• 제목/요약/키워드: ED1

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의료분쟁에 관한 보건정책학적 고찰 -응급의료종사자를 중심으로- (The Legal Consideration in Emergency Medical Service System)

  • 강병우
    • 한국응급구조학회지
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    • 제3권1호
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    • pp.91-101
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    • 1999
  • The medicolegal problem can be occurred in all medical field. Especially pre-hospital stage can be more exposed to the legal claims due to the very nature of EMT business and characteristics of ER patient or their family member. All Emergency Medical Technician should be concerned about the law associated with emergency care for handling the medicolegal problem, so the legally risky situations that may be occurred in pre-hospital stage and ER practice. This study reviewed malpractice claim of emergency patients filed in at Association of malpractice patients' family and two tertiary level hospitals. Problems related to treatment and misdiagnosis. Especially issues concerning emergency medical service system including of inadequate transport, delay in triage and transport accounted for many cases of all claims. This alerts us to the seriousness of medical accidents of emergency patient. This paper suggests several items that all E.M.T and every member of ED health care team always have to remember the medicolegally risk situations, must be trained in understanding the patients' wants and desires and should have the knowledge of the law associated with emergency health care. Develop the system that can share the informations about the medicolegal events which were experienced by each ED health care institutes.

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한약의 안전성 등급화를 위한 evidence-based approach : Human equivalent dose-based the margin of safety (Evidence-based approach for herbal medicine-safety classification : Human equivalent dose-based the margin of safety)

  • 박영철;이선동
    • 대한예방한의학회지
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    • 제17권3호
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    • pp.19-30
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    • 2013
  • This study was aimed to develop a new formula for herbal medicine-safety classification in terms of evidence-based medicine. Recently, human equivalent dose(HED)-based therapeutic index was developed for herbal medicine-safety classification by transforming $LD_{50}$ to HED. However, the use of the $ED_{50}$ and $LD_{50}$ to derive the therapeutic index may be misleading as to safety, depending on the slope of the dose-response curves for therapeutic and lethal effects. To overcome this deficiency, HED-based MOS(Margin of Safety)was developed and suggested in this study. The HED-based MOS developed by using $LD_1$, changing to ALD(approximate lethal dose), and $ED_{99}$. The HED-based MOS seems to be more useful and safer than HED-based therapeutic index since its values for several herbal medicines are basically two times less than the values from HED-based therapeutic index. Thus, HED-based MOS can be a good example of Evidence-based approach for herbal medicine-safety classification.

KDC 5판 기초법학 부문 개선방안 연구 (A Study on the Developing Modifications of KDC 5th ed. in Jurisprudence Field)

  • 김자후
    • 한국도서관정보학회지
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    • 제43권4호
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    • pp.5-22
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    • 2012
  • 이 연구는, KDC 5판 360.1-.9(기초법학 및 법률학일반)의 전개체계를 개선하기 위한 것으로서, 먼저 법률학 전문 학술서적에 나타난 기초법학(이론법학)의 세부 학문체계를 기본바탕으로 하고, KDC 5판, DDC 23판 및 NDC 9판의 기초법학 부문을 비교 분석하여 추가로 반영하였으며, 마지막으로 국내 법학전문대학원 교과과정을 전수 조사하여 신규 주제항목(교과목 단위)을 추가하여 국내실정에 가장 적합한 개선방안을 마련하여 제시함으로써 KDC 6판에 일조하고자 한 것이다.

디스커버리(Discovery) 통합색인의 품질평가에 관한 연구 - EDS를 사례로 하여 - (A Study on Quality Evaluation of Discovery Central Index - the Case of EDS(EDSCO Discovery Service) -)

