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Development and Evaluation of a Nursing Handoff Protocol for Intensive Care Units (중환자실 간호 인수인계 프로토콜의 개발 및 평가)

  • Cho, Young Shin;Kwon, Sun Ju;Yun, Mi Young;Lee, Mi Hwa;An, So Hee;Kong, Yu Jeong
    • Journal of Korean Critical Care Nursing
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    • v.9 no.2
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    • pp.1-12
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    • 2016
  • Purpose: This study aimed to develop a nursing handoff protocol for intensive care units and test its relevance. Methods: This is a methodological research to develop a protocol. A preliminary protocol was developed by composing items and testing content validity through literature review and experts' review. We revised and complemented the preliminary protocol following practical relevance assessment of 38 intensive care unit nurses at a university hospital to test content validity and to assess practical relevance of the final protocol. Results: On the basis of the content validity test for the final protocol, 40 items were adopted. The scores for the practical relevance of the final protocol increased significantly for items such as accuracy of handoff, reduction of handoff-related errors, convenience in using the protocol, reduction in handoff time, and simplification of handoff. Conclusions: The nursing handoff protocol for intensive care units in this study is expected to improve nursing performance with a standardized handoff in intensive care units, promote patient safety, and improve communication among the medical staff.

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Genetic Diversity of Fusarium proliferatum Populations from Maize, Onion, Rice and Sugarcane in Iran Based on Vegetative Compatibility Grouping

  • Alizadeh, Alireza;Javan-Nikkhah, Mohammad;Fotouhifar, Khalil-Berdi;Motlagh, Elahe Rabiee;Rahjoo, Vahid
    • The Plant Pathology Journal
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    • v.26 no.3
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    • pp.216-222
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    • 2010
  • Fusarium proliferatum is the causal agent of stalk and root rot disease of maize, foot rot disease of rice, basal and root rot disease of onion and knife cut disease of sugarcane in Iran. In recent years, incidence and severity of these diseases have been increased in Iran. Fifty seven F. proliferatum single-spore isolates collected from diseased maize, rice, onion and sugarcane plants at different areas were used to study genetic diversity by determination of vegetative compatibility groups (VCGs). Chlorate-resistant nitrate non-utilizing (nit) mutants were recovered from selected isolates of F. proliferatum and used in complementation tests. All isolates in which both nit1 and NitM (or nit3) mutants were recovered, demonstrated self-compatibility. Vegetative compatibility tests by pairing nit mutants identified 30 VCGs among 57 isolates. Twenty-three isolates belonged to singlemember VCGs and the remaining 34 isolates, belonged to other seven multimember VCGs. Segregation of F. proliferatum isolates obtained from various area and host plants into different VCGs in Iran is reported for the first time. In this study, none of isolates obtained from rice complemented with any other isolates from onion and sugarcane and, non complementation occurred between onion and sugarcane isolates. Also, only one complementation occurred between one isolate of maize and one isolate of sugarcane and rice. Thus, a correlation between VCGs grouping and host preferences was founded. It is concluded that natural populations of F. proliferatum in Iran are probably genetically divergent and include isolates representing a potential risk for disease development.

Word Verification using Similar Word Information and State-Weights of HMM using Genetic Algorithmin (유사단어 정보와 유전자 알고리듬을 이용한 HMM의 상태하중값을 사용한 단어의 검증)

  • Kim, Gwang-Tae;Baek, Chang-Heum;Hong, Jae-Geun
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.38 no.1
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    • pp.97-103
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    • 2001
  • Hidden Markov Model (HMM) is the most widely used method in speech recognition. In general, HMM parameters are trained to have maximum likelihood (ML) for training data. Although the ML method has good performance, it dose not take account into discrimination to other words. To complement this problem, a word verification method by re-recognition of the recognized word and its similar word using the discriminative function of the two words. To find the similar word, the probability of other words to the HMM is calculated and the word showing the highest probability is selected as the similar word of the mode. To achieve discrimination to each word the weight to each state is appended to the HMM parameter. The weight is calculated by genetic algorithm. The verificator complemented discrimination of each word and reduced the error occurred by similar word. As a result of verification the total error is reduced by about 22%

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Estimation of the Gastric Cancer Incidence in Tehran by Two-Source Capture-recapture

  • Aghaei, Abbas;Ahmadi-Jouibari, Toraj;Baiki, Omid;Mosavi-Jarrahi, Alireza
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.673-677
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    • 2013
  • Introduction: Capture-recapture methods have been suggested for reducing costs of disease registration as well as reducing bias in incidence estimations. This study aimed to estimate the gastric cancer incidence in the Tehran metropolis population during 2002-2006. Materials and Methods: We investigated new cases of gastric cancer reported by three sources; death certificates, pathology reports, and medical records to Tehran population-based cancer registry during 2002-2006. $G^2$ statistics and the two-source capture-recapture method were used to select the best-fitted log-linear model and to estimate incidence, respectively. EXCEL software version 2007 and SPSS software version 16 were used for this research. Results: The number of reported cases was 4,463, with an average age of 68.5 (${\pm}12.9$) years. We found the model that combined two sources of data including pathology reports and medical records and furthermore complemented by death certificates as the best model. The reported and the estimated incidences were 11.0 and 27.1 per 100,000 respectively. Conclusions: The incidence estimated by two-source capture-recapture method is about three times higher than the incidence reported by the sources under investigation. It is recommended to move towards the implementation of population-based cancer registration using various sources of data collection to achieve more accurate data.

