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A Study on urinary Incontinence of Adult Women : Preliminary Study (성인여성의 요실금에 관한 기초 연구)

  • 최영희;홍재엽;김문실;김애정;김정아;백성희
    • Journal of Korean Academy of Nursing
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    • v.28 no.1
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    • pp.171-183
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    • 1998
  • The purpose of this study was to identify the incidence of urinary incontinence in adult women and to identify factors related to life style and sexual intercourse that were related to incontinence. The sample consisted of 1,065 women living in Seoul or one of five provinces. Data for this study were collected from January 16 to June 23 using structured questionnaires. The Urinary Symptom Questionnaire developed by Jackson and a demographic questionnaire were used to collect the data. The data were analyzed using frequency, percentage with an SPSS/PC$^{+}$ program. The major finding are as follows : 1. The distribution of age of subjects was as follows : 20-29(10.1%), 20-39(17.8%), 40-49(27.3%). 50-59(22.3%), 60-69(12.9%), 70-79(6.1%). 80-89(2.8%), more than 90(0.6%). The frequency of normal delivery, 0(155%), 1-2(36.0%), 3-4(29.2%), 5-6(13.0%). more than 7(6.3%). The rate of subjects with menopause was 40.8%. 2. It was reported that 50.7% of the subjects experienced urinary incontinence with stress, mixed. and urgency incontinence being 49.8%, 43.4%, 6.8% respectively. 3. The lower urinary symptoms and incidence with urinary incontinence were as follows : Daily frequency. 22.3%, nocturia. 40.8%, urgency, 71.2%, bladder pain 47.8%, unexplainned incontinence, 32.4%, noctural incontinence, 16.1%, and frequency of incontinence, 37.7%. In term of quantity of incontinence, drop/pants damp, 29.5%, dribble/pants wet, 20.5%, flood or soaking through to outer clothing, 1.7%, and flood or running down legs or onto floor, 0.2%. 4. The symptoms related to sexual intercourse and incidence of urinary incontinence were as follows : dry vagina, 39.1%, sex life trouble, 10.8%, pain during sexual intercourse, 27.4%, and urine leakage during sexual intercourse. 8.8%. 5. Life style problems related to urinary incontinence were as follows : fluid intake restriction, 20.0%, affected daily task, 24.5%. avoidance of placess and situations, 35.0%, interference in physical activities, 30.6%, interference in relationships with other people. 19.0%. interference in relationships with husband/companion, 8.1%, and time after attack of urinary symptoms, 76.9%. In term of the feeling about the rest of their lifves the women reported : perfectly happy, 11.3%. pleased, 16.9%. mostly satisfied, 20.2%, mixed feelings, 21.0%, mostly dissatisfied, 21.0%, very unhappy 8.5%, and desperate. 1.0%. In conclusion. this study was a preliminary study to provide nursing practices guidelines for incontinence in adult women. Nurse working with adult women should develop and provide adequate care for these women.n.

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A Survey on the Demand of Education topic for the Development of Dental Hygienist Coordination System (Dental Hygienist Coordination System 개발 교육주제 요구조사)

  • Lee, Yun-Jung;Woo, Hee-Sun
    • Journal of dental hygiene science
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    • v.10 no.5
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    • pp.349-356
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    • 2010
  • The purpose of this study was to examine the awareness of dental hygienists, who played a significant role in dental sector, about health care management and their needs for education in an attempt to pave the way for the development of a Dental Hygienist Coordination System(DHCS). The subjects were 156 dental hygienists at 85 dental clinics, who were selected in Gwangju based on the data released as of August 2008 by the Dental Association and public health centers in sampling region. A Questionnaire was conducted in person to gather survey data and SPSS 12.0 program was utilized to make a statistical analysis. This results findings suggested that a systematic curriculum should be developed by focusing on coordination theory and practice, counseling and educational practice, health insurance affairs and health insurance fee claim management.

