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Assessment of Nutritional Status in Elderly Dialysis Patients (노인 투석환자의 영양상태 평가)

  • 노유자;하혜정;고혜영;박옥순
    • Journal of Korean Academy of Nursing
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    • v.26 no.2
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    • pp.304-319
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    • 1996
  • It is important to evaluate nutritional status of elderly patients receiving dialysis, since wasting and malnutrition are their common problems. This study aims at assessing their nutritional status by the type and duration of dialysis. The nutritional status such as somatic fat and protein storage was evaluated with anthropometric measure including weight/height ratio, triceps skinfold thickness and midarm muscle circumference. It was also measured with albumin, transferrin, C3 and IGF-1 and calorie and protein intakes. The general clinical condition of patients was evaluated with the severity of uremia and metabolic acidosis. which were measured through the levels of serum urea, creatinine and bicarbonateion. The data were analyzed by using t-test, ANOVA, Wilcoxon-rank sums test, Scheffe test, Kruskal-Wallis test and Pearson correlation coefficients. The results are following : 1. There was no significant difference in the calorie and protein intakes by the type and duration of dialysis received. 2. As for the anthropometric measures, no significant difference was found by the type of dialysis in body mass index triceps skinfold thickness and midarm muscle circumference. Yet these anthropometric measures differed significantly by the duration of dialysis in those elderly patients receiving hemodialysis(HD group), but this finding was not found in those receiving continuous ambulatory peritoneal dialysis(CAPD). 3. Regarding the indicators of uremia and metabolic acidosis, blood urea nitrogen(BUN) and creatinine were lower in the CAPD group than in the HD group, whereas bicarbonate ion was higher in the CAPD group than in the HD group, with no statistical significance. In the HD group, creatinine increased significantly with the increase of the duration of dialysis. 4. Serum trasferrin and C3 were significantly higher in the CAPD group than in the HD group. However. each of biochemical indices did not show statistical significance by the duration of dialysis in both HD and CAPD groups. 5. Anthropometric measures were significantly associated with dietary intake. Significant correlations were observed between biocarbonate ion, BUN and creatinine. In addition, the correlations between serum protein and albumin and between transferrin and C3 were statistically significant. Yet, IGF-1 revealed no significant correlation with other nutritional indices. The above findings indicate that there were no difference in nutritional status measured with protein and calorie intakes between the type and duration of dialysis, but CAPD seems to benefit correcting uremia and metabolic acidosis than HD. Studies of dietary management for dialysis patients need to be pursued in order to improved the quality of aged patients receiving dialysis.

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EFFECTS OF METAL SURFACE TREATMENTS ON THE SHEAR BOND STRENGTH BETWEEN NI-CR DENTURE BASE AND RELINE RESINS (금속 표면처리방법이 니켈-크롬 합금 의치상과 첨상레진간의 결합강도에 미치는 영향)

