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Evidence Based Practice in Long Term Care Settings

  • Specht, Janet K.
    • Journal of Korean Academy of Nursing
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    • v.43 no.2
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    • pp.145-153
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    • 2013
  • Purpose: The purpose of this manuscript is to discuss the need for use of evidence based practice (EBP) in LTC, the current use of evidence in long term care facilities and what we know about adoption of the use of EBP in LTC. Methods: Literature review and reporting of findings from the M-TRAIN study that was a quasi-experimental design to test the effectiveness of an intervention to increase the use of EBPs for urinary incontinence and pain in 48 LTC facilities. Results: Barriers to adopting EBPs include lack of available time, lack of access to current research literature, limited critical appraisal skills, excessive literature to review, non-receptive organizational culture, limited resources, and limited decision-making authority of staff to implement change. Strategies to promote adoption of EBP include the commitment of management; the culture of the home; leadership; staff knowledge, time, and reward; and facility size, complexity, the extent that members are involved outside the facility, NH chain membership, and high level of private pay residents. Findings from the M-TRAIN add, stability of nurse leader and congruency between the leaders perception of their leadership and the staff's perception of the leadership. Conclusion: There is clear evidence of the need and the benefits to residents of LTC and to the health care system yet adoption of EBP continues to be slow and sporadic. There is also evidence for the process of establishing best evidence and many resources to find the available EBPs. The urgent need now is finding ways to best get the EBPs implemented in LTC. There is growing evidence about best methods to do this but continued research is needed. Clearly, residents in LTC deserve the best care possible and EBPs represent an important vehicle by which to do this.

Design of Driving Record System using Block Chain (블록체인을 이용한 주행 기록 시스템 설계)

  • Seo, Eui-seong;Jang, Jong-wook
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.22 no.6
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    • pp.916-921
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    • 2018
  • Recently, interest in autonomous vehicle has increased, and autonomous driving capability is also increasing. Depending on the autonomous driving ability, the maximum number of steps is divided into 6 steps. The higher the step, the less the involvement of the person in the running, and the person does not need to be involved at the highest stage. Today's autonomous vehicles have been developed high level, but solutions are not clearly defined in case of an accident, so only the test run is possible. Such an accident occurring during traveling is almost inevitable, and it is judged who has made a mistake in case of an accident, which increases the punishment for the accident. Although a black box is used to clarify such a part, it is easy to delete a record, and it is difficult to solve an accident such as a hit-and-run. In this paper, i design a driving record system using black chain to solve accidents.

IZO/Ag/IZO Multilayers Prepared by Magnetron Sputtering for Flexible Transparent Film Heaters (마그네트론 스퍼터링 법을 이용한 IZO/Ag/IZO 다층 박막 투명 면상 발열체)

  • Park, So-Won;Gang, Dong-Ryeong;Kim, Na-Yeong;Hwang, Seong-Hun;Jeon, Seung-Hun;ZhaoPin, ZhaoPin;Kim, Tae-Hun;Kim, Seo-Han;Park, Cheol-U;Song, Pung-Geun
    • Proceedings of the Korean Institute of Surface Engineering Conference
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    • 2017.05a
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    • pp.114.2-114.2
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    • 2017
  • Transparent film heaters (TFHs) based on Joule heating are currently an active research area. However, TFHs based on an indium tin oxide (ITO) monolayer have a number of problems. For example, heating is concentrated in part of the device. Also, heating efficiency is low because it has high sheet resistance ($R_S$). Resistance of indium zinc oxide (IZO) is similar to ITO and it can be used to flexible applications due to its amorphous structure. To solve these problems, our study introduced hybrid layers of IZO/Ag/IZO deposited by magnetron sputtering, and the electrical, optical, and thermal properties were estimated for various thickness of the metal interlayer. It was found that the sheet resistance of the multilayer was mainly dependent on the thickness of the Ag layers. The $R_S$ of IZO(40)/Ag/IZO(40nm) multilayer was 5.33, 3.29, $2.15{\Omega}/{\Box}$ for Ag thickness of 10, 15, and 20nm, respectively, while the $R_S$ of an IZO monolayer(95nm) was $59.58{\Omega}/{\Box}$. The optical transmittance at 550nm for the IZO(95nm) monolayer is 81.6%, and for the IZO(40)/Ag/IZO(40nm) multilayers with Ag thickness 10, 15 and 20nm, is for 72.8, 78.6, and 63.9%, respectively. The defrost test showed that the film with the lowest RS had the highest heat generation rate (HGR) for the same applied voltage. The results indicated that IZO(40)/Ag(15)/IZO(40nm) multilayer has the best suitable property, which is a promising thin film heater for the application in vehicle windshield.

