic Class Recognition and Subjective Health Status of Injured Workers (산재장애인의 사회경제적 지위 인식과 주관적 건강상태와의 관련성)

  • Choi, Ryoung;Hwang, Byung-Deog
    • The Korean Journal of Health Service Management
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    • v.11 no.1
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    • pp.131-142
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    • 2017
  • Objectives : This study aimed to examine to relevance of socioeconomic class recognition and subjective health status of injured workers. Methods : We used data collected over 3years by the Panel Study of Worker's Compensation Insurance(PSWCI; 2015). Data was analyzed using the chi-square test and logistic regression using SPSS ver. 22.0 to verify the relevance between the socioeconomic class recognition and general characteristics of injured workers. Results : First, the income groups of first class, second class and third class were analyzed as being of lower socioeconomic class status, and the income group four class and five class was analyzed as being the middle-ower the socioeconomic class status. Second, the better the subjective health status, higher the perception of socioeconomic class status, as analyzed by Model 1 using only the parameters of socioeconomic status recognition and Model 2 and Model 3 using income class and general characteristics. Conclusions : Health and industrial accident policies are needed to improve awareness of socioeconomic class status of injured workers.

A ROENTGENOCEPHALOMETRIC STUDY ON MAXILLARY PROTRUSION (상악전돌에 관한 방사선 두부계측학적 연구)

  • Chang, Young Il
    • The korean journal of orthodontics
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    • v.10 no.1
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    • pp.15-27
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    • 1980
  • This study was undertaken to compare the craniofacial morphology of Class II, Division 1 malocclusion with that of normal occlusion in children, and to investigate the incidence of various Class II, Division 1 craniofacial skeletal patterns. The subjects consist of thirty seven boys and fifty three girls with Class II, Division 1 malocclusion, and forty six boys and eighty one girls 10-15 years with normal occlusion. Measurements were recorded, tabulated and analyzed on the lateral cephalograms by the degree of SNA, SNB and ANB. The following characteristics of the Class II, Division 1 skeletal pattern were observed. 1. The anteroposterior relationship of the maxilla to the cranium in the Class II, Division 1 was very similar to that of normal occlusion. 2, Mandible of the Class II, Division 1 malocclusion was in the posterior position in relation to the cranial anatomy when compared to normal. 3. The chin point as measured by SN Pog and NS Gn showed distal positioning in relation to normal occlusion. 4. SN to mandibular plane angle was large in Class II, Division 1 malocclusion. 5. Mandibular incisor inclination was not significantly different between Class II, Division 1 malocclusion and normal occlusion, but maxillary incisors inclined and positioned labially and consequently overjet was large in Class II, Division 1 malocclusion. 6. Class II, Division 1 malocclusion was divided into four types of craniofacial skeletal pattern. The most common Class II, Division 1 pattern was found to be type C in which SN-Mand. Pl. was above mean range of normal occlusion. The next frequent pattern was found to be type A in which maxilla and mandible were within normal range of protrusion while upper incisors were severly labially inclined.

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ANALYSIS OF K-CLASS-BASED DEDICATED STORAGE POLICY IN A UNIT LOAD SYSTEM

  • Yang, Moon-Hee;Rhee, Min-Surp
    • Journal of applied mathematics & informatics
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    • v.23 no.1_2
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    • pp.505-516
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    • 2007
  • In this paper, we provide some fundamental properties and basic theoretical results of K-class-based dedicated storage policy in a unit load system assuming the constant-space assumption that the number of storage locations for a class is not the maximum aggregate inventory position for a class but the sum of space requirement for products assigned to the class. The main theorem is that there exists a (K+1) -class-based storage layout whose expexted single command (SC) travel time is not greater than that of a K-class-based storage layout, i.e, $E(SC^*_{K+1}){\leq}E(SC^*_K)\;for\;K=1,{\cdots}$, (n-1).

A Study on the Pattern of usage of Problem Solving Strategy according to Its Presentation (협력 학습을 통한 문제 해결에서 해결 전략의 사용형태에 관한 대화 분석)

  • 정민수;신현성
    • Journal of the Korean School Mathematics Society
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    • v.4 no.2
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    • pp.135-142
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    • 2001
  • The selected questions for this study was their conversation in problem solving way of working together. To achieve its purpose researcher I chose more detail questions for this study as follows. $\circled1$ What is the difference of strategy according to its level \ulcorner $\circled2$ What is the mathematical ability difference in problem solving process concerning its level \ulcorner This is the result of the study $\circled1$ Difference in the strategy of each class of students. High class-high class students found rules with trial and error strategy, simplified them and restated them in uncertain framed problems, and write a formula with recalling their theorem and definition and solved them. High class-middle class students' knowledge and understanding of the problem, yet middle class students tended to rely on high class students' problem solving ability, using trial and error strategy. However, middle class-middle class students had difficulties in finding rules to solve the problem and relied upon guessing the answers through illogical way instead of using the strategy of writing a formula. $\circled2$ Mathematical ability difference in problem solving process of each class. There was not much difference between high class-high class and high class-middle class, but with middle class-middle class was very distinctive. High class-high class students were quick in understanding and they chose the right strategy to solve the problem High class-middle class students tried to solve the problem based upon the high class students' ideas and were better than middle class-middle class students in calculating ability to solve the problem. High class-high class students took the process of resection to make the answer, but high class-middle class students relied on high class students' guessing to reconsider other ways of problem-solving. Middle class-middle class students made variables, without knowing how to use them, and solved the problem illogically. Also the accuracy was relatively low and they had difficulties in understanding the definition.

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