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Perception of the Nurse on the Nursing Malpractice and Its Case (간호사고와 관련판례에 대한 임상간호사의 지각)

  • Jeong, Ji-Yun;Lee, Myung-Ha
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.3
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    • pp.445-462
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    • 1999
  • The purpose of this study is to provide some basic data for the direction of nursing education and practice to prevent nursing malpractice as investgating perception of the nurse on the nursing malpractice and its case. Data were collected from 450 nurse working in four general hospitals which were located in Chonbuk province from November 9 to 21, 1998 through questionnare. The structured instruments developed by the reseacher were used for collecting data. The Results were as follows: 1) As for the cognition of the nursing malpractice case, the transfusion accident was 37.3%, the side-effects of KCL injection(19.3%), hymen rupture by uterus cancer test, the side-effects of aminophyllin injections on dyspnea patient and the others were 10% below. 2) With regard to the channel of the perception of the nursing malpractice case, mass-communication was taken first and followed through by neighbors, In-service education, school education, continuing education 3) As for the direct${\cdot}$indirect experience of the nursing malpractice case, transfusion accident was 51.3%, the fall of NPO patient after an operation 40.1%, the side-effect of KCL injection 32.5%, suicide of the psychiatric patient 32.5%, and the others were 30% below. 4) The possibility of nursing malpractice case was an average 2.57(${\pm}$0.91) and the highest was the fall of the NPO patient after an operation. 5) The perception on the responsibility of the nursing malpractice in its case was indicated as a joint-fault in ten nursing malpractice instances. As compared to the real decision, nurse's perception of the responsibility in the fall of the NPO patient after an operation, the side-effect of KCL injection, the tracheal edema of the patient who had a thyroid operation, the suicide of psychiatric patient, the hymen rupture by uterus cancer test accorded real decisions. But the other cases were different from the real decisions. These cases were perceived as ones of joint fault even in cases determined as Dr's single fault cases or those in which both doctor and nurse were declared free of fault. 6) Knowledge levels of the nursing malpractice, school education and In-service education were perceived as low but anxiety levels of the malpractice were high. 7) With regard to the countmeasure of the hospital after nursing malpractice, the rate answered as "the practice settled the accident temporarily and forced the person in charge to be punished" was highest. In conclusion, the level of the cognition of the clinical nurse on nursing malpractice cases was low. As nurses' perception on the responsibility of the nursing malpractice case was compared to the real decision, there was a difference in five cases out of the ten cases.

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Increase of L-type Calcium Current by cGMP-dependent Protein Kinase Regulates in Rabbit Ventricular Myocytes

  • Han, Jin;Kim, Na-Ri;Kim, Eui-Yong;Ho, Won-Kyung;Earm, Yung-E;Kim, Han-Kyoun
    • The Korean Journal of Physiology and Pharmacology
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    • v.2 no.6
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    • pp.733-742
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    • 1998
  • Background: We have previously reported that not only cGMP but also 8-Br-cGMP or 8-pCPT-cGMP, specific and potent stimulators of cGMP-dependent protein kinase (cGMP-PK), increased basal L-type calcium current $(I_{Ca})$ in rabbit ventricular myocytes. Our findings in rabbit ventricular myocytes were entirely different from the earlier findings in different species, suggesting that the activation of cGMP-PK is involved in the facilitation of $I_{Ca}}$ by cGMP. However, there is no direct evidence that cGMP-PK can stimulate $I_{Ca}}$ in rabbit ventricular myocytes. In this report, we focused on the direct effect of cGMP-PK on $I_{Ca}}$ in rabbit ventricular myocytes. Methods and Results: We isolated single ventricular myocytes of rabbit hearts by using enzymatic dissociation. Regulation of $I_{Ca}}$ by cGMP-PK was investigated in rabbit ventricular myocytes using whole-cell voltage clamp method. $I_{Ca}}$ was elicited by a depolarizing pulse to +10 mV from a holding potential of -40 mV. Extracellular 8-(4-Chlorophenylthio)-guanosine-3',5'-cyclic monophosphate (8-pCPT-cGMP), potent stimulator of cGMP-dependent protein kinase (cGMP-PK), increased basal $I_{Ca}}$. cGMP-PK also increased basal $I_{Ca}}$. The stimulation of basal $I_{Ca}}$ by cGMP-PK required both 8-Br-cGMP in low concentration and intracellular ATP to be present. The stimulation of basal $I_{Ca}}$ by cGMP-PK was blocked by heat inactivation of the cGMP-PK and by bath application of 8-(4-chlorophenylthio)-guanosine-3',5'-cyclic monophosphate, Rp-isomer (Rp-pCPT-cGMP), a phosphodiesterase-resistant cGMP-PK inhibitor. When $I_{Ca}}$ was increased by internal application of cGMP-PK, IBMX resulted in an additional stimulation of $I_{Ca}}$. In the presence of cGMP-PK, already increased $I_{Ca}}$ was potentiated by bath application of isoprenaline or forskolin or intracellular application of cAMP. Conclusions: We present evidence that cGMP-PK stimulated basal $I_{Ca}}$ by a direct phosphorylation of L-type calcium channel or associated regulatory protein in rabbit ventricular myocytes.

