• 제목/요약/키워드: Head Distribution

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A Comparison of Shared Governance and Nursing Unit Culture in Three Hospitals (공유관리와 간호단위문화에 대한 조사;세개 종합병원 대상)

  • Kang, Sun-Joo
    • Journal of Korean Academy of Nursing Administration
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    • 제2권1호
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    • pp.17-33
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    • 1996
  • The primary purpose this descriptive study was to identify, describe, and compare the patterns of shared governance and nursing unit culture in the hospital settings. The secondary purpose of the research was to identify, describe whether the participation style or responsibility style of nursing management activities shared through nurses in a consistent way. Methodology included survey and in-depth interviews with a total 145 members of 15 nursing units in 3 hospitals. One was a national hospital, another was a corporation hospital and the other was a teaching hospitals. Conclusions from this research included the following: 1. The degree of shared governance in nursing management activities was the highest in the corporation hospital. 2. In the participation style of nursing management activities, 'all participation' was the highest in the corporation hospital. 'Nursing administration only' was the highest in the national hospital. 3. Distribution of responsibility style differed from that of participation style. Three hospitals showed high in nursing management activities such as 'nursing administration only' and 'head nurse only' style. 4. Five experts surveyed showed that the ideal level of nurses' participation in nursing management activities was a traditional nursing governance pattern. 5. There was a distinct difference in the nursing unit culture throughout the institutions in the professional growth. 6. There was no significant difference in the same nursing units of three hospitals in nursing unit culture. According to these results, the following implications can be made; 1. In nursing administration, there should be an emphasis on preparing staff nurses' potential decision-making ability through continuing education so that staff nurses' autonomy and responsibility will be developed and increased. 2. It is necessary to develop a strategic nursing unit for improving nursing quality in hospital setting. 3. The relationship of shared governance, nursing unit culture and nursing outcome should be researched further.

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Clinical Consideration of 137 Cases of Basal Cell Carcinoma in Face (안면부에 발생한 기저세포암 137례의 임상적 고찰)

  • Lee, Bong Moo;Shim, Jeong Su;Kim, Tae Seob;Han, Dong Gil;Park, Dae Hwan
    • Archives of Craniofacial Surgery
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    • 제14권2호
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    • pp.107-110
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    • 2013
  • Background: Basal cell carcinoma (BCC) is the most common skin cancer. About 74% cases of basal cell cancer occur on the head and neck. Basal cell carcinoma on the face may have a higher degree of subclinical spread than tumors arising elsewhere. And incompletely excised BCCs become more aggressive when they recur. So the surgical removal and reconstruction of BCC located on the face are important to make perfect curing and cosmetic results. Methods: A retrospective study was done with 128 patients (137 cancers) who were treated with BCC on the face since 1987 to 2011. General data of these cases such as the primary site of cancer, age and sex of the patients, operative methods, and recurrence rate were reviewed. Results: The ratio of men to women was 1:1.4. And 86.9% of the patients with BCC were older than the age of 50 years with the mean age of 65.8 years. The distribution of facial basal cell carcinoma was on the nose, eyelids, cheek, and nasolabial fold. Surgical methods for treatment were local flap, full thickness skin graft, primary closure, and split thickness skin graft. Specifically, local flap consists of V-Y advancement flap, cheek advancement flap, limberg flap, forehead flap, nasolabial flap, rotation flap, transposition flap, bilobed flap, and island flap. Six cases recurred and all of them were treated with reoperation. Conclusion: The authors reviewed facial basal cell carcinoma cases in our hospital. This study might be helpful to choose appropriate operation method to manage BCC on face in Korea.

