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A study on improving the interior design of ambulance (구급차 내부 디자인 개선에 관한 연구)

  • Shin, Dong-Min;Park, Si-Eun;Park, Shin-Hye
    • The Korean Journal of Emergency Medical Services
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    • v.17 no.3
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    • pp.9-20
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    • 2013
  • Purpose: This research project addressed the need to designing more safe and efficient interior of the future ambulance in Korea. Methods: The study sample contained 760 paramedics in 4 districts. Data was collected by using a revised and complemented questionnaire based on literature review. Results: In relation to the efficacy and safety of work, answers related to storage closet showed to be the highest, and the most difficult part of paramedic work in an ambulance was lurching. CPR is the most frequently used emergency care inside an ambulance, but 66% of the paramedics responded that accurate CPR is not possible during vehicle transfer. Safety belts are not worn for 82.8% of the time, because of discomfort (51.3%). 13.8% of the paramedics responded that stretchers are unstable, 29.5% had an experience of having patients fall off the stretcher inside an ambulance. There were comments on installing equipments to prevent noise, and assist communication. Conclusion: The suggested practical layout contains five main modifications 1. Developing specially designed belt is needed for paramedic safety & efficient work. 2. The seats are molded to be ergonomically friendly. 3. Equipments to secure the body and safety devices for CPR are needed. 4. System improvement for communication between the driver seat and paramedics is needed. 5. The stretchers are molded to be maximize efficiency and minimize injury.

A Comparative Legal Study of Germany, the United Kingdom, Japan and Korea for the Regulations on Special Management Materials (우리나라 산업안전보건법상 특별관리물질 규정에 대한 독일, 영국 및 일본과의 비교법적 고찰)

  • Choi, Sangjun;Phee, Young Gyu;Kim, Shinbum;Kim, Won
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.23 no.2
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    • pp.137-147
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    • 2013
  • Objectives: This study was conducted in order to evaluate the limitations of the regulations on the safety and health standards for special management materials(SMM) under the Industrial Safety and Health Act in Korea. Methods: Hazardous chemicals management systems in Germany(Hazardous Substances Ordinance), the UK(Control of Substances Hazardous to Health Regulations), Japan(Ordinance on Prevention of Hazards due to Specified Chemical Substances) and Korea(Regulation of Occupational Safety and Health Standards, ROSHS) were investigated and compared in terms of 14 items. Results: Among the 14 items, we eventually found seven items which should be amended: 1) definition and scope, 2) general duties clause, 3) principles of management, 4) preventive measures, 5) control measures, 6) risk assessment, and 7) record keeping. The principal limitations of Korean regulations in comparison with those of other countries were that there were no preventive measures such as substitution, and no principles of good practices for the control of exposure to SMM. In terms of control measures, there were no regulations on suitable workplace design, reducing the number of exposed workers, reducing the level and duration of exposure, and reducing the quantity of hazardous substances in ROSHS. Conclusions: Based on the results of this study, ROSHS should be complemented with preventive measures and the principles of management related to SMM. According to the suggestions, an employer who deals with SMM should preferably consider the possibility of substitution and perform substitution so far as is reasonably practicable.

Identification of Genes Encoding Heat Shock Protein 40 Family and the Functional Characterization of Two Hsp40s, MHF16 and MHF21, in Magnaporthe oryzae

  • Yi, Mi-Hwa;Lee, Yong-Hwan
    • The Plant Pathology Journal
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    • v.24 no.2
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    • pp.131-142
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    • 2008
  • Magnaporthe oryzae, the causal agent of the rice blast disease, poses a worldwide threat to stable rice production. The large-scale functional characterization of genes controlling the pathogenicity of M. oryzae is currently under way, but little is known about heat shock protein 40 (Hsp40) function in the rice blast fungus or any other filamentous plant pathogen. We identified 25 genes encoding putative Hsp40s in the genome of M. oryzae using a bioinformatic approach, which we designated M. oryzae heat shock protein forty (MHF 1-25). To elucidate the roles of these genes, we characterized the functions of MHF16 and MHF21, which encode type ill and type n Hsp40 proteins, respectively. MHF16 and MHF21 expression was not significantly induced by heat shock, but it was down-regulated by cold shock. Knockout mutants of these genes $({\Delta}$mhf16 and ${\Delta}$mhf21) were viable, but conidiation was severely reduced. Moreover, sectoring was observed in the ${\Delta}mhf16$ mutant when it was grown on oatmeal agar medium. Conidial germination, appressorium formation, and pathogenicity in rice were not significantly affected in the mutants. The defects in conidiation and colony morphology were fully complemented by reintroduction of wild type MHF16 and MHF21 alleles, respectively. These data indicate that MHF16 and MHF21 play important roles in conidiation in the rice blast fungus.

