• 대한간호학회지
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• 제37권3호
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• pp.353-364
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• 2007

Purpose: This study is aimed to analyze and clarify the ambiguous concept of insight. Method: This study used the process of Walker & Avant's concept analysis. Results: Insight can be defined in terms of its attributes as follows: Insight 1) comes as a release to the tension of inquiry, (2) is the outcome of the process to discover the overall structure of the problem situation and psychologically restructurize it, (3) comes suddenly and unexpectedly, (4) is to clearly perceive the solution of the abstract problem, and (5) promotes obtaining another new insight. The antecedents of insight include inquiry that can not be resolved easily and also a state where basic knowledge related to the inquiry can be utilized. The consequence of the insight is (1) a new judgement is made, (2) the problem is solved, (3) previous insight is retained and transferred, and it also facilitates the generation of fresh insight, and (4) it passes into the habitual texture of one's mind. Conclusion: Nurse educators need to facilitate nursing students and nurses to accumulate systematically, various information that can become the basis of insight and provide them with an opportunity to experience a variety of problems. In addition, it is important to provide questions to learners as an education strategy to allow them to gain insight into problem solving. From now on, insight needs to be studied in conjunction with critical thinking and questioning in order to enhance nurses' ability to resolve problems.

• 대한치과마취과학회지
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• 제10권2호
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• pp.203-208
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• 2010

Tremors are trembling movements and are seen in association with alcoholic intoxication, certain drugs, thyrotoxicosis, multiple sclerosis, hysteria, and nervous tension. Dental fears, such as, pain, drill, unknown, dependency, helplessness, mutilation and oral change, induce the neuroendocrine response (release of epinephrine and norepinephrine, etc). The clinical manifestations of epinephrine or other vasopressor overdose include : anxiety, tenseness, restlessness, throbbing headache, tremor, perspiration, weakness, dizziness, pallor, palpitation and respiratory difficulty. Signs of local anesthetic overdose appear clinically whenever the anesthetic level in the blood rises to an appropriate level in an individual. The clinical signs of moderate overdose levels include : talkativeness, apprehension, excitability, slurred speech, tremor and muscular twitching. This is a case report about the severe tremor care after the endodontic treatment under right mandibular block anesthesia in a 56-years old female patient.

• Structural Engineering and Mechanics
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• 제58권5호
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• pp.799-823
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• 2016

A finite element model for the non-linear dynamic analysis of a reinforced concrete (RC) containment shell of a nuclear power plant subjected to extreme loads such as impact and earthquake is presented in this work. The impact is modeled by using an uncoupled approach in which a load function is applied at the impact zone. The earthquake load is modeled by prescribing ground accelerations at the base of the structure. The nuclear containment is discretized spatially by using 20-node brick finite elements. The concrete in compression is modeled by using a modified $Dr{\ddot{u}}cker$-Prager elasto-plastic constitutive law where strain rate effects are considered. Cracking of concrete is modeled by using a smeared cracking approach where the tension-stiffening effect is included via a strain-softening rule. A model based on fracture mechanics, using the concept of constant fracture energy release, is used to relate the strain softening effect to the element size in order to guaranty mesh independency in the numerical prediction. The reinforcing bars are represented by incorporated membrane elements with a von Mises elasto-plastic law. Two benchmarks are used to verify the numerical implementation of the present model. Results are presented graphically in terms of displacement histories and cracking patterns. Finally, the influence of the shear transfer model used for cracked concrete as well as the effect due to a base slab incorporation in the numerical modeling are analyzed.

• Child Health Nursing Research
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• 제8권4호
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• pp.458-468
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• 2002

The purpose of this study was to identify metacommunicative behaviors between nurses and patients in a pediatric unit. The research method included observation using videotaping. Data were collected from December, 2001 to February, 2002. Total six nurses, and eight patients and their mothers in a pediatric unit participated in this study. The interactions were videotaped under the participants' consent. The participants were observed for total 8 hours over 2-day period. Special episodes which were identified as metacommunicative behaviors in the taped interactions were transcribed. Transcription included verbal and nonverbal interactions. Selected episodes were classified using Mitchell's definition. Each classified definitions were named, and categorized by its purpose. The results were as follows: Nineteen metacommunicative behaviors which used frequently by nurses-approaching, mediating eye level, eye contact, touching, encouraging, turnabout, mimic voice, giving choices, friendly demand, expansion, tagging, repeating and confirming, identification, reflection, baby talk, symbolization, description of acts, relaxed posture, turning away- were identified and organized into four categories. They were call for attention, facilitating response, empathy, and tension release. In conclusion, nurses in this study used metacommunicative behaviors frequently and these behaviors were effective in interacting with children. It is suggested that any educational programs to teach communication skills to nurses need to include techniques on metacommunicative behaviors. This will help nurses to be more sensitive to different characteristics of their patients.

