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Coastal Current Along the Eastern Boundary of the Yellow Sea in Summer: Numerical Simulations (여름철 황해 동부 연안을 따라 흐르는 연안 경계류: 수치 모델 실험)

  • Kwon, Kyung-Man;Choi, Byoung-Ju;Lee, Sang-Ho;Cho, Yang-Ki;Jang, Chan-Joo
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.16 no.4
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    • pp.155-168
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    • 2011
  • Coastal boundary current flows along the eastern boundary of the Yellow Sea and its speed was about 0.l m/s during the summer 2007. In order to find major factors that affect the coastal boundary current in the eastern Yellow Sea, three-dimensional numerical model experiments were performed. The model simulation results were validated against hydrographic and current meter data in the eastern Yellow Sea. The eastern boundary current flows along the bottom front over the upper part of slopping bottom. Strength and position of the current were affected by tides, winds, local river discharge, and solar radiation. Tidal stirring and surface wind mixing were major factors that control the summertime boundary currents along the bottom front. Tidal stirring was essential to generate the bottom temperature front and boundary current. Wind mixing made the boundary current wider and augmented its north-ward transport. Buoyancy forcing from the freshwater input and solar radiation also affected the boundary current but their contributions were minor. Strong (weak) tidal mixing during spring (neap) tides made the northward transport larger (smaller) in the numerical simulations. But offshore position of the eastern boundary current's major axis was not apparently changed by the spring-neap cycle in the mid-eastern Yellow Sea due to strong summer stratification. The mean position of coastal boundary current varied due to variations in the level of wind mixing.

The Pattern of Occurence of Rotavirus Gastroenteritis in Jeju Area between 2001 and 2005 (제주지역에서 최근 수년간 관찰된 Rotavirus 위장관염의 발생 양상)

  • Kang, Ki Soo;Kim, Jae Ri
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.8 no.2
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    • pp.113-116
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    • 2005
  • Purpose: There were a few reports for epidemiologic changes of rotavirus gastroenteritis during recent several years in Korea. We tried to know what is characteristics for the prevalence of rotavirus gastroenteritis in Jeju different from epidemiology of the other domestic area. Methods: We performed a retrospective study of 211 patients with rotavirus gastroenteritis admitted to the pediatric ward at Cheju National University hospital, from December 2001 to June 2005. We defined as rotavirus infection that was positive on immunochromatography method applied to stool samples. Results: Two hundred eleven patients with rotavirus gastroenteritis consisted of 13 patients in December 2001, 32 in 2002, 79 in 2003, 48 patients in 2004 and 39 in 2005 (until June). The monthly distributions, during 3 years from 2002 to 2004, were 40 patients (25.2%) in Jaunary, 56 (35.2%) in February, 31 (19.5%) in March and 23 (14.5%) in April. From May to December, there were only 9 patients (5.6%). Therefore, the prevalences of rotavirus gastroenteritis were concentrated on the 4 months (94.4%) including January, February, March and April. Also, the changes of the monthly distributions from January 2002 to June 2005 were not present. Conclusion: In recent years, the monthly distributions of rotavirus gastroenteritis in Jeju area were centered on the 4 months from January to April without prominent seasonal variation.

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Dose Distribution of Rectum and Bladder in Intracavitary Irradiation (자궁경부암 강내 방사선 조사장치에 의한 직장 및 방광의 피폭선량 평가)