  • Kim Young-Il;Jeong Chang-Mo;Jeon Young-Chan
    • The Journal of Korean Academy of Prosthodontics
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    • v.40 no.4
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    • pp.396-405
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    • 2002
  • The purpose of this study was to evaluate the effects of four metal surface treatments on the shear bond strength of reline resin to Ni-Cr alloy. The denture base metal used in this study was Ni-Cr alloy(Ticonium Premium 100. Ticonium Co., U.S.A.). 120 specimens were divided into five metal surface treatments: sandblasting only, MR. BOND(Tokuyama Corp.. Japan), Cesead Opaque Primer(Kuraray Co., Japan), METALPRIMER II(GC Corp., Japan) and Super-Bond C&B(Sun Medical Co., Japan) after sandblasting. They were bonded with one of three reline resins Mild Rebaron(GC Corp., Japan), Mild Rebaron LC(GC Corp., Japan) and Meta Base M(Sun Medical Co., Japan). Then they were thermocycled 1,000 times at temperature of $4^{\circ}C$ and $60^{\circ}C$. The shear bond strengths were measured using the universal testing machine(Instron, Model 4301, England) with a cross-head speed of 2 mm/min. The results were as follows : 1. All metal primers and adhesive cement significantly improved the bond strength of reline resin to Ni-Cr alloy compared with sandblasted specimens. 2. In Mild Rebaron and Mild Rebaron LC. Cesead Opaque Primer showed the highest bond strength, but the differences among Cesead Opaque Primer, MR. BOND and METALPRIMER II were not significant. The bond strength of Cesead Opaque Primer was significantly different with that of Super-Bond C&B. 3. In Meta Base M, Super-Bond C&B showed the highest bond strength, but there was no difference between Super-Bond C&B and three metal primers. 4. There was no difference in the bond strength between Mild Rebaron and Mild Rebaron LC when metal surface was treated with the same method. 5. The bond strengths of Mild Rebaron and Mild Rebaron LC treated with Cesead Opaque Primer were higher than that of Meta Base M. The bond strengths of Mild Rebaron treated with MR. BOND and METALPRIMER II was higher than that of Meta Base M, However, there was no difference among three reline resins treated with Super-Bond C&B.

An Analysis of the Properties of Affective Achievement in Science Based on TIMSS and Science Teachers' Perception (TIMSS 결과에 기초한 과학의 정의적 성취 특성 및 과학 교사의 인식 분석)

  • Kim, Miyoung;Cho, Jimin
    • Journal of The Korean Association For Science Education
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    • v.33 no.1
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    • pp.46-62
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    • 2013
  • In this study, nations with high academic achievement but disparate affective achievement in science according to the results of the TIMSS 2007 were selected and students' responses in the main survey for affective properties from those nations were analyzed. In addition, Korean science teachers' perception of affective achievement and the properties of teaching and learning science was explored by an online survey. According to the results of the analysis of students' responses in the main survey, the percentage of those with high levels of confidence in, pleasure in, and value perception of science was large for Hong Kong, Singapore, and England but small for Korea, Taiwan, and Japan. When the properties of teaching and learning in actual science classes were observed in Korea, actual classes focused little on experimentation, research activities, and the context of everyday life. According to the results of surveys conducted on science teachers, students' low confidence in science was due to difficult and uninteresting curricula and the absolute lack of time to study science and their low interest in the subject was due to difficult curricula and the view that science was unrelated to their future academic or professional careers. In addition, according to the teachers, students' low value perception of science curricula was due to the fact that there was no need to excel in science for academic or professional careers and the idea that the subject was of no help to daily life.

Processes and Outcomes of Creative City Policies: Case Studies on UK-Tech City (창조도시정책의 추진과정과 성과에 대한 연구: 영국의 테크시티 정책을 중심으로)

  • Lee, Byung-min
    • Journal of the Economic Geographical Society of Korea
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    • v.19 no.4
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    • pp.597-615
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    • 2016
  • Since 1997 the United Kingdom has pursued creative industry and creative city development in accordance with the New Labor Party policy, strengthening its cluster policy by assigning creative city policies to traditional manufacturing-oriented regions. Tech City in London, one of the most successful examples of digital clusters, is an area in which diverse ecosystems for venture business integration have been established, as the once barren space began to spontaneously develop. For this region, systematic linkages including universities, private companies, start-ups, and accelerators have been added, along with the UK government's active support system. As a result of this opportunity, the scale of the UK start-up ecosystem has significantly grown, the number of local companies has surged, and brand effect has greatly improved. Tech City is an example of a well-balanced combination of public effort and private governance, based on the region's historical background and its potential for growth. It is an effective coordination of public policy and private active investment, services, research, and education. The market platform for institutional technology and commercialization, and aggressive investment shares in the risk, have lead to its growth as a start-up and an innovative city. Britain's efforts to expand the nationwide cluster for the future-oriented digital economy is most noteworthy.

