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The Problems for Application of Nursing Process in Clinical Experience of Nursing Students (임상실습에서 학생들이 경험하는 간호과정 적용문제)

  • Yang Young-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.5 no.1
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    • pp.58-71
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    • 1999
  • Nursing process is an essential part for nursing practice. Nursing faculty members must focus on the clinical application for students and try to identify the possible problems that students might face in the fields. The purpose of this study is to examine the actual condition of nursing process education in curricula and to investigate the response of students in clinical experience of nursing process. From 462 students in the 6 associate programs(ADN) and the 6 baccalaureate programs (BSN) data was collected by questionnaire. The results were as followed. 1. Seven programs (58.3%) opened the nursing process in mainly sophomore (BSN) or freshman(ADN). If not opened, the nursing process was taught at the major subjects(espcially fundamental nursing or adult nursing). 2. All Students responded they we supposed to use nursing process in preparing the case report. The majority(94.6%) used NANDA lists for nursing diagnosis and 55.7% of subjects consulted the Korean terms by KNA when translating. The tutors for nursing process in clinical settings were the professor in charge of the subject (68.6) or clinical instructors (48.1%) , assistants(34%). 3. The problems in clinical application that students experienced consisted of 17 items and the mean was 2.27. The biggest problem was 'the lack of the model for RN of applying the nursing process in clinical settings'(2.97). Next the big problem was 'the lack of the competency for implementing the established nursing plans'(2.69). All items were significantly different according to the level of educational programs(ADN or BSN). ADN students had more problems in applying the each step of nursing process and BSN students perceived the NANDA as a guidance of nursing diagnosis and the inconsistency of advices from several instructors or practicum to be mere problematic. 4. The mean of merits after application of nursing process was relatively fair (2.82). The best merit was 'they can identify nursing problems more exactly'(3.07). The second high merit was 'they can study the rational of nursing action' (3.03). BSN than ADN and the subjects of second year than of one year in clinical experience perceived the use of nursing process to be better. Based on this results we need to enforce the application of nursing diagnosis in the class. The use of sample cases can be the efficient method. Students can identify the possible health problems for patient from the cases in imaginary world and discuss them each other. Also we can use the discussion session after practice every other day or as needed. All this is on the good interaction between tutor and student. We must consider to have enough time for student to seize the essence of the nursing process.

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Formation of a large-scale quasi-circular flare ribbon enclosing three-ribbon through two-step eruptive flares

  • Lim, Eun-Kyung;Yurchyshyn, Vasyl;Kumar, Pankaj;Cho, Kyuhyoun;Kim, Sujin;Cho, Kyung-Suk
    • The Bulletin of The Korean Astronomical Society
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    • v.41 no.2
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    • pp.42.1-42.1
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    • 2016
  • The formation process and the dynamical properties of a large-scale quasi-circular flare ribbon were investigated using the SDO AIA and HMI data along with data from RHESSI and SOT. Within one hour time interval, two subsequent M-class flares were detected from the NOAA 12371 that had a ${\beta}{\gamma}{\delta}$ configuration with one bipolar sunspot group in the east and one unipolar spot in the west embedded in a decayed magnetic field. Earlier M2.0 flare was associated with a coronal loop eruption, and a two-ribbon structure formed within the bipolar sunspot group. On the other hand, the later M2.6 flare was associated with a halo CME, and a quasi-circular ribbon developed encircling the full active region. The observed quasi-circular ribbon was strikingly large in size spanning 650" in north-south and 500" in east-west direction. It showed the well-known sequential brightening in the clockwise direction during the decay phase of the M2.6 flare at the estimated speed of 160.7 km s-1. The quasi-circular ribbon also showed the radial expansion, especially in the southern part. Interestingly, at the time of the later M2.6 flare, the third flare ribbon parallel to the early two-ribbon structure also developed near the unipolar sunspot, then showed a typical separation in pair with the eastern most ribbon of the early two ribbons. The potential field reconstruction based on the PFSS model showed a fan shaped magnetic configuration including fan-like field lines stemming from the unipolar spot and fanning out toward the background decayed field. This large-scale fan-like field overarched full active region, and the footpoints of fan-like field lines were co-spatial with the observed quasi-circular ribbon. From the NLFF magnetic field reconstruction, we confirmed the existence of a twisted flux rope structure in the bipolar spot group before the first M2.0 flare. Hard X-ray emission signatures were detected at the site of twisted flux rope during the pre-flare phase of the M2.0 flare. Based on the analysis of both two-ribbon structure and quasi-circular ribbon, we suggest that a tether-cutting reconnection between sheared arcade overarching the twisted flux rope embedded in a fan-like magnetic field may have triggered the first M2.0 flare, then secondary M2.6 flare was introduced by the fan-spine reconnection because of the interaction between the expanding field and the nearby quasi-null and formed the observed large-scale quasi-circular flare ribbon.