Child Abuse Recognition and Related Factors among Korean Nursing Students (간호대학생의 아동학대 인식과 관련요인)

  • Cho, Yoo Hyang;Chung, Younghae
    • Journal of agricultural medicine and community health
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    • v.38 no.2
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    • pp.85-96
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    • 2013
  • Objectives: This study measures nursing students' ability to recognize child abuse and identifies the factors related to varying levels of recognition. Methods: In this cross-sectional study, data were collected from 370 third and fourth year nursing students using a self-reported questionnaire during November 15-30, 2011. The measuring tool for child abuse recognition used in the study was developed by Ozasa (2011) and is composed of 44 items including physical, mental, and sexual abuse, and neglect. For data analysis, descriptive statistics, two sample t-tests, and regression analysis were evaluated with the SPSS/PC ver20.0 program. Results: Nursing students were concerned about child abuse(85.4%), but knew little about related laws and regulations(14.3%), and they had almost no formal education or training regarding how to recognize child abuse. They only 1.6% reported child abuse even if they encountered such incidents; however, they correctly recognized even infrequent incidents of child abuse. Recognition of sexual abuse ranked highest, while recognition of neglect ranked lowest. Those with higher levels of concern over child abuse showed higher recognition scores. Regression analysis revealed that physical abuse, mental abuse, and neglect had different related factors, while sexual abuse had none. Conclusion: Education and training on the subject of child abuse is strongly recommended in nursing curriculums so that nurses will be able to appropriately respond to and report suspected child abuse.

The Effect of Progressive Muscle Relaxation using Biofeedback on Stress Response and Natural Killer Cell in first Clinical Practice of Nursing Students (바이오휘드백을 이용한 점진적 근육이완훈련이 스트레스반응과 면역반응에 미치는 효과)

  • Kim Keum-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.1
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    • pp.109-121
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    • 2000
  • Increasingly nursing science is embracing the concepts and methodology derived from psycho-neuroimmunology. It has been previously shown that stress increases and immune function declines in students undergoing examinations. To date, however, no many studies have been reported on stress levels, immune function and interventions in Korean students undergoing their first clinical nursing rotation. It was proposed that nursing students during their first clinical rotation experience increase in stress because of the novelty of the situation and their lack of clinical knowledge. It was also hypothesized that biofeedback and progressive relaxation, methods of self-regulation of involuntary autonomic nervous system responses, would reduce the stress response. The purpose of this study is to test the effectiveness of progressive muscle laxation using biofeedback The effectiveness of the experimental methods was tested by measuring the degree of symptoms of stress (SOS) and the values of ephinephrine, pulse rate, blood pressure and natural killer cells. The subjects of this study were thirty nursing students divided into two groups: experimental group was progressive muscle relaxation group using biofeedback and control group. This study was conducted for 8 weeks of clinical practice. Biofeedback training was done by software developed by J&J company (1-410 form for progressive muscle training). Progressive muscle relaxation training according to Jacobson's Theory was done by messaged word from biofeedback. The data was analyzed using Chronbach' ${\alpha}$ and t-test of the SPSS program and the significance level of statistics was 5%. The results of the study were : 1) The progressive muscle relaxation training using biofeedback was effective for the reduction of symptoms of stress(t=-4.248, p<.001) under clinical practice stress conditions. 2) The progressive muscle relaxation training using biofeedback was not effective for the values of epinephrine(t=-1.294, p=.206). 3) The progressive muscle relaxation training using biofeedback was effective for the reduction of systolic blood pressure (t=-2.757, p=.01). 4) The progressive muscle relaxation training using biofeedback was effective for the reduction of diastolic blood pressure (p=-2.032, 0=.05). 5) The progressive muscle relaxation training using biofeedback was not effective for the reduction of pulse rate(t=-15, p=.988). 6) The progressive muscle relaxation training using biofeedback was effective for the maintenance of natural killer cells (t=2.381, p=02). The first clinical rotation for student nurses is a stressful experience as seen by the rise in the SOS in the control group. Biofeedback using progressive muscle relaxation were effective in preventing the rise of symptoms of stress and the blood pressure means when comparing the pre to post clinical experience, The mean natural killer cell count was depressed in the control group but not significantly different in the experimental groups, It is proposed here that stress via the hypothalamic - pituitary - adrenal axis suppressed the NK cell count whereas the relaxation methods prevented the rise in stress and the resulting immune depression. We recommend relaxation techniques using biofeedback as a health promotion technique to reduce psychological stress. In summary. the progressive muscle relaxation training using biofeedback was effective for the reduction of symptoms of stress under clinical practice stress conditions.

