• Title/Summary/Keyword: Experience GA

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A Study on Occupational Stress and Coping, Turnover, Knowledge and Practice of Infection Control in Dental Hygienists of COVID-19

  • Kwon, Hye-Rin;Gil, A-Young;Kim, Ji-Min;No, Ji-Seon;Park, Ga-Bin;Oh, Ji-Yune;Lee, Na-Kyung;Kim, Seol-Hee
    • Journal of dental hygiene science
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    • v.21 no.4
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    • pp.233-242
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    • 2021
  • Background: The importance of infection with COVID-19 is being emphasized in dentistry with high risks such as aerosols. The purpose of this study is to investigate the knowledge and practice of infection control, stress and coping, and turnover of dental hygienists. Methods: Questionnaire was conducted knowledge and practice of infection control, occupational stress and coping, turnover. Survey data was investigated about 149 dental hygienists from February to March 2021 Data were analyzed t-test, ANOVA, Pearson's correlation using statistical programs of PASW Statistics ver. 21.0. Results: Regarding occupational stress, relationship conflict was higher in the group with less than 2 years of experience (p<0.05). Job anxiety, organizational system, inadequate compensation, and workplace culture were highly surveyed in the 3 to 5 year of experience. The group with more than 6 years of experience had the highest perception of lack of job autonomy (p<0.05). The group with higher knowledge of infection control had lower mean inappropriate rewards and stress (p<0.05). The group with high infection control performance had a lower average in items such as job instability, organizational system, inadequate compensation, workplace culture, and stress. And problem-focused coping ability was found to be high (p<0.05). Infection control knowledge and performance were positively correlated (r=0.251, p<0.01), infection control practice and stress were negatively correlated (r=-0.264, p<0.01), and stress and emotional coping were positively correlated (r=0.367, p<0.01). Stress was positively correlated with turnover rate (r=0.549, p<0.01). Conclusion: Infection control training was required to reduce occupational stress. Occupational stress was highly correlated with turnover, a holistic and systemic organizational operation and improvement of the quality of medical care were required to reduce stress.

The life and medical idea of Jang Won-So (장원소(張元素)의 생규(生涯)와 의학사상(醫學思想))

  • Kim, Yong-Jin;Yoon, Chang-Yeol
    • Journal of Korean Medical classics
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    • v.4
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    • pp.127-157
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    • 1990
  • Geum-Won dynasty is the era which totalized the every medical attainments of before Song dynasty and appeared some medical practioners who found new medical theory based upon this, and is important time for various developments of the oriental medical theory. At this time of the era, the representative practioners are called the four noted physician of Geum-Won dynasty. Jang Won-So who influenced the formation of the theory of the four noted physcian of Geum-Won dynasty, originated new theory by joining the theory of "Nae-Gyung" with his own medical experience. The results can be summarized as follows after studying his life and idea of medicine. 1. Jang Won-So, courtesy name is Gyeol-Go, came from Yeog-Joo and it is unknown that when he was born and dead, but he lived in 11C. At 27, after failed in a Jin-Sa examination, he started medical study, and widely spreaded his medical art by healing the Yoo Wan-So's Sang-Han disease. 2. There are many Jang Won-So's writings, such as "Eui-Hag-Gye-Won" which is the condensation of his idea of medicine, "Jin-Joo-Nang" which is greatly contributed to development of Herbology, "Jang-Boo-Pyo-Bon-Han-Yeol-Heo-Sil-Yong-Yag-Sig" which is the sample of Jang-Boo-Byun-Jeung-Lon-Chi, and "Yag-Joo-Nan-Gyung" "Gyeol-Go-Ga-Jin" "Gyeol-Go-Joo-Sug-Hwa-Mag-Gyeol" "Gyeol-Go-Bon-Cho" "San-Yog-Bo-Sang-Bang" which are known do not existing. 3. Jang Won-So's study about Jang-Boo-Byun-Jeung was influenced by "Nae-Gyung" "Jung-Jang-Gyung" "So-A-Yag-Jeung-Jig-Gyeol" etc. and outline by Han-Yeol-Heo-Sil and the change and prognosis of the state of disease can be decided by Saeng-Sa-Yeog-Soon, so he contribute to development of lang-Boo-Byun-Jeung-Lon-Chi of posterity. 4. Jang Won-So succeeded and develope the theory of the herbs of Oh-Jang-Go-Yog-Bo-Sa and about Ki-Mi-Seung-Gang-Boo-Chim etc. appeared on "Nae-Gyung", especially invented such as Kwi-Gyung-Lon, In-Gyeung-Bo-Sa-Seol, Jang Boo-Pyo-Bon-Yag-Sig and he enriched the content of pharmacological theory, so he motivated various development of herbalogical theory. 5. Jang Won-So's idea of On-Yang-Bi-Wi directly influence Lee Go's assertion of Bi-Wi-Lon, idea of Go-Geum-I-Gue-Seol presented theological basis of posterior medical practioners formation of prescription, so the way of drug usage greatly developed. 6. Jang Won-So's theory of the lang-Boo-Byun-Jeung and herbology directly influenced to Lee Go, Wang Ho-Go, Na Chen-Ik, lang Byeok etc. so he became the father of Yeog-Soo class and indirectly influenced to Seol Gi, Jo Hen-Ga, lang Gae-Bin, Lee Jung-Jae etc. of Myeng dynasty, so the On-Bo class has been formed. Like this, because, his idea of medicine developed at various aspect and greatly influenced to posterity, Lee Si-Jin said "Since the emergency of "Nae-Gyung", Jang Won-So is the only man who greatly enhance medical principle.", so it is clear that this is not unfounded expression at all.

