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Intention to Delegate Clinical Practice of Medical Specialists in Accordance with the Enactment of the Scope of Practice for Advanced Practice Nurses (전문간호사 업무범위안 제정에 따른 전문의의 업무 위임 의향)

  • Kim, Min Young;Choi, Su Jung;Kim, Jeong Hye; Leem, Cho Sun;Kang, Young-ah
    • Journal of Korean Academy of Nursing
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    • v.53 no.1
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    • pp.39-54
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    • 2023
  • Purpose: This study aimed to investigate the nationwide intention to delegate clinical practice of medical specialists in accordance with the enactment of the scope of practice for advanced practice nurses (APNs). Methods: Data were collected from October to December 2021 using Google Surveys. In total, 147 medical specialists from 12 provinces responded to the survey. The survey questionnaire was categorized into four legislative draft duties, according to the scope of practice (a total of 41 tasks): Twenty-nine tasks on treatments, injects, etc., performed under the guidance of a physician and other activities necessary for medical treatment (treatment domain); two tasks on collaboration and coordination; six tasks on education, counseling, and quality improvement; four regarding other necessary tasks. Participants were asked whether they were willing to delegate the tasks to APN. Results: The intention to delegate tasks to APN was higher for non-invasive tasks such as blood sampling (97.3%) or simple dressing (96.6%). Invasive tasks such as endotracheal tube insertion (10.2%), sampling: bone marrow biopsy & aspiration (23.8%) showed low intention to delegate in the treatment domain. Participants who were older, male, and had more work careers with APN, showed a higher intention to delegate tasks. Conclusion: To prevent confusion in the clinical setting, a clear agreement on the scope of APN practice as APN delegated by physicians should be established. Based on this study, legal practices that APN can perform legally should be established.

Food and dish group diversity on menus of daycare centers provided by Center for Children's Foodservice Management in Korea: a descriptive study (어린이급식관리지원센터에서 제공하는 어린이집 식단의 식품군 및 음식군 다양성에 관한 기술연구)

  • Youn-Rok Kang;Kyeong-Sook Lim;Hyung-Sook Kim
    • Korean Journal of Community Nutrition
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    • v.28 no.6
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    • pp.449-465
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    • 2023
  • Objectives: This study aimed to analyze menu patterns and food group diversity in daycare centers managed by the Center for Children's Foodservice Management in South Korea. Methods: Data from 18 Center for Children's Foodservice Management centers across various provinces (excluding Jeju Island) were analyzed. We examined 8,796 meals served in February, May, August, and December 2021, focusing on seasonal lunch and snack menus for children aged 3-5. Foods were categorized into 19 groups for lunch and 21 for snacks. The frequency of food groups and dietary patterns were assessed using the Dietary Diversity Score. Analyses were conducted using Excel 2016 and IBM SPSS Statistics version 28. Results: Most lunch menus (89%) included five menu items, with a ratio of grain, meat, and vegetables at 88%. Snack menus typically had one item (57%), with significantly more items in the afternoon compared to the morning (P < 0.001). Regarding snack patterns, 75.2% of morning snacks and 61.1% of afternoon snacks contained only one solid food and drink (P < 0.001). Fruit and milk (22.4%) was the most prevalent pattern in morning snacks, while grain and milk (31%) dominated afternoon snacks (P < 0.001). Only 48% of daycare center menus (all snacks and lunch) included all five food groups (grain, meat, vegetables, fruit, and milk). Notably, only 83% included milk and 57% included fruit. Conclusions: These findings highlight the need to improve food variety and diversity in the Center for Children's Foodservice Management-managed daycare center menus. Developing more detailed guidelines for menu structure and food composition is crucial to ensure children receive balanced and diverse nutrition.

Occurrence and Multiplex PCR Detection of Citrus Yellow Vein Clearing Virus in Korea

