• Title/Summary/Keyword: Qualified

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Change of Quadriceps Angle after Tibial Tuberosity Transposition in Dogs with Medical Patellar Luxation (내측 무릎골 탈구를 나타낸 개에서 경골결절 전위술 후 대퇴사두근각의 변화)

  • Choi, Sung-Jin;Lee, Gi-Ja;Hwang, Eui-Hee;Jang, Se-Ung;Jung, In-Sung;Kim, Nam-Soo
    • Journal of Veterinary Clinics
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    • v.31 no.4
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    • pp.263-266
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    • 2014
  • We evaluated the change of quadriceps angle (QA) after tibial tuberosity transposition. Twenty-nine animals and 37 limbs of the total 62 case possibilities qualified for this study. The preoperative QA was $24.02{\pm}4.02$ in grade 2, $26.08{\pm}5.66$ in grade 3 and $30.25{\pm}7.41$ in grade 4. The postoperative QA was $21.25{\pm}3.24$ in grade 2, $19.16{\pm}3.92$ in grade 3 and $19.72{\pm}7.30$ in grade 4. The postoperative QA for all grades significantly decreased when compared with the preoperative QA (P < 0.05). However, the postoperative QA values were not within the normal range, although the dogs' prognosis remained good during the 4-month follow-up period. These results suggest that postoperative QA outside of the normal range may be allowed clinically.

Evaluation on Organ Dose and Image Quality by Changing kVp and Ion Chamber Combination while Taking Digital Chest Lateral Decubitus PA Projection (디지털 흉부 측와위 후전방향 검사 시 Ion chamber조합 설정과 관전압 변화에 따른 장기선량 및 화질 평가)

  • Lee, Jin-Soo;Park, Hyong-Hu
    • The Journal of the Korea Contents Association
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    • v.15 no.1
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    • pp.316-323
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    • 2015
  • In this study, we analyzed radiation dose and MTF with setting of Ion chamber and changing kVp so that we are able to suggest acquiring optimized diagnostic images and minimizing patient dose. we assumed right lateral decubitus position among chest decubitus projection and set 7 combination of Ion chamber. By changing kVp(100, 110, 120, 130kVp), we exposed x-ray five times respectively and calculated average value after measuring entrance dose. we input the entrance dose value to PCXMC Monte carlo simulation tool and calculated organ dose and effective dose. Then we did physical image evaluation with MTF for the purpose to compare image quality. As a result, the high kVp, entrance dose is reduced. As change of ion chamber, when selecting second ion chamber, both organ dose and effective dose were the lowest. In contrast, selecting first ion chamber was the highest. MTF is superior to set second Ion chamber and using 120 kVp. Consequently, when taking chest right lateral decubitus using Digital radiography, the optimized combination which have both reducing dose efficiently without declining image quality and aquring good qualified image is set 120 kVp and selecting second Ion chamber.

A Study on the development of leadership training program for first-line nurse managers (일선 간호관리자를 위한 리더십 훈련 프로그램 개발)

  • Koh, Myung-Suk;Han, Sung-Suk
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.3
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    • pp.333-345
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    • 2000
  • The health care environment becomes more competitive every day. It has fallen to nurse managers - from vice presidents of patient care to nurse managers and their assistants - to recruit and develop a workforce that successfully meets the needs of both patients and the organization. This means employees who demonstrate advanced critical thinking skills, creative problem solving, and sound decision making skills combined with clinical skills and patient advocacy. The environment which nurse managers create and the way they relate to their workforce, are pivotal to organizational viability. Especially leadership of first -line nurse managers contributes to the success of their organizations. First-line nurse managers are deserved to be one of the most administrative supervisors through the middle stratum in a hospital organization as being a manager in the field service if assessed from the overall aspects of hospital, as being an interim managers in the nursing department as well as being a supreme supervisor in a unit in terms of an organizational structure in the hospital. Similarly, as a compete leader, the first-line nurse managers have not only a professional which is qualified to perform a role of appropriate coordination with medical staff and key personnel but also hold an important key position a being responsible for performing his or her given role. The first-line nurse manager is expected to manage human and fiscal resources in ways not required before. While an identified need for well-prepared first-line nurse manager continues to plague the profession, first-line nurse managers often have difficulty providing the leadership required. The need leadership training to function effectively in their positions. But we hardly find a useful leadership training program for first-line nurse managers, therefore the purpose of this study was to developed the leadership training program for them. The steps of leadership program development were below: 1st step, 2 studies were done before develop a leadership program. One was done to ask to first-line nurse managers what they want to learn through leadership training, the other one was to ask the staff nurses what their opinions are for their first-line nurse managers leadership. 2nd step was searching other leadership programs contents. The results of this study were below: The total amount of hours is 24. Leadership training program contents are : Future of nursing profession (210min), understanding basic factor's of leadership and leadership theories(310 min), self understanding as first- line nurse managers(320 min), basic principle and practice of interpersonal relationship(210 min), assertiveness training, conflict management (180min), and group study(210min). This is challenging time to be a leader, especially in nursing. As nurse managers look toward the new millennium, it seems as through the same struggles are ahead that are behind. So nurse managers need to embrace change with a positive attitude. They need to demonstrate risk taking and support it in their staffs. All these things are possible that after they participate the leadership training program.