  • Chu S. S.;Oh W. Y.;Suh C. O.;Kim G. E.
    • Radiation Oncology Journal
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    • v.2 no.2
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    • pp.261-270
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    • 1984
  • The intrauterine irradiation is essential to achieve adequate tumor dose to central tumor mass of uterine malignancy in radiotherapy. The complications of pelvic organ are known to be directly related to radiation dose and physical parameters. The simulation radiation and medical records of 203 patients who were treated with intrauterine irradiation from Feb. 1983 to Oct. 1983, were critically analized. The physical parameters to include distances between lateral walls of vaginal fornices, longitudinal and lateral angles of tandem applicator to the body axis, the distance from the external os of uterine cervix to the central axis of ovoids were measured for low dose rate irradiation system and high dose rate remote control afterloading system. The radiation doses and dose distributions within cervical area including interesting points and bladder, rectum, according to sources arrangement and location of applicator, were estimated with personal computer. Followings were summary of study results ; 1. In distances between lateral walls of vaginal fornices, the low dose rate system showed as $4\~7cm$ width and high dose rate system showed as $5\~6cm$. 2. In horizontal angulation of tandem to body axis, the low dose rate system revealed mid position$64.6\%$, left deviation $19.2\%$and right deviation $16.2\%$. 3. In longitudinal angulation of tandem to body axis, the mid position was $11.8\%$ and anterior angulation $88.2\%$ in low dose rate system but in high dose rate system, anterior angulation was $98.5\%$. 4. Down ward displacement of ovoids below external os was only $3\%$ in low dose rate system and $66.7\%$ in high dose rate system. 5. In radiation source arrangement, the most activities of tandem and ovoid were 35 by 30 in low dose rate system but 50 by 40 in high dose rate system. 6. In low and high dose rate system, the total doses an4 TDF were 50, 70 Gy and 141, 123, including 40 Gy external irradiation. 7. The doses and TDF in interesting points Co, B, were 93, 47 Gy and 230, 73 in high dose rate system but in low doss rate system, 123, 52 Gy and 262, 75 respectively. 8. Doses and TDF in bladder and rectum were 70, 68 Gy and 124, 120 in low dose rate system, but in high dose rate system, 58, 64 Gy 98, 110 respectively, and then grades of injuries in bladder and rectum were 25, $30\%$ and 18, $23\%$ respectively.

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A Study on Client Selection Criteria for Home Health Care in Patients with Cerebral Vascular Disease (뇌혈관 질환 환자 사정에 대한 의료인간의 일치도 및 가정간호사업 대상자 선정에 관한 연구)

  • Chu Su Kyung;Chung Bok Yae
    • Journal of Korean Public Health Nursing
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    • v.7 no.2
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    • pp.39-52
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    • 1993
  • The primary purpose of this study is to promote and establish the development of home health care in Korea. It focuses on identifying and classifying the nursing activities that were provided by health professionals for patients who were admitted to two hospitals with cerebral vascular disease. And also. the study was conducted for comparison of client selection criteria between health professionals, and identifying patients who needed home health care The subjects of this study were 38 patients with cerebral vascular disease who were admitted to neuro-surgery wards at 2 hospitals with more than 500 beds in Daegu from November 1. through 30. 1991. Survey instruments were questionnaires to identify nursing activities and classify patients who needed home health care. Data was collelected by 1 doctor and 2 nurses per patient independently. They checked the same patient with the questionnaire on the same day and never communicated their information about patients with each other. All the questionnaires checked by doctor and nurses completely were 90. Statistical methods for analyzing data were non-parametric tests (Kruskal Wallice test and sign test). Correlation and percentages were used for further analysis. From this study. the following summarized conclusions have been drawn. 1. 10. 2 kinds of treatment and nursing activities were provided by health professionals for patients with cerebral vascular disease in hospital. 2. The points of nursing needs were between 32-37 out of a total of 500 as a result of the assessment about the health status of patients who were admitted to neuro-surgery ward with cerebral vascular disease. The points of Barthel Index of Functional Status Assessing Devices were between 24-34. Client Selection Criteria for Home Health Care was congruent between the Health professionals because the difference were not found to be statistically significant. 3. Patients classfied as home health care clients were $70-80\%$ of all patients who were admitted in hospital. There was not significant difference in patient selection criteria for home health care between health professionals statistically. As a result. the validity of different tools used in classifying home health care client were found to be congruent. 4. $80-85\%$ patients who could be discharged and sent to their homes early were identified as home health care clients. This study using client selection criteria. for home health care contributed to tool development because the validity of tools was verified. And also, this research represented that there was congruency in patient selection criteria for home health care between different health professionals. As a result, this study represented that many patients who were admitted to hospitals could be classified as a home health care clients. On the basis of the findings. further studies are required to develop client selection criteria using universal tools for classifying home health care clients in other chronic diseases. It is also recommended that comparative studies for client selection criteria between health professionals treating in other chronic diseases are necessary.