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Seismic Performance Evaluation of a Cone-type Friction Pendulum Bearing System (원추형 마찰진자베어링의 내진성능평가)

  • Jeon, Bub-Gyu;Chang, Sung-Jin;Park, Kyung-Rock;Kim, Nam-Sik;Jung, Duk-Young
    • Journal of the Earthquake Engineering Society of Korea
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    • v.15 no.2
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    • pp.23-33
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    • 2011
  • In this study, a CFPBS (Cone-type Friction Pendulum Bearing System) was developed which controls the acceleration delivered to the structure to prevent damage and degradation of the critical communication equipment in case of an earthquake. The isolation performance of the CFPBS was evaluated by numerical analysis. The CFPBS was manufactured in the shape of a cone differenced from the existing FPS (Friction Pendulum System), and a pattern was engraved on the friction surface. The natural frequencies of the CFPBS were evaluated from a free-vibration test with the seismic isolator system consisting of four CFPBSs. In order to verify its earthquake-resistant performance, a numerical analysis program was created from the equation of the CFPBS induced from the equations of motion. A simplified theoretical equation of the CFPBS was proposed to manufacture the equipment which could demonstrate the necessary performance. Artificial seismic waves satisfying the maximum earthquake scale of the Korean Building Code-Structural (KBC-2005) were created and verified to review the earthquake-resistant performance of the CFPBS by numerical analysis. The superstructural mass of the CFPBS and skew angle of the friction surface were considered for numerical analysis with El Centro NS (1940), Kobe NS (1995) and artificial seismic waves. The CFPBS isolation performance evaluation was based on the results of numerical analysis and the executed comparative analysis between the results from numerical analysis and the simplified theoretical equation under the same conditions.

Real-Time Implementation of Acoustic Echo Canceller for Mobile Handset Using TeakLite DSP Core (Teaklite DSP Core 를 이용한 이동통신 단말기용 음향반향제거기의 실시간 구현)

  • Gwon, Hong-Seok;Kim, Si-Ho;Jang, Byeong-Uk;Bae, Geon-Seong
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.39 no.2
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    • pp.128-136
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    • 2002
  • In this paper, we developed an acoustic echo canceller in real-time using TeakLite DSP Core, which will be placed in the vocoder chip of a mobile handset. Considering the limited computational capacity given to the acoustic echo canceller in a vocoder chip, we employed a FIR-type adaptive filter using a conventional NLMS algorithm. To begin with, we designed and implemented an acoustic echo canceller with floating-point format C-source code, and then converted it into fixed-point format through integer simulation. Then we programmed and optimized it in the assembler level to make it run ill real-time. After optimization procedure, the implemented echo canceller has approximately 624 words of program memory and 811 words of data memory. With 8 KHz sampling rate and 256 filter taps in the echo canceller that corresponds to 32 msec of echo delay, it requires 14.12 MIPS of computational capacity. For coverage of 16 msec echo delay, i.e., 128 filter taps, 9 MIPS is requited.

STATUS AND PROGRESS OF ARGO-M SYSTEM DEVELOPMENT (인공위성 레이저추적 시스템(ARGO-M) 개발 현황)

  • Park, Eun-Seo;Yu, S.Y.;Lim, H.C.;Bang, S.C.;Seo, Y.K.;Park, J.H.;Jo, J.H.;Park, J.U.;Nah, J.K.;Jang, J.G.;Jang, B.H.;Kim, K.D.;Kim, B.I.;Park, C.H.;Lee, S.H.;Ham, S.Y.;Son, Y.S.
    • Publications of The Korean Astronomical Society
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    • v.27 no.3
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    • pp.49-59
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    • 2012
  • KASI (Korea Astronomy and Space Science Institute) has developed an SLR (Satellite Laser Ranging) system since 2008. The name of the development program is ARGO (Accurate Ranging system for Geodetic Observation). ARGO has a wide range of applications in the satellite precise orbit determination and space geodesy research using SLR with mm-level accuracy. ARGO-M (Mobile, bistatic 10 cm transmitting/40 cm receiving telescopes) and ARGO-F (Fixed stationary, about 1 m transmitting/receiving integrated telescope) SLR systems development will be completed by 2014. In 2011, ARGO-M system integration was completed. At present ARGO-M is in the course of system calibration, functionality, and performance tests. It consists of six subsystems, OPS (Optics System), TMS (Tracking Mount System), OES (Opto-Electronic System), CDS (Container-Dome System), LAS (Laser System) and AOS (ARGO Operation System). In this paper, ARGO-M system structure and integration status are introduced and described.