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PLCE1 Gene in Esophageal Cancer and Interaction with Environmental Factors

  • Guo, Li-Yan;Zhang, Shen;Suo, Zhen;Yang, Chang-Shuang;Zhao, Xia;Zhang, Guo-An;Hu, Die;Ji, Xing-Zhao;Zhai, Min
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.7
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    • pp.2745-2749
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    • 2015
  • Objective: To study the PLCE1 gene rs2274223 polymorphism with regard to esophageal cancer and its interaction with diet, lifestyle, psychological and environmental factors in Southwest Shandong province. Materials and Methods: A case series study (case-case) was conducted. Questionnaire data were collected and 3 ml-5ml venous blood was drawn for DNA extraction among the qualified research subjects. PLCE1 gene polymorphism was detected after PCR amplification of DNA. SPSS 13.0 software was used for statistical analysis of the data. Results: The three genotypes A/A, A/G and G/G PLCE1 gene rs2274223 was 31, 16 and 4 cases, accounting for 60.8%, 31.4%, 0.08% respectively. The difference of three genotypes (AA/GA/GG) proportion between negative and positive family history of patients was statistically significant, ${\chi}^2=6.213$, p=0.045. There was no statistically significant relationship between PLCE1 gene rs2274223 polymorphism and smoking, drinking, ${\chi}^2=0.119$, p=0.998, and ${\chi}^2=1.727$, p=0.786. There was no linkage of the three rs2274223 PLCE1 gene genotypes (AA/GA/GG) proportion with eating fried, pickled, hot, mildew, overnight, smoked, excitant food, eat speed, salt taste or not (p>0.05). or with living environment pollution and nine risk factors of occupational exposure (p>0.05). There was no statistically significant difference in TS scores between different genotype of rs2274223 PLCE1 gene. Conclusions: The PLCE1 rs2274223 polymorphism has a relationship with family history of esophageal cancer, but does not have any significant association with age, gender, smoking, alcohol drinking, food hygiene, eating habits, living around the environment and occupation in cases.

A Study on the Current Status of Drug Education among Elementary School Teachers (초등학교 교사의 약물교육 실태)

  • Jung, Mi-Suck;Lee, Hwa-Za;Kim, Young-Hae;Kim, Myung-Hee;Eo, Yong-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.9 no.2
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    • pp.288-297
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    • 2003
  • This study was attempted to find out the actual conditions about drug education among the elementary school teachers. Subjects consisted of nurse-teachers 175, class-room teachers 240 and athletics teachers 53 at the elementary schools in Pusan city. The data collecting period was December 23th through December 28th, 2002 and the collected data were analyzed by SPSSWIN 10.0 program using frequency, percentage, mean, standard deviation and $x^2$-test. The results of this study were as follows: 1. The importance of the drug education in special curriculum has been agreed with 96.0% of nurse-teachers, 90.4% of classroom teachers and 92.4% of athletics teachers. 2. For the drug education, nurse-teachers used to get information through the professional knowledge books(61.1%), and internet (33.1%), on the other hand class-room teachers(80.0%) and athletics teachers (48.9%) used to get information from various media. 3. Until now, the drug education has been performed by 80.6% of nurse-teachers, 34.2% of class-room teachers and 41.5% of athletics teachers. After drug education, the results of self-evaluation showed that 73.8% of nurse-teachers and 51.9% of athletics teachers were satisfied with it, but 69.5% of class-room teachers were not. In terms of the education methodology, most nurse-teachers(85.8%) usually used both verbal lecture and multi-media materials for teaching, but class-room teachers(97.8%) and athletics teachers(81.8%) just gave the verbal lecture. 4. About practical difficulties of drug education, the biggest problem was the absence of no systematic curriculum for nurse-teachers(22.9%), the insufficient expert knowledge for class-room teachers (26.3%) and a lack of education materials for athletics teachers(37.7%). The subjects were responded that the well-qualified personnel in charge of drug education in elementary school were nurse-teachers (52.0%) or nurse-teachers and class-room teachers.