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The Implementation of DSP-Based Real-Time Video Transmission System using In-Vehicle Multimedia Network (차량 내 멀티미디어 네트워크를 이용한 DSP 기반 실시간 영상 전송 시스템의 구현)

  • Jeon, Young-Joon;Kim, Jin-II
    • Journal of the Institute of Convergence Signal Processing
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    • v.14 no.1
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    • pp.62-69
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    • 2013
  • This paper proposes real-time video transmission system by the car-mounted cameras based on MOST Network. Existing vehicles transmit videos by connecting the car-mounted cameras in the form of analog. However, the increase in the number of car-mounted cameras leads to development of the network to connect the cameras. In this paper, DSP is applied to process MPEG 2 encoding/decoding for real-time video transmission in a short period of time. MediaLB is employed to transfer data stream between DSP and MOST network controller. During this procedure, DSP cannot transport data stream directly from MediaLB. Therefore, FPGA is used to deliver data stream transmitting MediaLB to DSP. MediaLB is designed to streamline hardware/software application development for MOST Network and to support all MOST Network data transportation methods. As seen in this paper, the test results verify that real-time video transmission using proposed system operates in a normal matter.

Acute Toxicity of Leuconostoc citreum GJ7 Isolated from Kimchi in Mice (김치로부터 분리한 Leuconostoc citreum GJ7의 마우스에 대한 급성독성)

  • Lee, Jae-Joon;Chang, Hae-Choon;Lee, Myung-Yul
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.36 no.5
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    • pp.534-539
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    • 2007
  • The present study was carried out to investigate the potential acute toxicity of Leuconostoc citreum GJ7 (Leu. citreum GJ7), a lactic acid bacterium isolated from Kimchi, in ICR male and female mice. The test article was administered to the mice orally or intraperitoneally. Mortality rates, clinical findings, and body weight changes were monitored for the 2 weeks following administration. The results showed that in 50% of the cases, lethal doses ($LD_{50}$) of Leu. citreum GJ7 were determined as >5, 000 mg/kg (p.o.) and >2500 mg/kg (i.p.) in both sexes. There were no significant changes in general conditions, body weights clinical signs and any gross lesions between vehicle control and Leu. citreum GJ7-treated groups. Hence, it is suggested that Leu. citreum GJ7 does not induce any significant acute toxicity in ICR mice.

Anticancer effect of methanol extract of Erigeron bonariensis on oral cancer cells (구강암 세포주에서 실망초 추출물의 항암효능)

  • Jang, Boon-Sil;Lim, Sun-A
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.5
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    • pp.763-771
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    • 2020
  • Objectives: Erigeron bonariensis is a type of Erigeron found throughout the tropical and subtropical areas as one of the perennial plants or pioneer plants. It is known to show detoxifying, antipyretic, and anticancer effects for various cancers. However, there are no reports on the anticancer effect of E. bonariensis on oral cancer cells. In the present study, we investigated the effects of the methanol extract of Erigeron bonariensis (MEEB) on the inhibition of cell growth and induction of apoptosis in mucoepidermoid carcinoma (MEC) cell lines, including the MC3 and YD15 oral cancer cells. Methods: MC3 Cells were treated by dimethyl sulfoxide (DMSO) or methanol extracts of 20 various natural products 20 ㎍/mL for 48 hours and cell viability were analyzed as Trypan blue exclusion assay. The effects of MEEB treatment on the cell viability of MC3 and YD15 cells, for 48 h, were analyzed by Trypan blue exclusion assay. The anticancer efficacy and apoptosis of oral cancer cell lines were analyzed by western blot analysis. The statistical significance of differences between groups was analyzed by Student's two-tailed t-test. A value of P<0.05 compared to the vehicle control was considered statistically significant. Results: Among 20 different naturally derived products, MEEB significantly inhibited cell viability and increased cleaved poly [ADP-ribose] polymerase 1 (PARP) protein in the MC3 and YD15 cells in a concentration-dependent manner. Conclusions: These results suggest that MEEB can be used as a natural anticancer drug for the treatment of human oral cancer.

