• Title/Summary/Keyword: Operation skill

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Locomotive Mechanism Based on Pneumatic Actuators for the Semi-Autonomous Endoscopic System (자율주행 내시경을 위한 공압 구동방식의 이동메카니즘)

  • Kim, Byungkyu;Kim, Kyoung-Dae;Lee, Jinhee;Park, Jong-Oh;Kim, Soo-Hyun;Hong, Yeh-Sun
    • Journal of Institute of Control, Robotics and Systems
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    • v.8 no.4
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    • pp.345-350
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    • 2002
  • In recent years, as changing the habit of eating, the pathology in the colon grows up annually. The colonoscopy is generalized, but if requires much time to acquire a dexterous skill to perform an operation and the procedure is painful to the patient. biomedical and robotic researchers are developing a locomotive colonoscope that can travel safe1y in colon. In this paper, we propose a new actuator and concept of semi-autonomous colonoscope. The micro robot comprises camera and LED for diagnosis, steer- ing system to pass through the loop, pneumatic actuator and bow-shaped flexible supporters to control a contact force and to pass over haustral folds in colon. For locomotion of semi-autonomous colonoscope, we suggest an actuator that is based on impact force between a cylinder and a piston. In order to validate the concept and the performance of the actuator, we carried out the simulation of moving characteristics and the preliminary experiments in rigid pipes and on the colon of pig.

Economic evaluation for the re-arrangement of accommodation house in ultra large container ship (초대형 컨테이너선의 거주구역 재배치에 대한 경제성 평가)

  • Im Nam-kyun;Choi Kyong-Soon
    • Journal of Navigation and Port Research
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    • v.29 no.6 s.102
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    • pp.529-536
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    • 2005
  • Recently the building of ultra large container ship are discussed among ship building companies and ship operating company who have a tendency to pursue the advantage of large scale of economy. These tendency will be continued for the time being, if ship-building skill and economical efficiency are available. As the enlargement of container ship size becomes hot issues in ship-building markets, the needs for re-arrangement of accommodation house in large container ship are proposed carefully in some researches. This study examined economical efficiency of re-arrangement of accommodation house in ultra large container ship. The separation between accommodation and engine room is proposed through out drawing works in initial design stage and we examined the merits and demerits of the separation in the view of economical efficiency. The RFR(Required Freight Rate) is considered as the objective function to evaluate the re-designed vessel. The economical benefits are analyzed in the view of ship operator and shipyard respectively.

A study on the job description of paramedics (1급 응급구조사의 직무분석에 관한 연구)

  • Son, In-A
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.1
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    • pp.43-53
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    • 2005
  • The purpose of this study was to survey a perception of frequency & importance level of job performance, from 249 paramedics who were working at fire station. The job related activities of 4 duties, 18 tasks and 145 task elements were checked by 4 rating scale. The data were analyzed using a SPSS program for descriptive statistics. The results of the study were as follows ; 1. Some of the most frequent tasks were medical tx, managing people & organization, trauma care, pt assessment, general coping skill 2. Some of the most frequent task elements were preparation of written reports, operation of pt lifting supplies, transportation of patients on stretchers, administration of cervical collar and utilization of scoop stretcher. 3. Some of the highest level of importance in task were resuscitation of circulation, surgical tx, safety & infection control, environmental emergency care, trauma care. 4. Some of the highest level of importance in task elements were administration of cervical collar, adult CPR, infant CPR, child CPR, and AED. 5. The highest level of task elements in perception of frequency & importance were administration of cervical collar, infection control after pt care, utilization of long back board, disinfection of ambulance after ride a long, care of chest pain pt, care of unconscious pt, tx of asthma. 6. A difference between frequent & importance score were due to lack of supplies(41%), structural problems(30%) and medical control system(16%), lack of skills(10%), Suggestion; 1. This paper would be more reliable and confirm through wilder range of survey. 2. It would be necessary of more depth survey through dacom study from paramedic. 3. Development of field oriented protocol & curriculum that based on task elements which have high score of both frequency & importance level is required.

