• 제목/요약/키워드: Early Tertiary

검색결과 181건 처리시간 0.034초

신규간호사를 위한 맞춤형 멘토 프로그램(새싹프로그램)의 개발 및 적용 - 일개 대학병원 중환자실을 중심으로 - (Development and Application of a Specialized Mentor Program for New Graduate Nurses - Focused on Intensive Care Unit of a Tertiary University Hospital -)

  • 권은옥;조정숙;송경자;최스미;장선주;김주희;박승현;신효연;유미;김정아
    • 간호행정학회지
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    • 제15권4호
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    • pp.563-570
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    • 2009
  • Purpose: The purpose of this study was to develop specialized mentor program to improve adaptation for new nurses of intensive care unit and to identify the effect of the program on early resignation rate. Methods: The study adopted nonequivalent control group, non synchronized design. Based on the identification of problems and the needs of new nurses, a 6 month specialized mentor program was developed. The program was consisted of three parts; developing knowledge, improving interpersonal relationship and increasing coping competency for emergency situation. Data were collected between July 2006 and 2008 from 37 nurses and the early resignation rate was compared before and after the implementation of the mentoring program. Results: Early resignation rate of the nurses who received the mentor program was significantly lower than that of the nurses who didn't. The resignation rate within 1 year dropped from 44.5% to 8.3%(p=.034). Conclusions: The specialized six month mentoring program was effective in reducing early resignation rate.

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Early Stage Oral Tongue Cancer among Non-Tobacco Users - An Increasing Trend Observed in a South Indian Patient Population Presenting at a Single Centre

  • Krishnamurthy, Arvind;Ramshankar, Vijayalakshmi
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권9호
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    • pp.5061-5065
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    • 2013
  • Background: Oral tongue squamous cell carcinoma (OTSCC) is the most common cancer diagnosed within the oral cavity worldwide. Many studies in India report OTSCC ranking among the top two most common subsites within the oral cavity. India is often labeled the oral cancer capital of the world. The incidence of tongue cancers in the population-based cancer registry (PBCR) of Chennai is showing an increasing trend. A majority of the oral cavity cancers (85%) in our cancer center present in advanced stages (III and IV). In contrast, early tongue cancers (stages I and II) constitute nearly 45% of all OTSCCs. Aim: The aim of this study was to analyze the clinical profile and epidemiological trends in our early stage tongue cancer patients with an emphasis on tobacco and alcohol habits. Materials and Methods: This retrospective analysis was based on a prospectively collected database of 458 consecutive early stage OTSCC in-patients at a tertiary care oncology centre in Chennai between 1995 and 2008. Results: Our study suggests that the earlier trends have clearly changed whereby nearly half of our patients are now never-tobacco users. The findings of the study indicate that a majority of the patients were never alcohol users (86.4%) and nearly half of them were never tobacco users (49.3%), and they had the best survival outcomes. This increasing trend of OTSCC among non-tobacco users is in contrast to our earlier experience of tongue cancer more than five decades ago.The median age of patients in our study was 53.3 years; the male to female ratio was approximately 2:1. The median follow up for the 458 patients was 53 months. Conclusions: Our study importantly as well as interestingly shows a conspicuous absence of association with the traditional risk factors, tobacco and alcohol.

브레인댄스 집단프로그램이 예비보육교사의 자기수용, 자기조절력에 미치는 효과 (The Effects of a Brain Dance Group Program for Pre Early Childhood Care Teachers' Self Acceptance and Self Control)

  • 고은교;신수경
    • 한국콘텐츠학회논문지
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    • 제15권12호
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    • pp.624-639
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    • 2015
  • 본 연구는 브레인댄스 집단프로그램이 예비보육교사의 자기수용과 자기조절력에 미치는 효과 검증을 통해 보육교사의 인간적 자질 함양을 위한 방안을 모색하기 위한 실험연구이다. 연구대상은 G시에 소재한 N대학의 보육교사 자격 이수과정 학생 중 참여를 원하는 20명을 실험집단과 통제집단에 각 10명씩 무선 배정 하였다. 브레인댄스 집단프로그램 실시 전 후 조사를 통해 수집된 자료는 SPSS 14.0 for Windows를 이용하여 대응표본 t-test를 실시한 결과, 브레인댄스 집단프로그램의 자기수용과 자기조절력에 대한 긍정적인 효과가 규명되어 브레인댄스가 예비보육교사의 자기수용과 자기조절력을 향상 시킬 수 있는 유용한 매체임을 알 수 있었다. 따라서 본 연구는 브레인댄스를 활용한 다양한 교육적 프로그램을 개발하고자 하는 브레인댄스 전문가와 교육 분야 전문가를 양성하는 대학교육기관의 교사인성교육 방안 모색을 위한 기초자료로 활용될 수 있기를 기대한다.