Molecular environments of a Planck Cold Clump: G108.8-00.8

  • Kim, Jungha;Lee, Jeong-Eun;Liu, Tie;Kim, Kee-Tae;Menten, Karl;Wu, Yuefang;Thompson, Mark;Yuan, Sheng
    • The Bulletin of The Korean Astronomical Society
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    • 제40권2호
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    • pp.53.2-53.2
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    • 2015
  • We present preliminary results from a series of observations toward G108.8-00.8, which is one of Planck Cold Clumps and a promising candidate of massive prestellar cores. In the integrated intensity map of SCUBA 850 micron dust continuum emission, highly fragmented structures appear. These are distributed along one long filamentary structure seen in the CO 1-0 and 13CO 1-0 integrated intensity maps obtained with the PMO 13.7 m telescope. The northern part of the filament is divided into two parts, as seen in the CO 2-1, 13CO 2-1, and C18O 2-1 integrated intensity maps obtained with the CSO 10 m telescope. The observations of HCO+ 1-0, N2H+ 1-0, and HCN 1-0 with the IRAM 30 m telescope focus on the northern part of the CSO maps, which show a head-tail structure. NH3 (1,1) also shows similar distribution with IRAM maps. The depletion factors, derived by the comparison between the dust continuum and C18O 2-1 emission, varies from 1.5 to 6 over the region, suggesting different evolutionary status of each component. To study the chemical and physical environments of G108.8-00.8, more detailed analysis is in progress.

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The Change of Plantar Pressure According to the Height of Heel Lifts in Obese and Non-Obese and Non-Obese Adults

  • Kim, Tae-Ho;Gong, Won-Tae
    • Physical Therapy Korea
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    • 제15권4호
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    • pp.1-9
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    • 2008
  • The purpose of this study was to assess the peak plantar pressure distribution under foot areas according to the height of heel lifts in obese adults and non-obese adults during walking. Thirty-one participants volunteered for this experiment. The average body mass index (BMI) value of the fourteen subjects in the obese group was $26.5{\pm}1.4kg/m^2$ (from 25.1 to 29.3 $kg/m^2$), and of seventeen subjects in the non-obese group was $20.0{\pm}1.1kg/m^2$ (from 18.7 to 22.7 $kg/m^2$). The subject ambulated while walking in the sneakers, walking with 2 cm heel lifts, and walking with 4 cm heel lifts in the shoes. We measured the peak plantar pressure under the hallux, 1st, 2nd, 3~4th, and 5th metatarsal head (MTH), mi foot, and heel using F-scan system. The obese group had significantly higher peak plantar pressure under all foot areas than the non-obese group regardless of the height of heel lifts (p<.05). The peak plantar pressure under the 5th MTH and heel was significantly decreased, also the peak plantar pressure under hallux, 1st, and 2nd MTH was significantly increased according to the height of heel lifts in the obese group and non-obese group (p<.05), We proposed that individuals with heel lifts in shoes should be careful, as there is high plantar pressure under the forefoot.

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Uncertainty Assessment: Relative versus Absolute Point Dose Measurement for Patient Specific Quality Assurance in EBRT

  • Mahmood, Talat;Ibrahim, Mounir;Aqeel, Muhammad
    • Progress in Medical Physics
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    • 제28권3호
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    • pp.111-121
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    • 2017
  • Verification of dose distribution is an essential part of ensuring the treatment planning system's (TPS) calculated dose will achieve the desired outcome in radiation therapy. Each measurement have uncertainty associated with it. It is desirable to reduce the measurement uncertainty. A best approach is to reduce the uncertainty associated with each step of the process to keep the total uncertainty under acceptable limits. Point dose patient specific quality assurance (QA) is recommended by American Association of Medical Physicists (AAPM) and European Society for Radiotherapy and Oncology (ESTRO) for all the complex radiation therapy treatment techniques. Relative and absolute point dose measurement methods are used to verify the TPS computed dose. Relative and absolute point dose measurement techniques have a number of steps to measure the point dose which includes chamber cross calibration, electrometer reading, chamber calibration coefficient, beam quality correction factor, reference conditions, influences quantities, machine stability, nominal calibration factor (for relative method) and absolute dose calibration of machine. Keeping these parameters in mind, the estimated relative percentage uncertainty associated with the absolute point dose measurement is 2.1% (k=1). On the other hand, the relative percentage uncertainty associated with the relative point dose verification method is estimated to 1.0% (k=1). To compare both point dose measurement methods, 13 head and neck (H&N) IMRT patients were selected. A point dose for each patient was measured with both methods. The average percentage difference between TPS computed dose and measured absolute relative point dose was 1.4% and 1% respectively. The results of this comparative study show that while choosing the relative or absolute point dose measurement technique, both techniques can produce similar results for H&N IMRT treatment plans. There is no statistically significant difference between both point dose verification methods based upon the t-test for comparing two means.

