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Competencies Necessary to Hospital Staffs and Managers in the Global Age (글로벌 시대에 병원행정 관리자가 갖추어야 할 역량)

  • Kong, Myung-Dal
    • Journal of the Korea Safety Management & Science
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    • v.18 no.1
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    • pp.227-236
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    • 2016
  • Main purpose of this study is to provide some basic data necessary to research, education, and policy to cultivate professional talents, by investigating what competencies needed to hospital administrative staffs and managers in performing their jobs in the global age. A survey was conducted through self-administered questionnaires for hospital administrative staffs and managers including first-line hands-on workers who were working in 77 hospitals located in Busan, Keongnam, Ulsan areas in South Korea. Major results are as follows: (a) The analysis for the competencies needed to hospital administrative staffs and managers in order to perform successfully their jobs revealed that interpersonal competency, knowledge of management skills in healthcare field, understanding ability for healthcare, in that order of importance, had significant influence on performing their jobs. (b) Regarding the analysis for the detailed competencies necessary to hospital administrative staffs and managers in order to perform successfully their jobs revealed that problem-solving ability, sense of responsibility, positive attitude, leadership, in that order of importance, had significant influence on performing them. This study suggests that universities opened courses related to health care management should newly open a subject 'problem-solving ability in health care' to link with health care field and their curriculums are necessary to change over to practice-oriented curriculum system.

Factors Influencing Vitality among Nurses (간호사의 생동성에 영향을 미치는 요인)

  • Lee, Ji-Soon;Oh, Won-Oak
    • Journal of Korean Academy of Nursing
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    • v.37 no.5
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    • pp.676-683
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    • 2007
  • Purpose: This study was conducted to understand the degree of vitality, meaning in life and self-efficacy and to elucidate the factors influencing this vitality in the nurses of Korea. Method: A cross-sectional survey of nurses from 4 hospitals was conducted by convenience sampling. Data collection was conducted through the use of questionnaires which were constructed to include a Vitality Self Test, Purpose in Life Test and Self-efficacy Scale. Results: The degree of vitality in nurses was in the middle range. The nurses of this study had few goals towards meaning in life, and an existential vacuum state. A positive relationship was found between vitality and the research variables. The significant predictors influencing vitality in nurses were meaning in life, self-efficacy, and clinical career, and these variables accounted for 28.7% of the variance in vitality. Conclusions: This results support that vitality is an important link with meaning in life and self-efficacy. There should be a comprehensive study in the future for in-depth understanding of the vitality of nurses.

A New Approach to CAD/CAM Systems Data Exchange Using Plug-in Technology

  • Chernopyatov Y.A.;Chung W.j.;Lee C.M.
    • International Journal of Precision Engineering and Manufacturing
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    • v.6 no.4
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    • pp.8-13
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    • 2005
  • Interoperability has been the problem of CAD/CAM systems. Starting from 1980's, national and international organizations have addressed the issue through development and release of standards for the exchange of geometric and nongeometric design data. To CAD/CAM vendors, the task of interpreting and implementing these standards falls into their products. This task is a balancing action between users' needs, available development resources, and the technical specifications of standards. This paper explores an area of CAD/CAM systems development, particularly the implementation of the effective exchange files translators'. A new approach is introduced, which proposes to enclose all the translation operations concerning each exchange format to a separate DLL, thus making a 'plug-in.' Then, this plug-in could be used together with the CAD/CAM system or with specialized translation software. This approach allows to create new translators rapidly and to gain the reliable, high-efficiency, and reusable program code. The second part of the paper concerns the possible problems of translators' development. These difficulties often come from the exchange standards' misunderstanding or ambiguity in standards. All examples come from the authors' practice experiences of dealing with CAD/CAM systems.