Study on the Application of the Electric Drive System of Fuel Pump for Diesel Engine of Commercial Vehicle using HILS (HILS기반 상용차 디젤엔진용 연료펌프의 전기구동 시스템 적용에 관한 연구)

  • Ko, Youngjin
    • Transactions of the Korean Society of Automotive Engineers
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    • v.22 no.2
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    • pp.166-174
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    • 2014
  • Fuel injection pressure has steadily increased in diesel engines for the purpose of improving fuel efficiency and cleaning exhaust gas, but it has now reached a point, where the cost for higher pressure does not warrant additional gains. Common rail systems on modern diesel engines have fuel pumps that are mechanically driven by crankshaft. The pumps actually house two pumping module inside: a low pressure pump component and a high pressure pump component. Part of the fuel compressed by the low pressure component returns to the tank in the process of maintaining the pressure in the common rail. Since the returning fuel represents pumping loss, fuel economy improves if the returned fuel can be eliminated by using a properly controled electrical fuel pump. As the first step in developing an electrical fuel pump the fuel supply system on a 6 liter diesel engine was modeled with AMESim to analyze the workload and the fuel feed rate of the injection pump, and the results served as basis for selecting a suitable servo motor and a reducer to drive the pump. A motor controller was built using a DSP and a program which controls the common rail pressure using a proportional control method based on the target fuel pressure information from the engine ECU. A test rig to evaluate performance of the fuel pump is implemented and used to show that the newly developed electrically driven fuel pump can satisfy the fuel flow demand of the engine under various operating conditions when the rotational speed of the pump is adequately controlled.

Effects of Melatonin on Improvement of Neurological Function in Focal Cerebral Ischemic Rats

  • Lee, Seung-Hoon;Shin, Jin-Hee;Lee, Min-Kyung;Lee, Sang-Kil;Lee, Sang-Rae;Chang, Kyu-Tae;Hong, Yong-Geun
    • Reproductive and Developmental Biology
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    • v.35 no.2
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    • pp.167-174
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    • 2011
  • Acute ischemic stroke results from sudden decrease or loss of blood supply to an area of the brain, resulting in a coinciding loss of neurological function. The antioxidant action of melatonin is an important mechanism among its known effects to protective activity during ischemic/reperfusion injury. The focus of this research, therapeutic efficacy of melatonin on recovery of neurological function following long term treatment in ischemic brain injured rats. Male Sprague-Dawley rats (n=40; 8 weeks old) were divided into the control group, and MCAo groups (Vehicle, MT7 : MCAo+ melatonin injection at 7:00, MT19 : MCAo+melatonin injection at 19:00, and MT7,19 : MCAo+melatonin injection at 7:00 and 19:00). Rat body weight and neurological function were measured every week for 8 weeks. After 8 weeks, the rats were anesthetized with a mixture of zoletil (40 mg/kg) and xylazine (10 mg/kg) and sacrificed for further analysis. Tissues were then collected for RNA isolation from brain tissue. Also, brain tissues were analyzed by histological procedures. We elucidated that melatonin was not toxic in vital organs. MT7,19 was the most rapidly got back to mild symptom on test of neurological parameter. Also, exogenous melatonin induces both the down-regulation of detrimental genes, such as NOSs and the up-regulation of beneficial gene, including BDNF during long term administration after focal cerebral ischemia. Melatonin treatment reduced the loss of primary motor cortex. Therefore, we suggest that melatonin could be act as prophylactic as well as therapeutic agent for neurorehabilitative intervention.

