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Factors Influencing Ethical Confidence of Clinical Nurses (임상간호사의 윤리적 의사결정 자신감 영향요인)

  • Jeon, Yun-Hwa;Jung, Kwuy-Im;Song, Hoo-Seung;Na, Eun-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.501-512
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    • 2017
  • This study examines ethical confidence among clinical nurses. Data were collected from the 10th to 29th November 2014 with a structured questionnaire from 125 clinical nurses. The data collected were analyzed by SPSS/WIN 21.0. to obtain percentage, average, mean rating, standard deviation, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficients and stepwise multiple regression. The degree of ethical confidence in research targets showed remarkable differences statistically by age (F=3.14, p=.017), education (F=7.36, p<.001), career duration (t=-2.31, p=.024), and code of ethics knowledge (t=-3.17, p=.002). Ethical Confidence was positively correlated, r=.25(p<.001) with the degree of ethical values. There was a significant difference in Ethical Confidence by ethical value, education, and code of ethics knowledge. The total explanatory power was 15.0% and the explanatory power of the degree of ethical value(${\beta}=.28$) was greater than other factors. To help clinical nurses improve ethical confidence, interventions should be provided to increase ethical value, education, and knowledge about the code of ethics. Therefore, it is necessary to develop and implement such programs to improve ethical confidence in clinical nurses.

Real-time implementation of the 2.4kbps EHSX Speech Coder Using a $TMS320C6701^TM$ DSPCore ($TMS320C6701^TM$을 이용한 2.4kbps EHSX 음성 부호화기의 실시간 구현)

  • 양용호;이인성;권오주
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.29 no.7C
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    • pp.962-970
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    • 2004
  • This paper presents an efficient implementation of the 2.4 kbps EHSX(Enhanced Harmonic Stochastic Excitation) speech coder on a TMS320C6701$^{TM}$ floating-point digital signal processor. The EHSX speech codec is based on a harmonic and CELP(Code Excited Linear Prediction) modeling of the excitation signal respectively according to the frame characteristic such as a voiced speech and an unvoiced speech. In this paper, we represent the optimization methods to reduce the complexity for real-time implementation. The complexity in the filtering of a CELP algorithm that is the main part for the EHSX algorithm complexity can be reduced by converting program using floating-point variable to program using fixed-point variable. We also present the efficient optimization methods including the code allocation considering a DSP architecture and the low complexity algorithm of harmonic/pitch search in encoder part. Finally, we obtained the subjective quality of MOS 3.28 from speech quality test using the PESQ(perceptual evaluation of speech quality), ITU-T Recommendation P.862 and could get a goal of realtime operation of the EHSX codec.c.

Effect of Phosphate-to-binder and Water-to-binder Ratio on Magnesia-potassium Phosphate Cement (마그네시아-인산칼륨 시멘트에 대한 인산염 비 및 물-결합재비의 영향)

  • Lee, Kyung-Ho;Yoon, Hyun-Sub;Yang, Keun-Hyeok
    • Journal of the Korea Concrete Institute
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    • v.29 no.3
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    • pp.275-281
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    • 2017
  • This study examined the effect of water-to-binder ratio (W/B) and phosphate-to-binder ratio (P/B) on the flow, setting time, compressive strength development, and pH variation of magnesium-potassium phosphate composites, MKPC mortars. Ten mortars mixtures were prepared with the W/B varying from 20% to 40% at each P/B of 0.3 or 0.5. The hydration products and microstructural pore distribution of the MKPC pastes were investigated using X-ray diffraction (XRD), scanning electron microscope (SEM) and mercury intrusion porosimetry (MIP). The initial flow and setting time of MKPC mortars tended to decrease with an increase of P/B, indicating that the final setting time was shortened by approximately 24% when P/B increased from 0.3 to 0.5. The slope of the early-strength development measured in the MKPC mortars was considerably higher than that of cement concrete specified in code provisions. For obtaining a relatively good 28-day strength (above 30 MPa) and a near neutral pH (below 9.0) in MKPC mortars, the P/B and W/B need to be selected as 0.5 and 30%, respectively. The strubite-K crystal increased with the increases of P/B and W/B, which leads to the decrease of the macro-capillary pores.

