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The Evaluation of the Korean Advance Directives (K-AD) (한국형 사전의료의향서 평가)

  • Kim, KiSook;Kim, Shinmi;Hong, Sunwoo;Kim, JinShil
    • Journal of Hospice and Palliative Care
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    • v.19 no.2
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    • pp.109-118
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    • 2016
  • The purpose of this study was to evaluate Korean advance directives (K-AD) by examining the degree of adults' acceptance and reliability of the directive itself. Methods: Survey was performed with 181 adults aged 20 or older who were recruited from three regions. A questionnaire used to examine the participants' acceptance of their K-AD in terms of visual analogue scale score of complexity, difficulty, necessity, satisfaction, recommendation. Then, a retest was carried out by asking participants to write up a K-AD again to confirm the reliability of the directives. Results: On a scale of 100, the average acceptance score was 70 or above, which represents rather high level of acceptance in all five categories. The test-retest reliability kappa values ranged from 0.592 to 0.950, and the conformity degree was moderate or high. Regarding K-AD components such as values, treatment preference, proxy appointment, differences among age groups were observed in each component. Conclusion: The results of this study suggest that K-AD is a feasible instrument to analyze its acceptability and reliability for adult population. K-AD could be utilized to help people make their own decision on their end-of-life care. Further studies are needed to confirm this study results and promote widespread use of K-AD.

Investigation of the Shear Bond Strength of Orthodontic Buttons by Light Curing Using an Extended Optic Fiber (광섬유를 이용한 광중합에 따른 교정용 버튼의 전단결합강도에 관한 연구)

  • Yoon, Garam;Lee, Nanyoung;Lee, Sangho;Jih, Myeongkwan;Choi, Wonseok;Sung, Minah
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.1
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    • pp.105-114
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    • 2021
  • The objective of this study is to analyze the shear bond strength of orthodontic buttons according to light tip distance and optic fiber diameter when an extended optic fiber was applied to the tip of a curing light unit. In this study, 315 extracted premolar teeth were divided into 3 groups. Orthodontic buttons were attached using no optic fibers (Group I), 3.0 mm diameter optic fibers (Group II), or 5.0 mm diameter optic fibers (Group III). Each group was divided into subgroups A - C (5.0, 10.0, and 15.0 mm light tip distance), respectively. Shear bond strength was then measured while varying the light tip distance. In group I, shear bond strength significantly decreased as the light tip distance increased. When the shear bond strength was evaluated according to the optic fiber diameter, no statistical significance was observed in group of 5.0 mm light tip distance. Compared with group IB, group IIIB showed significantly greater shear bond strength. Compared with group IC, all groups using 3.0 or 5.0 mm diameter optic fibers showed significantly greater shear bond strength. Therefore, when a curing light unit has poor accessibility, optic fibers with a large diameter should be considered.

Effects of Maxillary Lateral Incisor Agenesis on Skeletodental Characteristics in Mixed Dentition (상악 측절치 결손이 어린이 안면골격과 치열궁 형태에 미치는 영향)

  • Nam, Siyeon;Shin, Jonghyun;Kim, Jiyeon;Jeong, Taesung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.2
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    • pp.147-157
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    • 2019
  • This study aimed to evaluate skeletodental characteristics of patient with maxillary lateral incisor agenesis (MLIA) in mixed dentition. It involved the children in early mixed dentition who visited Pusan National University dental hospital for orthodontic purposed and had intact primary canines. 38 children with MLIA and 38 controls with the same chronological age satisfying the inclusion criteria were selected. The craniofacial structures and dental arch dimensions of the MLIA were evaluated using model & cephalometric analysis and compared to controls. The rate of unilateral MLIA was high in male and the rate of bilateral MLIA was high in female. In model analysis, the width / length ratio of maxillary anterior portion of the MLIA group were higher and arch perimeter of the maxilla of the MLIA group were smaller than those of the control group (p = 0.003, 0.04). Cephalometric analysis showed that there were no significant differences in terms of skeletal, dental analysis. In soft tissue profile, nasolabial angle was larger in MLIAs than in controls (p = 0.039). Considering these skeletodental characteristics of MLIA, early diagnosis and proper management is highly recommended to minimize the possibility of functional defect.