  • 이은주
    • 한국도서관정보학회지
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    • 제45권3호
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    • pp.415-440
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    • 2014
  • 이 연구에서는 빠르게 도입되고 있는 디스커버리에 대한 이해를 돕고, 통합탐색도구로서 우리 도서관목록의 유용성을 증대하는데 기여할 수 있는지 그 가능성과 한계를 가늠해 보고자 한다. 구체적으로, 이 연구는 관련 문헌에 대한 조사와 분석에 근거하여, (1) 디스커버리가 등장하게 된 배경과 개념 및 유형 등 디스커버리의 실체를 살펴보고, (2) 디스커버리 통합색인의 품질평가를 위한 기준과 지표를 개발하고, (3) 도출된 기준과 지표에 따라 디스커버리에서 제공하는 통합색인의 질적 수준을 평가한 뒤, (4) 디스커버리의 도입에 앞서 우리 학계와 도서관계가 고민해야 할 과제와 취해야 할 전략에 대해서 논의하고자 한다. 이를 위해, 이 연구에서는 EDS를 사용하는 P대학도서관을 사례로 하여 371건의 표본 레코드를 추출한 뒤, 이를 대상으로 디스커버리 통합색인의 품질평가를 수행하였다.

Numerical Simulation of the Characteristics of Electrons in Bar-plate DC Negative Corona Discharge Based on a Plasma Chemical Model

  • Liu, Kang-Lin;Liao, Rui-Jin;Zhao, Xue-Tong
    • Journal of Electrical Engineering and Technology
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    • 제10권4호
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    • pp.1804-1814
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    • 2015
  • In order to explore the characteristics of electrons in DC negative corona discharge, an improved plasma chemical model is presented for the simulation of bar-plate DC corona discharge in dry air. The model is based on plasma hydrodynamics and chemical models in which 12 species are considered. In addition, the photoionization and secondary electron emission effect are also incorporated within the model as well. Based on this model, electron mean energy distribution (EMED), electron density distribution (EDD), generation and dissipation rates of electron at 6 typical time points during a pulse are discussed emphatically. The obtained results show that, the maximum of electron mean energy (EME) appears in field ionization layer which moves towards the anode as time progresses, and its value decreases gradually. Within a pulse process, the electron density (ED) in cathode sheath almost keeps 0, and the maximum of ED appears in the outer layer of the cathode sheath. Among all reactions, R1 and R2 are regarded as the main process of electron proliferation, and R22 plays a dominant role in the dissipation process of electron. The obtained results will provide valuable insights to the physical mechanism of negative corona discharge in air.

Endophytic Diaporthe sp. ED2 Produces a Novel Anti-Candidal Ketone Derivative

  • Yenn, Tong Woei;Ring, Leong Chean;Nee, Tan Wen;Khairuddean, Melati;Zakaria, Latiffah;Ibrahim, Darah
    • Journal of Microbiology and Biotechnology
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    • 제27권6호
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    • pp.1065-1070
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    • 2017
  • This study aimed to examine the anti-candidal efficacy of a novel ketone derivative isolated from Diaporthe sp. ED2, an endophytic fungus residing in medicinal herb Orthosiphon stamieus Benth. The ethyl acetate extract of the fungal culture was separated by open column and reverse phase high-performance liquid chromatography (HPLC). The eluent at retention time 5.64 min in the HPLC system was the only compound that exhibited anti-candidal activity on Kirby-Bauer assay. The structure of the compound was also elucidated by nuclear magnetic resonance and spectroscopy techniques. The purified anti-candidal compound was obtained as a colorless solid and characterized as 3-hydroxy-5-methoxyhex-5-ene-2,4-dione. On broth microdilution assay, the compound also exhibited fungicidal activity on a clinical strain of Candida albicans at a minimal inhibitory concentration of $3.1{\mu}g/ml$. The killing kinetic analysis also revealed that the compound was fungicidal against C. albicans in a concentration- and time-dependent manner. The compound was heat-stable up to $70^{\circ}C$, but its anti-candidal activity was affected at pH 2.