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Antecedents and it's Consequence of Local Consumers Trust in MNC's Product: The Moderating Effect of Global Corporate Citizenship (다국적기업 제품신뢰의 선행요인과 성과: 글로벌 기업시민주의의 조절효과)

  • Hong, Song-Hon
    • International Commerce and Information Review
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    • v.16 no.3
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    • pp.357-380
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    • 2014
  • Buyers' Trust in suppliers is critical in all commerce, but particularly in the relationship between foreign provider and local consumer due to the liability of foreignness. This study examines (1)how local consumers trust in the product of MNCs is affected by their perceptions of the product attributes, (2)does the product trust affects customers loyalty, and (3)whether Global Corporate Citizenship moderates the relationship between the product attributes and trust. Based on previous researches, hypotheses are formulated and the statistical method used to test them was a moderated regression analysis using SPSS 20. 330 respondents from the university student group in Korea were used for this analysis. The results of this study are follows: Service communication and product perceptions such as quality, technological newness, design, and brand value have a significant effect on the product trust. The Effectiveness of product-related service communication had greater than that of the physical characteristics of product. But, price fairness is not significantly. The trust then has a positive relation to customers loyalty. When global corporate citizenship as the moderating role is introduced into the model, the interaction terms with 'price fairness' are verified to be significant. Therefore, global corporate citizenship moderates the relationship between price fairness and product trust. The results of the empirical study provide important implications for Korean firms operating in foreign markets. But, the findings are limited to the University students and to manufacturing sectors. Thus, the generalization of the results of this research remains limited.

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The Concept Analysis of the Organizational Culture of Nursing Service in Hospital Setting (병원 간호조직문화 규명을 위한 연구(2);간호조직문화 개념 분석)

  • Kim, Moon-Sil;Chun, Mi-Soo;Bang, Hee-Sook;Moon, Sun-Young;Lee, Soon-Hee;Han, Soo-Jung;Kim, Jung-A;Park, Hyun-Tae
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.1
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    • pp.87-97
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    • 1999
  • Rapidly changing healthcare environment and professional nursing practice need a strategy for the organizational development and goal attainment. An understanding of organizational culture could help managers enhance or expend their management strategy, thus increasing the probability of their success in the organization. On the other hand. organizational culture is an abstract concept and can show several views between sciences applying it. Therefore. organizational culture can be described to different ways with roots in each other discipline. Thus. it is necessary to define the concept of organizational culture in nursing perspective. This article reports a study conducted to analyze the concept of Nursing Service Organizational Culture. This study is performed by the guideline of Walker and Avant for concept analysis : selecting a concept. detering aim of analysis, identifying all use of concept. defining attributes. constructing model. contrary, borderline. related cases. identifying antecedents and consequences. According to the results of this study. the following definition attributes of Nursing Service Organizational Culture was suggested. We could define that nursing service organizational culture is the pattern of basic assumption and common belief that shared by the subordinates of nursing service. So, it provides a shared identity for all employees. Attributes of Nursing Service Organizational Culture were defined as (1) it is performed by the result of the interaction through formal. informal communication among nursing service organizational subordinations. (2) it has been performed unconsciously and reacts without ever thinking about the behavior. (3) it makes a unique pattern of behaviors to each nursing organization. which is different from other groups. (4) it has a broad and subtle forces to its subordinates. (5) it provides subordinates with the way of thought and behavior. (6) it influences on the output. stability. and de velopment of nursing service.

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A Study on Empowerment Process of the Disabled - Focused on Experience of 'Pre-Adulthood' - (장애인의 임파워먼트 과정에 관한 연구 - 성인기 이전의 경험을 중심으로 -)

