• Title/Summary/Keyword: unit coordination

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Analysis of the Performance and Need of Professional Nursing Care in Nurses: Focusing on the Department of Neurosurgery in a Tertiary Hospital in Gangwon Province (임상간호사의 전문 간호업무 수행도와 필요도 분석 - 강원도 상급병원 신경외과 영역을 중심으로)

  • Kim, Hyun Su;Hwang, Ju Hee;Lee, Hyun Jung
    • Journal of East-West Nursing Research
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    • v.28 no.2
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    • pp.151-159
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    • 2022
  • Purpose: This study was conducted to identify the performance and need of professional nursing care among nurses in a neurosurgery department at a tertiary hospital. Methods: This study used a descriptive design using a questionnaire with 77-item. The participants were 58 nurses with more than 3 years of clinical experience in both the neurosurgery intensive care unit and ward at a tertiary hospital in Gangwon province. Data collection was conducted from January to February of 2021. The performance and need for each workforce were analyzed with the mean and standard deviation, and the effectiveness of the difference between the performance and the need were analyzed with a paired t-test using SAS 9.4. Results: The recognition for work performance level was in order of direct nursing activities (3.20±.54), consultation and coordination (3.18±1.15), education (2.55±.85), administration (1.92±.86), and research (1.57±.89). The recognition for need level was in order of consultation and coordination (3.95±.83), education (3.91±.87), direct nursing practice (3.83±.55), research (3.49±.87), and administration (3.45±.54). The results showed a statistically significant differences between work performance and need (p<.001). Conclusion: It is required to hire professional nursing personnel who can bridge the gap between the performance and need of professional nursing workforce in a neurosurgery department at a tertiary hospital. A professional nurse may be a good alternative.

Two New closo- or nido-Carborane Diphosphine Complexes: Synthesis, Characterization and Crystal Structures

  • Kong, Lingqian;Zhang, Daopeng;Su, Fangfang;Li, Dacheng;Dou, Jianmin
    • Bulletin of the Korean Chemical Society
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    • v.32 no.7
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    • pp.2249-2252
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    • 2011
  • Two new carborane complexes containing closo- or nido-carborane diphosphine ligands with the formula: complex $[Hg(7,8-(PPh_2)_2-7,8-C_2B_9H_{10})_2]$ $CH_2Cl_2$ (1) and $[Ag_2({\mu}-Cl)_2(1,2-(P^iPr_2)_2-1,2-C_2B_{10}H_{10})_2]$ (2) have been synthesized and characterized by elemental analysis, 1H and 13C NMR spectroscopy and X-ray structure determination. The X-ray structure analyses revealed that the carborane diphosphine ligand was degraded from closo-1,2-$(PPh_2)_2-1,2-C_2B_{10}H_{10}$ to nido-[$7,8-(PPh_2)_2-7,8-C_2B_9H_{10}]^-$ in complex 1, while the closo nature of the starting ligand $1,2-(P^iPr_2)_2-1,2-C_2B_{10}H_{10}$ was retained in complex 2. In either of the two complexes, the carborane diphosphine ligand was coordinated bidentately to the Hg(II) or Ag(I) center through its two phosphorus atoms, therefore forming a five-member cheating ring between the carborane ligand and the metal center. The coordination geometry of the metal atom is distorted tetrahedron formed by $P_4$ unit in complex 1 and $P_2Cl_2$ unit in complex 2, respectively.

Prevention of Occupational Diseases in Turkey: Deriving Lessons From Journey of Surveillance

  • Sen, Seyhan;Barlas, GulSen;YakiStiran, Selcuk;Derin, ilknur G.;Serifi, Berna A.;Ozlu, Ahmet;Braeckman, lutgart;laan, Gert van der;Dijk, Frank van
    • Safety and Health at Work
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    • v.10 no.4
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    • pp.420-427
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    • 2019
  • Introduction: To prevent and manage the societal and economic burden of occupational diseases (ODs), countries should develop strong prevention policies, health surveillance and registry systems. This study aims to contribute to the improvement of OD surveillance at national level as well as to identify priority actions in Turkey. Methods: The history and current status of occupational health studies were considered from the perspective of OD surveillance. Interpretative research was done through literature review on occupational health at national, regional and international level. Analyses were focused on countries' experiences in policy development and practice, roles and responsibilities of institutions, multidisciplinary and intersectoral collaboration. OD surveillance models of Turkey, Belgium and the Netherlands were examined through exchange visits. Face-to-face interviews were conducted to explore the peculiarities of legislative and institutional structures, the best and worst practices, and approach principles. Results: Some countries are more focused on exploring OD trends through effective and cost-efficient researches, with particular attention to new and emerging ODs. Other countries try to reach every single case of OD for compensation and rehabilitation. Each practice has advantages and shortcomings, but they are not mutually exclusive, and thus an effective combination is possible. Conclusion: Effective surveillance and registry approaches play a key role in the prevention of ODs. A well-designed system enables monitoring and assessment of OD prevalence and trends, and adoption of preventive measures while improving the effectiveness of redressing and compensation. A robust surveillance does not only provide protection of workers' health but also advances prevention of economic losses.

