• Journal of muscle and joint health
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• v.24 no.1
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• pp.14-23
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• 2017

Purpose: The purpose of this study was to identify the factors affecting the perceptions of patient safety culture, safety care knowledge, and safety care activity among nurses at orthopedic hospitals. Methods: Data were collected during Feb. 16 and Feb. 26, 2017, from 195 nurses of 9 small to medium sized orthopedic hospitals. Questionnaires about patient safety culture, safety care knowledge and activity were used. Data were analyzed by descriptive statistics, t-test, ANOVA, $Scheff\acute{e}$ test, Pearson's correlation coefficient, and stepwise multiple regression. Results: The safety care activity was positively correlated with perceptions of patient safety culture (r=.50, p<.001) and knowledge (r=.48, p<.001). Factors that had influence on the safety care activity were the patient safety culture (${\beta}=.30$, p<.001), age (${\beta}=.27$, p<.001), and knowledge of the safety activity (${\beta}=.21$, p=.004). The patient safety care activity was explained 36.6% by those factors. Conclusion: To enhance the patient safety care activity, it should be provided the environment and open communication for the perceptions of patient safety culture and the in service education program for safety care knowledge.

• Journal of Korean Medical Science
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• v.33 no.49
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• pp.310.1-310.11
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• 2018

Background: Acute pyelonephritis (APN) is one of the most common community-acquired bacterial infections. Recent increases of antimicrobial resistance in urinary pathogens might have changed the other epidemiologic characteristics of APN. The objective of this study was to describe the current epidemiology of APN in Korea, using the entire population. Methods: From the claims database of the Health Insurance Review and Assessment Service in Korea, the patients with International Classification of Diseases, 10th Revision codes N10 (acute tubulo-interstitial nephritis) or N12 (tubulo-interstitial nephritis, neither acute nor chronic) as the primary discharge diagnosis during 2010-2014 were analyzed, with two or more claims during a 14-day period considered as a single episode. Results: The annual incidence rate of APN per 10,000 persons was 39.1 and was on the increase year to year (35.6 in 2010; 36.7 in 2011; 38.9 in 2012; 40.1 in 2013; 43.8 in 2014, P = 0.004). The increasing trend was observed in both inpatients (P = 0.014) and outpatients (P = 0.004); in both men (P = 0.042) and women (P = 0.003); and those aged under 55 years (P = 0.014) and 55 years or higher (P = 0.003). Eleven times more women were diagnosed and treated with APN than men (men vs. women, 6.5 vs. 71.3), and one of every 4.1 patients was hospitalized (inpatients vs. outpatients, 9.6 vs. 29.4). The recurrence rate was 15.8%, and the median duration from a sporadic episode (i.e., no episode in the preceding 12 months) to the first recurrence was 44 days. The recurrence probability increased with the number of previous recurrences. The average medical cost per inpatient episode was USD 1,144, which was 12.9 times higher than that per outpatient episode (USD 89). Conclusion: The epidemiology of APN in Korea has been changing with an increasing incidence rate.

• Restorative Dentistry and Endodontics
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• v.49 no.1
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• pp.9.1-9.14
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• 2024

Objectives: This study aimed to evaluate the effect of pomegranate solution (Punica granatum) on eroded dentin through antioxidant action, shear bond strength (SBS) and interface morphology. Materials and Methods: The 10% pomegranate peel extract was prepared by the lyophilization method. Punicalagin polyphenol was confirmed by high-performance liquid chromatography. Antioxidant activity was evaluated by capturing the 2,2-diphenyl1-picrylhydrazyl (DPPH) radical. For the SBS, 48 dentin fragments were divided into sound or eroded, and subdivided according to the pretreatment (n = 12): water or P. granatum. The surfaces were restored with self-etch adhesive and a bulk-fill resin (Ecosite; DMG). The SBS was done immediately (24 hours) and after thermal cycling + water storage (12 months). For scanning electron microscopy, 48 dentin fragments (24 sound and 24 eroded) received the same treatments as for SBS (n = 6), and they were analyzed after 24 hours and 12 months. Results: The P. granatum had antioxidant action similar (p = 0.246) to the phenolic standard antioxidants. After 24 hours, eroded dentin had lower SBS than sound dentin (p < 0.001), regardless of the pretreatment. After 12 months, P. granatum maintained the SBS of sound dentin (13.46 ± 3.42 MPa) and eroded dentin (10.96 ± 1.90 MPa) statistically similar. The lowest values were found on eroded dentin treated with water (5.75 ± 1.65 MPa) (p < 0.001). P. granatum on eroded dentin caused peritubular demineralization and hybrid layer with resin tags. Conclusions: The pomegranate extract had antioxidant action and preserved the adhesive interface of the eroded dentin.

