• Title/Summary/Keyword: critical position

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임상가를 위한 특집 1 - Comprehensive approach with implant

  • Lee, Dong-Hyun
    • The Journal of the Korean dental association
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    • v.51 no.11
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    • pp.586-594
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    • 2013
  • The critical factors affecting the esthetics of anterior implants can be summarized as following: 1) Correct positioning of implant fixture 2) Enough amount of alveolar bone 3) Optimum volume of soft tissue. The position of implant is probably the most important factor in obtaining esthetic treatment outcome. The 3-dimensional orientation of implant is determined by the position on the alveolar ridge and its direction. Clinicians often try to mimic natural teeth when fabricating restorations. During the course of esthetic diagnosis and treatment, however, one should not forget to consider the correlation between facial pattern, lips, gingiva, alveolar ridge, as well as remaining dentition. Since anterior region is biologically unfavorable when compared with posterior region, one minor discrepancy in positioning of implant can cause esthetically undesirable treatment outcome. If one understands the biological and prosthetic meaning of implant's 3-dimensional position, he or she can achieve superior esthetic outcome in anterior region.

Relationships between Critical Thinking Disposition, Professional Nursing Competence and Job Satisfaction in Clinical Nurses (임상간호사의 비판적 사고성향, 간호수행능력 및 직무만족도)

  • Sung, Mi-Hae;Eum, Ok-Bong
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.1
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    • pp.26-36
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    • 2009
  • Purpose: This study was undertaken in order to investigate the relationships between critical thinking disposition, professional nursing competence and job satisfaction in clinical nurses. Method: A convenience sample of 221 registered nurses were obtained from one hospital in Seoul. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe' test, Pearson correlation coefficient using SPSS WIN 14.0 program. Results: There were a statistically significant difference in the critical thinking disposition according to age, marital status, career length, and department. There were a statistically significant difference in professional nursing competence according to role, age, career length, current position, and department. There were a statistically significant difference in job satisfaction according to age, marital status, career length, and department. A significant positive correlation between critical thinking disposition and professional nursing competence, and job satisfaction was found. Conclusion: Critical thinking disposition, professional nursing competence and job satisfaction of clinical nurses are significantly related. To improve professional nursing competence and job satisfaction of clinical nurses, it need to use actively the critical thinking disposition with resonable salary. And it need to prepare the nursing education and strategy to increase the job satisfaction of clinical nurses.

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A Study of Communication Style, Critical Thinking Disposition, Job Satisfaction and Job Stress in Hospital Nurses (간호사의 의사소통 유형, 비판적 사고 성향, 직무만족도 및 직무 스트레스에 관한 연구)

  • Park, Hyo-Mi;Lee, Hea-Shoon
    • Perspectives in Nursing Science
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    • v.8 no.2
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    • pp.105-112
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    • 2011
  • Purpose: The purpose of this study was to identify the predictors of job stress in hospital nurses. The predictors of job stress were the subject's general characteristics, communication style, critical thinking disposition and job satisfaction. Methods: 294 nurses who had worked in a hospital participated in this study. The data were analysed with descriptive analysis methods including a t-test, ANOVA, Scheffe test, Pearson correlation coefficient and multiple regression analysis. Results: The job stress score for nurses was 111.6. There was a statistically significant difference between job stress and marriage status (p<.001), education (p<.001), clinical career (p<.001), position (p<.001), communication style (p<.001), critical thinking disposition (p<.001), and job satisfaction (p<.001). Critical thinking disposition, job satisfaction and clinical career together accounted for 36.88% of the total variation in job stress. Conclusion: Based on the findings of this study, the development of a nursing intervention program that can lead to an improvement in critical thinking disposition is suggested.