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Extraction of Ocean Surface Current Velocity Using Envisat ASAR Raw Data (Envisat ASAR 원시자료를 이용한 표층 해류 속도 추출)

  • Kang, Ki-Mook;Kim, Duk-Jin
    • Korean Journal of Remote Sensing
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    • v.29 no.1
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    • pp.11-20
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    • 2013
  • Space-borne Synthetic Aperture Radar(SAR) has been one of the most effective tools for monitoring quantitative oceanographic physical parameters. The Doppler information recorded in single-channel SAR raw data can be useful in estimating moving velocity of water mass in ocean. The Doppler shift is caused by the relative motion between SAR sensor and the water mass of ocean surface. Thus, the moving velocity can be extracted by measuring the Doppler anomaly between extracted Doppler centroid and predicted Doppler centroid. The predicted Doppler centroid, defined as the Doppler centroid assuming that the target is not moving, is calculated based on the geometric parameters of a satellite, such as the satellite's orbit, look angle, and attitude with regard to the rotating Earth. While the estimated Doppler shift, corresponding to the actual Doppler centroid in the situation of real SAR data acquisition, can be extracted directly from raw SAR signal data, which usually calculated by applying the Average Cross Correlation Coefficient(ACCC). The moving velocity was further refined to obtain ocean surface current by subtracting the phase velocity of Bragg-resonant capillary waves. These methods were applied to Envisat ASAR raw data acquired in the East Sea, and the extracted ocean surface currents were compared with the current measured by HF-radar.

Evaluation for Constructing Isochrones using a GIS (GIS를 이용한 등시간도 작성의 평가)

  • Cho, Hyo-Seob;Kim, Ke-Ho;Jung, Kwan-Sue;Kim, Jae-Han
    • Journal of Korea Water Resources Association
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    • v.36 no.6
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    • pp.925-936
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    • 2003
  • The objective of this study is to suggest new drawing methods of isochrones using GIS. For this purpose the Unit Hydrograph (UH) of studied watershed for instantaneous rainfall suggested by Clark have been determined by routing the time-area curve through a single linear reservoir. To evaluate constructing methods of isochrones three methods has been examined; Channel Profile and Clark-kict method; Laurenson method; Average velocity method of S.C.S. Also, these methods have been recomposed by GIS in this study. To apply first method, spatial modeling, the vector based on the stream network and Route_System measuring a distance between points has been used. A raster based on the flow direction grid from burn DEM and the slope grid from original DEM has been applied for the second method. The third method has been applied by a raster based on the landuse grid and a velocity function expressed by slope. Results by these three methods have been evaluated with observed hydrograph, and the method using average velocity method of S.C.S shows more reasonable results comparatively.

Development and Accuracy Analysis of the Discharge-Supply System to Generate Hydrographs for Unsteady Flow in the Open Channel (개수로에서의 부정류 수문곡선 재현을 위한 유량공급장치의 개발 및 정확도 분석)

  • Kim, Seo-Jun;Kim, Sang-Hyuk;Yoon, Byung-Man;Ji, Un
    • Journal of Korea Water Resources Association
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    • v.45 no.8
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    • pp.783-794
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    • 2012
  • The analysis for unsteady flow is necessary to design the hydraulic structures affected by water level and discharge changes through time. The numerical model has been generally used for unsteady flow analysis, however it is difficult to acquire field data to calibrate and validate the numerical model. Even though it is possible to collect field data for some case, high cost and labor are required and sometimes it is considered that the confidence of measured data is very low. In this case, the experimental data for unsteady flow can be used to calibrate and validate the numerical model as an alternative. Therefore, the discharge-supply system which could generate various type of unsteady flow hydrograph was developed in this study. Also, the accuracy of the unsteady flow hydrograph generated by developed dischargesupply system in the experiment was evaluated by comparing with target hydrograph. Accuracy errors and Root Mean Square Error (RMSE) were analyzed for the rectangular-type hydrograph with sudden changes of flow, triangular-type hydrograph with short peak time, and bell-type flood hydrograph. As a result, the generating error of the discharge-supply system for the rectangular-type hydrograph was about 59% which was maximum error among various types. Also, it was represented that RMSE for the triangular-type hydrographs with single and double peaks were approximately corresponding to 10%. However, RMSE for the bell-type flood hydrograph was lower than 2%.