• The Journal of Korean Society for Radiation Therapy
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• v.34
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• pp.13-20
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• 2022

Purpose : IMRT using Tomotherapy during nasopharyngeal cancer radiation therapy irradiate an accurate dose to tumor tissues and is effective to reduce a dose rapidly in normal tissues. However, this has high MU and long Beam On Time. This study aims to analyze differences in tumors, normal tissues and low-dose distributions and the efficiency of Split VMAT after applying Helical IMRT (Tomotherapy), VMAT (Linac : 2Arc) and Split VMAT (Linac : 4Arc) plans. Materials and Methods : This study targeted ten nasopharyngeal cancer patients of this hospital and compared three treatment plans (Helical IMRT, VMAT, Split VMAT). For Helical IMRT planning, Precision^® (Version 1.1.1.1, Accuray, USA) was used, and for VMAT and Split VMAT planning, Pinnacle^3® (Version 9.10, Philips, USA) was used. The total dose applied was 38.4 Gy / 32 Gy (Daily Dose 2.4 Gy (GTV + 0.3 cm) / 2 Gy (CTV + 0.3 cm) 16Fx), and for GTV + 0.3 cm (P_GTV), 95% of V_38.4Gy was prescribed. VMAT with an angle of 360° 2Arc was applied, and for Split VMAT, the field was divided into the right, the left, the top and the bottom and an angle of 360° 4Arc, 6MV was set. For evaluating the quality of the treatment plans, differences in tumors, normal tissues and low-dose area were compared, and Beam On Time was measured to analyze the efficiency. Results : When calculating the mean values of evaluation items of the three treatment plans (Helical IMRT, VMAT, Split VMAT) for the patients, the H.I (Homogeneity Index) of P_GTV was 1.04, 1.11 and 1.1 respectively, and the C.I (Confomity Index) of P_CTV was 1.03, 0.99 and 1.00 respectively. The mean dose of RT Parotid Gland (Gy) was 14.54, 17.06 and 14.76 respectively, the mean dose of LT Parotid Gland (Gy) was 14.32, 17.32 and 15.09 respectively, the maximum dose of P_Cord (Spinal Cord + 0.3 cm) (Gy) was 20.57, 22.59 and 21.06 respectively, and the maximum dose of Brain Stem (Gy) was 22.35, 23.99 and 21.68 respectively. The 50% isodose curve (cc) was 1332, 1132.5 and 1065.2 respectively. Beam On Time (sec) was 373.7, 130.7 and 254.4 respectively. Conclusion : Displaying a similar treatment plan quality to Helical IMRT, which is used a lot for head and neck treatment, Split VMAT reduced the low-dose area and Beam On Time and produced a better result than VMAT. Therefore, it is considered that Split VMAT is effective not only for nasopharyngeal cancer but also for other head and neck cancers.

