• 제목/요약/키워드: Direct Problem

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한국간호대학생의 임상실습 스트레스와 스트레스 대처 (Relationships between Nursing Practice Stress and Stress Coping of Nursing Students in Korea)

  • 김지현
    • 디지털융복합연구
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    • 제12권2호
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    • pp.409-415
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    • 2014
  • 본 연구는 일 지역 간호대학생의 임상실습 스트레스와 그에 대한 스트레스 대처의 관련성을 알아보기 위한 것이다. 한국의 C 도시에 위치한 2개 대학의 간호학생을 대상으로 하였으며, 자료수집은 연구참여에 동의한 사람 160명을 대상으로 2012년 3월부터 9월까지 구조화된 설문지를 이용하여 수행하였다. 수집된 자료는 SPSS 18.0을 이용하여 분석하였고, 서술통계, 피어슨 상관분석 등을 이용하였다. 연구결과 임상실습 스트레스 점수는 평균 $2.72{\pm}6.2$였으며, 스트레스 대처점수는 $2.60{\pm}0.37$ 이었다. 스트레스 대처양상 중 희망적 사고는 오리엔테이션(r=0.32, p<0.01), 집담회의(r=0.52, p<0.01), 과제하기(r=0.29, p<0.01)시의 스트레스가 발현시에 관련성이 높았고, 임상실습 시험시의 스트레스는 문제집중대처양상과 관련성이 높았다(r=0.31, p<0.05). 간호사 대하기(r=0.31, p<0.01), 또는 기타 보건전문인과 대인관계하기(r=0.35, p<0.01)시의 스트레스는 긍정적 관점으로 대처하기 양상과 관련성이 높았다. 학생들은 긍정적이고 활동적인 대처양상을 보여주었으며, 이는 임상현장에서 경험하는 스트레스를 효과적으로 다룰 수 있는 충분한 능력을 향상시키는데 좋은 경험이 될 것이다.

Blocking layer 적용을 통한 HgI2 방사선 변환센서의 신호대 잡음비 향상에 관한 연구 (Study on Improvement of Signal to Noise Ratio for HgI2 Radiation Conversion Sensor Using Blocking Layer)

  • 박지군;윤인찬;최수림;윤주선;이영규;강상식
    • 한국방사선학회논문지
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    • 제5권2호
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    • pp.97-101
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    • 2011
  • 본 연구에서는 적충 구조를 이용하여 누설전류를 저감 시키는 기술을 적용하여 입자침전법을 이용한 방사선 영상 센서의 변환 물질을 개발하였다. 이는 디지털 방사선 영상 검출기의 두 가지 방식 중 하나인 직접방식에 사용되는 핵심 소자로 기존의 비정질셀레늄(a-Se)을 대체하여 더욱 효율이 높은 후보 물질들이 연구되어지는 가운데 태양전지와 반도체 분야에서 이미 많이 사용되어온 이종접합을 이용해 누설 전류를 저감 시키는데 그 목적이 있다. 본 연구에서 사용되는 입자 침전법 제조방법은 검출 물질 제작이 용이하고 높은 수율과 대면적의 검출기 제작에 적합하나 높은 누설 전류가 의료 영상에 있어서 문제가 되어 오고 있다. 이러한 단점을 보완하기 위해 적충 구조를 이용하여 누설 전류를 저감시킨다면 PIB법을 이용하여 간편하게 향상된 효율의 디지털 방사선 검출기를 제작 할 수 있다고 사료 되어 진다. 본 연구에서는 누설 전류와 민감도에 대한 전기적 신호를 측정하여 제작된 적충 구조의 방사선 검출 물질의 특성 평가가 이루어 졌다.

