• 제목/요약/키워드: P4P framework

검색결과 216건 처리시간 0.029초

${\cdot}$ 골격장애 환자의 간호질 평가 도구 개발 (Development of and Evaluation Tool for the Quality of Patient Care in Musculo-skeletal Disorder)

  • 최순옥;김문실
    • 간호행정학회지
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    • 제1권2호
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    • pp.338-348
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    • 1995
  • We need to continuously evaluate for nursing quality and the outcome to reflect nursing, to repair and improve of nursing. The first problem for nursing quality improvement is development of evaluation tool for the quality of nursing care. We need a system for quality assurance evaluation that is, development and framework of evaluation tool for nursing care quality. The purpose of this study was attempted to develop an evaluation tool for the quality of nursing care in musculoskeletal disorder patients. The approach method of nursing quality for the development of the tool in this study was process evaluation framework. The study were devided dvelopment process and reliability, validity verification process. The subjects of development process of this tool are three nursing export groups, and the subject of reliability, validity verification process are 20 samples of two university hospital in seoul, who were within discharge 3 months after admission treatment in musculo-skeletal disorder. Data for this study was collected from March 10 to April 13, 1995. The development process of the tool were as follows : 1. Make preliminary list of the tool by focal group were constituted 12 clinical nurses. 2. Modify and add preliminary list by 4 nursing expert panel. 3. Calculate content validity of the tool by 25 nursing expert panel of judge. 4. Verify reliability and validity of the tool. 5. Finalize an evaluation tool for the quality of the nursing care in musculo-skeletal disorder. The results of this study were as follows : 1) Development an evaluation tool for the quality of nursing care in musculo-skeletal disorder. (1) The evalution tool of this study was developed 5 standards, 33 criterias and 133 indicators. (2) 5 standards were divided according to Nursing Process. from standard 1 to standard 5, involved criterias were each 6(18%), 3(9%), 3(9%), 15(46%), 6(18%). 2) Verify reliability and validity of the tool. (1) Score of adequate degree for content validity of 33 criterias and 133 indicators were every average 2.82. (2) Inter-rater reliabilities(consentaneity score) of the tool by pearson correlation coefficient between three raters were : r=.7506, r=.8934, r=.6695. and Inter-rater reliabilities by single-facet crossed design were : r=.7464. (3) The alpha coefficient relating to internal consistency was .8524 over all 30 items of 33 criterias of developed tool. (4) Score of the quality of nursing care following to generaal characteristics of this study subjects were stastically significant differences according to educational level (F=2.93, p=.029)and diagnosing classification (F=2.50, p=.042). Through this study, I'm sure that the developed tool for the quality of patient care in musculo-skeletal disorder will show the way of more improvement of the quality of nursing care and effective nursing interventions.

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합금의 종류와 지대주 성분이 바형 유지 장치의 변연 적합도에 미치는 영향 (Effect of various casting alloys and abutment composition on the marginal accuracy of bar-type retainer)

  • 이윤희;송영균;이준석
    • 대한치과보철학회지
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    • 제50권2호
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    • pp.85-91
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    • 2012
  • 연구 목적: 합금의 종류와 지대주의 재질의 차이가 변연적합도에 미치는 영향을 비교 분석하고자 한다. 연구 재료 및 방법: 2개의 임플란트 유사체를 평행하게 위치시킨 후 아크릴릭 레진으로 포매하여 연구모형을 제작하였다. 바 구조물은 gold UCLA 지대주에 고귀금속 합금(high noble metal alloy)과 귀금속 합금(noble metal alloy)을, 그리고 metal UCLA 지대주에 고귀금속 합금과 비귀금속 합금(base metal alloy)을 이용하여 총 4 종류의 바 구조물을 7개씩 시편을 제작하였다. 주조된 바 구조물을 레진 모형에 장착하고 한쪽 지대나사를 조인 후, 반대쪽 임플란트-지대주 간극의 수직 거리를 앞, 뒤, 측면 3부위에서 입체 광학 현미경으로 관찰하여 기록하였다. 결과: 각 군들의 변연오차 평균값은 gold UCLA 지대주에 고귀금속 합금과 귀금속 합금을 사용했을 때 각각 $13.69{\pm}6.74{\mu}m$$267.26{\pm}65.85{\mu}m$이었으며, metal UCLA 지대주에 고귀금속 합금과 비귀금속 합금을 사용했을 때 $26.19{\pm}8.14{\mu}m$$61.90{\pm}33.65{\mu}m$이었다. One-way ANOVA를 이용하여 변연 적합도의 차이를 분석했을 때 고귀금속 함금을 사용한 군들을 제외하고, 모든 군간에 유의한 차이가 존재하였다($P$<.05). Gold UCLA 지대주-귀금속 합금 조합을 제외하고 모두 $70{\mu}m$ 이하의 수직오차를 보였다. 결론: 임플란트 바 유지 장치의 제작에 있어서 고귀금속 합금 대신 비귀금속 합금과 metal UCLA 지대주를 사용하는 것은 임상적 타당성이 있다고 판단된다.

