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A Study on Knowledge, Educational Needs and Educational Experience for Indwelling Catheter Management in the Families of Home Care Clients (유치도뇨관 삽입 가정간호대상자 가족의 유치도뇨관 관리에 관한 지식, 교육요구 및 교육경험)

  • Kim, Jung-Soon;Lee, Sang-Ju;Kang, In-Soon
    • Journal of Home Health Care Nursing
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    • v.12 no.1
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    • pp.92-116
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    • 2005
  • Purpose: This study was a predicative survey to provide home care clients with indwelling urinary catheters for furnishing basic educational material to their families by analyzing the family members' knowledge, educational needs and educational experience about indwelling catheter management. Method : The subjects consisted of 108 family members who cared for home care clients with indwelling catheters. Data were collected by home care nurses in nine hospitals in Pusan, who directly interviewed with them through questionnaires from Sep. 6th to 30th in 2004. The questionnaires for data collection were developed through pre-survey and reference review. The collected data was analyzed by using frequency, percentile, mean, variation, t-test, ANOVA on SPSS 10.1 package. Results : There were characters of home care clients with indwelling catheters: women(67.6%) were more than men; the average age of them was $69.60{\pm}14.99$ years old; neurogenic and cerebrovascular diseases(80.0%) were the most common disease group; 81.5% of them were totally dependent on others in terms of level of activity. Home care clients' families had these characters: women(76.9%) were more than men; the average age was $54.5{\pm}13.70$ years old; 46.3% of them were parents or sons or daughters in terms of relation with patient; tl1e average care period was $39.8{pm}34.20$ months. Level of knowledge about indwelling catheter management of the family members were 69.8% and its mean were $20.24{\pm}4.53$. Educational needs were 90.9% and its mean were $14.55{\pm}3.56$. Educational experience were 53.3% and its mean were $8.53{\pm}4.30$. 'Complications in using an indwelling catheter', 'Symptoms to call for a home care nurse' and 'Method to attach an indwelling catheter' were high ranked in both educational needs and educational experience. 'Anatomy of urinary tract', 'Functions of urinary tract' and 'Catheter placement' were low ranked in both educational needs and educational experience Level of knowledge about indwelling catheter management of the families showed a significant difference according to their age(F=5.35, p=0.01). Educational needs showed a significant difference according to care period(F=3.06, p=0.04). Conclusion: the family members' level of knowledge and educational experience about indwelling catheter management and their educational were not sufficient while their educational needs were high. In other words although the family members were acknowledged education needs, but the care for the patients with indwelling catheter weren't performed well because of their lack of related knowledge. Therefore systematic educational programs about indwelling catheter management for home care clients and their families should be made on the base of this study.

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The Optimum Addition Ratio of Nano Hydroxyapatite to Glass Ionomer Dental Cement (Changes in Demineralization Resistance and Bonding Strength of Light Cured Glass Ionomer after the Addition of Nano Hydroxyapatite in Various Ratio) (글래스아이오노머에 대한 나노 하이드록시아파타이트의 최적 첨가 비율(나노 하이드록시아파타이트의 첨가 비율에 따른광중합형 글래스아이오노머의 결합강도와 탈회저항성의 변화 비교))

  • Kim, Nam Hyuk;Kim, Seong Oh;Song, Je Seon;Lee, Jae Ho;Son, Heung Kyu;Choi, Byung Jai;Choi, Hyung Jun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.3
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    • pp.159-167
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    • 2013
  • The aim of this study was to evaluate changes in demineralization resistance and bonding strength of light cured glass ionomer after the addition of nano hydroxyapatite in various ratios. Fuji II LC GIC (GC Co., Japan) was used as the control group and also as a base material for experimental group. HA was mixed into the RMGIC at various ratio to create a HA-LC GIC mixture, preparing six experimental groups, i.e. 5%, 10%, 15%, 20%, 25%, 30% HA-LC GIC. According to the results, the bonding strength increased due to the addition of HA, showing the maximum value at the 15% nano HA group (p < 0.05). Under CLSM observation after 4 days of demineralization, the HA groups were more resistant to demineralization compared to the control group. No significant difference was observed between HA groups. In analysis through SEM, the HA groups showed attachment of granular materials and decreased demineralized tooth surfaces under influence of HA particles.

A study on the effect of support structure of steel rib in partitioning excavation of tunnel (터널 상·하반 분할 굴착 시 강지보재 지지구조 효과에 대한 연구)