금강수계 내 환경기초시설 운영실태에 관한 연구 (A Study of Actual Condition on Operation and Management of Environmental Infrastructure in the Geum River System)

  • 이재운;박동기;권영호
    • 환경위생공학
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    • 제24권1호
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    • pp.1-12
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    • 2009
  • The various environmental problems that we face on today are basically about environmental quality. Since early 1960s affluent material was produced because of remarkable economic growth by many cooperations. However, for the lack of environmental policy, environmental pollutions has been serious. The central government should transfer the producing and consuming structure to environmental affinity through the regulations for developing Korea as a model of environmental nation which takes an active part in global environmental programme and in which the environment and economy are well harmonized. Moreover, the central government should take the lead in prevention of environmental pollution through the direct policies such as strengthening the discharge limit or setting up environmental basic institutions by securing budget for conserving environment. This thesis emphasize on the public institution among many environmental basic institutions for environmental anti-pollution project. It will find the problems with running those institutions, and will suggest the preview of improvement. Also, it is necessary to investigate of variation trend for inflow and pollutant loading to environmental infrastructure as increased of the diffusion rate as established and maintenance of sewer system. The purpose of this study is to investigate for inflow and pollutant loading to environmental infrastructure, and also to provide the method of efficiently maintenance and management. The results obtained were summarized as follows; 1. Survey of actual condition on operation and management of environmental infrastructure was evaluated the propriety of treatment process and problem of plant management. 2. Analysis of pollutant loading contribution for river system of environmental infrastructure with data analysis of water quality measuring network. 3. To investigate on case study for efficiently maintenance and management of environmental infrastructure. The result on this study was provide the method of efficiently maintenance and management with survey for establish and repair of sewer system and survey of actual condition on operation and management of environmental infrastructure in the water area of discharge to Geum River System. Application as guideline for establish and management of environmental infrastructure, and management of Geum River System. Also, application for preliminary data for fulfill-assess of total effluent regulation of water pollution.

개심술 환자에서 술전및 술후의 폐동맥 고혈압및 혈역학적 변수들과 ET-1치와의 관계에 대한 연구 (Endothelin-1 Levels in Patients with Heart Disease Associated with Pulmonary Hypertension ; Potential role of Endothelin-1 in genesis of pulmonary artery vasospasm)

  • 박형주
    • Journal of Chest Surgery
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    • 제25권6호
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    • pp.650-660
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    • 1992
  • To elucidate a potential contribution of endotheline-1[ET-1] to the genesis of pulmonary hypertension and postoperative pulmonary hypertensive crisis in the patients with heart disease, we measured plasma levels of the ET-1 during perioperative period of open heart surgery. In addition, we examined changes of ET-1 during perioperative period and correlations between ET-1 levels and hemodynamic variables. 12 patients including 5 acquired heart disease and 7 congenital heart disease patients were selected randomly as a study group, Group A and B, respectively. 6 patients proved not having heart or hemodynamic problem were selected as a control, Group C. 110 blood samples from pulmonary artery[ET-P] and radial artery[ET-S] were taken and assayed by Sep-pak extraction and RIA. ET-1 levels of Group A were ET-P, 3.94$\pm$5.31pg /ml, ET-S, 3.10$\pm$2.90pg/ml[p>0.05], Group B were ET-P, 1.63$\pm$0.62pg/ml, ET-S, 1.99$\pm$2.45pg/ml[p>0.05], Group C were ET-P, 1.97$\pm$2.02pg/ml, ET-S, 1.72$\pm$0.77pg/ml[p>0.05]. There were no statistically significant differences of ET-1 levels among the Group A, B, C[p>0.05]. There was no correlation between pulmonary artery pressure[PAP] and ET-1 level[p>0.05], and ET-1 levels were not increased even in the cases of pulmonary hypertensive criwis or low cardiac output syndrome, whereas significant correlation between ET-S and pulmonary vascular res-istance[Rp] [r=0.36, p<0.05], and negative correlation between ET-S and OS saturation of pulmonary artery[OS-P][r= -0.49, p<0.01] were identified. Another significant finding was peak increase of ET-1 levels in the postoperative period 1 hour[p<0.05] and then gra-dualy decrease through the postoperative period. In conclusion, ET-1 has no correlation with PAP, whereas correlation with Rp, and inverse correlation with OS-P. It is suggested that ET-1 is neither the direct causative substance of pulmonary hypertension nor pulmonary vasospasm but there must be increased production of ET-1 in chronic pulmonary hypertensive state. Counter-regulatory mechanism to ET-1 is speculated during the pulmonary vasospasm.