Generating Multiple Paths by Using Multi-label Vine-building Shortest Path Algorithm (수정형 덩굴망 최단경로 탐색 알고리즘을 이용한 다경로 생성 알고리즘의 개발)

  • Kim, Ik-Ki
    • Journal of Korean Society of Transportation
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    • v.22 no.2 s.73
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    • pp.121-130
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    • 2004
  • In these days, multiple-path generation method is highly demanded in practice and research areas, which can represents realistically travelers behavior in choosing possible alternative paths. The multiple-path generation algorithm is one of the key components for policy analysis related to ATIS, DRGS and ATMS in ITS. This study suggested a method to generate multiple Possible paths from an origin to a destination. The approach of the suggested method is different from an other existing methods(K-shortest path algorithm) such as link elimination approach, link penalty approach and simulation approach. The result of the multi-label vine-building shortest path algorithm(MVA) by Kim (1998) and Kim(2001) was used to generate multiple reasonable possible paths with the concept of the rational upper boundary. Because the MVA algorithm records the cost, back-node and back-back node of the minimum path from the origin to the concerned node(intersection) for each direction to the node, many potential possible paths can be generated by tracing back. Among such large number of the potential possible paths, the algorithm distinguishes reasonable alternative paths from the unrealistic potential possible paths by using the concept of the rational upper boundary. The study also shows the very simple network examples to help the concept of the suggested path generation algorithm.

ⳑ-Methionine inhibits 4-hydroxy-2-nonenal accumulation and suppresses inflammation in growing rats

  • Zhengxuan, Wang;Mingcai, Liang;Hui, Li;Bingxiao, Liu;Lin, Yang
    • Nutrition Research and Practice
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    • v.16 no.6
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    • pp.729-744
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    • 2022
  • BACKGROUND/OBJECTIVES: 4-Hydroxy-2-nonenal (HNE) is a biomarker for oxidative stress to induce inflammation. Methionine is an essential sulfur-containing amino acid with antioxidative activity. On the other hand, the evidence on whether and how methionine can depress HNE-derived inflammation is lacking. In particular, the link between the regulation of the nuclear factor-κB (NF-κB) signaling pathway and methionine intake is unclear. This study examined the link between depression from HNE accumulation and the anti-inflammatory function of ⳑ-methionine in rats. MATERIALS/METHODS: Male Wistar rats (3-week-old, weighing 70-80 g) were administered different levels of ⳑ-methionine orally at 215.0, 268.8, 322.5, and 430.0 mg/kg body weight for two weeks. The control group was fed commercial pellets. The hepatic HNE contents and the protein expression and mRNA levels of the inflammatory mediators were measured. The interleukin-10 (IL-10) and glutathione S-transferase (GST) levels were also estimated. RESULTS: Compared to the control group, hepatic HNE levels were reduced significantly in all groups fed ⳑ-methionine, which were attributed to the stimulation of GST by ⳑ-methionine. With decreasing HNE levels, ⳑ-methionine inhibited the activation of NF-κB by up-regulating inhibitory κBα and depressing phosphoinositide 3 kinase/protein kinase B. The mRNA levels of the inflammatory mediators (cyclooxygenase-2, interleukin-1β, interleukin-6, inducible nitric oxide synthase, tumor necrotic factor alpha) were decreased significantly by ⳑ-methionine. In contrast, the protein expression of these inflammatory mediators was effectively down regulated by ⳑ-methionine. The anti-inflammatory action of ⳑ-methionine was also reflected by the up-regulation of IL-10. CONCLUSIONS: This study revealed a link between the inhibition of HNE accumulation and the depression of inflammation in growing rats, which was attributed to ⳑ-methionine availability. The anti-inflammatory mechanism exerted by ⳑ-methionine was to inhibit NF-κB activation and to up-regulate GST.

