• Title/Summary/Keyword: CLEANING

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Decision Making on the Non surgical, Surgical Treatment on Chronic Adult Periodontitis (만성 성인성 치주염 치료시 비외과적, 외과적 방법에 대한 의사결정)

  • Song, Si-Eun;Li, Seung-Won;Cho, Kyoo-Sung;Chai, Jung-Kiu;Kim, Chong-Kwan
    • Journal of Periodontal and Implant Science
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    • v.28 no.4
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    • pp.645-660
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    • 1998
  • The purpose of this study was to make and ascertain a decision making process on the base of patient-oriented utilitarianism in the treatment of patients of chronic adult periodontitis. Fifty subjects were chosen in Yonsei Dental hospital and the other fifty were chosen in Severance dental hospital according to the selection criteria. Fifty four patients agreed in this study. NS group(N=32) was treated with scaling and root planing without any surgical intervention, the other S group(N=22) done with flap operation. During the active treatment and healing time, all patients of both groups were educated about the importance of oral hygiene and controlled every visit to the hospital. When periodontal treatment needed according to the diagnostic results, some patients were subjected to professional tooth cleaning and scaling once every 3 months according to an individually designed oral hygienic protocol. Probing depth was recorded on baseline and 18 months after treatments. A questionnaire composed of 6 kinds(hygienic easiness, hypersensitivity, post treatment comfort, complication, functional comfort, compliance) of questions was delivered to each patient to obtain the subjective evaluation regarding the results of therapy. The decision tree for the treatment of adult periodontal disease was made on the result of 2 kinds of periodontal treatment and patient's ubjective evaluation. The optimal path was calculated by using the success rate of the results as the probability and utility according to relative value and the economic value in the insurance system. The success rate to achieve the diagnostic goal of periodontal treatment as the remaining pocket depth less than 3mm and without BOP was $0.83{\pm}0.12$ by non surgical treatment and $0.82{\pm}0.14$ by surgical treatment without any statistically significant difference. The moderate success rate of more than 4mm probing pocket depth were 0.17 together. The utilities of non-surgical treatment results were 100 for a result with less than 3mm probing pocket depth, 80 for the other results with more than 4mm probing pocket depth, 0 for the extraction. Those of surgical treatment results were the same except 75 for the results with more than 4mm. The pooling results of subjective evaluation by using a questionnaire were 60% for satisfaction level and 40% for no satisfaction level in the patient group receiving nonsurgical treatment and 33% and 67% in the other group receiving surgical treatment. The utilities for 4 satisfaction levels were 100, 75, 60, 50 on the base of that the patient would express the satisfaction level with normal distribution. The optimal path of periodontal treatment was rolled back by timing the utility on terminal node and the success rate, the distributed ratio of patient's satisfaction level. Both results of the calculation was non surgical treatment. Therefore, it can be said that non-surgical treatment may be the optimal path for this decision tree of treatment protocol if the goal of the periodontal treatment is to achieve the remaining probing pocket depth of less than 3mm for adult chronic periodontitis and if the utilitarian philosophy to maximise the expected utility for the patients is advocated.

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Development of Needs Extraction Algorithm Fitting for Individuals in Care Management for the Elderly in Home (재가노인 사례관리의 욕구사정 정확도 향상을 위한 욕구추출 알고리즘 개발 - 데이터 마이닝 분석기법을 활용하여 -)

  • Kim, Young-Sook;Jung, Kook-In;Park, So-Rah
    • Korean Journal of Social Welfare
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    • v.60 no.1
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    • pp.187-209
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    • 2008
  • The authors developed 28 needs assessment tools for integrated assessment centered on needs, which is the core element in care management for the elderly in home. Also, the authors collected the assessment data of 676 elderly persons in home from 120 centers under the Korea Association of Senior Welfare Centers by using the needs assessment tools, and finally developed needs extraction algorithm through decision tree analysis in data mining to identify their actual needs and provide social welfare service suitable for such needs. The needs extraction algorithm for 28 needs of the elderly in home are summarized in