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The Relationship of Head Teachers' Styles for Handling Conflict and Organizational Effectiveness in Child-care Centers (어린이집 주임교사의 갈등관리 유형과 조직효과성과의 관계)

  • Im, Seong Jin;Cho, Hyea Jin
    • Korean Journal of Childcare and Education
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    • v.8 no.4
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    • pp.185-206
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    • 2012
  • The purpose of this study was to investigate the general tendency of styles for handl ing conflict and organizational effectiveness perceived by head teachers in child-care centers, and the relationship between head teacher's styles for handling conflict and organizational effectiveness. A total of 194 child-care head teachers who work in the Busan and Gyeongnam area responded to the questionnaire. The main results of the study were as follows; First, among the styles for handling conflict, the head teacher s used the most obliging type toward their principal, and also used the most integrati ng type toward colleague teachers. The head teachers perceived moderate or higher level of organizational effectiveness in child-care centers, and there were partial diffe rences in styles for handling conflict and organizational effectiveness depending on ag e, academic achievement, career of head teachers and facility type. Finally, it was fou nd that organizational effectiveness of child-care center were positively correlated wit h integrating type, dominating type and compromising type among all styles for hand ling conflict which head teachers adopted, but was negatively correlated with avoidin g type. Particularly, it was found that the head teacher's styles for handling conflict having most significant effects on organizational effectiveness were avoiding type to ward their principal and integrating type toward colleague teachers.

The Expansion of Bus Networks Connecting Incheon International Airport (인천국제공항 운행버스 노선망의 형성과 그 요인)

  • Han, Ju-Seong
    • Journal of the Korean Geographical Society
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    • v.43 no.4
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    • pp.544-560
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    • 2008
  • This study seeks to clarify the background and factors for the expansion of bus networks that connect Incheon International Airport with its hinterlands. For this research objective, this paper analyzes the relationships among the change of bus routes, competitive transportation modes, passenger fares, and the shortest time distance. Previously, the hinterlands of route bus networks that connect Gimpo International Airport were Seoul metropolitan area, Chungcheong region, Jeonju and Iksan in Jeollabuk-do(province). However, the opening of Incheon International Airport resulted in the expansion of the hinterlands of bus networks to Gangwon-do, Gwangju, and major cities in Youngnam region. Simultaneously, route bus networks also expanded in Seoul metropolitan area. Each bus route connecting Incheon International Airport with its hinterlands was opened by a single bus company or various bus companies. In many cases, due to the uncertainty of revenues or bus company's regional ties, a bus route was opened by various bus companies. In this paper, the analysis of the number of one-way route bus service and density of flight passengers shows that the frequency of the route bus service for Seoul except Gangseo-gu(ward) and for Seoul's satellite cities(Suwon, Seongnam, Anyang, Gunpo, Guri, and Osan) should be decreased. The analysis also shows that the frequency of the route bus services for the other cities, counties(Guns), and wards(gus) should be increased. In Seoul metropolitan area, although route bus fares are more expensive than subway fares, passengers use route bus more frequency than subway because time distance of route bus is shorter than that of subway and subway transfer is inconvenient. In general, outside Seoul metropolitan area, air flight is preferred in the regions that have airports. In contrast, the route bus is preferred in Daegu and other regions that do not have airports.

The Effects of Phone Counseling on Maternal Role in Primiperous Mothers (전화 상담이 초산모의 모성 역할에 미치는 영향)