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Feasibility, Safety, and Follow-up Angiographic Results of Endovascular Treatment for Non-Selected Ruptured Intracranial Aneurysms Under Local Anesthesia with Conscious Sedation

  • Kang, Jongsoo;Kang, Chul-Hoo;Roh, Jieun;Yeom, Jeong A;Shim, Dong-Hyun;Kim, Young Soo;Lee, Sang Won;Kim, Young-Soo;Park, Kee Hong;Kim, Chang-Hun;Kim, Soo-Kyoung;Choi, Nack-Cheon;Kwon, Oh-Young;Kang, Heeyoung;Baik, Seung Kug
    • Journal of Neurocritical Care
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    • v.11 no.2
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    • pp.93-101
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    • 2018
  • Background: At most centers, general anesthesia (GA) has been preferred for endovascular treatment (EVT) of ruptured intracranial aneurysms (RIAs). In this study, we analyzed procedural results, clinical outcomes, and follow-up angiographic findings for patients undergoing EVT for RIA under local anesthesia (LA) with conscious sedation (CS). Methods: We retrospectively evaluated 308 consecutive patients who underwent EVT for RIAs at a single institution between June 2009 and February 2017. EVT under LA with CS was considered for all patients with aneurysmal subarachnoid hemorrhage, regardless of Hunt and Hess (HH) scale score. Results: EVT was performed for 320 aneurysms in 308 patients with subarachnoid hemorrhages. The mean patient age was $55.5{\pm}12.6$ years. Moderate (III) and poor (IV, V) HH grades were observed in 75 (24.4%) and 77 patients (25%), respectively. Complete occlusion immediately after EVT was achieved for 270 (84.4%) of 320 aneurysms. Thromboembolic complications and intraprocedural ruptures occurred in 25 (7.8%) and 14 cases (4.3%), respectively. The morbidity rate at discharge (as defined by a modified Rankin scale score of 3 or greater) was 27.3% (84/308), while the mortality rate was 11.7% (36/308). Follow-up angiographic results were available for 210 (68.1%) of 308 patients. Recanalization was observed in 64 (29.3%) of 218 aneurysms in 210 patients. Conclusion: Based on our experience, EVT for RIAs under LA with CS was feasible, regardless of the clinical grade of the subarachnoid hemorrhage. Complication rates and follow-up angiographic results were also comparable to those observed when GA was used to perform the procedure.