Evaluation of u-Healthcare Demonstration Project in Sungnam (성남 u-헬스 시범사업의 평가)

  • Lee, Won-Jae;Kim, Hye-Jung
    • Journal of Information Technology Services
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    • v.7 no.2
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    • pp.113-125
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    • 2008
  • To test if the developed ubiquitous health care devices working well and vital information could be collected and monitored systematically through internet and to test if the devices and services could be used further. Kyungwon University, KT Co., Gil Medical Center, LIG Nex1 Co., and Sujeong Health Center conducted an ubiquitous health care demonstration project in Sujeong-Gu, Sungnam, Korea from Mar. 5 to May 16. We developed and applied several medical devices to monitor health of the elderly in their houses through internet. The devices were sphygmomanometer, glucometer, body fat scale, Health Pad, and activity sensor. We distributed the devices to 20 recipients of home care and 7 diabetes patients. After received the devices and were explained how to use them, they used the devices in their houses. The vital signs of the residents were monitored through internet. A nurse monitored and consulted their vital signs in the monitoring center in Kyungwon University during the demonstration period. The consultant called them and consulted on their blood pressure, blood sugar level, and body fat after a few seconds they used the devices as well as provision of recommended contents such as diets and activities through Health Pad. To investigate cognition and satisfaction of the participants for the devices, we surveyed the participants at the end of the demonstration period. For the change in blood pressure, blood sugar level, and activities, we conducted statistical test. After the demonstration period. cognition and satisfaction for the devices and change in blood pressure, blood sugar level, and activities were evaluated. Most of the participants were acknowledged how to use the device and satisfied with the use of the devices. The internet monitoring and services are considered to be promising because most of the participants were satisfied especially because somebody was monitoring their health status. However some weaknesses such as short battery life of the activity sensor, lack of connection of consultations with hospitals, and low understanding on usage of some of the devices need to be complemented.

The Method of Hierarchical Emotion Evaluation using Intuitive Categorization (직감적 범주화를 이용한 계층적 감성평가방법)

  • Kim, Don-Han
    • Science of Emotion and Sensibility
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    • v.12 no.1
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    • pp.45-54
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    • 2009
  • Categorization in a vital means for dealing with the multitudes of entities in the world surrounding people. Among others, the perceptual and the evaluative similarities factors strongly affect categorization. The conventional SD-type procedure are insufficient in this regard, since it requires an individual subject to make isolated judgments about each stimulus to identify categorization in terms of a group tendency. It disregards the individual categorization in which the similarities are of great importance. Thus in this study the phased emotional evaluation method is suggested based on the intuitive categorization of stimuli and on the similarity judgement of representative/ non-representative case in each category. To verify the effectiveness of the suggested evaluation method the scanned jewelry images are selected as test stimuli for emotional evaluation experiment. As a result of the evaluation experiment, the conventional SD-type procedure is complemented by the emotional evaluation method in phases of the task of intuitive categorization, the selection of the representative images and the setup of the evaluation score of the representative images to internally supplied anchors of evaluating non-representative images.

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Multicenter Evaluation of Seegene Anyplex TB PCR for the Detection of Mycobacterium tuberculosis in Respiratory Specimens

  • Lim, Jinsook;Kim, Jimyung;Kim, Jong Wan;Ihm, Chunhwa;Sohn, Yong-Hak;Cho, Hyun-Jung;Kim, Jayoung;Koo, Sun Hoe
    • Journal of Microbiology and Biotechnology
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    • v.24 no.7
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    • pp.1004-1007
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    • 2014
  • Culture is the gold standard for diagnosis of tuberculosis, but it takes 6 to 8 weeks to confirm the result. This issue is complemented by the detection method using polymerase chain reaction, which is now widely used in a routine microbiology laboratory. In this study, we evaluated the performance of the Seegene Anyplex TB PCR to assess its diagnostic sensitivity and specificity, and compared its results with the Roche Cobas TaqMan MTB PCR, one of the most widely used assays in the world. Five university hospitals located in the Chungcheong area in South Korea participated in the study. A total of 1,167 respiratory specimens ordered for acid-fast bacilli staining and culture were collected for four months, analyzed via the Seegene Anyplex TB PCR, and its results were compared with the Roche Cobas TaqMan MTB PCR. For detection of Mycobacterium tuberculosis, the diagnostic sensitivity and specificity of the Anyplex TB PCR were 87.5% and 98.2% respectively, whereas those of the Cobas TaqMan were 92.0% and 98.0% respectively (p value > 0.05). For smear-positive specimens, the sensitivity of the Anyplex TB PCR was 95.2%, which was exactly the same as that of the Cobas TaqMan. For smear-negative specimens, the sensitivity of the Anyplex TB PCR was 69.2%, whereas that of the Cobas TaqMan TB PCR was 84.6%. For detection of MTB, the Seegene Anyplex TB PCR showed excellent diagnostic performance, and high sensitivity and specificity, which were comparable to the Roche Cobas TaqMan MTB PCR. In conclusion, the Anyplex TB PCR can be a useful diagnostic tool for the early detection of tuberculosis in clinical laboratories.