Effects of Intermittent Walking for Health Related Physical Fitness and Metabolic Syndrome Risk Factors in Elderly Women (간헐적인 걷기가 고령여성의 건강관련체력과 대사증후군 위험요인에 미치는 영향)

  • Kim, Sang-Hoon
    • 한국노년학
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    • v.29 no.4
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    • pp.1397-1411
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    • 2009
  • This study was aimed to examine the effects of intermittent walking on health related fitness and metabolic syndrome risk factors in elderly women. Forty five elderly women were randomly assigned to three groups: three 10-min walks per day, one 30-min walk per day or no exercise, respectively. Both walking groups exercised three days a week at moderate intensity for 12 weeks. Two-way repeated measures ANOVA was used to test the hypothesis with a significant level of α = .05. The results indicated that body composition(body weight, body mass index, percent body fat), muscle endurance, flexibility and cardiorespiratory fitness significantly increased after 12 weeks for both walking groups. However, it was found that muscle strength significantly increased only in a continuous walking group. Metabolic syndrome risk factors comprised of waist circumference, systolic blood pressure, triglyceride, high-density lipoprotein, and fasting glucose were significantly improved in both walking groups. In addition, there was a difference in these metabolic syndrome risk factors between pre and post exercise. The results of this study support the hypothesis that intermittent walking has a significant impact on health related physical fitness and metabolic syndrome rick factors in elderly women as continuous walking does.

The Survey of Particle Size of Total Mixed Ration in Korea (국내 TMR의 입자도에 관한 조사 연구)

  • Ki, K.S.;Kim, H.S.;Jeong, H.Y.;Lee, H.J.;Ahn, B.S.;Kim, J.S.;Kwang, S.W.;Kim, Y.K.;Ha, J.K.
    • Journal of Animal Science and Technology
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    • v.45 no.5
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    • pp.813-818
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    • 2003
  • This study was carried out to survey operation system of self-making TMR and particle size of self-making and commercial TMR, then to compare TMR particle size recommended by Penn State Particle Size Separator. Daily mixing time in self-making TMR averaged 48.6${\pm}$28.0min., 2 augar type of mixer was most by 55.5% and daily 2 times of mixing in summer and other season was 44.4 and 22.2%, respectively. Percentage of residual feed in upper sieve(19mm diameter), middle sieve(8 to 18mm diameter) and lower pen was 21.5~25.6%, 16.0~25.8%, 52.8~61.4%, respectively, at self-making TMR mixer. Percentage of particle sizes of more than 19mm in self-making and commercial TMR was 24.9${\pm}$1.4 and 26.2${\pm}$1.7%, that of 8-10mm 22.8${\pm}$1.0 and 12.8${\pm}$1.2 and that of less than 8mm 52.3${\pm}$1.7 and 61.0${\pm}$1.5, respectively, which in particle length of 8~13mm in self-making and commercial TMR was lower by 82.6 and 100% compared to that recommended by Penn State particle separator, respectively. Especially there was not particle length of more than 19mm in commercial TMR at all. It is necessary to check the number of cows ruminating in a farm in order to estimate the particle size of TMR; it is recommended to change the TMR mixing time or the TMR formulae if the proportion of ruminating cows in a farm is less than 40 %.