The physical and emotional health of South Korean mothers of preterm infants in the early postpartum period: a descriptive correlational study

  • Park, Jiyun;Bang, Kyung-Sook
    • Child Health Nursing Research
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    • 제28권2호
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    • pp.103-111
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    • 2022
  • Purpose: This study investigated the physical and emotional health of South Korean mothers of preterm infants in the early postpartum period. Methods: In this descriptive correlational study, the participants included 91 mothers of preterm infants who were admitted to the neonatal intensive care unit of a tertiary hospital in South Korea. Physical health status was measured using a self-reported questionnaire, postpartum depression using the Edinburgh Postnatal Depression Scale, anxiety using the State-Trait Anxiety Inventory, and guilt using a 4-item scale. Results: Fatigue had the highest score among mothers' physical health problems, followed by shoulder pain, nipple pain, neck pain. The average postpartum depression score was 11.02 points, and 44% of women had postpartum depression with a score of 12 or above. Postpartum depression significantly was correlated with physical health (r=.35, p=.001), anxiety (r=.84, p<.001), and guilt (r=.75, p<.001) and was significantly higher for women with multiple births, and preterm infants who required ventilator and antibiotic treatment. Anxiety also showed a significant difference according to preterm infants' condition. Conclusion: The significant correlations between postpartum depression and physical health, anxiety, and guilt indicate a need for nursing interventions that provide integrated management of mothers' physical and emotional health.

경상분지 화산암류의 지화학적 연구. 섭입대(베니오프대)의 깊이와 지각의 두께 (Petrochmical study on the Volcanic Rocks Related to Depth to the Benioff Zone and Crustal Thickness in the Kyongsang Basin, Korea: A Review)

  • Jong Gyu Sung
    • 자원환경지질
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    • 제32권4호
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    • pp.323-337
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    • 1999
  • 경상분지의 후기 백악기~고 제 3기의 화산암류는 high-K 칼크 알칼리의 특성을 나타내며, 클라-태평양의 섭입에 연관된 마그마작용에 성인적으로 연관된다. 그들은 삽입에 관련된 마그마에서 보이는 바와 같이 고장력원소가 결핍되며 LIL원소가 부화되는 특성을 지닌다. K-h 관계에 기초하여 마그마의 생성 깊이를 180~230km라고 한 이전의 연구들은 재고되어질 필요가 있다. 물을 0.4%함유한 감\ulcorner암의 부분 용융의 깊이는 80~120km로 알려져 있으며, 성숙되기 전의 호에서 섭입 슬램은 70km보다 얕은 깊이에서도 용융이 될 수 있다. 더욱 더 $K_2O$ 함량은 지각물질에 의한 혼염과 섭입 슬램의 유체에 의해서, 그리고 적은 정도의 부분 용융에 의해서도 증가될 수 있다. 섭입의 각도를 $30^{\circ}$로 자정하였을 때 수직깊이 180~23km는 수평거리가 해구로부터 310~400km로 계산된다. 이 깊이는 도호 및 대륙호에 속한 다른 지역의 근원마그마 생성심도에 비해 매우 큰값이며 섭입에 의해 야기되는 환산암의 생성지의 분포하는 조와적이지 못한다. 경상분지 화산암의 $K_{55}$는 0.3~2.3wt.%이며, 그 평균값을 Marsh and Carmichael (1974)의 도표에 적응하면 섭입대의 깊이는 80~170km가 된다. 깊이 180~230km의 맨틀 암석은 석류석 러졸라이트로 자정되며 이것의 분별로부터 나타나는 회토류 양상은 경상분지의 것과 일치하지 않는다. 더욱 더 섭입에 관련된 마그마작용을 연구한 여러 연구자들은 이보다 더 얕은 깊이를 제안하였다. CaO와 $Na_2O$ 함량을 이용하여 구한 후기 백악기~고 제 3기의 경상분지의 고지각 두께는 각각30km이며, La/Sm대 La/Yb 에 의한 값은 약 30km로 추정되며, 이들은 이전의 연구들을 지지한다. 뇌 활성화 영역에서 자화율 변화에 따른최대 선호 강도변화는 1.5T에서는 TE, 66ms에서 3.36%. 3.0T에서는 TE. 46ms에서 10.05%로 3.0T가 1.5T에 비해 약 3배 정도 변화가 큰 것을 알 수 있었다. 산출된 최적의 TE 값은 각각의 TE 값에서 얻은 활성화 상태와 휴식상태의 차이값의 최대의 TE 값와 일치하였다. 결론 : 뇌 기능영상에서 3.0T MRl는 1.5T에 비해 deoxyhemoglobin에 의한 자화율의 변화를 약 3배정도 잘 반영하므로 뇌 기능영상 측정시 보다 유용성이 있는 것으로 사료된다. 에코 MR 영상과 더불어 DESS 영상이 슬관절 연골연화즈의 진단에 보다 더 도움을 줄 것으로 생각한다.의 동기는 ‘일반 대중매체의 영향’이 가장 많았으며 건강소식지가 동기인 경우도 20.4%였다. 사업군에서 건강소식지가 유방암 자가검진법 실천에 영향을 미친 경우가 79.6%였으며 유방암 자가검진법에 관한 보건교육을 받고 실천하지 않은 사람들 중 미래의 실천의지에 건강소식지가 영향을 미친 경우는 43.6%였다. 이상의 소견에서 지역주민을 대상으로 인쇄매체를 통한 보건교육은 인쇄물만으로도 쉽게 실천 할 수 있는 유방암 자가검진법이 가장 효과적이었으며, 자궁암검진에 관해서도 검진을 받을 수 있도록 지역사회의 보건의료의 하부구조를 정비하여 제도적 장치를 마련하고 정보를 제공한다면 자궁암검진 실천율도 증가할 것이다.고 12.9% 의 발달율을 보여 유의적인 차이를 보이지 않았다. 이상의 결과로 보아 핵이식 수정란을 효율적으로 생산하기 위하여 수핵난자의 세포질에 ionomycin 과 DMAP 의 혼합처리로 탈핵난자의 활성화를 유도하는 것이 효율을 증진시킬 수 있었다고 본다. 또한 공핵수정란을 수정 후 90시간과 114시간 개별 배양하여 할구를 공핵체로 핵이식에 이용하였을 때도 그룹배양에 비하여 효율이 떨어지지 않음을 알 수 있었으며, 수정란의 할구 크기의 차이가