The Study of Factors Related to Clinical Competency in Dental Hygienist (울산지역 치과위생사의 실무능력 관련요인 분석)

  • Lee, Ga-Ryoung
    • Journal of dental hygiene science
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    • v.5 no.4
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    • pp.155-163
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    • 2005
  • The purpose of this exploratory study was to assess work performance of dental hygienists and identify factors influencing their work performance. A questionnaire was administered to 87 dental hygienists working dental clinics based in Ulsan during the period from June 2005 through July 2005. A total of 77 questionnaires were collected and used for analysis. SPSS 11.5 program was employed for statistical analysis. All data were expressed in terms of numbers, percentage and mean score. The results of the study are summarized as follows: 1. There was a significantly positive correlation between age and the level of work performance in the Scientific competency group and Esthetical competency group. 2. Unmarried dental hygienists demonstrated better work performance than married dental hygienists in Scientific, Esthetical and Personal competency groups, showing a statistically significant difference. 3. By education level, those with junior college degree had better work performance than those who are attending or graduated from college in the four groups. By workplace, those who were working at non-general hospitals demonstrated a higher level of performance in the three groups except the Ethical group, but the difference was not statistically significant. 4. A significantly positive relationship was observed between monthly pay and work performance in the Scientific, Personal and Esthetical competency groups. 5. A positive relationship was observed between work experience and performance in the Scientific competency group. But there was no difference between work experience and performance in the other three groups. 6. By working environment, those who were working with assistant nurses showed a higher level of performance than those working without assistant nurses in the Scientific competency group, and the difference was statistically significant.

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Experience of Job Stress among Female Community Convergence Health Care Experts: Applying Parse's Human Becoming (지역사회 융합 보건의료 전문직 여성의 직무 스트레스로 인한 고통 체험: Parse의 인간되어감 연구 방법 적용)

  • Kim, Han-Som;Choi, Seong-Youl;Lee, Ye-Eun;Yu, Ji-Yeon;Park, Ji-Hyeon;Byeon, Ju-Yeong;Yang, Ga-Young;Kwak, Eun-Byeol
    • Journal of Convergence for Information Technology
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    • v.10 no.1
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    • pp.219-234
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    • 2020
  • As the Korean society ages, the number of women who specialize in community health care is expected to increase. Therefore, the purpose of this study is to identify and structure the nature of suffering due to job stress among female community health care professionals, and to provide basic data supporting the performance of female health care professionals. To use Parse's theory of human becoming, nine female health care professionals were selected in the community. After forming the "you and me" relationship, the researcher recorded the participants' distress through honest conversations. It was converted to the structure of human becoming through the extraction-synthesis and discovery interpretation process. Through conceptual interpretation, the structure of the experience was developed. At the results, the female health care professionals were the process of overcoming difficulty due to poor working conditions and conflict in roles between work and family through their skills and communication reinforcements in hopes for change. The stable national welfare policies must be established to sustain jobs with female community health care experts through improved working conditions.

Influence of Workplace Learning, Job Satisfaction and Geriatric Nursing Practice of Nurses in Long-term Care Hospitals (요양병원 간호사의 일터학습과 직무만족이 노인간호실천에 미치는 영향)

