• Title/Summary/Keyword: 4P평가

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Pre-post comparison Analysis of Patient assessment education for Emergency Medical Technicians(EMTs) (구급대원을 대상으로 한 환자평가 교육 전·후 수행도의 비교)

  • Lee, Moo-Sang;Lee, Seul-Ki;Kim, Gi-Woon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.211-219
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    • 2016
  • The current study was conducted to make pre-post comparisons of education done for 119 emergency medical technicians (EMT) on the patient assessment performance. The data are expected to offer applicable training methods and educational resources for emergency medical services. Twenty six EMT from four cities and provinces participated in the study, which was carried out from 14 to 17 December, 2015. The technicians performed a patient assessment and marked reports on simulated patients. In the course of the assessment, a pre-post evaluation of education was done using a checklist regarding the respective symptoms, such as headache, chest pain, and dyspnea. The median value (quartile value) was used as the descriptive analysis. While patient assessment scores marked 66 points (54.00-80.25) out of 100 (p<0.01) before education, there was a significant increase in the after-education scores, which reached 88.5 points (80.00-93.00). The patient assessment performances revealed a significant increase (p<.0.01) in 5 chest pain, 7 headache, and 9 dyspnea items after education. Similarly, there was an increase in wanting to meet the EMT again scale in regards to categories involved in developing positive relations with patients. Moreover, the adequacy in the patient condition reports all marked a significant increase (p<0.01) in assessment categories. The present study shows that education based on simulation practices are necessary for improvements in patient assessment performance of 119 EMT. Therefore, practical and systematic patient assessment educations may serve as a prerequisite. Further opportunities should be provided for the EMT consistently.

Correlations Between Ultrasonographic Findings of Sternocleidomastoid Muscle and Torticollis Overall Assessment of Congenital Muscular Torticollis in Infants (선천성 근성 사경 환아의 흉쇄유돌근 초음파 소견과 사경종합평가 사이의 상관관계)

  • Kim, Yong-Wook;Kim, Moon-Hwan;Kim, Kyoung-Mo
    • The Journal of the Korea Contents Association
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    • v.11 no.5
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    • pp.233-241
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    • 2011
  • The purpose of this study was to investigate the correlation between ultrasonographic findings used to diagnose and assess of torticollis and a overall special assessment of congenital muscular torticollis in infants. Seventy-eight subjects with congenital muscular torticollis participated in this study. All the patients were divided into one of four clinical types according to the sternocleidomastoid muscle fibrosis noted on the ultrasonographic findings, and they were divided into one of three subgroups according to the degree of disability on the overall special assessment score of torticollis. For the ultrasonographic classifications of the 78 patients, 42(53.8%) made up the first type, 21 (26.9%) made up the second type, 7 (9.0%) made up the third type, and 8 (10.3%) made up the fourth type. Multivariate analysis of the results showed that the age at presentation was significantly different according to the ultrasonographic subtypes (p<0.01). There was significant correlation between the ultrasonographic findings and the torticollis overall assessment for patients with congenital muscular torticollis (${\phi}$=0.893, p<0.01). According to the results of this study, the use of the simple and objective torticollis overall assessment will be useful for the evaluation of torticollis in the future.

The Shelf Life and Meat Quality of Broilers Fed Pine Bark Extract (Pitamin) (소나무껍질 추출물(피타민)을 섭취한 닭고기의 품질 및 저장성)

  • Park, Byung-Sung
    • Food Science of Animal Resources
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    • v.29 no.4
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    • pp.430-436
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    • 2009
  • A component of pine bark extract, pitamin, is known as an antioxidant and antimicrobial agent that exerts a variety of physiological effects; this compound has also been used widely in human beings. A 35-day trial was conducted to determine the influence of dietary pitamin premix via a sensory evaluation and evaluations of the TBARS, and meat quality in broiler chicken. We used 4 treatments groups: Control, Antibiotics, Pitamin premix 0.1%, and Pitamin premix 0.2%. The amino acid and protein contents in chicken breast muscle did not differ among the treatment groups. The pH of broilers fed on diets containing pitamin premix was lower (p<0.05) than broilers fed on the control and antibiotics diets, whereas the WHC was significantly higher in chicken breast muscles fed on the diet containing pitamin premix compared to the control and antibiotics groups (p<0.05). The TBARS is intended to be increased during the storage period (in days), and was significantly lower (p<0.05) in the chicken thigh muscles with skin from broilers fed on the diet containing the pitamin premix as compared to the control and antibiotics group (p<0.05). The sensory evaluation of boiled chicken, with the exception of the antibiotics group, revealed significantly better results from chickens fed on diets containing pitamin premix than the control group (p<0.05). These results suggest that dietary pitamin premix may improve the shelf life, flavor, taste, and meat quality in broiler chicken.

