• Title/Summary/Keyword: ideal model

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Development of Community Health Nursing Service Model: - Based on the Visiting Nurses Project in Seoul, Kyonggi, and Kang-won Area- (지역사회 간호 서비스 전달 체계 모형 개발 -가정방문서비스를 중심으로-)

  • Kim, Sung-Sil
    • Research in Community and Public Health Nursing
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    • v.12 no.2
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    • pp.361-374
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    • 2001
  • This study was done to identify a status of home visiting project as a community health nursing system, that was the organization. personal who have age, educational background, marital status, position, experience of the home visiting in the public sectors in part of Seoul. Kyonggi, Kang-won area, It was done to provide basis data for the development of effective visiting nurses project in the health sectors, where was Health Centers in urban and rural. Branch of Health Center in rural and Health posts. The question airs were distributed 352 public health workers who working place was 118 health workers in 12 health centers in Seoul. 56 public health workers among 39 health center and other public health sectors in Kyonggi and 178 public health workers among health center and health care sectors. Data collected from October to December. 2000. The analysis by SAS system with F test, percentage and frequency. The major result were as follows. The general characteristics of the respondent show that most of them were graduates from community college and RN-BS with broadcast that they had not completed CPHN course but only two health workers have trained for the visiting nurses project. As for their grade in the position, the most of health workers have seventh level and the other CHP were above sixth level in the health care post that in the government structure. This indicates that workers do not have great authority in decision making, the most period of works in the position was one and two years indicating that they change jobs frequently. On an average their clinical experience was 4.11 years which is ideal for the total service. As for preparation of staff for home visiting workers education on visiting nurses program have to receive short term or longer term training course for strong emphasis. The analysis showed that public health visiting workers responds about active job performance that based on an area, approach of acting by districts, education and position are shown statistically significant difference between acceptance of the visiting nursing job show the same as well as visiting nurses project. Special concerns for visiting Nursing care spread came to burden, many of activity carry out main solution is covered the health problem connective support system needs of quality and quantity which out health problem. As 71.1% of visiting health service held on the poor population was under the guardianship of the law, but people who health insurance wide application under law shown a tendency to increase gradually. The general characteristics of the patients showed 56.2% of female on average of age was 66.1 years old, they have health problem was the most of 47.6% of high blood pressure and stroke, the other and as a problem that economics, which is complex welfare with out health problem. Community health care service should be combined health and social work program. The form of delivery of visiting health care given the most guide and education with counselling and support. (33.6%) Among the six category of visiting care service shown statistically significant difference and next is fundamental care, remedy care with priority.

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A STUDY ON THE MANDIBULAR MOVEMENT OF ANTERIOR OPENBITE PATIENTS (전치부 개교환자의 하악 운동에 관한 연구)

  • Koak Jai-Young;Kim Kwang-Nam;Chang Ik-Tae
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.2
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    • pp.281-295
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    • 1994
  • It is very important for the ideal restorations of anterior openbite patients to record the mandibular movement and to harmonize mandibular movement with other organs in stomatognathic systems. This study was designed to compare the mandibular movement of anterior openbite patients with that of normal bite(Angle Class I) patients, to ascertain which components of mandibular movement have differences between two groups, and to use for occlusal treatment of mandibular movement. Saphon Visi-trainer Model 3(Tokyo Shizaisha Co. Japan) and Denar Pantronic(Denar Corp.,U.S.A.) were used to record mandibular movement. Pantronic survey was peformed by using an arbitrary hinge axis according to manufacturer's direction. Twenty-eight adult who have physiologically normal occlusion(Angle Class I) and are free of TM dysfunction were selected as a control group(Group 1). Fifteen adult who are anterior openbite patient and have not anterior guidance function and have posterior interference at protrusion were selected as a experimental group(Group 2). The results are as follows : 1. There was no statistically significant difference between the average immediate and progressive side shift of anterior openbite patients(0.54mm, $7.57^{\circ}$) and those of normal group(0.49mm, $5.96^{\circ}$). 2. The average protrusive and orbiting condylar inclination of anterior openbite patient$(30.87^{\circ},\;32.27^{\circ})$ were significantly lower than those of normal group$(36.11^{\circ},\;39.04^{\circ})$ (P<0.05). 3. In the results of Visi-trainer recordings, the mean for the maximum protrusion, the maximum laterotrusion, the angle of laterotrusion and the angle of protrusion in the horizontal trajectory between group 1 and 2 did not differ significantly. 4. The mean for the angle of protrusion, the maximum opening in the frontal trajectory, the ICP-RCP(A-P) distance and the angle of protrusion in the sagittal trajectory differ significantly(P<0.05). 5. The significant correlation was found between orbiting condylar inclination and protrusive condylar inclination.

