The aim of this study was to examine the current turnover status of hospital pharmacists and to analyze the factors which affected the turnover of them after the separation of prescribing and dispensing practice. We surveyed 19 managers of hospital pharmacies and 154 hospital pharmacists. Results are as follows. Pharmacist manpower of hospital pharmacies was only $63.99\%$ in tertiary hospitals and $76.78\%$ in general hospitals respectively of the number of pharmacists before the separation of prescription and dispensing practice. The ratio of those who left hospital pharmacies during the period of January 2000 and October 2001 was $80.23\%$ for tertiary hospitals, and $100.84\%$ for general hospitals. Decrease in the number of pharmacists brought the increase of work load and night duty. Major factors which affected the turnover of hospital pharmacists were found as following: income gap between hospital pharmacists and community pharmacists, increasing workload especially at night and on holidays, infrequent chance for the promotion, and low chance to provide clinical pharmacy services after the separation of prescribing and dispensing practice. Adequate manpower is the basic factor for providing hospital pharmacy services and improving clinical pharmacy services. The study suggested that proper number of hospital pharmacists is to be ensured through strengthening the legal requirement for the hospital pharmacists and improving health insurance reimbursement rate for the pharmaceutical services at hospital.
Two series of experiments on the performance of beam-column joints in High-Strength Reinforced concrete frames were carried out. Main experimental parameters were : concrete strength, column axial load and amount of joint hoop reinforcement. Test result showed that the ultimate shear strength of exterior joints increased of column axial compressive force and the amount of the joint hoop reinforcements. Through the regression analysis on the 24data, the following equation is obtained $jv_u=(2.935{\times}10-3\;{\rho}jw{\cdot}fy\;+\;0.365){\sqrt{f_{ck}}}$
The purpose of this study was to analyze the magnitude and distribution of stress using a photoelastic model from the mandibular distal extension removable partial dentures with the mesial or distal placement of the occlusal rest and the mesial or distal connection in the back-action clasp with the five various designs of the back-action clasp, that is, the mesial connection and the distal rest, the distal connection and mesial rest, the mesial connection and mesial rest, the distal connection and the mesial and distal rest, and the mesial connection, and the mesial and distal rest. A photoelastic model was made of the epoxy resin(PC-1) and the hardner(PLH-1) with the acrylic resin teeth used and was coated with the plastic cement-1 at the lingual surface of the model and then five kinds of the removable partial dentures on the photoelastic model were set. A unilateral vertical load of 12.5 kg was applied on the central fossa of the first molar with the use of specially designed loading device and the pattern and distribution of the stress of the photoelastic model under each condition was analyzed by the reflective circular polariscope. The following results were obtained. 1. In the back-action clasp with the mesial connection and mesial rest of the case 3, the effect of the stress distribution was the most favorable. 2. In the back-action clasp with the mesial and distal rest, of the case 4 and 5, the stress distribution was more greatly showed in the terminal abutment. 3. Generally, the stress distribution was more favarable in the mesial connection than in the distal connection. 4. In the back-action clasp with the mesial connection of the case 1, 3 and 5, the stress distribution was the most favorable in the mesial rest.
Sohn, Jin-Hun;Estate M. Sokhadze;Lee, Kyung-Hwa;Kim, Yeon-Kyu;Park, Sangsup
Proceedings of the Korean Society for Emotion and Sensibility Conference
/
1999.11a
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pp.216-221
/
1999
A mental task combined with noise background is an effective model of laboratory stress for study of psychophysiology of the autonomic nervous system (ANS). The intensity of the background noise significantly affects both a subjective evaluation of experienced stress level during test and the physiological responses associated with mental load in noisy environments. Providing tests of similar difficulties we manipulated the background noise intensity as a main factor influencing a psychophysiological outcome and the analyzed reactivity along withe the noise intensity dimension. The goal of this study was to identify the patterns of ANS responses and the relevant subjective stress scores during performance of word recognition tasks on the background of white noise (WN) of the different intensities (55, 70 and 85 dB). Subjects were 27 college students (19-24 years old). BIOPAC, Grass Neurodata System and AcqKnowlwdge 3.5 software were used to record ECG, PPG, SCL, skin temperature, and respiration. Experimental manipulations were effective in producing subjective and physiological responses usually associated with stress. The results suggested that the following potential autonomic mechanisms might be involved in the mediation of the observed physiological responses: A sympathetic activation with parasympathetic withdrawal during mild 55 and 70dB noise (featured by similar profiles) and simultaneous activation of sympathetic and parasympathetic systems during intense 85dB WN. The parasympathetic activation in this case might be a compensatory effect directed to prevent sympathetic domination and to maintain optimal arousal state for the successful performance on mental stress task. It should be mentioned that obtained results partially support Gellhorn's (1960; 1970) "tuning phenomenon" as a possible mechanism underlying stress response.