Lifecycle and Requirements for Digital Collection Management of Thai Theses and Dissertations

  • Jareonruen, Yuttana;Tuamsuk, Kulthida
    • Journal of Information Science Theory and Practice
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    • v.7 no.3
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    • pp.52-64
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    • 2019
  • This research was aimed at studying the situation, problems, and requirements for digital collection lifecycle management of Thai theses and dissertations. The mixed research method used was composed of: (1) Study of the problem and situation in which the qualitative method was applied. The research site covered 10 higher education institutions where the Thailand Digital Collection (TDC) project is operated. The informants were key administrative officers of the TDC project of each institution. In-depth and structured interviews were conducted on an individual basis to obtain the most accurate answers. (2) Study of requirements based on the quantitative research method to survey the requirements for the digital collection management system for Thai theses and dissertations from 84 purposively-selected TDC project officers and 527 end users selected by accidental sampling, totaling 611 samples. Research findings are as follow: (1) The study of the situation and problems of digital collection lifecycle management shows that Thai higher institutions systematically manage their digital collection. The management lifecycle is consistent with the Guidance documents for lifecycle management of ETDs, which included seven steps: program planning, creation, submission, and ingestion, access and retrieval of digital objects, archiving and preservation, evaluation and assessment, interoperation (creation of institutional collaboration), and development of link data. (2) The study of requirements for digital collection management of Thai theses and dissertations shows five system requirements: acquisition and gathering, digitization, metadata standards, management of rights, and storage and retrieval, all of which are at M (mandatory) and D (desirable) levels.

A Study on the Brain Waves, Personality and Dietary Behaviors of Taekukkwon Practicianers (태극권 수련자의 뇌파와 성격 및 식습관에 관한 연구)

  • 박현옥;권종숙;송경희
    • The Korean Journal of Food And Nutrition
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    • v.13 no.6
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    • pp.602-610
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    • 2000
  • Taekukkwon was practiced far health previously. The experimental group consisted of undergraduate and graduate students practising in the above disciplines at Myong Ji University. The group consisted of three female and three male students and the aim of this research was to measure the brain wave change for opened and closed eyes. The result of this research are as follows. Firstly, when students were subjected to basic open eye brain wave tests, beta-waves displayed for all regions of the brain. In the frontal region fast beta-waves were displayed and in the central region alpha-waves were displayed. Secondly, in the closed eye brain wave tests, the control group displayed beta-waves in some regions and alpha waves in external and internal regions. For all students\` brain-wave patterns, the amplitude of the alpha-wave was low and the frequency was high. In some students theta-waves were displayed. Taekukkwon practice relaxes the mind and body and helps relieve social stress which shows that taichichuan practices is beneficial. Finally, characteristics of the subjects were mostly type A so the personalities of the subjects were fast and aggressive. This research shows a definite link between personality and personal relationships with beta-waves emissions. So, further research is required in the future to investigate this relationship. The subjects consumed too large amount of foods so it was necessary to change their dietary habits taking into consideration on total calories, fats, and protein. It was also necessary to carrying out nutrition education to the students in emphasizing appropriate attitudes in general health and dietary behavior.

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The effects of dentin bonding agent formulas on their polymerization quality, and together with tooth tissues on their microleakage and shear bond strength: an explorative 3-step experiment

  • Erfan, Mohmmad;Jafarzadeh-Kashi, Tahereh Sadat;Ghadiri, Malihe;Rakhshan, Vahid
    • The Journal of Advanced Prosthodontics
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    • v.6 no.5
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    • pp.333-345
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    • 2014
  • PURPOSE. Bonding agents (BA) are the crucial weak link of composite restorations. Since the commercial materials' compositions are not disclosed, studies to formulize the optimum ratios of different components are of value. The aim of this study was to find a proper formula of BAs. MATERIALS AND METHODS. This explorative experimental in vitro study was composed of 4 different sets of extensive experiments. A commercial BA and 7 experimental formulas were compared in terms of degree of conversion (5 experimental formulas), shear bond strength, mode of failure, and microleakage (3 experimental formulas). Statistical analyses were performed (${\alpha}$=.05). The DC of selected formula was tested one year later. RESULTS. The two-way ANOVA indicated a significant difference between the shear bond strength (SBS) of two tissues (dentin vs. enamel, P=.0001) in a way that dentinal bonds were weaker. However, there was no difference between the four materials (P=.283). The adhesive mode of failure was predominant in all groups. No differences between the microleakage of the four materials at occlusal (P=.788) or gingival (P=.508) sites were detected (Kruskal-Wallis). The Mann-Whitney U test showed a significant difference between the microleakage of all materials (3 experimental formulas and a commercial material) together at the occlusal site versus the gingival site (P=.041). CONCLUSION. A formula with 62% bisphenol A-glycidyl methacrylate (Bis-GMA), 37% hydroxy ethyl methacrylate (HEMA), 0.3% camphorquinone (CQ), and 0.7% dimethyl-para-toluidine (DMPT) seems a proper formula for mass production. The microleakage and SBS might be respectively higher and lower on dentin compared to enamel.