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CYP2E1 Genetic Polymorphism with Dietary, Tobacco, Alcohol Habits, H. pylori Infection Status and Susceptibility to Stomach Cancer in Mizoram, India

  • Malakar, Mridul;Devi, K. Rekha;Phukan, Rup Kumar;Kaur, Tanvir;Deka, Manab;Puia, Lalhriat;Baruah, Debajit;Mahanta, Jagadish;Narain, Kanwar
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권20호
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    • pp.8815-8822
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    • 2014
  • Background: The incidence of stomach cancer in India is highest in the state of Mizoram. In this population based matched case-control study, we evaluated the relationship between CYP450 2E1 RsaI polymorphism and risk of stomach cancer taking into considering various important dietary habits along with tobacco, alcohol consumption and H. pylori infection status. Materials and Methods: A total of 105 histologically confirmed stomach cancer cases and 210 matched healthy population controls were recruited. CYP2E1 RsaI genotypes were determined by PCR-RFLP and H. pylori infection status by ELISA. Information on various dietary, tobacco and alcohol habits was recorded in a standard questionnaire. Results: Our study revealed no significant association between the CYP2E1 RsaI polymorphism and overall risk of stomach cancer in Mizoram. However, we observed a non-significant protective effect of the variant allele (A) of CYP2E1 against stomach cancer. Tobacco smokers carrying C/C genotype have three times more risk of stomach cancer, as compared to non-smokers carrying C/C genotype. Both Meiziol and cigarette current and past smokers who smoked for more than 10 times per day and carrying the (C/C) genotype are more prone to develop stomach cancer. Smoke dried fish and preserved meat (smoked/sun dried) consumers carrying C/C genotype possesses higher risk of stomach cancer. No significant association between H. pylori infection and CYP2E1 RsaI polymorphism in terms of stomach cancer was observed. Conclusions: Although no direct association between the CYP2E1 RsaI polymorphism and stomach cancer was observed, relations with different tobacco and dietary risk habits in terms of developing stomach cancer exist in this high risk population of north-eastern part of India. Further in-depth study recruiting larger population is required to shed more light on this important problem.

입원아동과 간호사가 지각한 돌봄에 대한 연구 (Hospitalized Children and Their Nurses각 Perception of Caring)

  • 김정선;김신정
    • 대한간호학회지
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    • 제22권3호
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    • pp.297-315
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    • 1992
  • Caring has been identified as the essence and unifying domin of nursing(Leininger). Many nurses believe that the art of nursing is comprised of actions that are predominantly caring in nature. Although caring has been the traditional ideology of nurses, it is only now beginning to emerge as the central construct for the development of nut sing research, theory and practice. The problem addressed by this study was to identify how hospitalized children and their nurses express the meaning of caring, how they think nurses should care for children and to describe their experiences of being cared for. The purpose was to provide theoretical understanding of caring as perceived in Korea to contribute to the development of Korean nursing knowledge. The subjects were 76 hospitalized children admitted to pediatric units in five teaching hospitals and 66 nurses who were caring for these children. In this descriptive study, data were collected from Nov 11, 1991 to Jan 30, 1992 by interviews and an open-ended questionnaire and analysed by van Kaam's method. Caring themes perceived by the children and their nurses were classified into eight categories, -helping, comfort, love, warmth(only by children), recovery from illness, health maintenance (only by nurses), presence, nurturance and responsibility. Ideal caring behaviors perceived by the children and their nurses were six categories, -to give help, provide comfort, give love, stay with, treat warmly and aid recovery. Subcategories of giving help were promptness and competence, detailed explanations and support and encouragement. Other subcategories of giving help reported only by nurses were individualizing care, recognizing needs and providing a familiar enviornment. Subcategories of maintaining comfort were making comfortable, alleviating pain ; one subcategory reported only by children was consolating. A subcategory of giving love was concern, two subcategories reported only by nurses were compassion and respect. Subcategories of staying with were playing with and touching : only nurses reported empathy, Subcategories of treating warmly were tenderness and kindness. In the experience of caring, there were 4 categories, -to give help, stay with, show concern and provide comfort. Both the hospitalized children and their nurses had experienced caring primarily from their mothers. Mothers' caring behaviors were direct, personal, basic, supportive nursing acts. On the other hand, nurses caring behaviors were task oriented skilled procedures and medically delegated acts. This study contributes understanding of the complexity of caring, more specifically the meaning and experience of caring and ideal caring behaviors. Research may be able to move into verification when instruments are developed to measure the complexity of caring beliefs, values and behaviors in Korea and other cultural settings.

