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An Action Research Study on Measures to Mobilize Inactive Nurses (유휴간호인력 활용방안에 관한 연구)

  • 김수지
    • Journal of Korean Academy of Nursing
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    • v.27 no.4
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    • pp.880-891
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    • 1997
  • The purpose of this study was (1)to undertake a survey to identify the profile of inactive nurses, who account for 42.2% of the 130,000 RN(Registered Nurses) in Korea, (2)to identify factors related to the inactivation of these nurses, (3)to identify reasons behind the high turnover rate of nurses, and (4)to delineate measures for inactive nurses to participate in professional nursing activities so as to upgrade the quality of the health care delivery system in Korea. For these purposes, this study surveyed existing literature on the turnover of nurses and, used the nominal group technique of action research, to collect ideas from hospital/nurse administrators, inactive nurses, nurses on the job, graduate students in nursing, part-time nurses, patients, and their families to formulate strategies to mobilize inactive nurses. The findings are as follows : Frist, institutional supports should be provided to mobilize inactive nurses. To be more specific : (1) A data-base needs be created at the Korean Nurses Association to link inactive nurses with jobs available. (2) Retraining programs need be established to equip inactive nurses for new jobs. (3) Comprehensive information related to employment needs should be made available. Second, a conducive environment needs to be created to draw in inactive nurses to the job market. To be more specific : (1) A system of part-time work needs to be introduced in hospitals. (2) Nurse-specialists need to be promoted. (3) Potential jobs need to be created. (4) Working environment and terms and conditions for nurses need to be improved. (5) Competent nurses need to be secured in the health care delivery system. To achieve the goals presented above, this paper presented 55 specific strategies that may help mitigate the turnover rate of nurses and, in turn, help make the Korean Nurses Association effective in implementing its policies.

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Epidemiological Investigation of an Outbreak of Hepatitis A at a Residential Facility for the Disabled, 2011

  • Lim, Hyun-Sul;Choi, Kumbal;Lee, Saerom
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.2
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    • pp.62-73
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    • 2013
  • Objectives: An outbreak of hepatitis A occurred at a residential facility for the disabled in July 10, 2011. This investigation was carried out to develop a response plan, and to find the infection source of the disease. Methods: A field epidemiologist investigated the symptoms, vaccination histories, living environments, and probable infection sources with 51 residents and 31 teachers and staff members. In July 25, 81 subjects were tested for the hepatitis A virus antibody, and specimens of the initial 3 cases and the last case were genetically tested. Results: Three cases occurred July 10 to 14, twelve cases August 3 to 9, and the last case on August 29. Among the teachers and staff, no one was IgM positive (on July 25). The base sequences of the initial 3 and of the last case were identical. The vehicle of the outbreak was believed to be a single person. The initial 3 patients were exposed at the same time and they might have disseminated the infection among the patients who developed symptoms in early August, and the last patient might have, in turn, been infected by the early August cases. Conclusions: The initial source of infection is not clear, but volunteers could freely come into contact with residents, and an infected volunteer might have been the common infection source of the initial patients. Volunteers' washing their hands only after their activity might be the cause of this outbreak. Although there may be other possible causes, it would be reasonable to ask volunteers to wash their hands both before and after their activities.

Pre-cluster HEAD Selection Scheme based on Node Distance in Chain-Based Protocol (체인기반 프로토콜에서 노드의 거리에 따른 예비 헤드노드 선출 방법)

  • Kim, Hyun-Duk;Choi, Won-Ik
    • Journal of Korea Multimedia Society
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    • v.12 no.9
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    • pp.1273-1287
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    • 2009
  • PEGASIS, a chain-based protocol, forms chains from sensor nodes so that each node transmits and receives from a neighbor. In this way, only one node (known as a HEAD) is selected from that chain to transmit to the sink. Although PEGASIS is able to balance the workload among all of the nodes by selecting the HEAD node in turn, a considerable amount of energy may be wasted when nodes which are far away from sink node act as the HEAD. In this study, DERP (Distance-based Energy-efficient Routing Protocol) is proposed to address this problem. DERP is a chain-based protocol that improves the greedy-algorithm in PEGASIS by taking into account the distance from the HEAD to the sink node. The main idea of DERP is to adopt a pre-HEAD (P-HD) to distribute the energy load evenly among sensor nodes. In addition, to scale DERP to a large network, it can be extended to a multi-hop clustering protocol by selecting a "relay node" according to the distance between the P-HD and SINK. Analysis and simulation studies of DERP show that it consumes up to 80% less energy, and has less of a transmission delay compared to PEGASIS.

