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Clinical Nutrition Service in Korean Tertiary Hospitals and General Hospitals: Result of Nationwide Cross-Sectional Survey (국내 상급종합병원과 전국 분포 종합병원의 임상영양서비스 실태 조사 연구: 전국 규모 설문조사를 통하여)

  • Um, Mi Hyang;Park, Yoo Kyung;Lee, Song Mi;Lee, Seung Min;Lee, Eun;Cha, Jin A;Park, Mi Sun;Lee, Ho Sun;Rha, Mi Yong;Lyu, Eun Soon
    • Journal of the Korean Dietetic Association
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    • v.20 no.3
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    • pp.183-198
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    • 2014
  • The purpose of this study was to investigate the status of clinical nutrition services provided at tertiary hospitals and general hospitals in Korea. In total, 157 questionnaires were distributed to the departments of nutrition at hospitals on September 2013. The results of this study are as follows. The median number of beds was 607 and average length of stay was 8 days. 63.1% of dietitians had over 5 years of career experience. Nutritional screening rate was 97% in tertiary hospitals but only 67.2% in general hospitals (P<0.001). The rate of equipment with computerized nutritional screening system was 100% in tertiary hospitals but 71.9% in general hospitals (P<0.001). Hospitals with the best regarding nutritional care were hospitals accredited by JCI (Joint Commission International). On the other hand, hospitals not accredited by the JCI but KOIHA (Korea Institute for Healthcare Accreditation) showed the lowest performance rate of nutritional care. Nutrition support teams (NSTs) were established in all tertiary hospitals but in only 73% of general hospitals (P<0.001). The rate of actively operating NSTs was 89% in tertiary hospitals but only 62% in general hospitals (P<0.001). There is a need to provide proper standardized clinical nutrition services as a primary treatment and we observed large variations in the quality of nutritional service between hospitals. Therefore, local solutions are needed to implement nutritional programs and policies for improved service and care.

Flexure and tension tests of newly developed ceramic woven fabric/ceramic matrix composites (새로 개발된 세라믹 직포 보강 세라믹 기지 복합체의 인장 및 곡강도 시험)

  • Dong-Woo Shin;Jin-Sung Lee;Chang-Sung Lim
    • Journal of the Korean Crystal Growth and Crystal Technology
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    • v.6 no.1
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    • pp.73-87
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    • 1996
  • The mechanical properties of 2D ceramic composites fabricated bythe newly developed powder infiltration and subsequent multiple impregnation process were characterised by both 3-point flexure and tensile tests. These tests were performed with strain gauge and acoustic emission instrument. The woven fabric composites used for the test have the basic combinations of $Al_{2}$$O_{3}$ fabric/$Al_{2}$$O_{3}$ and SiC fabric (Tyranno)/SiC. Uniaxially aligned SiC fibre(Textron SCS-6)/SiC composites were also tested for comparison, The ultimate flexural strength and first-matrix cracking stress of SiC fabric/SiC composite with 73% of theoretical density were about 300 MPa and 77 MPa respectively. However, the ultimate tensile strengths of composite were generally one third of flexural strengths, and first-matrix cracking stress in a tension test was also much lower than the value obtained from flexure test. The lower mechanical properties measured by tension test were analysed quantitatively bythe differences in stressed volume using Weibull statistics. This showed that the ultimate strength and the firs-tmatrix cracking stress of woven laminate composites were mainly determined bythe gauge length of fibres and the stressed volume of matrix respectively. Incorporation of SiC whiskers into the matrix increased first-matrix cracking stress by increasing the matrix failure strain of composites.

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An Identification of the Healing Effect of Rain Sound According to the Gender and Personal - Adjusted Rain Sound Making (성별에 따른 빗소리의 힐링 효과 규명 및 개인 맞춤형 빗소리 제작)

  • Lee, Bum Joo;Cho, Dong Uk;Cho, Sang Hyun;Song, Young Bin;Jeong, Yeon Man
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.41 no.10
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    • pp.1263-1269
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    • 2016
  • Stress has become one of the largest health risk to shorten the life time of health. Accordingly, in order to increase the life time of health, stress relief can be very important. Many social expenses and economic commitment have been inputted for this purpose, but their effectiveness compared to the current situation is not very high. In this paper, we carried out an identification work of rain sound which is similar to the white noise that can stabilize the body and mind of the person by analyzing the variations of 3rd formant frequency bandwidth. Also, for relieving stress, the sounds of rain that is easily accessible at a relatively among the sounds of nature instead of consuming a lot of money and time were selected for solving these problems. In addition, we identified the effectiveness of the stress relief about the sound of rain and research on whether there is a difference between men and women in their 20's or not was performed. Finally, we discussed the personal - adjusted rain making to maximize the effectiveness of stress relief.

