• Title/Summary/Keyword: practitioner

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The numerical wind tunnel for industrial aerodynamics: Real or virtual in the new millennium?

  • Stathopoulos, T.
    • Wind and Structures
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    • v.5 no.2_3_4
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    • pp.193-208
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    • 2002
  • Previous studies have shown that Computational Wind Engineering (CWE) is still in its infancy and has a long way to go to become truly useful to the design practitioner. The present work focuses on more recent studies to identify progress on outstanding issues and improvements in the numerical simulation of wind effects on buildings. The paper reviews wind loading and environmental effects; it finds that, in spite of some interesting and visually impressive results produced with CWE, the numerical wind tunnel is still virtual rather than real and many more parallel studies - numerical and experimental - will be required to increase the level of confidence in the computational results.

A Severe Retropharyngeal Hematoma after Stellate Ganglion Block -A case report- (성상신경절차단 후 생긴 심한 후인두 혈종 -증례보고-)

  • Lee, Kang Hun;Yoon, Duck Mi
    • The Korean Journal of Pain
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    • v.21 no.1
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    • pp.62-65
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    • 2008
  • A 73-year-old man with sudden sensory neural hearing loss received a stellate ganglion block. Two hours after the block, the patient complained of newly developed neck discomfort. After an additional two hours, the neck swelled up gradually and neck pain and dyspnea developed. A plain radiograph of neck revealed narrowing of the upper airway; a tracheostomy was performed and the dyspnea was improved. On the next day, the pain site extended to the right scapula and a CT image revealed a huge retropharyngeal hematoma. Hematoma evacuation and bleeder ligation were then performed and the patient was discharged on the fourth day after admission without any complications. A practitioner should always remember to educate the patients about possible complications and undertake intensive observation when performing procedures, even in patients who do not initially present with a compromised airway.

Analysis of the Relationships between Esophageal Cancer Cases and Climatic Factors Using a Geographic Information System (GIS): a Case Study of Ardabil province in Iran

  • Ahari, Saeid Sadeghieh;Agdam, Fridoon Babaei;Amani, Firouz;Yazdanbod, Abbas;Akhghari, Leyla
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.2071-2077
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    • 2013
  • Esophageal cancer is a mjaor health problems in many parts of the world. A geographical information system (GIS) allows investigation of the geographical distribution of diseases. The purpose of the present study was to explore the relationship between esophageal cancer and effective climatic factors using GIS. The dispersion distribution and the relationship between environmental factors effective on cancer were measured using Arc GIS. The highest degree of spread was in Germi town and the least was in Ardabil city. There was a significant relationship between effective environmental factors and esophageal cancer in Ardabil province. The results indicated that environmental factors probably are influential in determining the incidence of esophageal cancer. Also, these results can be considered as a window to future comprehensive research on esophageal cancer and related risk factors.

The Influence of Competitive Advantage on Hospital Performance: Focused on Resource-based View(RBV) (경쟁우위와 의료기관 경영성과 -자원기반관점을 중심으로-)

  • Lee, Ye Jin;Suh, Won Sik
    • Korea Journal of Hospital Management
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    • v.21 no.3
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    • pp.53-64
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    • 2016
  • The study empirically examines the classic hypothesis on resource-based view(RBV) theory, which is the possible relationship between competitive advantage and performance. For the study, we have surveyed 198 hospital administrators in Korea. By testing the hypotheses at conceptual level, a more robust approach, we found that (1) if a hospital possesses and exploits resources and capabilities that are both valuable and rare, it will attain a competitive advantage, and (2) the attaintment of such advantage will enable the hospital to improve its performance. The results may be interest to both academics and practitioners. From an academic standpoint, the study more accurately captures the dynamics of the theory by pairing resources-capabilities as opposed to individual resources or capabilities. From a practitioner perspective, it is suggested that hospital managers need no necessarily seek out novel resources and capabilities, but rather develop novel ways in which to combine those resources and capabilities to which they do have access.

Coping with Experiences in Multiple Chronic Diseases in the Rural Elderly (농촌 노인의 복합만성질환에 대한 대처 경험 - 문화기술학적 방법으로 -)

  • Joung, Eun-Ok;Kwon, Sung-Bok;Ahn, Ok-Hee
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.32-41
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    • 2007
  • Purpose: The purpose of this study was to describe how the rural elderly cope with experiences in multiple chronic diseases. Method: Data were collected through participant observation and in-depth interview using ethnography. The participants were 9 women and 2 men who aged over 65, were living in rural community, and had experienced two or more chronic diseases. Results: According to the results of this study, those who had experienced multiple chronic diseases went through the stages of 'recognizing of revealed symptoms', 'discovering of disease', 'overcoming', 'neglecting', 'discovering another disease', 'being frustrated' and 'living with suffering'. Conclusion: The results of this study are expected to be utilized as basic materials to develop a nursing intervention program for effective management of chronic diseases.