A Study on the Hangul Banggakbon Novels in the Harvard-Yenching Library (미국 하버드옌칭도서관 소장 한글 방각본 소설 연구)

  • Lee, Hye-Eun;Yoo, Choon-Dong
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.24 no.2
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    • pp.113-128
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    • 2013
  • This study targets ten titles of Hangul banggakbon novels in the Harvard Yenching Library to examine the bibliography, system, and characteristics. Among the ten titles, gyeongpanbon Guunmong, Leehaeryongjeon, Chunhyangjeon, Janggyeongjeon, two titles of Sodaeseongjeon, Honggildongjeon, anseongpanbon Yangpungunjeon, and two titles of wanpanbon Hwaryongdo have been found in Korea, too. However, gyeongpanbon Chunhyangjeon, 30 jangbon of Hyogyosingan(孝橋新刊), and wanpanbon Hwaryongdo seogyeseopobon are the ones that can be hardly found in Korea, and the library has possessed it there so far. With the two titles of Hangul banggakbon novels, it will be needed to reexamine the aspects of publishing Hangul banggakbon novels afterwards. Hangul banggakbon novels that Harvard-Yenching Library has now are mostly the ones that can be easily found in Korea, too. It is because the data started to be collected from the 1950's. In comparison with the materials in England, Russia, or Japan in the early 1890's, there are no rare books that cannot be found in Korea. The reason for this may be found from this.

The effect of chlorhexidine varnish application on the shear bond strength of orthodontic brackets (클로르헥시딘 바니쉬의 적용이 교정용 브라켓의 전단접착강도에 미치는 영향)

  • Im, Dong-Hyuk;Kim, Tae-Woo;Chang, Young-Il;Nahm, Dong-Suk;Yang, Won-Sik;Baek, Seung-Hak
    • The korean journal of orthodontics
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    • v.30 no.2 s.79
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    • pp.215-222
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    • 2000
  • The purpose of this study was to determine whether the application of chlorhexidine varnish affects the shear bond strength and failure pattern of orthodontic brackets or not. The experimental group consisted of 22 human premolars which extracted after chlorhexidine varnish application (4 times for 1 week interval) in vivo, and the control group consisted of 22 human premolars which extracted without any pre-treatment. After all teeth were etched with $37\%$ phosphoric acid gel, metal orthodontic brackets (Q-3002, RMO, USA) were bonded to each tooth using auto-polymerizing orthodontic resin (Ortho-One, Bisco, USA) with the same bonding procedure. The shear bond strength was measured with Instron universal testing machine (model 4466, Instron Ltd., England), and the failure pattern of each bracket was examined with Scanning Electron Microscope (SM 840A, JEOL, Japan). The data were analysed statistically with t-test. The results were as follows : 1. Application of chlorhexidine varnish had no significant effect on the shear bond strength of the orthodontic bracket. 2. There was no significant difference in the failure pattern of orthodontic bracket between the experimental group and the control group.

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Water Quality Impact Assessment in Korea - Comparing with the Integrated Control of Pollutant-Discharging Facilities - (수질분야 환경영향평가의 개선방안 - 환경오염시설의 통합관리와 대비하여 -)

  • Lee, Jong Ho;Cho, Jae Heon
    • Journal of Environmental Impact Assessment
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    • v.26 no.5
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    • pp.331-343
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    • 2017
  • The important changes in water environment management in Korea can be summarized as the enactment of Act on the Integrated Control of Pollutant-Discharging Facilities. Therefore water quality impact assessment should be reexamined and be revised. This study examines the present water quality impact assessment items (permissible discharge limits, standards for effluent water quality including Total Pollutant Load Management System) and considers the land use regulation for water quality conservation and NVZs(Nitrate Vulnerable Zones of EU and England). It also considers lately adopted standards(maximum discharge standards, permissible discharge standards, and marginal discharge standards etc) based on Act on the Integrated Control of Pollutant-Discharging Facilities and then compares Korean BAT and its counterpart control technology of U.S.A. And it also compares the items of water quality impact assessment with those of Integrated Control of Pollutant-Discharging Facilities, based on EIS reporting items. This study suggests five improvement measures for water quality impact assessment. First reflection of discharge impact analysis on impact prediction and assessment, second reflection of permissible discharge standards on agreed standards in the EIA procedure, third, reflection of diversified BAT on mitigation measures in the EIA procedure, forth introduction of land use regulation such as NVZs, finally strengthening linkage between water quality items and land use items etc.