Seasonal Variations of Water Quality and Periphyton in the Cheonggyecheon (청계천의 수질과 부착조류의 계절적 변동)

  • Shin, Myoung-Sun;Kim, Bom-Chul;Kim, Jai-Ku;Park, Mi-Suk;Jung, Seong-Min;Jang, Chang-Won;Shin, Yoon-Keun;Bae, Yeon-Jae
    • Korean Journal of Ecology and Environment
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    • v.41 no.1
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    • pp.1-10
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    • 2008
  • The seasonal variations of water quality and periphyton were investigated in an artificial stream (the Cheonggyecheon Stream) flowing through the Seoul City. TP showed a longitudinal gradient: 10 to $59{\mu}gP\;L^{-1}$ in the upper stream sites, and 15 to $90{\mu}gP\;L^{-1}$ in downstream sites. POP was a major form of TP in the water, occupying over 60%, while the proportion of DIP was less than 10% except for St. 4. N/P atomic ratio ranged from 78 to 554, which implies phosphorus would limit algal growth more than nitrogen. The biomass of periphyton did not show much difference among sites, and it was relatively higher in spring and fall season $(10\sim20{\mu}gChl\;{\alpha}cm^{-2})$ and lower in August $(<5{\mu}gChl\;{\alpha}cm^{-2})$, possibly because biofilms were washed off during spates of summer monsoon. Cyanobacteria was the dominant taxon in the periphyton community throughout the year. The periphyton standing crop can be classified as a nuisance level. It seems that phosphorus level is sufficiently high even though the input water is treated chemically, and modest water velocity $(20\sim90cm\;sec^{-1})$ and rocky bottom provide optimal conditions for periphyton growth.

Effect of Cutting Media and Growth Regulators on the Cutting of Dendrobium nobile (용토와 생장조절제 처리가 노빌계 덴드로비움의 삽목번식에 미치는 영향)

  • Kim, Han-Kyun;Nam, Yu Kyeong;Lee, Jong Suk
    • FLOWER RESEARCH JOURNAL
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    • v.18 no.1
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    • pp.23-28
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    • 2010
  • This study was conducted to determine the optimal rooting media composition and plant growth regulators for the mass production of new three cultivars in Dendrobium. Rooting medium experiments showed that shooting rate of 'Fizz' was the highest in perlite (Per) and vermiculite (V) mixture (1 : 1, v/v). Rooting rate of 'Prince' was 10% in the same treatment 60 days after cutting, while those of 'Candy' and 'Fizz' showed no shooting. With various kinds of auxin and different levels of concentrations, shooting rate in the other cultivars except 'Candy' increased highly at 60 days after cutting. Whereas, there were no differences between control and treatment except that of 'Fizz' with 200 ppm of IBA treatments showing 86.7%. Rates of cutting with leaves of 'Candy' and 'Fizz' were fairly high with 200 ppm of IBA compared to the control. Rate of rooting of 'Prince' was twice with 200 ppm of IBA or 50 ppm of NAA compared to the control. With various kinds of cytokinin and different concentrations, shooting rate of 'Candy' was 20% with 50 ppm of BA at 60 days after cutting; however, that of 'Fizz' increased in all treatments in 30 days after cutting and reached 100% with 200 ppm of BA compared to the control which was 77% at 60 days after cutting. Kinetin treatment had little effect on shooting rate compared to control at all concentrations. Treatment with 200 ppm of BA had clear effect on the rate of cutting with leaves of 'Fizz' and 'Prince', which was similar to shooting rate. However, the same treatment of BA had no effect on the rooting rate in all cultivars.

Correlation between Cutometer and Quantitative Evaluation Using Moire Topography in Age-related Skin Elasticity (Morie Topography를 이용한 피부 탄력 평가와 Cutometer 결과와의 상관성 연구)

  • Ahn, Sung-Yeon;Bae, Ji-Hyun;Kim, Seung-Hun;Lee, Hae-Kwang;Moon, Seong-Joon;Chang, Ih-Seop;Lee, Ok-Sub
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.31 no.4 s.54
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    • pp.343-347
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    • 2005
  • As aging occurs, ow skin gets more wrinkles, becomes drier and loses its elasticity. Validating the evaluation of skin elasticity is especially important, because it is not as visible as other signs of aging such as wrinkles. Here, we identified the correlation between age and the Parameters given by Cutometer, and (we present) the parameters of that reflect the decreases in skin elasticity along with ages (Ur/Uf, Ua/Uf, Ur/Ue, Ua, $r=0.687{\sim}0.725$). Also we developed an evaluation method to quantify the difference of skin by viewing or touching. A five-grade standard of Moire topographic photo scale on face was prepared using sensory evaluation of 20 to 61 year - old women. Based on this photo standard, scoring was performed using (a) 5-grade system by three specialists to obtain the consensus score. Significant negative correlations between age and results of Cutometer $(r=-0.687{\sim}-0.725)$, Moire topography scores (r=-938) were found. Finally we have shown the significance of the correlation between the result of Cutometer and the score of Moire topography (r=0.711). Our studies using Moire topography on face have confirmed that instrumental measurements reflect the decrease in shin elasticity, which is perceived visually.