Test results of domestic softwood lumber were presented to examine the notch effect of beams and compare to present AIJ(Architecture Institute of Japan) formula in notched wood member especially positioned in bottom side (tension side) of a beam. Notched lumber was tested under following condition : each specimen supported simply, and subjected to third-point loading at points of 1/3 of the span length. Notch was located opposite side to loading direction and notch depth were 1/6, 1/4, 1/3 of beam depth. Deflection and load were measured by digital dial guage each in 25kgf increment. Bending test results were as follows; Mpro/Mmax range (proportional and maxium bending moment ratio in notched beam) was 0.5 - 0.65. It was considered that maxium bending moment was about 1.5 times to proportional bending moment in notched beam and showed same tendency in the test result of ordinary wood specimens. AU standard formula for the tension side notch, Mmat = 0.6 ${\times}$ (Zo $\sigma$), the constant 0.6 was suitble for notch ratio(notch depth to beam depth) 1/6, but this ratio for 1/4, and 1/3 was not. So it is preferable to accept smaller value than 0.6 for notch ratio more than 1/3. These experiment results showed critical effect in tension side notched wood beam especially in greater than notch ratio 1.3 of wood beam. From the above results, it is recommened to revise design formula adoptable to domestic wood constructon member with tension side notched member.
Journal of the Korean Society for Precision Engineering
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v.1
no.3
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pp.85-94
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1984
The WILDHABER-NOVIKOV gear, one of the circular arc gears, has the large contact area between the convex and concave profiled mating teeth, moves from one end of the tooth to the other axially making a face contact. Hence it provides a large load capacity than the Involute gear and still satisfying the law of gearing. In order to analyze the gear stress, a photoelastic investigation was carried out. Photo elastic model of the WILDHABER-NOVIKOV gears were made of Araldite CT200 in this investigation. For both the many teeth gear and the few teeth gear segments, External gears of all addendum type WILDHABER-NOVIKOV gear and the involute gear were tested. Included were the models with various profile raddi at the same pressure angle 20 .deg. and module 13.5. The flank stresses and fillet stresses of these gears were observed in each case and compared with those of gears. From this investigation, the following results were obtained. A. In the case of having many teeth gear: As the profile radius is increased, the fillet stresses of the WILDHABER-NOVIKOV gear become the same or less than that of the INVOLUTE gea, and the flank stress becomes smaller than that of the INVOLUTE gear. Therefore the better design condition is satisfied with a large profile radius. B. IN the case of having a few teeth gear: As the profile radius is increased the flank stress of WILDHABER-NOVIKOV gear becomes smaller than that of the INVOLUTE gear, but the fillet stresses become larger than that of the INVOLUTE gear. Therefore the larger design condition is satisfied with small profile radius.
Sin, Hyeong-Seop;O, Sang-Yeop;Choe, Su-Yong;Seo, Chang-Min;Jang, Sun-Nam
Transactions of the Korean Society of Mechanical Engineers A
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v.26
no.4
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pp.787-793
/
2002
In this study, a bar impact test of low velocity was carried out to gain an insight into the damage mechanism and sequence induced in alumina plates(AD 85 and AD 90) under impact conditions. An experimental setup utilizing an instrumented long bar impact was devised, that can measure directly the impact force applied to the specimen and supply a compressive contact pressure to the specimen. During the bar impact testing, the influences of the contact pressure applied along the impact direction to the specimen on the fracture behavior were investigated. The measured impact force profiles explained well the damage behavior induced in alumina plates. The higher contact pressure to the specimen led to the less damage due to the suppression of radial cracks due to the increase in the apparent flexural stiffness of plate. It had produced the change of damage pattern developed in the specimen; from the radial cracks to the local contact stress dominant damage. It would contribute to the improvement of the ballistic property in ceramic plates. The observed results showed the following sequence in damage developed: The development of cone crack at impact region, the formation of radial cracks from the rear surface of plate depending on the plate thickness, the occurrence of crushing within the cone envelope and the fragmentation.