전기투석 막여과의 이온제거 특성 및 지하염수의 담수화효율 (Selectivity of cations in electrodialysis and its desalination efficiency on brackish water)

  • 최수영;권지향
    • 상하수도학회지
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    • 제27권4호
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    • pp.445-456
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    • 2013
  • In this study, desalination by electrodialysis with ion exchange membranes was applied to synthetic waters with various ion concentrations and also for ground waters from coastal areas in Korea. Electrodialysis performance on the synthetic solutions showed the similar tendency in operation time and current curves, i.e., shorter operation time and higher maximum current with increasing applied voltages. The ED results of synthetic waters with different ion compositions, i.e., $Na_2SO_4$, $MgSO_4$, $CaSO_4$, at the similar conductivity condition, i.e., $1,250{\mu}s/cm$ revealed that effects of mono- and divalent ions on water quality and performance in electrodialysis were different. The divalent ions had less efficiency in the ED compared to monovalent sodium ions and also divalent calcium ions showed better performance than Mg ions. The electrodialysis on the ground waters produced high quality of drinking water. The groundwater from SungRoe however showed a buildup of membrane resistance. Organic matter concentrations and great portions of divalent ions in the groundwater were possible causes of the deteriorated performance.

응급실 간호사의 이직의도 영향요인 (Factors Influencing Turnover Intention in Emergency Department Nurses)

  • 조수연;성미혜
    • 기본간호학회지
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    • 제19권4호
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    • pp.503-510
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    • 2012
  • Purpose: The purpose of this study was to identify the factors influencing emergency department (ED) nurses' turnover intention. Methods: The study was conducted with 241 nurses from ED of 20 general hospitals in Busan. The survey data were collected from May 1 to July 31, 2010 and were analyzed using frequencies, percentages, means, t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression with the SPSS Win 17.0 program. Results: There were statistically significant differences in turnover intention depending on age, regular change in department, and nursing experiences. A significant positive correlation was found between job stress and turnover intention and a significant negative correlation between organizational commitment and turnover intention. The significant factors influencing turnover intention were regular change in department, job stress, and organizational commitment, which explained about 13.7% of the variance. Conclusion: Considering this results, nursing managers should analyze these main factors which affect turnover intention and create ways to decrease turnover intentions, and thus decrease high turnover intention.

일 권역응급의료센터를 방문하는 요양병원 환자들의 특성 및 사망 위험요인 (Characteristics and Mortality Risk Factors in Geriatric Hospital Patients visiting One Region-wide Emergency Department)

  • 김경완;장숙랑
    • 지역사회간호학회지
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    • 제27권4호
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    • pp.327-336
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    • 2016
  • Purpose: This study was to examine the clinical characteristics and mortality risk factors of geriatric hospital patients who visited one region-wide emergency department (ED). It's basically meant to develop criteria for the patient management of geriatric hospitals and to provide related information. Methods: A retrospective research study was implemented using electronic medical records. The subjects in this study included 484 geriatric hospital patients who were selected from among 15,994 patients that visited one region-wide ED between January 1, 2014, and December 31, 2015. Results: There were significant differences in death, a change for the better and no change for the better, which were results of treatment, according to the length of stay in hospital, hospitalization in a general ward, not having an operation or surgery, the presence or absence of malignant neoplasm, the insertion of foley catheter, intubation, ventilator and the insertion of central venous catheter. Conclusion: The results of this study suggest that a patient management system is necessary in geriatric hospitals and that competent healthcare workers who can properly respond to emergencies are required as well.

JPEG와 호환 가능한 Wavelet CODEC (A Wavelet CODEC that is with JPEG)

  • 김용규;김독규;조석팔
    • 대한전자공학회논문지SP
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    • 제38권1호
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    • pp.43-53
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    • 2001
  • JPEG의 부호화 기법에서 DCT의 단점인 블록효과를 제거하기 위해 웨이브릿 변환을 사용하였다. 기존의 JPEG과 호환성 유지하기 위하여, JPEG 부호화 기법과 동일한 기법을 사용할 수 있는 부호화기를 제안한다. 이를 위하여 웨이브릿 변환영역에서 각 대역의 신호를 8×8로 재구성하였고, 각 대역의 에러분석과 인간 시각특성을 고려하여 양자화 가중치를 구하여 양자화 하였다. 실험을 통하여 웨이브릿을 사용한 제안한 기법이 기존의 JPEG 보다 (Peak Signal to Noise Ratio), WMSE(Weighted Mean Square Error) 척도에서 다소 우수함을 보였다.

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