Latent Profile Analysis on Vocational Competency of Students in Vocational High Schools and Vocational Program of General High School (직업계 고교생의 직업기초능력 잠재프로파일분석)

  • Lim, Jung-yeon;Lee, Young-min
    • Journal of vocational education research
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    • v.37 no.4
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    • pp.23-44
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    • 2018
  • The purpose of the study was to examine the vocational competency of students enrolled in vocational high schools including specialized vocational high school and meister vocational high school, and vocation program of general high school. We analyzed their vocational competency, based upon the vocational competency data of KCCI (Korea Chamber of Commerce & Industry). The results were as follow. First, latent profiles of subjects were categorized into four folds: general cognition-low adaption, cognition adaption general, pursuit of job adaption, low cognition-job mal-adaption. Each percentage of four groups was 39%, 30%, 11%, and 20%. Second, mainly, specialized vocational high school pattern is matched with vocational high schools' pattern. However, the cognitive competency of students in meister vocational high school was higher than that of student in vocation program of general high school. Third, latent profile group was clarified in terms of non-cognition aspect. Fourth, The higher the job adaption is, the higher the career decision level. We suggested some policy implications for improve the vocational competency.

A Study on the Effectiveness of the Positive psychology based mental promotion program (긍정심리학 기반 정신건강 증진 프로그램의 효과성연구 -예비간호사를 중심으로-)

  • Kang, Min Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.95-106
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    • 2019
  • This study examines how mental health promotion programs based on positive psychology brings changes in pleasant life, engaged life and meaningful life. This research considers 15 programs featuring 178 students during one semester. Pre-and-post examination of psychological well-being, depression and optimism were conducted to identify changes before and after the program. 56 students (32%) showed positive changes in all 3 factors. 15 students among them were selected for an in-depth interview for a qualitative case study. As a result of the quantitative study, a mental health promotion program based on positive psychology showed statistically significant positive changes in the pre-and-post examinations of psychological well-being, depression and optimism. Mental health promotion programs based on positive psychology showed positive changes in mental, cognitive and behavior perspectives in the fields of pleasant life, engaged life and meaningful life of college students. Specifically, positive psychology and thinking programs influenced students to become more enthusiastic and active in pursuing a pleasant life. Secondly, positive psychology intervention concerning engaged life brought a recognition of higher 'self-acceptance'. Thirdly, each individual spent more time and effort to experience more satisfaction and accomplishments. Lastly, subjects showed greater optimism after the program. Through the searching gratitude program, study subjects expanded their appreciation of their relationships with others.

The effects of Leisure activity, Self esteem, Achievement on Mental Wellbeing among the Aged (노인의 여가활동, 자아존중감, 성취감이 정신적 웰빙에 미치는 영향)

  • Han, Jong Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.645-652
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    • 2018
  • This study examined the effects of leisure activity, self-esteem, and the achievement on mental wellbeing among the elderly. The participants in this cross-sectional, descriptive study were 149 elderly who completed a self-report structured questionnaire. The data were analyzed using descriptive statistics, correlation and multiple linear regression analyses with SPSS statistics 20 program. The mental well-being averaged 51.5 (${\pm}15.1$); leisure activity averaged 26.2 (${\pm}6.5$); self-esteem averaged 30.2 (${\pm}5.2$), and self-esteem averaged 44.4 (${\pm}8.3$). The mental well being of the elderly was positively correlated with all three variables. The leisure activity, self-esteem, and achievement were strong predictors of the mental well-being among the elderly. These variables explained 42.7% of the variance in mental wellbeing. The results suggest that the elderly are satisfied with their own situations and abilities, have a positive mind by accepting their present state of being, continue social interactions through active leisure activities, and set specific goals. The mental well-being of the elderly can be improved.

The Relationship between Resilience, Social support and Caring burden of Middle-aged Caregivers caring for Chronic disease (만성질환자를 돌보는 중년기 주 돌봄 제공자의 회복탄력성, 사회적지지와 돌봄 부담감과의 관계)

  • Kim, Nam-Hee;Park, Sun-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.300-310
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    • 2019
  • The purpose of this study was to investigate the relationship between resilience, social support and caring burden of middle-aged caregivers caring for chronic disease. The data were collected from 175 caregivers at one rehabilitation centers in B City from July 2 to 31, 2018 and analyzed SPSS Win 21.0. Factors influencing caring burden were time for caregiving(F=6.70, p<.001), activities of daily living(F=4.70, p<.001), patient disease(F=4.61, p<.001), relationship with patients(F=3.68, p<.013), Health Status(F=3.08, p=.018), Marital status(t=-2.12, p<.036), Period after diagnosis(F=2.92, p=.036). The caring burden had not an influence on resilience and social support. a positive correlation was found between resilience and socail support(r=.487, p<.001). Therefore, it is essential to develop burden intervention programs that can reduce the burden in middle-aged caregivers caring for chronic disease and taking all the factors affecting burden into consideration.