Fuel Concentration Measurements by Laser Rayleigh Scattering (레이저 Rayleigh 산란을 이용한 연료농도의 계측)

  • Kwon, Soon-Tae;Kim, Hyeong-Sig;Lee, Jae-Won;Park, Chan-Jun;Ohm, In-Young
    • Proceedings of the Korea Society for Energy Engineering kosee Conference
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    • 한국에너지공학회 2008년도 춘계학술 발표회
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    • pp.199-205
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    • 2008
  • In this study, a system to measure continuously the fuel concentration in a steady flow rig on the basis of Rayleigh scattering is presented. The system can be employed to measure both the temporal and the spatial distribution. Also, it is possible to calibrate the system for the measurement of accurate absolute concentration. Firstly, the system was tested at a calibration chamber for the determination of scattering cross section from propane, butane, acetylene, Freon-12 and Genetron 143a. After this, the system was adapted to a steady flow rig to measure the temporal and spatial fuel concentration. The rig is composed of cylinder head, intake manifold, injector, and transparent cylinder which can simulate internal combustion engine. To cope with the problem of Mie scattering interference, a software filter was developed, which is based on the rise time and the time constant of the photomultiplier-amplifier system. The results show that LRS can provide useful informations about concentration field and the software filter is very effective method to remove Mie interference.

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Kinematical Analysis of Pitching wedge swing motion in University Golfer (대학 골프 선수의 Pitching wedge 스윙동작의 운동학적 특성 분석)

  • Back, Jin-Ho;Yoon, Dong-Seob;Kim, Jae-Phil
    • Korean Journal of Applied Biomechanics
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    • 제13권3호
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    • pp.133-149
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    • 2003
  • The purposes of present study were to determine the major check-points of golf swing from the review of previous studies, and to suggest additional information on the teaching theory of golf. The golf swing motion of 6 male and female elite university golf players were filmed with 16mm Locam II high speed cameras at the speed of 200f/s, and variables such as time, displacement, angle, velocity were calculated and analyzed by 3D Cinematography using DLT method. The results were: 1. Differences were shown in the ratio of weight distribution on the feet, cocking angle, take-back velocity, club-head velocity at impact depending upon the physical characteristics and club used for swing. 2. Time for the down-swing and impact were $0.27{\sim}0.29s$ in men and $0.29{\sim}0.32s$ in women, which was 1/3 of the time for the back-swing. Women showed longer total swing time than men because of longer time in back-swing, follow-through and finish. 3. Men showed larger range of motion in shoulder and knee joints than women, on the other hand women showed larger range of motion in hip joint than men. 4. Cocking motion and right elbow flexion were occurred at the top of back-swing and cocking release was occurred at the moment of impact. Maximum rotations of shoulder and hip joints were found between the top of back-swing and down-swing phase. 5. Women showed lower back-swing velocity than men, and men showed higher club velocity(men: $38.2{\sim}38.6m/s$, women: $35.1{\sim}36.4m/s$) than women.

