• Quality Improvement in Health Care
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• v.2 no.2
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• pp.32-45
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• 1996

Background : A critical path defines an optimal sequencing and timing of interventions by physicians, nurses, and other staff for a particular diagnosis or procedure, designed to better utilize resources, maximize quality of care, and minimize delays. It can be thought of as a visualization of the patient care process. In this study, a review of appendectomy patient records was undertaken to identify a critical path for the management of this treatment. Methods: For this study, records of patients under 15 or over 65 years of age were excluded ; cases where the patient was pregnant, or where complications developed were also excluded. The remaining 21 cases were divided into two categories according to the indication for appendectomy : for acute appendicitis, and for perforated appendix or drainage of periappendical abscess. The time frame for the review was from patient examination immediately prior to operation, through discharge. The study team was composed of a surgeon, research head nurse, education head nurse, surgical part head nurse, and medical recorder. Following their review of the 21 charts, the team determined an appropriate progression and schedule for an appendectomy. Result : Through the chart and literature review, the following aspects of the care process were identified as typical and tracked : monitoring/assessment, treatment, lines/drains, medication, activity, diet, tests and patient education. Conclusion : From this study, the design team determined two separate critical paths : one for appendectomy only, and one for appendectomy plus drainage. Next, these paths must be validated and fine-tuned through clinical implementation. In addition, a comparison of our design with the critical paths determined at other hospitals would be extremely valuable for advancing research in this area. Lastly, the critical path approach to improving patient care and maximizing hospital resources should be applied to other procedures.

• Journal of Nutrition and Health
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• v.31 no.3
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• pp.324-332
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• 1998

Studies on relationships between antioxidant nutrients and various chronic diseases are increasing. In this study , serum concentrations of antioxidant minerals(Se, Cu, Zn & Mn) wee measured and compared among normal Korean adults. The ICP -MS method was employed to measure mineral concentrations. The subjects consisted of 329 healthy adults(154 men & 175 women) aged 20-79 years. The mean serum concentration appeared to be 26.4$\pm$0.41 (Se), 89.6$\pm$1.53(Cu), 113.3$\pm$1.56(Zn) & 0.34$\pm$0.05(Mn)$\mu\textrm{g}$/㎗ for men and 24.5$\pm$0.32(Se), 95.1$\pm$1.58(Cu), 133.6$\pm$1.79(Zn) & 0.35$\pm$0.02(Mn) $\mu\textrm{g}$/㎗ for women respectively. Among antioxidant minerals measured, the mean serum levels of Se and Zn were higher in men than in women(p<0.001), whereas that of Cu was higher in women(p<0.01). No significant difference between sex was observed for the mean Mn concentrations. The mean serum levels of Se(p<0.01) and Zn(p<0.05) decreased significantly in the 60's women On the other hand, the Mn concentrations in the 60's of women showed a significant increase(p<0.01). This difference seems to be due to the changes in menopausal status . The Cu levels in men showed a consistent increase with advancing age. The mean Cu/Zn ratios were 0.83 $\pm$0.04 for men and 0.95$\pm$0.02(p<0.01) for women respectively. The fact that this ratio increased significantly at the 60's of men (1.26 ; p<0.001) requires further study in relation to chronic diseases. When analyzed by stepwise multiple regression, drinking positively influenced serum Se and Cu levels for both men and women , smoking, however, negatively influenced all serum mineral levels for women. Further studies are needed to clarify precise roles of antioxidant minerals, their interactions and their relation to disease status.

• Journal of dental hygiene science
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• v.20 no.3
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• pp.178-186
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• 2020

Background: The purpose of this study was to evaluate the association between metabolic syndrome and periodontal disease in Korean adults. Methods: This study analyzed the screening data of 12,686 adults aged ≥19 years, including demographic characteristics, lifestyle habits, and each component of metabolic syndrome, obtained from the sixth Korea National Health and Nutrition Examination Survey database. Periodontal health status was measured by the community periodontal index. Subjects with three or more risk factors were considered as having metabolic syndrome. The Rao-Scott chi-square test was performed to assess the relationships between demographic characteristics, lifestyle habits, components of metabolic syndrome, and periodontal disease. Logistic regression analysis was performed based on the complex sample to evaluate the relationship between metabolic syndrome and periodontal disease. Results: The prevalence of periodontal disease was higher among the subjects with advancing age, lower average household income and education level, those working in production, residents of eup-myeon areas, in past or current smoker, those with excessive alcohol consumption habit in a week, and reduced brushing frequency and the use of oral care products (p<0.001). Each component of metabolic syndrome was associated with higher prevalence of periodontitis in the subjects with abnormal than in those with normal levels (p<0.001). The prevalence of periodontal disease in subjects with metabolic syndrome was approximately 1.443 times higher than that in normal subjects (odds ratio,1.443; p<0.001). Conclusion: This study confirmed the association between metabolic syndrome and periodontitis in Korean adults, and further studies will be needed to determine the causal relationship between the two conditions.

