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A Comparative Experimental Study on the Vital signs, Crying Fluid Intake and Excretion of the Full-term newborn Infant kept in the Prone or Lateral Position (복위 및 측위에 따른 신생아의 활력증상, 울음회수, 수유량 및 배설횟수의 비교연구)

  • 한경자
    • Journal of Korean Academy of Nursing
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    • v.5 no.1
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    • pp.133-143
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    • 1975
  • Most of mothers place their babies in either supine or prone position without change of position. Studies comparing supine and prone position of the newborn infants -have already been performed with the result that the prone position is relatively better than the supine position. However, one kind of position recommended to the mothers is not sufficient for the good rearing practice of children, because the same position placed for period long of time may bring out physical, mental tension and fatigue, and deformities of the skull and the thorax. For this reason nurses have to find out other position which has identical or more advantages than prone position so as to perform the position change for the babies. Main purpose of this study is to identify the differences of vital signs, the number of urination, defecation, diaper rash, crying and amount of feeding of the newborn infants with prone position or lateral position during the first three days of life. Sixty two newborn infants who were delivered at Seoul National University Hospital during the period from July 1 to September 5, 1974 were chosen as subjects for this study. The criteria for the choice of subjects were the babies born with vaginal delivery; body weight 2.5kg or over at birth; Apgar score Seven or over; and gestation period between thirty-eight months ana forty- two months. Of these subjects, by random sampling, thirty-one newborn infants were placed in the prone position and the other thirty-one in the lateral position. The results of this study reviewed in a statistical analysis of the t-test to obtain the following findings : 1. The heart rates of babies in the prone position were the mean heart rates of 135.03 and those in the lateral position 135.98 without any statistically significant difference. 2. There was no significant difference of respiration rate between two groups : a group in the prone position showed the mean respiration rates of 45,57 and the other in the lateral position 46.49. 3. There was no significant difference of body temperature between two groups: the mean body temperature of a group placed in the prone position was 98$^{\circ}$18'F(36$^{\circ}$77'C) and that of the other group 98$^{\circ}$20'F(36$^{\circ}$78'C). 4. One baby showed diaper rash only in a group of infants in the prone position. 5. The number of crying of the babies in the prone position were 23.70 and those in the lateral position 30.00 with a statistical difference at 5 percent level. 6, There was no difference of frequency of urination between two groups: the mean frequency of a group placed in tile prone position was 5.44 and that of the other group 5.06, 7. There was no significant difference of frequency of defecation between two groups : the mean frequency of a group placed in the prone position was 4.20 and that of tile other group 4.21, 8. There was no significant difference of feeding amount between two groups : the average amount of a group in the prone position showed 325.03 and that of the other group in the lateral position 291.51. All the above results mean that we may substitute tile lateral position for the Prone position or utilize both position for tile rearing practice of the babies.

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A Case Study of Art Therapy for Decrease in Depression and Anxiety and Improv in Self-esteem of maladaptive Behavior Child (부적응 행동 아동의 우울·불안 감소와 자아존중감 향상을 위한 미술치료 사례연구)

  • Lee, Young Hwan;Jeong, Nam Ju
    • Korean Journal of Childcare and Education
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    • v.5 no.2
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    • pp.43-71
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    • 2009
  • This study is aimed at performing art therapy and looking into the effect on declining depression and anxiety and improving self-esteem, targeting at maladaptive behavior child in home and school living. So, this study made an application of fine art programs 2 session a week, for 50minutes each, total 24 sessions, targeting at elementary 1st girl graders(7 years old in full) in J city. In the end-term, this study performed a fine art therapy for 6 sessions together with mother-children. This study used a Korean-style Children Depression Inventory(CDI) developed by Kovacs and Beak(1977) and adapted by Jo Su Cheol and Lee Young Sik(1990) to look into children's decline in depression and anxiety and Revised Child Manifest Anxiety Scale(RCMAS) produced by Reynolds and Richmond(1978) and adapted by Jo Su Cheol and Choi Jin Suk(1990) to look into improvement of self-esteem. This study performed and analyzed KHTP, KFD painting examination, prior as well as post, to perform children's emotional appraisal and analyzed, classified with sessions, children's change in the progress of programs. The results of this study were as follows: First, fine art therapy was effective in declining children's depression and anxiety. Second, fine art therapy was effective in improving children's self-esteem. Third, children changed their emotional stability affirmatively in KHTP, KFD painting tests. Family affinity and cohesion were strengthened and changed into friendly family. Fourth, in the progress of programs, classified with sessions, children inclined their depression and anxiety and improved their self-esteem. This study leads to the result that art therapy inclines depression and anxiety in maladaptive behavior child and has an affirmative effect on improving self-esteem.