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Comparison on the Driver Characteristics and Subjective Workload according to the Road Direction Change using Driving Simulator (도로주행방향 변화에 따른 운전 특성 및 주관적 부하의 운전 시뮬레이터 기반 비교 평가)

  • Jeon, Yong-Wook;Daimon, Tatsuru;Kawashima, Hironao;Kwon, Kyu-Sik
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.32 no.1
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    • pp.26-33
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    • 2009
  • The directions of the road are divided into two, the right-hand side and left-hand side of the road, by the convention and specific native method in the world. This paper deals with the characteristics and behaviors of drivers who are accustomed to driving on right-hand side of the road, drive with a handle on the left-hand side, and comparing with left-hand side drivers. The driver's eye movements were measured by eye camera and questionnaires were used for measuring subjective evaluation such as driving mental workload. The experimental results indicated even if the experts who had much experience on right-hand side driving, they had lower driving skill than novice driver, accustomed to driving on left-hand side. In terms of mental workload, MCH rating scale and MNASA-TLX, the right-hand side drivers were in lower stress condition than the left-hand side drivers because of having much driving experience. However, they conducted a few mistakes by confusing the position of turn signal and windshield wiper because of their driving habit or traits and it lead to operation mistakes. These results can be applied effectively to develop the driving support information with changed environments.

A Methodology for The Improvement of Rural Hospital's Utilization (농어촌 지역병원 의료이용률 제고방안)

  • Ahn, In-Whan;Moon, Young-Jeon
    • Korea Journal of Hospital Management
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    • v.12 no.4
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    • pp.119-142
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    • 2007
  • Although Korea joined OECD in 1996, there has still seen much unbalance in medical care and welfare standard between urban and rural area. The unbalance of medical demand between urban and rural area deepened low utilization of rural hospitals. So it caused many hospital's failure and conversion in rural area. Many rural hospitals are in difficulty managing business because of low medical demand along with the shortage of medical manpower, medical equipment and facilities. The objectives of this study were to reveal the cause of low utilization of hospitals in rural area, and to increase utilization of those hospitals. In this study the improvement methods of rural hospital's utilization were presented by examining were placed in difficult management condition, in respect of hospital's management conditions, manpower input, patient medical treatment record, financial record, and actual output. The causes of rural hospital's low utilization were as follows; 1) changes in number and structure of population 2) rural people's preference for large hospitals and hospitals which located in urban area 3) rural hospitals lacking in hospital management skill. Consequently rural hospital's operation condition got more and more deteriorated. To raise rural hospital's utilization, method for social policy, method for health policy, and intrinsic method of hospitals were presented in turn. For rural residents to utilize medical service conveniently, it is necessary for rural hospitals operated normally. So government must insist that rural hospitals solve the problems which come out from their internal management problems. And also these rural hospitals should be supported and nurtured by the government until their management is operated normally.

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A Study on the Analysis of Human-errors in Major Chemical Accidents in Korea (국내 화학사고의 휴먼에러 기반 분석에 관한 연구)

  • Park, Jungchul;Baek, Jong-Bae;Lee, Jun-won;Lee, Jin-woo;Yang, Seung-hyuk
    • Journal of the Korean Society of Safety
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    • v.33 no.1
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    • pp.66-72
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    • 2018
  • This study analyses the types, related operations, facilities, and causes of chemical accidents in Korea based on the RISCAD classification taxonomy. In addition, human error analysis was carried out employing different human error classification criteria. Explosion and fire were major accident types, and nearly half of the accidents occurred during maintenance operation. In terms of related facility, storage devices and separators were the two most frequently involved ones. Results of the human error-based analysis showed that latent human errors in management level are involved in many accidents as well as active errors in the field level. Action errors related to unsafe behavior leads to accidents more often compared with the checking behavior. In particular, actions missed and inappropriate actions were major problems among the unsafe behaviors, which implicates that the compliance with the work procedure should be emphasized through education/training for the workers and the establishment of safety culture. According to the analysis of the causes of the human error, the frequency of skill-based mistakes leading to accidents were significantly lower than that of rule-based and knowledge based mistakes. However, there was limitation in the analysis of the root causes due to limited information in the accident investigation report. To solve this, it is suggested to adopt advanced accident investigation system including the establishment of independent organization and improvement in regulation.

The Effect of Preceptorship on OJT(On the Job Training) of New Nurses (신규간호사 배치후 교육시 프리셉터쉽 적용 사례연구)

