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A Study in the Physical Load related to Working Posture with Nurses in ICU (중환자실 간호사의 작업자세에 따른 신체부담도에 관한 연구)

  • Lee, Iu-Jin
    • Korean Journal of Occupational Health Nursing
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    • v.11 no.2
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    • pp.121-131
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    • 2002
  • Objective: The purpose of this study was to determine the physical load by identifying harmfully working postures and to develop recommendations for improving the existing situation with nurses in ICU, thereby to provide the basis for development of work-related musculoskeletal preventive program. Method: Various types of tasks were recorded with a video camera to chart and analyze different postures by OWAS(Ovako Working Posture Analysing System). Collected data showed that poor postures were adopted, not only for lifting or repositoning a patient, but also for other tasks. Data Analysis: The performed activities were then divided into Nursing Intervention Classification. Altogether 128 postures were selected for analysis. Then they were classified into different OAC (OWAS Action Categories). From all the observation, unhealthy postures, for which corrective measures had to be considered immediately (i.e., 75% classified as OACII+III+IV) were found. Collected data were analyzed in terms of percentage, 2-tail Mann-Whitney U test. Result: Poor postures mainly occur during 'positioning the patient' and 'airway suctioning' in NIC. No difference was found (p=0.060) between the percentage of harmful posture adopted during the patient handling tasks and non-patient handling tasks. Conclusion: This study shows, that in the nursing profession with ICU not only occur during patient handling, but also during other activities. The OWAS method was useful in determining the physical load by locating potential activities due to harmfully working postures, providing a detailed description with analysis, and suggesting successful means to reduce postural load.

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Analyses of Suicide Victims Admitted via the Emergency Department -Based on Psychiatric Histories, Past Suicidal Attempts and Psychiatric Diagnoses- (응급실을 경유하여 입원한 자살시도자들의 분석 -정신병력, 자살시도력 및 정신과적 진단을 중심으로-)

  • Hur Jae Min;Chun Woo Chan;Min Young Gi;Jung Yoon Seok
    • Journal of The Korean Society of Clinical Toxicology
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    • v.2 no.2
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    • pp.106-115
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    • 2004
  • Purpose: This study analyzed the general features, psychiatric histories, past suicidal attempts and psychiatric diagnoses of suicide victims admitted via the emergency department (ED). Methods: Reviewing the charts of 138 inpatients of suicide attempts admitted via the ED from January 2002 to December 2003, we analyzed various data, including sex, age, season, stressful events, psychiatric histories, previous suicidal attempts, and psychiatric diagnoses during admission, and we used a chi-square test to chart the statistical data. Results: A significant difference was found between 1 st attempts and repeated attempts as to the mechanical methods used for the suicide attempts, There was a significant difference in the kinds of drugs between patients with and without psychiatric histories. In the psychiatric diagnosis, there was a significant difference in AXIS I between patients with and without psychiatric histories. In AXIS II, there was a significant difference between patients with and without psychiatric histories, 1st attempts and repeated attempts. Conclusion: We emphasize the importance of psychiatric consults, treatments, and follow-ups for suicide victims and the emergency physicians' function in helping them to contact psychiatric doctors.

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A Case-Control, Restrospective Study on Tsutsugamushi Disease Occurred in Gyeongju and Pohang Provinces, Korea (경주 및 포항 지역에서 발생한 쯔쯔가무시병에 관한 연구 - 항체 유무를 중심으로 -)