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Condition Evaluation of the Pavement Foundations Using Multi-load Level FWD Deflections (다단계 하중 FWD를 사용한 도로기초 상태평가 연구)

  • Park, Hee-Mun;Kim, Richard Y.;Park, Seong-Wan
    • Journal of the Korean Geotechnical Society
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    • v.19 no.6
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    • pp.261-271
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    • 2003
  • A condition evaluation procedure for the pavement foundations using multi-load level Falling Weight Deflectometer(FWD) deflections is presented in this paper. A dynamic finite element program incorporating a stress-dependent material model, was used to generate the synthetic deflection database. Based on this synthetic database, the relationships between surface deflections and critical responses, such as stresses and strains in base and subgrade layers, have been established. FWD deflection data, Dynamic Cone Penetrometer(UP) data, and repeated load resilient modulus testing results used in developing this procedure were collected from the Long Term Pavement Performance (LTPP) and North Carolina Department of Transportation (NCDOT) database. Research effort focused on investigation of the effect of the FWD load level on the condition evaluation procedures. The results indicate that the proposed procedure can estimate the pavement foundation conditions. It is also found that structurally adjusted Base Damage Index (BDI) and Base Curvature Index (BCI) are good indicators for the prediction of stiffness characteristics of aggregate base and subgrade respectively. A FWD test with a load of 66.7 kN or less does not improve the accuracy of this procedure. Results from the study for the nonlinear behavior of a pavement foundations indicate that the deflection ratio obtained from multi-load level deflections can predict the type and quality of the pavement foundation materials.

Changes Detection of Ice Dimension in Cheonji, Baekdu Mountain Using Sentinel-1 Image Classification (Sentinel-1 위성의 영상 분류 기법을 이용한 백두산 천지의 얼음 면적 변화 탐지)

  • Park, Sungjae;Eom, Jinah;Ko, Bokyun;Park, Jeong-Won;Lee, Chang-Wook
    • Journal of the Korean earth science society
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    • v.41 no.1
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    • pp.31-39
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    • 2020
  • Cheonji, the largest caldera lake in Asia, is located at the summit of Baekdu Mountain. Cheonji is covered with snow and ice for about six months of the year due to its high altitude and its surrounding environment. Since most of the sources of water are from groundwater, the water temperature is closely related to the volcanic activity. However, in the 2000s, many volcanic activities have been monitored on the mountain. In this study, we analyzed the dimension of ice produced during winter in Baekdu Mountain using Sentinel-1 satellite image data provided by the European Space Agency (ESA). In order to calculate the dimension of ice from the backscatter image of the Sentinel-1 satellite, 20 Gray-Level Co-occurrence Matrix (GLCM) layers were generated from two polarization images using texture analysis. The method used in calculating the area was utilized with the Support Vector Machine (SVM) algorithm to classify the GLCM layer which is to calculate the dimension of ice in the image. Also, the calculated area was correlated with temperature data obtained from Samjiyeon weather station. This study could be used as a basis for suggesting an alternative to the new method of calculating the area of ice before using a long-term time series analysis on a full scale.

The Relationship between Job Stress and Job Satisfaction of Geriatric Care Helpers (요양보호사의 직무스트레스와 직무만족 간의 관계)

  • Lim, Jung-Do
    • The Journal of the Korea Contents Association
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    • v.11 no.1
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    • pp.225-235
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    • 2011
  • The research on the analysis of relationship between job stress and job satisfaction has been conducted targeting 355 Geriatric Care Helpers who are caring for the elderly people in the geriatric care centers in the area of Busan by the Act of Long-term Care Insurance for the Geriatric. As the method for the analysis t-test was conducted to investigate their job stress, counter-stress experience and effort, and job satisfaction. Also regression analysis was conducted to analyse the factors having effect on the job satisfaction of geriatric care helpers. The results of analysis can be summarized as following. First, job stress of geriatric care helpers at hospitals has shown significant difference from that at geriatric care centers, while job satisfaction of geriatric care helpers at care centers has shown some difference from that at hospitals. Second, measurement experience and effort of job stress was shown to some difference according to each institution. Third, the effect factors on geriatric care helpers were employment type, job stress, stress with patients in the case of hospitals, while those on geriatric care helpers were average wage, employment type, the number of charging patients, job stress, job requirement stress, and stress with patients. However, regardless of the type of employed institution, job satisfaction was shown high in case of full time job, low job stress, and high stress with patients.