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A Novel Method for Improving the Positioning Accuracy of a Magnetostrictive Position Sensor Using Temperature Compensation (온도 보상을 이용한 자기변형 위치 센서의 정확도 향상 방법)

  • Yoo, E.J.;Park, Y.W.;Noh, M.D.
    • Journal of Sensor Science and Technology
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    • v.28 no.6
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    • pp.414-419
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    • 2019
  • An ultrasonic based magnetostrictive position sensor (MPS) provides an indication of real target position. It determines the real target position by multiplying the propagation speed of ultrasonic wave and the time-of-flight between the receiving signals; one is the initial signal by an excitation current and the other is the reflection signal by the ultrasonic wave. The propagation speed of the ultrasonic wave depends on the temperature of the waveguide. Hence, the change of the propagation speed in various environments is a critical factor in terms of the positioning accuracy in the MPS. This means that the influence of the changes in the waveguide temperature needs to be compensated. In this paper, we presents a novel way to improve the positioning accuracy of MPSs using temperature compensation for waveguide. The proposed method used the inherent measurement blind area for the structure of the MPS, which can simultaneously measure the position of the moving target and the temperature of the waveguide without any additional devices. The average positional error was approximately -23.9 mm and -1.9 mm before and after compensation, respectively. It was confirmed that the positioning accuracy was improved by approximately 93%.

A Two-step Kalman/Complementary Filter for Estimation of Vertical Position Using an IMU-Barometer System (IMU-바로미터 기반의 수직변위 추정용 이단계 칼만/상보 필터)

  • Lee, Jung Keun
    • Journal of Sensor Science and Technology
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    • v.25 no.3
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    • pp.202-207
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    • 2016
  • Estimation of vertical position is critical in applications of sports science and fall detection and also controls of unmanned aerial vehicles and motor boats. Due to low accuracy of GPS(global positioning system) in the vertical direction, the integration of IMU(inertial measurement unit) with the GPS is not suitable for the vertical position estimation. This paper investigates an IMU-barometer integration for estimation of vertical position (as well as vertical velocity). In particular, a new two-step Kalman/complementary filter is proposed for accurate and efficient estimation using 6-axis IMU and barometer signals. The two-step filter is composed of (i) a Kalman filter that estimates vertical acceleration via tilt orientation of the sensor using the IMU signals and (ii) a complementary filter that estimates vertical position using the barometer signal and the vertical acceleration from the first step. The estimation performance was evaluated against a reference optical motion capture system. In the experimental results, the averaged estimation error of the proposed method was 19.7 cm while that of the raw barometer signal was 43.4 cm.

The Relationships among Awareness of Patient Safety Culture, Critical Thinking Disposition and Patient Safety Nursing Activities of Nurses among Comprehensive Nursing Care Service Ward (간호·간병통합서비스병동간호사의 환자안전문화인식, 비판적 사고성향과 환자안전간호활동의 관계)

  • Cheon, Goun;Kim, Jiyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.345-354
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    • 2018
  • This study was conducted to identify the levels of patient safety culture, critical thinking disposition, and patient safety nursing activities and determine the factors affected by patient safety nursing activities among nurses in comprehensive nursing care service wards. Subjects consisted of 150 nurses from general hospitals in B city, Korea, and data were analyzed using the SPSS Win 21.0 program. The mean scores of awareness of patient safety culture, critical thinking disposition, and patient safety nursing activities were $3.32{\pm}0.32$, $3.50{\pm}0.31$, and $4.28{\pm}0.46$, respectively. The awareness of patient safety culture was significantly different by clinical career in the present unit (F=4.79, p=0.001). The critical thinking disposition was significantly different by age (F=3.89, p=0.010) and position (F=6.40, p=0.002). There were differences in the scores of patient safety nursing activities according to position (F=3.19, p=0.044). Additionally, hospital environment (${\beta}=0.25$, p=0.014), supervisor attitude (${\beta}=0.20$, p=0.046), and position (${\beta}=0.14$, p=0.040) accounted for a 44.4% variance in patient safety nursing activities. To promote patient safety nursing activities in comprehensive nursing care service wards, positive awareness of the hospital's safety environment and support from the manager are required.