  • Kim, Mi-Ok;Kim, Hee-Sung;Lee, Min-Young
    • Korean Journal of Social Welfare
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    • v.57 no.1
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    • pp.31-60
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    • 2005
  • This study was performed to analyze empowerment process of the disabled. Participants were 11 disabled college students and they were individually face-to-face in-depth interviewed until data were saturated. This study used the grounded theory approach based on Strauss and Corbin(1998). With the qualitative constant comparative analysis, 105 concepts, 22 subcategories, and 12 categories were generated. In the axial coding, a paradigm model was proposed as follows: The central phenomenon of the empowerment process of the disabled adolescents was 'Rising from the Limits'. The causal conditions were 'Just living' and 'realizing disabilities'. The contextual conditions were 'Being excluded', 'But wishing', and 'Breaking down'. The intervening conditions were 'Without giving up' and 'Taking support'. The action/interaction strategies were 'Grasping own lifestyle' and 'Being proactive'. The consequences were 'Acquiring the self-control', 'Getting generosity', and 'Participating in society'. In the selective coding, the core category was 'to live together stately with grasping own lifestyle pro-actively as the disabled'. Based on the core category, three types and 4 stages of the empowerment process of the disabled adolescents were found. The types were 'Social change oriented type', 'Self-development oriented type', and 'Passive effort oriented type' and the stages took 'Isolation stage', 'Rising stage', 'Mastering stage' and 'Stately being together stage'. In particular, this process had the circulation structure of which these 4 stages are not terminated, and developed and repeated. In conclusion, these results convey to us the understanding and knowledge about empowerment process of the disabled as their healthy -whole and unique- development process. And some implications and suggestions for the social work services and theories about the disabled focusing on the pre-adulthood period.

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Assessment of System Reliability and Capacity-Rating of Composite Steel Box-Girder Highway Bridges (합성 강 상자형 도로교의 체계신뢰성 해석 및 안전도평가)

  • Cho, Hyo Nam;Lee, Seung Jae;Kang, Kyoung Koo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.13 no.2
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    • pp.51-59
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    • 1993
  • This paper develops practical and realistic reliability models and methods for the evaluation of system-reliability and system reliability-based rating of various types of box-girder bridge superstructures. The strength limit state model for box-girder bridges suggested in the paper are based on not only the basic flexural strength but also the strength interaction equations which simultaneously take into account flexure, shear and torsion. And the system reliability problem of box-girder superstructure is formulated as parallel-series models obtained from the FMA(Failure Mode Approach) based on major failure mechanisms or critical failure states of each girder. In the paper, an improved IST(Importance Sampling Technique) simulation algorithm is used for the system reliability analysis of the proposed models. This paper proposes a practical but rational approach for the evaluation of capacity rating in terms of the equivalent system-capacity rating corresponding to the estimated system-reliability index which is derived based on the concept of the equivalent FOSM(First Order Second Moment) form of system reliability index. The results of the reliability evaluation and rating of existing bridges indicate that the reserved reliability and capacity rating at system level are significantly different from those of element reliability or conventional methods especially in the case of highly redundant box-girder bridges.

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An FSI Simulation of the Metal Panel Deflection in a Shock Tube Using Illinois Rocstar Simulation Suite (일리노이 록스타 해석환경을 활용한 충격파관 내 금속패널 변형의 유체·구조 연성 해석)

  • Shin, Jung Hun;Sa, Jeong Hwan;Kim, Han Gi;Cho, Keum Won
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.41 no.5
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    • pp.361-366
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    • 2017
  • As the recent development of computing architecture and application software technology, real world simulation, which is the ultimate destination of computer simulation, is emerging as a practical issue in several research sectors. In this paper, metal plate motion in a square shock tube for small time interval was calculated using a supercomputing-based fluid-structure-combustion multi-physics simulation tool called Illinois Rocstar, developed in a US national R amp; D program at the University of Illinois. Afterwards, the simulation results were compared with those from experiments. The coupled solvers for unsteady compressible fluid dynamics and for structural analysis were based on the finite volume structured grid system and the large deformation linear elastic model, respectively. In addition, a strong correlation between calculation and experiment was shown, probably because of the predictor-corrector time-integration scheme framework. In the future, additional validation studies and code improvements for higher accuracy will be conducted to obtain a reliable open-source software research tool.

Cluster and Polarity Analysis of Online Discussion Communities Using User Bipartite Graph Model (사용자 이분그래프모형을 이용한 온라인 커뮤니티 토론 네트워크의 군집성과 극성 분석)

  • Kim, Sung-Hwan;Tak, Haesung;Cho, Hwan-Gue
    • Journal of Internet Computing and Services
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    • v.19 no.5
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    • pp.89-96
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    • 2018
  • In online communities, a large number of participants can exchange their opinion using replies without time and space restrictions. While the online space provides quick and free communication, it also easily triggers unnecessary quarrels and conflicts. The network established on the discussion participants is an important cue to analyze the confrontation and predict serious disputes. In this paper, we present a quantitative measure for polarity observed on the discussion network built from reply exchanges in online communities. The proposed method uses the comment exchange information to establish the user interaction network graph, computes its maximum spanning tree, and then performs vertex coloring to assign two colors to each node in order to divide the discussion participants into two subsets. Using the proportion of the comment exchanges across the partitioned user subsets, we compute the polarity measure, and quantify how discussion participants are bipolarized. Using experimental results, we demonstrate the effectiveness of our method for detecting polarization and show participants of a specific discussion subject tend to be divided into two camps when they debate.