A Design of Handoff-aware DiffServ Scheduler in TDD/CDMA Networks (TDD/CDMA망에서 핸드오프를 지원하는 DiffServ 스케줄러 설계)

  • Zang, Seog-Ku;Kim, Young-Han
    • The KIPS Transactions:PartC
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    • v.14C no.6
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    • pp.493-502
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    • 2007
  • In this paper, we propose a handoff-aware DiffServ scheduler which intends to guarantee various QoS requirements of multimedia services for mobile nodes in TDD/CDMA based wireless networks. TDD is widely used duplexing mechanism in wireless communications. Unlike FDD, TDD allows a node to symmetrically communicate with a base station by using a single frequency band, resulting in high utilization of wireless resources. DiffServ is regarded as a relatively simple QoS support mechanism and thus it is easy to be extended. This is because DiffServ is not a per-flow based mechanisms and it does not require any signaling protocol. However, previously proposed DiffServ schedulers for wired networks can not be deployed directly into wireless networks since they do not consider properties of wireless networks. As a solution to the problem, DSS(DiffServ Supporting Scheduler) was proposed. DSS uses uplink channel, which is originally used for a node to require a base station to transmit packets, to support QoS efficiently. However, QoS does not consider handoff so that it can not support QoS for moving nodes from one cell to the other cell. Therefor. the proposed handoff support QoS mechanism is necessary for TCC/CDMA networks. The proposed scheme allows a mobile node to achieve seamless service without QoS degradation even for the handoff duration.

Effect of Acupuncture(PC6) on Fos-like Immunoreactivity in the Nucleus Accumbens in Rats Sensitized to Morphine (내관(內關)부위 자침이 몰핀에 민감화된 흰쥐의 c-fos 발현에 미치는 효과)

  • Kim, Sang-Ho;Lyu, Seung-Jun;Han, Won-Ju;Kim, Mo-Kyung;Kim, Tae-Heon;Kang, Hyung-Won;Lyu, Yeoung-Su
    • Journal of Oriental Neuropsychiatry
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    • v.16 no.2
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    • pp.13-24
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    • 2005
  • Background and Objectives : Acupuncture as a therapeutic intervention is widely used for the treatment of many functional disorders such as substance abuse and mental dysfunction. Clinical trials are currently underway to determine the effectiveness of acupuncture in the treatment of drug addiction. Yet, there are still many unanswered questions about the basic mechanism of acupuncture. Studies have shown that both the psychomotor stimulant effects and rewarding properties of addictive drugs, including morphine, are sensitized by repeated drug administration and raised the possibility that both of these effects may be linked to the same or closely overlapping the mesolimbic dopamine systems. Neiguan (PC6) point on the pericardium channel which is associated with the brain and its mental function, has been used to treat mental, psychosomatic disorders and gastroenterological disorders. The present study was designed to investigate the effect of acupuncture on repeated morphine-induced changes in extracellular dopamine levels using in vivo microdialysis and to measure the effect of acupuncture on Fos-like immunoreactivity. Methods : Male Sprague-Dawley rats were treated twice a day for three days with increasing doses of morphine (10, 20 and 40 mg/kg, s.c.) or with saline. After 15 days of withdrawal, rats were challenged with morphine hydrochloride (5 mg/kg, s.c.). Acupuncture was applied at bilateral Neiguan (PC6) points for 1 min after the morphine challenge. Results showed that acupuncture at the specific acupoint PC6, but not at control points (tail and HE8) significantly decreased Fos-like immunoreactivity induced by a systemic morphine challenge or a single s.c. morphine injection in the morphine-repeated animals. Results and Conclusions : These results suggest that reduction in sensitization may be one mechanism whereby acupuncture alleviates morphine craving in addicts. Moreover, in a more general sense these results suggest that acupuncture can be used as a therapeutic intervention for correcting reversible malfunction of the body by direction of brain pathway and thus acupuncture can contribute to the biochemical balance in the central nervous system by regulating neurotransmitters.

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Implementation & Test Results analysis Of a DTV Distributed Translator(DTxR) Network (DTV 분산중계망의 구축 및 실험방송 결과분석)

