• Title/Summary/Keyword: sEH

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Reducing Medical Errors : Patients' Self Protect Behaviors and Involvement in Decision Making (의료과오 감소를 위한 환자의 자기보호행동 및 의사결정 참여)

  • An Kyung-Eh;Kim Jeong-Eun;Kang Kim Min-Ah;Jung Yoen-Yi
    • Health Policy and Management
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    • v.16 no.3
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    • pp.70-85
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    • 2006
  • The purposes of this study were (1) to describe patients' behaviors to protect themselves from medical errors and their involvement in decision making on the diagnostic and treatment procedures (2) to examine whether patients' characteristics, such as age, sex, education, experience of hospitalization and/or surgery influence their self protect behaviors and involvement in decision making on the diagnostic and treatment procedures. A survey was conducted with 99 patients visited one university hospital in Seoul, Korea. A 20-item questionnaire, a 4-point Likert scale, was used to measure the degree of patients' active involvement in decision making; patients' self protect behaviors regarding medication, hospitalization, and surgery; and communication (Cronbach's alpha=0.801). SPSS 12.0 was used for the descriptive and correlation analysis. Only 6.1% of the participants were involved in the decision making process for the diagnostic tests and treatment. More patients did self-protect behaviors associated with the medication than other areas but widely varied from 18.2 to 94.3 % among various items. More people with age of 60 or older compared to people in younger age groups reported more protect behaviors particularly associated with medication. Patient education is needed to improve their active role in preventing medical errors and to promote patients' safety.

Occurrence and Species of Arsenic in the Groundwater of Ulsan Area (울산지역 지하수중 비소의 산출 및 존재형태)

  • Yun Uk;Cho Byong-Wook;Sung Kyu-Youl
    • Economic and Environmental Geology
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    • v.37 no.6 s.169
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    • pp.657-667
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    • 2004
  • Arsenic was detected in the 29 water samples out of the 46 groundwaters located in the Ulsan metropolitan area and it's concentration ranges from $<0.1\;to\;72{\mu}g/L$. Among them the arsenic concentrations of three samples are over domestic drinking-water requirements $(50{\mu}g/L)$, and those of 10 samples are more than WHO MCLs, $10{\mu}g/L.$. High arsenic groundwater were recognized in the two region; one was near the tectonic line, especially Ulsan iron mine at Dalcheunri and the other was around Hyomundong distributed Jeongia conglomerate. It is estimated that the former is originated from pyrite oxydation type, oxygenated redox, whilst the latter is resulted from oxidation of reducted FeOOH. The species of arsenic in groundwater is in pentavalent arsenic, $H_2AsO_4^-,\;HAsO4_^{-2}$ near tectonic line, and trivalent arsenic, $H_3AsO_3$ around Hyomundong.

Plasticity and Fracture Behaviors of Marine Structural Steel, Part V: Effects of Strain Rate and Temperature (조선 해양 구조물용 강재의 소성 및 파단 특성 V: 온도 의존성을 고려한 변형률 속도에 관한 실험적 연구)

  • Choung, Joon-Mo;Im, Sung-Woo;Kim, Kyung-Su
    • Journal of Ocean Engineering and Technology
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    • v.25 no.3
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    • pp.73-84
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    • 2011
  • This is the fifth in a series of companion papers dealing with the dynamic hardening properties of various marine structural steels at intermediate strain rates. Five steps of strain rate levels (0.001, 1, 10, 100, 200/s) and three steps of temperature levels (LT ($-40^{\circ}C$), RT, and HT ($200^{\circ}C$)) were taken into account for the dynamic tensile tests of three types of marine structural steels: API 2W50 and Classifications EH36 and DH36. The total number of specimens was 180 pieces. It was seen that the effects of dynamic hardening became clearer at LT than at RT. Dynamic strain aging accompanying serrated flow stress curves was also observed from high temperature tests for all kinds of steels. The dynamic hardening factors (DHFs) at the two temperature levels of LT and RT were derived at the three plastic strain levels of 0.05, 0.10, 0.15 from dynamic tensile tests. Meanwhile, no DHFs were found for the high temperature tests because a slight negative strain rate dependency due to dynamic strain aging had occurred. A new formulation to determine material constant D in a Cowper-Symonds constitutive equation is provided as a function of the plastic strain rate, as well as the plastic strain level. The proposed formula is verified by comparing with test flow stress curves, not only at intermediate strain rate ranges but also at high strain rate ranges.