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Clinical presentations of critical cardiac defects in the newborn: Decision making and initial management

  • Lee, Jae-Young
    • Clinical and Experimental Pediatrics
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    • 제53권6호
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    • pp.669-679
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    • 2010
  • The risk of mortality and morbidity of patients with congenital heart defects (CHDs) is highest during neonatal period and increases when diagnosis and proper management are delayed. Neonates with critical CHDs may present with severe cyanosis, respiratory distress, shock, or collapse, all of which are also frequent clinical presentations of various respiratory problems or sepsis in the newborn. Early diagnosis and stabilization and timely referral to a tertiary cardiac center are crucial to improve the outcomes in neonates with CHDs. In this review, the clinical presentation of critical and potentially life-threatening CHDs is discussed along with brief case reviews to help understand the hemodynamics of these defects and ensure proper decision-making in critically ill patients.

Partially Folded States of Mutant Ubiquitin in Mild Denaturing Conditions

  • Park, Soon-Ho
    • Bulletin of the Korean Chemical Society
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    • 제30권7호
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    • pp.1567-1572
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    • 2009
  • Conformational change of ubiquitin variant with valine to alanine mutation at sequence position 26 was studied by varying solvent pH. Fluorescence emission spectra indicated that this variant ubiquitin has some residual structures in acidic and basic solution as compared to denaturant-induced unfolded state. Far-UV circular dichroic spectra indicated that the base-denatured state had more secondary structure than the acid-denatured state. Near-UV circular dichroic spectra indicated that the aromatic side-chains were in the relatively more rigid environment in the base-denatured state than those in the acid-denatured state. Although it appears that the more tertiary structure present in the base-denatured state, refolding reactions measured by stopped-flow fluorescence device suggest that both the acid- and base-denatured states occur before the major folding transition state. The acid- and base-denatured states are considered to reflect the early event of protein folding process.