  • Kim, Chang Hee;Kim, Hae Suk;Cho, Hae Sung;Lee, Soon Ohk;Ham, Hyeong Mi;Park, Mi Mi
    • Korean Journal of Adult Nursing
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    • v.12 no.4
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    • pp.546-559
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    • 2000
  • The purpose of this study was to examine the effect of preceptorship on On the Job Training of new nurses. The research design was a retrospective survey and one group pre-post test design. The subjects were 49 entry nurses and 49 preceptors. The data were collected from Feburary 1, 1998 to December 1, 1998. One questionnair applied in this study consisted of general characteristics, the responses of new entry nurses and their preceptors and their qualities. The other questionnair consisted of job satisfaction of new entry nurses and preceptors and their competencies. The data were analyzed for frequencies, mean score, standard deviation, t-test, and ANOVA. The results of the study were as follows: 1) Preceptees's responses were that the nurses' affiliation of unit, cooperation of other nurses, and competencies of nursing skills improved after OJT applied preceptorship. 2) Preceptors's answers were that preceptorship had a positive effect on their continuing education. 3) While preceptees's job satisfaction scores were high in interaction, administration, and organization, they were low in autonomy and pay. 4) Pre-competency scores were the same as post-competency scores. 5) After preceptorship, preceptors responded that their nursing skill & communication competency increased, but their nursing administration competency decreased. 6) Finally, preceptorship's other effects were as follows: (1) Checklists for preceptee education at the nursing unit were developed separately. (2) It was proved that 'preceptor interview note' was effective on manage preceptorship. (3) We obtained duty overlap periods; medicalsurgical units-1 month, 5 ICU-2 months, operation room-3 months. (4) We prepared a preceptor program based on the study results.

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Kinetic Analysis of Proficiency in the Use of the Breathing of Korea Dance Movement (한국무용 동작 시 호흡사용의 숙련도에 따른 운동역학적 분석)

  • Na, An-Suk
    • The Journal of the Korea Contents Association
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    • v.14 no.9
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    • pp.131-140
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    • 2014
  • The purpose of this study was to kinetic analysis of using the skill of breathing korean dance movement will be to perform. To achieve the research objectives cheoyongmu Nakhwayousu the operation was performed. The selection of subjects like the following: Five people were skilled use of breathing and five unskilled person. The results are as follows. The skilled and the unskilled were no significant differences in the duration time. And the skilled and the unskilled z-axis position of the center of mass, there was a significant difference (p<.05). The skilled and the unskilled y-axis velocity of the center of mass, there was a significant difference of event 1 and event 4 (p<.05). And z-axis velocity of the center of mass, there was a significant difference of event 3 (p<.05). And the skilled and the unskilled Fx of GRF, there was a significant difference of event 2 and event 4 (p<.05). And Fy of GRF, there was a significant difference of event 1 and event 5 (p<.05). And Fz of GRF, there was a significant difference of event 4 (p<.05).

The Influence of Nurses' Communication Competency, Critical Thinking Disposition, and Perception of Patient Safety Culture on Patient Safety Competency in Armed Forces Hospitals (군 병원 간호사의 의사소통능력, 비판적 사고성향, 환자안전문화 인식이 환자안전역량에 미치는 영향)

  • Yoon, Sookhee;Lee, Taewha;Maeng, Soonju;Kwon, Jae-eun
    • Korean Journal of Occupational Health Nursing
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    • v.29 no.2
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    • pp.123-132
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    • 2020
  • Purpose: This study examined the influence of nurses' communication competency, critical thinking disposition, and perception of patient safety culture on patient safety competency in armed forces hospitals. Methods: A crosssectional design was employed with a convenience sample of 204 nurse officers from four armed forces hospitals in South Korea. Data were collected through a self-administered questionnaire from August 10~23, 2019, and analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression. All analyses were conducted using SPSS for Windows 21.0. Results: Patient safety competency scores were 4.35±0.40 for patient safety attitudes, 3.63±0.64 for patient safety knowledge, and 3.94±0.51 for patient safety skill. Communication competency, critical thinking disposition, and perception of patient safety culture were positively correlated with patient safety competency. Communication competency (β=.30, p=.002) and perception of patient safety culture (β=.24, p=.001) were identified as particularly important factors influencing patient safety competency. Conclusion: This study's results suggest that education programs to enhance communication competency and patient safety culture could increase patient safety competency among nurses in armed forces hospitals.

A fundamental study about maritime training for marine engineer using PBL(Problem Based Learning) (선박기관사 해기실습교육에 PBL(문제중심학습) 활용을 위한 기초연구)

  • Lee, Sang-Il;Jeong, Woo-Lee
    • Journal of Advanced Marine Engineering and Technology
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    • v.38 no.4
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    • pp.476-485
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    • 2014
  • PBL is a student-centered pedagogy in which students learn about a subject through the experience of problem solving. Marine engineer is the expert which supports the safe navigation and solves the problems could happen in independent situation as a ship. This study executed the fundamental study on the maritime training education for marine engineers using PBL. In this study, we conducted the survey on 56 students for 6 months using PBL in H university. The result showed the improvement on ability to solve the problems, interpersonal relationship, communication skill, synthetic thinking faculty and practical use of data but some students answered the complaint of the insufficient information and unacquainted learning method of PBL. This suggested the development and improvement plans for the maritime training education using PBL based on this fundamental study.