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New Graduate Nurses' Satisfaction with Transition Programs and Experiences in Role Transition (신규간호사의 실무적응지원 교육 만족도 및 역할 이행 경험에 관한 조사)

  • Kwon, In Gak;Cho, Yong Ae;Cho, Myung Sook;Yi, Young Hee;Kim, Mi Soon;Kim, Kyeong Sug;Choi, Ae Seon
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.3
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    • pp.237-250
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    • 2019
  • Purpose: The aim of this study was to investigate the satisfaction of newly graduated nurses with educational programs and their experiences in role transition. Methods: Data were collected from November 1 to December 15, 2018 and 483 new graduate nurses working at 15 tertiary hospitals and 10 general hospitals participated. For data collection, self-report questionnaires including the Casey-Fink Graduate Nurse Experience Survey tool and satisfaction with education were used. Data were analyzed using descriptive statistics, t-test, and one-way analysis of variance. Results: Satisfaction with education ranged from 3.09 to 3.27, and satisfaction with preceptors was 3.45(maximum 4). The skill that new nurses ranked as most difficult during the first 3 months was charting/documentation, and throughout a whole year, the top 4 difficult skills were cardiopulmonary resuscitation/emergency response, ventilator care, end-of-life care, and prioritization/time management. In comfort/confidence, new graduates felt most comfortable with support and least comfortable with patient safety. More than 50 percent of new graduates experienced stress during role transition, and the most frequently experienced stressors were related to job performance and personal life. Levels of satisfaction with education and comfort/confidence differed according to the hospital type and number of preceptors for new nurses. Conclusion: In order to facilitate the transition of new graduate nurses to professional nurse, an extended period of education, systematic and standardized transition programs, and continuous support during the first year of practice are required.

Outcome-Based Curriculum Development at Inje University College of Medicine (인제대학교 의과대학의 성과바탕교육과정 개발실례 및 결과 소개)

  • Lee, Jong-Tae;Rhee, Byoung Doo;Roh, Hye Rin
    • Korean Medical Education Review
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    • v.15 no.1
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    • pp.31-38
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    • 2013
  • This paper focuses on the outcome-based curriculum of Inje University College of Medicine to describe our curriculum development process and results. Starting in 2006, we have revised the curriculum based on the competency-based clinical presentation curriculum. We stated clearly the learning outcomes from the social needs and educational goal of our university. We defined 8 exit outcomes and specified phase outcomes, course outcomes, lesson outcomes, and outcome objectives. By 2012, we identified 128 clinical presentations and 149 basic scientific concepts. Various evaluation and assessment methods and teaching-learning strategies were assigned to each outcome. Problem-based learning, standardized patient practice, and learning portfolios are the main strategies of our curriculum. We have performed a progress test to assess the level of achievement of students' outcomes. We have also collected feedback from students and faculty members about the curriculum, including every lesson, course, and the overall curriculum. To maintain this change of the curriculum, we reorganized the curriculum committee, educational faculty and teams, and administrative support system. To fine tune this curriculum, we have held three 3-day workshops on curriculum development and weekly meetings. We believe this is just the beginning of developing the curriculum of Inje University. Further upgrades will be necessary to continue to improve medical education.

National Registry Data from Korean Neonatal Network: Two-Year Outcomes of Korean Very Low Birth Weight Infants Born in 2013-2014

  • Youn, YoungAh;Lee, Soon Min;Hwang, Jong-Hee;Cho, Su Jin;Kim, Ee-Kyung;Kim, Ellen Ai-Rhan
    • Journal of Korean Medical Science
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    • v.33 no.48
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    • pp.309.1-309.13
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    • 2018
  • Background: The aim of this study was to observe long-term outcomes of very low birth weight infants (VLBWIs) born between 2013 and 2014 in Korea, especially focusing on neurodevelopmental outcomes. Methods: The data were collected from Korean Neonatal Network (KNN) registry from 43 and 54 participating units in 2013 and 2014, respectively. A standardized electronic case report form containing 30 items related to long-term follow up was used after data validation. Results: Of 2,660 VLBWI, the mean gestational age and birth weight were $29^{1/7}{\pm}2^{6/7}$ weeks and $1,093{\pm}268g$ in 2013 and $29^{2/7}{\pm}2^{6/7}$ weeks and $1,125{\pm}261g$ in 2014, respectively. The post-discharge mortality rate was 1.2%-1.5%. Weight < 50th percentile was 46.5% in 2013 and 66.1% in 2014. The overall prevalence of cerebral palsy among the follow up infants was 6.2% in 2013 and 6.6% in 2014. The Bayley Scales of Infant Developmental Outcomes version II showed 14%-25% of infants had developmental delay and 3%-8% of infants in Bayley version III. For the Korean developmental screening test for infants and children, the area "Further evaluation needed" was 5%-12%. Blindness in both eyes was reported to be 0.2%-0.3%. For hearing impairment, 0.8%-1.9% showed bilateral hearing loss. Almost 50% were readmitted to hospital with respiratory illness as a leading cause. Conclusion: The overall prevalence of long-term outcomes was not largely different among the VLBWI born between 2013 and 2014. This study is the first large national data study of long-term outcomes.

