• Title/Summary/Keyword: Direct practice

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A study on the needs of independent dental hygiene practices in the public dental hygienists (보건치과위생사의 자율(독립)적 직무수행 요구도 조사)

  • Jang, Young-Eun;Heo, Sun-Su;Kim, Eun-Kyeong;Kim, Nam-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.3
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    • pp.505-513
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    • 2017
  • Objectives: The purpose of this study was to identify the needs of independent dental hygiene practices in the Korean public dental hygienists. Methods: This research was a cross-sectional survey study. 159 Korean public dental hygienists were selected by simple random sampling on March 10, 2017. 133 public dental hygienists were participated, after excluding 26 hygienists who showed insufficient responses. The respondents were asked to select one of the following options to reflect their needs: direct supervision, indirect supervision, and independent dental hygiene practice. Results: The results showed that the public dental hygienists wanted both public oral health practices (62.5%) and assistance in preventive dental treatments (63.4%) to be performed independently. Conclusions: The public dental hygienists were required to independently perform oral health education and fluoride mouth rinsing projects. Dental hygienists should improve their capability of independently practicing dental hygiene first, and then indicators. It should be established and measured to evaluate their competency in this respect. Legal protection should be considered for independent dental hygiene practices.

A Review on the Effects of Earthborne Vibrations and the Mitigation Measures

  • Nam, Boo Hyun;Kim, Jinyoung;An, Jinwoo;Kim, Bumjoo
    • International Journal of Railway
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    • v.6 no.3
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    • pp.95-106
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    • 2013
  • Earthborne vibrations are induced by construction operation such as pile driving, roadbed compaction, and blasting and also by transit activities such as truck and trains. The earthborne vibration creates the stress waves traveling outward from the source and can structurally damage nearby buildings and structures in the forms of direct damage to structure and damage due to dynamic settlement. The wave propagation characteristics depends on impact or vibration energy, distance from the source, and soil characteristics. The aim of this paper is to provide a comprehensive review on the mechanistic of earthborne vibration and the current practice of vibration control and mitigation measures. The paper describes the state of knowledge in the areas of: (1) mechanics of earthborne vibration, (2) damage mechanism by earthborne vibration, (3) calculation, prediction of ground vibration, (4) the criteria of vibration limits, (5) vibration mitigation measures and their performance, and (6) the current practice of vibration control and mitigation measures.

Structural Equation Model for Job Stress in Intensive Care Unit Nurses (중환자실 간호사의 직무 스트레스 관련 변인들 간의 구조모형 분석)

  • Jin, Su Jin;Lee, Ji Hyun
    • Korean Journal of Occupational Health Nursing
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    • v.24 no.2
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    • pp.103-113
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    • 2015
  • Purpose: This study was to construct a structural equational model for explaining and predicting job stress of intensive care unit (ICU) nurses based on the Integrated model of stress of Ivancevich and Matteson (1980). Methods: The subjects of this study were 220 nurses at ICU. The data were collected from August 5 to 30, 2013 through self-reporting questionnaire survey. Results: According to the hypothetical model of this study, perceived nursing practice environment, perceived role conflict, perceived transformational leadership and perceived self-esteem showed statistically significant effects on job stress of ICU nurses directly. Professional self-concept indirectly affect job stress of ICU nurses. In conclusion, job stress of ICU nurses was directly influenced by nursing practice environment, role conflict, transformational leadership and self-esteem. Professional self-concept of the relationships among variables did not have a direct impact on job stress. Conclusion: Based on the results of this study, it is needed to develop stress management measures and programs considering these variables in order to adequately manage job stress of ICU nurses.

Information Professionals Going Beyond the Needful User in Digital Humanities Project Collaboration

  • Engerer, Volkmar P.
    • Journal of Information Science Theory and Practice
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    • v.8 no.1
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    • pp.6-19
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    • 2020
  • When information professionals deal with other disciplines in the course of digital humanities projects, they often assume that they are dealing with 'needful users' who have an 'information gap' to fill. This paper argues that the traditional view that information/knowledge is transferred from an information specialist donor to a domain specialist receiver is no longer appropriate in the digital humanities context, where the gap-and-search (or gap-and-filler) approach to information has given way to more direct, explorative engagement with information. The paper asks whether information science and the practising profession are ready for this paradigm shift and examines information science conservatism in two common collaboration scenarios, library support and digital development. It is shown that information science theory still assumes a traditional donor role in both scenarios. How information scientists deal with conservatism in practice is discussed in the example of the Prior project, in which the information science team exerted an ambiguous, hybrid approach with both conservative and non-conservative elements. Finally, two rather hypothetical answers are offered to the question of how information professionals should approach scholarly collaboration in the digital humanities context, where users have ceased to be supplicants. From a purely pragmatic perspective, information scientists need to shift their focus from information needs to research practices and the implications of these practices for digital information systems. More fundamentally, the emergence of digital humanities challenges information professionals to transform information systems designed for searching into digital objects that can be explored more freely by the digital humanities community.