  • Beak, Seol-Hyang
    • Journal of agricultural medicine and community health
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    • v.29 no.1
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    • pp.177-184
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    • 2004
  • Objectives: Tsutsugamushi disease is one of the most significant acute febrile illnesses, increasing in frequency of occurrence during the late autumn in rural areas of Korea. Methods: I have conducted a case-control study on 30 cases who had the fever as a chief complaint, then had been ruled out as having the Tsutsugamushi disease. Data was collected retrospectively by review of chart regarding their general characteristics, clinical and laboratory findings, then was analysed by chi-test. Results: Of 30 cases, 16 cases were seropositive and 14 cases were seronegative against O. tsutsugamushi. Of seropositive for tsutsugamushi disease, 56.3% were female; 37.5% were in their seventies; 50.0% were farmers; 62,6% had chances of exposure to fields or mountains. And 75.0% occurred in November. The main symptoms and signs were fever and chill(100.0%), headache(75.0%). weakness and fatigue(93.8%), and eschar(68.8%). The characteristic laboratory findings were elevated AST(50.0%), ALT(62.5%), and abnormal urinalysis(56.3%). On the other hand, of seronegative cases, 57.1% were male; 50.0% were in their fifties; 42.9% were farmers; 57.2% had chances of exposure to fields or mountains. And 71.4% occurred in November. The symptoms and signs were fever and chill(100.0%), headache(85.7%), eschar(64.3%). weakness, fatigue and skin(57.1%). The laboratory findings were elevated AST(71.4%) and ALT(64.3%), and abnormal urinalysis(42.9%). However, there were no significant differences between the seropositive and seronegative cases(P>.05). Conclusions: Acute febrile community inhabitants who have the epidemiological, clinical as well as laboratory features should be focused upon for the early diagnosis and treatment for tsutsugamushi disease whether or not possessing the serological antibody against O. tsutsugamushi.

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Urological Evaluation of Tethered Cord Syndrome

  • Park, Kwanjin
    • Journal of Korean Neurosurgical Society
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    • v.63 no.3
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    • pp.358-365
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    • 2020
  • To describe how to perform urological evaluation in children with tethered cord syndrome (TCS). Although a common manifestation of TCS is the development of neurogenic bladder in developing children, neurosurgeons often face difficulty in detecting urological problems in patients with TCS. From a urological perspective, diagnosis of TCS in developing children is further complicated due to the differentiation between neurogenic bladder dysfunctions and transient bladder dysfunctions owing to developmental problems. Due to the paucity of evidence regarding evaluation prior to and after untethering, I have shown the purpose and tools for evaluation in my own practice. This may be tailored to the types of neurogenic bladder, developmental status, and risks for deterioration. While the urodynamic study (UDS) is the gold standard test for understanding bladder function, it is not a panacea in revealing the nature of bladder dysfunction. In addition, clinicians should consider the influence of developmental processes on bladder function. Before untethering, UDS should reveal synergic urethral movement, which indicates an intact sacral reflex and lack of TCS. Postoperatively, the measurement of post-void residual urine volume is a key factor for the evaluation of spontaneous voiders. In case of elevation, fecal impaction, which is common in spinal dysraphism, should be addressed. In patients with clean intermittent catheterization, the frequency-volume chart should be monitored to assess the storage function of the bladder. Toilet training is an important sign of maturation, and its achievement should be monitored. Signs of bladder deterioration should be acknowledged, and follow-up schedule should be tailored to prevent upper urinary tract damage and also to determine an adequate timing for intervention. Neurosurgeons should be aware of urological problems related to TCS as well as urologists. Cooperation and regular discussion between the two disciplines could enhance the quality of patient care. Accumulation of experience will improve follow-up strategies.

Evaluating the Quality of the Differential Police Response Strategy: Applications of Statistical Quality Control Charts (통계적 품질관리도를 활용한 차별적 경찰대응전략의 평가)

  • Lee, Myungwoo;Kim, Jihoon;Park, Hanho
    • The Journal of the Korea Contents Association
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    • v.16 no.6
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    • pp.529-536
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    • 2016
  • The purpose of this research is to evaluate the quality of Differential Police Response strategy. Although it has been approximately three years since these new police response systems were introduced, there is no research to evaluate them empirically. Using two types of statistical quality control techniques, Xbar-R control charts for variables data and P charts for attributes data, this study analyzes approximately 3,000 calls reported throughout the year 2012 to the 112 Integrated Dispatch Center in Ik-san police station. The Xbar-R control charts revealed that the police did not consistently respond to an emergency call for service (i.e., code one case) within 3 minutes. The P control chart also identified that there was a significant variation in the portion/number of defective calls where police failed to respond to non-emergency calls for service within 5 minutes. The results from this study suggest the police may need to review the target response time for code 1 and code 2 respectively.