    . The Need No. 8 "Having need of help in going out" of the decision-making model, for example, was divided into 80.3% of asking for help and 11.4% not asking for help with Appeal No. 23 as a major variable. The need increased by 87.9% when the elderly appealed for help to go out and they had a caregiver but decreased by 47.4% when they had no caregiver. When the elderly asked for help in going out, they had a caregiver, and they needed complete help in cleaning, their need of help in going out was shown as 94.2%. However, seen from their answer that they needed complete help in bathing of ADL even if they did not ask for help in going out, it was found that the need of help in going out sharply increased from 11.4% to 80.0%. On the other hand, when they needed partial help or self-supported in bathing, the potential for them to be classified as asking for help in going out was shown to be low as 7.7%. In the said decision-making model, the number of cases for parent node and child node was designated as 50 and 25, respectively, with level 5 of the maximum tree depth as stopping rule. By this, it was shown that their decision-making was found to be effective as 182.13% for the need "Having need of help in going out". The algorithm presented in this study can be useful as systematic and scientific fundamental data in assessment of needs of the elderly in home.

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  • The Study on Cooking Activities at Home and at School among Elementary School 6th Graders in $Gyeongbuk$ Province (경북지역 초등학교 6학년 학생들의 가정과 학교에서의 조리활동 실태)

    • Jung, Kyung-Ah;Park, Sang-Wa
      • Culinary science and hospitality research
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      • v.18 no.2
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      • pp.134-148
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      • 2012
    • This study was conducted to investigate the state of cooking activities at home and at school among the elementary school 6th graders in Gyeongbuk province. For 'interest in cooking', 86.9% of the subjects answered 'very interested,' and the answers were significantly different according to sex(male 45.6%, female 77.8%, p<0.01). Above 70.0% of the subjects answered that they could cook by themselves and the responses were significantly different according to sex(male 35.3%, female 66.7%, p<0.01). The children had experiences of chopping(64.8%), slicing round(62.3%), cutting dice(62.3%), cutting julienne(53.3%), cutting diagonally(45.1%), slicing semicircle(34.4%), and cutting paysanne(22.1%). 93.4% of the subjects had cooking experience at home and most parents(95.1%) were positive to children's cooking at home. The reasons for cooking at home were 'like to cook'(55.3%), 'to satisfy hunger'(17.5%), 'to eat foods that I want'(14.0%), etc. The only 10.7% of the subjects answered 'difficult' or 'very difficult' for the cooking classes at school. The 62.3% of the subjects have cooked the foods again at home that they learned at school, and the responses were significantly different according to sex(p<0.05). The foods that the children wanted to cook at school were pizza, spaghetti, Tteokbokki, hamburgers, etc. The children answered that they had difficulties in 'seasoning'(34.4%) and 'cleaning up after cooking'(21.5%). What the children wished about the cooking class of their schools included 'to cook more often'(35.8%), 'to cook more diverse foods'(29.7%), 'to have the school equipped with cooking tools and facilities'(14.8%), etc. Therefore, the cooking classes for the elementary school students need to be planned considering these results about children's cooking abilities, skills and demands.

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    Importance and Performance Analysis of Sanitation Management in Workers at Small and Medium Foodservice Industries Using HACCP Prerequisites (HACCP 선행요건 기준을 활용한 중·소 외식업체 종사자의 위생관리 중요도·수행도 분석)

    • Lee, Hyun-Jun;Hong, Wan-Soo
      • Journal of the Korean Society of Food Science and Nutrition
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      • v.45 no.10
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      • pp.1497-1507
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      • 2016
    • The purpose of this study was to conduct importance and performance analysis of sanitation management in workers at small and medium foodservice industries using HACCP prerequisites. Questionnaires were distributed to 500 small and medium foodservice industry workers in Seoul Gyeonggi province, and a total of 458 responses were used for analysis. Factors with relatively low comparison degree were as follows. 'Handwashing and clean uniform of employee in the workplace', 'regular checking and managing of trapped vermin and rodents', 'checking stocked raw materials', 'recording and filing the results of improved food safety factors', and 'regular cleaning and sterilizing of monitoring tools' factors must be improved along with their performance levels through sanitation education. According to the IPA results, among the 15 HACCP prerequisite factors with high importance but low performance were '2. Regular checking and managing of trapped vermin and rodents', '4. Handwashing and clean uniform of employee in the workplace', '14. Preventing food cross-contamination'. Furthermore, the small and medium foodservice industry IPA with high importance but low performance were 'Regular checking and managing of trapped vermin and rodents', 'Handwashing and clean uniform of employee in the workplace', and 'Preventing food cross-contamination' for the small foodservice industry, along with 'Vermin and rodents control' and 'Recording and filing the results of improved food safety factors' for the medium foodservice industry. Thus, there is a need for reinforced hygiene education through case studies on actual food service establishments to fulfill sanitation guidelines and set amended guides for much-needed items for small and mid-sized food service.