A Kinetic Study on the Adsorptionof Compact, Water-soluble Proteins onto Aqueous Surfaces

  • 조태철;Michel A. Cornec
    • Bulletin of the Korean Chemical Society
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    • 제20권9호
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    • pp.999-1004
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    • 1999
  • Two compact sized globular proteins, β-lactoglobulin and α-lactalbumin were kinetically characterized at the aqueous solution surface with the measurement of surface pressure (π) and surface concentration (Γ) via a radiotracer method. The adsorption kinetics was of diffusion control at early times, the rates of increase of πand Γ being lower at longer times due to growing energy barrier. At low concentrations, an apparent time lag was observed in the evolution of π for β-lactoglobulin but not for α-lactalbumin which was shown to be due to the non-linear nature of the p- G relationship for the former. The area per molecule of an adsorbed β-lactoglobulin during adsorption was smaller than that for spread monolayer since β-lactoglobulin was not fully unfolded during the adsorption. For α-lactalbumin, however, no such difference in the molecular areas for adsorbed and spread monolayer was observed indicating thereby that α-lactalbumin unfolded much more rapidly (has looser tertiary structure) than β-lactoglobulin. Surface excess concentrations of α-lactalbumin was found to evolve in two steps possibly due to the change in the orientation of the adsorbed protein from a side-on to an end-on orientation.

포항(浦項) 및 장기분지(盆地)에 대한 고지자기(古地磁氣), 층서(層序) 및 구조연구(構造硏究); 화산암류(火山岩類)의 K-Ar 연대(年代) (Paleomagnetism, Stratigraphy and Geologic Structure of the Tertiary Pohang and Changgi Basins; K-Ar Ages for the Volcanic Rocks)

