• The Korean Journal of Pain
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• 제32권3호
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• pp.187-195
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• 2019

Background: Steroid injections are commonly used in pain clinics to relieve pain and treat inflammation. In Korea, these steroid injections are well known as 'ppyeojusa', which means to inject into the bone in Korean. Some patients often have a negative perception of this treatment method due to inaccurate information about the treatment and side effects of steroids. The purpose of this study is to investigate patients' perception and knowledge of ppyeojusa. Methods: A questionnaire about ppyeojusa was completed by patients who visited one of the pain clinics in nine university hospitals, from August 1 to September 10, 2017. Results: Three-hundred seventy-four patients completed the survey. Eighty-five percent of patients had had ppyeojusa, and 74% of the respondents had heard of ppyeojusa from the mass media, friends or relatives. Only 39% of the patients answered that this injection was safe without side effects if properly spaced. Of the patients surveyed, 21% responded that ppyeojusa are "injections into the bone"; while 15% responded that ppyeojusa are "terrible injections that melted 'the bone if used a lot'". Half of the patients did not know what the active constituent is in ppyeojusa. If steroid injections are advised by the pain specialists, 89% of the patients would consent. Conclusions: Most pain clinic patients have heard of ppyeojusa. Most patients obtained information about ppyeojusa from mass media, rather than their physicians. Therefore, it is likely that most patients have inaccurate knowledge.

• 한국중재학회지:중재연구
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• 제12권2호
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• pp.337-372
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• 2003

Given the difficulties investors would encounter in pleading and proving their claims in court, they may well be better off in a system where less attention is paid to the law and more to the equities of the actual dispute before the arbitration panel. While this is not a system where accountability and predictability of results can be achieved, investors may fare better than they might expect. It follows then that if equitable considerations enhance rather than subtract from investors' chances of recovery, then investors need not worry about the consequences of the arbitrators' failure to apply the law. This article tracked the evolution of the arbitration process, through amendments to the pertinent securities arbitration codes of procedure, from an informal proceeding into a quasi-judicial one. Subsequently, I examined the practical difficulties arbitrators encounter in their efforts to apply the law. The Court in McMahon assumed arbitrators would apply the law and that the “manifest disregard” standard would provide sufficient judicial oversight to ensure that they did. But there is no meaningful review of arbitration awards to assure arbitrators are applying the law. Arbitration awards have no value as precedent for future arbitrations. Accordingly, there appears to be little reason to write such an award, particularly if the end result is an award immune from challenge no matter how the panel ruled. In these days, securities arbitration as a disputes resolution system is becoming a more popular practice. The trend of the courts in America has been to enforce arbitration agreements. Moreover arbitration helps alleviate some of the burden of a heavy caseload from the judiciary and is a viable method to resolve disputes in a relatively quick and efficient manner. Therefore I think it would be necessary to introduce securities arbitration system to our disputes resolution system Compared to American practices, there could be, of course, many differences in recognition on arbitration and legal structure in our country. Thus it will be an assignment to consider seriously and carefully what kind of securities arbitration system will be proper for us.

• 대한간호학회지
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• 제11권1호
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• pp.29-44
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• 1981

Nursing role tends to be more complex then before because of the increased number of health professionals and of the health needs of patient. Accordingly, nursing role expectations are various and sometimes conflict by its role set. There are various literatures on role conflict of nurses and discussed how to eliminate the conflict in order to improve nursing service particularly in the hospital organization. This study was designed to determine if role conflict exist among nurses who work in a hospital and if so what resolution were most frequently selected by the nurses to the role conflict. The study population was fifty six registered nurses of K university hospital. The fifty six was defined and selected by nonproportional stratified sampling method to obtain subjects who are from uniform role set. A questionnaire, a list of role connect, stimulated by the literature review, knowledge based on several years' experience in nursing was formulated by the author and administered to the study population. The questionnaire included twenty nine closed question items of role conflict and classified according to the intra sender conflict, intersender conflict, person conflict and interperson conflict. The response choices to the questions range on a scale continuum with degrees of conflict from one to five: never - 0, seldom - 1, occasionally - 2, frequently - 3, and mostly -4. Per cent, means, standard deviation, and x² -test were used to analyze data. The findings of the study could be summarized as follows. 1. General characterstics of the study population: Most of the population were between the age of 22-27 and are not married. 2. Analysis of Role conflict Existence of Role conflict of nurses was found by the total mean conflict score, 2.06. Inter Sender Role conflict revealed the most high mean conflict score and the lowest one was inter person role conflict. Among the five role senders of nurses: Physician, patient and hi9 family, peer and superior, nursing students and hospital administrator, nurses showed the highest conflict mean score for physicians and the lowest score for Nursing student. 3. Analysis of role conflict resolution. Compromise through discussion with the role sender was the most frequently selected method by the respondents. The result also showed that the respondents tend to resolve the conflicting situation created by patient or his family by persuation. On the o thor hand, Avoidance and ignorance was frequently chosen for the conflicting role expectations from the hospital administrator.

