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The effects of clinical practice experiences on career attitude maturity of paramedic students (임상실습을 경험한 응급구조학 전공 학생의 진로태도성숙에 미치는 영향)

  • Chae Jin Oh;Ji Young Yun;Hye Eun Cho;JungHee Park
    • The Korean Journal of Emergency Medical Services
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    • v.27 no.3
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    • pp.59-70
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    • 2023
  • Purpose: This study attempted to provide basic data to improve the maturation of career attitudes of emergency medical services students by identifying the effects of clinical practice satisfaction and career undecided level on the maturation of career attitudes of emergency medical services students who had experienced clinical practice. Methods: From May 1 to July 31, 2023, data were collected using a structured questionnaire from third and fourth year students who were enrolled in the department of paramedicine a university in City D and had experienced clinical practice. Results: The results showed that clinical practice satisfaction was significantly positively correlated with career attitude maturity (r=.382, p<.001) and negatively correlated with career indecision (r=.241, p=.002). The influencing factor of career attitude maturity was clinical practice satisfaction (β=.314, p<.001), with an explanatory power of 16%. Conclusion: It was confirmed that the influencing factor of career attitude maturity was clinical practice satisfaction, and the need to find ways to improve clinical practice satisfaction and develop customized education and practice programs for each institution to improve career attitude maturity of emergency rescue students was confirmed. Therefore, it is necessary to find specific ways to improve clinical practice satisfaction and develop customized educational practice programs for each institution.

Distributional Characteristics of the Population and Assessment of the Conservation Status of Michelia Compressa on Korea (국내 초령목 개체군의 분포특성과 보전지위평가)

  • Jong-Gab Kim;Dae-Shin Kim;Su-Kyoung Kim;Hyun-Mi Jeong;Young-Ki Song;Sung-Won Son;Jung-Goon Koh
    • Korean Journal of Environment and Ecology
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    • v.37 no.3
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    • pp.182-191
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    • 2023
  • This study was carried out to identify the distribution and growth characteristics and evaluate the conservation status of the Michelia compressa Maxim., a rare and endangered wild plant II, in the habitats in Korea. A total of 314 individuals were found in the natural habitats of Heuksan Island and Jeju Island and were divided into four populations. About 45.9% (144 individuals) were distributed in the range of 401m~500m above sea level. The average height of trees was 2.7(±4.8)m, the diameter at breast height was 12.6(±13.9)cm, and the number of branches was 1.0(±0.5) on average. 54.3% of the sapling individuals of M. compressa were distributed within a radius of 30 m from the mother tree, 25.8% were distributed between 31 m through 40 m, and most (90.1%) were distributed within a radius of 60 m. The fact that sapling individuals of M. compressa are not identified even around some mature individuals and appear only in extremely limited areas is estimated to be closely related to the growth conditions as well as the environment of the natural habitats. The dispersal of M. compressa is presumed to be related to the birds and natural seedlings because water puddles, a resting place for birds beyond the range of natural seedlings, characterize its habitats. The IUCN Red List evaluation criteria at the regional and national level of M. compressa corresponds to the Critically Endangered category, and the domestic population under the category of "CR B2ab(v); C2a(i); D."

Effects of High Carbohydrate, High Fat and Protein Meal on Postprandial Thermogenesis in Young Women (한국인 젊은 여성에서 고당질, 고지방 및 고단백질 식사가 식후 열생성에 미치는 영향)