A Study on the Biotop's Characters of the Mixed Rural City(III) - Case Study of Chonan - (도농통합형 도시에 있어서 생물서식처 공간특성에 관한 연구(III) - 천안시를 중심으로 -)

  • Bang, Kwang-Ja;Lee, Haeng-Youl;Kang, Hyun-Kyoung;Park, Sung-Eun
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.2 no.1
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    • pp.48-57
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    • 1999
  • This study was aimed to establish biotop unit of the mixed rural city for the method and process of the biotop mapping system. Survey site was Maejuri of Seunghwan(158ha), Gisanri of Mokchon(132ha) and Namkwanri, Pungsemeon(214ha). So the main process was divided by 4 schemes such as Biosphere, Geosphere, Antrosphere and Evaluation. Also the GIS(geographic information system) was used to make the database of the biotop and biotop complex, analyze the cross-combinations and analyze the characters of the biotop. Biotop mapping system had 5 steps which were proceeded with research goals, constructing the spatial database and attribute database, classifying the 3 types of biotop such as tree/shrub biotop, grass biotop and wetland biotop, cross-analyzing 3 biotop types with land use, habitat characters, relief characters and danger/disturbance elements and evaluating the 3 types of biotop. The results of applicating the biotop mapping system on the research site as followings : The distributions of the land uses in Maejuri, Seunghwan eup in Chonan city were recorded by forest(29.8%), orchard(14.1%) and landscaping around building site(9.0%). Gisanri, Mokchonmeon were composed of forest(64.5%), farm(12.8%) and Namkwanri, Pungsemeon were concentrated rice field(39.6%), dwell district(22.4%). The Tree/Shrub biotop type was reclassed by the forest type, natural and artificial decidous type with natural coniferous. The Grass biotop type was reclassed by the wild grassland type, garden type and peddy field with wild grassland. The distributions of the wet land were pointed high at the wet land type with reed marsh and edge vegetation around wet land in reservoir and river. The evaluation of the mapped bitopes was completed to the following aspect, "amenity" and "environmental education". A high value of 7.13%(1 class) was shown Maejuri, Seunghwan eup. The regions which were studied synthetically are divided to three parts ; the area where have nature and art mixed(Seunghwan), the area which is more artificial because people inhabit there for a long time(Pungsemeon) and the area that ecological environment is threatened by development pressure(Mokchonmeon). Therefore, ecological restoration plan which depends on specific property of the regions should be established. Also the interdisplinary researches were needed to develop the BMS(Biotop Mapping System) in Korea because of the differences with Germany, England's ecological habitat conditions.

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Establishment of an Analytical Method for Azorubine, an Undesignated Food Colorant in Korea

