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Public's Perception of Reimbursement for Advanced Practice Nurses' Education and Counseling in Intensive Care Units by the National Health Insurance (중환자실에서 전문간호사가 제공하는 교육상담의 국민건강보험 급여화에 대한 일반인의 인식조사 연구)

  • Ko, Chungmee
    • Journal of Korean Critical Care Nursing
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    • v.11 no.3
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    • pp.95-107
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    • 2018
  • Purpose : This study aimed to investigate the public's perception of reimbursement for the education and counseling services provided to advanced practice nurses in intensive care units. Method : This was a secondary data analysis study. The original data were collected utilizing an online panel. The sample comprised 615 individuals aged between 19 and 49 years nationwide. The study variables included the public's perception of reimbursement for education and counseling services, age, gender, education level, income, and health status. Variables such as past experience of being admitted to an intensive care unit by self, family, or relatives and the recognition of advanced practice nurses were also examined. Results : The mean of the perception score was 3.15 on a 4-point scale ranging from 1 (strongly disagree) to 4 (strongly agree). Among the participants, 89.2% answered "somewhat agreed" or "strongly agreed" to the question about the education and counseling services being covered by the National Health Insurance. Moreover, education level, past experience of being admitted to an intensive care unit by self, family, or relatives, and recognition of advanced practice nurses were significantly associated with the perception score. Conclusion : Efforts should be made to publicize the need for the education and counseling services that are provided to advanced practice nurses in intensive care units.

Studies on MEMS Inertial Switch Applicable to the Ignition SAU(Safe-Arm-Unit) of Propulsion System (추진기관 점화안전장치에 적용 가능한 MEMS 관성 스위치 연구)

  • Jang, Seung-Gyo;Jung, Hyung-Gyun
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2010.11a
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    • pp.126-129
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    • 2010
  • MEMS(micro electro-mechanical systems) inertial switch which is applicable to the ignition Safe-Arm- Unit of propulsion system is devised. The MEMS inertial switch is designed according to the general design procedure for conventional mechanical elements. Unlikely conventional MEMS accelerometer, threshold inertial switching mechanism is adopted which makes a MEMS element an abrupt switching in a certain acceleration level. By comparing the design data and test results of the specimen a small discrepancy in switching acceleration level is found which is presumably due to the nonlinear characteristics of the beam spring and the flexure hinge which are the main parts of the MEMS inertial switch.

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Preliminary Evaluation of Clearance Level of Uranium in Metal Waste Using the RESRAD-RECYCLE Code (RESRAD-RECYCLE 전산코드를 활용한 금속폐기물 내 우라늄 자체처분 허용농도 예비 평가)

  • SunWoo Lee;JungHwan Hong;JungSuk Park;KwangPyo Kim
    • Journal of Radiation Industry
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    • v.17 no.4
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    • pp.457-469
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    • 2023
  • The clearance level by nuclide is announced by the Nuclear Safety and Security Commission. However, the clearance level of uranium existing in nature has not been announced, and research is needed. Therefore, the purpose of this study was to evaluate the clearance level of uranium nuclides appropriate to domestic conditions preliminary. For this purpose, this study selected major processes for recycling metal wastes and analyzed the exposure scenarios and major input factors by investigating the characteristics of each process. Then, the radiation dose to the general public and workers was evaluated according to the selected scenarios. Finally, the results of the radiation dose per unit radioactivity for each scenario were analyzed to derive the clearance level of uranium in metal waste. The results of the radiation dose assessment for both the general public and workers per unit radioactivity of uranium isotopes were shown to meet the allowable dose (individual dose of 10 µSv y-1 and collective dose of 1 Man-Sv y-1) regulated by the Nuclear Safety and Security Commission. The most conservative scenarios for volumetric and surface contamination were evaluated for the handling of the slag generated after the melting of the metal waste and the direct reuse of the contaminated metal waste into the building without further disposal. For each of these scenarios, the radioactivity concentration by uranium isotope was calculated, and the clearance level of uranium in metal waste was calculated through the radioactivity ratio by enrichment. The results of this study can be used as a basic data for defining the clearance level of uranium-contaminated radioactive waste.