  • Yoon, Sook-Rye;Chung, Eui-Nam;Park, Seon-Wook;Jung, Myeong-Soon;Ko, Ga-Yeon;Jang, Ji-Hye
    • 한국노년학
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    • v.37 no.3
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    • pp.655-667
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    • 2017
  • This study aimed to identify workplace learning, job satisfaction and geriatric nursing practice, find the correlations between each variable, and investigate affecting factors on geriatric nursing practice. Subjects were 146 nurses in 9 long-term care hospitals including G City, and data were collected from May 1, 2016 through Jun. 30, 2016. Data analysis included independent t-test, one-way ANOVA, Pearson's correlation coefficient and multiple regression using the SPSS/WIN 20.0 program. The results showed that the correlations between each variable showed that incidental learning, a subregion of workplace learning (r=.20, p=.014), and job satisfaction (r=.29, p<.001) had a positive correlation with geriatric nursing practice, respectively. The affecting factors on geriatric nursing practice were job satisfaction, daytime working and nursing experience, and the explanatory power of the model was 20%(F=4.91, p<.001). Based on the results, job satisfaction should be increased to improve the quality of nursing in long-term care hospitals and various methods might be discussed to improve the job satisfaction. Daytime working was suggested one factor on geriatric nursing practice because nursing was provided mainly during daytime, and nursing experience was also one factor on geriatric nursing practice, so highly experienced geriatric nurses could provide high quality elderly patient care.

A Study on "Dongchunohji(洞天奧旨)" ("동천오지(洞天奧旨)"에 관한 소고(小考))

  • Kim, Ki-Wook;Park, Hyun-Guk
    • Journal of Korean Medical classics
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    • v.22 no.2
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    • pp.85-99
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    • 2009
  • This book was completed in the 33rd year of Gang-hui-gapsul(康熙 甲戌) in the Cheong(淸) dynasty(1694), and was first inscribed in the 55th year of Geonryung(乾隆). In this first edition named 'Daechudangbon(大雅堂本)', his descendant Jinbonghui(陳鳳輝) wrote the postscript. There are also other editions such as 'Ga-gyeong-ganchwihyeondangbon(嘉慶間聚賢堂本)', 'Wimundanggeonsangbon(緯文堂巾箱本)' and 'Guangseo-ganseonseongdangbon(光緒間善成堂本)' Second, this book was called "Oe-gwabirok(外科秘錄)" and used the pen name 'Gibaekchunsasojeon(岐伯天師所傳)'. There are 16 volumes in total. The beginning of volume one, is a drawing of the 14 meridians. Volumes 1$\sim$4 are on the symptoms and treatment of abscesses and sores and ulcers[癰疽瘡瘍]. Volumes 5$\sim$13 are on surgery, dermatology and 156 diseases such as wounds by contusion, sharp objects and insects and beasts[跌撲, 金刃, 蟲獸傷]. Volumes 14$\sim$16 list the internal treatments, external medicine, acupuncture and moxibustion and surgery of sores and ulcers. Third, the book stressed early detection and treatment of diseases, emphasized inner resolving[內消] being cautious about using medicine, and further deepened the syndrome differentiation and treatment[辨證施治] of sores and ulcers[瘡瘍] by dividing fire toxin(火毒) into Eumhwa and Yanghwa(陰火/陽火). Also, it established the cause of sores and ulcers development as the deficiency of Gi(氣) and blood[血] and focused especially on the liver and kidney's involvement in the process. It also asserted that the pathogen[邪] is the tip[標], so one should eliminate and reinforce[攻補] to balance it out. The sore and ulcer surgery[瘡瘍外科] part is mostly based on detoxifying[解毒] and resolving[消散]. Although the meridians were mentioned, they were not emphasized, while moxibustion treatment of sores and ulcers[瘡瘍] were thoroughly analyzed. Also, of all 550 formulas in this book, 90% are experience-based which frequently use Geum-eunhwa(金銀花), Pogong-yeong(蒲公英) and Jahwajijeong(紫花地丁). The usages are unique, and the formulas have good adaptability. The symptoms of the diseases are explained first, followed by according main and sub treatments.