$TiO_2$-Encapsulated EFAL-Removed Zeolite Y as a New Photocatalyst for Photodegradation of Azo Dyes in Aqueous Solution

  • 조원재;윤숙자;윤민중
    • Journal of Photoscience
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    • 제12권1호
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    • pp.17-23
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    • 2005
  • Application of a new photocatalyst has been attempted to improve the efficiency and rates of photocatalytic degradation of azo dyes by using a model dye such as Methyl Orange. As a new photocatalyst, $TiO_2$ encapsulated EFAL-removed zeolite Y ($TiO_2$ /EFAL-removed zeolite Y) has been synthesized by ion-exchange in the mixture of EFAL-removed zeolite Y with 0.05 M aqueous [$(NH_4)_2 TiO(C_2O_4)_2.H_2O$] [$TiO(C_2O_4)_2.H_2O$]. This new photocatalyst has been characterized by measuring XRD, IR and reflectance absorption spectra as well as ICP analysis, and it was found that the framework structure of $TiO_2$ /EFAL-removed zeolite Y is not changed by removing the extra-framework aluminum (EFAL) from the normal zeolite Y and the $TiO_2$ inside the photocatalyst exists in the form of $(TiO^{2+})_n$ nanoclusters. Based on the ICP analysis, the Si/Al ratio of the $TiO_2$ /EFAL-removed zeolite Y and the weight of $TiO_2$ were determined to be 23 and 0.061g in 1.0g photocatalyst, respectively. It was also found that adsorption of the azo dye in the $TiO_2$ /EFAL-removed zeolite is very effective (about 80 % of the substrate used). This efficient adsorption contributes to the synergistic photocatalytic activities of the $TiO_2$ /EFAL-removed zeolite by minimizing the required flux diffusion of the substrate. Thus, the photocatalytic reduction of methyl orange (MO) was found to be 8 times more effective in the presence of $TiO_2$ /EFAL-removed zeolite Y than in the presence of $TiO_2$ /normal zeolite Y. Furthermore, the photocatalytic reduction of MO by using 1.0 g of the $TiO_2$ /EFAL-removed zeolite Y containing 0.061g of $TiO_2$ is much faster than that carried out by using 1.0 g of Degussa P-25.

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태담과 촉각 자극의 모-태아 상호작용 증진 프로그램이 모아 상호작용에 미치는 효과 (The Effect of Mother-fetus Interaction Promotion Program of Talking and Tactual Stimulation on Mother-fetus Interaction and Mother-infant play Interaction)