  • 이현구;문희수;민경덕;김인수;윤혜수;이타야 테츠마루
    • 자원환경지질
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    • 제25권3호
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    • pp.337-349
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    • 1992
  • The Tertiary basins in Korea have widely been studied by numerous researchers producing individual results in sedimentology, paleontology, stratigraphy, volcanic petrology and structural geology, but interdisciplinary studies, inter-basin analysis and basin-forming process have not been carried out yet. Major work of this study is to elucidate evidences obtained from different parts of a basin as well as different Tertiary basins (Pohang, Changgi, Eoil, Haseo and Ulsan basins) in order to build up the correlation between the basins, and an overall picture of the basin architecture and evolution in Korea. According to the paleontologic evidences the geologic age of the Pohang marine basin is dated to be late Lower Miocence to Middle Miocene, whereas other non-marine basins are older as being either Early Miocene or Oligocene(Lee, 1975, 1978: Bong, 1984: Chun, 1982: Choi et al., 1984: Yun et al., 1990: Yoon, 1982). However, detailed ages of the Tertiary sediments, and their correlations in a basin and between basins are still controversial, since the basins are separated from each other, sedimentary sequence is disturbed and intruded by voncanic rocks, and non-marine sediments are not fossiliferous to be correlated. Therefore, in this work radiometric, magnetostratigraphic, and biostratigraphic data was integrated for the refinement of chronostratigraphy and synopsis of stratigraphy of Tertiary basins of Korea. A total of 21 samples including 10 basaltic, 2 porphyritic, and 9 andesitic rocks from 4 basins were collected for the K-Ar dating of whole rock method. The obtained age can be grouped as follows: $14.8{\pm}0.4{\sim}15.2{\pm}0.4Ma$, $19.9{\pm}0.5{\sim}22.1{\pm}0.7Ma$, $18.0{\pm}1.1{\sim}20.4+0.5Ma$, and $14.6{\pm}0.7{\sim}21.1{\pm}0.5Ma$. Stratigraphically they mostly fall into the range of Lower Miocene to Mid Miocene. The oldest volcanic rock recorded is a basalt (911213-6) with the age of $22.05{\pm}0.67Ma$ near Sangjeong-ri in the Changgi (or Janggi) basin and presumed to be formed in the Early Miocene, when Changgi Conglomerate began to deposit. The youngest one (911214-9) is a basalt of $14.64{\pm}0.66Ma$ in the Haseo basin. This means the intrusive and extrusive rocks are not a product of sudden voncanic activity of short duration as previously accepted but of successive processes lasting relatively long period of 8 or 9 Ma. The radiometric age of the volcanic rocks is not randomly distributed but varies systematically with basins and localities. It becomes generlly younger to the south, namely from the Changgi basin to the Haseo basin. The rocks in the Changgi basin are dated to be from $19.92{\pm}0.47$ to $22.05{\pm}0.67Ma$. With exception of only one locality in the Geumgwangdong they all formed before 20 Ma B.P. The Eoil basalt by Tateiwa in the Eoil basin are dated to be from $20.44{\pm}0.47$ to $18.35{\pm}0.62Ma$ and they are younger than those in the Changgi basin by 2~4 Ma. Specifically, basaltic rocks in the sedimentary and voncanic sequences of the Eoil basin can be well compared to the sequence of associated sedimentary rocks. Generally they become younger to the stratigraphically upper part. Among the basin, the Haseo basin is characterized by the youngest volcanic rocks. The basalt (911214-7) which crops out in Jeongja-ri, Gangdong-myon, Ulsan-gun is $16.22{\pm}0.75Ma$ and the other one (911214-9) in coastal area, Jujon-dong, Ulsan is $14.64{\pm}0.66Ma$ old. The radiometric data are positively collaborated with the results of paleomagnetic study, pull-apart basin model and East Sea spreading theory. Especially, the successively changing age of Eoil basalts are in accordance with successively changing degree of rotation. In detail, following results are discussed. Firstly, the porphyritic rocks previously known as Cretaceous basement (911213-2, 911214-1) show the age of $43.73{\pm}1.05$$49.58{\pm}1.13Ma$(Eocene) confirms the results of Jin et al. (1988). This means sequential volcanic activity from Cretaceous up to Lower Tertiary. Secondly, intrusive andesitic rocks in the Pohang basin, which are dated to be $21.8{\pm}2.8Ma$ (Jin et al., 1988) are found out to be 15 Ma old in coincindence with the age of host strata of 16.5 Ma. Thirdly, The Quaternary basalt (911213-5 and 911213-6) of Tateiwa(1924) is not homogeneous regarding formation age and petrological characteristics. The basalt in the Changgi basin show the age of $19.92{\pm}0.47$ and $22.05{\pm}0.67$ (Miocene). The basalt (911213-8) in Sangjond-ri, which intruded Nultaeri Trachytic Tuff is dated to be $20.55{\pm}0.50Ma$, which means Changgi Group is older than this age. The Yeonil Basalt, which Tateiwa described as Quaternary one shows different age ranging from Lower Miocene to Upper Miocene(cf. Jin et al., 1988: sample no. 93-33: $10.20{\pm}0.30Ma$). Therefore, the Yeonil Quarterary basalt should be revised and divided into different geologic epochs. Fourthly, Yeonil basalt of Tateiwa (1926) in the Eoil basin is correlated to the Yeonil basalt in the Changgi basin. Yoon (1989) intergrated both basalts as Eoil basaltic andesitic volcanic rocks or Eoil basalt (Yoon et al., 1991), and placed uppermost unit of the Changgi Group. As mentioned above the so-called Quarternary basalt in the Eoil basin are not extruded or intruaed simultaneously, but differentiatedly (14 Ma~25 Ma) so that they can not be classified as one unit. Fifthly, the Yongdong-ri formation of the Pomgogri Group is intruded by the Eoil basalt (911214-3) of 18.35~0.62 Ma age. Therefore, the deposition of the Pomgogri Group is completed before this age. Referring petrological characteristics, occurences, paleomagnetic data, and relationship to other Eoil basalts, it is most provable that this basalt is younger than two others. That means the Pomgogri Group is underlain by the Changgi Group. Sixthly, mineral composition of the basalts and andesitic rocks from the 4 basins show different ground mass and phenocryst. In volcanic rocks in the Pohang basin, phenocrysts are pyroxene and a small amount of biotite. Those of the Changgi basin is predominant by Labradorite, in the Eoil by bytownite-anorthite and a small amount pyroxene.

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동해 옥계, 북평 연안 기반암의 지음향 속도와 제3기 퇴적층 (Geoacoustic Velocity of Basement and Tertiary Successions of the Okgye and Bukpyeong Coast, East Sea)

  • 양우헌;권이균;진재화;김현태;이치원
    • 한국지구과학회지
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    • 제28권3호
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    • pp.367-373
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    • 2007
  • 지음향 모델링은 해저지층을 통한 음파 전달과정을 모형하기 위해 발달해 왔다. 이러한 작업은 음파 전달을 제어하는 지층의 지음향 특성값을 측정 추론 예측한 값을 필요로 한다. 동해안 옥계와 북평지역 연안에서, 해저지층은 제4기층과 함께 제3기 퇴적층, 음향학적 기반암 등으로 구성된다. 옥계 연안지역 해저지층의 기반암은 주로 고생대 평안층군의 암석으로 해석되며, 이 암석의 평균 P파와 S파 속도값은 각각 4276 m/s와 2400 m/s이다. 북평 연안지역 해저지층의 기반암은 주로 고생대 초기 조선누층군의 석회암으로 해석되며, 이 암석의 평균 P파와 S파 속도값은 각각 5542 m/s와 2742 m/s이다.