• Asian-Australasian Journal of Animal Sciences
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• v.19 no.1
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• pp.31-34
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• 2006

The experiment was conducted to determine the effects of cutting interval and cutting height on the yield and nutrient composition of hedge lucerne (Desmanthus virgatus) when grown on a sandy soil in the Northeast of Thailand. The cutting intervals compared were 30, 40 and 50 days between harvests and the cutting heights 30, 40 and 50 cm above ground level. The experiment was a $3{\times}3$ factorial layout in a randomized complete block design with 4 replications-giving a total of 36 plots each $3{\times}3m^2$. Harvested plant material was weighed, dried and the ground subsamples taken for analyses of crude protein (CP), crude fiber (CF), ash, ether extract (EE) and nitrogen-free extract (NFE). At the last harvest the hedge lucerne samples were separated to determine leaf to stem ratios and then analyzed for nutrient composition in the leaf and stem. Results showed that increasing the cutting interval (i.e. advancing age of maturity) increased dry matter and nutrient yields significantly. In terms of nutrient content, it also increased the crude fiber, ash, ether extract and nitrogen free extract percent in the plant. However, crude protein percent was markedly decreased as the cutting interval increased. Increasing cutting height had no effect on dry matter yield and yields of nutrients, but in terms of nutrient content, it increased crude protein and ash content, but decreased crude fiber content. The percent EE and NFE in the plant was unaffected by cutting height. From the results presented it is clear that cutting a stand of hedge lucerne every 40 to 50 days will achieve greater dry matter and nutrient yields than cutting more frequently, at 30 days. The cutting height at harvest, whether 30, 40 or 50 cm above ground level had no effect on dry matter or nutrient yields of hedge Lucerne. Hedge lucerne therefore offers the Thai poultry farmer a useful alternative protein supplement for poultry diets rather than relying on the more expensive soybean meal. As it can be readily and successfully grown on a range of soil types and climates throughout Thailand, hedge lucerne also offers the Thai farmer a valuable additional source of income.

• Journal of Fashion Business
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• v.5 no.1
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• pp.17-33
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• 2001

The purpose of this study is to offer the basic data for chinese men' clothing construction. This study analyzes characterization and classification of body types of the Chinese men with body measurement values. This researcher executed the body measurement of total 39 items on 414 chinese men in Beijing and Shanghai aged 20-49 years old and analyzed the data with methods of analysis of variance, factor analysis and cluster analysis using it as the study item. The results of this study can be summarized as follows; 1. As the result of comparative analysis of the body measurements by age group and birth region group in Beijing and Shanghai, the horizontal items such as the widths, depths, and girths increased with advancing ages, while heights decreased. 2. As the result of factor analysis on the items in Beijing and Shanghai, 5 factors on such as the first factor on the obesity of body, the second factor on the size of vertical of body, the third factor on the length of upper body, the forth factor on the width of the shoulder, the fifth factor on the degree of dropping shoulder were extracted. 3. As the result of classification based on the cluster analysis in Beijing, the body type were classified into 3 types. So, to see the feature of body form by types, type 1 was tallest, fattest type. type 2 was small stature, fat. type 3 was tall, thin. In Shanghai, he body type were classified into 3 types. So, to see the feature of body form by types, type 1 was tallest, fattest type. type 2 was small stature. type 3 was tall, thin.

• Land and Housing Review
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• v.7 no.2
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• pp.121-129
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• 2016

This research is about local impacts of concentrated social disadvantage in a specific urban district, and is discussing these issues by focusing on previous research from Western countries. Further, by analyzing the results of a field survey conducted in this district, I am clarifying the reality of socially disadvantaged areas and the needs of their residents, while seeking results supporting a theory of inclusive area revitalization. With this survey I could verify that the aging of local residents and the concentration of low-income population is increasing, and in this district an unbalanced community mix is becoming apparent. Currently, insecurities concerning economic and health aspects are the most serious issues. In response to the residents' needs counseling on housing issues and social services, that become necessary with advancing age, like health services or housing support, are increasingly required. Since today laws for antidiscrimination (namely, Dowa) measures are outdated it is necessary to establish a community based approach or a neighborhood based governance model, in addition to the existing public support, as response to these local challenges and needs.

• Journal of Fashion Business
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• v.4 no.4
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• pp.83-96
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• 2000

The purpose of this study is to offer the basic data for chinese men' clothing construction. This study analyzes characterization and classification of body types of the Chinese men with body measurement values. This researcher executed the body measurement of total 39 items on 414 chinese men in Beijing and Shanghai aged 20-49 years old and analyzed the data with methods of analysis of variance, factor analysis and cluster analysis using it as the study item. The results of this study can be summarized as follows; 1. As the result of comparative analysis of the body measurements by age group and region group, the horizontal items such as the widths, depths, and girths increased with advancing ages, while heights decreased. 2. As the result of factor analysis on the items, 5 factors on such as the first factor on the obesity of body, the second factor on the size of vertical of body, the third factor on the length of upper body, the forth factor on the width of the shoulder, the fifth factor on the degree of dropping shoulder were extracted. 3. As the result of classification based on the cluster analysis, the body type were classified into 5 types. So, to see the feature of body form by types, type 1 was small stature, short parts of the body. type 2 was tallest, fattest and type 3 was small stature, fat. type 4 was tall, long length arm and leg, thick waist. type 5 was tall, long length arm and leg, fat.