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A Study on the Multi-Level Artificial Neural Networks Using Genetic Algorithm for Preliminary Structural Design (예비 구조설계를 위한 유전알고리즘을 이용한 다단계 인공신경망에 관한 연구)

  • Choi, Byoung Han
    • Journal of Korean Society of Steel Construction
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    • v.16 no.4 s.71
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    • pp.443-452
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    • 2004
  • Recently, the Artificial Neural Network(ANN) which can organize complex non-linear problems by effectively applying the parallel computational model that is similar to the human brain, was adopted in the wide department of technology and resulted in many successful applications. In this study, a more appropriate formal method is suggested for the preliminary structural design stage controlled merely by the designer's experience and intuition. To do so, this study proposes a multi-level ANN according to the general progressive structural design procedure, using Back-Propagation Algorithm (BP) and Genetic Algorithm (GA) for the ANN learning. The preliminary structural design of cable-stayed bridges was applied to illustrate the applicability of the study formulated as stated above, and the results of two different learning methods were compared.

A Study on the Optimal Selection Method of Screen Mesh for Domestic Halftone Screen Printing (국내 하프톤 스크린 인쇄를 위한 최적의 스크린 망사 선택 방법에 관한 연구)

  • Choi, In-Sik;Cho, Ga-Ram;Koo, Chul-Whoi
    • Journal of the Korean Graphic Arts Communication Society
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    • v.31 no.1
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    • pp.1-14
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    • 2013
  • Screen printing is a printing method with flexible plate surface characteristics. In addition, since the appearance of electronics industry the screen printing has been demanding high quality and definition. However, Screen printing is a method for taking ink through mesh opening because screen mesh tends to restrict quality of screen printing. In particular, the biggest problem compared with other printing type is halftone reproduction characteristics. Halftone reproduction characteristics for screen printing depend on screen mesh and opening. Dot losses or dot gains are observed through various types of screen mesh because thread of screen mesh interfere with the movement of the ink. Excessive dot losses or gains can affect the tonal range. Furthermore, this problem can result in other problem such as bad contrast and gray balance. Therefore, it is an important factor to use proper screen mesh for halftone screen printing. However, domestic screen printing industry relies on worker's experience in field rather than depending on objective data although standardized specifications and optimal printing conditions are required for screen printing. For this reason, it is important to stipulate standard condition for domestic screen printing industry. Therefore, it was examined to find tonal range by mesh opening in halftone prints process of screen printing used domestic paper and ink in this study. In addition, TVI(Tone Value Increase) characteristic was observed by comparing to the manuscripts and prints of the dot area ratio. Furthermore, contrast value and gray balance were confirmed for each condition of the printout. Conditions for the proper selection of screen mesh screen for the quality of the prints were also examined, compared with the international standard of screen printing, ISO 12647-5.

Development of Navigation Program for Cancer Patients using Mobile application (암환자를 위한 모바일 앱용 네비게이션프로그램 개발)

  • Kwon, Geun-ae;Jeong, Ga-jin;Park, Joo-mi;Jung, Mi-kyoung;Seo, Hwa-jeong;Kim, Jee-yoon;Kim, Yeon-hee;Park, Jeong-yun
    • Quality Improvement in Health Care
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    • v.21 no.2
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    • pp.28-38
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    • 2015
  • Objectives: The objectives of this research were to develop and evaluate a mobile application for navigation program for cancer patients who might experience some difficulties in obtaining and understanding further schedules, directions due to flooding information at a time and scattered educational materials. Methods: A mobile application was developed an educational mobile app for cancer patients based on a systematic instructional design model called ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model. The developed application was evaluated by 76 users through a questionnaire of satisfaction. Results: A mobile app contains educational contents for cancer patients, based on their satisfaction, demand and knowledge about cancer education and information services. It contains management of symptoms, management of my schedule, and information about chemotherapy, FAQ, symptoms dangerous enough to contact the hospital, personal history about how to overcome cancer, hospital convenience facilities and education schedule of cancer center. A result of the evaluation of user's satisfaction showed 59.4% responding 'Satisfied' and 27.4% 'Very satisfied'. Conclusion: The personalized information and education contents for cancer patients by using the mobile application was given to cancer patient and then educational outcomes became more effective. The development of the application which persons can use regardless of time and place enables health care providers to acquire the foundation of the patients-oriented educational system. Education satisfaction and knowledge level was increased, after using mobile application.