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ROM(Reducing Opposed Multilobed) Flap Repair for the Treatment of Medium Sized Skin Lesion (ROM(Reducing Opposed Multilobed) 피판을 이용한 중간 크기 피부병변의 치험례)

  • Cho, Jong Je;Hong, Yoon Gi;Seo, Sang Won;Chang, Choong Hyun
    • Archives of Plastic Surgery
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    • v.33 no.6
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    • pp.748-752
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    • 2006
  • Purpose:Circular skin lesions between 10 and 35 mm in diameter generate problems often. Direct closure of the lesion risks excessive wound tension or wound dehiscence. Skin grafts heal slowly and often remain unsightly. Traditional skin flaps have a limited role. We treated this circular medium-sized skin lesion(10 - 35 mm sized) by reducing opposed multilobed(ROM) flap. Methods: ROM flap involves a series of semicircular lobes extending both cephalic and caudal from the defect. Direction of the semicircular multilobed flap is set parallel to relaxed skin tension line(RSTL) to minimize scar formation. First semicircle is drawn 60% in diameter of the defect. Second semicircles are drawn at the cephalic and caudal aspects of the original semicircles. These semicircles are 60% in diameter of the first semicircle. Additional semicircles are repeatedly drawn until the tension of skin flaps becomes free. ROM flap has a length-to-base ratio of 0.5 resulting in lower theoretical risk of end flap necrosis than a random pattern flap with a large ratio. The technique involves lobes most distant from the primary defect being transposed in turn closer to the defect. Results: The ROM flap reduces skin tension concerns, lowers the risk of flap necrosis and allows for quicker and more aesthetic healing. Results were generally good and major complications, such as dehiscence, infection, or delayed healing, did not occur. Conclusion: ROM flap repair allows the plastic surgeon an additional option when faced with a circular medium-sized skin lesion.

Construction of Improved Tetracycline-Inducible Expression System for the Effective Regulation of Transgene Expression (외래 유전자의 효율적인 발현 조절을 위한 개선된 Tetracycline-Inducible Expression System의 구축)

  • Koo, Bon-Chul;Kwon, Mo-Sun;Kim, Teo-An
    • Reproductive and Developmental Biology
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    • v.33 no.1
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    • pp.63-69
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    • 2009
  • In this study we tried to construct a more efficient tetracycline-inducible gene expression system by replacing previous key elements with more advance ones. At the beginning, we substituted PGK (phophoglycerate kinase) promoter for CMV (cytomegalovirus) promoter to control "$rtTA2^sM2$" which has been known for high induction efficiency in response to tetracycline. With this modification, expression of the EGFP marker gene under the induction condition was significantly increased. Next, we replaced "TRE" fragment with a modified version named "TRE-tighf" which has been reported to have higher affinity and specificity to the transactivator by minor base change of the "TRE" DNA fragment sequence. Use of "TRE-tighf" instead of "TRE" resulted in more than 10 fold increment in terms of induction efficiency and significant decrement of background expression in non-inducible condition. By combining PGK promoter and "TRE-tight" fragment, we could upgrade previous tetracycline-inducible system to show more stringent turn on/off gene switch ability and stronger expression of the gene of our interest. Use of this newly developed system must be very helpful to the studies of gene expression, especially to the transgenic animal study in which non-controllable constitutive expression of the transgene has been one of the urgent problems to be solved.

The Status Quo of Humanities-Based Museum Education Program (박물관에서의 인문학 연계 교육을 위한 현황 분석)

  • kang, Inae;Seol, Yeon-Kyung;Lee, Sohyun
    • The Journal of the Korea Contents Association
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    • v.15 no.8
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    • pp.611-624
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    • 2015
  • Humanities-collaborated practices in various fields have been supported by several governmental policies as a way to overcome recent social problems. Museum, due to its roles in preserving and sharing cultural and historical heritage for the development of society and communities, has emerged as a key base for the humanities-collaborated practices. This study, in this context, aimed to analyze how the humanities-based museum education programs have been practiced in the museums, which, in turn, might provide a basic data for the future direction and development of the programs and the related governmental policy as well. For this purpose, this study first examined theoretical framework for the link between humanities and museum education, from which a survey was developed. The survey was conducted to 75 museum educators who have been in charge of humanities-based educational programs. The result showed that most programs seemed to reflect the basic direction and purpose of the humanities-linked with museum education. Yet, more needs were found in terms of the educational themes and methods which can facilitate multicultural literacy and reflective thinking and activities within experiential learning environments.

Seismic behavior of stiffened concrete-filled double-skin tubular columns

  • Shekastehband, B.;Mohammadbagheri, S.;Taromi, A.
    • Steel and Composite Structures
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    • v.27 no.5
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    • pp.577-598
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    • 2018
  • The imperfect steel-concrete interface bonding is an important deficiency of the concrete-filled double skin tubular (CFDST) columns that led to separating concrete and steel surfaces under lateral loads and triggering buckling failure of the columns. To improve this issue, it is proposed in this study to use longitudinal and transverse steel stiffeners in CFDST columns. CFDST columns with different patterns of stiffeners embedded in the interior or exterior surfaces of the inner or outer tubes were analyzed under constant axial force and reversed cyclic loading. In the finite element modeling, the confinement effects of both inner and outer tubes on the compressive strength of concrete as well as the effect of discrete crack for concrete fracture were incorporated which give a realistic prediction of the seismic behavior of CFDST columns. Lateral strength, stiffness, ductility and energy absorption are evaluated based on the hysteresis loops. The results indicated that the stiffeners had determinant role on improving pinching behavior resulting from the outer tube's local buckling and opening/closing of the major tensile crack of concrete. The lateral strength, initial stiffness and energy absorption capacity of longitudinally stiffened columns with fixed-free end condition were increased by as much as 17%, 20% and 70%, respectively. The energy dissipation was accentuated up to 107% for fixed-guided end condition. The use of transverse stiffeners at the base of columns increased energy dissipation up to 35%. Axial load ratio, hollow ratio and concrete strength affecting the initial stiffness and lateral strength, had negligible effect of the energy dissipation of the columns. It was also found that the longitudinal stiffeners and transverse stiffeners have, respectively, negative and positive effects on ductility of CFDST columns. The conclusions, drawn from this study, can in turn, lead to the suggestion of some guidelines for the design of CFDST columns.

