• Quality Improvement in Health Care
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• v.29 no.2
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• pp.15-31
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• 2023

Purpose: This study aimed to identify the characteristics of patient safety incidents (PSIs) related to nursing and to provide primary data for preventing the recurrence of similar incidents. Methods: This secondary analysis study included damage claims rulings filed for clinical negligence from 2014 to 2018 that contained the keyword 'nurse'. It excluded judgments irrelevant to nursing care and in which clinical negligence or causal damages were overruled. A total of 93 cases were analyzed. The characteristics of PSIs were derived through descriptive statistics, and two instances of nursing-related PSIs were examined by qualitative content analysis focusing on root causes. Results: The analysis of PSIs related to nursing suggested that the medical institutions where the PSIs occurred most frequently were hospitals, and the most common types of PSIs were medication, surgery, and treatment/procedure, in that order. In addition, it indicated that nursing-related PSIs occurred most frequently in general wards during the day shift, with the most common related nursing practice being managing potential risk factors. The qualitative analysis showed that careless monitoring and institutional inertia were causes of PSIs. Conclusion: To prevent nursing-related PSIs, nurses need to individually monitor and assess patient conditions. In addition, support should be accompanied by the improvement in the systems in place aimed at preventing the recurrence of nursing-related PSIs at the institutional and national level, such as securing appropriate nursing personnel and improving labor conditions.

• The Journal of Korean Academy of Prosthodontics
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• v.51 no.2
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• pp.119-124
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• 2013

Many of the patients with extensive abrasion need comprehensive restorative treatment. The abrasion is usually caused by attrition, besides of it, there are many reasons for it. The plan of treatment should be started on assessment of the type of attrition and the etiologic analysis. Patient with well-developed masticatory muscle, alveolar process, and high occlusal force and also with little muscle length difference between the stable and the contracted state should be carefully assessed for the vertical dimensional loss and the restoration should be carefully designed. Decrease of tooth length can be compensated by the growth of the alveolar bone height; therefore, consistency of the occlusal vertical dimension is maintained. Accordingly, a careless increase of the vertical dimension can produce muscle fatigue, depressed tooth and pain, and fracture of the restoration. In this case, the patient with multiple tooth abrasion and clenching habit, the edentulous maxillary area is restored with amalgam inserted RPD, and the dentulous area of the maxilla and mandible are treated with fixed restoration accompanying with the increase of vertical dimension. Consequently, we are going to report about the satisfying result in both functional and esthetic aspects.

• Korean Journal of Environment and Ecology
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• v.25 no.6
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• pp.893-902
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• 2011

The purpose of this study was to survey structures and growth conditions of Pinus densiflora village groves, and to establish management strategies for their desirable growth and conservation. Twelve village groves were selected in western Gangwon province for the study. The age of the study groves ranged from 50 to 200 years. Average dbh (diameter at breast height) and density of trees for each study grove were 27~52cm and 0.5~9.3 trees/$100m^2$, respectively. Soil environments were favorable to Pinus densiflora growth in the majority of the study groves, but 2 study groves with sandy soils showed considerably poor nutrient contents. Low tree vitality was found in some of the study groves due to poor conditions of root growth from soil fill and trampling. There were detachment of cambial tissue and damage of stem cavity at 6 study groves, which were caused by artificial injury, careless pruning, and frost damage. Light disease damage by Rhizosphaera kalkhoffii and phomopsis blight were found at 6 study groves. Light pest damage by Thecodiplosis japonensis was also found at 6 study groves, but the pest damage at 2 study groves was relatively considerable. Thus, major factors limiting normal growth of Pinus densiflora village groves were infertility, soil fill and trampling, stem damage, and disease and pest. Desirable management strategies were explored to solve growth-related problems and to conserve the study groves. The management strategies included fertilization of organic matter and lime, removal of soil fill, soil plowing and graveling, wood-trail installation or woodchip mulching, supply of wood fences and protective frames, surgical operation for damaged stems, vitality enhancement, and trunk injection to improve growth environments or control stem damage and disease/pest.

• The Journal of the Korea institute of electronic communication sciences
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• v.15 no.1
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• pp.71-78
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• 2020

In the case of power generation using renewable energy, power production may not be smooth due to the influence of the weather. The energy storage system (ESS) is used to increase the efficiency of solar and wind power generation. ESS has been continuously fired due to a lack of battery protection systems, operation management, and control system, or careless installation, leading to very big casualties and economic losses. ESS stability and battery protection system operation management technology is indispensable. In this paper, we present a battery level calculation algorithm and a failure prediction algorithm for ESS optimization and stable operation. The proposed algorithm calculates the correct battery level by accumulating the current amount in real-time when the battery is charged and discharged, and calculates the battery failure by using the voltage imbalance between battery cells. The proposed algorithms can predict the exact battery level and failure required to operate the ESS optimally. Therefore, accurate status information on ESS battery can be measured and reliably monitored to prevent large accidents.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.34 no.10
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• pp.1359-1366
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• 2010