• Korean Journal of Food Science and Technology
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• v.46 no.1
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• pp.13-18
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• 2014

This study was designed to investigate the in vitro antioxidant potentials and the antioxidant components of 80% ethanolic extracts prepared from five edible spring flowers. The contents of total phenols (14.1-18.9 mg gallic acid equivalents/g of dry weight; DW), flavonoids (0.3-4.9 mg catechin equivalents), total carotenoids ($1.9-578.1{\mu}g$ ${\beta}$-carotene equivalents), and proanthocyanidins (2.8-23.5 mg catechin equivalents), were determined by spectrophotometry. In addition, the content of ascorbic acid (0.71-1.31 mg) was determined using HPLC with UV detection. All varieties of the flower examined showed antioxidant potential (1.2-46.1 mM Trolox equivalents/g DW), which was measured by the radical scavenging activity and the reducing power. Of the five flowers analyzed, Prunus avium L. showed the highest antioxidant activity. A strong correlation was found between the ascorbic acid ($r^2=0.75$), flavonoids ($r^2=0.71$), and total phenolic content ($r^2=0.64$) and the antioxidant parameters, suggesting that these components are likely significant contributors to the antioxidant capacity of the five spring flowers.

• Clinical and Experimental Pediatrics
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• v.59 no.9
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• pp.368-373
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• 2016

Purpose: This study examined the risk factors of a delayed diagnosis of acute appendicitis in children undergoing an appendectomy. Methods: This retrospective study involved children aged below 18 years, who underwent an appendectomy. After dividing them into a delayed diagnosis group and nondelayed diagnosis group according to the time interval between the initial hospital visit and final diagnosis, the risk factors of delayed diagnosis were identified using logistic regression analysis. Results: Among 712 patients, 105 patients (14.7%) were classified in the delayed diagnosis group; 92 patients (12.9%) were diagnosed using ultrasonography (US), and both US and computed tomography were performed in 38 patients (5.3%). More patients in the delayed diagnosis group underwent US (P=0.03). Spring season and prior local clinic visit were significantly associated with a delayed diagnosis. Fever and diarrhea were more common in the delayed diagnosis group (fever: odds ratio [OR], 1.37; 95% confidence interval [CI], 1.05-1.81; diarrhea: OR, 1.94; 95% CI, 1.08-3.46; P<0.05). These patients showed symptoms for a longer duration (OR, 2.59; 95% CI, 1.78-3.78; P<0.05), and the admission course (OR, 1.26; 95% CI, 1.11-1.44; P<0.05) and C-reactive protein (CRP) levels (OR, 1.47; 95% CI, 1.19-1.82; P<0.05) were associated with the delayed diagnosis. Conclusion: To decrease the rate of delayed diagnoses of acute appendicitis, symptoms such as fever and diarrhea, seasonal variations, admission course, and CRP levels should be considered and children with a longer duration of symptoms should be closely monitored.

• Journal of environmental and Sanitary engineering
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• v.14 no.4
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• pp.110-116
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• 1999

This study was conducted to investigate the contaminants removal efficiency and the optimal operating parameters by the internal recycle rate (IRR) in the combining A2/O process with fixed film. The average removal efficiency of BOD and COD was 92.5%~94.6%, 73.9%~87.0% in RUN 1 and 91.9%~94.7%, 77.7%~89.0% in RUN 2, respectively. Organic removal efficiency, at two different hydraulic retention time of 10 and 14hr, was similar. At 50% of the internal recycle rate, organic removal efficiency was somewhat higher than the other. Total nitrogen (T-N) and total phosphorus (T-P) were removed, highly, at 50% of internal recycle rate. It could be suggested by this study that the optimum internal recycle rate is 50% and hydraulic retention time is 14hr.

• The Journal of the Convergence on Culture Technology
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• v.9 no.6
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• pp.355-363
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• 2023

The purpose of this study was attempted to confirm the relationship between medical workers' knowledge of the elderly, burn out, job satisfaction and awareness of elder abuse. The study was conducted on 371 doctors, nurses, and nurse's aides working at eight health centers, 15 nursing hospitals, and 30 university hospital institutions. Looking at the relationships between variables, this study found that knowledge of the elderly was a significant positive correlation with awareness of elder abuse(r=.14, p<.01), and burn out was a significant negetive correlation with job satisfaction(r=-.55, p<.01) and awareness of elder abuse(r=-.10, p<.05). Job satisfaction was a significant positive correlation with awareness of elder abuse(r=.13, p<.01). Awareness of elder abuse was a significant positive correlation with knowledge of the elderly(r=.14, p<.01) and was a significant negetive correlation with burn out(r=-.10, p<.05). As a result of this study, it is expected that Hospital workers can have a positive perception and attitude toward the elderly by reducing their burnout and improving their job satisfaction.