  • Kang So-Jeong
    • Child Health Nursing Research
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    • v.7 no.4
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    • pp.405-420
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    • 2001
  • The main purpose of this study was to identify the effect of phone counseling carried out to promote the role of the primiperous mothers. The data were collected from march 20 to may 30, 1998. The subjects for the study were the mothers of 60 first bon neonates admitted to and discharged from Sam-sung Medical Center's neonatal ward. Thirty subjects were assigned to the experimental group and thirty to the control group. A measure of maternal identity as well as level of self confidence in taking care of an infant after giving birth was taken. Informational supportive nursing was then provided to the mothers through phone counseling for a total of four times at 2~3 days, 7~8days, 12∼13days and 18∼1days after discharged. The level of self confidence in taking care of an infant was then remeasured. The control group was not provided with supportive nursing through phone counseling instead the level of confidence in taking care of an infant was measured at 3 weeks. Taking previous study documentary evidence into consideration the researcher developed a supportive nursing telephone counseling program that provided both informational and emotional support suitable to primiperous mothers. A semantic differential scale developed according to Osgood and translated and adapted by Koh Hyo-Jung was used as the maternal self identity measurement tool. The tool used to measure self confidence in taking care of infant was the developed by Bak Mi Suk which includes 13 items from Pharis's self confidence scale The data were analyzed using χ²-test, t-test and paired t-test. The result of the study are as follows 1. First hypothesis The level of self confidence in taking care of an infant for the group of primiparas who received phone counseling in the postpartum period would be higher than that of the primiparas who did not receive phone counselling : As the experimental group's level of self confidence in taking care infants was significantly higher than that of the control group this hypothesis is accepted 2. Second hypothesis The level of maternal identity will be higher for the group of primiparas who received phone counseling than that of primiparas who did not received phone counseling As the experimental group's level of maternal identity was significantly higher than that of the control group this hypothesis is accepted In looking at the results of the study as a whole, it can be concluded that emotional and informational nursing support provided through phone counselling is an effective strategy in promoting the role of new mothers.

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Use of Smoke-less Tobacco Amongst the Staff of Tertiary Care Hospitals in the Largest City of Pakistan

  • Valliani, Arif;Ahmed, Bilawal;Nanji, Kashmira;Valliani, Salimah;Zulfiqar, Beenish;Fakih, Misbah;Mehdi, Mehwish;Khan, Anam;Sheikh, Sana Arshad;Fatima, Nida;Ahmad, Sobia;Farah, Fariya;Saleem, Shaheera;Ather, Sana;Majid, Syed Khubaib;Hashmi, Syed Salman;Arjan, Sunil
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.5
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    • pp.2315-2317
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    • 2012
  • Background: Use of smoke-less tobacco (SLT) is very common in South and South-East Asian countries. It is significantly associated with various types of cancers. The objectives of this study were to assess the proportion of hospital staff that use SLT, and to identify the factors associated with its use and their practices. Methods: In a cross-sectional study, 560 staff of two tertiary care hospitals were interviewed in the year 2009. Nurses, ward boys and technicians were counted as a paramedic staff while drivers, peons, security guards and housekeeping staff were labeled as non-paramedic staff. SLT use was considered as usage of any of the following: betel quid (paan) with or without tobacco, betel nuts with or without tobacco (gutkha) and snuff (naswar). Results: About half (48.6%) of the hospital staff were using at least one type of SLT. Factors found to be statistically significant with SLT were being a male (OR=2.5; 95% CI=1.8-3.7); having no/fewer years of education (OR=1.7; 95% CI=1.2-2.4) and working as non-paramedic staff (OR=2.6; 95% CI=1.8-3.8). Majority of SLT users were using it on regular basis, for > 5 years and keeping the tobacco products in the oral cavity for >30 minutes. About half of the users started due to peer pressure and had tried to quit this habit but failed. Conclusion: In this study, about half of the study participants were using SLT in different forms. We suggest educational and behavioral interventions for control of SLT usage.

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.

The Factors Influencing Understanding on Patient Safety Culture in General Hospital Employees (일 지역 종합병원 종사자들의 환자 안전문화 인식에 미치는 요인)

  • Jung, Sang-Jin;Ryu, So Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.281-289
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    • 2017
  • This study was conducted to evaluate understanding of patient safety culture and the factors that influence this understanding among general hospital employees. To collect data, this study surveyed 343 employees of five general hospitals that were located in G metropolitan city and were authorized through medical institute certification. The data were collected from March 12 to April 21, 2017. For the data collected, a t-test, variance analysis, post-hoc analysis, and multiple regression analysis were conducted. The analyses revealed that the scores of understanding of patient safety culture were $3.27{\pm}.27$ with a perfect score of 5. Analysis of differences in understanding of patient safety culture revealed significant differences according to hospital service career, present department service career, professional career, and work units. Factors that influence understanding of patient safety culture were more than 11 year- hospital service career, 6 and 10 service years, and ward employees. Overall, the results of this study suggest that employees should receive education to improve understanding of patient safety culture and measures to change the understanding should be developed.