Recently, many electronic control techniques for vehicles have been developed and applied. One of the technologies can be X-by-wire such as throttle-by-wire, brake-by-wire, steer-by-wire, and etc, in which most of mechanical parts are replaced into electrical wire and actuators. In this study, the effect of throttle-by-wire and brake-by-wire control systems on vehicle velocity control, especially in a school zone, are taken into consideration. The number of accidents reported in school zones is higher than that in other places. The reason for this is that many vehicle drivers do not obey speed limit regulations. Moreover, some of the students are careless while crossing the streets. Therefore, in this study, we attempt to develop a method using throttle-by-wire and brake-by-wire control systems for automatically reducing the vehicle speed such that it will be within the speed limit. First, an engine model and a transmission system model are developed for a specific vehicle model. Second, speed reduction is carried out such that the reduction follows a pre-designed cubic spline trajectory; the trajectory is determined such that rapid deceleration, which causes discomfort to the driver and passengers, can be prevented, for which a fuzzy-PID control algorithm is applied for the trajectory following control. Finally, simulation results are presented to verify the performance of the proposed speed reduction control system.

• Economic and Environmental Geology
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• v.29 no.2
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• pp.215-225
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• 1996

All the radionuclides in high-level nuclear waste will decay to harmless levels eventually but for some radionuclides decay is so slow that their radiation remains dangerous for times on the order of tens or hundreds of thousands of years. At the present time, the most favorite disposal plan for high-level radioactive waste is a mined geological disposal in which canister enclosing stable solid form of radioactive waste is placed in mined cavities locating hundred meters below the surface. The chief hazard in such disposal is dissolution of radionuclides from the waste in the groundwater that will eventually carry the dissolved radionuclides to surface environments. The hazard from possible escape of the radionuclides through groundwater can be delayed by engineered and geologic barriers. The engineered barriers can become useless by unexpected geologic catastrophe such as volcanism, earthquake, and tectonic movement and by fraudulent work such as careless construction, improperly welded canisters within the first few decades or centuries. As a result, dangerously radioactive waste which is still intensively radioactive is directly exposed to attack by moving groundwater. All the more, it is almost impossible to control repositories for times more than 10,000 years. Therefore, naturally controlled geologic, barriers whose properties will not be changed within 10,000 years are important to guarantee the safety of repositories of high-level radioactive waste. In Sweden and France, the suitability of granite for the mined geological disposal of high-level waste has been studied intensively. According to the research in Sweden and France, granites has the following physio-chemical characteristics which can delay the transportation of radionuclide by groundwater. First, the permeabilities of granites decreases as the depth increases and is $10^{-8}{\sim}10^{-12}m/s$ at depth below 300 m. Second, groundwater at depth below 300 m has pH=7-9 and reducing condition (Eh=-0.1~0.4). This geochemical condition is desirable to prevent both canister and solid waste from corrosion. Third most radionuclides are not transported by low solubilities and some radionuclide with high solubility such as Cs and Sr are retarded by absorption of geologic media through which ground water flows. Therefore, if high-level waste is disposed at depth below 300 m in the granite body which has a low permeability and is geologically stable more than 10,000 years, the safety of repositories from the hazard due to radionuclide escape can guaranteed for more than 10,000 years.

• Women's Health Nursing
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• v.2 no.2
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• pp.182-201
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• 1996

The purpose of this study is to examine a married nurse's experience of child rearing through being applied to phenomenological research method. By exchanging their experiences, helping and understanding one another, married nurses can work with delight considering their own present job as their lifelong job. In addition this study can help single nurses overcome the female crises such as marriage, childbirth, and child rearing they will experience in the future. The subjects of this research was 26 married nurses who work for a university hospital in affiliation in Seoul and have children. The period of materials collection was from Feb. 1st to Mar. 3, 1995. The method of materials collection was primarily to write down a questionary with openhearted contents. In collecting it, the respondents were allowed to say at their pleasure through further interview. The materials were analyzed by Giorgi's phenomenological analysis method. The findings of this study are as follows ; 1) The responses of married nurses' experience of child rearing-[pleasure] [family solidarity] [maternal-infant attachment] [understanding] [toilsome]-were induced. That is, at once affirmative experience and hard experience coexisted. 2) The method of married nurses' child rearing-[rearing politely] [raising understanding] [having the sense of family community] [rearing with praying the heart] [careless]-were induced. 3) The support system of married nurses' child rearing-[having help family] [having help from others]-were induced. According to the above findings, the married nursed showed affirmative responses about their experience of child rearing, but at the same time they expressed painful when stayed apart from their children on account of their job or when their children were sick. In the method of child rearing, they tried to grow their children polite because there was much time for them to stay apart from their children. And they tried to give a better explanation in order that their children can have an independence spirit. They tended to compensate through frequent physical touch with their children. As the support system of married nurses' child rearing, they asked their parents or their parents-in-law to take care of their children, hired a nursery governess in their houses, or used a children's home, if they can't afford to. That is, the only one who has a firm sense of her profession, tries to inspire her accomplishment, and is receiving her husband' love and understanding is considered to perform two things simultaneously with harmony, having an recognition of lifelong job. Suggestions 1. The method to solve mental troubles on child rearing should be groped. 2. Their economical burden should be reduced by establishing children's home in their working places, and the increase of maternal-infant interaction should be contrived. 3. The chance of education should be offered in order that married nurses themselves might inspire self-conceit and professionalism on clinical nursing. 4. The familiar mood should be created through planning the programs to be accompanied with children as an annual event in hospital. 5. The part-time nurse system should be suggested to utilize. 6. The system of circulation working should be converted into the system of fixing working according to the characteristic of each department. 7. Programs for special activities such as learning foreign languages and computer should be supported positively.

