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Development and Evaluation of the Life Respect Enhancement Program for Nursing Officers (간호장교를 대상으로 한 생명존중 역량강화 프로그램 개발과 평가)

  • Hwang, Sunyoung;Choi, Heeseung
    • Journal of Korean Academy of Nursing
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    • v.50 no.4
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    • pp.599-610
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    • 2020
  • Purpose: The present study was conducted to develop the Life Respect Enhancement Program and test its effectiveness on suicide knowledge, suicide intervention skills, self-efficacy in suicide prevention, and gatekeeper behaviors among nursing officers. Methods: The program was developed according to the ADDIE model and finalized after practical need analysis, expert verification, and a preliminary study. The present study used a concurrent embedded mixed-method research design. To compare the effects of the Program and the control group on the outcome variables, a quantitative study was conducted using a nonequivalent control group with a pretest-posttest design. Quantitative data were analyzed using χ2-tests, t-tests, and RM-ANOVA. A qualitative study was conducted using FGI with six members of the experimental group 3 months after intervention completion. Results: In total, 56 nursing officers participated in the 3-month follow-up test. Compared to the control group, the experimental group showed significant improvements in suicide knowledge, suicide intervention skills, and self-efficacy in suicide prevention scores at post-test. The significant group differences in suicide knowledge and suicide intervention skills were maintained at 3 months. The gatekeeper behavior scores of the experimental group were also significantly higher than those of the control group at 3 months. Qualitative analysis of the participants' experiences with the Program yielded two themes and seven sub-themes. Conclusion: The newly developed Life Respect Enhancement Program demonstrates significant effects on suicide knowledge, suicide intervention skills, and gatekeeper behaviors. Thus, this program is recommended to promote suicide prevention competencies among nursing officers in military clinical settings.

IMMUNOHISTOCHEMICAL DETECTION OF GROWTH FACTORS AND EXTRACELLULAR MATRIX PROTEINS IN THE DEGENERATING TISSUES OF PRE-AND POSTNATAL HUMAN CLEFT LIP AND PALATE (태생 및 생후 구순.구개열에 나타나는 조직변성에 대한 성장인자와 세포외 기질 단백의 면역조직화학적 연구)

  • Min, Bong-Gi;Lee, Suk-Keun;Park, Young-Wook
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.28 no.6
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    • pp.421-433
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    • 2002
  • In order to elucidate the pathogenesis of cleft lip and palate, first of all, it is necessary to understand the developmental mechanisms of growth factors and extracellular matrix proteins in the tissues of cleft lip and palate. We have performed immunohistochemical studies on human cleft lip and palate tissues to elucidate the pathogenetic implications of cleft lip and palate. 16 specimens from postnatal human cleft lip and palate subjects and 17 specimens from autopsy of prenatal human cleft lip and palate were fixed in 10% buffered formalin, embedded in paraffin. The sections were routinely stained by hematoxylin and eosin, also stained by PAS, and followed by immunohistochemical stainings using the antiseras of growth factors and extracellular matrix proteins such as PCNA, S-100, c-erb-B2, MMP-3, MMP-10, HSP-70, transglutaninase-C, E-cadherin, VEGF, vWF. Both the prenatal and postnatal specimens of cleft lip and palate showed dysplastic proliferation of the basal cell layer, increased infiltration of melanocytes into mucosal epithelium, sebaceous gland hyperplasia ingrowing into the muscular tissue of lip and palate, and fatty infiltration into the submucosal deep connective tissue. The strong reactions of MMP-3 and HSP-70 were detected in the tissues of cleft lip and palate, especially increased in degenerating muscle bundles, while the immunostainings of PCNA and c-erb-B2 were weakly positive in the tissues of cleft lip and palate. These data suggest that the retrogressive tissue degeneration around the cleft areas persistently exist during the prenatal and postnatal period after cleft formation, and the sebaceous gland hyperplasia and fatty infiltration with the intense expression of MMP-3 and HSP-70 is closely related to the muscular degeneration around the cleft area.

COMPARATIVE STUDY ON THE FRACTURE STRENGTH OF METAL-CERAMIC VERSUS COMPOSITE RESIN-VENEERED METAL CROWNS IN CEMENT-RETAINED IMPLANT-SUPPORTED CROWNS UNDER VERTICAL COMPRESSIVE LOAD