Identification of Verticillium tenerum Isolated from Potato and Pumpkin in Korea (감자와 단호박에서 분리한 Verticillium tenerum의 동정)

  • Hyun, Ik-Hwa;Heo, Noh-Yeoul;Ryu, Kyoung-Yul;Kim, Jong-Tae;Chang, Seo-Yeon
    • The Korean Journal of Mycology
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    • 제32권1호
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    • pp.45-49
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    • 2004
  • Verticillium tenerum was detected from the samples of potato (Solanum tuberosum L.) and pumpkin (Cucurbita maxima Duch.) in Korea. The samples on which this species was detected were potato tubers collected from Pyungchang and Gimjae, and fruits and seeds of pumpkin from Yeonchon in 2003. The conidiophores of the fungus produced mainly three to five phialides in verticil. The phialides were narrow, flask-shaped, only very slightly swollen at the base, and taper subulately to a narrow neck. They were hyaline, $10{\sim}26{\times}2{\sim}5\;{\mu}m$. The conidia were formed in slimy heads, and were oval to ellipsoidal, pale reddish-brown, $2.5{\sim}7.5{\times}2{\sim}4\;{\mu}m$. The colony on the substrata was unique, showing brick-red color. This is the first report on the distribution of Verticillium tenerum in Korea.

A Clinical Study on the Physiotherapy of Congenital Muscular Torticollis (선천성 유아 사경의 물리치료에 대한 임상적 고찰)

  • Kim, Ho-Bong;Hwang, Jae-Cheol;Bae, Yoon-Han
    • Journal of Korean Physical Therapy Science
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    • 제3권3호
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    • pp.65-70
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    • 1996
  • Torticollis is a deformity of the neck that shows tilting of the head toward the affected side and rotation of the chin toward the opposite side. In many cases with this condition, unilateral tightness of the sternocleidomastoid muscle is found frequently with fibrous tumor. The analysis of 43 cases of congenital muscular torticollis and result of their physical therapy are reported. The research was from Jan. 1, 1990 to Dec. 31, 1995 at Ulsan Dong Kang Hospital. The results obtained were as follows. 1. There were 30 males(69.8%) and 13 females(30.2%). Age distribution of patients showed below 2 month 20 cases(46.5%), above 1 year 7 cases(16.3%), $5{\sim}6/11{\sim}12$ months 4 cases(9.3%), and $7{\sim}8$ month 2 cases(4.6%). 2. 25 cases(58.1 %) were on the right and 18 cases(41.9%) on the left side. Torticollis was mild to moderately severe in mild 22 cases(51.1 %), moderate 18 cases (41.9 %) and severe 3 cases(7%). 3. There were normal spontaneous delivery in 36 cases(83.7%), Cesaean section in 4 cases (9.3%) and breech presentation in 3 cases(7%). Sequence of birth, the 1st born babys were 30 cases(69.8%) and the 2nd born babys were 13 cases(30.2%). 4. Above fair result of physiotherapy were 36 cases(83.7%). 5. Of the 43 cases with fellow up, above fair 32 cases(74.4%) and poor 11 cases(25.6%) showed. As conclusion, passive stretch exercise of sternocleidomastoid muscle with early torticollis diagnosis seems more successful in recovery than no exercise.

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Preparation and Characterization of Pioglitazone Loaded PLGA Nanospheres for the Treatment of Type 2 Diabetes (제2형 당뇨병 치료제인 Pioglitazone을 봉입하기 위한 PLGA 나노입자 제조 및 분석)

  • Woo, Hyun-Ju;Kim, Jin-Soo;Kim, Jun-Gi;Nurunnabi, Md.;Huh, Kang-Moo;Cho, Kwang-Jae;Lee, Yong-Kyu
    • Polymer(Korea)
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    • 제34권6호
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    • pp.527-533
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    • 2010
  • The pioglitazone loaded poly(lactide-co-glycolide)(PLGA) nanospheres were prepared by emulsion-evaporation method and optimized for particle size and entrapment efficiency. The optimized particles were 125~170 nm in size with narrow size distribution and showed above 85% entrapment efficiency at 30% of pioglitazone loading when prepared with 3% w/v of poly(vinyl alcohol) (PVA) as a surfactant. These particulate carriers exhibited a controlled in vitro release of pioglitazone for 40 days at a nearly constant rate. The pioglitazone loaded PLGA nanospheres were not only effective to reduce the blood sugar level of diabetic rats but also non-toxic for the animal body, in particular for sensitive organs like kidney, liver, heart, lung and spleen. These results indicate that PLGA nanospheres have a great potential for oral delivery of pioglitazone.