    A Study on the Water Reuse Systems (중수도개발연구(中水道開發研究))

    • Park, Chung Hyun;Lee, Seong Key;Chung, Jae Chul
      • KSCE Journal of Civil and Environmental Engineering Research
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      • v.4 no.4
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      • pp.113-125
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      • 1984
    • Water supply has been mainly dependent on the construction of the dams in Korea. It is difficult, however, to continue to construct dams for many reasons, such as the decrease of construction sites, the increase of construction costs, the compensation of residents in flooded areas, and the environmental effects. Water demands have increased and are expected to continue increasing due to the concentration of people in the cities, the rise of the living standard, and rapid industrial growth. It is acutely important to find countermeasures such as development of ground water, desalination, and recycling of waste water to cope with increasing water demands. Recycling waste water includes all means of supplying non-potable water for their respective usages with proper water quality which is not the same quality as potable water. The usages of the recycled water include toilet flushing, air conditioning, car washing, yard watering, road cleaning, park sprinkling, and fire fighting, etc. Raw water for recycling is obtained from drainage water from buildings, toilets, and cooling towers, treated waste water, polluted rivers, ground water, reinfall, etc. The water quantity must be considered as well as its quality in selecting raw water for the recycling. The types of recycling may be classified roughly into closed recycle systems and open recycle systems, which can be further subdivided into individual recycle systems, regional recycle systems and large scale recycle system. The treatment methods of wastewater combine biochemical and physiochemical methods. The former includes activated sludge treatment, bio-disc treatment, and contact aeration treatment, and the latter contains sedimentation, sand filtration, activated carbon adsorption, ozone treatment, chlorination, and membrane filter. The recycling patterns in other countries were investigated and the effects of the recycling were divided into direct and indirect effects. The problems of water reuse in recycle patterns were also studied. The problems include technological, sanitary, and operational problems as well as cost and legislative ones. The duties of installation and administrative organization, structural standards for reuse of water, maintenance and financial disposal were also studied.

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    Selection of Filamentous Cyanobacteria and Optimization of Culture Condition for Recycling Waste Nutrient Solution (폐양액 활용을 위한 Filamentous Cyanobacteria의 선발 및 최적배양)

    • Yang, Jin-Chul;Chung, Hee-Kyung;Lee, Hyoung-Seok;Choi, Seung-Ju;Yun, Sang-Soon;Ahn, Ki-Sup;Sa, Tong-Min
      • Korean Journal of Soil Science and Fertilizer
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      • v.37 no.3
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      • pp.177-183
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      • 2004
    • The discharge of waste nutrient solution from greenhouse to natural ecosystem leads to the accumulation of excess nutrients that results in contamination or eutrophication. There is a need to recycle the waste nutrient solution in order to prevent the environmental hazards. The amount and kind of nutrients in waste nutrient solution might be enough to grow photosynthetic microorganisms. Hence in the present study, we examined the growth and mass cultivation of cyanobacteria in the waste nutrient solution with an objective of removing N and P and concomitantly, its mass cultivation. Four photosynthetic filamentous cyanobacteria (Anabaena HA101, HA701 and Nostoc HN601, HN701) isolated from composts and soils of the Chungnam province were used as culture strains. Among the isolates, Nostoc HN601 performed faster growth rate and higher N and P uptake in the BG-II ($NO_3{^-}$) medium when compared to those of other cyanobacterial strains. Finally, the selected isolate was tested under optimum conditions (airflow at the rate of $1L\;min^{-1}$. in 15 L reactor, initial pH 8) in waste nutrient solution from tomato hydroponic in green house condition. Results showed to remove 100% phosphate from the waste nutrient solution in the tomato hydroponics recorded over a period of 7 days. The growth rate of Nostoc HN601 was $16mg\;Chl-a\;L^{-1}$ in the waste nutrient solution from tomato hydroponics with optimum condition, whereas growth rate of Nostoc HN601 was only $9.8mg\;Chl-a\;L^{-1}$ in BG-11 media. Nitrogen fixing capacity of Nostoc HN601 was $20.9nmol\;C_2H_4\;mg^{-1}\;Chl-a\;h^{-1}$ in N-free BG-11. The total nitrogen and total phosphate concentration of Nostoc HN601 were 63.3 mg N gram dry weight $(GDW)^{-1}$ and $19.1mg\;P\;GDW^{-1}$ respectively. Collectively, cyanobacterial mass production using waste nutrient solution under green house condition might be suitable for recycling and cleaning of waste nutrient solution from hydroponic culture system. Biomass of cyanobacteria, cultivated in waste nutrient solution, could be used as biofertilizer.