Effects of soy-based formula on infants' growth and blood laboratory values spanning 3 years after birth (대두 영유아식이 생후 3세까지 신체 계측치 및 혈액검사에 미치는 영향)

  • Yoon, Ji Eun;Kim, Mi-Jung;Han, Heon-Seok
    • Clinical and Experimental Pediatrics
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    • v.52 no.1
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    • pp.28-35
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    • 2009
  • Purpose : We compared body growth, blood cell counts, and chemistry among infants receiving soy-based formula (SF), breast milk (BM), and casein-based formula (CF). Methods : Full-term neonates delivered at our hospital from June 2001 to August 2003 were recruited and divided into 3 feeding groups (BM=20, SF=19, CF=12 ) according to the parents wishes. Breast feeding or artificial formulae were given during the initial 3 months of age; thereafter, weaning foods were added freely. Height, weight, head circumference, skin-fold thickness, and mid-arm circumference were measured at birth and 1, 2, 4, 5, 12, and 36 months of age. Cell counts and blood chemistry were analyzed at 5, 12, and 36 months of age. Result : At 5 months of age, body weight was the lowest in the SF group; the height was similar among all groups. Thereafter, there were no differences in height or weight among the groups until 36 months of age. Hemoglobin was the lowest in the BM group at 5 and 12 months of age (P< 0.05 ). At 5 months of age, serum cholesterol, BUN, phosphates, and K+ were significantly lower in the SF group; thereafter, all chemical parameters were similar until 36 months of age. Conclusion : Infants fed with SF showed normal growth during the first 3 years of life as compared to infants fed with BM and CF. Low values of serum phosphates and K+ at 5 months of age in the SF group, despite the high mineral content, suggest that further investigation is needed for effective mineral absorption.

Effect of Neonatal Developmental Intervention Program (NDT) on Motor Development and Growth in Premature Infants

  • Park, Geun-Hwa;Choi, Sang-Youn;Kim, Sung-Mi;Kim, Mi-Ae;Lee, Eun-Ju
    • Neonatal Medicine
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    • v.17 no.2
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    • pp.207-216
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    • 2010
  • Purpose: The aim of this study was to identify the effects of neonatal developmental intervention program (NDT) in promoting motor development and growth and to determine the usefulness of Hammersmith Neonatal Neurological Examination (HNNE) and Neonatal Behavioral Assessment Scale (NBAS) in premature infants. Methods: We performed NDT on selected premature infants (PI, n=42) and compared them with the full term control group (FC, n=20). NDT protocol and development assessment (HNNE, NBAS) were manipulated by the physical therapist in the neonatal intensive care unit. The data of this study were collected prospectively. Results: The PI with GA <34 weeks (VPI) subgroup showed a more use of mechanical ventilator and surfactant, severe bronchopulmonary dysplasia and intraventricular hemorrhage, and patent ductus arteriosus treated surgically than the PI with GA $\geq$34 weeks but less than 37 weeks (LPI) subgroup. The average scores improved significantly in the PI group between the 1st, 2nd, and 3rd assessment by repeated measure (P=0.000). Also, the PI group showed significantly higher total scores and average score at 40 weeks postmenstrual age, P=0.000, respectively than in the FC group. The LPI subgroup showed more weight gain and change in the head circumference between the 1st and 3rd assessment by repeated measure, respectively, P<0.05. The PI group showed no apnea, bradycardia and late sepsis associated with intervention and assessment. Conclusion: The NDT might be a safe and useful intervention to promote motor and growth outcomes in premature infants. Also, the HNNE and NBAS might be safe and useful tools for assessing neurodevelopment in premature infants.

A Reversal in Retirement Ages and the Future of Social Policy in the United States (미국인의 조기퇴직 역전현상과 고령자 사회정책의 미래)