  • 김정순
    • 부모자녀건강학회지
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    • 제5권2호
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    • pp.253-276
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    • 2002
  • Mother and infant relationship has a great influence on child's developments. Expecially, mother and infant relationship is affected by mother and infant interactions during one year after birth and an omen of mother-infant interaction after birth is mother-fetus interaction. This study was conducted to develop mother-fetus interaction promotion program of talking and tactual stimulation aimed at enhancing sensitivity of primiparas and to evaluate the effect of the nursing intervention program on mother-fetus interaction and mother-infant play interaction. Non-eguivalent control group posttest design was used, and Blumer's symbolic interaction theory and Barnard's mother-infant interaction model was used a conceptual framework of this study. Fifty primiparas and infant(26 mother-infant dyads for intervention group and 24 dyads for control group) were recruited from three general hospital and an OBGY clinic located in Kwang Nung city. Data was collected from January 30th to December 20th in 2001. For the intervention group, programed education which focused on mother-fetus interaction in the 1st trimester. Telephone counselling was provided with interval of two weeks. For two groups, home visiting for data collection of mother- fetus interaction was conducted at 36 to 38 weeks of gestational age. And mother-infant play interactions were assessed at 4 to 6 weeks after birth using videotapes. Play situations were videotaped and two trained observers analyzed the tapes. The data were analyzed using chi-square test and Fisher's Exact Test to test the equivalence of two groups, and the effect of intervention progrom was determined with t-test and Wilcoxon Rank Sum test. The results were as follows: 1. The significant difference was found in mother-fetus interaction between two groups(t=2.085, P=0.0425). It indicated that intervention progrom was effective in improving mother-fetus interaction. 2. The significant difference was found in mother-infant play interaction between two groups(W=347.5, P=0.0001). In subscale analysis, three subscales showed significant differences between the groups: interactional behavior of mother(t=5.921, P=0.0001), interactional behavior of infant(t=5.736, P= 0.0000), and synchronic interactional behavior of mother and infant(t=7.940, P= 0.0000). In conclusion, this study has shown that the applied nursing intervention aimed at enhancing sensitivity of primiparas promoted mother-fetus interaction and mother-infant play interaction. Therefore, this study suggests that this nursing interventions to increase maternal sensitivity to the fetus's movement should be broadly applied to primiparas, which can be beneficial for formation of mother - infant relationship, and for promotion the social, affective, and cognitive developments of their children.

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인공합성된 Layered Double Hydroxides의 토양중 행동 (Behavior of Synthetic Layered Double Hydroxides in Soils)

  • 최충렬;서영진;이동훈;김준형;여상각;최정;박만
    • 한국토양비료학회지
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    • 제40권5호
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    • pp.412-417
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    • 2007
  • Layered double hydroxides(LDHs)가 토양의 이화학성에 미치는 영향 및 결정성의 변화를 규명하기 위하여 LDHs가 처리된 토양침출수를 calcium carbonate 처리와 비교 조사하였다. LDHs와 $CaCO_3$를 처리한 토양의 pH는 유사한 pH 변화를 나타내었으나, LDHs를 처리한 토양의 pH가 무처리구 및 $CaCO_3$ 처리구에 비해 각각 3.0 및 1.0 높게 낮타났다. LDHs를 첨가한 토양침출수의 $Mg^{2+}$ 함량은 52.0~383.0 mg/l으로 무처리구의 1.0~10.0 mg/l, $CaCO_3$ 처리구의 1.0~20.0 mg/l 보다 매우 높았다. $Al^{3+}$ 함량은 LDH와 $CaCO_3$ 처리구에서 0.2 mg 이하의 수준으로 무처리구에 비해 낮은 함량을 나타내었다. 토양침출수의 인산 함량은 LDHs와 $CaCO_3$ 처리에 의해 유의성 있는 상관관계는 나타나지 않았으며, silicate 함량은 LDHs와 $CaCO_3$ 처리에 의해 낮아졌다. LDHs는 토양에서 층상형의 기본구조가 점진적으로 붕괴되어 결정성 및 구조적 형태가 변화되었다. 따라서 LDHs의 토양처리는 산성 토양의 개선 및 식물영양원의 지속적 공급이 가능할 뿐만 아니라 토양환경 및 이화학성에 큰 영향을 미치지 않으므로 다양한 농업소재의 기능성 전달체로서 활용성이 매우 높은 것으로 판단된다.