Study on PCM Applied Thermal Storage Wall System to Reduce Cooling Energy (냉방에너지 저감을 위한 PCM적용 축열벽 시스템 연구)

  • Lee, Kyuyoung;Ryu, Ri;Seo, Janghoo;Kim, Yongseong
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.26 no.6
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    • pp.247-256
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    • 2014
  • The regulations to reduce energy consumption and carbon dioxide emission in building sectors are being developed and promoted all over the world. However, in Korea, as balcony extension of the apartments has been legally allowed, it became prevalent and resulted in excessive energy consumption. This study derived the possibility of PCM application to the thermal storage wall system through theoretical consideration and investigated the problems occurring when the balcony space has been extended to the diverted space. In addition, this study aims at the possibility of verifying the installation and confirming the cooling energy reduction effect, by conducting measuring tests with the actual installation of PCM applied thermal storage wall system. As a result of theoretical consideration, it is determined that the disadvantages with the existing thermal storage wall system can be complemented by applying PCM, and this study suggests the PCM applied Thermal Storage Wall System. The study was conducted on 1/6 of a miniature inner room of a domestic apartment with 84 $m^2$ of exclusive area. From the results of actual measurements, it is confirmed that the balcony extension structure can gain 11.3% of more calories than the existing balcony structure, resulting in the increase in cooling energy usage. It is determined that the installation of the PCM applied Thermal Storage Wall System may gain 25.2% of less calories to reduce cooling energy usage.

Evaluation of the bond strength between aged composite cores and luting agent

  • Polat, Serdar;Cebe, Fatma;Tuncdemir, Aliriza;Ozturk, Caner;Usumez, Aslihan
    • The Journal of Advanced Prosthodontics
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    • v.7 no.2
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    • pp.108-114
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    • 2015
  • PURPOSE. The aim of this study was to evaluate effect of different surface treatment methods on the bond strength between aged composite-resin core and luting agent. MATERIALS AND METHODS. Seventy-five resin composites and also seventy-five zirconia ceramic discs were prepared. 60 composite samples were exposed to thermal aging (10,000 cycles, 5 to $55^{\circ}C$) and different surface treatment. All specimens were separated into 5 groups (n=15): 1) Intact specimens 2) Thermal aging-air polishing 3) Thermal aging- Er:YAG laser irradiation 4) Thermal aging- acid etching 5) Thermal-aging. All specimens were bonded to the zirconia discs with resin cement and fixed to universal testing machine and bond strength testing loaded to failure with a crosshead speed of 0.5 mm/min. The fractured surface was classified as adhesive failure, cohesive failure and adhesive-cohesive failure. The bond strength data was statistically compared by the Kruskal-Wallis method complemented by the Bonferroni correction Mann-Whitney U test. The probability level for statistical significance was set at ${\alpha}$=.05. RESULTS. Thermal aging and different surface treatment methods have significant effect on the bond strength between composite-resin cores and luting-agent (P<.05). The mean baseline bond strength values ranged between $7.07{\pm}2.11$ and $26.05{\pm}6.53$ N. The highest bond strength of $26.05{\pm}6.53$ N was obtained with Group 3. Group 5 showed the lowest value of bond strength. CONCLUSION. Appropriate surface treatment method should be applied to aged composite resin cores or aged-composites restorations should be replaced for the optimal bond strength and the clinical success.

Construction and Characterization of Vector Expressing Low Level of Translation Factor eIF5B (단백질합성인자 eIF5B의 저 발현 효모벡터의 제조 및 특성)

  • 최상기;송진희;이준행;이병욱;성치남
    • Korean Journal of Microbiology
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    • v.40 no.1
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    • pp.7-11
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    • 2004
  • eIF5B is a translation initiation factor that delivers Met-$tRNA^{Met}$ to AUG start codon and subsequently joins the small and large ribosomes. In order to study the function of eIF5B encoded by FUN12, we constructed FUN12 which lacked 5' end of its sequence. We found that this construct lacking almost all of its promoter in pRS plasmid partially complemented slow growth phenotype of fun12 deletion strain. Interestingly, this construct expressed N-terminally truncated eIF5B and its expression level was about 5% of that of wild type eIF5B. Low amount of the eIF5B expressed additionally in fun12 deletion strain played a direct role as a limiting factor for its growth. This limiting factor eIF5B in those strains also modulates activities of overall translation in vitro.