Screening Test for Heart Diseases in the First Grade Elementary School Children in Busan (부산 지역 초등학교 1학년 학생들의 심장질환의 집단검진에 관한 연구)

  • Oh, Jae Min;Park, Hee Ju
    • Clinical and Experimental Pediatrics
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    • v.46 no.5
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    • pp.490-494
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    • 2003
  • Purpose : We'd like to determine the incidence of congenital heart disease and arrhythmia in elementary school children in Busan, and to provide adequate prevention and treatment. Methods : A total of 23,802(male 12,909, female 10,893) 1st grade elementary school children living in Busan were studied. All children were 7-8 years old. We obtained their medical history by questionnaire and checked elecrocardiography(ECG). Subsequent screening tests including a 2nd ECG, chest X-ray, phonocardiogram and CBC for the students who had abnormal findings at the first screening test. The third screening test was done for students who had cardiac murmurs or abnormal ECG findings in the second screening test by echocardiogram, treadmill test and 24-hour Holter monitoring. Results : Among 23,802 children participants, 605(2.54%) had abnormal ECG findings at the first screening test. Q wave abnormality(0.58%) was observed most frequently, and complete right bundle branch block(RBBB)(0.26%), sinus tachycardia(0.24%), right axis deviation(0.22%) and ventricular premature contraction(VPC)(0.21%) followed in order. Four hundred and twenty four children participated in the second ECG screening test. Two hundred and two children(47.6%) had an abnormality such as sinus tachycardia(18.8%), VPC(17.8%), or complete RBBB(17.3%). After completing the third examination including echocardiogram, we couldn't find the students with ventricular tachycardia (VT) or SVT at the third arrhythmia screening test. Conclusion : A high incidence of arrhythmia was found in the 1st grade elementary school children in Busan despite their healthy appearances, although fatal heart diseases were not noted. Early diagnosis, adequate preventative measures and treatment will prevent and decrease the frequency of emergent situations like syncope and sudden death.

A Study on the Compatibility of Korean Temperature Guidelines for Stockpile Material Environmental Test (저장물자 환경시험을 위한 한국적 온도기준 적합성 연구)

  • Lee, Il Ro;Byun, Kisik;Cho, Sung-Yong;Kim, Kyung Pil;Park, Jae Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.187-194
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    • 2020
  • The T&E (Test and Evaluation) results were applied for a judgment basis to decide the developmental process of system engineering for efficient weapon system R&D (Research and Development). During the OT&E (Operational Test and Evaluation) and DT&E (Development Test and Evaluation), an environmental test is essential for weapon system development owing to their highly exposed operational conditions. Based on the MIL-STD-810, MIL-HDBK-310, and AECTP 200, the ROK armed forces recommended operating temperatures for the ROK weapon system and applied this to the DT&E and OT&E. This study examined the compatibility of Korean temperature guidelines for stockpile material considering recent climate change. Moreover, this study analyzed the data from hourly measured temperatures on 101 observatories during 60 years, from 1960 to 2020, and percentage (0.5%, 1%, 5%, and 10%) and the 𝜎 (3𝜎, 2𝜎, and 1𝜎) frequency of occurrence on rigorous hot (August) and cold (January) periods, respectively. The results indicate that the highest temperature was 41℃, and the 0.5% frequency of occurrence was 37.0℃. In the case of the cold period, the lowest temperature was -32.6℃ and the 0.5% frequency of occurrence was -21.1℃. By considering the previously recommended operating temperature range for a general ground system, -30 ~ 40℃, regional operation probability is recognized 99.999%. Despite the recent abnormal climate change from global warming, the Korean temperature guidelines are compatible with the stockpile material environmental test.

Guidelines for the Management of Hydronephrosis Detected in the Perinatal Period (주산기에 발견된 수신증의 자연 경과와 치료 방침)