  • Ro, Hee-Kyong;Choi, In-Seon;Oh, Seung-Ho
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.34 no.8
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    • pp.1202-1209
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    • 2005
  • The purpose of this study was to observe the effects of high-carbohydrate (HC) diet, high-protein (HP) diet and high-fat (HF) diet with a normal diet (N) on diet-induced thermogenesis (DIT) in healthy Korean women. The four isoenergetic test meals consisted as follows: HC (75$ \% $ energy from carbohydrate, 10$ \% $ from protein and 15$ \% $ from fat), HP (10$ \% $ energy from carbohydrate, 75$ \% $ from protein and 15$ \% $ from fat) HF (15$ \% $ energy from carbohydrate, 10$ \% $ from protein and 75$ \% $ from fat) diet and N (65$ \% $ energy from carbohydrate, 15$ \% $ from protein and 20$ \% $ from fat) diet. Fasting and postprandial thermogenesis were measured after each test meals in eight subjects by indirect calorimetry for 3 hours. Fasting and postprandial serum glucose, insulin and triacylglycerol contents were also measured for 3 hours. DIT were 10.4$\pm$3.2 for HC, 12.7$\pm$0.5 for HP, 6.9$\pm$2.8 for HF and 8.7$\pm$4.8 for N diet as a percentage of the energy load. DIT of HP was greater than HF significantly, but had no differences with HC and N Integrated areas under the curves ($ \delta- $-AUC) of plasma glucose and insulin were significantly higher for HC compared to HP, HF and N diets. $ \delta$-AUC of plasma triacylglycerol was significantly higher for HF compared to the other test meals. In conclusion, intake of protein rich meal stimulates postprandial energy expenditure, but has no relation between DIT and insulin response, body composition.

Print-Scan Resilient Curve Watermarking using B-Spline Curve Model and its 2D Mesh-Spectral Transform (B-스프라인 곡선 모델링 및 메시-스펙트럼 변환을 이용한 프린트-스캔에 강인한 곡선 워터마킹)

  • Kim, Ji-Young;Lee, Hae-Yeoun;Im, Dong-Hyuck;Ryu, Seung-Jin;Choi, Jung-Ho;Lee, Heung-Kyu
    • The KIPS Transactions:PartB
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    • v.15B no.4
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    • pp.307-314
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    • 2008
  • This paper presents a new robust watermarking method for curves that uses informed-detection. To embed watermarks, the presented algorithm parameterizes a curve using the B-spline model and acquires the control points of the B-spline model. For these control points, 2D mesh are created by applying Delaunay triangulation and then the mesh spectral analysis is performed to calculate the mesh spectral coefficients where watermark messages are embedded in a spread spectrum way. The watermarked coefficients are inversely transformed to the coordinates of the control points and the watermarked curve is reconstructed by calculating B-spline model with the control points. To detect the embedded watermark, we apply curve matching algorithm using inflection points of curve. After curve registration, we calculate the difference between the original and watermarked mesh spectral coefficients with the same process for embedding. By calculating correlation coefficients between the detected and candidate watermark, we decide which watermark was embedded. The experimental results prove the proposed scheme is more robust than previous watermarking schemes against print-scan process as well as geometrical distortions.

Exposure Assessment of PCDD/Fs and Monitoring of Health Effects on Workers and Resident near the Waste Incinerators in Korea (국내 일부 소각장 근로자와 주변지역주민들의 PCDDs/Fs 노출과 건강 영향 평가)

  • Hong, Yun-Chul;Lee, Kwan-Hee;Kwon, Ho-Jang;Jang, Jae-Yeon;Leem, Jong-Han
    • Journal of Preventive Medicine and Public Health
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    • v.36 no.4
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    • pp.314-322
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    • 2003
  • Objectives : In this study, the exposure status of the hazardous substances from incinerators, such as polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs), were studied , and the relationship between the exposure of these hazardous substances and their heath effects on the workers and residents near municipal solid waste (MSW) incinerators and an industrial incinerator investigated. Methods : Between July 2001 and Jure 2002, 13 workers at two MSW incinerators, 16 residents from the area around the two MSW incinerators, 6 residents from the control area, and further 10 residents near an industrial incinerator, estimated to emit higher levels of hazardous substances, were interviewed. Information, including sociodemographic information, personal habits, and work history, detailed gynecologic and other medical history were collected through interviews. Blood samples were also collected from 45 subjects, and analyzed for PCDD/DFs, by high resolution gas chromatography -high resolution mass spectrometry, using the US EPA 1613 method. In addition to the questionnaire survey, urinary concentrations of 8-hydroxydeoxyguanosine (8-OH-dG) and malondialdehyde (MDA) were measured as oxidative injury biomarkers. The urinary concentrations of 8-OH-dG were determined by in vitro ELISA, and the MDA by HPLC, using u adduct with thiobarbituric acid. Results : The PCDD/DFs concentrations in the residents near the industrial incinerator were higher than those in the controls, workers and residents near the MSW incinerators. The average TEQ (Toxic Equivalencies) concentrations of the PCDD/DFs in residents near the industrial incinerator were 53.4pg I-TEQs/g lipid. The estimated daily intakes were within the tolerable daily intake range (1-4 pg I-TEQ/Kg bw/day) suggested by WHO (1997) in only 30% to the people near the industrial incinerator. Animal studies have already shown that even a low body border of PCDD/DFs, such as 10 ng TEQ/kg bw, can cause oxidative damage in laboratory animals. Our study also showed that the same body burden of PCDD/DFs can cause oxidative damage to humans. Conclusions : The exposures to PCDD/DFs and the oxidative stress of residents near the industrial incinerator, were higher than those in the controls, workers and residents near the MSW incinerators. Proper protection strategies against these hazardous chemicals are needed. Because a lower body burden of PCDD/Fs, such as 10ng TEQ/kg bw, can cause oxidative damage, the tolerable daily intake range should be restrictedly limited to 1pg I-TEQ/kg bw/day.