Local Differential Pixel Assessment Method for Image Stitching (영상 스티칭의 지역 차분 픽셀 평가 방법)

  • Rhee, Seongbae;Kang, Jeonho;Kim, Kyuheon
    • Journal of Broadcast Engineering
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    • v.24 no.5
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    • pp.775-784
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    • 2019
  • Image stitching is a technique for solving the problem of narrow field of view of a camera by composing multiple images. Recently, as the use of content such as Panorama, Super Resolution, and 360 VR increases, the need for faster and more accurate image stitching technology is increasing. So far, many algorithms have been proposed to satisfy the required performance, but the objective evaluation method for measuring the accuracy has not been standardized. In this paper, we present the problems of PSNR and SSIM(Structural similarity index method) measurement methods and propose a Local Differential Pixel Mean method. The LDPM evaluation method that includes geometric similarity and brightness measurement information is proved through a test, and the advantages of the evaluation method are revealed through comparison with SSIM.

Deep Learning for Herbal Medicine Image Recognition: Case Study on Four-herb Product

  • Shin, Kyungseop;Lee, Taegyeom;Kim, Jinseong;Jun, Jaesung;Kim, Kyeong-Geun;Kim, Dongyeon;Kim, Dongwoo;Kim, Se Hee;Lee, Eun Jun;Hyun, Okpyung;Leem, Kang-Hyun;Kim, Wonnam
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2019.10a
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    • pp.87-87
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    • 2019
  • The consumption of herbal medicine and related products (herbal products) have increased in South Korea. At the same time the quality, safety, and efficacy of herbal products is being raised. Currently, the herbal products are standardized and controlled according to the requirements of the Korean Pharmacopoeia, the National Institute of Health and the Ministry of Public Health and Social Affairs. The validation of herbal products and their medicinal component is important, since many of these herbal products are composed of two or more medicinal plants. However, there are no tools to support the validation process. Interest in deep learning has exploded over the past decade, for herbal medicine using algorithms to achieve herb recognition, symptom related target prediction, and drug repositioning have been reported. In this study, individual images of four herbs (Panax ginseng C.A. Meyer, Atractylodes macrocephala Koidz, Poria cocos Wolf, Glycyrrhiza uralensis Fischer), actually sold in the market, were achieved. Certain image preprocessing steps such as noise reduction and resize were formatted. After the features are optimized, we applied GoogLeNet_Inception v4 model for herb image recognition. Experimental results show that our method achieved test accuracy of 95%. However, there are two limitations in the current study. Firstly, due to the relatively small data collection (100 images), the training loss is much lower than validation loss which possess overfitting problem. Secondly, herbal products are mostly in a mixture, the applied method cannot be reliable to detect a single herb from a mixture. Thus, further large data collection and improved object detection is needed for better classification.

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Components Design for Guided Weapon System according to Resolution based on Base System Model (기본체계모델 기반 해상도 별 유도 무기체계 컴포넌트 설계)

  • Moon, Kyujin;An, Yu-Young;Jeong, Ui-Taek;Ryoo, Chang-Kyung
    • Journal of the Korea Society for Simulation
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    • v.28 no.3
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    • pp.11-23
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    • 2019
  • An AddSIM(Adaptive distributed and parallel Simulation environment for Interoperable and reusable Models) is developed to construct a composite environment that can be used in the overall stage from military demand analysis to test and evaluation. In addition, a base system model(BSM), which is a component model of the weapon system with standardized hierarchies, has been developed. This paper describes the critical design of BSM for the guided weapon system that can be operated in AddSIM. The guided weapon system BSM is designed for reusability and interoperability, and to have the same interface for assembly, even if the subcomponents have different resolution. Then, each subcomponent is defined and implemented according to the component resolution classification scheme. Finally, Combinations of subcomponents have been used to construct the guided weapon system of various resolution and the performance is compared and analyzed through simulation.

Design and test of cable based airborne capture mechanism for drone (케이블을 사용한 드론용 공중 포획 메커니즘의 설계 및 테스트)

  • Jung, Sanghoon;Nguyen, Van Sy;Kim, Byungkyu;An, Taeyoung
    • Journal of Aerospace System Engineering
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    • v.14 no.3
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    • pp.10-16
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    • 2020
  • We propose a capture mechanism based on the principles of fishing nets that can be mounted on the drone using cable. The gripper mechanism, mainly proposed for the drone is heavy, and is limited to catch standardized objects. In contrast, the proposed capture device in this paper is light, flexible, and can capture various types of objects from a long distance. The theoretical relationships between cables and mechanisms were analyzed. Finally, the capture device was designed and manufactured to be installed in the drone (DJI S900) to conduct capturing experiments for various objects and verify the validity.