    Effects of Oral Hygiene Improvement of the Elderly Patients by Caregiver's in Rural Long-term Care Hospital (농촌지역 노인요양병원 입원환자의 간병인을 통한 구강건강관리 효과)

    • Kim, Kyung-Won;Yoon, Hee-Jung;Kim, Mie-Ryung;Lee, Hee-Kyung;Lee, Kyeong-Soo
      • Journal of agricultural medicine and community health
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      • v.35 no.1
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      • pp.13-20
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      • 2010
    • Objectives: This study was conducted to be identify the effects oral hygiene improvement of the elderly by caregiver in a rural. Methods: It recruited Fifty three elderly patients were recruited who admitted at a long-term hospital located in Mokchon city, Chungchungnam-do province. as the intervention group. Fifty two elderly patients group were selected another one long-term care hospital in Daegu city as control group. study was conducted for seven months. long-term care hospital. for seven months from Dec. 2007 to June 2008. For three months, the caregivers provide tooth brushing and cleaning artificial teeth once a day, to intervention group. once a day for three months. Results: Before the program there was no significant difference between the control and the intervention groups in general characteristics, prevalence rates of diseases, oral sanitary condition. Dental plague score was decreased significantly(p<0.001) before and after intervention in the intervention group. Using analysis of covariance for evaluation of the effect of the intervention, a significant difference was observed between the intervention group and the control group(p<0.01). Conclusions: These results were thought to be used as important basic data to develop oral health management program for elderly patients who needed long-term care.

    Reliability and validity study of a life style questionnaire for elderly people (노인 생활습관 설문서의 신뢰도 및 타당도 평가 연구)

    • Park, Byung-Joo;Kim, Dae-Sung;Koo, Hye-Won;Bae, Jong-Myon
      • Journal of Preventive Medicine and Public Health
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      • v.31 no.1 s.60
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      • pp.49-58
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      • 1998
    • The study was done to determine the reliability and validity of a life style questionnaire for the elderly. The questionnaires were sent to 16,524 elderly people who were beneficiaries of Korean Medical Insurance Corporation in Pusan. Among the completed 9,139 questionnaires, 200 were randomly sampled and retested. finally, 110 duplicates were collected. Weighted kappa-value and Pearson correlation coefficients were estimated to measure the reliability. Validity coefficient was estimated by using reliability coefficient. In self-self responses, reliability coefficients of the most of items were over 0.6 except some physical activity related item. Relatively high reliability was observed in smoking, alcohol related items and anthropometric items. In self-proxy responses, most of the physical activity related items were found to be less reliable than self-self responses. Smoking and alcohol related items were consistently reliable. Male showed higher validity in food related item than female. On the other hand, some of the physical activity related items and smoking and alcohol related items were less valid in male than female. With regard to bias of proxy respondents, offsprings tended to underestimate the frequency of house cleaning' and 'kitchen work' and overestimate the height of them. In conclusion, the life style questionnaire was found to be reliable in the most of items. But, some items related with physical activity were found to be somewhat less reliable. Sexual difference on the validity was identified in some items. With regard to bias of proxy respondents, offsprings tended to have bias in part of items of housework and anthropometry.