유방암환자의 피로와 심리사회적 적응에 대한 희망의 매개 (mediation) 작용 (Mediation Effect of Hope between Fatigue and Psychosoical Adjustment in Women with Breast Cancer)

  • 이은현
    • 대한간호학회지
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    • 제30권4호
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    • pp.857-868
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    • 2000
  • The purpose of the present study is to identify the mediation effect of hope between fatigue and psychosocial adjustment in women with breast cancer. The framework for this study was guided by concepts and propositions derived from the theoretical and empirical literature on fatigue, hope and adjustment. The design of this study is a descriptive correlation study using a cross-sectional design. One hundred and twenty two outpatients with early breast cancer, receiving post-surgical radiation therapy or chemotherapy, were selected from three major medical centers in Seoul, Korea. A packet including PABCF (Psychosoical Adjustment to Breast Cancer Factor), revised RPFS (Revised Piper Fatigue Scale), HHI (Herth Hope Index), and self-addressed return envelope was given to the participants at seven to eight weeks post surgery. The questionnaires were to be completed at home and returned to the researcher by mail. The obtained data were analyzed using three regression equations guided by Baron and Kenny (1986); first, hope was regressed on fatigue; second, psychosocial adjustment was regressed on fatigue; and third, psychosocial adjustment was regressed on fatigue and hope, simultaneously. In the first equation, fatigue explained 4% of the variance in hope. In the second equation, fatigue explained 47% of the variance in psychosocial adjustment. In the last equation, hope and fatigue significantly explained the variance in psychosocial adjustment. Therefore, all conditions for the test of mediation effect of hope were satisfied. For the test of the mediation effect, the beta coefficients of fatigue on psychosocial adjustment on the second and third regression equations were compared. The beta coefficients were decreased from .69 (p < .001) on the second regression equation to .63 (p < .001) on the third regression equation. Thus, the hypothesis of this study was supported. As a result of this study, the negative Influence of fatigue on psychosocial adjustment is dampened through the mediator effect of hope in women with breast cancer. Therefore, when planning care for the adverse effect of fatigue on psychosocial adjustment, oncology nurses should consider hope as a mediator between fatigue and psychosocial adjustment to breast cancer.

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혼합치열기의 악안면 경ㆍ연조직에 관한 방사선학적 연구 (A LATERAL CEPHALOMETRIC STUDY OF THE HARD-AND SOFT TISSUE PROFILE AROUND THE FACE IN THE MIXED DENTITION)

  • 이상래
    • 치과방사선
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    • 제8권1호
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    • pp.49-61
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    • 1978
  • A study was made to investigate a relationship existing in the dentoskeletal framework and the soft tissue profile around the face, and compare the sexual differences between boys and girls having the normal occlusion in the mixed dentition. The lateral cephalograms were composed of 67 boys aged 10.3 years and 68 girls aged 10.4 years, respectively. By means of the lateral cephalograms, both the hard-and soft tissue structures were simultaneously analyzed, measured and evaluated by introducing the several reference items: S-N plane, palatal plane, mandibular plane, N-A line and A-P line for the dentoskeletal structures and N’-P’line for the soft tissue, and the 21 measuring points for the both structures. The significant findings were as follows: 1. In general the boys showed the larger nasal component dimension than did the girls, but the length and height of nose(N’-Prn and NA-Prn) showed the significant sexual difference among those when evaluated statistically. 2. The lip-thickness was found to be minimal in the region of nasion, greater in the region of pogonion, and much greater in the region of point A in the both sexes, but the only thickness over point A(A-A’) showed the significant sexual difference statistically. 3. The upper and lower lip position were found to be located anteriorly to the esthetic line in the both sexes, but upper lip position showed the significant sexual difference when evaluated statistically. 4. The regions of nose and upper lip had a tendency not to be following the underlying skeletal profile.