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Histopathologic examination in the primary dental clinic (일차치과의원에서의 조직병리검사)

  • Han, Dawool;Cho, Eunae
    • The Journal of the Korean dental association
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    • v.58 no.5
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    • pp.293-303
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    • 2020
  • Biopsy is a critical method for disease diagnosis and treatment planning. It can be applied from simple inflammatory lesions to malignant tumors. But many general dental practitioners are unfamiliar with the basic knowledge and skills required for biopsy. Moreover, biopsy indications and contraindications for certain diseases may differ depending on the type of dental practice environment and the specialty of the dentist. Biopsy education can increase the choices a dentist has during disease diagnosis. Here we will discuss details on biopsy needed to the general dentist.

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Modified two flap palatoplasty in asymptomatic transsphenoidal encephalocele: a case report

  • Richardson, Sunil;Khandeparker, Rakshit Vijay;Raghuvaram, Ajit Kumar;Mohan, Ram
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.2
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    • pp.86-90
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    • 2018
  • About one-third of patients with transsphenoidal basal encephaloceles have associated congenital anomalies, including cleft palate. Moreover, they are often plagued by symptomatic exacerbations in the form of upper respiratory obstructions, cerebrospinal fluid leaks, meningitis, etc., with few patients being asymptomatic. We herein present a rare asymptomatic case of transsphenoidal basal encephalocele in an 18-month-old child with cleft palate and highlight a modified version of two-flap palatoplasty.

Behavioral Toxicity of Psychotropic Drugs (향정신성약물의 행동학적 독성)

  • Yoon, Jin-Sang
    • Korean Journal of Biological Psychiatry
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    • v.5 no.1
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    • pp.46-55
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    • 1998
  • Any compound which disrupts the integrity of psychological aspects of performance, in particular, cognitive ability and psychomotor function analogous to the psychological behaviors of routine life, is known to be behaviorally toxic. A significant level of behavioral toxicity will interfere with patient safety and quality of life, and also may be counter-therapeutic by exacerbating the condition that the drug was prescribed for. Now, behavioral toxicity of psychotropic drugs has become one of the main growth areas of psychopharmacological research. Evaluation of the potential of drug-induced behavioral toxicity is important not only to the experimental researcher involved in human psychopharmacology, but also to the clinical practitioner treating psychiatric patients. This article attempts to describe behavioral toxicity of the three classes of psychotropic drugs - benzodiazepines, antidepressants and neuroleptics. After a brief discussion of some methodological issues arising in the investigation of behavioral toxicity, each of these drug classes is reviewed in the context of practical importance rather than purely scientific concern. The last session summarizes some suggestions for future studies on drug-induced behavioral toxicity.

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Advance Directives and the Roles of Advanced Practice Nurses (사전의사결정 제도에 있어서의 전문간호사 역할)

  • Koh, Chin-Kang
    • Journal of Korean Critical Care Nursing
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    • v.3 no.2
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    • pp.91-99
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    • 2010
  • Purpose: The purpose of this literature review was to describe the roles of advanced practice nurses related to advance directives. Methods: A comprehensive literature review was conducted utilizing Pubmed, Ovid, and CINAHL. The key words for search were 'advance directives', 'living wills', 'durable power of attorney', 'advanced practice nursing', 'advanced practice nurse', 'nurse practitioner', and 'nurse specialist'. Research articles published between January 1990 and September 2010 and written in English were included. Review papers and expert's opinion were excluded. Results: Five articles were yielded and analyzed. Among them, two focused on the advanced practice nurses' role during the process of advance directives. The other three presented the outcomes depending on the type of nurses' involvement in each health care delivery system. Conclusion: Recently, Korea established advance directives and expanded to diverse sites. Advanced practice nurses' role in the advance directive decision-making process should be examined and developed in research and practice.

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A Study on the Five Days Work System and the Quality of Working Life : Focusing on the Female Employees of Railroad-related Organizations (주5일제 근무와 직장생활의 질에 관한 연구 : 철도관련조직 여성인력을 중심으로)

  • Kim, Guie-Rye;Shin, Tack-Hyun
    • Proceedings of the KSR Conference
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    • 2007.11a
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    • pp.1633-1640
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    • 2007
  • The Five Days Work System started to be lately introduced among Korean companies is causing much interests in diverse aspects. This theme of '5 days work' seems like a hot issue both for academian and for practitioner in the respect that it incurred a great change and impact in worker's life. The purpose of this article is to depict the pattern and the effect incurred by '5 days work system', focusing on the female workers in railroad-related organizations. To attain this purpose, several aspects of current '5 days work system' and its effects both on work life and on family life are surveyed through questionaire and analyzed by SPSS. And some implications will be supposed. in based on the cognitive response of employees.

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