Multi-layered Gap Measurement on In-Vessel Cerium Retention Using Ultrasonic Wave Reflective Pattern Analysis and Frequency Diversity Signal Processing (초음파 반사 패턴과 주파수 대역 분할 신호처리를 이용한 다층구조인 노내 간극 측정)

  • Koo, Kil-Mo;Sim, Cheul-Mu;Kim, Jong-Hwan;Kim, Sang-Baik;Kim, Hee-Dong;Park, Chi-Seung
    • Journal of the Korean Society for Nondestructive Testing
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    • v.20 no.4
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    • pp.314-321
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    • 2000
  • A gap between a $Al_2O_3/Fe$ thermite and lower head vessel is formed in the lower-plenum arrested vessel attack(LAVA) experiment which is the 1st phase study of simulation of naturally arrested vessel attack in vessel(SONATA-IV). The gap measurement using a conventional ultrasonic method would be lack of a reliability due to the structure complexity and the metallurgical grain size change of the lower head HAZ occurred by a thermite $Al_2O_3/Fe$ melt or a $Al_2O_3$ melt at $2300^{\circ}C$. The grain echoes having false signals and lower S/N ratio signals are detected due to a multiple scattering, a mode conversion and an attenuation of a ultrasonic resulted from at the interface of increased grain size zone. In this test, the signals pattern was classified to understand the behavior of the ultrasonic in a multi-layer specimen of solid-liquid-solid of assuming that the thermite and the lower head vessel is immersed. The polarity threshold algorithm of frequency diversity gives us the enhancement about 6dB of the ratio S/N.

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DNA and Proteomic Analysis of Ginseng Radix Rubra Herbal-acupuncture Solution(GRR-HAS) on Gene Expression in HepG2 Carcinomar Cells (홍삼약침액(紅蔘藥鍼液)의 DNA와 단백질 발현(發顯)에 미치는 영향(影響))