A Study on the Artistic Value in the Modern Graphic Arts (현대인쇄에 있어서 예술성의 문제)

  • SangChulRho
    • Journal of the Korean Graphic Arts Communication Society
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    • v.2 no.1
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    • pp.35-43
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    • 1984
  • Shince the introduction of machine methods into industry a problem has existed which has never been adequately solved. .... That is to say, there is no difference between the essential qualities of Machine art and abstract art, which is the main style of fine arts in the present day. This problem has been discussed by John Ruskin, William Morris, Herbert Read. In this study, I discussed the artistic value in the modern graphic arts from the standpoint of Herbert Read on the machine art. According to the above-mentioned discussings, we can come to the conclusion as follows 1) The machine art lie at the root of abstract art, and whenever the final product of machine is designed or determined by anyone sensitive to formal values, that product can and does become an abstract work of art in the subtler sense of the term. 2) We must recognize that graphic design is a function of the abstract artist, and the abstract artist must be given a place in the graphic arts in which be is not already established, and his decision on all questions of design must be final. 3) Therefore, the graphic designer must have therough knowledge of graphic arts technology in order to give the artistic value to the objects of machine production.

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A Clinical Evaluation of Konica Hi-Ortho X-ray Film MGH (Konica Hi-Ortho X-ray Film MGH에 대한 임상평가(臨床評價))

  • Kim, Young-Hwan;Lee, Chang-Yup;Shin, Dong-Sik;Kang, Hong-Seok;Park, Jun-Chul;Lee, In-Ja;Shin, Wha-Soo;Huh, Joon
    • Journal of radiological science and technology
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    • v.10 no.1
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    • pp.43-47
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    • 1987
  • Authors have tested on the characteristics, image qualities and clinical applications of Konica Hi-ortho X-ray film MGH. The results are as followed; 1. The speeds of KM/MG, MGH were as about 2.7 times, and those of KR/MG, MGH were as about 4.5 times as compared with LT-II/A and the tube voltage influenced upon KM/MG, MGH over 80 kVp, upon KR/MG, MGH over 90kVp. 2. Good image definition by the detection of Burger Phanton KM/MGH, KM/MG, and LT-II/A, and good I.Q. values by the detection of Hawlet Chart LT-II/A, KM/MGH, and KM/MG in that order. Therefore, MGH film could reduce the patient dose steeply, and furthermore, provide high image quality by the high contrast and then, it will be very useful to abdominal angiography and cerebral angiography.

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2-Wavelength Organic Light-Emitting Diodes Using Bebq2 Selectively Doped with (pq)2Ir(acac) (Bebq2에 (pq)2Ir(acac)가 선택 도핑된 2-파장 유기발광다이오드)