Ray Effect Analysis Using the Discrete Elements Method in X-Y Geometry (2차원 직각좌표계에서 DEM을 이용한 ray effect의 해석)

  • Choi, Ho-Sin;Kim, Jong-Kyung
    • Journal of Radiation Protection and Research
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    • v.17 no.1
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    • pp.43-56
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    • 1992
  • As one of the methods to ameliorate the ray effects which are the nature of anomalous computational effects due to the discretization of the angular variable in discrete ordinates approximations, a computational program, named TWODET (TWO dimensional Discrete Element Transport), has developed in 2 dimensional cartesian coordinates system using the discrete elements method, in which the discrete angle quadratures are steered by the spatially dependent angular fluxes. The results of the TWODET calculation with K-2, L-3 discrete angular quadratures, in the problem of a centrally located, isotropically emitting flat source in an absorbing square, are shown to be more accurate than that of the DOT 4.3 calculation with S-10 full symmetry angular quadratures, in remedy of the ray effect at the edge flux distributions of the square. But the computing time of the TWODET is about 4 times more than that of the DOT 4.3. In the problem of vacuum boundaries just outside of the source region in an absorbing square, the results of the TWODET calculation are shown severely anomalous ray effects, due to the sudden discontinuity between the source and the vacuum, like as the results of the DOT 4.3 calculation. In the probelm of an external source in an absorbing square in which a highly absorbing medium is added, the results of the TWODET calculation with K-3, L-4 show a good ones like as, somewhat more than, that of the DOT 4.3 calculation with S-10.

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Contaminated Surfaces in an Urban Environment (도시환경에서 방사능오염 표면의 중요도 분석)

  • Hwang, Won-Tae;Jeong, Hyo-Joon;Kim, Eun-Han;Han, Moon-Hee;Ahn, Min-Ho;Kim, In-Kyu
    • Journal of Radiation Protection and Research
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    • v.36 no.3
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    • pp.148-153
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    • 2011
  • EMRAS-2 (Environmental Modelling for RAdiation Safety, Phase 2) is an international comparison program, which is organized by the International Atomic Energy Agency (IAEA), in order to harmonize the modelling of radionuclide behavior in the environment. To do so, the urban contamination working group within EMRAS-2 has designed the hypothetical scenarios for a specified urban area. In this study, the importance of contaminated surfaces composing an urban environment was analyzed in terms of dose rate using METRO-K, which has been developed to take a Korean urban environment into account. The contribution of contaminated surfaces to exposure dose rate showed distinctly a great difference as a function of specified locations and time following a hypothetical event. Moreover, it showed a distinct difference according to the existence of precipitation, and its intensity. Therefore, if an urban area is contaminated radioactively by any unexpected incidents such as an accident of nuclear power plants or an explosion of radioactive dispersion devices (RDDs), appropriate measures should be taken with consideration of the type of surface composing the contaminated environment in order to minimize not only radiation-induced health detriment but also economic and social impacts.

High School Students' Perception of Value Building about Korean Traditional Science Knowledge (한국 전통 과학에 대한 고등학생들의 인식과 가치 탐색)

  • Lee, Ji-Hye;Shin, Dong-Hee
    • Journal of The Korean Association For Science Education
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    • v.35 no.1
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    • pp.143-157
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    • 2015
  • The purpose of this study is to examine the possibility of science education using Korean TSK(Traditional scientific knowledge). In this study, we have developed five Korean TSK units including science concepts, historical knowledge and cultural experience and applied them to 10th graders. The five units are as follows: (1) Calendars(western and eastern), (2) Our traditional sundial, Angbuilgu, (3) A great scientist in the King Sejong Era, (4) Data interpretation of ancient record of natural phenomenon in Korea, and (5) Gyeongbokgung Palace. The analyses included a pre- and post test of students' perception, classroom observation, students' activity sheets, and interview. The results show that the students' perception of Korean TSK has changed toward recognizing the value of Korean TSK as a kind of natural science. They expressed their expectation of Korean TSK in scientific, practical, and emotional perspectives, wherein some students thought the practical and emotional perspectives of Korean TSK as non-scientific characteristics. Students showed five types of worldview about the relationship between Korean TSK and WMS(western modern science). Most students favored and cherished the Korean TSK but at the same time, they were confused about its scientific value. The results support the rethinking of the meaning of science and what students learn in school. We should consider how we teach the Korean TSK to students. It is important that a profound research of the Korean TSK should be continued to make our science education varied.