• Asian Pacific Journal of Cancer Prevention
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• 제13권7호
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• pp.3009-3013
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• 2012

Background: The clinical course of individual chronic lymphocytic leukemia (CLL) is highly variable and clinical staging systems do not help us to predict if and at what rate there will be disease progression in an individual patient diagnosed with early stage disease. Recently, several important observations related to other prognostic factors including lymphocyte doubling time (LDT), ${\beta}_2$-microglobulin (${\beta}_2$-MG), and percent of smudge cell in peripheral blood smears, cytogenetic and molecular analysis have been made. The aim of this study was to evaluate a range of prognostic factors in our CLL patients. Design and methods: Seventy patients with CLL were enrolled. Prognostic factors of disease including Binet staging, LDT, ${\beta}_2$-MG, ESR, LDH, percent of smudge cell in peripheral blood smear, absolute lymphocyte count, and conventional cytogenetic (CC) analysis were evaluated at diagnosis, and the patients were followed up to determine their outcome. We compared factors with each other and with Binet staging and prognosis. Results: Enrolled patients aged 37-85 years at diagnosis or during follow up. There was no relationship between serum LDH level (P=0.3), ESR (P=0.11), percent of smudge cells in peripheral blood smear (P=0.94), and absolute lymphocyte count (P=0.18) with the stage of disease and prognosis, but the ${\beta}_2$ macroglobulin level (p<0.0001), LDT (p<0.001) had direct and significant relation with staging and outcome. In 19% of patients cytogenetic alteration were seen. Conclusion: The detection of cytogenetic alteration only using the CC method is not sufficient and we need to use FISH, but because FISH study is an expensive method not available in all areas, instead we believe that ${\beta}_2$ MG can be applied in its place as a good prognostic factor for CLL at diagnosis and during follow up. We suggest to add it to Binet staging for prognostic subgrouping of CLL.

• Journal of Plant Biology
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• 제5권2호
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• pp.13-16
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• 1962

Without annual ring, the bamboo can not measured by ordinary mensuration method. Other methods yet tried failed to prove the reliability. That means, as often pointed out, that the bamboo lumbering (including forest management) is not free from being precarious. Noting the fact, this author performed a serieds of comparative observations on a group of bamboos in different stages of growth in order to find out if there is any surer mensurability. A conclusion has been reached that the external feature of joints of branch has close connection with the age of bamboo, that the joints of the third major branch counting from the ground have, as shown in the first table, the most probability, its mean being 94.3 per cent, and that those in ages of 3 to 5 have the probability of 100 per cent, showing the far greater accuracy as compared with those in older ages. The above conclusion needs to be adjusted with the following findings; 1) When observed disregarding the joint-tongue(the remainder of the preceeding year's sheath), the major branches show no better probability than the minor ones. 54 to 78 per cent of them shows no difference between them. Probability is averaged by 60 per cent. 2) When in spring the old sheaths drop away from the joints, the new ones sprout out in their places and consequently the joints present an appearance of a kind of joint-ring. But since this joint-ring does not always exactly represent the plant age, some other method must be sought after to count the age. This author noticed what is called "joint-tongue" the tongue-like part of triangle shape which remains at the base of the sheath of the fallen leaf. A fact was ascertained that when the number of the joint-ring coincides with that of the remaining joint-tongue, it exactly indicates the age of the plant.the plant.

• 한국전자거래학회지
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• 제7권1호
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• pp.87-106
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• 2002

The behavioral and dynamic implications of an ERP implementation/installation are, to say the least, not well understood. Getting the switches set to enable the ERP software to go live is becoming straightforward. The really difficult part is understanding all of the dynamic interactions that accrue as a consequence. Dynamic causal and connectionist models are employed to facilitate an understanding of the dynamics and to enable control of the information-enhanced processes to take place. The connectionist model ran be analyzing (behind the scenes) the information accesses and transfers and coming If some conclusions about strong linkages that are getting established and what the behavioral implications of those new linkages and information accesses we. Ultimately, the connectionist model will come to an understanding of the dynamic, behavioral implications of the larger ERP implementation/installation per se. The underlying connectionist model will determine information transfers and workflow. Once a map of these two infrastructures is determined by the model, it becomes a relatively easy job for an analyst to suggest improvements in both. Connectionist models start with analog object structures and then use learning to produce mechanisms for managerial problem diagnoses. These mechanisms are neural models with multiple-layer structures that support continuous input/output. Based on earlier work performed and published by the author[10][11], a Connectionist ReasOning and LEarning System(CROLES) is developed that mimics the real-world reasoning infrastructure. Coupled with an explanation subsystem, this system can provide explanations as to why a particular reasoning structure behaved the way it did. Such a system operates in the backgmund, observing what is happening as every information access, every information response coming from each and every intelligent node (whether natural or artificial) operating within the ERP infrastructure is recorded and encoded. The CROLES is also able to transfer all workflows and map these onto the decision-making nodes of the organization.