Association between Sleep Duration, Dental Caries, and Periodontitis in Korean Adults: The Korea National Health and Nutrition Examination Survey, 2013~2014 (한국 성인에서 수면시간과 영구치 우식증 및 치주질환과의 관련성: 2013~2014 국민건강영양조사)

  • Lee, Da-Hyun;Lee, Young-Hoon
    • Journal of dental hygiene science
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    • v.17 no.1
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    • pp.38-45
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    • 2017
  • We evaluated the association between sleep duration, dental caries, and periodontitis by using representative nationwide data. We examined 8,356 subjects aged ${\geq}19$ years who participated in the sixth Korea National Health and Nutrition Examination Survey (2013~2014). Sleep duration were grouped into ${\leq}5$, 6, 7, 8, and ${\geq}9$ hours. Presence of dental caries was defined as caries in ${\geq}1$ permanent tooth on dental examination. Periodontal status was assessed by using the community periodontal index (CPI), and a CPI code of ${\geq}3$ was defined as periodontitis. A chi-square test and multiple logistic regression analysis were used to determine statistical significance. Model 1 was adjusted for age and sex, model 2 for household income, educational level, and marital status plus model 1, and model 3 for smoking status, alcohol consumption, blood pressure level, fasting blood glucose level, total cholesterol level, and body mass index plus model 2. The prevalence of dental caries according to sleep duration showed a U-shaped curve of 33.4%, 29.4%, 28.4%, 29.4%, and 31.8% with ${\leq}5$, 6, 7, 8, and ${\geq}9$ hours of sleep, respectively. In the fully adjusted model 3, the risk of developing dental caries was significantly higher with ${\leq}5$ than with 7 hours of sleep (odds ratio, 1.23; 95% confidence interval, 1.06~1.43). The prevalence of periodontitis according to sleep duration showed a U-shaped curve of 34.4%, 28.6%, 28.1%, 31.3%, and 32.5%, respectively. The risk of periodontitis was significantly higher with ${\geq}9$ than with 7 hours of sleep in models 1 and 2, whereas the significant association disappeared in model 3. In a nationally representative sample, sleep duration was significantly associated with dental caries formation and weakly associated with periodontitis. Adequate sleep is required to prevent oral diseases such as dental caries and periodontitis.

Gamma-Knife Radiosurgery for Vestibular Schwannoma (청신경초종에 대한 감마나이프 방사선 수술)

  • Paeng, Sung Hwa;Kim, Moo Seong;Sim, Hong Bo;Jeong, Yeong Gyun;Lee, Sun Il;Jung, Yong Tae;Kim, Soo Chun;Sim, Jae Hong
    • Journal of Korean Neurosurgical Society
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    • v.30 no.11
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    • pp.1308-1313
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    • 2001
  • Object : The goals of radiosurgery include preservation of neurological function and prevention of tumor growth. We document the results of gamma-knife radio-surgery for vestibular schwannoma. Method & Object : Eighty-two patients underwent stereotactic radiosurgery for an vestibular schwannoma from October, 1994 to December, 2000. Sixty-five of these patients were followed up for radiological and clinical evaluation. As pregamma-knife modality, surgical resection were done in 23 patients,and V-P shunt in 2 patients. Initial symptoms were headache(n=45), dizziness(n=16), tinnitus(n=17). While normal facial function(House-Brackmann grade 1) was present in 48 patients(73.8%), other patients showed grade 2 function in 8, grade 3 function in 7,and grade 4 function in 2. The Gardner/Robertson scale was used to code hearing function. Male to female ratio was 1:3. Mean tumor volume was $7.98cm^3$. Mean dose delivered to the tumor margin was 14.2Gy,and mean maximal dose was 28.3Gy. Results : Mean follow-up duration of 19.9 months. Thirty-five showed decrease(53.8%) in size, 19 patients(29.2%) stationary, 3(4.6%) initial decrease follow up increase, 5(7.6%) initial increase follow up decrease,and 59 patients (90.8%) were well controlled. Two patients experienced transient facial neuropathy, one transient trigeminal neuropathy, and one transient hearing deterioration. After gamma-knife radiosurgery, ventriculoperitoneal shunt was done in 4 patients. Conclusions : Gamma-knife radiosurgery can be used to treat postoperative residual tumors as well as in patients with concomitant medical problems in patients with preserved hearing function. Gamma-knife radiosurgery is safe and effective method to treat small, medium sized(less than 3cm in extracanalicular diameter), intracanalicular vestibular schwannoma, associated with low rate of cranial neuropathy.

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