Positive and Negative Covariation Mechanism of Multiple Muscle Activities During Human Walking (보행 과정에서 발생하는 복합 근육 활성의 양성 및 음성 공변 메커니즘)

  • Kim, Yushin;Hong, Youngki
    • The Journal of the Korea Contents Association
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    • v.18 no.1
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    • pp.173-184
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    • 2018
  • In human walking, muscle co-contraction which produces simultaneous activities of multiple muscles is important in motor control mechanism of the central nervous system. This study aims to understand positive and negative covariation mechanism of inter-muscle activities during walking. In this study, we measured electromyography (EMG) in leg muscles. To identify motor modules, we recored EMG from 4 leg muscles bilaterally (the tibialis anterior, medial gastrocnemius, rectus femoris and medial hamstring muscles) and performed non-negative matrix factorization (NMF) and principa component analysis (PCA). Then, we computed covariation values from various combinations between muscles or motor modules and used two-way repeated measures analysis of variance to identify significantly different covariation patterns between muscle combinations. As the results, we found significant differences between covariation values of muscle combinations (p < 0.05). muscle groups within the same motor modules produced the positive covariations. However, there were strong negative covariation between motor modules. There was negative covariation in all muscle combination. Stable inter-module negative covariation suggests that motor modules may be the control unit in the complex motor coordination.

Application of Bond Valence Method to Estimate the Valence Charge Distributi on in the Metal-to-Oxygen Bonding Spheres in Perovskites

  • Nhat, Hoang Nam;Chau, Dinh Van;Thuong, Dinh Van;Hang, Nguyen Thi
    • International Journal of Internet, Broadcasting and Communication
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    • v.7 no.1
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    • pp.75-92
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    • 2015
  • This paper presents the application of the bond valence method to estimate the valence charge distribution in several perovskite systems: $La_{{\tilde{1}}x}Pb_xMnO_3$ (x=0.1-0.5), $La_{0.6}Sr_{0.{\tilde{4}}x}Ti_xMnO_3$ (x=0.0-0.25) and $La_{{\tilde{1}}x}Sr_xCoO_3$ (x=0.1-0.5); the reviewing of their crystal structures is also incorporated. The results showed the failure of the elastic bonding mechanism in all studied systems and revealed the general deficit of the valence charge in their unit cells. This valence deficit was not associated with the structural defects and was not equally localized in all coordination spheres. As the content of substitution increased, the charge deficit declined systematically from balanced level, signifying the transfer of valence charge from the ${\tilde{B}}O_6$ to ${\tilde{A}}O_{12}$ spheres. This transfer depended on the valence deviation of spheres and the average reached near 2 electron per unit cell. The possible impact of the limitted accuracy of the available structural data on the bond valence results has also been considered.

A Study on the Mechanochemical Effects of Dickite (Dickite의 메카노케미칼 효과에 관한 연구)

  • Ryu, Ho-Jin
    • Korean Journal of Materials Research
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    • v.7 no.2
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    • pp.152-156
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    • 1997
  • In this paper, I meritioned ,I study on thc rnechanochernic;~l effec ts of grountl iljckite To investigate the mechanochemical effects of ground tlickite 1,y planet,~r\- mill. a structul-ill i~nalvsis of dickite prepared with different grinding time has been made 11y X-ray diffraction and ilifierenti,~l tl~i.~-ni;~i analysis. 'l'he $SiO_{4}$ hecira was unchanged bl- milling and remained ;is the local ordering unit s t t - ~ c ~ u ~ - c ~ s in the ground dickitc samples I ) v analyzing the radial distribution function. On the other hand, with an increi~se of the grinding time a decrease of coordination number and atomic distance bet\vccn aluminum and oxygen hi1c.r l~een octurreil, and Li~~antitativcl\. coniirrned them This result corresponded to the local c,hange around aliimi~iuni I>V tliftercntii~l t1ii:rm;il ani~lysis. Therefore, the mechanochemical phenomina of ground tiickite werc3 h e to the local c~l~mge around aluminum \IT. the prolonged grinding.

