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Perceptions of Medical Personnel toward Burnout using Q Methodology (의료인의 소진에 대한 지각: Q 방법론 적용)

  • Yeun, Eun Ja;Kwon, Young Mi;Lee, Young Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.1
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    • pp.57-66
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    • 2016
  • Purpose: This exploratory study was done to categorize medical personnel's perceptions of burnout and analyzed the characteristics. Methods: Q methodology was applied using a 45 Q-sample categorized on an 11-point scale which was completed by nurses and doctors working at a university hospital in Seoul, Korea. Collected data were analyzed using the PC-QUANL program. Results: Medical personnel's perceptions of burnout were categorized into three types; 33.83% of the total variance was explained. The first type was 'functionally deteriorating pressure' the second type was 'daily powerlessness' and the third was 'achievement-oriented re-energization'. Conclusion: There is a need to establish and apply intervention strategies for each type to alleviate medical personnel burnout and increase work efficiency to qualitatively improve medical services.

Prenatal Diagnosis of the 22q11.2 Duplication Syndrome

  • Lee, Moon-Hee;Park, So-Yeon;Lee, Bom-Yi;Choi, Eun-Young;Kim, Jin-Woo;Park, Ju-Yeon;Lee, Yeon-Woo;Oh, Ah-Rum;Lee, Shin-Young;Yang, Jae-Hyug;Ryu, Hyun-Mee
    • Journal of Genetic Medicine
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    • v.6 no.2
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    • pp.175-178
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    • 2009
  • The 22q11.2 duplication syndrome is an extremely variable disorder with a phenotype ranging from normal to congenital defects and learning disabilities. Recently, the detection rate of 22q11.2 duplication has been increased by molecular techniques, such as array CGH. In this study, we report a familial case of 22q11.2 duplication detected prenatally. Her first pregnancy was terminated because of 22q11.2 duplication detected incidentally by BAC array CGH. The case was referred due to second pregnancy with same 22q11.2 duplication. We perfomed repeat amniocentesis for karyotype and FISH analysis. Karyotype analysis from amniocytes and parental lymphocytes were normal, while FISH analysis of interphase cells presented a duplication of 22q11.2 in the fetus and phenotypically normal mother. The fetal ultrasound showed grossly normal finding. After genetic counseling about variable phenotype with intrafamilial variability with 50% recurrence rate, the couple decided to continue the pregnancy. The newborn had no apparent congenital abnormalities until 2 weeks after birth. We recommend that family members of patients with a 22q11.2 duplication be tested by the interphase FISH analysis. Also, we point out the importance of genetic counseling and an evaluation of the clinical relevance of diagnostic test results.

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Decay Rate and Nutrient Dynamics during Litter Decomposition of Quercus acutissima and Quercus mysinaefolia (상수리나무와 가시나무 낙엽의 분해율 및 분해과정에 따른 영양염류 함량 변화)

  • Won, Ho-Yeon;Oh, Kyung-Hwan;Pyo, Jae-Hoon;Mun, Hyeong-Tae
    • Korean Journal of Environment and Ecology
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    • v.26 no.1
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    • pp.74-81
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    • 2012
  • Decay rate and nutrient dynamics during leaf litter decomposition of deciduous Quercus acutissima and evergreen Quercus mysinaefolia were studied for 24 months from December 2008 to December 2010 in Gongju, Chungnam Province, Korea. Percent remaining weight of Q. acutissima and Q. mysinaefolia leaf litter after 24 months elapsed was $46.3{\pm}5.4%$ and $37.8{\pm}2.5%$, respectively. Decomposition of evergreen Q. mysinaefolia leaf litter was significantly faster than that of deciduous Quercus acutissima leaf litter. Decay constant(k) of Q. acutissima and Q. mysinaefolia leaf litter after 24 months elapsed was 0.38 and 0.49, respectively. Initial C/N and C/P ratio of Q. mysinaefolia leaf litter was significantly lower than those of Q. acutissima leaf litter. Initial C/N and C/P ratio of Q. acutissima leaf litter was 46.8 and 270.9, respectively. After 24 months elapsed, C/N and C/P ratio of decomposing Q. acutissima leaf litter decreased to 22.5 and 104.2, respectively. Initial C/N and C/P ratio of Q. mysinaefolia leaf litter was 22.4 and 41.7, respectively. After 24 months elapsed, C/N and C/P ratio of decomposing Q. mysinaefolia leaf litter decreased to 16.7 and 89.7, respectively. Initial concentration of N, P, K, Ca and Mg in leaf litter was 8.31, 0.44, 4.18, 9.38, 1.37 mg/g in Q. acutissima, and 19.88, 2.73, 7.06, 8.24, 2.61 mg/g in Q. mysinaefolia, respectively. Initial concentration of N and P in Q. mysinaefolia leaf litter was significantly higher than those in Q. acutissima. After 24 month elapsed, remaining N, P, K, Ca and Mg were 100.91, 114.75, 32.99, 50.63, 15.51% in Q. acutissima, and 43.22, 11.35, 12.98, 82.22, 44.23% in Q. mysinaefolia, respectively. N and P in decomposing leaf litter was immobilized in Q. acutissima, and mineralized in Q. mysinaefolia.