  • Mok, Ha-Kyun;Wang, Soo-Hyun;Sung, Young-Mo;Lee, Yong-Tae;Lee, Yong-Hoon;Kim, Heung-Mook
    • Journal of Broadcast Engineering
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    • v.14 no.4
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    • pp.518-536
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    • 2009
  • To verify the performance of a Distributed Translator Network(DTxR) system in the real world conditions, 5 legacy DTV broadcasting repeater sites were implemented with 5 DTxR systems and field-tested by the DTV field test truck. The 4 DTV broadcasting repeater sites are selected in congested areas where their service areas are overlapped and the 5th site is deviated from the other sites to examine the effect of long-delayed multipath signals. First of all, we checked the receiving signal of the main station that used as a transmitting signal in 5 DTxR systems on the pre-selected 60 test points and tested every case of a DTxR system's on & off except 1 repeater site due to the already built-in DTV repeater system. The test items are received signal electric field strength, noise margin, ease of reception and subjective evaluation of the picture quality for received signals. We used 3rd, 5th, and 6th generation DTV receivers to examine the differences of the receivability by each generation of DTV receivers. Reviewing the test results, we conclude that the DTxR system can be adopted in the current DTV Repeater sites and it could improve the quality and receivability of the main signals by extending the service areas and enhancing the signal levels in the shadow areas without using the extra broadcasting channels.

Calcium Current and Background Current Activation in L-triiodothyronine Loaded Ventricular Myocytes of the Rabbit

  • Han, Jin;Kim, Eui-Yong;Han, Jae-Hee;Park, Choon-Ok;Hong, Seong-Geun;Leem, Chae-Hun;So, In-Suk;Ho, Won-Kyung;Earm, Yung-E;Sung, Ho-Kyung
    • The Korean Journal of Physiology
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    • v.26 no.2
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    • pp.99-111
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    • 1992
  • Permissive action of thyroid hormone at the level of Ca channel and responsible mechanisms underlying thyroid hormone-induced change in myocardial contractile state and $T_3-induced$ arrhythmias were investigated in rabbit ventricular or atrial myocytes using whole cell patch clamp technique. Single cells were isolated by Langendorff perfusion with collagenase. Cardiac myocytes were incubated in $low-Cl^-,$, $high-K^+$ medium containing $1_{\mu}M\;L-triiodothyronine\;(T_3)$ at $4^{\circ}C$ for 2.10 hours. The calcium currrent $(I_{Ca})$ was increased in $T_3$ loaded cells, however, the shape of current voltage curve and reverse potential did not altered. Cyclic AMP, cyclic GMP, isoprenaline and 3-isobutyl-1-methyl-xanthine increased $I_{Ca}$ in euthyroid and hyperthyroid conditions, and acetylcholine blocked the increase of $I_{Ca}\;in\;T_3$ loaded cells. The amplitude of $I_{Ca}$ was much larger after perfusing cGMP than cGMP in both conditions, whereas the degree of increase of $I_{Ca}$ was greater after perfusing cAMP than cGMP in $T_3$ loaded cells. The degree of increase of $I_{Ca}$ after perfusing isoprenaline or IBMX also was greater in $T_3$ loaded cells than in control cells. Background current induced by isoprenaline also increased in $T_3$ loaded cells. The Ca release dependent inward current was increased in amplitude but its activation and inactivation time course was not changed in $T_3$ loaded cells. Activation of Na pump current was not changed in $T_3$ loaded cells. From the above results it is suggested that thyroid hormone induced increase in the contractile state of cardiac myocytes are accompanied by augmented $I_{Ca}$ and the increase of Ca release from sarcoplasmic reticulum and the permissive action of thyroid hormone to catecholamines could induce arrhythmias through the increase of $I_{Ca}$ and background current.

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Availability of Mobile Art in Smartphone Environment of Augmented Reality Content Industrial Technology (증강현실 콘텐츠 산업기술의 스마트폰 환경 모바일 아트 활용 가능성)

  • Kim, Hee-Young;Shin, Chang-Ok
    • The Journal of the Korea Contents Association
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    • v.13 no.5
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    • pp.48-57
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    • 2013
  • Smartphones provide users with environment for communication and sharing information and at the same time play an important role of mobile technology and mobile art development. Smartphone technology-related researches are being accelerated especially with the advent of mobile Augmented Reality(AR) age, but the studies on user participation that is essential for AR content industry were insufficient. In that regard, the assistance from mobile art area that has already developed these characteristics is essential. Thus, this article is to classify mobile art that has not been studied a lot domestically into feature phone usage and smartphone usage and to analyze each example case with the three most used methods. The usage of feature phones which use the sound and images of mobile devices can be divided into three: installation and performing methods, single channel video art method and five senses communication method. On the other hand, the usage of smartphones that use sensors, cameras, GPS and AR can be divided into location-based AR, marker-based AR and markerless AR. Also, as a result of examining mobile AR content utilization technology by industries, combined methods are utilized; tourism and game-related industries use location-based AR, education and medicine-related industries use marker-based AR, and shopping-related industries use markerless AR. The development of AR content industry is expected to be accelerated with mobile art that makes use of combined technology method and constant communication method through active participation of users. The future development direction of mobile AR industry is predicted to have minimized HMD, integration of hologram technology and artificial intelligence and make the most of big data and social network so that we could overcome the technological limitation of AR.