Psychosocial Adaptation of Women with Rheumatoid Arthritis: Focusing on Physical Disability and Social Support (류마티스 관절염 여성의 심리사회적 적응 - 신체적 기능장애와 사회적 지지를 중심으로 -)

  • Lim, Seung-Ju;An, Kyung-Eh;Han, In-Young
    • Journal of muscle and joint health
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    • v.11 no.2
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    • pp.165-175
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    • 2004
  • Purpose: To describe the psychosocial adaptation, physical disability and social support, and to examine whether the physical disability and social support influence the psychosocial adaptation of women with Rheumatoid Arthritis(RA). Method: This survey was conducted with 102 women diagnosed as RA using a structured survey tool between April 12th and 30th 2004. Results: The Physical disability ranged from 0 to 51, the average was 9.89(${\pm}12.15$), appearing that less severe than previous studies. The social support ranged from 29 to 168, and the average was 91.73(${\pm}31.44$). The age, marital status, and monthly income were associated with patient's perceived social support. The psychosocial adaptation ranged from 77 to 186 and the average was 132.12(${\pm}24.13$). Entering physical disability and social support into the model significantly improved the prediction of psychosocial adaptation: 45.1% of the variance of psychosocial adaptation was attributed by the physical disability (Beta=-.325) and the social support (Beta=.204). Additionally, the religion (Beta=.231) and monthly income (Beta=.381) were significant predictors of the psychosocial adaptation. Conclusions: (1) Programs to improve physical disability of the clients are needed. (2) Marital status and age should be considered when the programs are developed. (3) More social support should be provided to the women with RA. (4) Adequate financial support is essential for the psychosocial adaptation of women with RA.

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Characteristics of Low Temperature Toughness on EGW Weld Metal (EGW 용착금속의 저온인성 특성)

  • Seo, Jun-Seok;Lee, Chang-Hee;Ryoo, Hoi-Soo;Kim, Hee-Jin
    • Proceedings of the KWS Conference
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    • 2010.05a
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    • pp.18-18
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    • 2010
  • 최근에 건조되는 선박이나 구조물들은 점차 대형화 되어가고, 이에 사용되는 판재들은 점차 고강도 극후판재화 되어가고 있다. 극후판재의 용접성을 향상시키기 위해서는 대입열 용접이 주로 적용되고 있는 실정인데, 30 mmt 이상의 후판을 1 pass로 용접하기 위해서는 EGW(Electro-gas welding) 기법을 사용한다. 대입열 용접은 용접입열(heat input)이 매우 높아 용착금속과 열영향부의 냉각속도가 매우 느려 용접열영향부에서 특히 fusion line 근처의 열영향부는 결정립 조대화 및 취약한 미세조직을 형성함으로서 저온인성을 크게 저하시키고, 연화 현상(softening effect)을 발생시켜 강도가 저하되는 문제점이 주로 발생하였다. 하지만 이런 문제점을 해결하기 위해 대입열용접에 사용된는 강재의 미세조직을 제어하여 AlN, TiN, $TiO_2$ 등의 석출물을 이용한 용접열영향부의 저온인성을 향상시켰다. 이러한 문제점이 발생하는 대입열용접에서 저온인성 시험은 주로 fuison line + 1, 2mm에서 수행한다. 하지만 대입열 용접시 용착금속의 냉각속도도 매우 느리기 때문에 용착금속의 위치에 따라 저온 인성 특성이 다르게 나타날 수 있다. 본 연구에서는 EGW 용착금속의 위치에 따른 저온인성 특성을 평가하기 위해 EH-36N, 40mmt 판재를 사용하여 1pole EG 용접 하였다. 용착금속의 저온인성 특성을 평가하기위해 충격 시편의 노치 위치가 fusion line - 2mm와 용접부 중앙을 기준으로 4곳을 선정하여 충격시험을 수행하였다. 또한 용착금속의 경도 분포를 알아보기 위해 micro vickers hardness tester(mitutoyo UR-501)을 사용해 hardness mapping 시험을 하였다. 용착금속의 저온인성은 미세조직과, 산소량에 따라 변화 할 수 있기 때문에 용착금속 위치를 달리하여 미세조직과 산소량도 각각 분석하였다. 용착금속의 저온인성을 향상시킬 수 있는 침상형페라이트와 비금속개재물의 상관관계에 관해 검토 하였다.