Nitrogen and Phosphorus Removal from Domestic Wastewater by MLE Process Combined with Aluminum Corrosion Process (알루미늄 부식 반응조를 조합한 MLE공정에서 하수의 질소와 인 제거)

  • Park, Sang-Ill;Choi, Hyung-Il;Cheong, Kyung-Hoon;Park, De-Hoon
    • Journal of Environmental Science International
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    • v.22 no.11
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    • pp.1383-1388
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    • 2013
  • The pilot plant experiment was performed to investigate phosphorus and nitrogen removal from domestic wastewater by MLE process combined with aluminum corrosion reactor. When operating 0.5Q and 1Q to internal recycle and sludge recycle in the MLE process, the effluent $COD_{Mn}$ concentration of internal recycle 0.5Q were higher than internal recycle 1Q, the removal efficiency rates of $NH_3$-N in the internal recycle 0.5Q were was higher than internal recycle 1Q. Denitrification rates were about 86.8% in internal recycle and sludge recycle 0.5Q. When operating 0.5Q to internal recycle and sludge recycle in the MLE process, the removal efficiency rates of total nitrogen was the highest. The removal efficiency rates of total phosphorus was about 91.5% in the aluminum corrosion reactor.

A Novel Translocation Involving RUNX1 and HOXA Gene Clusters in a Case of Acute Myeloid Leukemia with t(7;21)(p15;q22)

  • Moon, Yeonsook;Horsman, Douglas E.;Humphries, R. Keith;Park, Gyeongsin
    • IMMUNE NETWORK
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    • v.13 no.5
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    • pp.222-226
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    • 2013
  • Translocations involving chromosome 21q22 are frequently observed in hematologic malignancies including acute myeloid leukemia (AML), most of which have been known to be involved in malignant transformation through transcriptional dysregulation of Runt-related transcription factor 1 (RUNX1) target genes. Nineteen RUNX1 translocational partner genes, at least, have been identified, but not Homeobox A (HOXA) genes so far. We report a novel translocation of RUNX1 into the HOXA gene cluster in a 57-year-old female AML patient who had been diagnosed with myelofibrosis 39 months ahead. G-banding showed 46,XX,t(7;21)(p15;q22). The involvement of RUNX1 and HOXA genes was confirmed by fluorescence in situ hybridization.

2.22-inch qVGA a-Si TFT-LCD Using a 2.5 um Fine-Patterning Technology by Wet Etch Process

  • Lee, Jae-Bok;Park, Sun;Heo, Seong-Kweon;You, Chun-Ki;Min, Hoon-Kee;Kim, Chi-Woo
    • Journal of Information Display
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    • v.7 no.3
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    • pp.1-4
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    • 2006
  • 2.22-inch qVGA $(240{\times}320)$ amorphous silicon thin film transistor liquid active matrix crystal display (a-Si TFT-AMLCD) panel has been successfully demonstrated employing a 2.5 um fine-patterning technology by a wet etch process. Higher resolution 2.22-inch qVGA LCD panel with an aperture ratio of 58% can be fabricated as the 2.5 um fine pattern formation technique is integrated with high thermal photo-resist (PR) development. In addition, a novel concept of unique a-Si TFT process architecture, which is advantageous in terms of reliability, was proposed in the fabrication of 2.22-inch qVGA LCD panel. Overall results show that the 2.5 um fine-patterning is a considerably significant technology to obtain higher aperture ratio for higher resolution a-Si TFT-LCD panel realization.

RELATIONS BETWEEN DECOMPOSITION SERIES AND TOPOLOGICAL SERIES OF CONVERGENCE SPACES

  • Park, Sang-Ho
    • East Asian mathematical journal
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    • v.22 no.1
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    • pp.79-91
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    • 2006
  • In this paper, we will show some relations between decomposition series {$\pi^{\alpha}q\;:\;{\alpha}$ is an ordinal} and topological series {$\tau_{\alpha}q\;:\;{\alpha}$ is an ordinal} for a convergence structure q and the formular ${\pi}^{\beta}(\tau_{\alpha}q)={\pi}^{{\omega^{\alpha}\beta}}q$, where $\omega$ is the first limit ordinal and $\alpha$ and $\beta({\geq}1)$ are ordinals.

