• Title/Summary/Keyword: After services

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Improvement of ex vitro acclimatization of mulberry plantlets by supplement of abscisic acid to the last subculture medium

  • Huh, Yoon Sun;Lee, Joung Kwan;Nam, Sang Young
    • Journal of Plant Biotechnology
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    • v.44 no.4
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    • pp.431-437
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    • 2017
  • Mulberry (Morus sp.) of the family Moraceae is very economically important in Asian countries including Korea, because its leaf and fruit have been commercially used in sericulture and horticultural industries. Therefore it is necessary to develop the optimal production system for rapid and cost-effective propagation of mulberry. Our studies focused on establishing an acclimatization method for the successful plantlet production of new cultivar 'Cheongsu' which was transferred ex vitro after in vitro culture. In particular, effect of abscisic acid (ABA) addition into the last subculture medium on plantlet response to subsequent ex vitro transfer and its growth was investigated. During acclimatization, stomatal conductance and transpiration rate of ABA-pretreated plantlets were significantly lower than those of non-treated plantlets. Net photosynthetic rate of ABA-pretreated plantlets decreased after ex vitro transfer but increased after 14 days, and it was mostly higher than that of non-treated plantlets. Moreover, relative water content as well as chlorophyll contents and its ratio were also higher in ABA-pretreated plantlets. On the other hand, proline was considerably higher than in control plantlets. After 1 month of ex vitro transfer, survival rate of ABA-pretreated plantlets was 85.6%, which increased by 29.1% in comparison with control (56.5%). More vigorous growth was also observed in ABA-pretreated plantlets. From these results, it was found that application of ABA to the last subculture medium could improve acclimatization and promote survival of mulberry plantlets after ex vitro transfer, inducing water stress tolerance and alleviating abiotic stresses.

Influence of $GA_3$ Soak and Seed Dressing with Toros (Tolclofos methyl) wp. on the Dehiscence of Eleutherococcus senticosus Maxim Seeds. (($GA_3$ 침지 및 토로스 분의 처리가 가시오갈피 종자 개갑에 미치는 영향)

  • Lim, Sang-Hyun;Jeong, Haet-Nim;Kang, An-Seok;Jeon, Myung-Seung
    • Korean Journal of Medicinal Crop Science
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    • v.16 no.2
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    • pp.106-111
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    • 2008
  • This study was carried out to elucidate the influence of gibberellin soak and seed dressing with Toros wp. on the dehiscence of Eleutherococcus senticossus seeds. $GA_3$ treatment was effective on promoting after-ripening seed of Eleutherococcus senticossus whose concentration was higher until $500\;mg{\cdot}L^{-1}$, after-ripening period became shorter. But rotting percentage increased gradually up above $500\; mg{\cdot}L^{-1}\;GA_3$After all, $300\;mg{\cdot}L^{-1}\;GA_3$ was the most effective treatment for promoting after-ripening seed. Dressing treatment with Toros wp. on seeds reduced the dehiscent rate of E. senticosius. by suppressing activity of fungi living on the endocarp surface of seed.

Clinical Nutrition Management Status in Convalescent Hospitals Before and After Healthcare Accreditation Process (요양병원인증제 전·후의 요양병원 임상영양관리 현황 비교)

  • Lee, Changhee;Lee, Soo-Kyung
    • Journal of the Korean Dietetic Association
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    • v.20 no.3
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    • pp.199-211
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    • 2014
  • The increasing elderly population has created an urgent need for well-managed convalescent hospitals, which should provide appropriate clinical nutrition services. The new accreditation policy requiring participation of all convalescent hospitals since 2013 may promote improvement of clinical nutrition services. This study examined whether or not the accreditation policy has increased practice level and dietitians' perception of the importance of clinical nutrition management. Of the 177 convalescent hospitals accredited by January 30, 2014, dietitians from 73 hospitals (41.2%) completed the survey questionnaire. The pre-tested questionnaire surveyed general characteristics of the hospital and dietitians, current status of clinical nutrition management, and changes in the perception and practice levels of various aspects of food and clinical nutrition management. In average, dietitians with more than 5 years of work experience (68.1%) provided food and clinical nutrition services (71.2%). After accreditation, dietitians' perception of the importance and practice level of clinical nutrition service increased (P<0.001). Level of perception, however, was significantly (P<0.001) higher than practice level before and after accreditation. During perception and practice level of initial nutrition assessment, a compulsory accreditation item, notably and significantly (P<0.001) improved after accreditation. The significant difference between perception and practice level disappeared after accreditation. In conclusion, the accreditation process had positive effects on clinical nutrition management in terms of dietitians' perception and practice levels. Making more accreditation items compulsory and providing motivation and professional education to dietitians in convalescent hospitals could lead to additional improvements.