Development of Two-dimensional Prompt-gamma Measurement System for Verification of Proton Dose Distribution (이차원 양성자 선량 분포 확인을 위한 즉발감마선 이차원분포 측정 장치 개발)

  • Park, Jong Hoon;Lee, Han Rim;Kim, Chan Hyeong;Kim, Sung Hun;Kim, Seonghoon;Lee, Se Byeong
    • Progress in Medical Physics
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    • v.26 no.1
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    • pp.42-51
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    • 2015
  • In proton therapy, verification of proton dose distribution is important to treat cancer precisely and to enhance patients' safety. To verify proton dose distribution, in a previous study, our team incorporated a vertically-aligned one-dimensional array detection system. We measured 2D prompt-gamma distribution moving the developed detection system in the longitudinal direction and verified similarity between 2D prompt-gamma distribution and 2D proton dose distribution. In the present, we have developed two-dimension prompt-gamma measurement system consisted of a 2D parallel-hole collimator, 2D array-type NaI(Tl) scintillators, and multi-anode PMT (MA-PMT) to measure 2D prompt-gamma distribution in real time. The developed measurement system was tested with $^{22}Na$ (0.511 and 1.275 MeV) and $^{137}Cs$ (0.662 MeV) gamma sources, and the energy resolutions of 0.511, 0.662 and 1.275 MeV were $10.9%{\pm}0.23p%$, $9.8%{\pm}0.18p%$ and $6.4%{\pm}0.24p%$, respectively. Further, the energy resolution of the high gamma energy (3.416 MeV) of double escape peak from Am-Be source was $11.4%{\pm}3.6p%$. To estimate the performance of the developed measurement system, we measured 2D prompt-gamma distribution generated by PMMA phantom irradiated with 45 MeV proton beam of 0.5 nA. As a result of comparing a EBT film result, 2D prompt-gamma distribution measured for $9{\times}10^9$ protons is similar to 2D proton dose distribution. In addition, the 45 MeV estimated beam range by profile distribution of 2D prompt gamma distribution was $17.0{\pm}0.4mm$ and was intimately related with the proton beam range of 17.4 mm.

Fish Fauna and the Health Assessment of Independent Streams Flowing into the Yellow Sea in Korea: a Case of the Jeonnam and Jeonbuk Provinces (서해로 유입되는 독립하천의 어류상과 수생태계 건강성 평가: 전남과 전북을 대상으로)

  • Kim, Jin-Jae;Joo, Hyun-Soo
    • Korean Journal of Environmental Biology
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    • v.35 no.4
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    • pp.533-544
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    • 2017
  • In this study, the fauna of freshwater fish were investigated from March until October of 2016 in 24 independent streams in the Jeonnam and Jeonbuk provinces, which were flowing into the Yellow Sea. The health of the aquatic ecosystem in those streams was assessed through the biological and abiological character index (BAc index). During the surveyed period, a total of 4,127 individuals were collected; they belonged to 59 species of 44 genera in 18 families. The most dominant species identified was Zacco platypus, and 12 species were endemic species of Korea, including Rhodeus uyekii. The BAc index indicated a statistically significant correlation (p<0.01 or 0.05). The stage distribution of the aquatic ecosystem health assessment showed the highest rating of 41.7% at the "Fair" stage. The "Good" and "Poor" stages accounted for 20.8% while the "Excellent" stage took up 16.7%. It has been confirmed that the aquatic ecosystem health of independent streams is influenced more by the abiological character index as a consequence of geographical characteristics and artificial/natural limiting factors, than by the biological character index.