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SPHERES IN THE SHILOV BOUNDARIES OF BOUNDED SYMMETRIC DOMAINS

  • Kim, Sung-Yeon
    • The Pure and Applied Mathematics
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    • v.22 no.1
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    • pp.35-56
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    • 2015
  • In this paper, we classify all nonconstant smooth CR maps from a sphere $S_{n,1}{\subset}\mathbb{C}^n$ with n > 3 to the Shilov boundary $S_{p,q}{\subset}\mathbb{C}^{p{\times}q}$ of a bounded symmetric domain of Cartan type I under the condition that p - q < 3n - 4. We show that they are either linear maps up to automorphisms of $S_{n,1}$ and $S_{p,q}$ or D'Angelo maps. This is the first classification of CR maps into the Shilov boundary of bounded symmetric domains other than sphere that includes nonlinear maps.

Pericentric Inversion of the X Chromosome in a Male with Azoospermia and in the Family of a Pregnant Female Carrier (무정자증을 보이는 남성과 정상 생식력을 가진 여성의 가계에서 관찰된 X 염색체의 Pericentric Inversion)

  • Lee, Bom-Yi;Ryu, Hyun-Mee;Lee, Moon-Hee;Park, Ju-Yeon;Kim, Jin-Woo;Lee, Joong-Shik;Kim, Hye-Ok;Kim, Min-Hyung;Park, So-Yeon
    • Journal of Genetic Medicine
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    • v.5 no.2
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    • pp.139-144
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    • 2008
  • We report on two cases of pericentric inversion of X chromosome. The cases were found in a 40-year-old man with azoospermia and in a family of a 38-year-old pregnant woman. The first case with 46,Y,inv(X)(p22.1q27) had concentrations of LH, prolactin, estradiol, and testosterone that were within normal ranges; however, FSH levels were elevated. Testis biopsy revealed maturation arrest at the primary and secondary spermatocytes without spermatozoa. There were no microdeletions in the 6 loci of chromosome Y. For the second case, the cytogenetic study of thepregnant woman referring for advanced maternal age and a family history of inversion X chromosome was 46,X,inv(X)(p22.11q27.2). The karyotype of her fetus was 46,X,inv(X)(p22.1q27). Among other family members, the karyotypes of an older sister in pregnancy and her fetus were 46,X,inv(X)(p22.11q27.2), and 46,Y,?inv(X), respectively. The proband's father was 46,Y,inv(X)(p22.11q27.2). All carriers in the family discussed above were fertile and phenotypically normal. In addition, the ratio of inactivation of inv(X) by RBG-banding was discordant between the two sisters, with the older sister having only 4.1% of cells carrying inactivated inv(X) while the proband had a 69.5% incidence of late replicating inv(X). Therefore, we suggest that the cause of azoospermia in the first case might be related to inversion X chromosome with positional effect. Also, the family of the second case showing normal phenotype of the balanced inv(X) might be not affected any positional effect of genes.

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Vegetational Changes in the Early Stages after Lumbering of Populus albaglandulosa in Urban Forest (도시림에서 은수원사시나무 벌목 후 초기의 식생 변화)

  • 민병미
    • The Korean Journal of Ecology
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    • v.22 no.5
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    • pp.277-285
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    • 1999
  • To develop a better restoration technique for altering urban planted forest to more natural forest, the changes of flora, vegetation structure and woody plant growth in the early stage after lumbering only Populus albaglandulosa of the tree layer were studied in Chungdam Park, Chungdam-dong, Kangnam-gu, Seoul for two years (from 1997 to 1998). The results were as follow. First, in the year after lumbering, the species changes occurred not in woody plants but in herbs, which increased by 44%. Three species including Viola verecunda disappeared, and 15 species including ruderals such as Metaplexis japonica and introduced species such as Erechtites hieracifolia appeared newly. Second, lumbering caused the coverages of Quercus aliena, Q. mongolica, Q. acutissima and Sorbus alnifolia in the subtree, or shrub layer, to be increased abruptly. The coverage of Lespedeza bicolor was affected by neighboring plants. Third, in the herb layer the coverage of Artemisia keiskeana was conspicuously increased but those of the others were not. Fourth, by ridding the upper layer canopy, Quercus' growth rates were increased highly. Rates of DBH growth of Q. aliena, Q. mongolica and Q. dentata were increased to 53.0%, 22.9% and 8% in the experimental area, and 23.1%, 8.3% and 6.1% in the control area, respectively, during two growing seasons (from May 11, 1997 to October 27, 1998). The ratios of twig biomasses of the previous year to the next year were 100:565 in Q. aliena, 100:197 in Q. mongolica and 100:644 in Q. dentata in the experimental area. There were also growth ratios of 100:117 in Q. aliena, 100:100 in Q. mongolica and 100:42 in Q. dentata in the control area, respectively. The growth rate increases of Q. aliena and Q. dentata were thus conspicuous in twig rather than in trunk, but that of Q. mongolica was vice versa.

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