New Retransmission Method using the minimum MPDU starting Spacing in Two-level Aggregation of IEEE 802.11n (IEEE 802.11n의 2-레벨 집적 방식에서 최소 MPDU 시작 간격을 이용하는 새로운 재전송 방법)

  • Shin, In Cheol;Kim, Dong-Hoi
    • Journal of Broadcast Engineering
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    • v.20 no.2
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    • pp.300-309
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    • 2015
  • In IEEE 802.11n WLANs(Wireless Local Area Networks), to support high throughput, MAC(Media Access Control) layer adopts A-MSDU(Aggregate-MAC Service Data Unit) and A-MPDU(Aggregate-MAC Protocol Data Unit). Generally, as the A-MPDU uses a selective retransmission capability, A-MPDU provides higher throughput than A-MSDU. However, although A-MPDU uses the selective re-transmission capability, if the size of MPDU within A-MPDU is smaller than the size of minimum MPDU starting spacing, A-MPDU can reduce throughput because of the overhead of retransmission owing to the addition of delimiter, that is a dummy MPDU. Therefore, to overcome the above problem, two-level Aggregation method, where the small MPDU within A-MPDU is replaced by not delimiter but A-MSDU, has been introduced. In the two-level Aggregation method, the existing re-transmission scheme retransmits only A-MPDU, but if the size of retransmission data is smaller than the size of the minimum MPDU starting spacing, the proposed retransmission scheme retransmits the aggregated retransmission data and MSDUs. Therefore, we know that the proposed retransmission scheme have better throughput that the existing retransmission scheme.

Factors Influencing Pain with Terminally Ill Cancer Patients in Hospice Units (호스피스 병동에 입원한 말기 암환자의 통증에 영향을 미치는 요인 : 입원 경과 시점에 따른 분석)

  • 노유자;김남초;홍영선;용진선
    • Journal of Korean Academy of Nursing
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    • v.31 no.2
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    • pp.206-220
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    • 2001
  • The purpose of this study was to investigate the impact of depression, discomfort, spirituality, physical care, and opioid use on pain with terminally ill cancer patients residing in hospice units. The convenient sample of this study consisted of 41 terminally ill cancer patients at three hospice units in university affiliated hospitals. Patients were interviewed with structured questionnaires three times at predetermined intervals: admission to the hospice unit (Time 1), one week later (Time 2), and two weeks later (Time 3). The data was collected from January 1998 to January 1999 and was analyzed using ANOVA, Pearson correlation coefficient, and multivariate multiple regression. 1. The mean age of the participants was approximately 55 years old. In terms of diagnosis, lung cancer showed the highest frequency (19.5%), followed by stomach cancer and rectal cancer (17.1%). The motive of seeking hospice unit admission was control (72. 2%), followed by spiritual care (50%), and symptom relief (38.9%). 2. Regarding the type of pain felt, the highest pain frequency the participants experienced was deep pain (55%), followed by multiple pain (25%), intestinal pain (10%), then superficial (5%) and neurogenic pain (5%). For the level of pain measured by VAS, there was no significant difference among the three time points; Time 1 (5.04$\pm$2.21), Time 2 (4.82$\pm$2.58) and Time 3(4.73$\pm$2.51). 3. There was significant change seen in spirituality and physical care in each time interval. Namely, the longer the length of admission at the hospice unit, the higher the importance of spirituality (p=0.0001) and the more the physical care the participants received (p=0.01). The opioid use at the three time points showed the following frequencies : Time 1 (75.6%), Time 2 (85.4%) and Time 3 (75.6%). 4. Regarding factors influencing pain, the pain level was significantly affected by the depression level (p〈0.01) and the opioid use (p〈0.1). These results were the most significant at the two time points (Time 1 and Time 2). At Time 3 (two weeks later), the pain level was significantly affected by the depression level (p〈0.05) and the amount of physical care the participants received (p〈0.1). In conclusion, the terminally ill cancer patients had moderate pain, were generally depressed, and were treated with opioid analgesics. As approaching death, the patients received more physical care due to increased physical symptoms experienced and they had a higher perception of the importance of spirituality. Thus, health care professionals need to provide continuous care for each of them to die comfortably physically, psycho- logically, and spiritually.