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A Study on Parents' Actual Uses and Satisfaction toward the Occupational Therapy Service at the Day Care Center for Infants with Disabilities - Focusing on Daegu, Kyongbuk area - (장애아전담보육시설을 이용하는 부모들의 작업치료 서비스 이용실태 및 만족도 조사 - 대구·경북지역을 중심으로 -)

  • Lee, Hye-Kyoung
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.1
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    • pp.19-27
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    • 2011
  • Objective : The study is to suggest basic data for the expansion and the necessity of the occupational therapy at the day care center for infants with disabilities through investigating actual use and satisfaction of parents who use the day care center for infants with disabilities in Daegu Kyonbuk area. Methods : From May 15 to 29, 2009, 105 parents using the day care center for infants with disabilities were surveyed. Results : Terms of age group, parents using the day care center for infants with disabilities are mostly 30s and 40s. In terms of academic background, there were 58% of secondary school graduates and 38.9% of college graduates. Parents with experiencing 3 years of the occupational theory had 37.1%, which held the largest group. 75% of the objects agreed that infants with disabilities received enough occupational therapy, while they pointed out that the financial burden for therapy would be the major factor in the therapy. Conclusion : In order to provide a qualified occupational therapy in accordance with each individual's purpose at the day care center for infants with disabilities, it would be necessary to expand occupational therapy, to increase the demand for the occupational therapy from parents, and to secure enough number of therapists and financial support from the government and municipalities.

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A Study on the Nursing Profession as Stipulated by Health & Medical Laws of Korea (우리나라 보건의료법령에 명시된 간호에 관한 연구)

  • Kim, Eun-Young
    • Research in Community and Public Health Nursing
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    • v.8 no.1
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    • pp.116-132
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    • 1997
  • The purpose of the study is to find out how laws related to the nursing profession can be improved by analyzing the rules and regulations concerning nursing. Furthermore, to help settle legal matters in the process of doing nursing work. The data used for the study are the Health and Medical Act, the Maternal and Child Health Act, the School Health Act, the Special Act for Health and Medical Service in Rural Areas, the Industrial Health & Safety Act and the Notice on Nursing Professional Courses analyzed by age and content. The results of the study are as follows : First, basic nursing practice includes 'nursing care for recuperation and assistance in medical treatment and in special areas including the pre-vention of disease, maintenance of health, control of environment, and other therapeutic activities. It is suggested that the phrase 'assistance in medical treatment' should be eliminated as it limits the basic nursing practice to the assistance of the medical treatment. Second, Article 56 of the Health & Medical Act prescribes a special nurse but it does not prescribe a specific job. Accordingly, the new provison concerning the specific jobs of a special nurse should be added or a job guide should be inseated. Third, it is prescribed that those who have completed the training course after obtaining a license are qualified to be a midwife, a special nurse and a nurse practitioner working in special areas. However, school nurses, occupational health nurses and maternal and health workers are required to obtain a nurse license, but not to take an additional training course. Nurses working in special areas should be legally recognized as nurse specialists. The regulations to control various qualification standards consistently should be established. Fourth, the qualifications and types of nurses by area prescribed by Article 54 of the Health and Medical Act are not consistent with those of special nurses as recognized by affiliated organizations of the Korean Nurse Association and some hospitals. Accordingly, the qualifications and types of special nurses should be adjusted in consideration of special nurses. Fifth, as Article 16, Paragraph 2 of the Health and Medical Act does not prescribe the type and scope of first - aid treatment that nurses can provide, the first-aid treatment of nurses might be considered as an unlicensed practice. The specific regulations regarding these matters should be established. Sixth, the contents of the nursing record, which are prescribed by Article 21 of the Health and Medical Act as a duty, include 1) matters concerning body temperature, pulse, breath and blood pressure 2) matters concerning drug prescription 3) matters concerning input and output 4) matters concerning the treatment and nursing care (Article 17 of the Enforcement Regulations, Health and Medical Act). However, these matters are limited to basic nursing care and assistance in medical treatment. The new recording methods on nursing process are suggested to be adopted legally. Seventh, the prescription right entrusted to nurses which are prescribed by the School Health Act, the Special Act on Health and Medical Service for Rural Areas, and the Industrial Health and Safety Act are not consistent with the rights of nurses as prescribed by the Health and Medical Act. New regulations prescribing the partial right for medical treatment entrusted to nurses in consideration of the restraint of time and place in emergency situations should be established.