Does mini-implant-supported rapid maxillary expansion cause less root resorption than traditional approaches? A micro-computed tomography study

  • Alcin, Rukiye;Malkoc, Siddik
    • The korean journal of orthodontics
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    • v.51 no.4
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    • pp.241-249
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    • 2021
  • Objective: This study aimed to evaluate the volume, amount, and localization of root resorption in the maxillary first premolars using micro-computed tomography (micro-CT) after expansion with four different rapid maxillary expansion (RME) appliances. Methods: In total, 20 patients who required RME and extraction of the maxillary first premolars were recruited for this study. The patients were divided into four groups according to the appliance used: mini-implant-supported hybrid RME appliance, hyrax RME appliance, acrylic-bonded RME appliance, and full-coverage RME appliance. The same activation protocol (one activation daily) was implemented in all groups. For each group, the left and right maxillary first premolars were scanned using micro-CT, and each root were divided into six regions. Resorption craters in the six regions were analyzed using special CTAn software for direct volumetric measurements. Data were statistically analyzed using Kruskal-Wallis one-way analysis of variance and Mann-Whitney U test with Bonferroni adjustment. Results: The hybrid expansion appliance resulted in the lowest volume of root resorption and the smallest number of craters (p < 0.001). In terms of overall root resorption, no significant difference was found among the other groups (p > 0.05). Resorption was greater on the buccal surface than on the lingual surface in all groups except the hybrid appliance group (p < 0.05). Conclusions: The findings of this study suggest that all expansion appliances cause root resorption, with resorption craters generally concentrated on the buccal surface. However, the mini-implant-supported hybrid RME appliance causes lesser root resorption than do other conventional appliances.

Patient Safety Management Activities of Nursing University Students: Focus on the Theory of Planned Behavior (간호대학생의 환자안전관리활동: 계획된 행위이론을 중심으로)

  • Kim, Nam Yi
    • Journal of Korean Public Health Nursing
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    • v.36 no.1
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    • pp.47-58
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    • 2022
  • Purpose: This study was undertaken to present an effective plan for the development of an educational program and a strategy to promote patient safety management activities for nursing students by identifying factors that affect these activities based on the theory of planned behavior. Methods: A self-report questionnaire was distributed to 300 nursing students who had clinical practice experience at three nursing colleges in Daejeon, Gyeongbuk, and Jeonbuk. The significance of the model fit, and the path effect was confirmed by confirmatory factor analysis. Results: The hypothetical model for patient safety management activities was appropriate. Among the 5 pathways, 4 were significant. It was found that behavioral intention had a direct influence on patient safety management activities, and perceived behavioral control and attitude had an influence on behavioral intention. Conclusion: To strengthen the perceived behavioral control of nursing students' patient safety management activities, it is necessary to analyze and remove obstacles and provide education that reflects the characteristics of the subject's health problems. In addition, through self-directed learning involving simulation practice, nursing students should be exposed to patient safety accidents, so that they can recognize the risks early and solve problems through critical thinking while bringing about the necessary changes in their attitude.

Distribution Channel Model for Hotel Revenue Management: Lessons from Hoteliers and E-Intermediaries

  • IBRAHIM, Niko;PUTRA, Panca O. Hadi;HANDAYANI, Putu Wuri
    • Journal of Distribution Science
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    • v.20 no.2
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    • pp.19-29
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    • 2022
  • Purpose: Understanding the distribution channel is a foundational element of successful hotel revenue management. This study aims to assess hotel distribution network partnerships and develops a model that can be utilized to ensure hoteliers are not becoming increasingly reliant on a single channel, optimize their market exposure, and maximize their portion of the overall worth of the network. Research design, data and methodology: This study utilizes a grounded theory approach to form a theoretical model by analyzing and examining the current practice of hotel distribution management through interviews with 15 stakeholders in Indonesia, such as hoteliers, online travel agents, wholesalers, and connectivity managers. Results: Based on data analysis, we describe hotel distribution elements, revenue team, managed channels, and channel prioritization for a different type of hotel. Finally, we propose a distribution channel model that comprises hotel teams, customer types, indirect channels, and direct channels. Conclusions: The model contributes to the literature by exploring the options of distribution channels for various hotel types to support hotel revenue management practice. By utilizing our model, practitioners can have a complete picture regarding the strategic choice of the channel by considering their hotel capacity and market target.