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Analysis of the Optimal Window Size of Hampel Filter for Calibration of Real-time Water Level in Agricultural Reservoirs (농업용저수지의 실시간 수위 보정을 위한 Hampel Filter의 최적 Window Size 분석)

  • Joo, Dong-Hyuk;Na, Ra;Kim, Ha-Young;Choi, Gyu-Hoon;Kwon, Jae-Hwan;Yoo, Seung-Hwan
    • Journal of The Korean Society of Agricultural Engineers
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    • v.64 no.3
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    • pp.9-24
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    • 2022
  • Currently, a vast amount of hydrologic data is accumulated in real-time through automatic water level measuring instruments in agricultural reservoirs. At the same time, false and missing data points are also increasing. The applicability and reliability of quality control of hydrological data must be secured for efficient agricultural water management through calculation of water supply and disaster management. Considering the characteristics of irregularities in hydrological data caused by irrigation water usage and rainfall pattern, the Korea Rural Community Corporation is currently applying the Hampel filter as a water level data quality management method. This method uses window size as a key parameter, and if window size is large, distortion of data may occur and if window size is small, many outliers are not removed which reduces the reliability of the corrected data. Thus, selection of the optimal window size for individual reservoir is required. To ensure reliability, we compared and analyzed the RMSE (Root Mean Square Error) and NSE (Nash-Sutcliffe model efficiency coefficient) of the corrected data and the daily water level of the RIMS (Rural Infrastructure Management System) data, and the automatic outlier detection standards used by the Ministry of Environment. To select the optimal window size, we used the classification performance evaluation index of the error matrix and the rainfall data of the irrigation period, showing the optimal values at 3 h. The efficient reservoir automatic calibration technique can reduce manpower and time required for manual calibration, and is expected to improve the reliability of water level data and the value of water resources.

A New Quantification Method for Multi-Unit Probabilistic Safety Assessment (다수기 PSA 수행을 위한 새로운 정량화 방법)

  • Park, Seong Kyu;Jung, Woo Sik
    • Journal of the Korean Society of Safety
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    • v.35 no.1
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    • pp.97-106
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    • 2020
  • The objective of this paper is to suggest a new quantification method for multi-unit probabilistic safety assessment (PSA) that removes the overestimation error caused by the existing delete-term approximation (DTA) based quantification method. So far, for the actual plant PSA model quantification, a fault tree with negates have been solved by the DTA method. It is well known that the DTA method induces overestimated core damage frequency (CDF) of nuclear power plant (NPP). If a PSA fault tree has negates and non-rare events, the overestimation in CDF drastically increases. Since multi-unit seismic PSA model has plant level negates and many non-rare events in the fault tree, it should be very carefully quantified in order to avoid CDF overestimation. Multi-unit PSA fault tree has normal gates and negates that represent each NPP status. The NPP status means core damage or non-core damage state of individual NPPs. The non-core damage state of a NPP is modeled in the fault tree by using a negate (a NOT gate). Authors reviewed and compared (1) quantification methods that generate exact or approximate Boolean solutions from a fault tree, (2) DTA method generating approximate Boolean solution by solving negates in a fault tree, and (3) probability calculation methods from the Boolean solutions generated by exact quantification methods or DTA method. Based on the review and comparison, a new intersection removal by probability (IRBP) method is suggested in this study for the multi-unit PSA. If the IRBP method is adopted, multi-unit PSA fault tree can be quantified without the overestimation error that is caused by the direct application of DTA method. That is, the extremely overestimated CDF can be avoided and accurate CDF can be calculated by using the IRBP method. The accuracy of the IRBP method was validated by simple multi-unit PSA models. The necessity of the IRBP method was demonstrated by the actual plant multi-unit seismic PSA models.