  • Kim, Ki-Hyun;Kim, Yeon-Deok;Hwang, Beoung-Hyeon;Choi, Yong-Kyu;Kim, Sang-Hwan
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.22 no.5
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    • pp.543-561
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    • 2020
  • This paper is the result of the study on the effect of the support structure of the tunnel steel rib. In tunnel excavation, the top and bottom half excavation methods result in subsidence of steel rib reinforcement due to insufficient support of steel rib reinforcement when the ground is poor after excavation. The foundation of the steel rib installed in the upper half excavates the bottom part of the base, causing the subsidence to occur due to various effects such as internal load and lateral pressure. As a result, the tunnel is difficult to maintain and its safety is problematic. To solve these problems, steel rib support structures have been developed. For the purpose of verification, the behavior of the supporting structure is verified by model experiments reduced to shotcrete and steel rib material similarity, the numerical analysis of ΔP and ΔP generated by bottom excavation by Terzaghi theoretical equation. As a result, it was found that the support structure of 20.100~198.423 kN is required for the 10~40 m section of the depth for each soil of weathered soil~soft rock. In addition, as a result of the reduced model experiment, a fixed level of 50% steel rib deposit of steel rib support structure was installed. The study shows that the installation of steel rib support structures will compensate for uncertainties and various problems during construction. It is also thought that the installation of steel rib support structure will have many effects such as stability, economy, and air reduction.

Consortium Configuration of Local Governments for Disaster Joint Response Plan (재난 공동 대응을 위한 지자체 컨소시엄 구성 방안)

  • Jung, Woo Young;Lee, Chang Hee;Kim, Gi Hong
    • Journal of Korean Society for Geospatial Information Science
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    • v.21 no.2
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    • pp.71-83
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    • 2013
  • Recently frequencies and scales in natural disasters have been significantly increased and enlarged and that leads to increase interests on preventing disasters. As natural disasters occur, it is difficult to fulfill the scale of natural disasters using ordinary stocks in a local government. Thus, it is necessary to establish a system that commonly uses protection resources according to regional characteristics in order to rapidly implement labor mobilization and equipment distribution based on the damage of natural disasters. In this study, regional characteristics in Korea provinces are analyzed and 'a way of composing a local government consortium for common disaster responses' is proposed. First, a disaster map that represents the amount of damage for each local government published in the disaster yearbook from 2002 to 2011 is produced using GIS. Then, the whole land is divided into five different sections according to administrative regions and that are divided into 12 clusters again based on the geographical and humanistic characteristics and the analysis of the scale of damage in typhoons and heavy rainfalls. Finally, disaster protection base stations for each region are selected. The data of analyzing disaster damages may be used as a reference material for establishing disaster prevention plans.

A Study on Paper of Old Monk by Yun Duseo (윤두서필 노승도의 바탕 종이 고찰)

  • Cheon, Juhyun;Park, Miseon;Kim, Yein
    • Conservation Science in Museum
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    • v.16
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    • pp.82-95
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    • 2015
  • Old Monk by Yun Duseo is realized to use silver paper which is made of rarity material. This sudy investigates reason why silver, that is easily discoloration in environmental condition, is susceptible in present. The method was the surface treatment materials and the base fiber through direct observation, optical instruments and XRF analysis. Based on these results, reproducing experiment was conducted to research materials in paper of Old Monk and the surface treatment technique. The results, the paper was treated 'Dochim' with a mineral having polygonal crystals for improving smoothness and density. XRF analysis result showed high calcium content, therefore, the paper was not used silver, it guess pulverized shells of abalone or other types of shellfish. Accordingly, the research was narrowed down to shells with shiny, reflective surfaces which at the same time contain high amounts of calcium. A new experiment was conducted using unprocessed abalone shells. Through the reproducing experiment, shellfish has high possibility as used mineral in paper. Notwithstanding, this experiment was unable to precisely reproduce the smoothness and shine of the original paper. Further research may therefore be needed.

Commercialization of Ion Exchange Fiber System for Recovering Valuable Metals in Plating Wastewater (도금 폐수 중 유가 금속 회수를 위한 이온교환섬유의 상용화기술)

  • You, Seong-sik
    • Korean Chemical Engineering Research
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    • v.55 no.4
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    • pp.535-541
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    • 2017
  • On the basis of 200 ppm of Ag and 120 l/h of feed flow rate, we built a pilot plant of an ion exchange fiber system having an double tube type ion exchange chamber with strong base ion exchange fiber (FIVAN A-6) which was designed to replace fibers easily and to eliminate the need for a fixture. The following results were obtained for the double tube type of ion exchange fiber system with an ion exchange capacity of 4.6 meq/g for Ag. The adsorption process was operated in the range of 40~90 l/h after confirming the effect of the flow rate and, pH did not affect formation of complex ion of Ag in the range of pH 7~12. In the case of backwash process, the recovery rate of Ag was tested in the range of 60~120 l/h and comparative experiments were carried out using NaOH, $NH_4Cl$, and NaCl as the chemicals for backwash. Although the desorption time was shortened at higher concentration, the desorption efficiency per mol was lowered. Therefore, it was confirmed that the desorption time and the concentration should be well balanced to operate economically. The desorption pattern of the backwash process is slower than the adsorption process and takes a lot of time. The results showed that the Ag adsorption ratio was 99.5% or more and the Ag recovery ratio was 96% or more, and commercialization was possible.