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Comparative Study on Head Nurses간 Role Perception to own Role and Staff Nurses간 Role Expectation to their Head Nurse between University Hospitals and General Hospitals (수간호사의 역할인식과 간호사의 수간호사에 대한 역할기대 연구(대학부속병원과 일반종합병원의 비교))

  • 이숙현
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.281-299
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    • 1990
  • The organization of nursing department Significantly effects the hospital management. Especially, The head nurse is one of the most important position because head nurse is a first-line manager in the hospital level, a middle manager in nursing service organizations level and the top manager in each nursing unit level. This study was attempted to show the ideal model and nile by compare head nurses' role perception with staff nurses' role expectation according to two types of hospital. The survey was conducted among 94 head nurses and 233 staff nurses who are working at 5 different University Hospitals over 600 beds and 93 head nurses and 218 staff nurses Who are working at 12 different General Hospitals between 100∼300 beds in Seoul. The data was collected in a period from 8th September to 13th October in 1989 and the instrument used for this study was based on Han's one and reffered back to many literary sources and revised. The collected data was analysed by computer using S.P.S.S. program as a Mean, Percentage, Cronbach's alpha, Chi-Square, t-test and ANOVA. 1. The study was compared to the difference of the two subject group's general characteristics according to a type of hospital. As a relult, there were significant differences in age, educational background and career. 2. This Study was compared to the difference of the two subject group's role perception and role expection about each question according to a type of hospital. The result of this comparisons as follows : First, These were the most important issue between both groups : “Head nurse has to know about her staff's events and problems and then help them to solve that promptly.” Second, These were the least important issue between both groups : “Head nurse has an interview with patient's family and visitors”, “Head nurse is interested in her staff's privacy.” 3. This study was compared to the differences of each role areas according to a type of hospital. As a result, there were no significant differences both two subject groups except nursing manager role in staff nurses' group(t=-2.893, df=449.0, p=0.004). 4. This study was tested to the difference of the two subject groups according to general characteristics. As a result, All of that there were no significant differences.

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A PHOTOELASTIC STRESS ANALYSIS OF FIXED PARTIAL DENTURES WITH ENDOPOREIMPLANTS ACCORDING TO SPLINTING, CONTACT TIGHTNESS, AND CROWN LENGTH (연결고정, 인접면 접촉강도 및 치관길이에 따른 엔도포어 임플란트를 이용한 고정성 국소의치의 광탄성 응력 분석)

  • Jeong, Hoe-Yeol;Choi, Min-Ho;Kim, Yu-Lee;Cho, Hye-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.42 no.4
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    • pp.425-442
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    • 2004
  • Statement of problem: A difficulty in achieving a passive-fitting prosthesis can be overcome by individual crown restoation of multiple implants. But individualized crown has another difficulty in control of contact tightness and stress distribution. Purpose: This in vitro study is to evaluate the stress distribution and the magnitude in the supporting tissues around Endopore implants with different crown lengths, interproximal contact tightness, and the splinting effects. Material & methods: Three Endopore implants($4.1{\times}9mm$) were placed in the mandibular posterior edentulous area distal to the canine and photoelastic model was made with PL-2 resin(Measurements Group, Raleigh, USA). Restorations were fabricated in two crown lengths: 9, 13 mm. For non-splinted restorations, individual crowns were fabricated on three custom-milled titanium abutments. After the units were cemented, 4 levels of interproximal contact tightness were evaluated: open, ideal($8{\mu}m$ shim stock drags without tearing), medium($40{\mu}m$), and heavy($80{\mu}m$). For splinted restorations, 3-unit fixed partial dentures were fabricated. This study was examined under simulated non-loaded and loaded conditions(6.8 kg). Photoelastic stress analysis was carried out to measure the fringe order around the implant supporting structure. Results: 1. When restorations were not splinted, the more interproximal contact tightness was increased among the three implants, the more stress was shown in the cervical region of each implant. When crown length was increased, stresses tended to increase in the apex of implants but there were little differences in stress fringes. 2. When nonsplinted restorations were loaded on the first or third implant, stresses were increased in the apex and cervical region of loaded implant. Regardless of interproximal contact tightness level, stresses were not distributed among the three implants. But with tighter interproximal contact, stresses were increased in the cervical region of loaded first or third implant. 3. When the nonsplinted restorations were not loaded, there were little stresses on the supporting structure of implants, but low level stresses were shown in the splinted restorations even after sectioning and soldering. 4. With splinted restorations, there were little differences in stresses between different crown lengths. When splinted restorations were loaded, stresses were increased slightly on the loaded implant, but relatively even stress distribution occurred among the three implants. Conclusions: Splinting the crowns of adjacent implants is recommended for Endopore implants under the overloading situation.