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Alternative hitting ability index for KBO (한국프로야구에서 타자력 지수 제안)

  • Hong, Chong Sun;Kim, Jae Young;Shin, Dong Sik
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.3
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    • pp.677-687
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    • 2016
  • Among lots of sabermetric statistics for baseball batters' ability, the wins above replacement (WAR) is the most popular statistic in MLB. However, there exists a difficulty applying WAR to KBO, since KBO data do not have position adjustment, league adjustment and park factor which are essential in calculating WAR. In this paper, using five statistics for both KBO and MLB qualified batters, we propose hitting ability index (HAI), an alternative sabermetric indices to represent batters' ability. Comparing HAI with WAR of MLB batters, we evaluate the validity of HAI and then applied HAI to 2015 KBO data in which HAI is analyzed statistically with respect to different teams, ages, and positions. Moreover, the linear relationship between KBO batter's HAI and their annual salary is discussed. Grouping 46 KBO batters based on confidence region of the regression model for annual salary, we also statistically investigate batter's annual salary in these groups with respect to several factors.

Convergence Implementing Emotion Prediction Neural Network Based on Heart Rate Variability (HRV) (심박변이도를 이용한 인공신경망 기반 감정예측 모형에 관한 융복합 연구)

  • Park, Sung Soo;Lee, Kun Chang
    • Journal of the Korea Convergence Society
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    • v.9 no.5
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    • pp.33-41
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    • 2018
  • The purpose of this study is to develop more accurate and robust emotion prediction neural network (EPNN) model by combining heart rate variability (HRV) and neural network. For the sake of improving the prediction performance more reliably, the proposed EPNN model is based on various types of activation functions like hyperbolic tangent, linear, and Gaussian functions, all of which are embedded in hidden nodes to improve its performance. In order to verify the validity of the proposed EPNN model, a number of HRV metrics were calculated from 20 valid and qualified participants whose emotions were induced by using money game. To add more rigor to the experiment, the participants' valence and arousal were checked and used as output node of the EPNN. The experiment results reveal that the F-Measure for Valence and Arousal is 80% and 95%, respectively, proving that the EPNN yields very robust and well-balanced performance. The EPNN performance was compared with competing models like neural network, logistic regression, support vector machine, and random forest. The EPNN was more accurate and reliable than those of the competing models. The results of this study can be effectively applied to many types of wearable computing devices when ubiquitous digital health environment becomes feasible and permeating into our everyday lives.

A Study on Genetic Counseling Curriculum, Accreditation of the Training Program, and the Certification Process of Genetic Counselors in Korea (유전상담 교육프로그램 개발과 전문유전상담사 학회인증제도에 관한 연구)

  • Choi, Jee-Yeong;Kim, Hyon-J.
    • Journal of Genetic Medicine
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    • v.6 no.1
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    • pp.38-55
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    • 2009
  • Purpose: This study was undertaken to provide the framework for development of a genetic counseling training program, and an accreditation and certification process suitable for non-M.D. genetic counselors in Korea. Materials and Methods: Global standards of genetic counseling curriculums, training program accreditation (TPA), and the certification process for genetic counselors (CPGC) in the U.S.A and Japan were reviewed, and a questionnaire survey was performed to elicit opinions among health-care providers including physicians, nurses, technicians, researchers, and educators. In addition, input from professional communities, including the Korean Society of Medical Genetics (KSMG) and Institute for Genetic Testing Evaluation, was sought in formulating the framework of this study. Results: Comparison of U.S.A. and Japan educational systems showed similarities in curriculum, accreditation, and certification programs. Analysis of 117 respondents opinions showed a high level of agreement in the area of global standards; 88% indicated that KSMG should be in charge of TPA and CPGC, while 77% favored a certification exam composed of both written exam and interview components. Conclusion: Based upon this study we propose that the KSMG should be in charge of providing the TPA and CPGC for non-MD genetic counselors. Requirements for the entrance to a Master's degree genetic counseling program should be open to successful four year undergraduate students in all areas, provided the candidates demonstrate the abilities to master the graduate level of study in human genetics, clinical genetics, statistics, psychology, and other required subjects. Eligibility for certification should include qualified candidates of genetic counseling with no formally approved education, but a sufficient amount of clinical experience, in addition to accredited program graduates. Certification examinations should be carried out every two years and the certification should be good for five years, as is the case in Japan.

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