  • Won, Eun-Ju;Lee, Bong-Hyo;Lim, Seong-Chul;Jung, Tae-Young;Seo, Jung-Chul;Lee, Kyung-Min
    • Journal of Acupuncture Research
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    • v.23 no.3
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    • pp.177-190
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    • 2006
  • Objectives : It has long been known about the anticancer effect of GRR-HAS, however, it has not been systemically determined the differentially regulated genes by GRR-HAS in cancer cells. The purpose of this study is to screen the GRR-HAS mediated differentially expressed genes in cancer cells such as HepG2 hepatoma cell lines. Oligonucleotide microarray and proteomic approaches were employed to screen the differential expression genes. Methods : GRR~HAS was prepared by boiling and stored at $-70^{\circ}C$ until use. Cells were treated with various concentrations of GRR-HAS (0.1, 0.5, 1.5, 10, $20mg/m{\ell}$) for 24 h. Cell toxicity was tested by MTT assay. To screen the differentially expressed genes in cancer cells, cells were treated with $1.5mg/m{\ell}$ of GRR-HAS. For oligonucleotide microarray assay, total RNA was used for gene expression analysis using oligonucleotide genechip (Human genome Ul33 Plus 2.0., Affimatrix Co.). For proteomic analysis, total protein was analyzed by 2D gel electrophoresis and Q-TOF mass spectrometer. Results : It has no cytotoxic effects on both HepG2 cells in all concentrations(0.1, 0.5, 1.5, 10,$20mg/m{\ell}$). In oligonucleotide microarray assay, the number of more than twofold differentially regulated known genes was 320 with 6 up-regulated and 314 down-regulated genes in HepG2 cells. In proteomic analysis, three spots were identified by 2D-gel electrophoresis and Q-TOF analysis. One down -regulated protein was protein disulfide isomerase and up-regulated proteins were fatty acid binding protein 1 and 14-3-3 gan1lTIa protein by $1.5mg/m{\ell}$ of CRR-HAS. Discussion : This study showed the comprehensive gene expression analysis using oligonucleotide microarray for the screening of GRR-HAS mediated differentially regulated genes. These results will provide a better application of GRR-HAS in cancer field and drug target development.

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Geological Structures of the Southern Jecheon, Korea: Uplift Process of Dangdusan Metamorphic Complex and Its Implication (옥천대 제천 남부의 지질구조: 당두산변성암복합체의 상승과정과 그 의미)

  • Kihm, You-Hong;Kim, Jeong-Hwan;Cheong, Sang-Won
    • Journal of the Korean earth science society
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    • v.21 no.3
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    • pp.302-314
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    • 2000
  • Keumseong area in the southern part of the Jecheon city, the Ogcheon Belt, consists of Precambrian Dangdusan Metamorphic Complex, Dori Formation of the Choseon Supergroup, and Jurassic Jecheon Granite. The Dangdusan Metamorphic Complex consists of quartz schist, mica schist. quartzite and pegmatite. The Dori Formation is composed of mainly laminated limestone. The rocks in the study area have been undergone at least three phases of deformations since Paleozoic period. The Dangdusan Metamorphic Complex is outcrop at three areas in the study area, which are exposed along the faults and occurred as inlier within the Dori Formation. Previous authors interpreted the uplift of the Dangdusan Metamorphic Complex by the Dangdusan Fault, but we could not find any evidences related to the Dangdusan Fault. Thus, we interpret the uplift of the Dangdusan Metamorphic Complex due to the D$_2$ Weolgulri and Dangdusan thrusts and post-D$_2$ Jungbodeul, Kokyo and Jungjeonri faults. The uplift of the Busan Metamorphic Complex to the west of the study area was interpreted by ductile deformation. However, the Dangdusan Metamorphic Complex is formed by brittle thrusts and faults in this study. According to deformation sequence, the characters of deformations in the Choseon and Ogcheon suprergroups had been changed from ductile to brittle deformations through the time. Therefore, we interpret the Dangdusan Metamorphic Complex is exposed later than the Busan Metamorphic Complex.

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Utilization Trends of Health Subcenter for Primary Medical Care in a Korean Rural Area (일개 농촌 면단위지역 주민의 보건지소 의료 이용 추이)