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    The Comparative Study on the wettability of the RGP lens multi-purpose solutions(MPSs) (RGP lens 다목적용액의 습윤성에 관한 비교 연구)

    • Park, Hyun-Ju;Goe, Eun-Kyung;Seo, Eun-Sun;Kim, Jai-Min;Lee, Ki-Young
      • Journal of Korean Ophthalmic Optics Society
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      • v.8 no.2
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      • pp.119-127
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      • 2003
    • We measured the effect of wettability of six MPSs for RGP lens. The used MPSs(multipurpose solutions) were OPTI-SOAK(ALCON), SOLO care hard(CIBA Vision), Total care(ALLERGAN), Simplicity(BOSTON). Wetting and Soaking Sol.(Bausch & Lomb) and Aquas-multi(Saehan). These MPSs keeps hydrophilic property of lens surface and increase the effect of cleaning or increase the effect of preservative effect. To compare with the effect of wettability we followed the way of contact angle measurement which was general way to measure wettability and compared lens which was conducted by each MPS made by different companies. As a control, 0.9% NaCl solution and artificial tears were used. The degree of the effect of wettability was decided by contact angle. It is hydrophilic property nearby $0^{\circ}$ of contact angle and it is closed by hydrophobic property as it increases. To compare with the effect of wettability we followed the way of contact angle measurement which was general way to measure wettability and compared lens which was conducted by each MPS made by different companies. As a control, 0.9% NaCl solution and artificial tears were used. The degree of the effect of wettability was decided by contact angle. It is hydrophilic property nearby $0^{\circ}$ of contact angle and it is closed by hydrophobic property as it increases. The results showed that every lens was nearby hydrophilic property within $25^{\circ}{\sim}36^{\circ}$. Also, it was differed by various factors. The surface tension showed various differences between 19.8 and 31.3(mN/m). In the viscosity, MPSs represented the highest viscosity between $4^{\circ}C$ and $20^{\circ}C$. It was much higher than compared with the viscosity of soft lens MPS. This experiment could be used to grasping the interaction between solutions used to MPS and the natural endowments of lens and to considering the relations of different factors effecting the wettability.

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    The Contamination Level of Lens Cases by Various Wearing and Storage Periods of Soft Contact Lens and the Actual Condition of Lens Cases Care (소프트 콘택트렌즈 착용 기간과 보관 기간에 따른 보관 용기의 오염도 및 보관 용기 관리 실태)

    • Kim, So Ra;Shin, Sang Mok;Park, Jong Ae;Park, Mijung
      • Journal of Korean Ophthalmic Optics Society
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      • v.16 no.2
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      • pp.135-145
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      • 2011
    • Purpose: This study was conducted to investigate the actual condition of caring soft contact lens cases and the change in contamination level of lens cases by wearing and storage period of soft contact lens. Methods: The actual condition of caring soft lens cases was surveyed with sixty-three of contact lens wearers. Soft contact lenses were worn for 1, 3, 7 and 14 days, and the lenses were separately stored in 12 lens cases for 1, 3 and 7 days. The contamination level of lens cases was determined by counting the numbers of microorganisms, gram negative bacteria and fungi. Results: Only 14% of survey answerers cleaned their lens cases with a brush, rinsed and dried them upside down before next usage of lens case when those lenses were kept for a long time. Furthermore, 54% of total answerers just kept soft contact lens in the case without changing the multipurpose solution. Microorganisms, gram negative bacteria and fungi were detected in lens cases even when soft contact lens were kept for 1 day in the lens case after wearing for 1 day and cleaning it with multipurpose solution. The numbers of microorganisms, gram negative bacteria and fungi in lens cases increased with storage periods of soft contact lens, and also contamination level of lens cases was increased in accordance with wearing period of lens. In the lens cases without changing multipurpose solution, the numbers of microorganisms, gram negative bacteria and fungi increased with storage period of lens with statistical significance. Conclusions: This study showed that lens wearers' concerns on caring contact lens case were not satisfactory. As the result, the contamination of lens cases was related to increase of lens wearing and storage periods suggesting that the proper instruction and education for lens wearers are required.


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