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효율적인 데이터 전송과 하드웨어 최적화를 위한 AMBA AXI4 BUS Interface 구현 (Implementation of the AMBA AXI4 Bus interface for effective data transaction and optimized hardware design)

  • 김현욱;김근준;조기쁨;강봉순
    • 융합신호처리학회논문지
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    • 제15권2호
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    • pp.70-75
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    • 2014
  • 최근 디지털 기기의 다기능화, 휴대화 및 서비스 정보의 대용량화 등으로 인하여 고집적, 저전력, 고성능 SoC(System on Chip) 설계에 대한 요구가 점차 증가하고 있다. 시스템이 빠르게 발전함에 따라 요구되는 하드웨어 성능이 다양해지고 있으며 빠른 설계 확인을 위하여 FPGA(Field Programmabel Gate Array)를 채택하는 시스템이 증가되고 있는 추세이며 FPGA를 채택한 시스템에서는 FPGA와 제어하는 CPU인 ARM코어를 사용한 SoC 시스템이 늘어났다. 이러한 시스템에서 사용되는 AXI(Advanced eXtensible Interface) Bus는 여러 방법으로 이용되지만, 기존의 연구에서는 AXI Slave 구조로 설계가 되어 있다. Slave 구조에서는 CPU가 계속 데이터 전송에 관여하게 되어 자원을 다른 곳에 사용하지 못하는 문제와 AXI Bus가 사용되지 않는 시간이 길어서 전송효율이 떨어지는 문제가 있다. 본 논문에서는 이와 같은 문제를 해결하고자 AXI Master구조를 제안하고, Slave구조와 Master구조의 소모클럭과 합성결과를 비교한 결과, Master구조가 Slave구조에 비해 소모클럭은 51.99% 감소한 것을 확인하였으며, Slice는 31% 정도 감소하였다. 또한, 최대 동작주파수는 107.84MHz로써 약 140% 증가 되는 것을 확인하였다.

시간의존 비탄성 문제의 유한요소-경계요소 조합에 의한 해석 (A Coupled Analysis of Finite Elements and Boundary Elements for Time Dependent Inelastic Problems)

  • 김문겸;허택녕;장정범;오세호
    • 대한토목학회논문집
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    • 제13권3호
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    • pp.25-34
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    • 1993
  • 지하구조물은 일반적으로 영역의 무한성, 다양한 하중, 복합적인 구성재료 등으로 인하여 그 거동의 해석이 난이하다. 특히, 장기거동이 중요시되는 연약지반의 굴착문제 등에 있어서는 시간에 의존하는 점탄소성거동을 해석에 고려하여야만 한다. 본 연구에서는 점탄소성거동을 해석하는 방법으로서, 내부요소를 사용하지 않은 경계요소 해석방법을 유도하고, 정계요소와 유한요소를 조합하여 해석하는 방법을 도출하였다. 점탄소성을 고려한 지배적분방정식에서 점소성응력에 대한 영역적분은 극좌표를 이용한 직접적분방법을 적용하여 경계적분화하였고, 이에 따른 계방정식을 이용하여 프로그램화하였다. 또한 경제요소 프로그램을 점소성 유한요소 프로그램과 조합하여 굴착면 주위에 발생하는 시간의존 비탄성거동을 합리적으로 해석하도록 하였다. 경계요소해석 및 조합해석 결과는 정해 및 유한요소해석의 결과와 비교하여 검토하였다. 비교결과 내부요소를 사용하지 않은 경계요소법으로는 국부적인 응력집중으로 인한 비선형성이 충분히 고려되지 못함을 알 수 있었다. 반면에 유한요소-경계요소 조합방법으로는 상대적으로 많은 자유도를 가진 타 방법에 비교하여 합리적인 결과를 얻음을 알 수 있었다. 따라서 시간에 의존되는 비탄성체의 해석에 있어서 조합방법을 사용하면 하중조건과 경계조건에 따르는 구조물의 거동을 합리적으로 예측할 수 있으며, 유한요소와 경계요소의 장점을 살려 보다 효용적인 해석의 수행이 가능할 것으로 판단된다.