  • Pae, Ahran;Jeon, Kyung-A;Kim, Myung-Rae;Kim, Sung-Hun
    • The Journal of Korean Academy of Prosthodontics
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    • v.45 no.3
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    • pp.295-302
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    • 2007
  • Statement of problem. Fracture of the tooth-colored superstructure material is one of the main prosthetic complications in implant-supported prostheses. Purpose. The purpose of this in vitro study was to compare the fracture strength between the cement-retained implant-supported metal-ceramic crowns and the indirect composite resinveneered metal crowns under the vertical compressive load. Material and methods. Standard implants of external type (AVANA IFR 415 Pre-mount; Osstem Co., Busan, Korea) were embedded in stainless steel blocks perpendicular to their long axis. Customized abutments were fabricated using plastic UCLA abutments (Esthetic plastic cylinder; Osstem Co., Busan, Korea). Thirty standardized copings were cast with non-precious metal (Rexillium III, Pentron, Walling ford, Conn., USA). Copings were divided into two groups of 15 specimens each (n = 15). For Group I specimens, metal-ceramic crowns were fabricated. For Group II specimens, composite resin-veneered (Sinfony, 3M-ESPE, St. Paul, MN, USA) metal crowns (Sinfony-veneered crowns) were fabricated according to manufacturer's instructions. All crowns were temporary cemented and vertically loaded with an Instron universal testing machine (Instron 3366, Instron Corp., Norwood, MA, USA). The maximum load value (N) at the moment of complete failure was recorded and all data were statistically analyzed by independent sample t-test at the significance level of 0.05. The modes of failure were also investigated with visual analysis. Results. The fracture strength of Sinfony-veneered crowns ($2292.7{\pm}576.0N$) was significantly greater than that of metal-ceramic crowns ($1150.6{\pm}268.2N$) (P < 0.05). With regard to the failure mode, Sinfony-veneered crowns exhibited adhesive failure, while metal-ceramic crowns tended to fracture in a manner that resulted in combined failure. Conclusion. Sinfony-veneered crowns demonstrated a significantly higher fracture strength than that of metal-ceramic crowns in cement-retained implant-supported prostheses.

Analysis of Crack Width and Deflection Based on Nonlinear Bond Characteristics in Reinforced Concrete Flexural Members (비선형 부착 특성에 기반한 철근콘크리트 휨부재의 균열폭과 처짐 해석)

  • Lee, Gi-Yeol;Kim, Woo
    • Journal of the Korea Concrete Institute
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    • v.20 no.4
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    • pp.459-467
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    • 2008
  • This paper describes a proposal for average crack width and immediate deflection calculation in structural concrete members. The model is mathematically derived from actual bond stressslip relationships and tension stiffening effect between reinforcement and the surrounding concrete, and the actual strains of steel and concrete are integrated respectively along the embedded length between the adjacent cracks so as to obtain the difference in the axial elongation. With these, a model for average crack width and immediate deflection in reinforced concrete flexural members are proposed utilizing difference in the axial elongation and average steel strain and moment-curvature relationship with taking account of bond characteristics. The model is applied to the test specimens available in literatures, and the crack width and deflections predicted by the proposal equation in this study are closed to the experimentally measured data compared the current code provisions.

A Study on Introducing Security Certification for Control Systems (제어시스템 보안인증 도입 방안 연구)

  • Choi, Hoyeol;Kim, Daeyeong;Shin, Hyungjune;Hahn, Changhee;Hur, Junbeom
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.26 no.3
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    • pp.725-734
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    • 2016
  • SCADA(Supervisory Control and Data Acquisition) system is widely used for remote monitoring and control throughout the domestic industry. Due to a recent breach of security on SCADA systems, such as Stuxnet, the need of correctly established secure certification of a control system is growing. Currently, EDSA-CRT (Embedded Device Security Assurance-Communication Robustness Test), which tests the ability to provide core services properly in a normal/abnormal network protocol, is only focused on the testing of IP-based protocols such as IP, ARP, TCP, etc. Thus, in this paper, we propose test requirements for DNP3 protocol based on EDSA-CRT. Our analysis show that the specific test cases provide plentiful evidences that DNP3 should follow based on its functional requirements. As a result, we propose 33 specific test case for DNP3 protocol.

A Development of Sensor Monitoring System for Offshore Plant Cargo Lift (해양플랜트용 Cargo Lift 센서 모니터링 시스템에 관한 연구)

  • Kim, Bae-sung;Hwang, Hun-gyu;Shin, Il-sik;Choi, Jung-sik
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.05a
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    • pp.364-366
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    • 2017
  • Unlike general ships, offshore plants require high reliability due to their long operating time at fixed positions when they are operated. Sensor-based status information is required for user and maintenance worker to ensure safety. In this paper, we propose a monitoring system for safety diagnosis and inspection of cargo lift for offshore plant. It consists of a sensor unit mounted on the cargo Lift, an embedded system measurement unit, and a monitoring unit for real-time data verification. It is based on the ship standard network IEC 61162-450 for the exchange of operating information and sensor measurement information in accordance with the upgrading and integration of equipment in maritime.