A Study on the Development of Electronic Resource Management System in a University Library (대학도서관 전자자원관리시스템(ERMS) 구축에 관한 연구)

  • Kim, Yong;Cho, Su-Kyeong
    • Journal of the Korean Society for Library and Information Science
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    • v.44 no.4
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    • pp.249-276
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    • 2010
  • With the rapid growth and development of information technology and the Internet, the amount of information published in electronic formats such as video, audio, digitalized text, etc. and the number of users accessing information online to satisfy their information needs are growing at a tremendous rate. This study analyzes standardized components to construct ERMS and proposes a model of ERMS based on the result of the analysis. The main functions of ERMS in university libraries are: 1) ERMS can manage and control access information to various electronic resources, metadata, holdings, user resources. Also, ERMS can be compatible with an existing library system such as IR(Information Retrieval) system, linking system, or proxy system. 2) ERMS should completely be compatible with acquisition and cataloging systems for effective management and control of integrated information organization and library budget. 3) ERMS should systematically and effectively manage license information on electronic resources. 4) ERMS should provide ideal and effective environment for use and access control of electronic resources in a library and integrated tool to manage and control all of electronic resources. Additionally, this study points out the need to organize committee groups to establish standardized rules and collaborative management of electronic resources among university libraries like DLF ERMI and redesign organizations in a library and a librarian's job description.

Wall Tie Member Force Curve for the Construction Tower Crane (건축용 타워크레인 마스트의 횡방향 지지요소인 월타이 부재력 특성곡선)

  • Ko, Kwang IL;Oh, W.H.;Lee, E.T.
    • Journal of Korean Society of Steel Construction
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    • v.18 no.6
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    • pp.697-706
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    • 2006
  • Tower crane's wall tie is generally used for extending of mast height according to rising of lifting height. In order to get wall tie member force this problem, this study concerning wall tie is based on load data described in manual book of 290HC model. This study made the equation of wall tie member force and computer programming for calculating wall tie member force and then get ${\theta}-P$ curves(angle-wall tie force). After considering the ${\theta}-P$ curves, optimum angle range ($48.4^{\circ}{\sim}77.2^{\circ}$) about wall ties (A), (C) members was obtained. Member force of wall tie (B) was changed from tension to compression or from compression to tension at $74^{\circ}$ in service and $54^{\circ}$ in out of service. When both horizontal force($H_A$) and torsional moment ($M_D$) were varied from (+) to (-), wall tie force(A, B, C) were changed almost symmetrically about ${\theta}$-axis. Because this study was based on wall tie analysis conditions, wall tie members in symmetric and ideal geometry shape used for analizing wall tie of tower crane, it is necessary to have more careful verification in order to apply generally the results of this study.

New Flood Hazard Mapping using Runoff Mechanism on Gamcheon Watershed (유출메커니즘을 활용한 감천유역에서의 새로운 홍수위험지도 작성)

  • Kim, Tae Hyung;Han, Kun Yeun;Park, Jun Hyung
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.36 no.6
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    • pp.1011-1021
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    • 2016
  • This study performs the potential flood hazard analysis by applying elevation data, soil data and land use data. The susceptibility maps linked to elevation, soil and land use are combined to develop the new types of flood hazard map such as runoff production map and runoff accumulation map. For the development of the runoff production map, land use, soil thickness, permeability, soil erosion and slope data are used as runoff indices. For the runoff accumulation map, elevation, knick point and lowland analysis data are used. To derive an integrated type of flood potential hazard, a TOPSIS (The Technique for Order of Preference by Similarity to Ideal Solution) technique, which is widely applied in MCDM (Multi-Criteria Decision Making) process, is adopted. The indices applied to the runoff production and accumulation maps are considered as criteria, and the cells of analysis area are considered as alternatives for TOPSIS technique. The model is applied to Gamcheon watershed to evaluate the flood potential hazards. Validation with large scale data shows the good agreements between historical data and runoff accumulation data. The analysis procedure presented in this study will contribute to make preliminary flood hazard map for the public information and for finding flood mitigation measures in the watershed.