• 대한기관식도과학회지
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• 제3권1호
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• pp.61-69
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• 1997

A total of 55 patients underwent surgical managements for postintubation tracheal stenosis from July 1975 through March 1997. All but 8 had received ventilatory assistance. The patients had S cuff lesions, 17 stoma lesions, 7 at both levels, 5 at subglottic lesions. Thirty two patients underwent the sleeve tracheal resection and end-to-end anastomosis. Five patients performed a wedge resection and end-to-end anastomosis. Twenty two patients received the Montgomery T-tube for relief of airway obstruction. Simple excision of granulation tissue was done in 7 patients. Rethi procedures(anterior division of cricoid cartilage, partial wedge resection of lower thyroid cartilage and T-tube molding) were performed in 2 subglottic stenosis patients. And the other subglottic patient was received permanent tracheal fenestration at 1975. The tracheoesophageal fistula patient was done sleeve tracheal resection and end-to-end anastomosis with interrupted double layer closure of esophageal fistula site. Cervical approach was used in 49 cases, cervicomediastinal in 13 cases and median stemotomy In 6 cases. Techniques for obtaining tension-free anastomosis included a cervical neck flexion(15-30$^{\circ}$) in all sleeve resection patients and laryngeal release in one. The length of resection was 1.5 to 5.0 on A total of 41 patients(74.5%) had good(24 patients) or satisfactory(17 patients) results. But in ten cases, the restenosis of anastomosis site which is the most common complication was developed Two of them underwent a second reconstruction and 8 patients required T-tube insertion for airway maintenance. Three patients(5.4%) died. The causes of death were tracheo-innominate artery fistula(2) and sudden obstruction of airway(1).

• 천문학회보
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• 제44권1호
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• pp.79.3-79.3
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• 2019

Observational evidence for intrinsic galaxy alignments in isolated spiral pairs is presented. From the catalog of the galaxy groups identified by Tempel et al. in the flux-limited galaxy sample of the Sloan Digital Sky Survey Data Release 10, we select those groups consisting only of two spiral galaxies as isolated spiral pairs and investigate if and how strongly the spin axes of their two spiral members are aligned with each other. We detect a clear signal of intrinsic spin alignment in isolated spiral pairs, which leads to the rejection of the null hypothesis at the 99.9999% confidence level via the Rayleigh test. It is also found that those isolated pairs comprising two early-type spiral galaxies exhibit the strongest signal of intrinsic spin alignment and that the strength of the alignment signal depends on the angular separation distance as well as on the luminosity ratio of the member galaxies. Using the dark matter halos consisting of only two subhalos resolved in the EAGLE hydrodynamic simulations, we repeat the same analysis but fail to find any alignment tendency between the spin angular momentum vectors of the stellar components of the subhalos, which is in tension with the observational result. Several possible sources of this apparent inconsistency between the observational and the numerical results are discussed.

• 천문학회보
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• 제44권1호
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• pp.35.2-35.2
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• 2019

Observational evidence for intrinsic galaxy alignments in isolated spiral pairs is presented. From the catalog of the galaxy groups identified by Tempel et al. in the flux-limited galaxy sample of the Sloan Digital Sky Survey Data Release 10, we select those groups consisting only of two spiral galaxies as isolated spiral pairs and investigate if and how strongly the spin axes of their two spiral members are aligned with each other. We detect a clear signal of intrinsic spin alignment in isolated spiral pairs, which leads to the rejection of the null hypothesis at the 99.9999% confidence level via the Rayleigh test. It is also found that those isolated pairs comprising two early-type spiral galaxies exhibit the strongest signal of intrinsic spin alignment and that the strength of the alignment signal depends on the angular separation distance as well as on the luminosity ratio of the member galaxies. Using the dark matter halos consisting of only two subhalos resolved in the EAGLE hydrodynamic simulations, we repeat the same analysis but fail to find any alignment tendency between the spin angular momentum vectors of the stellar components of the subhalos, which is in tension with the observational result. Several possible sources of this apparent inconsistency between the observational and the numerical results are discussed.