  • Taemin Jin;Ji-Kwang Kim;Hee-Seong Byun;Hong-Soo Choi;Byeongjin Cha;Hae-Ryun Kwak;Mikyeong Kim
    • The Plant Pathology Journal
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    • v.40 no.2
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    • pp.125-138
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    • 2024
  • Citrus yellow vein clearing virus (CYVCV) is a member of the Alphaflexiviridae family that causes yellow vein clearing symptoms on citrus leaves. A total of 118 leaf samples from nine regions of six provinces in Korea were collected from various citrus species in 2020 and 2021. Viral diagnosis using next-generation sequencing and reverse transcription polymerase chain reaction (RT-PCR) identified four viruses: citrus tristeza virus, citrus leaf blotch virus, citrus vein enation virus, and CYVCV. A CYVCV incidence of 9.3% was observed in six host plants, including calamansi, kumquat, Persian lime, and Eureka lemon. Among the citrus infected by CYVCV, only three samples showed a single infection; the other showed a mixed infection with other viruses. Eureka lemon and Persian lime exhibited yellow vein clearing, leaf distortion, and water-soak symptom underside of the leaves, while the other hosts showed only yellowing symptoms on the leaves. The complete genome sequences were obtained from five CYVCV isolates. Comparison of the isolates reported from the different geographical regions and hosts revealed the high sequence identity (95.2% to 98.8%). Phylogenetic analysis indicated that all the five isolates from Korea were clustered into same clade but were not distinctly apart from isolates from China, Pakistan, India, and Türkiye. To develop an efficient diagnosis system for the four viruses, a simultaneous detection method was constructed using multiplex RT-PCR. Sensitivity evaluation, simplex RT-PCR, and stability testing were conducted to verify the multiplex RT-PCR system developed in this study. This information will be useful for developing effective disease management strategies for citrus growers in Korea.

Mental Health of Medical Students After Combating the COVID-19 Epidemic: A Cross-sectional Study in Vietnam

  • Duc Minh Cap;Anh Quang Nguyen;Tham Thi Nguyen
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.4
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    • pp.347-355
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    • 2024
  • Objectives: This study was conducted to investigate the prevalence of mental health (MH) symptoms and associated factors among medical students who were engaged in combating the coronavirus disease 2019 (COVID-19) epidemic in 4 provinces/cities of Vietnam. Methods: A cross-sectional study with 580 participants was conducted at a medical university in Northern Vietnam. MH was assessed using the 21-item Depression, Anxiety, and Stress Scale, which was previously standardized in Vietnam. Data were collected through a structured self-administered questionnaire. Multivariate logistic regression was employed to examine the association between MH symptoms and relevant factors. Results: Out of a total of 2703 medical students, 21.5% responded to the questionnaire. Among the 580 respondents, the prevalence rates of depression, anxiety, and stress were 43.3%, 44.0%, and 24.7%, respectively. Factors significantly associated with self-reported depression included being female and having a COVID-19 infection. Similarly, being female and having a COVID-19 infection were significantly associated with self-reported anxiety. Factors associated with self-reported stress included being female, having a personal or family history of MH symptoms, working more than 8 hr/day, and having a COVID-19 infection. Conclusions: COVID-19 has adversely impacted the MH of medical students. Our findings are valuable in their potential to motivate universities, MH professionals, and authorities to offer mental healthcare services to this group. Furthermore, there is a pressing need for training courses designed to equip future healthcare workers with the skills to manage crises effectively.

Status of Farmers' Application Rates of Chemical Fertilizer and Farm Manure for Major Crops (주요(主要) 논·밭 작물(作物)에 대한 농가시비(農家施肥) 실태(實態))

  • Park, Baeg-Gyoon;Jeon, Tae-Ha;Kim, Yoo-Hak;Ho, Qyo-Soon
    • Korean Journal of Soil Science and Fertilizer
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    • v.27 no.3
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    • pp.238-246
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    • 1994
  • Rate of conventional allpication of chemical fertilizer and farm manure were surveyed for 23 crops and 13,259 farms on paddy and upland fields in 1992. 1. Farmers have applied fertilizers more than optimum levels on vagetable crops. Based on the optimum levels of N, P and K, the excess ratios of N, P, K fertilization were 40%, 138%, and 53% in vagetable crops and 38%, 7%, and 0% in field crops, respectively. 2. Among provinces, the fertilizer application for paddy rice was higher in Chung-nam and Jeon-buk, which have had higher yield compared to other provinces. And that for red pepper was higher in Kang-won, Jeon-nam, Jeon-buk, Kyeong-nam, Kyeong-buk, and for chinese cabbage in Kang-won and Chung-nam. 3. The fertilizers rates at a chief producing districts of crops(CPD) were higher in vagetable crops than in field crops. 4. Compared with total fertilizer levels of open culture, excess fertilizers in plastic house were 5.9kg/10a(21%) of nitrogen, 8.7kg/10a(52%) of phosphorus and 7.1kg/10a(34%) of potasium. In chemical fertilizer application, fertilizer levels of sweet corn, red papper, tomato and lettuce were higher in plastic house, while those of cucumber, strawberry, radish, chinese cabbage were higher in open culture. 5. Ratio of farmers who applied farm manures was below 60 % on field crops and 69~100% on vagetable crops. 6. The compound fertilizer for paddy rice(21-17-17) was applied on all the crops and its application rate was the highest in all the crops except for paddy rice(single cropping), malting barley, soybean, sesame.