Identification and Characterization of the Vitro vulnificus Phosphomannomutase Gene

  • Lee, Jeong-Hyun;Park, Na-Young;Park, Soon-Jung;Choi, Sang-Ho
    • Journal of Microbiology and Biotechnology
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    • v.13 no.1
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    • pp.149-154
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    • 2003
  • Numerous virulence factors such as O antigen have been proposed to account for the fulminating and destructive nature of V. vulnificus infections. To better characterize the role of O antigen, a pmm gene encoding a phosphomannomutase was identified and cloned from V. vulnificus. The deduced amino acid sequence of the pmm was 42 to 71% similar to that reported from other Enterobacteriaceae. Functions of the pmm gene in virulence were assessed by the construction of an isogenic mutant, whose pmm gene was inactivated by allelic exchanges, and by evaluating its phenotype changes in vitro and in mice. The disruption of pmm resulted in a loss of more than 90% of phosphomannomutase, and reintroduction of recombinant pmm could complement the decrease of phosphomannomutase activity, indicating that the pmm gene encodes the phosphomannomutase of V. vulnificus. There was no difference in the $LD_50S$ of the wild-type and the pmm mutant in mice, but the $LD_50S$ observed by the mutant complemented with recombinant pmm were lower. Therefore, it appears that PMM is less important in the pathogenesis of V. vulnificus than would have been predicted by examining the effects of injecting purified LPS into animals, but it is not completely dispensable for virulence in mice.

Development of a Critical Pathway of Bullectomy for Spontaneous Pneumothorax Patients (자연기흉으로 폐기포절제술을 받은 환자를 위한 표준진료지침서 개발)

  • Kim, Mi Kyoung;Yu, Seung Hum;Lee, Doo Yun;Son, Young Mo
    • Quality Improvement in Health Care
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    • v.9 no.1
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    • pp.34-51
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    • 2002
  • Background : The purpose for this study is to develop a critical pathway of bullectomy for spontaneous pneumothorax patients. Methods : For this study a conceptual framework of critical pathway was developed through a review of the literature including five critical pathways which are currently being used in USA, and opinions of the critical pathway development team members at Y university hospital. In order to identify the service contents required by these patients and to draw up a preliminary critical pathway, 33 cases of medical records of patients who had received bullectomy for spontaneous pneumothorax between September, 2000 to August, 2001 at the Respiratory Center of Y university hospital in Seoul was analyzed. Results : In order to test the clinical validity of the preliminary critical pathway, it was applied to ten patients who had received bullectomy for spontaneous pneumothorax from October, 2001 to December, 2001. The average discharge day was 4.89th post operation day, six patients discharged on the fourth post operation day which was the expected day, one patients discharged one day earlier than the expected day, one patient discharged three days later than the expected day, and one patient discharged six days later than the expected day. There were variances between the critical pathway and the actual practice. The variances came from tests, medications, and treatments. One item that showed variance in clinical applications was complemented, and three items were decided not to be corrected for the final determination of the critical pathway. Conclusion : This critical pathway is applicable to the care of patients with bullectomy for spontaneous pneumothorax, but it needs more clinical applications to grasp varied variances.

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A Study of the Trait of Leadership Failure Using Failure Knowledge (실패지식을 활용한 리더십 실패 특성 도출에 관한 연구)

  • Shim, Hyung-Seok;Hong, Sun-Gwan
    • Knowledge Management Research
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    • v.15 no.3
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    • pp.1-12
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    • 2014
  • It is tried to draw the failure traits of leadership by extracting leadership parts from previous failure studies and including some parts which mention failure leadership among leadership-related books. All of 5 patterns are drawn through total 13 types of study data. From 'insensitive to change' and authoritarianism which is mentioned 8 times in such 13 studies, to 'interpersonal problem', which is mentioned five times, traits which are mentioned at least five times are selected. There are drawn 5 traits including ${\Delta}$ authoritarianism ${\Delta}insensitive$ to change ${\Delta}lack$ of executive ability ${\Delta}populism$ and ${\Delta}interpersonal$ problem. As being examined in these 5 types of failure traits, the failure of leadership is ultimately happened because of communication heading for the inside without any communication(exchange) to the outside. That is, it is understood that authoritarian leaders don't perceive change correctly but make a wrong communication (populism) or break down communication. Additionally, the executive ability is to perform actually one's idea and to be achieved through incessant communication with members. Compared with other various studies to draw failure factors, these leadership traits have something in common. In the previous researches conducted the study of general failure factors, ${\Delta}adherence$ to preexisting business and resistance to change ${\Delta}unfeasible$ expansion strategy ${\Delta}blind$ faith in successful technology and innovation and ${\Delta}insufficiency$ to grasp competitor(consumer) are pointed out as the failure factors. It is deemed that these are happened because organizational management is headed for the inside without any communication (exchange) to the external environments. Matters unfolded through this paper until now are an attempt to apply the failure knowledge to a leadership part which is an individual field in business administration. It is considered that this study will be complemented through additional case study or quantitative analysis in the future.