  • Kim, Min-Young;Ji, Hyun-Jin;Jang, Ji-Geun
    • Korean Journal of Materials Research
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    • v.21 no.4
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    • pp.212-215
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    • 2011
  • New organic light-emitting diodes with structure of indium-tin-oxide[ITO]/N,N'-diphenyl-N, N'-bis-[4-(phenyl-m-tolvlamino)-phenyl]-biphenyl-4,4'-diamine[DNTPD]/1,1-bis-(di-4-poly-aminophenyl) cyclohexane[TAPC]/bis(10-hydroxy-benzo(h)quinolinato)beryllium[Bebq2]/Bebq2:iridium(III)bis(2-phenylquinoline-N,C2')acetylacetonate[(pq)2Ir(acac)]/ET-137[electron transport material from SFC Co]/LiF/Al using the selective doping of 5%-(pq)2Ir(acac) in a single Bebq2 host in the two wavelength (green, orange) emitter formation were proposed and characterized. In the experiments, with a 300${\AA}$-thick undoped emitter of Bebq2, two kinds of devices with the doped emitter thicknesses of 20${\AA}$ and 40${\AA}$ in the Bebq2:(pq)2Ir(acac) were fabricated. The device with a 20${\AA}$-thick doped emitter is referred to as "D-1" and the device with a 4${\AA}$-thick doped emitter is referred to as "D-2". Under an applied voltage of 9V, the luminance of D-1 and D-2 were 7780 $cd/m^2$ and 6620 $cd/m^2$, respectively. The electroluminescent spectrum of each fabricated device showed peak emissions at the same two wavelengths: 508 nm and 596 nm. However, the relative intensity of 596 nm to 508 nm at those wavelengths was higher in the D-2 than in the D-1. The D-1 and D-2 devices showed maximum current efficiencies of 5.2 cd/A and 6.0 cd/A, and color coordinates of (0.31, 0.50) and (0.37, 0.48) on the Commission Internationale de I'Eclairage[CIE] chart, respectively.

A Study on the Application of Simple Sprinkler Facility at Single Housing (단독주택의 간이스프링클러설비 적용에 관한 연구)

  • Hong, Sung-Woo;Lee, Young-Jae
    • Fire Science and Engineering
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    • v.22 no.4
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    • pp.33-41
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    • 2008
  • Presently, there is no legal regulation pertaining to the installation, maintenance, management and operation of fire-fighting facilities in single housing in Korea, relying instead on the awareness of the residents which hopefully will prevent fire. Likewise, accident prevention effort is very limiting and weak. Accordingly, this research examines current situation in which fire results, identifies root causes and studies application of regulations and develop design measures centered on the single housing that is most afflicted with fire. As part of the measure to prevent fire that afflict housing, it is necessary to classify single housing as specific target for fire fighting just like the joint housing among the types of the building structures that are classified according to the usage on the "Appendix Chart I of the Enforcement Ordinance of the Construction Law" for management purpose. Moreover, it is necessary to make the installation of fire-fighting facilities such as simple sprinkler facility for residential area, fire extinguisher, warning system and others for the sake of the senior citizens and disabled people who reside in single housing, mandatory.

A Study on the Role of Input Stabilization for Successful Settle down of TRM in Production Process : A Case of Display Industry (생산공정에서 TRM의 성공적 정착을 위한 Input 안정화의 역할에 관한 연구 : 디스플레이 산업 중심으로)

  • Cho, Myong Ho;Cho, Jin Hyung
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.39 no.1
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    • pp.140-152
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    • 2016
  • It is very important for the competitiveness and sustainable management of enterprises that the rapid changes in the managerial environments quickly and accurately are responded. For example, the large-scale investment accompanied by bad alternatives in accordance with misunderstanding of the managerial environments yields the huge cost and effort to modify and improve. In firm management, the quality of products and the productivity are influenced by changes of the endogenous factors yielded in manufacturing process and the exogenous factors as market, etc. These changes include not only changes in 4M (man, machine, material, method) but also those in the market, competitors, and technologies in the process of commodification, i.e., first, such disturbances make dispersion of the process big and odd. By Shewhart chart it can be checked that the process monitored is control-in or out. Business administration executes activities for input stabilization by monitoring changes in 4Ms, comparing with the standards, and taking measures for any abnormality. Second, TRM (technology road map) is to prospect product deployment and technological trend by predicting technologies in the competitive environment as the market, and to suggest the future directions of business. So, TRM must be modified and improved according to DR (design review) stages and changes in mass-production like input material change. Therefore, a role of TRM in input stabilization for reducing cost and man-hour is important. This study purposed to suggest that the environment changes are classified into endogenous factors and exogenous factors in production process, and then, quality and productivity should be stabilized efficiently through connection between TRM and input stabilization, and to prove that it is more effective for the display industry to connect TRM with input stabilization rather than to use TRM separately.