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Person-Centered Relational Care Experienced by Critical Care Nurses: An Interpretative Phenomenological Analysis Study (중환자실 간호사가 경험한 사람-중심의 관계 돌봄에 대한 해석 현상학적 분석 연구)

  • Jang, Myoung Sun;Kim, Sungjae
    • Journal of Korean Academy of Nursing
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    • v.49 no.4
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    • pp.423-436
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    • 2019
  • Purpose: The aim of the study was to explore nurses' experience of person-centered relational care in the context of critical care. Methods: Key interview questions were developed based on the human-to-human relationship model suggested by Travelbee. Data were collected through indepth interviews with a purposive sample of 11 nurses having more than 2 years of working experience in intensive care units. An interpretative phenomenological analysis was conducted to analyze the data. Results: Four super-ordinate and nine sub-ordinate themes were identified. Emerged super-ordinate themes were as follows: (1) encountering a live person via patient monitoring systems; (2) deep empathic connection; (3) humanistic and compassionate care, and (4) accompanying the journey to the end. Study findings revealed that nurses in intensive care units experienced 'balancing emotions' and 'authenticity' in caring when entering human-to-human relationships with dying patients. The phenomenon of person-centered relational care in intensive care units was found to subsume intrinsic attributes of empathy, compassion, and trust, similar to the central concepts of Travelbee's theory. Conclusion: The interpretative findings in this study provide deeper understanding of Travelbee's human-to-human relationship model. The technological environment in intensive care units did not hinder experienced nurses from forming human-to-human relationships. These themes need to be emphasized in critical care nursing education as well as in nursing management. The results of this study will contribute to understanding nurse-patient caring relationships in depth, and help improve the quality of nursing care in intensive care units.

Support working resistance determined on top-coal caving face based on coal-rock combined body

  • Cheng, Zhanbo;Yang, Shengli;Li, Lianghui;Zhang, Lingfei
    • Geomechanics and Engineering
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    • v.19 no.3
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    • pp.255-268
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    • 2019
  • Taking top-coal caving mining face (TCCMF) as research object, this paper considers the combination of top-coal and immediate roof as cushion layer to build the solution model of support resistance based on the theory of elastic foundation beam. Meanwhile, the physical and mechanical properties of coal-rock combination influencing on strata behaviors is explored. The results illustrate that the subsidence of main roof in coal wall increases and the first weighting interval decreases with the increase of top-coal and immediate roof thicknesses as well as the decrease of top-coal and immediate roof elastic modulus. Moreover, the overlying strata reflecting on support has negative and positive relationship with top-coal thickness and immediate roof thickness, respectively. However, elastic modulus has limit influence on the dead weight of top-coal and immediate roof. As a result, it has similar roles on the increase of total support resistance and overlying strata reflecting on support in the limit range of roof control distance. In view of sensitive analysis causing the change of total support resistance, it can be regards as the rank of three components as immediate roof weight > overlying strata reflecting on support > top coal weight. Finally, combined with the monitoring data of support resistance in Qingdong 828, the validity of support resistance determined based on elastic foundation beam is demonstrated, and this method can be recommended to adopt for support type selecting in TCCMF.