  • Kim, Min-ji;Park, Ju-hee;Suh, Hee-Jae;Lee, Chan
    • Journal of Food Hygiene and Safety
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    • v.31 no.5
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    • pp.311-318
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    • 2016
  • Azorubine is a synthetic tar color containing azo-bond in the molecular structure. This food colorant has been allowed to be used for beverages, cheese and dried fruits in the European Union and for some food in Australia. Even though it is applicable as a food color in many countries, this compound has not been permitted in Korea so far as a food additive. Thus, this study was performed to establish an analysis method for azorubine in Korea by comparison of three HPLC analysis methods for azorubine and other azo-compounds which are officially used in the European Food Safety Authority (EFSA, EU), the Food Standard Agency (FSA, England) and the National Institute of Food and Drug Safety Evaluation (NIFDS, Korea). The analysis method of the FSA for azorubine showed the best linearity ($r^2=0.999$), limit of detection (LOD, $0.07{\mu}g/mL$), limit of quantification (LOQ, $0.20{\mu}g/mL$), precision (0~0.5%) and accuracy (98.6~100.7%) among tested HPLC methods using a C-18 column and diode array detector (DAD) with ammonium acetate solution and acetonitrile as an eluent solution. Finally selected method of FSA was further verified by inter-day and intra-day experiments with linearity, LOD, LOQ, precision and accuracy. Recovery test showed the recover ratios of 97~103%, 95~101%, and 93~102% in beverages, breads/snacks and other foods, respectively. Inter-laboratory test represented the absolute value of z-score of less than 2 which means satisfactory levels in this test. Selected method of FSA showed reliable analytical results in application test using food samples collected in commercial markets in Europe.

The amendment tendency analysis of the Korean Infectious Disease Prevention Act and a recommendation for the next amendment (전염병관리 관련법령의 변화 추이분석 및 향후 개정방향에 관한 연구)

  • Whang, Chang-Yong;Ohrr, Hee-Choul;Lee, Duk-Hyoung;Park, Ki-Dong;Lee, Jong-Koo
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.3 s.62
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    • pp.540-563
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    • 1998
  • This Study has been carried out to make a recommendation for the next amendment of the Infectious Disease Prevention Act with a specific focus on the kind of notifyable disease. Korean, Japanese, German, U.S, English and French acts on infectious diseases prevention were reviewed, compared with and analized in regards of numbers and kinds of notifyable infectious diseases and their tendency of amendments. An criteria was designed to assess the level of validity of diseases to be designated in the act. Four items, the fatality (greater than 10% or not), the possibility to make a big epidemic, the availability of efficient vaccination and the usefulness of isolation, are used in the assessment. This index is applied to the diseases in Korean and other countries' Infectious Disease Prevention Acts. Results are as follows: 1. The Korean Infectious Disease Preventon Act has a unique way of classifying the notifyable infectious disease, that is, the first, the second and the third class. But the author cannot find the basis of classification. No other countries reviewed have the similar classification. 2. The ten diseases, cholera, plague, yellow fever, diphtheria, typhoid fever, poliomyelitis, rabies, tetanus, malaria, and meningococcal meningitis are designated as the notifyable diseases not only in Korea but also in Japan, Germany, United States, England and france. 3. Thirty seven diseases including small pox, Lassa fever, anthrax, influenza, German measles, Legionellosis, infection with E. coli O157:H7, Q-fever, brucellosis, Lyme disease are designated as legal disease at least one of the above mentioned countries. 4. The Korea has been coped with the change of the infectious disease occurrence for last fifty years in amendment of the Infectious Disease Prevention Act. 5. Japan has a special infectious surveillance system composed of 3,880 clinics throughout the whole country. 6. Germany has classified infectious diseases in five categories which are based on seriousness of disease. Any confirmed death, cases and suspected cases in class I should be reported within 24 hours. But only confirmed death and cases in class II, but not suspected cases, are reportable in Germarny. 7. Plague, bacillary dysentery, pertussis, mumps, Japanese encephaltis and Korean hemorrhagic fevers are diseases with high credits validity index among Korean legal disease. 8. German measles, anthrax, E. coli O157 : H7 infection, Lassa fever, Q-fever, brucellosis are high in validity index among those which are not designated in Korea but designated in other countries. In conclusion, the Korean Infectious Disease Prevention Act has well been coped with the changes of infectious disease occurrence for last fifty years, but the classification basis and the validity of diseases to be designated as legal diseases is worth reevaluating.

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