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Physicians' perception of and attitudes towards patient safety culture and medical error reporting (환자안전 문화와 의료과오 보고에 대한 의사의 인식과 태도)

  • Kang, Min-Ah;Kim, Jeong-Eun;An, Kyung-Eh;Kim, Yoon;Kim, Suk-Wha
    • Health Policy and Management
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    • v.15 no.4
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    • pp.110-135
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    • 2005
  • The objectives of this study were (1) to describe doctors' perception and attitudes toward patient safety culture and medical error reporting in their working unit and hospitals, (2) to examine whether these perception and attitudes differ by doctors' characteristics, such as sex, position, and specialties, and (3) to understand the relationship between overall perception of patient safety in their working unit and each sub domain of patient safety culture. A survey was conducted with 135 doctors working in a university hospital in Korea. After descriptive analyses and chi-square tests of subgroup differences, a multivariate-regression of overall perception of patient safety in their unit with sub-domains of patient safety culture was conducted. Overall, a significant proportion of doctors expressed negative perception of their working units' patient safety culture, many reporting potentials for patient safety problems to occur in their unit. They also negatively viewed their hospital leadership's commitment on patient safety. Regarding the patient safety in their working unit, doctors were most worried about staffing level and observance of safety procedures. Most doctors did not know how and which medical error to report. They also perceived that medical errors would work against them personally and penalize them. About 22 percent of respondents believed that even seriously harmful medical errors were not reported.

Hydrogeochemistry of Supply Water in the Daedeok Campus of Chungnam National University, Korea (충남대학교 대덕캠퍼스내 상수도 물의 수리지구화학적 특성)

  • 이찬희
    • Economic and Environmental Geology
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    • v.33 no.3
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    • pp.181-193
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    • 2000
  • This study was undertaken to evaluate the drinking water quality based on physicochemical properties and chemical compositions of the supply water in the Daedeok Campus, and to verify the analytical reliabilities of ICP-MS and IC equipped in the Central Research Facilities at Chungnam National University , Korea. The supply water belongs to $Ca^{2+}-({HCO_3}^-+{SO_4}^{2-})$type, whereas the original water from the Daecheong lake belongs to $(Ca^{2+}-(Mg^{2+})-{HCO_3}^-$ type. Generally, temperature (14.1$^{\circ}C$), pH (6.95), Eh (0 mV), electrical conductivity (117${\mu}$S/cm) and TDS (86.975mg/l) of supply water were higher than those of original lake water . Results using WATEQ4F revealed that potentially toxic ions of the supply water might exist mainly as free metals ($M^{2+}$) and a small amount as ${CO_3}^{2-}$ and $OH^-$ complexes. Also, the water composition belongs to the kaolinite field. Calculated average enrichment indies of the supply water normalized to lake water for anions, mamor cations, toxic cations and total ions are 1.05 , 1.56, 13.05 and 1.17 , respectively. Those values of the ground water in the Daedeok Campus showed 1.71, 4.78, 5.71 and 2.49 , respectively. However , contents of all constituents of these water are within the drinking water standard. All samples were filtered before the chemical analysis. Pale yellow or yellowish brown colored materials of colloidal particles coated the filter paper to thickness of 0.02 to 0.2mm. these are mainly Fe-Cy-Zn compounds with traces of Ni and Pb, the net weights of which compounds range from 0.01to 3.20mg/l. Most elements did not show any conceivable filtering effect of Cu, Fe and Zn. Especially, mean concentration of total Fe decreased considerably from 168.52${\mu}g$/lto 42.58${\mu}g$/l by filtering .