Basic Research on Improvement Schemes for the Limit of changing Current State of the Cultural Properties (문화재 현상변경허용기준 제도개선을 위한 기초연구)

  • Cho, Hong-Seok;Park, Hyun-Joon;Park, Jun-Sun
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.32 no.4
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    • pp.105-119
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    • 2014
  • With its growing awareness by public today, along with our heritage gaining higher standing - such as being listed as World Heritage - the needs for managing cultural heritage that meet global standard is required, and public's interest towards national heritage growing higher, Cultural Heritage Administration is actively pursuing related projects for scenic amenity that include systematic preserve/manage/restore the heritage including surrounding environment, also propose harmonious landscape. 1,834 cases of allowance limit for state-designated cultural heritage change are prepared as part of the plan, and the standards are being expanded actively towards designated cultural heritage across the country, contributing towards administrative efficiency and living conditions of the locals significantly. However, some definitions are unclear and possible complaints might arise when applied due to choice of the law, this research prepares the base material for efficient management of the establishment by diagnosing overall operational status and proposing alternatives towards the limit and improvements after reviewing the result. Through this, we expect to see establishment of policies for better management of cultural heritage and its scenic amenity via maximizing administrative efficiency, whilst positively enhance resident satisfaction around the heritage area as well as settling the regulations in short term.

A University Hospital Nurses' Knowledge and Attitude about Cancer Pain Management (일개 대학병원 간호사의 암성통증관리에 대한 지식과 태도)

  • Kim, Seon-Hwa;Park, Sang-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.254-263
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    • 2012
  • This study was performed to investigate a hospital nurses' knowledge and attitude about cancer pain management and to make use of base material for education. The research design was descriptive survey study, and the data were collected from 303 nurses who were working at a university hospital. A instrument study was the inventory consisting 107 questionnaires for cancer pain management. The data were analysed by SPSS WIN 18.0. The study showed that the percentage of correct answers for general knowledge about pain was 79.6%, for knowledge about cancer pain was 82.2%, for knowledge about analgesics use was 55.6%, for attitude about pain management was 65.2%, and the percentage of correct answers for each item was 70.7%. The knowledge about analgesics use was significant difference in age, education level, position, years of nursing practice, present place of working, years of present working place, pain education program experience, the attitude about pain management was significant difference in gender, education level and present place of working. Consequently it needs the persistent educational programs development and the clinical application to improve of nurses` knowledge and attitude about cancer pain management.

Analysis of Optimum Design of Stepped Bar Horn for 20kHz Metal Ultrasonic Welding (20kHz 급 금속 초음파 융착용 스텝형 바 혼의 최적설계)

  • Kim, Jisun;Kim, Jaewoong;Kim, In-ju;Seo, Joowhan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.94-101
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    • 2019
  • In this study, the FEM technique was applied to design the shape of the horn that transmits ultrasonic vibration energy to the base material, and the shape of the welding horn with a one-wavelength bar shape used in the 20kHz region was designed. The shape design of the horn was performed by applying the rod longitudinal vibration theory to Ansys APDL (Ansys Parametric Design Language). Twenty-five models were designed using the ratio of the area of the input and output surfaces of the vibration and the length of the horn to derive the appropriate horn shape. The horn was designed with a total length of 130mm, a step length of 65mm, and an output area of 28.79mm. The horn was fabricated using the optimized dimensions, and the vibration and displacement characteristics of the horn were evaluated using the measurement system. Finally, a uniform longitudinal step horn was designed, and more than 97.4% of the uniformity of the tip was secured. The amplitude ratio of the optimized horn was improved by 51%.

A Study on Sequential Extraction of Heavy Metals from Marine Dredged Sediment at Busan New Port (부산 신항만 준설퇴적물로부터 중금속의 연속추출에 관한 연구)

  • Kim, Myoung-Jin;Jang, Mi-Jeong
    • Journal of Korean Society of Environmental Engineers
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    • v.33 no.2
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    • pp.93-102
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    • 2011
  • In this study, experiments on total digestion and sequential extraction were conducted in order to understand total metal contents, and mobility, bioavaliability and toxicity of metals in marine dredged sediment from Busan New Port. The total concentrations of arsenic and heavy metals in the dredged sediment were relatively low as follows: Al (2.36~2.96 wt.%), As (1.6~3.3 mg/kg), Ba (30.0~33.8 mg/kg), Cd (0.12~0.18 mg/kg), Cr (27.5~35.0 mg/kg), Cu (11.3~15.0 mg/kg), Fe (2.91~3.51 wt.%), Mn (324~408 mg/kg), Ni (18.8~23.8 mg/kg), Pb (23.8~31.3 mg/kg), and Zn (70.0~86.3 mg/kg). In addition, it was found that most of Al (87.5~95.9%), As (74.1~93.8%), Ba (71.8~77.6%), Cr (69.5~94.3%), Cu (50.0~78.7%), Fe (70.8~87.6%), Ni (64.5~75.3%), Pb (53.4~64.3%), and Zn (62.5~81.7%) existed in the residual fraction, meaning that those elements might come from natural sources. On the other hand, Cd and Mn were present mainly in the non-residual fraction. Due to low concentrations of toxic heavy metals and high percentage of residual fraction, it could be possible to reuse the dredged sediment for bricks, pavement base material, etc.