• Journal of Dental Rehabilitation and Applied Science
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• v.30 no.1
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• pp.53-63
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• 2014

Growing of number of elderly populations, which may be caused by improved quality of life and decreased the percentage of mortality. Although there is a declining rate of the edentulous patients, more patients are advancing into older age groups, and the substantial number of edentulous patients are increasing. For these edentulous patients, complete denture cannot substitute natural teeth, but it is a staple prosthetic treatment. Generally, the success of dentures has been evaluated on the basis of whether or not patients comfortable and were able to masticate with their dentures. Acceptance of complete denture is complex for patients and related to psychological factors of patients, physical state, and the technical quality of dentures. In addition to that, many factors influence to satisfaction of patients to the complete dentures. In this review article, evaluate various factors related on satisfaction of denture wearers and methods of evaluate satisfaction.

• Restorative Dentistry and Endodontics
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• v.26 no.2
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• pp.180-187
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• 2001

The structure of current guides is largely illogical and without any rational use of color ordering. The shade guides are generally made of plastic (rather than the actual composite material) and do not accurately depict the true shade. translucency. or opacity of the composite resin after polymerization. To solve this problem, information based on evaluations of natural teeth and material that use the same method and experimental conditions is necessary. The present investigation measured the color of natural maxillary anterior teeth in vivo and compared the results with those of composite resins. 269 Korean subjects were selected for this study. Intact central incisor. lateral incisor. and canine were selected. The clinical crowns were free of caries or restorations. The middle site of the coronal portion on the labial surface of the tooth was measured by Chroma Meter. The five light activated. resin-based materials (Amelogen, Denfil, Elitefil, Spectrum, Z100) were used in this study. Resin composite was condensed into plastic mold with a diameter of 8mm and a thickness of 4mm. pressed between glass plates to flatten the surfaces. and polymerized using a Visilux II visible light activation unit. The surfaces were polished sequentially on wet sandpaper. Color measurements of each specimen were accomplished by Chroma Meter. A computer program that compares each tooth color with each composite resin color was written and the minimum CIELAB color difference ($\Delta$E$^*$) between tooth and each material was calculated. Under the conditions of this study: 1. Teeth tend to become darker with advancing age. 2. Canines were darker. more yellow. and less green than incisors. 3. The teeth from the women were lighter. more green. and less yellow than the male teeth. 4. In general. composite resins were lighter. more green. and less yellow than teeth. Deficiencies were noted in Hues in YR range. 5. Mean color differences between the five composite resin products and teeth were detectable to the naked eye($\Delta$E$^*$>1.0). 6. In comparing the mean $\Delta$E$^*$ values of materials. Spectrum showed the least followed by Z100, Elitefil, Amelogen, Denfil in increasing order.

• Research in Community and Public Health Nursing
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• v.12 no.3
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• pp.582-588
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• 2001

Purpose : This study is to examine the characteristics of the elderly and their family caregivers. to study the main factors affecting Nursing Home utilization, and to help frame a policy about Nursing Home's demand. management and welfare facilities. Method: Data for this present study were collected via questionnaires randomly distributed to family caregivers of the over 60-year-old patients at general hospital and university hospital in Seoul. Kyung-Ki Do and In-Chon from 26 June to 20 July, 2000. Questionnaires were issued to 512 people and 479 were returned. The data was analyzed by frequency, $x^2$-test, t-test, ANOVA. factor analysis. correlation coefficients analysis and Stepwise multiple regression analysis using SPSS 9.0. Result First. Instrumental Activities of Daily Living(IADL), duration of hospitalization, sex, marital status, behavior problems, home ownership, and cognitive disorder about elderly patients affect family caregivers burden. one of need factors. Secondly, marital status. religion. health status, sex, education and age in the family caregiver predisposing factors are main factors on Nursing Home utilization. Third, in need factors, care burden. time burden, family relation burden, physical burden and mental burden have an effect on Nursing Home utilization. Finally, the model the most important factors that affect Nursing Home utilization is composed of six of eleven totally, care burden, religion, time burden, health status, marital status and education. When the family caregivers get care burden and time burden. are highly educated, have no religion, have health problems, and have no spouse, it is possibility for them to utilize Nursing Homes. Conclusion: The government should decrease a family caregivers burden and seek to find how to support Nursing Homes. Furthermore. Social support program for the family caregivers should be required. Thus, the family caregivers need consultation and need to meet to talk about their patients. how to care them, get information, which are the crucial field in advancing the research in nursing science.