Telemedicine Software Application

  • UNGUREANU, Ovidiu Costica;POPESCU, Marius-Constantin;CIOBANU, Daniela;UNGUREANU, Elena;SARLA, Calin Gabriel;CIOBANU, Alina-Elena;TODINCA, Paul
    • International Journal of Computer Science & Network Security
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    • v.21 no.2
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    • pp.171-180
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    • 2021
  • Currently, hospitals and medical practices have a large amount of unstructured information, gathered in time at each ward or practice by physicians in a wide range of medical branches. The data requires processing in order to be able to extract relevant information, which can be used to improve the medical system. It is useful for a physician to have access to a patient's entire medical history when he or she is in an emergency situation, as relevant information can be found about the patient's problems such as: allergies to various medications, personal history, or hereditary collateral conditions etc. If the information exists in a structured form, the detection of diseases based on specific symptoms is much easier, faster and with a higher degree of accuracy. Thus, physicians may investigate certain pathological profiles and conduct cohort clinical trials, including comparing the profile of a particular patient with other similar profiles that already have a confirmed diagnosis. Involving information technology in this field will change so the time which the physicians should spend in front of the computer into a much more beneficial one, providing them with the possibility for more interaction with the patient while listening to the patient's needs. The expert system, described in the paper, is an application for medical diagnostic of the most frequently met conditions, based on logical programming and on the theory of probabilities. The system rationale is a search item in the field basic knowledge on the condition. The web application described in the paper is implemented for the ward of pathological anatomy of a hospital in Romania. It aims to ease the healthcare staff's work, to create a connection of communication at one click between the necessary wards and to reduce the time lost with bureaucratic proceedings. The software (made in PHP programming language, by writing directly in the source code) is developed in order to ease the healthcare staff's activity, being created in a simpler and as elegant way as possible.

Assessing the Influence Radius of a Water Treatment System Installed in a Reservoir Using Tracer Experiment and 3D Numerical Simulation (추적자 실험 및 3차원 수치모의를 이용한 저수지 수처리 장치의 영향반경 평가)

  • Park, Hyung Seok;Lee, Eun Ju;Ji, Hyun Seo;Choi, Sun Hwa;Chun, Se Woong
    • Journal of Korean Society of Water Science and Technology
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    • v.26 no.6
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    • pp.3-12
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    • 2018
  • The objective of this study was to evaluate the radius of influence of effluent of water treatment system developed for the purpose of improvement of reservoir water quality using fluorescent dye (Rhodamine-WT) tracer experiment and 3-D numerical model. The tracer experiment was carried out in a medium-sized agricultural reservoir with a storage capacity of $227,000m^3$ and an average depth of 1.6 m. A guideline with a total length of 160 m was installed at intervals of 10 m in the horizontal direction from the discharge part, and a Rhodamine measurement sensor (YSI 6130, measurement range $0-200{\mu}g/L$) was used to measure concentration changes in time, distance, and depth. Experimental design was established in advance through Jet theory and the diffusion process was simulated using ELCOM, a three dimensional hydraulic dynamics model. As a result of the study, the direct effect radius of the jet emitted from the applied water treatment system was about 50-70 m, and the radius of physical effect by the advection diffusion was judged to be 100-120 m. The numerical simulations of effluent advection-diffusion of the water treatment system using ELCOM showed very similar results to those of the impact radius analysis using the tracer experiment and jet flow empirical equations. The results provide valuable information on the spatial extent of the water quality improvement devices installed in the reservoir and the facility layout design.

"In the Beginning was the Deed": Sigmund Freud's Auditory Imagination

  • KIM, TaeChul
    • English & American cultural studies
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    • v.9 no.1
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    • pp.113-139
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    • 2009
  • Such is an elective affinity between literary studies and psychoanalysis that the latter sometime serves as a form of literary pedagogy. The affinity mainly consists in their shared concern for language. The signification of language in psychoanalysis is much similar to that of literature. Many of psychoanalytic terms and theoretical tenets bear witness to its dependence clinically on speech phenomena and theoretically on language in general. It is most true of Sigmund Freud, for whom the unconscious is in effect the linguistic unconscious. The Freudian unconscious, compressing and displacing through images and ideas, works as a text for psychoanalysis, which approach has not only paved one of the ways to poststructuralist anti-essentialism but with which literary studies also feel uncanny familiarity. Freudian psychoanalysis, starting empirically from clinical observations, discovers that words exist independent of meanings in the form of things in the unconscious system. Out of the various sensory elements of a word-thing, in psychoanalytic terms, the auditory is central. Now with the auditory imagination cultivated in the clinic, Freud figures out compression and displacement as the chief unconscious works, of which my main argument is that they are based phonetically on heteronym and homonym associations respectively. Compression and displacement work to be masks, which excites Freud's sense of challenge: his is a kind of poststructuralist approach, in the sense that the closed interrelatedness of words without external referents determines the signification in a given situation. But the works of compression and displacement, viewed in auditory terms rather than mapped on to metaphor and metonymy, can provide a new insight for a literary reading of Freud. Pursuing Freud's auditory imagination is not only an attempt to read his writing as literary text rather than for theoretical discussion, but also an experiment with the possibility of literary reading of a theoretical text in the age of after-theory.