The Correlation between Motor Capacity, Capability, and Performance in Children with Cerebral Palsy (뇌성마비 아동의 능력, 수행능력, 수행 간 상관관계)

  • Kim, JangGon;Kim, TaeYoon
    • 재활복지
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    • v.20 no.3
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    • pp.125-139
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    • 2016
  • The aim of this study was to distinguish 3 concepts(capacity, capability, and performance) for the motor activities of children with cerebral palsy(CP) and examinate relation between capacity(can do in a standardized environment), capability(can do in daily environment), and performance(does do in daily environment). Cross-sectional analysis with a assessment record of children with CP (n=40; 19males, 21 females; mean age 6y 6mo, SD 3y 8mo) was performed. Levels of severity according to the Gross Motor Function Classification System(GMFCS) included level1(13%), level2(10%), level3(43%), level 4(33%), and level 5(3%). Motor activities capacity was assessed by the Gross Motor Function Measure (GMFM-66). Capability and performance were assessed using 2 scales(functional skill, caregiver assistance) of the Pediatric Evaluation of Disability Inventory(PEDI). Correlations between capacity and capability was 0.811(p < .05), and between capability and performance were high(r=0.711, p < .05). And the correlation between capacity and performance is the lowest(r=0.711, p < .05). Motor performance levels are only partly reflected by the motor capacity and motor capability levels in children with CP. Because performance is influenced by Contextual factors (particularly, social factors such as family function). This study suggests that it is necessary to distinguish and evaluate the capacity, capability, and performance in children with cerebral palsy.

Antioxidant activities and quality characteristics of noodles containing Allium senescens L. (두메부추 첨가 국수의 항산화 활성 및 품질특성)

  • Yang, Eun-Young;Han, Young-Sil
    • Korean Journal of Food Science and Technology
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    • v.52 no.2
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    • pp.156-161
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    • 2020
  • This study was designed to evaluate the quality characteristics and antioxidant activities of noodles containing Allium senescens L. powder (0, 2, 4, 6, and 8%). With an increase in the consumption of Allium senescens L., there was a decrease in pH (p<0.001), water absorption ratio, volume expansion ratio, and turbidity (p<0.05). The colorvalue showed that the addition of Allium senescens L. decreased the L and b values. On the other hand, a value was increased (p<0.001). The mechanical texture of the noodles containing Allium senescens L. was decreased by the addition of Allium senescens L. considering its hardness and chewiness; however, it increased the adhesiveness, springiness, and cohesiveness (p<0.001). In the sensory evaluation, the noodles with 4% Allium senescens L. powder showed the best results (p<0.001). The total polyphenol content, total flavonoid content, DPPH radical scavenging, and reducing power were increased upon addition of Allium senescens L. powder (p<0.001).

Temperament and Character Dimensions in Female Patients with Fibromyalgia (여성 섬유근육통 환자의 기질 및 성격 특질)

  • Kim, Tae-Suk;Kim, Kyung-Tae;Jung, Young-Eun;Park, Sung-Hwan;Lee, Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.44-50
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    • 2007
  • Objectives: previous studies have suggested the possible predisposing personality in fibromyalgia(FM). The aim of this study is to investigate the personality traits in female patients with FM compared to healthy female controls using the Temperament and Character Inventory(TCI) and furthermore, to evaluate the personality traits affecting the severity of the symptoms of FM. Methods Forty female patients with FM and 40 healthy female controls were examined using the TCI and the Hamilton depression rating scale. The FM patients were also evaluated the severity of the symptoms of FM using the fibromyalgia impact questionnaire(FIQ). Results : ANCOVA with age and depression levels as covariates showed that the FM patients scored significantly higher on the harm avoidance(F=2.187, p=0.047) and lower on the self-directedness(F=4.551, p=0.036) than the healthy controls. The FIQ scores showed positive correlation with the harm avoidance scores in the FM patients when adjusting for age and depression level(R=0.399, p=0.013) Multiple linear regression models revealed that the harm avoidance scores would affect the FIQ scores in FM patients(95% Cl=0.004-1.942, p=0.049). Conclusions : These results suggest that the female FM patients have distinctive temperament and character dimensions compared to the healthy female controls. Moreover, the harm avoidance may be the predictive personality to affect the severity of the symptoms of female FM patients.