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Comparative Analysis of Technical System by Six Organic Rice Cultivation Type in the Southern Provinces (남부지방 벼 유기농법 유형별 투입기술체계 비교분석)

  • Ahn, In;Park, Joo-Seob;Kim, Sam-Hyun;Maeng, Woon-Young;Lee, In-Eae
    • Korean Journal of Organic Agriculture
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    • v.20 no.4
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    • pp.535-542
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    • 2012
  • This study was carried out from 2011 to 2012 in order to analyze the cultivation technology system by six organic rice cultivation types in the southern provinces for the purpose of utilizing organic rice farming guidelines. This surveys were conducted by site visit on 8 counties and 115 farms in southern area. Cultivation technology system by six organic rice cultivation types were cultivated by the principle of minimum input or non-input. cropping systems, a mixture of barley and rice, or rice green manure crops were grown. Cultivars were mixture of the local cultivars and Japanese varieties. Soil were managed by a self-manufactured compost, indigenous microorganisms and barley straw without any fertilization. Pest control was mainly practied by purchased eco-friendly organic materials or herbal medication residue and indigenous microbial self-manufactured. Weed was controled by snails and barley straw. In addition, considering the restore of a longtail pitching shrimp and grasshoppers, the fuction of environmental ecology of six organic rice cultivation type proved to be excellent all. Meanwhile, the productivity of the organic farming per 10a were the order of Life and environment > Natural circulation > Stevia > Ji jang > Art and nature > Taepyoung of Farming Methods, but the farmers received prices showed the opposite tendency. Simple profitablity did not show a big difference. But, the productivity of all type of the organic farming were lower then the conventional farming. Finally, If we want to conduct safety and easy farming, we can suggest stevia farming, Natural circulation farming and life and environmental farming out of 6 organic rice cultivation types.

Structural Changes in Rental Housing Markets and a Mismatch between Quartile Income and Rent (월세 임차시장의 구조적 변화에 따른 분위별 소득과 임대료 간의 부정합 분석)

  • JungHo Park;Taegyun Yim
    • Land and Housing Review
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    • v.14 no.4
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    • pp.17-37
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    • 2023
  • The rental housing market in South Korea, specifically monthly rent with deposit, has been expanding over the last three decades (8.2% in 1990 to 21.0% in 2020), partly replacing the traditional Jeonse market. The distribution of rent has changed due to public rental subsidies and the emergence of luxury rental housing, while the distribution of rental household income has been polarized because of the emergence of rich renters. This study attempts to measure the structural changes in the rental market by developing a new indicator of income-rent mismatch. Using the seven series of the Korea Housing Survey, this study analyzed the changes in rent (reflecting the conversion rate) and income levels of rental households in 2006 (base year) and 10-15 years later (the analysis year) at the national level and at the spatial unit of 16 metropolitan cities and provinces (excluding Sejong), respectively, by dividing them into quartile data. The result reveals that rental housing was undersupplied in middle- and high-income rental housing due to the decline in the highest quartile (25%→18%) and the third quartile groups (25%→20%), while the supply of public rental housing expanded for the second quartile (25%→28%) and the lowest quartile (25%→35) groups. On the demand side, the highest income quartile shrank (25%→21%), while the lowest income quartile grew (25%→31%). Comparing the 16 metropolitan cities and provinces, there were significant regional differences in the direction and intensity of changes in rent and renter household income. In particular, the rental market in Seoul was characterized by supply polarization, which led to an imbalance in the income distribution of rental households. The structural changes in the apartment rental market were different from those in the non-apartment rental market. The findings of this study can be used as a basis for future regional rental housing markets. The findings can support securing affordable rental housing stock for each income quartile group on monthly rent and developing housing stability measures for a balance between income and rent distribution in each region.

Diversity of VC and incidence of hypovirulence-associated ds-RNAs in the chestnut blight fungus Cryphonectria parasitica in Korea