• 한국항해항만학회지
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• 제35권5호
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• pp.455-462
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• 2011

2011년 3월 11일에 발생한 동일본대지진으로 인해 후쿠시마 원전사고가 발생하여 방사능오염손해에 대한 우려의 목소리가 높다. 특히 방사능오염손해는 선박의 안전항행에 위협이 될 뿐만 아니라, 선원의 안전과 해상운송을 통한 세계 경제의 건전한 발전을 저해시키는 원인으로 작용할 우려가 있다. 선박 또는 화물이 방사능오염손해를 입은 경우에 이러한 방사능오염물질을 제거하는데 상당한 비용이 소요될 것이며, 부득이한 경우에는 선박과 적하를 폐기처분해야 하는 경우도 발생한다. 또한 선원이 방사능에 피복될 경우 이러한 선원에 대한 치료 문제도 발생할 수 있다. 하지만 현재 방사능오염손해에 대한 사후적 대비책으로써 어떠한 방법과 근거에 의하여 보험 보상이 이루어지는지 여부가 명확하게 검토되고 있지 않은 상황이다. 따라서 이 논문에서는 방사능오염으로 인한 피해의 사후적 대비책으로써 방사능오염손해에 대한 해상보험에서의 보상 문제를 검토하고자 한다.

• 한국의학물리학회:학술대회논문집
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• 한국의학물리학회 2002년도 Proceedings
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• pp.53-60
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• 2002

Motion of lung tumors from respiration has been reported in the literature to be as large as of 1-2 cm. This motion requires an additional margin between the Clinical Target Volume (CTV) and the Planning Target Volume (PTV). While such a margin is necessary, it may not be sufficient to ensure proper delivery of Intensity Modulated Radiotherapy (IMRT) to the CTV during the simultaneous movement of the DMLC. Gated treatment has been proposed to improve normal tissues sparing as well as to ensure accurate dose coverage of the tumor volume. The following questions have not been addressed in the literature: a) what is the dose error to a target volume without gated IMRT treatment\ulcorner b) what is an acceptable gating window for such treatment. In this study, we address these questions by proposing a novel technique for calculating the 3D dose error that would result if a lung IMRT plan were delivered without gating. The method is also generalized for gated treatment with an arbitrary triggering window. IMRT plans for three patients with lung tumor were studied. The treatment plans were generated with HELIOS for delivery with 6 MV on a CL2100 Varian linear accelerator with a 26 pair MLC. A CTV to PTV margin of 1 cm was used. An IMRT planning system searches for an optimized fluence map ${\Phi}$ (x,y) for each port, which is then converted into a dynamic MLC file (DMLC). The DMLC file contains information about MLC subfield shapes and the fractional Monitor Units (MUs) to be delivered for each subfield. With a lung tumor, a CTV that executes a quasi periodic motion z(t) does not receive ${\Phi}$ (x,y), but rather an Effective Incident Fluence EIF(x,y). We numerically evaluate the EIF(x,y) from a given DMLC file by a coordinate transformation to the Target's Eye View (TEV). In the TEV coordinate system, the CTV itself is stationary, and the MLC is seen to execute a motion -z(t) that is superimposed on the DMLC motion. The resulting EIF(x,y)is inputted back into the dose calculation engine to estimate the 3D dose to a moving CTV. In this study, we model respiratory motion as a sinusoidal function with an amplitude of 10 mm in the superior-inferior direction, a period of 5 seconds, and an initial phase of zero.

• 한국컴퓨터정보학회논문지
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• 제22권2호
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• pp.29-35
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• 2017

In this paper, we present a 5W1H programming model for IT non-experienced people who are not familiar with computer programming and those who need programming education. Based on this model, we can design a development tool that can be easily programmed by beginners. This development tool is a programming method applying the 5W1H concept and constructs a sentence to satisfy the control condition of 'Who, When, Where, What, and How', which is the sentence element of 5W1H. Therefore, the user can easily develop the target system as if constructing the sentence without learning the programming language of the target system. In this paper, to verify the effectiveness of the 5W1H programming model proposed in this paper, we applied the concept of 5W1H programming to Arduino and developed the development tool and performed the first verification and applied the second verification to the speech recognition smart home development platform.

• 대한간호학회지
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• 제33권6호
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• pp.802-811
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• 2003

Purpose: The purpose of this study was to compare the nursing activities delineated by interview of nurses with those on nursing notes. Method: The participants of interview were 18 nurses working in medical and surgical units of a large hospital in Seoul. Each nurse was asked to choose one patient who demand most nursing care among her patients. The nurse was then interviewed to describe what her nursing activities for the patient was that day. The audio-taped interview was transcribed and the content was analyzed by researchers. Nursing notes of each nurses' patients were copied and the content analyzed by researchers. Finally, themes from the interview data and those from nursing notes were compared. Result: Activities related to emotional or psychological nursing, education for patient and families, and problem solving related to treatment or nursing procedure were most often omitted in nursing notes. Most of the documentation in nursing notes were related to physical condition of patients or physician's orders. Nurses described that they will do better recording if they were given less patient care responsibility, had better nursing knowledge, had better recording system, and received more training on nursing record. Conclusion: Nursing notes did not reflect nursing activities properly. Few independent nursing roles were documented in the nursing notes. Development of nursing education program and nursing record system is needed for improvement of nursing record.