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Coordinated Control Strategies with and without Circulating Current in Unified Power Quality

  • Feng, Xing-tian;Zhang, Zhi-hua
    • Journal of Power Electronics
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    • v.15 no.5
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    • pp.1348-1357
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    • 2015
  • Under traditional unified power quality conditioner (UPQC) control, a UPQC series converter (SC) is mainly used to handle grid-side power quality problems while its parallel converter (PC) is mainly used to handle load-side power quality problems. The SC and PC are relatively independent. The SC is usually in standby mode and it only runs when the grid voltage abruptly changes. In this paper, novel UPQC coordinated control strategies are proposed which use the SC to share the reactive power compensation function of the PC especially without grid-side power quality problems. However, in some cases, there will be a circulating current between the SC and the PC, which will probably influence the compensation fashion, the compensation capacity, or the normal work of the UPQC. Through an active power circulation analysis, strategies with and without a circulating current are presented which fuses the reactive power allocation strategy of the SC and the PC, the composite control strategy of the SC and the compensation strategy of the DC storage unit. Both of the strategies effectively solve the SC long term idle problem, limit the influence of the circulating current, optimize all of the UPQC units and reduce the production cost. An analysis, along with simulation andexperimental results, is presented to verify the feasibility and effectiveness of the proposed control strategies.

Development of Patient Classification System based on Nursing Intensity in Stroke Unit (뇌졸중 전문치료실의 간호강도에 근거한 환자분류도구 개발)

  • Kim, Eunjung;Kim, Heejung;Kim, Miyoung
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.5
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    • pp.545-557
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    • 2014
  • Purpose: The purpose of this study was to develop a patient classification system based on nursing care intensity for patients with acute stroke-related symptoms and verify its validity and reliability. Methods: Data were collected between November, 2013 and February, 2014. The verification for content validity of the patient classification system was conducted by a group of seven professionals. Both interrater reliability and concurrent validity were verified at stroke units in tertiary hospitals. Results: The intensive nursing care for acute stroke patients consisted of 14 classified domains and 56 classified contents by adding 'neurological assessment and observation' and 'respiratory care': 'hygiene', 'nutrition', 'elimination', 'mobility and exercise', 'education or counselling', 'emotional support', 'communication', 'treatment and examination', 'medication', 'assessment and observation', 'neurological assessment and observation', 'respiratory care', 'coordination between departments', and 'discharge or transfer care'. Each domain was classified into four levels such as Class I, Class II, Class III, and Class IV. Conclusion: The results show that this patient classification system has satisfactory validity for content and concurrent and verified reliability and can be used to accurately estimate the demand for nursing care for patients in stroke units.

A Voltage Control Method based on Constants of Four Terminals Network Modeling of Distribution Networks

  • Yang, Xia;Lim, Il-Hyung;Choi, Myeon-Song;Lee, Seung-Jae;Kim, Tae-Wan
    • Journal of Electrical Engineering and Technology
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    • v.3 no.3
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    • pp.354-362
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    • 2008
  • In this paper, a new algorithm of optimal voltage control is proposed for the Distribution Automation System (DAS) based on constants of four terminal network modeling. In the proposed method, the voltage profiles along feeders are estimated from the measurement of the current and power factor by a Feeder Remote Terminal Unit (FRTU) installed at each node. Whenever the voltage profile violates the restriction, the voltage control strategy is applied to keep the voltage levels along the feeders within the pre-specified range through the modification and coordination of the transformer under-load tap changers (ULTC), step voltage regulator (SVR), as well as shunt condenser. In the case studies, the estimation and control of the voltages have been testified in a radial distribution system with 11 nodes.

Crystal Structure and Molecular Stereochemistry of Novel Polymeric Cu2(DMP)44(DMSO) as a Platform for Phosphate Diester Binding

  • Rafizadeh, Massoud;Tayebee, Reza;Amani, Vahid;Nasseh, Mohammad
    • Bulletin of the Korean Chemical Society
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    • v.26 no.4
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    • pp.594-598
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    • 2005
  • Treatment of a solution of $CuCl_2$ in dimethyl phosphate (DMP) with DMSO under nitrogen atmosphere afforded to a light blue fluorescence powder. Slow evaporation of $H_2O$-DMSO solution of this powder resulted in blue-sky crystals of a new polymeric Cu(II) complex, with a unit cell composed of $Cu_2(DMP)_4$(DMSO), (1). The crystal and molecular structure of the complex acquired crystallographically. Compound (1) crystallizes in the monoclinic space group $P2_1$/n with a = 12.8920(11) $\AA$, b = 13.1966(11) $\AA$, c = 14.7926(13) $\AA$, $\alpha$ = 90$^{\circ}$, $\beta$ = 98.943(2)$^{\circ}$, $\gamma$ = 90$^{\circ}$, V= 2486.1(4) ${\AA}^3$, and Z = 4. A square pyramidal environment for the metal center was established by coordination of oxygen atoms of four bridging DMP ligands in the basal positions and binding a tri-centered oxygen atom of DMSO in the apical disposition of Cu(II). The sixth position was also affected by a weak interaction with the sulfur atom of another DMSO. The phosphorous atom in the bridging DMP was arranged in a deformed tetrahedron with (gg) conformation for methyl esters with $C_{2v}$ symmetry.