Research Trend Analysis of Oral Health Literacy in South Korea (구강건강 분야의 헬스리터러시 국내연구경향 분석)

  • Lee, Ju-Yul;Park, Soo-Auk
    • The Journal of Korean Society for School & Community Health Education
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    • v.21 no.1
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    • pp.33-45
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    • 2020
  • Objectives: The purpose of this study is to analyze the research trends on oral health literacy in South Korea and to suggest the direction of future research, Methods: The literatures were searched using KISS, RISS, KMBASE, KoreaMed, Nanet and NDSL. A total of 17,433 documents were retrieved by database searching. The final 34 literatures that satisfied the inclusion criteria were selected for analyzing. A content analysis was performed on 34 literatures on the topics of oral health literacy which had been published from 2012 to 2019. Results: Most of the 34 literatures, 23 articles and 11 thesises were descriptive-correlation studies, but there was no intervention study. The participants studied in the selected literatures were mostly adults followed by elderly and other groups including foreigner. More troubling sufficient samples and sampling methods were lacking at the population level. The validation of the used health literacy instruments was not sufficient. Conclusions: The unification of translation terminology for oral health literacy and the standardized instrument to test oral health literacy are needed. And to improve the level of oral health literacy, studies should be conducted using various variables. It is also necessary to develop the oral health education programs that can improve the level of oral health literacy. In the future, meta-analysis on the oral health literacy are needed for cumulating findings and drawing more reliable and general conclusions.

External apical root resorption 6 months after initiation of orthodontic treatment: A randomized clinical trial comparing fixed appliances and orthodontic aligners

  • Toyokawa-Sperandio, Katia Cristina;Conti, Ana Claudia de Castro Ferreira;Fernandes, Thais Maria Freire;de Almeida-Pedrin, Renata Rodrigues;de Almeida, Marcio Rodrigues;Oltramari, Paula Vanessa Pedron
    • The korean journal of orthodontics
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    • v.51 no.5
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    • pp.329-336
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    • 2021
  • Objective: To compare the magnitude of external apical root resorption (EARR) 6 months after starting orthodontic treatment using orthodontic aligners (OAs) and fixed appliances (FAs). Methods: This parallel randomized clinical trial included 40 patients randomized into two groups: OA group (n = 20, 160 incisors) and FA group (n = 20, 160 incisors). For evaluation of the tooth length, periapical radiographs and standardized linear measurements of the maxillary and mandibular incisors were acquired before (T0) and 6 months after treatment initiation (T1). EARR was calculated through the difference in length between the two time points (T1-T0). Statistical comparisons were performed by means of using t-tests, chi-squared test and covariance analysis (a = 5%). Results: Rounding of the root apex was observed in both groups; the resorption involved 2.88% of the root length, so 97.12% of the tooth length remained intact. Intragroup comparisons between the two time points revealed a significant difference, with (T1-T0) ranging from -0.52 to -0.88 mm in the FA group and from -0.52 to -0.85 mm in the OA group. In the intergroup comparisons, only tooth #21 presented a statistically significant difference (OA: -0.52 ± 0.57 mm, FA: -0.86 ± 0.60 mm); however, the overall differences between groups were not clinically relevant, ranging from 0.03 to 0.35 mm. Conclusions: OA and FA treatment resulted in a similar degree of EARR in the maxillary and mandibular incisors at 6 months after treatment initiation. However, the amount of resorption was small and does not impair tooth longevity.

Relationship between Chronic Rhinosinusitis and Blood Pressure (비부비동염과 혈압의 상관관계)

  • Seo, Youn Tae;Kim, Deok Su;Kil, Bu Kwan;Shin, SeungHeon;Ye, Mi Kyung
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.182-189
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    • 2018
  • Background and Objectives : There were few literatures about the relationship between upper airway disorders and cardiovascular risk factors such as hypertension, although an association between impaired lower respiratory function and cardiovascular alterations was often reported. Our purpose was to assess the relationships between chronic sinusitis and hypertension. Materials and Methods : Three hundred subjects with bilateral chronic sinusitis who underwent functional endoscopic sinus surgery between 2015and 2017 were evaluated. Six hundred forty subjects without any nasal diseases were enrolled as a control group. Blood pressure and body mass index (BMI) were measured using a standardized method, and subjects were asked about current use of any antihypertensive medication, history of diabetes, smoking and alcohol drinking habits.Sinusitis group was assessed by nasal endoscopic examination, paranasal sinus CT scan and allergy test. Results : Average systolic and diastolic blood pressures were statistically significantly higher in subjects with sinusitis than control group. Chronic rhinosinusitis was associated with a 1.415-fold (95% confidence interval 1.053-1.930) increased hazard of hypertension after multivariate adjustment. Conclusions : These results suggest that sinusitis is associated with high blood pressure. Therefore patients with sinusitis may need special attention for blood pressure control. Further studies need to be performed to elucidate the pathogenesis behind such associations.