Mechanistic Analysis of Taxol-induced Multidrug Resistance in an Ovarian Cancer Cell Line

  • Wang, Ning-Ning;Zhao, Li-Jun;Wu, Li-Nan;He, Ming-Feng;Qu, Jun-Wei;Zhao, Yi-Bing;Zhao, Wan-Zhou;Li, Jie-Shou;Wang, Jin-Hua
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.4983-4988
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    • 2013
  • Objectives: To establish a taxol-resistant cell line of human ovarian carcinoma (A2780/Taxol) and investigate its biological features. Methods: The drug-resistant cell line (A2780/Taxol) was established by continuous stepwise selection with increasing concentrations of Taxol. Cell morphology was assessed by microscopy and growth curves were generated with in vitro and in vivo tumor xenograft models. With rhodamine123 (Rh123) assays, cell cycle distribution and the apoptotic rate were analyzed by flow cytometry (FCM). Drug resistance-related and signal associated proteins, including P-gp, MRPs, caveolin-1, PKC-${\alpha}$, Akt, ERK1/2, were detected by Western blotting. Results: A2780/Taxol cells were established with stable resistance to taxol. The drug resistance index (RI) was 430.7. Cross-resistance to other drugs was also shown, but there was no significant change to radioresistance. Compared with parental cells, A2780/Taxol cells were significantly heteromorphous, with a significant delay in population doubling time and reduced uptake of Rh123 (p<0.01). In vivo, tumor take by A2780 cells was 80%, and tumor volume increased gradually. In contrast, with A2780/Taxol cells in xenograft models there was no tumor development. FCM analysis revealed that A2780/Taxol cells had a higher percentage of G0/G1 and lower S phase, but no changes of G2 phase and the apoptosis rate. Expression of P-gp, MRP1, MRP2, BCRP, LRP, caveolin-1, PKC-${\alpha}$, Phospho-ERK1/2 and Phospho-JNK protein was significantly up-regulated, while Akt and p38 MARK protein expression was not changed in A2780/Taxol cells. Conclusion: The A2780/Taxol cell line is an ideal model to investigate the mechanism of muti-drug resistance related to overexpression of drug-resistance associated proteins and activation of the PKC-${\alpha}/ERK$ (JNK) signaling pathway.

Study on Relationship Between Geographical Convergence and Bottom Friction at the Major Waterways in Han River Estuary using the Tidal Wave Propagation Characteristics (조석 전파 특성을 활용한 한강하구 주요 수로의 지형학적 수렴과 바닥 마찰 간의 관계에 대한 연구)

  • Yoon, Byung-Il;Woo, Seung-Buhm
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.23 no.5
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    • pp.383-392
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    • 2011
  • The basic research of the estuarine circulation at Gyeong-Gi bay has not been well studied up to now, although coastal development pressures have been continuously increased. To understand the oceanographic phenomena at the Han River estuary, it's essential to understand the propagation characteristic of tidal wave which is the strongest external forcing in this region. In this study, we investigate the tidal wave propagation characteristics along the 3 major channels using observation data and numerical model. It is found that 3 channels are all hyper-synchronous and the most important physical factor controlling the tidal wave propagation is topographical convergence of estuary shape and friction. The result of analytic solution at ideal channel considering the topographical convergence and friction show that the contribution of physical role of convergence and friction varies at 3 different channel. And the ratio of convergence and friction at Yeomha channel is four times larger than Seokmo channel. Because of this effect, the location of maximum amplitude at Yeomha channel is showed up downward than Seokmo channel. The ratio of decreasing amplitude and increasing phase per unit distance between stations is bigger than Seokmo channel. Although 3 major channel show a hyper-synchronous pattern, Yeomha shows more frictionally dominant channel and Seokmo channel is more dominantly affected by convergence effect.

Development of the GIS-based Stream Hydromorphological Structure Assessment System for Small and Midium-size Streams (GIS 기반 중·소규모 하천의 수문지형 물리적 구조 평가 체계 개발)

  • Kim, Man-Kyu;Kim, Hye-Ju;Park, Jong-Chul
    • Journal of the Korean Association of Geographic Information Studies
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    • v.11 no.2
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    • pp.93-107
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    • 2008
  • Recently, there have been many projects regarding restoration of streams to recover their environmental and ecological functions. For the restoration of streams, it is valuable academically and economically to evaluate the ecological condition of streams and build a plan and an object for restoring streams based on that. On the other hand, one of the methods to figure out the ecological condition of streams is to evaluate the hydromorphological structure of stream. In this study we have developed a field survey system using the stream assessment methode of LAWA (Laenderarbeitsgemeinschaft Wasser in Germany) that can assess the hydromorphological structure of small and medium streams. In addition, we constructed a GIS-based stream assesment system which can support auto mapping system and report writing, using the survey results. These systems are aimed to help people in the area of restoring streams perceive the natural and ecological condition of streams in the process of making plans and managing the projects, and they also try to help in collecting raw data to determine an ideal potential model to which an existing stream should be turned.

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