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편의점의 서비스품질 요인이 서비스 만족 그리고 점포충성도에 미치는 영향: 서비스가치 조절효과를 중심으로 (The Impact of Service Quality on Service Satisfaction and Store Loyalty: Service Value as a Moderator)

  • 한상호;양회창;김종락
    • 유통과학연구
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    • 제13권10호
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    • pp.101-108
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    • 2015
  • Purpose - The convenience store business sector in South Korea has contributed to economic growth and job creation, and the growth potential of this market segment remains very high. In addition, service value is a more important factor than price in determining purchase intention. Research in the convenience store market is relatively very low compared to other retail sectors. In particular, research on service quality for the convenience of retailers who examine and analyze customer behavior and service quality factors used in the convenience store side of the situation is very inadequate. We have investigated the relationship of store service quality, service satisfaction, and store loyalty. In addition, we have examined the way service value moderates the relationship among these variables. Research design, data, and methodology - The questionnaire was developed using modified and supplementary questions based on the KD-SQS and RSQS models. The study suggested a theoretical model composed of 15 hypotheses on the relations between theoretic variables, and surveys conducted with consumers in discount stores in the Seoul and Gyunggi Metropolitan area in order to verify the hypotheses. We used the SPSS/PC statistical packages to analyze the results. The number of surveys used was 227. Moreover, a structural equating model was also used to analyze the reliability and validity of the composing elements and to verify the suggested hypotheses. Results - The overall results of this study are as follows. First, all service quality elements have a significant effect on service satisfaction. Second, all service quality elements have a significant effect on store loyalty. Third, service satisfaction has a significant effect on store loyalty. Finally, when the participants were divided into high and low service value the results of the multiple regression analyses showed that only the relationship between policy of service quality and satisfaction, and human interaction and policy of service quality and loyalty were significant. The implications are discussed based on the findings of the study. Conclusions - First, through direct hypotheses testing, we confirmed that the convenience service quality positively impacts the service satisfaction and loyalty of buyers. In particular, the reliability, origin benefit, and promotion were found to have more influence on satisfaction and loyalty of consumers of a convenience store. Further, for the service quality of the convenience for the consumer loyalty, greater human interaction was a high-value and statistically significantly higher than the degree of improvement in consumer loyalty. This underscores the importance of education and human services management of employees working in a convenience store. In particular, frequent changes in personnel generate results that negatively impact loyalty with customers. These results may lead to a serious problem in the economics of the store. Therefore, it should enhance the value of services through the establishment of training and compensation for employees. In addition, a certain educational level is required as well as a basis for compensation and retention.

표집틀 설정과 표본추출방법에 따른 정치성향 분석의 문제점: 임의번호걸기(Random Digit Dialing)과 전화번호부 추출방법 비교 (Study on Sampling Frame and Methods for Analyzing Political Attitudes : A Comparison of RDD and Direct Sampling)

  • 우정엽;김지윤;문종배
    • 한국조사연구학회지:조사연구
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    • 제12권1호
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    • pp.153-174
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    • 2011
  • 이 연구는 현재 한국의 정치사회여론조사에서 쓰이고 있는 표집틀 설정과 표본추출방법의 문제점을 지적하고 이로 인해 발생하는 여론조사의 비정확성에 대해 논하고자 한다. 현재 한국의 여론조사기관에서 가장 보편적으로 쓰이고 있는 표본추출방법은 KT에서 제공한 전화번호부에 등재되어 있는 번호를 표집틀로 사용하는 것이다. 이러한 방법의 문제점은 전화번호부에 등재되어 있지 않은 전화번호들은 표본추출작업의 초기부터 제외된다는 것이다. 이 제외된 번호들과 등재된 번호들 간에 사회인구학적 또는 정치경제학적으로 구조적인 차이가 존재한다면, 전화번호부에 등재되어 있는 전화번호들만을 대상으로 표본을 구축하는 방법은 한국의 전체 성인 인구라는 모집단을 적절히 대변하지 못하는 문제점이 있다. 2011년 1월에 발표된 아산정책연구원의 데이터를 통해 분석한 결과, 전화번호부에 등재된 번호들과 등재되지 않은 번호들 간에는 사회인구학적, 정치경제학적인 차이가 엄연히 존재하며, 이는 대통령 지지도나 정당 지지도에도 영향을 미치는 것으로 나타났다. 본 연구에 따르면, 전화번호부에 등재된 표본은 등재되지 않은 표본에 비해 친한나라당적인 태도를 보이며 대통령 지지도도 높게 나타나는 것으로 나타났다.

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