  • Chae Soo-Ho;Lee Ji-Hyuk;Jin Dong-Kyu;Park Kwan-Hyun;Paik Kyung-Hoon
    • Childhood Kidney Diseases
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    • v.10 no.1
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    • pp.33-39
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    • 2006
  • Purpose : Neonatal hydronephrosis is diagnosed with an incidence of 4.5-7% of pregnancies. Recently, early detection of neonatal hydroneprosis with antenatal ultrasonography has be-come possible. But consensus about its management has not been reached, especially concerning surgical intervention. The purpose of this study is to analyze the natural course of neonatal hydronephrosis and to determine the guideline of surgical intervention and follow up study. Methods : Sixty nine hydronephrotic kidneys were confirmed from April 2001 to April 2005. All cases were rechecked by ultrasonography once at least and had a minimum follow-up of 6 months. We classified the patients into 4 groups according to the anterior posterior pelvic diameter(APPD) on perinatal ultrasonography. Ultrasonography to measure the APPD diameter and Society for Fetal Urology(SFU) grade, $^{99m}Tc-MAG3$ scan were done to a set protocol. Pyeloplasty was peformed according to the protocol. Results : Pyeloplasty was not needed in most cases where the APPD was below 10 mm and where the SFU grade were less than grade 3. Many cases with APPD 10 mm above or SFU grade III above had undergone pyeloplasty. We found a correlation between obstruction grade on MAG3 scan and whether surgery was performed or not. Conclusion : If APPD is above 10 mm, SFU grade is above grade 3 or urinary tract obstruction is suspected by MAG3 scan, pyeloplasty must be considered. In cases where APPD is below 10mm and SFU grade is less than grade 3, we can observe the natural course of neonatal hydronephrosis with consecutive follow-up. (J Korean Soc Pediatr Nephrol 2006;10:33-39)

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Dynamics of $NO_3^{-}$-N in Barley Rhizosphere and Optimum Rate of Nitrogen Top- Dressing Based on $N_{min}$ Soil Test (실초태 실소 의 보리 근권토양내 동적 변화와 $N_{min}$ 토양진단법에 의한 과정 실소추식량 결정)

  • 손상목;큐케마틴;한인아
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.40 no.2
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    • pp.185-194
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    • 1995
  • The prevention of excessive use of nitrogen fertilizer get an attention in Korea not only for minimizing $NO_3^-$ contamination of groundwater but also for establishment of environmental friendly sustainable agriculture. In order to find out the dynamics of $NO_3^-$ in barley rhizosphere and its suitability for nitrogen fertilization strategies and for environmental control, the accumulation of $NO_3^-$ in 3 layer, 0~30cm, 30~60cm, 60~90cm of soil profile has been detected in winter barley pro-duction system. It showed the recommended N fertilization rate for winter barley cause the $NO_3^-$ contamination of groundwater through $NO_3^-$ leaching during winter. The $NO_3^-$ content of 0~90cm soil depth have directly reflected the amount of basal N fertilization in the early spring, but not 0~30cm and 0~60cm soil depth. The contents of $NO_3^-$ measured to 0~30cm, 0~60cm soil depth were not significanly correlated with yield but the contents of $NO_3^-$ measured to 90cm soil depth was highly correlated with yield. Nitrogen fertilizer requirement could be estimated accurately by soil test and it provides field specific N rate recommendation for spring N application to winter barley. It was concluded that $N_{min}$ method could be applied to korean climatic and soil condition for optimal fertilizer application rate.

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Differences of Perception on Giftedness between Homeroom Teachers and Teachers of The Gifted (일반담임교사와 영재담당교사의 영재성에 대한 인식 차이)

  • Chung, Duk-Ho;Kim, Young-Mi;Lee, Jun-Ki;Park, Seon-Ok
    • Journal of Gifted/Talented Education
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    • v.23 no.2
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    • pp.161-175
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    • 2013
  • The purpose of this study is to investigate the differences of perception on giftedness between homeroom teachers and teachers of the gifted. The data was collected from 13 homeroom teachers and 8 teachers of gifted students. It was analyzed using recommendation letters, and shorthand notes about giftedness. The results of the study were as follows: most homeroom teachers used awards, learning attitude, presentation of self and school achievements for defined giftedness and preferred an exemplary student with task commitment but often overlooked motivation. The teachers of the gifted preferred motivation and self-satisfaction but not other social and affective characteristics. Also homeroom teachers thought that education condition is important, while the teachers of the gifted believed it was not an all important element. These differences will hurt the credibility in the selection or gifted students because homeroom teachers and teachers of the gifted use different words and expressions in their assessments of the same students. Therefore, I believe more needs to be done to encourage homeroom teachers to better understand gifted children through training programs.