• Journal of Korean Academy of Nursing
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• v.8 no.2
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• pp.51-61
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• 1978

Important object of this survey is for promoting of maternal health and popularizing a right recognition which analyzed and study about knowledge, Attituded and Practice about women who experienced induced abortion. This surveyed materials obtained from total 300 wome (each 150 cases) who experienced induced abortion at Obstetrics and Gynecological Department in K university hospital and D health center in Seoul for 1 month. (1978. 9. 1.-1978. 9. 30) Their Results are as follows: A. General characteristics of surveyed cases, The highest age distribution was between 30-34 (29.3%) in health center, upper than 40 (32.7%) in University hospital. B. Knowledge 1. Knowledge about the induced abortion obtained mainly from their friends in 36.4% and Hospital in 20.7%. 2. The rate of Women who have dangerous thinking about induced abortion was 63.3%. C. Attitude 1. The rate of women who gained guilt feeling after induced abortion was 52.7%, out of total 41.4% was responsed careless thinking if they have a proper reason. 2. Attitude about induced abortion when they have unwanted baby was absolutely necessary in 57.3%, relatively necessary in 30.6%, that is, most of women showed to want induced abortion if necessary. D. Practice 1. The women who have experienced induced abortion was only one times in 44.7%, two times in 22.0%, three times in 17.7%, total average times were 2.3. 2. The reason for induced abortion was highest due to limitation of family (38.0%), next failure of Contraception (15.8%). 3. The operating sites of induced abortion were local clinics in 93.0%, universal hospital in 7.0%. The difference was remakable. 4. The rate of complicated cases after induced abortion was 54.7%, among them, general weakness in 32.3%, vaginal bleeding or spotting in 23.8% and abdominal discomfortness or lumbago in 17.7%. When symptom appeared, the rate of treated Cases was 74.4%, their sites were general hospitals in 54.1%, local clincis in 18.0%, Herb medications in 15.6% and pharmaceutics in 12.3 in that order. 5. The average times of induced abortion follows by educational level were 2.6 in graduated elimentary school group, each 2.4 in graduated middle school and College group, 2.2 in graduated high school in that order. 6. The average times of induced abortion follows by ages were most with 3.3% in upper than 40 years old. The average times of all surveyed cases were 2.3.

• The Korean Journal of Air & Space Law and Policy
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• v.35 no.1
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• pp.3-32
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• 2020

With controlling Drones, although it was discussed in the previous study which showed a possibility. Which is personality and property rights of third parties could be violated while operating the drone with a video camera. But It's hard to find out precedents related to drones in Korea. In case of that someone try to control the drone which is equipped with a camera in a yard of neighborhood, the German District Court (Potsdam) considered an operator of drone has little bit of careless to do his duty and admit nonfeasance claim in the owner of the one's property for prevention to repetition of similar situation according to a nonfeasance claim for prevention to Section 1004 (1) sentence 2 of the German Civil Code(BGB). The drone which is equipped with a camera have possibilities to disrupt property and personal rights of the owner. Because a danger in repetition is getting larger regarding the violation of law. Moreover, there is a case that someone shot down the drone which is equipped with a camer. Because it has a risk to interrupt private life and cause some dangerous in our life. The German district court(Riesa) recently have considered that controlling the drone with a camera in private spaces is illegal as a violation of personal life. In addtion to, the action of property owner shot down drone is a legal according to § 228 of the German Civil Code(BGB) which is caleed "Necessity". Although it is difficult to apply to foreign cases directly to Korea, similar cases are likely to be occurred in Korea. The decision of the German District Court showed implications to Korea. As demand for the camera-equipped drone increases in Korea, it is time to discuss specific measures for drone violations.

• Tuberculosis and Respiratory Diseases
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• v.66 no.6
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• pp.482-485
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• 2009

The middle mediastinum contains several important organs and pluripotent cells. It is difficult to make a definitive diagnosis in patients with middle mediastinal tumors due to a wide range of diseases. The likelihood of malignancy is influenced primarily by the following factors: patient age, size, tumor location, and the presence or absence of symptoms. We describe a case of a middle mediastinal tumor, which was suspected on chest x-ray; chest computed tomography revealed the eccentric mass of distal esophagus. This case emphasizes the diagnostic importance of the chest x-ray to the physicians. The possible differential diagnoses are reviewed.