  • Byeongjin Cha;Jinyoung Lim;Ju, Young-Jik;Kim, Dae-Hyuk
    • Proceedings of the Korean Society of Plant Pathology Conference
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    • 2003.10a
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    • pp.23-23
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    • 2003
  • Chestnut blight, caused by Cryphonectria parasitica, is the most destructive disease of American and European chestnut trees. A total of 672 C prasitica was isolated from blight lesion on chestnut twigs, which were collected from major chestnut plantations all over Korea in 1999. Isolation rates were over 30% in Kyunggj-, Kyongnam-, and Chonnam-do. The highest isolation rate was 37.4% and recorded in Kyongnam-do. On the other hand, Chonbuk-do had the lowest isolation rate as 13.5%. In grouping of C parasitica by colony shape and color, yellow colony with irregular margin were the most dominant colony type with a frequency of 65.2%. When the 672 isolates were inoculated on the chestnut twigs, 380 isolates (56.5%) caused lesions larger than the standard virulent isolate EP155-2, while 158 isolates (23.4%) caused smaller lesions than the standard hypovirulent isolate UEP-1. In Bavendamm test that determines phenol oxidase activity, 97.1% of all the isolates resulted the same or darker discoloration than EP155-2, and only 12.2% resulted the same or lighter discoloration than UEP-1. In the vegetative compatibility (VC) tests, total 670 isolates were divided into 121 VC groups (VCGs). Kyongnam-, Chonnam-, and Chungnam-do, the three principal chestnut plantation area, had 49, 33, and 27 VCGs, respectively. Among the VCGs, the biggest VCG, KR-VC104, was composed of 164 isolates and the second biggest VCG had 62 isolates. But, 64 of 121 VCGs consisted of sole member. More than 65.8% of KR-VC104, was isolated from the three provinces, Kyongnam-, Kangwon-, and Chungbuk-do. In KR-VC104, 62.8%, 59.1%, and 85.9% of the isolates looked like virulent in colony type, pathogenicity test, and Bavendamm test. In ds-RNA detection tests using cellulose chromatography, 77 of total 650 isolates were ds-RNA positive and detected ds-RNA segments were approximately 12kb, 3kb, 2.7kb, 2kb, and 1.8kb in size. Among the 77 isolates, 46 isolates had 12kb and 25 isolates had 12kb and 2.7kb. Other 6 Isolates had small ds-RNA segments. Kyongnam-, Chonnam-, and Chungnam-do had 43, 16, and 5 ds-RNA positive isolates, respectively. Among the 121 VCGs, only 29 VCGs had ds-RNA positive isolates.(중략)

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Identification of Tick Species Collected from Wild Boars and Habitats of Wild Boars and Domestic Pigs in the Republic of Korea

  • Chae, Jeong-Byoung;Kang, Jun-Gu;Kim, Heung-Chul;Chong, Sung-Tae;Lee, In-Yong;Shin, Nam-Shik;Chae, Joon-Seok
    • Parasites, Hosts and Diseases
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    • v.55 no.2
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    • pp.185-191
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    • 2017
  • Tick is one of the most important arthropods in the transmission of vector-borne diseases. In this study, we investigated the abundance and species of ticks associated with swine and their habitats to assess the risk of spread of tick-borne diseases in host species, such as wild boars. Ticks were collected from 24 grazing or traditionally reared domestic pig farms and 8 habitats of wild boars in 8 provinces and 1 city in the Republic of Korea, by using the dragging and flagging methods. Ticks were also collected directly from 49 wild boars by using fine forceps. A total of 9,846 hard ticks were collected, including 4,977 Haemaphysalis longicornis, 4,313 Haemaphysalis flava, 508 Ixodes nipponensis, 1 Ixodes turdus, and 47 Amblyomma testudinarium. A total of 240 hard ticks were collected from 49 wild boars, including 109 H. flava, 84 H. longicornis, and 47 A. testudinarium. A total of 578 hard ticks were collected from areas around domestic pig farms. Only 2 hard tick species, 546 H. longicornis and 32 H. flava, were collected from these areas. A total of 9,028 hard ticks were collected from wild boars of 8 habitats, including 4,347 H. longicornis, 4,172 H. flava, 508 I. nipponensis, and 1 I. turdus. A. testudinarium was collected only from wild boars, and I. nipponensis and I. turdus were collected only from the habitats of wild boars.

Survey on traditional Yukwa(oil puffed rice cake) making method in Korea (전통 유과의 제조방법 조사 연구)

  • Shin, Dong-Hwa;Choi, Ung
    • Journal of the Korean Society of Food Culture
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    • v.8 no.3
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    • pp.243-248
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    • 1993
  • Yukwa, one of the favorite Korean traditional snacks, is a oil puffed rice cooky used for sacrifies, ceremony or celebration of an event. It had been prepared by most of house-wives for a long time fellowing old reference and still be made by some skilled persons in country side these days. The preparation methods of the Yukwa differ a little each other region by region. This survey was conducted to excarvate any hidden traditional methods and collect different cases as many as possible through pre-made questionaire. 151 questionaires were collected at 7 provinces and evaluted by similar items.

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