  • 전광희
    • Korea journal of population studies
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    • v.26 no.1
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    • pp.115-141
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    • 2003
  • The aim of this paper is to describe a long-term trend toward earlier retirement and its reversal since 1985 in the United States, together with changes in socioeconomic conditions and social-policy programs which have contributed to this new development. The American people's recent propensity to retire at relatively younger ages was mainly a result of secular increase in individual wealth that had made it possible for them to enjoy higher standard of living without their participation in labor market activities at older ages. In addition to the introduction of compulsory retirement system, both social security retirement pension program and corporate pension system have also contributed significantly to the declining retirement age and its reversal around the mid-1980s. This paper pays full attention to the set of social policy programs which are currently being used to sustain the recent reversal in ages at retirement. The basic question to be raised here, however, is about whether or not the U. S. government will ave to continue to implement the social policies and programs used to discourage the elderly from retiring at relatively younger ages in the future. In this paper, it is argued that labor productivity growth and improvement in work attitude prior to retirement will help the elderly find little difficulties in having higher standard of living, despite their further lengthening of life expectancy at birth and post-retirement survival chances, the latter being often called the "third life". Most American people hope that the social-policy programs that have promoted early retirement will remain unchanged in the first part of the 21st century while they will put significant financial burden on their future descendants who have to work in the paid labor market. Taking this observation in consideration, this paper concludes that the U. S. government has to focus more on developing the programs that improve work propensity and labor productivity among the currently working-age population rather than continuing to implement the programs that sustain the recent reversal in retirement ages.ment ages.

Hemato-biochemical and Cortisol Profile of Holstein Growing-calves Supplemented with Vitamin C during Summer Season

  • Kim, Jong-Hyeong;Mamuad, Lovelia L.;Yang, Chul-Ju;Kim, Seon-Ho;Ha, Jong-K.;Lee, Wang-Shik;Cho, Kwang-Keun;Lee, Sang-Suk
    • Asian-Australasian Journal of Animal Sciences
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    • v.25 no.3
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    • pp.361-368
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    • 2012
  • Effect of vitamin C (VC) on biochemical, hematological and cortisol profile of growing Holstein calves during summer was investigated. Eighteen calves between 14 and 16 weeks of age were divided equally into two groups. One group received a diet supplemented with VC (20 g/d) for 60 days, while other non-supplemented diet fed group served as a control (CON). The temperature humidity index (THI) was recorded and computed during the experiment. From days 0 to 60, the THI exceeded 70. Blood samples were collected from the jugular vein of each calf at days 0, 15, 30, 45 and 60. Serum albumin and total protein decreased (p<0.05) in CON and VC calves with age. Serum glutamic-oxaloacetic transaminase concentrations were not affected by treatments. Serum creatinine, albumin and glutamic-pyruvic transaminase concentrations were higher in calves in the VC group than the CON group. While red blood cells, hemoglobin and hematocrit were lower (p<0.05) in VC calves, mean corpuscular volume, mean corpuscular hemoglobin, red blood cell distribution width and mean platelet volume were higher (p<0.05) in these VC supplemented calves. Leukocyte parameters including white blood cells and full term for lymphocytes were not affected by the treatments. Also, serum cortisol was not affected by treatments. At day 15, 30 and 45, the total VC in plasma was higher (p<0.05) in calves fed with VC. In conclusion, serum cortisols were not affected by plasma VC concentration, while some blood parameters were positively influenced in calves fed with VC.

The Landscape Characteristics of Utopia Shown in the Travel Records of Jirisan Mountain (지리산 유람록에 나타난 이상향의 경관 특성)

  • So, Hyun-Su;Lim, Eui-Je
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.32 no.3
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    • pp.139-153
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    • 2014
  • This study contemplates the utopian landscape recognized by the scholars with twenty three pieces of 'travel record'. Consequently, five key words - Mureungdowon(武陵桃源), Byeolcheonji(別天地), Dongcheon(洞天), Chonghakdong, Eungeoji(hermitage) - are chosen for comprehending the utopia and their landscape characteristics are organised as follows. Mureungdowon in Jirisan Mountain which the scholars dreamed of is a flatland with the full energy for local vegetation and domestic animals in the mysterious and deep gorge. This utopia eventually reflects the rural landscape. Byeolcheonji is a utopia combining the concept of a fairyland and beautiful scenery. The scholars also used the term 'Dongcheon' for naming the enclosed landform which is suitable for seclusion and defining the some areas of beautiful scenery. Cheonghakdong, which is set only in Jirisan Mountain, has been formed by the stone scenery of gorges and Buril waterfalls around the whole area of Burilam Hermitage, the vegetation scenery of pine trees and bamboos with the legend of Choi Chiwon and his engraved inscription on a rock. Adding to the utopia passed down, the scholars perceived the village with geographical features with back to the mountain and facing the water, the river practising the trade, the flatland enclosed by bamboo forests, the vegetation mainly consisting of fruit trees and beautiful scenery as the utopia realized on earth. It is equivalent to the world of human beings laboring appropriately and living in Mother Nature. As mentioned above, this study has significance for apprehending the relevance between the culture of strolling in the mountains by the scholars of Joseon Dynasty and the fairyland and explaining the various traditional utopias from the inherited concepts from China to the naturalized realistic utopia.