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Production of Fine Cobalt Metal Powders from Stellite Scrap (Stellite 스크랩으로 부터 Co 미분말의 제조)

  • 박문경;신동성
    • Resources Recycling
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    • v.3 no.1
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    • pp.9-16
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    • 1994
  • Fine cobalt metal powders was produced from domestic Stellite scrap by decomposing it with molten sodium hydroxide. Complete decomposition of the scrap could be obtained with the weigth ratio of sodium hydroxide to Stellite being about 2 at the temperature ranges of $750~800^{\circ}C$ for an hour. The cobalt-bearing compound was identified as $Co_2O_3{\dot}H_2O$ by X-ray analysis and D.T.-T.G.a.. The compound was then digested in HCI to form cobalt chloride, and after iron removal by adjusting the pH of the solution, cobaltous or cobaltic hydroxide was precipitated at the pH of about 13 or 4, respectively. The precipitates were reduced by hydrogen in the temperatures of $400~500^{\circ}C$ to fine cobalt powders of high purity with the size of 1.0 to $1.5\mu\textrm{m}$. The recovery of cobalt from Stellite scrap was about 75~86% by weight.

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Response of Open-ended Pipe Pile Foundation at Offshore Sites to Seaquake Induced by the Vertical Seismic Excitation of the Seafloor (해저면의 수직 지진 진동에 의해 유발된 해진에 대한 해상 개단 강관 말뚝 기초의 거동)

  • 최용규;남문석
    • Journal of the Earthquake Engineering Society of Korea
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    • v.2 no.1
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    • pp.11-21
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    • 1998
  • During an earthquake, there are three main components of excitation : horizontal excitation of the ground, vertical excitation of the pile due to superstructure feedback produced by vertical excitation of the ground, and the seawater excitation induced by the vertical ground shaking, that is, "the seaquake." These excitations could have effects on the soil plugs in open-ended pie piles installed at offshore sites. In this study, seaquake excitation induced by the vertical ground shaking was simulated by pulsing the water pressure at the seabed. During a seaquake, due to the induced excess porewater pressure and pressure gradients in the soil, the capacity of open-ended pipe piles installed in a simulated sea depth of greate than 220 m was reduced serevely and the soil plugging resistance was degraded by more than 80% The soil plug was failed because of eh upward seepage forces that developed in the soil plug due to excess pore water pressure produced in the bottom of the soil plug during the seaquake, The compressive capacity of ar open-ended pile in a simulated sea depth of less than 220 m was reduced only by about 10% and the soil plug resistance was degraded by less than 5%.s than 5%.

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Xuefuzhuyu Decoction for Essential Hypertension: Meta-Analysis and Systemic Review (혈부축어탕의 본태성 고혈압에 대한 치료 효과 관한 메타 분석 및 체계적 고찰)

  • Han, In-sik;Jang, In-soo;Sun, Seung-ho
    • The Journal of Internal Korean Medicine
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    • v.39 no.6
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    • pp.1150-1167
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    • 2018
  • Objective: The purpose of this study was to investigate the effect reducing blood pressure (BP) using Xuefuzhuyu Decoction (XFZYD) in adults with essential hypertension (EH). Method: Search engine, such as PubMed, EMBASE, Cochrane library, Web of Science, J-STAGE, CiNii, CNKI, OASIS, NDSL, KISS, RISS, and DBpia, were used. The search period was from the beginning of the search engine to June 30, 2018 and there were no limits regarding languages. The selection and extraction of literatures were performed independently by two authors. Meta-analysis was done on the total effective rate (TER), Systolic BP (SBP) and Diastolic BP (DBP). Cochrane's risk of bias (ROB) was used as the methodological quality assessment scale. Results: Twenty studies were finally selected. We observed that a combination treatment using XFZYD and an antihypertensive drug (AHD) was 5.1 times more effective in lowering BP than using AHD alone on TER. The mean differences in SBP and DBP were -10.65 mmHg (95% Confidential Interval (CI) -13.55 mmHg, -7.74 mmHg, P<0.00001), -5.92 mmHg (95% CI -7.14, -4.38, P<0.00001), respectively. Conclusion: A combination treatment using XFZYD and AHD may be more effective in reducing BP than using AHD alone. Because of the poor methodological quality of the studies conducted thus far, high-quality clinical trials will be required in the future.