Changes in Public Health Perceptios after the Outbreak of Coronavirus Disease-19 among the Gangwon Province Residents Focusing on the Results of the Gangwon Province Residents' Panel Survey 2019-2020 (코로나바이러스감염증-19 전후 강원도민의 공공의료 인식 비교 : 2019-2020 강원도민 보건의료패널조사 결과를 중심으로)

  • Yu Seong Hwang;Heui Sug Jo;Su Mi Jung
    • Journal of agricultural medicine and community health
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    • v.48 no.1
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    • pp.13-27
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    • 2023
  • Objectives: The purpose of this study is to investigate changes in public health-related perceptions of residents of Gangwon province after the outbreak of Coronavirus disease-19(COVID-19) of the public. Methods: We performed paired T-test analysis to measure the change in public health-related perceptions before and after COVID-19. We also utilized generalized estimating equations to identify demographic factors correlated with public health-related perceptions. Results: The public perceived public health as 'All citizens can use medical care and protect/promote health.' The concept was the most popular, from 94.3% in 2019 to 95.5% in 2020. In addition, after COVID-19, residents of Gangwon province's satisfaction with medical services increased, but the overall level was not high. Among the eight essential healthcare needs after COVID-19, cardiovascular disease and injury services have emerged as preferred services. However, by sociodemographic factors, distinctive responses were detected. Conclusions: Through COVID-19, Gangwon residents' awareness of the public's health rights has increased. Those living in vulnerable areas or with unmet medical care, supported strengthening public health care. In addition, although medical satisfaction has increased, it is not satisfied, so listening to the voices of the population group with low satisfaction is essential. Lastly, since the necessity of essential health care may change due to specific events, the local government needs to plan health projects reflecting the needs of residents. Therefore, when designing the public health care strategy in Gangwon province, the local government should consider not only political factors but also environmental factors, demographic and conceptual factors.

Simulation on the Change of Practice Pattern after the Introduction of 7 Diagnosis-related Groups Prospective Payment System in a University Hospital (7개 질병군 포괄수가제 도입에 따른 일개 대학병원의 진료행태 변화 모의실험)

  • Shin, Sam-Chul;Kang, Gil-Won;Kim, Sang-Won
    • Health Policy and Management
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    • v.23 no.2
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    • pp.103-111
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    • 2013
  • Seven diagnosis-related groups (DRGs) prospective payment system is going to expand to all hospitals including university hospitals this year. However there are few studies on the change of practice pattern under prospective payment system in the university hospital setting. So This study was intended to predict the practice pattern change after the introduction of 7 DRGs prospective payment system in a university hospital setting. To predict the change of practice pattern, this study used simulation technique. Five hundred and nineteen patients classified as 5 DRGs in a university hospital were selected for simulation. The change of practice pattern were predicted based on clinicians' opinion. We also predicted payment change by service items. Major findings of this study are as follows. First, the total medical payment was reduced by 14.4%. The drug payment change (8.8%) took most of total payment reduction. The followings are the change of treatment material cost (3.2%), the change of laboratory tests cost (1.8%), the change of room charge (0.5%), and other payment change (0.1%), respectively. Second, most of the reduction in total medical payment resulted from the decreased amount of medical services themselves. The transfer of medical services to outpatient setting took up only 4.9% of the total payment reduction. The change of unit price or composition took up 5.5% of the total payment reduction. In this study we found that it is possible to reduce the inpatient services through practice pattern change in university hospital setting. However, it needs to be careful to adjust DRG payment after the reduction of provided services, because most of reduction was not due to service transfer but to service volume reduction. It is desirable to utilize the saving from practice pattern change as incentive to improve quality of care.