Sensitivity of abacus and Chasdaq in the Chinese stock market through analysis of Weibo sentiment related to Corona-19 (코로나-19관련 웨이보 정서 분석을 통한 중국 주식시장의 주판 및 차스닥의 민감도 예측 기법)

  • Li, Jiaqi;Oh, Hayoung
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.25 no.1
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    • pp.1-7
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    • 2021
  • Investor mood from social media is gaining increasing attention for leading a price movement in stock market. Based on the behavioral finance theory, this study argues that sentiment extracted from social media using big data technique can predict a real-time (short-run) price momentum in Chinese stock market. Collecting Sina Weibo posts that related to COVID-19 using keyword method, a daily influential weighted sentiment factors is extracted from the sizable raw data of over 2 millions of posts. We examine one supervised and 4 unsupervised sentiment analysis model, and use the best performed word-frequency and BiLSTM mdoel. The test result shows a similar movement between stock price change and sentiment factor. It indicates that public mood extracted from social media can in some extent represent the investors' sentiment and make a difference in stock market fluctuation when people are concentrating on a special events that can cause effect on the stock market.

Study on bearing characteristic of rock mass with different structures: Physical modeling

  • Zhao, Zhenlong;Jing, Hongwen;Shi, Xinshuai;Yang, Lijun;Yin, Qian;Gao, Yuan
    • Geomechanics and Engineering
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    • v.25 no.3
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    • pp.179-194
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    • 2021
  • In this paper, to study the stability of surrounding rock during roadway excavation in different rock mass structures, the physical model test for roadway excavation process in three types of intact rock mass, layered rock mass and massive rock mass were carried out by using the self-developed two-dimensional simulation testing system of complex underground engineering. Firstly, based on the engineering background of a deep mine in eastern China, the similar materials of the most appropriate ratio in line with the similarity theory were tested, compared and determined. Then, the physical models of four different schemes with 1000 mm (height) × 1000 mm (length) × 250 mm (width) were constructed. Finally, the roadway excavation was carried out after applying boundary conditions to the physical model by the simulation testing system. The results indicate that the supporting effect of rockbolts has a great influence on the shallow surrounding rock, and the rock mass structure can affect the overall stability of the surrounding rock. Furthermore, the failure mechanism and bearing capacity of surrounding rock were further discussed from the comparison of stress evolution characteristics, distribution of stress arch, and failure modes in different schemes.

Assessment of the Korean-Chinese Exports Competition in Sophisticated Markets

  • La, Jung Joo;Shin, Wonkyu
    • Journal of Korea Trade
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    • v.23 no.2
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    • pp.1-13
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    • 2019
  • Purpose - This paper empirically investigates the competition effect of exports between Korea and China in their common-export markets considering market sophistication. Modern market sophistication includes an importing country's aggregate demand for products of high quality, design, novelty, eco-friendliness, and even IPR protection. Using an empirical analysis to identify the demand for product quality across countries, this paper estimates the effects of market sophistication on the competition between Korean exports and Chinese products. Design/Methodology - Our empirical model considers the relationship between an importing country's consumer sophistication and the export competition between Korea and China. This study employs the existing theoretical framework to identify the aggregate demand for product quality across countries. Using a quite direct measurement (the consumer sophistication index, our analysis investigates the differential effects of Korea's export market sophistication, particularly in markets where Korean exports are in competition with similar Chinese products. Findings - Our main findings can be summarized as follows: the negative effects of the export competition between Korea and China on Korea's exports are stronger in third markets where consumers are less sophisticated while the effects are not as pronounced in markets where consumers are more sophisticated. This result, however, best applies to differentiated goods which significantly vary in product quality. Originality/value - Existing studies focus on the supply side of production and make the assumption that the market preference for export quality is identical across countries. This paper attempts to evaluate the export competition between Korea and China from the demand-side perspective. This area of trade studies is underexplored both empirically and in theory, although the issue has long been important to Korean and world trade.