Effects of changing position on cardiac output & on patient's discomforts after cardiac surgery (개심술을 받은 환자의 체위에 따른 심박출량 및 불편감에 관한 연구)

  • Yu Mi;Kwon Eun-Ok;Choi Yun-Kyoung;Kang Hyun-Ju;Oh Se-Eun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.2
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    • pp.256-270
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    • 2000
  • Invasive hemodynamic monitoring has become a valuable assessment parameters in critical care nursing in patients undergoing open heart surgery patients. During cardiac surgery, the Swan Ganz catheter is placed in the pulmonary artery. Critical care nurses routinely obtain cardiac output, cardiac index, and pulmonary arterial pressure in these patients. Traditionally, patients are positioned flat and supine for cardiac output measurement. Numerous studies have dealt with the effects of changing position on the hemodynamic variables. However, there are a few studies dealing with patients who undergo cardiac surgery in Korea. Thus, the purpose of this study was to determine the effects of changing position on cardiac output, PAP, CVP, BP, HR and discomfort in patients after cardiac surgery. A sample of 21 adults who had CABG and/or valve replacement with Swan Ganz catheters in place was studied. The data were collected in the cardiac ICU of a university hospital in Seoul during the period from July 28, 1999 to August 30. 1999. In this study, the independent variable is patient position in the supine, 30 degree, and 45 degree angles. Dependent variables are C.O., C.I., CVP, PAP, MAP, HR and patients' perceived discomforts. Subject discomfort was measured subjectively by visual analogue scale. Other hemodynamic data where collected by the thermodilution method and by direct measurement. The data were analyzed by percentile, t-test, ANOVA, Linear regression analysis using SPSS-/WIN program. The results are as follows : 1) Changes in cardiac output were absent in different angle positions, 0, 30. 45 degrees(F=.070, P=.932). Changes in cardiac index were absent in different angle positions, 0. 30, 45 degrees(P>.05). 2) Changes in central venous pressure were absent in different angle positions, 0, 30, 45 degree(P>.05). 3) PAP had no change in different angle 0, 30, 45 degree positions; systolic PAP(P>.05), diastolic PAP(P>.05). 4) Changes in systolic blood pressure were absent in different angle positions, 0, 30, 45 degree(P>.05). 5) Changes in heart rates were absent in different angle positions, 0, 30, 45 degree(P>.05). 6) Patients' perceived discomfort was absent in different angle positions, 0, 30, 45 degree(p<.05). In conclusion, critical care nurses can measure C.O., C.I., PAP, BP, & CVP in cardiac surgery patients at 30 degree or 45 degree positions. This can improve the patients' comfort.

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The aerostatic response and stability performance of a wind turbine tower-blade coupled system considering blade shutdown position

  • Ke, S.T.;Xu, L.;Ge, Y.J.
    • Wind and Structures
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    • v.25 no.6
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    • pp.507-535
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    • 2017
  • In the strong wind shutdown state, the blade position significantly affects the streaming behavior and stability performance of wind turbine towers. By selecting the 3M horizontal axis wind turbine independently developed by Nanjing University of Aeronautics and Astronautics as the research object, the CFD method was adopted to simulate the flow field of the tower-blade system at eight shutdown positions within a single rotation period of blades. The effectiveness of the simulation method was validated by comparing the simulation results with standard curves. In addition, the dynamic property, aerostatic response, buckling stability and ultimate bearing capacity of the wind turbine system at different shutdown positions were calculated by using the finite element method. On this basis, the influence regularity of blade shutdown position on the wind-induced response and stability performance of wind turbine systems was derived, with the most unfavorable working conditions of wind-induced buckling failure of this type of wind turbines concluded. The research results implied that within a rotation period of the wind turbine blade, when the blade completely overlaps the tower (Working condition 1), the aerodynamic performance of the system is the poorest while the aerostatic response is relatively small. Since the influence of the structure's geometrical nonlinearity on the system wind-induced response is small, the maximum displacement only has a discrepancy of 0.04. With the blade rotating clockwise, its wind-induced stability performance presents a variation tendency of first-increase-then-decrease. Under Working condition 3, the critical instability wind speed reaches its maximum value, while the critical instability wind speed under Working condition 6 is the smallest. At the same time, the coupling effect between tower and blade leads to a reverse effect which can significantly improve the ultimate bearing capacity of the system. With the reduction of the area of tower shielded by blades, this reverse effect becomes more obvious.