The Study on the Relation of the Telecasters's Beauty Service - Focusing on the Appearance Management Behavior, External Image, Self-efficacy - (방송인의 뷰티서비스 관계 연구 - 외모관리 행동, 외적이미지, 자기효능감을 중심으로-)

  • Kim, Min-Shin
    • Journal of the Korea Fashion and Costume Design Association
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    • v.16 no.1
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    • pp.153-167
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    • 2014
  • The purpose of this study is to compare and analyze about the Telecasters's appearance management, external image & awareness on Self-Efficacy. The method of this study is carried out form 2 January 2013 until 20 January. with the 164 telecasters who announcers, voice actors, gag men, singers. The results of the research is summarized below: First, Among the telecasters, singer is the highest awareness of the beauty services importance about the fashion, makeup, hair, skin care, cosmetic surgery. Especially, about the awareness of the beauty services importance about the fashion, makeup, hair, singers> announcers> voice actors> gagmen appear one after another. Second, about the importance awareness of the beauty services importance & the relation of self-efficacy, for announcers, the more higher awareness the fashion, makeup, hair, the higher self-efficacy of the confidence, effective expression, etc.. For voice actors, the more higher awareness the hair, skin care, the fashion, make up, cosmetic surgery, the higher self-efficacy of the new image making, the confidence, task efficiency improvement, etc... For gagmen, the more higher awareness the fashion, hair, skin care, makeup, cosmetic surgery, the higher self-efficacy of the self-expression, the confidence, the new image making, task efficiency improvement, etc.. For singer, the more higher awareness the makeup, hair, cosmetic surgery, skin care, fashion, the higher self-efficacy of the task efficiency improvement, the self-expression, the confidence, the new image making, etc.. Third, about the importance awareness of the appearance management behavior, external image, about the importance awareness of the appearance management behavior, singer is the most higher awareness, announcers> voice actors> gagmen appear one after another. about the importance awareness of the external image, singer is the most higher awareness, voice actor> announcers> gagmen appear after another. The meanings of this study provide the telecasters's image's fields with the effective basic data.

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Evaluation of u-Healthcare Demonstration Project in Sungnam (성남 u-헬스 시범사업의 평가)

  • Lee, Won-Jae;Kim, Hye-Jung
    • Journal of Information Technology Services
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    • v.7 no.2
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    • pp.113-125
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    • 2008
  • To test if the developed ubiquitous health care devices working well and vital information could be collected and monitored systematically through internet and to test if the devices and services could be used further. Kyungwon University, KT Co., Gil Medical Center, LIG Nex1 Co., and Sujeong Health Center conducted an ubiquitous health care demonstration project in Sujeong-Gu, Sungnam, Korea from Mar. 5 to May 16. We developed and applied several medical devices to monitor health of the elderly in their houses through internet. The devices were sphygmomanometer, glucometer, body fat scale, Health Pad, and activity sensor. We distributed the devices to 20 recipients of home care and 7 diabetes patients. After received the devices and were explained how to use them, they used the devices in their houses. The vital signs of the residents were monitored through internet. A nurse monitored and consulted their vital signs in the monitoring center in Kyungwon University during the demonstration period. The consultant called them and consulted on their blood pressure, blood sugar level, and body fat after a few seconds they used the devices as well as provision of recommended contents such as diets and activities through Health Pad. To investigate cognition and satisfaction of the participants for the devices, we surveyed the participants at the end of the demonstration period. For the change in blood pressure, blood sugar level, and activities, we conducted statistical test. After the demonstration period. cognition and satisfaction for the devices and change in blood pressure, blood sugar level, and activities were evaluated. Most of the participants were acknowledged how to use the device and satisfied with the use of the devices. The internet monitoring and services are considered to be promising because most of the participants were satisfied especially because somebody was monitoring their health status. However some weaknesses such as short battery life of the activity sensor, lack of connection of consultations with hospitals, and low understanding on usage of some of the devices need to be complemented.