• Proceedings of the Plant Resources Society of Korea Conference
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• 2020.12a
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• pp.62-62
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• 2020

Ginseng is a shade-plant cultivated using shading facilities. However, at too low light levels, root growth is poor, and at high light levels, the destruction of chlorophyll reduces the photosynthesis efficiency due to leaf burn and early fall leaves. The ginseng has a lightsaturation point of 12,000~15,000 lux when grown at 15 to 20℃ and 9,500 lux at 25℃. This study was conducted to select the optimal light intensity of 3-year-old ginseng grown in blue-white film plastic house. The seeds were planted in the blue-white film plastic house with different light receiving rate (March 17, 2020). Between April and September, the average air temperature in the house was 20.4-20.7℃. Average soil temperature was 18.3℃-18.5℃. The chemical properties of the test soil was as follows. The pH level was 7.0-7.4, EC was 0.5-0.6 dS/m, OM was at the levels of 33.6-37.7 g/kg, P₂O₅ was 513.0-590.8 mg/kg, slightly higher than the allowable 400 mg/kg. The amount of light intensity, illuminance, and solar radiation in the blue-white film house was increased as the light-receiving rate increased and the amount of light intensity was found to be 9-14% compared to the open field, 8-13% illuminance and 9-14% solar irradiation respectively. The photosynthesis rate was the lowest at 3.1 µmolCO²/m²/s in the 9% light blue-white plastic house and 4.2 and 4.0 µmolCO²/m²/s in the 12% and 14% light blue-white plastic house, respectively. These results generally indicate that the photosynthesis of plants increases with the amount of light, but the ginseng has a lower light saturation point at high temperatures, and the higher the amount of light, the lower the photosynthetic efficiency. The SPAD (chlorophyll content) value decreased as the increase of light-receiving rate, and was the highest at 32.7 in 9% light blue-white plastic house. Ginseng germination started on April 11 and took 13-15 days to germinate. The overall germination rate was 82.9-85.8%. The plant height and length of stem were long in the 9% light-receiving plastic house. The diameter of stem was thick in the 12-14% light-receiving plastic house. In the 12% and 14% light-receiving plastic house, the length and diameter of taproot was long and thick, so the fresh weight of root per plant was 20 g or more, which was heavier than 16.9 g of the 9% light-receiving plastic house. The disease incidence (Alternaria blight, Gray mold and Damping-off etc.) rate were 0.9-2.7%. The incidence of Sclerotinia rot disease was 7.5-8.4%, and root rot was 0-20.0%. The incidence ratio of rusty root ginseng was 34.4-38.7% level, which was an increase from the previous year's 15% level.

• KSBB Journal
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• v.14 no.2
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• pp.174-180
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• 1999

An actinomycetes strain No.4 which produce the cholesterol oxidase(EC 1.1.3.6), was isolated from soil and identified as Streptomyces sp. based on taxonomic studies. The conditions of cholesterol oxidase production and enzymatic properties were investigated. The optimum composition of medium for production of the enzyme was 1% soluble starch, 2% corn steep liquor, 0.1% $KH_2PO_4$, 0.1% $NaNO_3$ and 0.05% $MgSO_4$ (pH 7.0). The optimum pH and temperature of the cholesterol oxidase were pH 6.0~7.5 and $37^{\circ}C$, respectively. The enzyme was stable in the range of pH 6.0~9.0. The isoelectric point determined by multichambered electrofocusing unit was in the range of pH 6.0~6.5.