Journal of Korean Society of Occupational and Environmental Hygiene
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v.5
no.1
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pp.68-86
/
1995
This study was conducted at five Ethylene Oxide(EO) sterilizing processes in hospitals located in Seoul from August 8 to August 30, 1994. The main purposes of this study were to assess the TWA(Time Weighted Average) and short term exposures to EO and to evaluate factors affecting EO concentrations in sterilizing room. Results are summarized as follows. 1. The TWA concentrations of the sterilizing operators ranged from <0.005ppm to 3.04ppm and those of two sterilizing rooms out of five exceeded 1ppm, the Korean and ACGIH standards. 2. When the door of the sterilizer is opened at the end of the sterilization cycle, the short term concentrations of operators ranged from <0.005ppm to 11.4ppm, and those of three sterilizing room out of five exceeded 5ppm, the ACGIH short term exposure limit(STEL). The short term concentrations of area samples ranged from 0.24ppm to 49.2ppm and those of four sterilizing room out of five exceeded 5ppm. 3. Factors affecting EO exposure level were aeration type, the location of storage site for sterilized item, amount of gas, use period of sterilizer(p<0.005). 4. Following recommendations are suggested to minimize exposure to EO. The use of EO gas should be reduced by using another available sterilization methods, and the sterilizers and gas tank storage site should be isolated from, other work areas. Combination of local and general ventilation system should be installed. Metal carts or baskets for sterilization load should be used, and work environment and medical monitoring should be performed regularly.
Kim, Gun-Woo;Jang, Jae-Won;Hur, Hyuk;Lee, Jung-Kil;Kim, Jae-Hyoo;Kim, Soo-Han
Journal of Korean Neurosurgical Society
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v.56
no.3
/
pp.230-236
/
2014
Objective : The technique of short segment pedicle screw fixation (SSPSF) has been widely used for stabilization in thoracolumbar burst fractures (TLBFs), but some studies reported high rate of kyphosis recurrence or hardware failure. This study was to evaluate the results of SSPSF including fractured level and to find the risk factors concerned with the kyphosis recurrence in TLBFs. Methods : This study included 42 patients, including 25 males and 17 females, who underwent SSPSF for stabilization of TLBFs between January 2003 and December 2010. For radiologic assessments, Cobb angle (CA), vertebral wedge angle (VWA), vertebral body compression ratio (VBCR), and difference between VWA and Cobb angle (DbVC) were measured. The relationships between kyphosis recurrence and radiologic parameters or demographic features were investigated. Frankel classification and low back outcome score (LBOS) were used for assessment of clinical outcomes. Results : The mean follow-up period was 38.6 months. CA, VWA, and VBCR were improved after SSPSF, and these parameters were well maintained at the final follow-up with minimal degree of correction loss. Kyphosis recurrence showed a significant increase in patients with Denis burst type A, load-sharing classification (LSC) score >6 or DbVC >6 (p<0.05). There were no patients who worsened to clinical outcome, and there was no significant correlation between kyphosis recurrence and clinical outcome in this series. Conclusion : SSPSF including the fractured vertebra is an effective surgical method for restoration and maintenance of vertebral column stability in TLBFs. However, kyphosis recurrence was significantly associated with Denis burst type A fracture, LSC score >6, or DbVC >6.
Park, Sohyeon;Park, Joohee;Heo, Jiwoong;Lee, Sang-Eun;Shin, Jong-Wook;Chang, Minwook;Hong, Jinkee
Journal of Industrial and Engineering Chemistry
/
v.68
/
pp.229-237
/
2018
Medical silicone tubes are generally used as implants for the treatment of nasolacrimal duct stenosis. However, side effects such as allergic reactions and bacterial infections have been reported following the silicone tube insertion, which cause surgical failure. These drawbacks can be overcome by modifying the silicone tube surface using a functional coating. Here, we report a biocompatible and superhydrophilic surface coating based on a polysaccharide multilayer nanofilm, which can load and release antibacterial and anti-inflammatory agents. The nanofilm is composed of carboxymethylcellulose (CMC) and chitosan (CHI), and fabricated by layer-by-layer (LbL) assembly. The LbL-assembled CMC/CHI multilayer films exhibited superhydrophilic properties, owing to the rough and porous structure obtained by a crosslinking process. The surface coated with the superhydrophilic CMC/CHI multilayer film initially exhibited antibacterial activity by preventing the adhesion of bacteria, followed by further enhanced antibacterial effects upon releasing the loaded antibacterial agent. In addition, inflammatory cytokine assays demonstrated the ability of the coating to deliver anti-inflammatory agents. The versatile nanocoating endows the surface with anti-adhesion and drug-delivery capabilities, with potential applications in the biomedical field. Therefore, we attempted to coat the nanofilm on the surface of an ophthalmic silicone tube to produce a multifunctional tube suitable for patient-specific treatment.
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