Evaluation of effectiveness and bioassay of insecticide residues of chlorfenapyr(ac303 630) against Thrips palmi Karny(Thysanoptera ; Thripidae) under laboratory and vinyl house conditions (오이총채벌레에 대한 클로르페나피르(AC303 630) 약효와 약효지속기간)

  • Park, Jong-Dae;Lee, Ho-Bum;Kim, Do-Ik;Kim, Seon-Gon;Song, Seong-Do
    • The Korean Journal of Pesticide Science
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    • v.3 no.2
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    • pp.69-73
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    • 1999
  • The insecticidal activities and residues of chlorfenapyr [4-bromo-2-(4-chlorophenyl)-1-ethoxymethyl-5-trifluorornethyl pyrrole-3-carbonitrile] against Thrips palmi was evaluated under laboratory and vinyl house conditions. Effectiveness of chlorfenapyr against T. palmi on red pepper leaves was lasted for 9 days at a concentration of 50 ppm but there was no significant differences between emulsifiable concentration and wettable granule under laboratory conditions. In vinyl house, high toxicity was investigated at 6 hours after application of chlorfenapyr in a concentration of 50 and 100 ppm and insecticidal effect was maintained for 11days after 2 times weekly application in cucumber. Control effect was above 97% against T. palmi larva and larva+adults after 2 times weekly application in vinyl house.

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Trends in the utilization of dental outpatient services affected by the expansion of health care benefits in South Korea to include scaling: a 6-year interrupted time-series study

  • Park, Hee-Jung;Lee, Jun Hyup;Park, Sujin;Kim, Tae-Il
    • Journal of Periodontal and Implant Science
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    • v.48 no.1
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    • pp.3-11
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    • 2018
  • Purpose: This study utilized a strong quasi-experimental design to test the hypothesis that the implementation of a policy to expand dental care services resulted in an increase in the usage of dental outpatient services. Methods: A total of 45,650,000 subjects with diagnoses of gingivitis or advanced periodontitis who received dental scaling were selected and examined, utilizing National Health Insurance claims data from July 2010 through November 2015. We performed a segmented regression analysis of the interrupted time-series to analyze the time-series trend in dental costs before and after the policy implementation, and assessed immediate changes in dental costs. Results: After the policy change was implemented, a statistically significant 18% increase occurred in the observed total dental cost per patient, after adjustment for age, sex, and residence area. In addition, the dental costs of outpatient gingivitis treatment increased immediately by almost 47%, compared with a 15% increase in treatment costs for advanced periodontitis outpatients. This policy effect appears to be sustainable. Conclusions: The introduction of the new policy positively impacted the immediate and long-term outpatient utilization of dental scaling treatment in South Korea. While the policy was intended to entice patients to prevent periodontal disease, thus benefiting the insurance system, our results showed that the policy also increased treatment accessibility for potential periodontal disease patients and may improve long-term periodontal health in the South Korean population.

Analysis of the Hospital Pharmacists Turnover after the Separation of Prescribing and Dispensing Practice (의약분업 후 종합병원 약사의 이직요인분석)

  • Han, Kyung Ae;Lee, Eui Kyung;Park, Eun Ja
    • Korean Journal of Clinical Pharmacy
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    • v.12 no.2
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    • pp.85-90
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    • 2002
  • The aim of this study was to examine the current turnover status of hospital pharmacists and to analyze the factors which affected the turnover of them after the separation of prescribing and dispensing practice. We surveyed 19 managers of hospital pharmacies and 154 hospital pharmacists. Results are as follows. Pharmacist manpower of hospital pharmacies was only $63.99\%$ in tertiary hospitals and $76.78\%$ in general hospitals respectively of the number of pharmacists before the separation of prescription and dispensing practice. The ratio of those who left hospital pharmacies during the period of January 2000 and October 2001 was $80.23\%$ for tertiary hospitals, and $100.84\%$ for general hospitals. Decrease in the number of pharmacists brought the increase of work load and night duty. Major factors which affected the turnover of hospital pharmacists were found as following: income gap between hospital pharmacists and community pharmacists, increasing workload especially at night and on holidays, infrequent chance for the promotion, and low chance to provide clinical pharmacy services after the separation of prescribing and dispensing practice. Adequate manpower is the basic factor for providing hospital pharmacy services and improving clinical pharmacy services. The study suggested that proper number of hospital pharmacists is to be ensured through strengthening the legal requirement for the hospital pharmacists and improving health insurance reimbursement rate for the pharmaceutical services at hospital.

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