• 천문학회보
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• 제46권1호
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• pp.35.1-35.1
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• 2021

RR Lyrae stars are sensitive probe for the precision stellar astrophysics and also for the cosmic distance scale thanks to their well-defined near-infrared Period-Luminosity relations (PLRs). These horizontal branch variables can be used for primary calibration of the first-rung of population II distance ladder providing an evaluation of the ongoing tension between Cepheid-Supernovae based Hubble constant and the Planck results. Therefore, absolute calibration of RR Lyrae PLRs is now crucial to complement or test the tip of the red giant branch based distances, and in turn, population II star based Hubble constant measurements. While the pulsation models of RR Lyrae can reproduce most observables, they predict a significant metallicity effect on their JHKs-band PLRs that is inconsistent with so-far limited observational studies. We remedy this inconsistency of metallicity dependence in RR Lyrae PLRs by combining their near-infrared observations in the globular clusters of different mean-metallicities with the new parallaxes from the Gaia early data release 3 (EDR3). Our empirical results on Period-Luminosity-Metallicity (PLZ)relations are consistent with theoretical predictions but the precision of absolute calibrations is still affected by the parallax uncertainties and the systematic zero-point offset present in the Gaia EDR3.

• 한국강구조학회 논문집
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• 제25권1호
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• pp.61-70
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• 2013

인장구조물의 하중을 지지하는 인장재 사이에서 한쪽은 왼나사, 다른 쪽은 오른나사로 구성되어 장력을 조절하는 장치가 턴버클이다. 인장재의 종류 및 연결 형태에 따라 다양한 종류가 존재하지만, 보편적으로 사용되는 기존의 턴버클은 장력을 측정할 수 없는 단점을 지니고 있다. 이에 장력조절의 기능과 함께 장력측정도 가능한 측정용 턴버클을 개발하였다. 본 논문에서는 기 개발된 측정용 턴버클의 비선형해석을 통한 극한강도와 측정 신뢰성을 확인하고자 한다. 기 개발된 100kN, 200kN, 300kN급 측정한계하중을 가지는 턴버클의 극한강도를 살펴보면, 측정한계하중의 5배 이상의 극한강도를 나타내었다. 추가로 300kN 이상의 고장력을 측정하기 위한 턴버클 개발을 위하여 검토한 결과 턴버클의 경사부가 휨과 인장에 저항하기 때문에 크기가 거대해지는 경향이 나타났다. 이에 300kN급 턴버클을 병렬연결하여 설치를 하면 600kN까지 측정할 수 있을 것이라는 발상에서 병렬연결장치를 구상하여 실험을 실시하였고, 그 가능성을 실험결과로부터 확인할 수 있었다. 또한 실험적인 인장구조물을 설치하여 개발된 턴버클이 외기에 노출되었을 시에 초기 하중의 변화 및 부식의 정도를 살펴보았다.

• 대한약리학회지
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• 제26권2호
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• pp.127-133
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• 1990

세포막을 투과하는 cyclic AMP의 유도체인 Dibutyryl-cyclic AMP(db-cAMP)와 ad-enylate cyclase를 활성화시킴으로써 세포내에 CAMP를 증가시키는 Forskolin을 이용하여 토끼 대동맥평활근 이완작용의 기전을 검토하여 다음과 같은 결과를 얻었다. 1. Db-cAMP는 $1{\mu}M$ norepinephrine에 의한 지속성 수축을 농도의존적으로 억제하였으나 고농도의 K에 의한 수축은 억제하지 못하였다. 2. Forskolin은 $1{\mu}M$ norepinephrine에 의한 지속성 수축을 농도의존적으로 억제하였으며, 고통도의 K에 의한 수축보다 더 효과적으로 억제하였다. 3. Db-cAMP는 $1{\mu}M$ norepinephrine에 의한 $^{45}Ca$ 유입증가를 억제하였다. 4. Forskolin은 $1{\mu}M$ norepinephrine에 의한 $^{45}Ca$ 유입증가를 억제하였으며, 고농도의 K에 의한 $^{45}Ca$ 유입증가도 억제하였으나 유의차는 없었다. 5. Db-cAMP는 칼슘이온 제거용액에서 $l{\mu}M$ norepinephrine에 의한 일과성 수축을 농도의존적으로 억제하였다. 이상의 결과에서 cAMP는 수용체작동성 칼슘채널(ROCs)을 통한 칼슘이온의 유입을 억제함으로써 norepinephrine에 의한 수축을 억제하며, 고농도의 K수축 억제가 전위의존성칼슘채널(VGCs)을 통한 칼슘이온의 유입의 억제에 의한 것인지는 확실치 않다. 또한 cAMP는 norepinephrine에 의한 세포내 칼슘이온의 유리에 의한 일과성 수축도 억제한다.