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가정 및 방문 물리치료의 인식도와 필요성에 대한 연구 (Study on the Awareness and the Necessity of Home and Visiting Physical Therapy)

  • 김진희;이광재
    • 대한물리의학회지
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    • 제9권4호
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    • pp.465-474
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    • 2014
  • PURPOSE: This study aims to provide basic materials to re-establish terms and to build the institutional framework for the home and visiting physical therapy. METHODS: For such purpose of the study conducted the research that targeted the physical therapists, who were working at the rehabilitation hospital located in Gyeonggi-do as for the survey questionnaires as to the need and awareness of development of the adequate insurance fee of home physical therapy and visiting physical therapy. RESULTS: The survey result shows the awareness is low on the term separation in referring the home physical therapy and the visiting physical therapy. On the question regarding the performance obligation in the current system of the home and the visiting physical therapies, the answers for the recognition are shown to be 58% and 88.1% while no significant differences according to ages and working periods are found in all questions (p>.05). In the meanwhile, on the question regarding necessities of the home and the visiting physical therapies, answers agreeing the necessity is shown as 96.3%. And, on the question regarding the expected effect, the score shows to be very high with 40.5 points out of 50 points and significant differences according to the age and the working period (p<.05). CONCLUSION: It directly reflects the result, as the age and the working period are longer, the necessity shows to be higher.

라이브 비디오 스트리밍을 지원하는 RTC 기반 홈 게이트웨이의 설계 및 구현 (A Design and Implementation of a Home Gateway based on the RTC Technology Supporting Live Video Streaming)

  • 김혜선;황기태
    • 정보처리학회논문지C
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    • 제12C권4호
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    • pp.589-596
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    • 2005
  • 본 논문은 흠 내부의 Non-SIP 기반 비디오 카메라로부터 홈 외부의 SIP 기반 단말기로 비디오 스트림을 전송할 수 있는 흠 게이트웨이의 설계 구현에 목적이 있다. 홈 게이트웨이는 OSGi 프레임워크를 기반으로 하였으며 흠 내부의 기기로부터 흠 외부의 이동 중인 모바일 사용자를 연결하기 위해 SIP 스택을 내포하는 마이크로소프트 사의 RTC 기술을 이용하였다. 홈 게이트웨이 상에, SIP 세션의 연결 등을 관리하는 RTC 번들을 개발하였으며, 홈 내부의 Non-SIP 기반 비디오 카메라로부터 비디오 스트림을 읽기 위해 가상 비디오 캡쳐 드라이버를 개발하였다. 최종적으로 설계 구현된 홈 게이트웨이를 테스트하기 위해 SIP 프로토콜을 탑재한 윈도우 메신저를 흠 외부의 단말기로 설정하고 AXIS 2100 UPnP 비디오 카메라를 홈 네트워크에 연결하여 비디오 카메라로부터 이동중인 윈도우 메신저로의 세션 연결과 라이브 비디오의 스트리밍을 실험하고 확인하였다.

Influence of Citric Acid on the Metal Release of Stainless Steels

  • Mazinanian, N.;Wallinder, I. Odnevall;Hedberg, Y.S.
    • Corrosion Science and Technology
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    • 제14권4호
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    • pp.166-171
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    • 2015
  • Knowledge of how metal releases from the stainless steels used in food processing applications and cooking utensils is essential within the framework of human health risk assessment. A new European standard test protocol for testing metal release in food contact materials made from metals and alloys has recently been published by the Council of Europe. The major difference from earlier test protocols is the use of citric acid as the worst-case food simulant. The objectives of this study were to assess the effect of citric acid at acidic, neutral, and alkaline solution pH on the extent of metal release for stainless steel grades AISI 304 and 316, commonly used as food contact materials. Both grades released lower amounts of metals than the specific release limits when they were tested according to test guidelines. The released amounts of metals were assessed by means of graphite furnace atomic absorption spectroscopy, and changes in the outermost surface composition were determined using X-ray photoelectron spectroscopy. The results demonstrate that both the pH and the complexation capacity of the solutions affected the extent of metal release from stainless steel and are discussed from a mechanistic perspective. The outermost surface oxide was significantly enriched in chromium upon exposure to citric acid, indicating rapid passivation by the acid. This study elucidates the effect of several possible mechanisms, including complex ion- and ligand-induced metal release, that govern the process of metal release from stainless steel under passive conditions in solutions that contain citric acid.