Behavioral Deficits in Adolescent Mice after Sub-Chronic Administration of NMDA during Early Stage of Postnatal Development

  • Adil, Keremkleroo Jym;Remonde, Chilly Gay;Gonzales, Edson Luck;Boo, Kyung-Jun;Kwon, Kyong Ja;Kim, Dong Hyun;Kim, Hee Jin;Cheong, Jae Hoon;Shin, Chan Young;Jeon, Se Jin
    • Biomolecules & Therapeutics
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    • v.30 no.4
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    • pp.320-327
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    • 2022
  • Neurodevelopmental disorders are complex conditions that pose difficulty in the modulation of proper motor, sensory and cognitive function due to dysregulated neuronal development. Previous studies have reported that an imbalance in the excitation/inhibition (E/I) in the brain regulated by glutamatergic and/or GABAergic neurotransmission can cause neurodevelopmental and neuropsychiatric behavioral deficits such as autism spectrum disorder (ASD). NMDA acts as an agonist at the NMDA receptor and imitates the action of the glutamate on that receptor. NMDA however, unlike glutamate, only binds to and regulates the NMDA receptor subtypes and not the other glutamate receptors. This study seeks to determine whether NMDA administration in mice i.e., over-activation of the NMDA system would result in long-lasting behavioral deficits in the adolescent mice. Both gender mice were treated with NMDA or saline at early postnatal developmental period with significant synaptogenesis and synaptic maturation. On postnatal day 28, various behavioral experiments were conducted to assess and identify behavioral characteristics. NMDA-treated mice show social deficits, and repetitive behavior in both gender mice at adolescent periods. However, only the male mice but not female mice showed increased locomotor activity. This study implies that neonatal exposure to NMDA may illicit behavioral features similar to ASD. This study also confirms the validity of the E/I imbalance theory of ASD and that NMDA injection can be used as a pharmacologic model for ASD. Future studies may explore the mechanism behind the gender difference in locomotor activity as well as the human relevance and therapeutic significance of the present findings.

How Do Korean and U.S. Elementary Preservice Teachers Analyze Students' Addition and Subtraction Computational Strategies and Errors? (한국과 미국 예비 초등교사는 자연수 덧셈과 뺄셈 연산에 대한 학생의 수학적 전략과 오류를 어떻게 분석하는가?)

  • Hyungmi Cho;Hea-jin Lee;Gima Lee;Hee-jeong Kim
    • Journal of the Korean School Mathematics Society
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    • v.25 no.4
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    • pp.423-446
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    • 2022
  • This study explores and compares Korean and U.S. elementary preservice teachers' analytic approaches of students' addition and subtraction computational strategies. Twenty-six Korean and twenty U.S. elementary preservice teachers participated in the study. Participants were asked to analyze mathematical approaches and errors from students' addition and subtraction operations. Preservice teachers' written documents were analyzed by applying open coding and inductive coding based on the grounded theory. As a result, the pattern of error analysis and interpretation of students' addition computations were similar for both Korean and U.S. preservice teachers whereas there were some differences in the analysis of students' subtraction computations. Both Korean and U.S. preservice teachers had difficulties identifying students' strategies and errors for a complicated and unconventional computational approach. Results also indicated that preservice teachers' noticing and interpretation of students' strategies and errors were influenced by their K-12 mathematics curriculum and teacher education program. This study suggests implications and future directions for teacher education, more contextualized teacher preparation programs and balanced connection to the K-12 curriculum.