Acoustic Characteristics of Wedge-shaped Anechoic Tiles with Different Wedge-apex Angles (꼭지각이 다른 쐐기형 무반향 타일의 음향특성)

  • 김성기;이강일;윤석왕
    • The Journal of the Acoustical Society of Korea
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    • v.20 no.4
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    • pp.5-11
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    • 2001
  • Acoustic characteristics of the wedge-shaped anechoic tiles, used as absorbing lining materials for an anechoic water tank, were investigated for different wedge-apex angles. The anechoic tile base has the dimensions of 400mm x 385mm x 15.5mm. In order to investigate anechoic effect, the wedge-apex angles 30° and 60° were selected by using a ray-tracing method. The reflection loss of the anechoic tiles with and without wedges were experimentally studied at normal incident sound waves in water. In this experiment, the reflection loss of wedge-shaped anechoic tiles with the optimum wedge-apex angle 30° is larger than one with the angle 60° and one without wedges. The experimental results show that the wedge-shaped anechoic tiles with the wedge-apex angle 30°, optimized by using ray-tracing method, turn out better absorbing lining materials of an anechoic water tank.

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Characteristics of Fog and Mist Observed in the Rural Area of Chongju and Chongwon (청주-청원 지역에서 관측한 안개와 박무의 특성 연구)

  • 윤마병;정용승
    • Journal of Korean Society for Atmospheric Environment
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    • v.12 no.1
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    • pp.15-21
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    • 1996
  • Daily measutements of visibility on 09 LST have been made at a rural site in Chong-won, Chong-book since 1991 to find out a possible influence of emissions of anthropogenic pollutants and water vapout in urban and rural environments. Daily visibility data collected over four-year period were compared with the available visibility and air quality data obtainde from other stations. Detailed examinations of our data showed that the frequency of fog occurrence (visibility .leq. 1 km) at a rural site (KNUE) was at least three times higher (77 days per year) than the frequency of fog both in Chong-ju city (19 days) and at the Air Force Base(AFB) in the rural area. We interpret that the higher frequency of fog at KNUE was due to abundant water vapour in the Mieho River (upstream of the Keum River) area. In Chong-ju city, fog usually continued for a relatively long duration, while it dissipated simewhat faster in the rural environment due to higher solar radiation in the countryside area. The number of misty (.leg. 6 km) days (including foggy days) at KNUE were 235 days as compared with 135 days at the AFB and 67 days in Chong-ju city. In turn the number of days with low visibility (less than 6 km) at KNUE was about 64% per year. Since the moisture alone in a calm morning does not produce a visibility impairment, there must had abundant condensation nuclei including anthropogenic air pollutants. Air pollution was examined, for instance, average values of TSP for November and December 1993 were 115 and 116.mu.g/m$^{3}$, respectively. We conclude that the above mentioned environmental conditions with moisture are favourable for the formation of fog and mist in the rural sampling site at KNUE. Additionally, we found at least 10 days of acid fog at KNUE in September 1994 alone. Measured pH values in the acid for water were in the range of 4.36 .sim. 5.01 with the mean value of 4.51 Our observations suggested that strikingly acid fog do occur occasionally even in the rural environment.

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Signal processing method based on energy ratio for detecting leakage of SG using EVFM

  • Xu, Wei;Xu, Ke-Jun;Yan, Xiao-Xue;Yu, Xin-Long;Wu, Jian-Ping;Xiong, Wei
    • Nuclear Engineering and Technology
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    • v.52 no.8
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    • pp.1677-1688
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    • 2020
  • In the sodium-cooled fast reactor, the steam generator is a heat exchange device between sodium and water, which may cause leakage, resulting in a sodium-water reaction accident, which in turn affects the safe operation of the entire nuclear reactor. To this end, the electromagnetic vortex flowmeter is used to detect leakage of the steam generator and its signal processing method is studied in this paper. The hydraulic experiment was carried out by using water instead of liquid sodium, and the sensor output signal of the electromagnetic vortex flowmeter under different gas injection volumes was collected. The bubble noise signal is reflected by the base line of the sensor output signal. According to the relationship between the proportion of the bubble noise signal in the sensor output signal and the gas injection volume, a signal processing method based on the energy ratio calculation is proposed to detect whether the water contains bubbles. The gas injection experiment of liquid sodium was conducted to verify the effectiveness of the signal processing method in the detection of bubbles in sodium, and the minimum detectable leak rate of water in the steam generator was detected to be 0.2 g/s.