Long-Term Exposure of Sildenafil Citrate on Sperm Parameters in Rat

  • Suresh, Sekar;Prithiviraj, Elumali;Venkatalakshmi, Nagella;Ganesh, Mohanraj Karthik;Ganesh, Lakshmanan;Lee, Hyun-Jeong;Prakash, Seppan
    • Reproductive and Developmental Biology
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    • v.35 no.4
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    • pp.435-439
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    • 2011
  • Sildenafil citrate (SIL) a phosphodiesterase 5 inhibitor (PDE5I) has been used for long time as a first line oral drug for erectile dysfunction. Though it has beneficial effects on erectile organ it also has some adverse effects in other cells and/or tissues related to reproductive system when exposed to longer duration. The objective of the present study is to evaluate the long term effect of SIL on sperm parameters in Wistar albino rat. The animals are divided into two groups, for group I - rats were treated with saline (vehicle alone) and group - II oral administration of 5 mg/kg b.w. of SIL was administrated orally once in a day for 120 days. At the end of the trial period animals were sacrificed and epididymal sperm were subjected to various analysis. Results showed significant reduction in sperm count, motility, viability and morphologically intact sperm in long term PDE5I exposed animals when compared to control. Acrosomal status and fertility test also showed significant reduction in long term PDE5I exposed animals. The present study clearly indicated that long term SIL has shown to induce alteration in sperm quality and quantity, leading to decline in fertility rate. Indicate that SIL impinge on spermatogenesis as well as epididymal function. Understanding the molecular down-stream events involved in long-term exposure to PDE5 inhibitor can be valuable to supervise on related infertility issues and to suggest corrective measures.

Safety Pharmacology of CJ-11555 (CJ-11555의 안전성 약리실험)

  • 최재묵;이성학;김일환;박지은;김덕열;노현정;김택로;최광도;김영훈
    • Toxicological Research
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    • v.20 no.2
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    • pp.159-166
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    • 2004
  • Safety pharmacological properties of CJ-11555, an anti-cirrhotic agent, were investigated in experimental animals and in vitro test system. CJ-11555 had no effects on normal body temperature in rats, motor coordination, chemoshock induced by pentetrazol, electric shock induced by electric shocker and writhing syndromes in mice at dose levels of 100, 300 and 1,000 mg/kg. CJ-11555 inhibited intestinal activity and prolonged hexobarbital-induced sleeping time in mice at the dose level of 1,000 mg/kg. CJ-11555 affected on general activity and behaviour tests in SD rats, such as lacrimation, ptosis, piloerection, decreased body tone, abnormal dispersion within the cage, diarrhoea, red colored faeces, slight hypothermia and decreased grooming, at the dose level of 1,000 mg/kg in rats. CJ-11555 was effected on cardiovascular and respiratory system in anesthetized beagle dogs, such as tachycardia, increase of mean blood pressure and decrease of PR interval, decrease of respiratory rate and minute volume, at dose levels of 10 and 30 mg/kg. However, these effects were also observed in vehicle treated anesthetized beagle dogs. In in vitro experiments, CJ-11555 inhibited agonists (histamine, acetyl-choline or $BaCl_2$) induced contraction of isolated guinea-pig at the concentration of 30$\times$$10^6$ M. CJ-11555 was weekly inhibited hERG channel current at concentrations of 10 and 30$\times$$10^6$ M, and $IC_{50}$ was estimated to be higher than 30${\times}$$10^6$M. Based on these results, it was concluded that CJ-11555 affected on cardiovascular and respiratory system, general activity and behaviour and hexobarbital-induced sleeping time at the dose level of 1,000 mg/kg and contraction of the smooth muscle and hERG channel current at the concentration of 30$\times$$10^6$ M.