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Complexity Analysis for Implementation of the ISO/IEEE 11073 PHD Standards (ISO/IEEE 11073 PHD 표준 구현을 통한 복잡도 분석)

  • Kim, Sang-Kon;Yoo, Done-Sik;Kim, Tae-Kon
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.37 no.4C
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    • pp.307-312
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    • 2012
  • In this paper, we perform a complexity analysis for implementation of the ISO/IEEE 11073 Personal Health Device (PHD) standards in order to check the required system resources when ISO/IEEE 11073 PHD standards are implemented on the embedded system. Base on the implemented programs complying the PHD standards for a weighing scale, a blood pressure monitor, and a glucose meter among the various personal health devices, we make a pseudo-code. And then from the two different points of view such as program memory space and data memory space, we make a complexity analysis model. Because system resources or capability are strongly restricted in the personal health devices, our research work is very useful to estimate the required system resources.

An Efficient Video Watermarking Using Re-Estimation and Minimum Modification Technique of Motion Vectors (재예측과 움직임벡터의 변경 최소화 기법을 이용한 효율적인 비디오 워터마킹)

  • Kang Kyung-won;Moon Kwang-seok;Kim Jong-nam
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.30 no.6C
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    • pp.497-504
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    • 2005
  • We propose an efficient video watermarking scheme using re-estimation and minimum modification technique of motion vectors. Conventional methods based on motion vectors do watermarking using modification of motion vectors. However, change of motion vectors results in the degradation of video quality. Thus, our scheme minimizes the modification of the original motion vectors and replaces an original motion vector by the adjacent optimal motion vector using re-estimation of motion vectors to avoid degradation of video quality. Besides, our scheme guarantees the amount of embedded watermark data using the adaptive threshold considering for an efficient video watermarking. In addition, this is compatible with current video compression standards without changing the bitstream. Experimental result shows that the proposed scheme obtains better video quality than other previous algorithms by about $0.6{\sim}1.3\;dB$.

Preparation and Characterization of Silver Nanoparticles Embedded in Silica Sol Particles

  • Kang, Byung-Kyu;Son, Dong-Min;Kim, You-Hyuk
    • Bulletin of the Korean Chemical Society
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    • v.32 no.10
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    • pp.3707-3711
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    • 2011
  • Silver nanoparticles coated with silica can be obtained by the reduction of $AgNO_3$ with hydrazine in the presence of NaOH-stabilized, active silicic acid (polysilicic acid). The size of the silver nanoparticles and the silica shell thicknesses were affected by varying the hydrazine content, the active silicic acid content and the experimental method (e.g. hydrothermal method). Typically, silver nanoparticles sized around 40 nm were aggregated, connected by silica. The presence of peaks centered around 400 nm in UV-vis spectra corresponds to the surface plasmon resonance of silver nanoparticles. The size of the aggregated silver nanoparticles increased with increasing hydrazine concentration. Under hydrothermal conditions at $150^{\circ}C$ the formation of individual silica particles was observed and the sizes of the silver nanoparticles were reduced. The hydrothermal treatment of silver nanoparticles at $180^{\circ}C$ gives a well-defined Ag@$SiO_2$ core-shell in aggregated silica sol particles. The absorption band observed at around 412 nm were red-shifted with respect to the uncoated silver nanoparticles (${\lambda}_{max}$ = 399 nm) due to the larger refractive index of silica compared to that of water. The formation of silver nanoparticles coated with silica is confirmed by UV-visible absorption spectra, transmission electron microscopy (TEM) and energy-dispersive spectroscopy (EDS) data.

Effect of a Elderly Walker on Joint Kinematics and Muscle Activities of Lower Extremities Using a Human Model (인체 모델을 이용한 노인 보행기의 하지관절 기구학과 근활성에 미치는 영향)

  • Shin, Jun-Ho;Kim, Yoon-Hyuk
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.35 no.11
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    • pp.1243-1248
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    • 2011
  • The purposes of this study were to develop a dynamic model of a human and to investigate the effect of a walker on an elderly subject's motions, such as sit-to-stand (STS) motion and normal gait, by using this model. A human model consisting of 15 segments and 14 joints was developed, embedded in $RecurDyn^{TM}$, and connected through a Simulink$^{(R)}$ interface with collected motion data. The model was validated by comparisons between joint kinematic results from inverse dynamics (Matlab$^{(R)}$-based in-house program) and from $RecurDyn^{TM}$ simulation during walking. The results indicate that the elderly walker induced a longer movement time in walking, such that the speed of joint flexion/extension was slower than that during a normal gait. The results showed that the muscle activities of parts of the ankle and hamstring were altered by use of the elderly walker. The technique used in this study could be very helpful in applications to biomechanical fields.