Design of Total RMS(Radiation Monitoring System) for nuclear and nuclear medicine (원자력 및 핵의학 분야용 Total RMS (Radiation Monitoring System)의 설계)

  • Ko, Tae-Young;Lee, Joo-Hyun;Lee, Seung-Ho
    • Journal of IKEEE
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    • v.21 no.2
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    • pp.158-161
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    • 2017
  • In this paper, we propose Total RMS(Radiation Monitoring System) for nuclear and nuclear medicine. The proposed system can expand and control Stack Monitor, Area Monitor, and Water(Liquid) Monitor into one system, and can monitor the signals measured by each radiation detector in an integrated manner. The proposed system consists of a sensor module that detects the radiation, a display unit that displays the radiation dose near the radiation detection location, an alarm unit that reports the alarm when the detected radiation dose reaches the danger level, A Main Hub for collecting and storing the contents to the remote monitoring system, and an RMS Monitoring Unit for clearly displaying the measured radiation dose at the remote site. In order to evaluate the performance of Total RMS for the proposed nuclear and nuclear medicine field, it is confirmed that the measurement uncertainty is less than 8.5% and it operates normally within ${\pm}15%$ of the international standard.

An Analysis of the Characteristics of the Transition Trand of the Multi-family Housing Theory by Planning Community Units - Focused on the new town planning in Korea - (생활권 개념의 변화에 따른 주거지 계획의 시기별 특성 변화 - 국내 신도시 및 신시가지 계획을 중심으로 -)

  • Yi, Jong-Hwa;Koo, Ja-Hoon
    • Journal of the Korean housing association
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    • v.20 no.4
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    • pp.79-88
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    • 2009
  • A planned access method on constantly-changing-community unit plan changes and develops based on the periodical situation and also plan theory. In this research, it is to present the link between the theory of complex city change and the plan factor of it, and to show how Korean residential complex plan has changed as time passed and how new concept of city plan came up and by applying new methods how can this affect our real world and the past plan. In the phase of analysis, it analyzed the flow of 'community unit plan' and its theory and investigated the factor of compositional space and built a analysis frame. The factors of community unit plan are space structure, size and shape of block, population, distribution of facilities and movement system. It chose the place that can represent the flow of community unit plan trand and that indicates the obvious development leading to Jamsil (1975), Gwa Chun (1980), Mok Dong (1983), Sang Ge (1985), Ilsan (1989), Dong tan (2001) and Eun Jung (2003) total of 7 places. And to compare a similar size of the city, it selected a small community unit. Based on the result of theoretical study and prior research, it can be said that the space composition style has change from a whole complete complex area to a linked-cross over community unit and the access of urban level was on set. Also, a pedestrian walking area was secured and the dense of building structure and pleasant environment wanting need was in balance. For facility plans, the usage of facility and functional change brought change of type, size and disposition. The walking area for pedestrian became a huge matter. Therefore, market, education, public facilities and green system collaborated to co-build a whole community unit and activated the walking environment. Also, public transportation, environment friendly city organization was built.

Parametric Design System Basedon Design Unit and Configuration Design Method (구성 설계방법과 설계유니트를 이용한 파라메트릭 설계 시스템)

  • 명세현;한순흥
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1995.10a
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    • pp.702-706
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    • 1995
  • Integration of CAM and CAM information is important in the CIM era. For a CIM system, the feature representation can be a solution to the integration of product model data. These are geometry feature, functional feature, and manufacturing feature in the feature context. This paper proposes a framework to integrate the configuration design method, parametric modeling and the feature modeling method. The concept of design unit which is one level higher than functional feature and parametric modeling concept with functional features have been proposed.

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