Numerical formulation of a new solid-layer finite element to simulate reinforced concrete structures strengthened by over-coating

  • Suarez-Suarez, Arturo;Dominguez-Ramírez, Norberto;Susarrey-Huerta, Orlando
    • Coupled systems mechanics
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    • v.11 no.5
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    • pp.439-458
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    • 2022
  • Over-coating is one of the most popular engineering practices to strengthen Reinforced Concrete (RC) structures, due to the relative quickness and ease of construction. It consists of an external coat bonded to the outer surface of the structural RC element, either by the use of chemical adhesives, mechanical anchor bolts or simply mortar injection. In contrast to these constructive advantages, the numerical estimation of the bearing capacity of the strengthened reinforced concrete element is still complicated, not only for the complexity of modelling a flexible membrane or plate attached to a quasi-rigid solid, but also for the difficulties that raise of simulating any potential delamination between both materials. For these reasons, the standard engineering calculations used in the practice remain very approximated and clumsy. In this work, we propose the formulation of a new 2D solid-layer finite element capable to link a solid body with a flexible thin layer, as it were the "skin" of the body, allowing the potential delamination between both materials. In numerical terms, this "skin" element is intended to work as a transitional region between a solid body (modelled with a classical formulation of a standard quadrilateral four-nodes element) and a flexible coat layer (modelled with cubic beam element), dealing with the incompatibility of Degrees-Of-Freedom between them (two DOF for the solid and three DOF for the beam). The aim of the solid-layer element is to simplify the mesh construction of the strengthened RC element being aware of two aspects: a) to prevent the inappropriate use of very small solid elements to simulate the coat; b) to improve the numerical estimation of the real bearing capacity of the strengthened element when the coat is attached or detached from the solid body.

Numerical formulation solid-layer finite element to simulate reinforced concrete structures strengthened by over-coating

  • Arturo Suarez-Suarez;Norberto Dominguez-Ramirez;Orlando Susarrey-Huerta
    • Coupled systems mechanics
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    • v.12 no.6
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    • pp.481-501
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    • 2023
  • Over-coating is one of the most popular engineering practices to strengthen Reinforced Concrete (RC) structures, due to the relative quickness and ease of construction. It consists of an external coat bonded to the outer surface of the structural RC element, either by the use of chemical adhesives, mechanical anchor bolts or simply mortar injection. In contrast to these constructive advantages, the numerical estimation of the bearing capacity of the strengthened reinforced concrete element is still complicated, not only for the complexity of modelling a flexible membrane or plate attached to a quasi-rigid solid, but also for the difficulties that raise of simulating any potential delamination between both materials. For these reasons, the standard engineering calculations used in the practice remain very approximated and clumsy. In this work, we propose the formulation of a new 2D solid-layer finite element capable to link a solid body with a flexible thin layer, as it were the "skin" of the body, allowing the potential delamination between both materials. In numerical terms, this "skin" element is intended to work as a transitional region between a solid body (modelled with a classical formulation of a standard quadrilateral four-nodes element) and a flexible coat layer (modelled with cubic beam element), dealing with the incompatibility of Degrees-OfFreedom between them (two DOF for the solid and three DOF for the beam). The aim of the solid-layer element is to simplify the mesh construction of the strengthened RC element being aware of two aspects: a) to prevent the inappropriate use of very small solid elements to simulate the coat; b) to improve the numerical estimation of the real bearing capacity of the strengthened element when the coat is attached or detached from the solid body.