Critical Analysis about Environmental Ethics and Moral Position of Landscape Architecture - Focusing on Eugen C. Hargrove's 'Weak Anthropocentrism' - (조경의 환경윤리에 대한 비판적 해석과 도덕적 위치 - 유진 하그로브의 '약한 인간중심주의'를 중심으로 -)

  • Oh, Chang-Song
    • Journal of the Korean Institute of Landscape Architecture
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    • v.43 no.2
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    • pp.105-113
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    • 2015
  • The theory of landscape architecture applies environmental ethics in order to secure an ecological status. However, environmental ethics that focus on nature conservation excludes landscape architecture as artifacts. In the process, it is hard to identify what landscape architecture insists on as the middle position between humans and nature. Rather, landscape architecture pretends to be an 'agent of nature' and pushes the traditional moral values 'for people.' Therefore, the purpose of this study is to reestablish the anthropocentrism moral position of landscape architecture through critical analysis. Hargrove's weak anthropocentrism' of several environmental ethics branches accepts natural aesthetics(such as landscape architecture) as an ethical virtue. But environmental ethics makes landscape architecture a critical target. For that reason, this study looked into critical contents and objects that in a position to moral, aesthetic and landscape architecture. Critical details are as follows: First, nature is an absolute as an aesthetic and moral value, but landscape architecture is an imitation and takes a relaxed attitude about nature. Second, nature is full of aesthetic substance because it is self-creative, but landscape architecture is designed nature covered human flaws through imagination. Third, environmental management granting techniques in nature generate a moral nihilism. As an argument, environmental ethics overlooked the moral practices of landscape architecture beyond nature another moral aspect of creation and the imagination-and moral aspects of environmental management as 'care' because they rule out 'moral autonomy' and simplify what is considered 'good.' As a result, conservation cannot be the only virtue why the problem of nature in reality cannot be separated from human life. The moral position of landscape architecture based on a 'good life' is more appropriate under anthropocentrism than as a middle position.

Feasibility Study of Source Position Verification in HDR Brachytherapy Using Scintillating Fiber

  • Moon, Sun Young;Jeong, EunHee;Lim, Young Kyung;Chung, Weon Kyu;Huh, Hyun Do;Kim, Dong Wook;Yoon, Myonggeun
    • Progress in Medical Physics
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    • v.27 no.4
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    • pp.213-219
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    • 2016
  • The position verification of the radiation source utilized in brachytherapy forms a critical factor in determining the therapeutic efficiency. Currently, films are used to verify the source position; however, this method is encumbered by the lengthy time interval required from film scanning to analysis, which makes real-time position verification difficult. In general, the source position accuracy is usually tested in a monthly quality assurance check. In this context, this study investigates the feasibility of the real-time position verification of the radiation source in high dose rate (HDR) brachytherapy with the use of scintillating fibers. To this end, we construct a system consisting of scintillating fibers and a silicon photomultiplier (SiPM), optimize the dosimetric software setup and radiation system characteristics to obtain maximum measurement accuracy, and determine the relative ratio of the measured signals dependent upon the position of the scintillating fiber. According to the dosimetric results based on a treatment plan, in which the dwell time is set at 30 and 60 s at two dwell positions, the number of signals is 31.5 and 83, respectively. In other words, the signal rate roughly doubles in proportion to the dwell time. The source position can also be confirmed at the same time. With further improvements in the spatial resolution and scintillating fiber array, the source position can be verified in real-time in clinical settings with the use of a scintillating fiber-based system.