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Antibiotic Biosynthesis in bldA-like Mutant of Strptomyces coelicolor (Streptomyces coelicolor blAA-like Mutant에서의 항생물질 생합성)

  • Park, Unn-Mee
    • Korean Journal of Microbiology
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    • v.32 no.1
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    • pp.70-77
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    • 1994
  • The author isolated 7 mutant candidates which mapped around cysA (which was 10 o'clock). They were divided into two groups. One of them was located counterclockwise to cysA, and the other was clockwise to cysA. Since bldA was mapped counterclockwise to cysA, the candidate which mapped counterclockwise to cysA was transduced with phage containing wild type bldA gene clone. The candidates might be the alleles of bldA, because they were complemented by bldA clone. However some of such mutants sporulated very well and developed as much pigment as wild type on rich media plate. Their phenotype was not like bld mutant at all on such conditions. There were real antibiotics gene expressions, since transcriptional reporter gene xylE had shown high activities. Majority of the bldA like mutants showed act gene expressions when they were transformed with high copy number plasmid containing actII-ORF4.

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Usefulness of wraparound movement of cursor on different list types (리스트 종류에 따른 커서의 순환 움직임의 유용성 차이)

  • Kim, Huhn
    • Journal of the HCI Society of Korea
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    • v.11 no.1
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    • pp.21-28
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    • 2016
  • This study investigated the usefulness of the wraparound function that are usually employed in information displays of list types within diverse digital devices. The wraparound function indicates the cursor movement jumping to the last/first item when users move up/down the cursor at the first/last item in a list. This study performed two experiments on different kinds and lengths of lists with or without the wraparound function. The experimental results showed that the usefulness of the wraparound depended on the kinds and lengths of the list. In a long list, the wraparound helped to reduce the number of cursor movements, but made the moving speed of the cursor slow. The reason why the moving speed became slow might be because the participants needed the time to decide cognitively on whether they did the wraparound or not. In a more longer list, the increased time required for the decision making could be complemented by the decreased time owing to the reduced number of cursor movements with the effectiveness of the wraparound, thereby reducing total task completion time. Moreover, the participants admitted that the wraparound became more strongly necessary in the case of more long lists.

Type Analysis of Pharmacopuncture Papers Published in the Journal of Korean Acupuncture and Moxibustion (대한침구학회지에 게재된 약침관련논문의 유형 분석)

  • Baik, Seong-Il;Ahn, Joong-Cheol;Kim, Young-Jin;Kim, Hyung-Suk;Kwon, Ki-Rok
    • Journal of Acupuncture Research
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    • v.23 no.6
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    • pp.19-27
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    • 2006
  • Objectives : Type analysis is done on pharmacopuncture related papers published in the Journal of Korean Acupuncture and Moxibustion from the inaugural issue to August 2006 issue. Methods : Journal search engine KSI ISS and KSI KISS were mainly used and additional sources were complemented by the index issue and English journals. Results : 1. The number of journals associated with pharmacopuncture is 438 papers. 2. For type analysis of the type of studies, experiment papers outnumbered other types with 355 cases, followed by 70 for clinical trials, and 14 for literary studies. 3. For type analysis of the pharmacopuncture extracts, bee venom related papers were most numerous with 101 cases. And nextis 52 experiment papers and 41 clinical trials. 4. Type analysis on the type of illnesses listed in experiment papers, 81 for anti-cancer ${\cdot}$ immune disorders ${\cdot}$ anti-oxidation, 61 papers concentrated on arthritis, etc. Conclusion : Since 1984 to August 2006 issue ranging 22 years, type analysis revealed that the number of journals pertaining to pharmacopuncture has risen steadily over the years and nearly half of papers published recently are dealing with pharmacopuncture. Pharmacopuncture is a treatment method based on the unique theory of Korean traditional medicine. And effort and academical approach on pharmacopuncture are expected to receive positive evaluation.

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An Evaluation of the Repetitive Tooth Bleaching with Nonthermal Atmospheric Pressure Plasma

  • Nam, Seoul Hee;Kim, Gyoo Cheon;Hong, Jin Woo
    • International Journal of Oral Biology
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    • v.41 no.4
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    • pp.243-251
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    • 2016
  • This study was undertaken to achieve a high bleaching efficacy with plasma, through longer application and reparative bleaching processes, by different shade evaluation methods. Extracted human teeth were divided into 6 groups (n=10). All teeth were treated in pairs. Low concentration of 15% carbamide peroxide (CP) was applied, with and without plasma, for 10, 20, and 30-min tooth bleaching, respectively. The bleaching procedure was repeated once daily for four days. The teeth were maintained in a moist environment provided by artificial saliva. The Vitapan Classical shade guide and Commission Internationale de L'Eclairage (CIELAB) color system were collectively used to measure the bleaching efficacy. Color evaluation was statistically analyzed using Student t-test and one-way analysis of variance (ANOVA) complemented by Tukey's test. Combining the plasma with 15% CP showed significantly greater color changes compared to bleaching without plasma (p<0.05). A high bleaching efficacy with plasma is proportional to the repetitive application and the treatment time. A 30-min application with plasma provided the best bleaching. Repetitive bleaching showed lower probability of color relapse of the bleached tooth. The color change by shade guide correlated with the changes in CIELAB color system. A value of 1 color change units (CCU) conversion factor for overall color change (${\Delta}E$) values comparisons was 3.724 values. The two measuring methods provide a more accurate correspondence of color change. The repetitive and longer application for tooth bleaching, combined with plasma, has a strong bleaching effect and produces whiter teeth.