Prostatic Bleeding after Prostatic Biopsy Effects Oncological Outcomes with Laparoscopic Radical Prostatectomy

  • Takai, Tomoaki;Inamoto, Teruo;Komura, Kazumasa;Tsujino, Takuya;Matsunaga, Tomohisa;Yoshikawa, Yuki;Uchimoto, Taizo;Saito, Kenkichi;Tanda, Naoki;Minami, Koichiro;Uehara, Hirofumi;Ibuki, Naokazu;Takahara, Kiyoshi;Nomi, Hayahito;Kiyama, Satoshi;Azuma, Hayahito
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1373-1377
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    • 2016
  • Background: We vigorously reviewed patients' operation record who had adhesion of the Denonvilliers' fascia and found out most of these patients had prostatic bleeding after prostatic gland biopsies. We examined the magnitude of prostatic bleeding and frequency after biopsies and the relationship with oncological outcomes. Materials and Methods: A total of 285 patients were selected for the final analyses. Inclusion criteria were as follows: receiving MRI three weeks after biopsiesand laparoscopic radical prostatectomy within 300 days after biopsy. We divided the patients into two groups with (group A) or without (group B) prostatic bleeding. We examined the magnitude of prostatic bleeding after biopsies and the relationship with operation time (OT), positive surgical margin (PSM), biochemical recurrence (BCR) and other factors. Furthermore, we created a logistic-regression model to derive a propensity score for prostatic bleeding after biopsies, which included all patient and hospital characteristics as well as selected interaction terms, and we examined the relationship with PSM and BCR. Results: In all patients, the OT in the group B was shorter than the group A (p < 0.001). Prostatic bleeding was associated with PSM (p=0.000) and BCR (p=0.036). In this propensity-matched cohort, 11 of 116 patients in the group B had PSM as compared with 36 of 116 patients from group A (match-adjusted odds ratio, 4.30; 95%CI confidence interval, 2.06 to 8.96; P=0.000). In addition, eight of 116 patients in group B encountered BCR, as compared with 18 of 116 patients in group A (match-adjusted odds ratio, 2.48; 95%CI, 1.03 to 5.96; P=0.042). Kaplan-Meier analysis in the propensity matching cohort showed a significant biochemical recurrence-free survival advantage for being free of prostate bleeding after biopsies. Conclusions: Our findings in the present cohort should help equip surgeons to pay attention to careful excision especially for those who experienced deferred prostatic bleeding.

Vitamin B12 Model Complexes: Synthesis and Characterization of Thiocyanato Cobaloximes and Thiocyanato Bridged Dicobaloximes of O-donor Ligands: DNA Binding and Antimicrobial Activity (비타민 B12 모델 착물: O-주개 리간드인 Thiocyanato Cobaloximes 및 Thiocyanato로 연결된 Dicobaloximes의 합성 및 특성규명: DNA 결합 및 향균 활성)

  • Mustafa, Bakheit;Satyanarayana, S.
    • Journal of the Korean Chemical Society
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    • v.54 no.6
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    • pp.687-695
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    • 2010
  • Complexes of thiocyanato(L)cobaloximes where L is urea, acetamide, semicrabazide and formamide were synthesized and characterized. The reaction of thiocyanato (L) cobaloximes (SCNCo$(DH)_2$(L)) with benzyl (aquo) cobaloxime $PhCH_2Co(DH)_2(OH_2)$ was found to produce a series of thiocyanato bridged dicobaloximes of a general formula of $PhCH_2Co(DH)_2SCNCo(DH_2)(L)$. Evidence for formulation as dicobaloximes containing thiocyanato ligand bridges was obtained from infrared data which show $20-45cm^{-1}$ increase in vCN upon formation of the dicobaloxime from the corresponding terminal thiocyanocobaloxime (SCNCo$(DH)_2$(L)). Further characterization of these two series was done on the basis of ($^1H$,$^{13}C$)NMR, LCMS and elemental analysis. Anti-microbial activity of thiocyanato(L)cobaloximes and thiocyanato bridged dicobaloximes were screened against E. Coli. The DNA-binding behaviors of both monomers and dimers were investigated by spectroscopic methods and viscosity measurements. The results indicated that the dimer complexes bind with calf-thymus DNA in an intercalative mode via the terminal benzyl ring into the base pairs of DNA. It was observed that the monomer complexes did not interact with DNA. Fluorescence spectra for the interaction between thiocyanato bridged dicobaloximes and DNA were also studied.