A PRELIMINARY STUDY OF EFFECT OF THE GREEN FEATURE - WING WALLS ON NATURAL VENTILATION IN BUILDINGS

  • Cheuk Ming Mak;Jian Lei Niu;Kai Fat Chan
    • International conference on construction engineering and project management
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    • 2005.10a
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    • pp.814-819
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    • 2005
  • There is growing consciousness of the environmental performance of buildings in Hong Kong. The Buildings Department, the Lands Department and the Planning Department of the Hong Kong Government issued the first of a series of joint practice notes [1] to promote the construction of green and innovative buildings. Green features are architectural features used to mitigate migration of noise and various air-borne pollutants and to moderate the transport of heat, air and transmission of daylight from outside to indoor environment in an advantageous way. This joint practice note sets out the incentives to encourage the industry in Hong Kong to incorporate the use of green features in building development. The use of green features in building design not only improves the environmental quality, but also reduces the consumption of non-renewable energy used in active control of indoor environment. Larger window openings in the walls of a building may provide better natural ventilation. However, it also increases the penetration of direct solar radiation into indoor environment. The use of wing wall, one of the green features, is an alternative to create effective natural ventilation. This paper therefore presents a preliminary numerical study of its ventilation performance using Computational Fluid Dynamics (CFD). The numerical results will be compared with the results of the wind tunnel experiments of Givoni.

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Epistaxis in dental and maxillofacial practice: a comprehensive review

  • Psillas, George;Dimas, Grigorios Georgios;Papaioannou, Despoina;Savopoulos, Christos;Constantinidis, Jiannis
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.1
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    • pp.13-20
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    • 2022
  • The lifetime incidence of epistaxis in dental and maxillofacial practice has been reported to be as high as 60% and can be caused by dental implant placement, Le Fort I osteotomy, intranasal supernumerary tooth, odontogenic tumors, blood disorders and maxillofacial trauma. Most epistaxis cases are minor and easily managed with direct compression on the nares for 10 minutes. For more significant or recurrent epistaxis, other techniques might include electrocautery, anterior or posterior nasal packing, or Foley catheter balloon. For patients with refractory epistaxis, cauterization of the sphenopalatine artery under endonasal endoscopy or embolization of the internal maxillary artery should be performed. Epistaxis control is required in patients diagnosed with inherited or acquired bleeding disorders or with drug-induced coagulopathies during dental procedures. In these cases, hemostatic system adjustment and hemostasis achieved by local and adjunctive methods are required. Dentists and maxillofacial surgeons must be aware that the nasal cavity is a potential source of perioperative hemorrhage. Depending on the invasiveness of the dental intervention, preoperative involvement of the hematologist and cardiologist is usually necessary to reverse anticoagulation or to cease anticoagulant therapy.

Evaluation of surface gloss of composite resins (복합레진의 표면 광택에 대한 평가)

  • Ji-Eun Byun
    • Journal of Korean Academy of Dental Administration
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    • v.11 no.1
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    • pp.38-46
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    • 2023
  • Composite resins, commonly used in clinical practice, have been developed to improve aesthetics to obtain smooth surfaces. Although the restored composite resin has a smooth surface, it gradually becomes rough over time. Therefore, this study measured glossiness to evaluate the surface of various composite resins and attempted to evaluate the maintenance of glossiness of composite resins by observing surfaces that change to roughness. Specimens were produced using resin used in clinical practice: Gradia direct anterior (GA), Tetric N-Ceram (TN), Ceram.X Sphere TEC one (CX), Filtek Z350XT (FT), Estelite sigma quick (ES). After creating a smooth surface with slide glass, five locations were randomly selected to measure surface gloss, and the average was the representative value of the specimen. Roughness was applied to the specimen under water pouring at the same speed and pressure using SiC paper #2400, 1200, and 400. The gloss unit of different SiC papers was measured. To evaluate the gloss unit and gloss retention between composite resins, one-way analysis of variance and Tukey multiple comparisons test were used. As a result of the study, there was a difference in gloss unit of specimens produced under the same conditions. Although the degree differed depending on the composite resin, there was also a difference in gloss retention. Based on the findings, composite resins show differences in gloss due to their different characteristics. Ceram.X Sphere TEC one (CX) showing the lowest gloss retention and Estelite sigma quick (ES) showing the highest.