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Anti-Inflammatory Effect of Essential Oils Extracted from Wood of Four Coniferous Tree Species (침엽수 4종 목부 정유의 항염증 효과 평가)

  • YANG, Jiyoon;CHOI, Won-Sil;KIM, Jae-Woo;LEE, Sung-Suk;PARK, Mi-Jin
    • Journal of the Korean Wood Science and Technology
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    • v.47 no.6
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    • pp.674-691
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    • 2019
  • The aim of this study was to evaluate the anti-inflammatory effects of essential oils extracted from the wood of Chamaecyparis obtusa, Pinus densiflora, Pinus koraiensis, and Larix kaempferi. Essential oils were extracted by hydrodistillation, and their chemical components were determined by GC/MS. Major chemical components of these essential oils were ${\alpha}$-cadinol (19.25%), ${\tau}$-muurolol (14.20%), and ${\alpha}$-pinene (13.74%) in C. obtusa; ${\alpha}$-pinene (47.16%), longifolene (14.31%), ${\beta}$-phellandrene (11.78%), and ${\beta}$-pinene (11.02%) in P. densiflora; ${\alpha}$-pinene (13.49%) and longifolene (10.79%) in P. koraiensis, and geranyl linalool (23.58%) and ${\alpha}$-pinene (18.57%) in L. kaempferi. To evaluate the anti-inflammatory effects of essential oils, lipopolysaccharide (LPS)-induced RBL-2H3 mast cells were treated with these essential oils; then, the changes in the mRNA expression level of the cytokines IL-4 and IL-13 were examined. Further, degranulation was evaluated by measuring ${\beta}$-hexosaminidase release. After LPS-induced RBL-2H3 mast cells were exposed to $10^{-7}%$ of all types of essential oils, the gene expression levels of IL-4 and IL-13 within the cells remarkably decreased. The relative mRNA expression level of IL-4 was 69.6% in P. densiflora, 63.2% in P. koraiensis, 55.1% in C. obtusa, and 45.8% in L. kaempferi compared with that in the group treated with LPS. The mRNA expression level of L-13 should a similar trend. The inhibitory rate of IL-13 mRNA expression of P. densiflora, P. koraiensis, C. obtusa, and L. kaempferi was 57.8%, 57.1%, 51.1%, and 34.5%, respectively. ${\beta}$-Hexosaminidase release significantly decreased following the treatment with the four types of essential oils. The rate of ${\beta}$-hexosaminidase release were 38.1% C. obtusa; 33.0% P. densiflora; 27.4% P. koraiensis; and 9.1% L. kaempferi. Among all types of essential oils, that extracted from P. densiflora wood showed the highest anti-inflammatory activity. These results show that the tested essential oils exert an anti-inflammatory effect through the inhibition of degranulation and expression of cytokines.

Removal Properties of Nickel and Copper ions by Activated Carbon and Carbon Nanotube (활성탄과 카본나노튜브를 이용한 수용액상의 니켈과 구리 제거 특성)

  • Jung, Yong-Jun
    • Journal of Wetlands Research
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    • v.20 no.4
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    • pp.410-416
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    • 2018
  • This experiment was carried out with the purpose of testing nickel and copper adsorption abilities of multi wall carbon nanotube (MWCNT) and activated carbon. In the acidic condition, only MWCNT was effective for removing nickel and copper ion in the aqueous phase while activated carbon rarely remove them. The MWCNT and heavy metals adsorption reaction followed pseudo-first order kinetic. When the initial pH value was neutral (pH=7), nickel was rapidly removed by MWCNT and activated carbon in 4 hr (99.02 %, 80.30 %). Also, copper ion was rapidly removed by both adsorbents in 4 hr when the initial pH was 7 (100 %, 99.73 %). Increasing of adsorbent dosages affect the pH evolution and heavy metal ions removal (0 ~ 99%). Also, oxidation pretreatment enhanced the adsorption efficiency of MWCNT.