  • Jo, Heui-Sug;Wie, Cha-Hyung
    • Journal of agricultural medicine and community health
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    • v.21 no.2
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    • pp.151-157
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    • 1996
  • This study was analyze through the reports which published on the subject matter of Su Dong-Myun from year of 1972-1993, and analysis of data in 1994 was performed with medical records on the health subcenter by PC-SAS program. The result are as follows: The number of population in Su-Dong Myun(study area) was 5,707 in 1995, 4,641 in 1985 and 5,424 in 1975. In the composition rate of population "0-14" of age group only showed markedly decreasing tendancy from 42.8% in 1975 to 19.1% in 1995. However, "65 and over" showed markedly increasing tendancy from 5.7% in 1975 to 9.8% in 1995. Annual utilization rate showed rapidly increasing tendency from year of 1972 to 1978, such as 314 per showed rapidly decreasing tendency, such as 708 in 1981, 485 in 1984, 272 in 1987, 309 in 190 and in 1993. In the annual age-specific utilization rate, the age group of "0-14" showed the highest rate of 621 per thousand population in 1975, 1159 in 1980, 1021 in 1985 and 538 in 1990. However the age group of "65 and over" showed the highest rate of 481 in 1994. Age specific annual utilization rate showed markedly decreasing tendency in the age group of "0-14" and "15-44", however showed slightly decreasing tendency or same level in the group of "45-64" and "65 and over" from year of 1980 to 1994. In the age specific utilization rate, the lower down the age was, the higher tendency the rate showed, such as 621 per 1,000 population in "0-14" of the age group, 543 in "15-44", 406 in "45-64" and 294 in "65 and over" in 1975. However, the higher up the age was, the higher tendency the rate showed in 1980, 1985 and 1994, except "0-14" of age group. The 5 major diseases were disease of Respiratory system, Gastrointestinal system, Skin and Subcutaneous tissue, Accidents, Poisoning and Violence and Nervous system and Sense organ, in 1975, 1980 and 1985. However, in 1990 and 1994, the 5 major disease were disease of Respiratory system, Gastrointestinal system. Skin and Subcutaneous tissue, Musculoskeletal system and, Connective tissue and Circulatory system. In Composition rate of patient in Su Dong-Myun Health Subcenter by Charged Medical Fee, medical insurance showed almost all the highest rate of 93.9% in year of 1994 and C.H.D.A. of 100% in 1975. Proportion of insurance showed increasing tendency such as 6.6% in 1980, 21.3% in 1985, 69.0% in 1990 and relatively C.H.D.A. showed decreasing tendency.

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Radiation-induced Pulmonary Damage in Lung Cancer Patients (폐종양 환자에서 방사선치료에 의한 폐손상)

  • Chung, Su-Mi;Choi, Ihl-Bohng;Kong, Ki-Hun;Kim, In-Ah;Shinn, Kyung-Sub
    • Radiation Oncology Journal
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    • v.11 no.2
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    • pp.321-330
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    • 1993
  • Purpose: A retrospective analysis was performed to evaluate the incidence of radiation induced lung damage after the radiation therapy for the patients with carcinoma of the lung. Method and Materials: Sixty-six patients with lung cancer (squamous cell carcinoma 27, adenocarcinoma 14, large cell carcinoma 2, small cell carcinoma 13, unknown 10) were treated with definitive, postoperative or palliative radiation therapy with or without chemotherapy between July 1987 and December 1991. There were 50 males and 16 females with median age of 63 years (range: 33~80 years). Total lung doses ranged from 500 to 6,660 cGy (median 3960 cGy) given in 2 to 38 fractions (median 20) over a range or 2 to 150 days (median in days) using 6 MV or 15 MV linear accelerator. To represent different fractionation schedules of equivalent biological effect, the estimated single dose (ED) model, $ED=D{\dot}N^{-0.377}{\dot}T^{-0.058}$ was used in which D was the lung dose in cGy, N was the number of fractions, and T was the overall treatment time in days. The range of ED was 370 to 1357. The endpoint was a visible increase in lung density within the irradiated volume on chest X-ray as observed independently by three diagnostic radiologists. Patients were grouped according to ED, treatment duration, treatment modality and age, and the percent incidence of pulmonary damage for each group was determined. Result: In 40 of 66 patients, radiation induced change was seen on chest radiographs between 11 days and 314 days after initiation of radiation therapy. The incidence of radiation pneumonitis was increased according to increased ED, which was statistically significant (p=0.001). Roentgenographic changes consistent with radiation pneumonitis were seen in $100\%$ of patients receiving radiotherapy after lobectomy or pneumonectomy, which was not statistically significant. In 32 patients who also received chemotherapy, there was no difference in the incidence of radiation induced change between the group with radiation alone and the group with radiation and chemotherapy, among the sequence of chemotherapy No correlation was seen between incidence of radiation pneumonitis and age or sex. Conclusions: The occurrence of radiation pneumonitis varies. The incidence of radiation pneumonitis depends on radiation total dose, nature of fractionation, duration of therapy, and modifying factors such as lobectomy or pneumonectomy.

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