This study was aimed at the married immigrant women and was attempted to provide the basic data of the nursing practice useful in identifying the relationship aspects and the influence of resilience factor and promoting the family adaptation. This study was conducted for the married immigrant women who were located in urban-rural complex area around Daejeon city and in Chungnam region, and the multi-cultural families supporting program of community welfare halls among those who had resided over 1 year in Korea. The data was collected from Feb, 2012 to July, 2012 and in the end, 216 questionnaires were made the subjects of data analysis. For the collected data, frequency analysis, percentage, ANOVA, t-test and correlation analysis were conducted using SPSS, LISREL. The overall index of hypothesis model showed a good congruence like ${\chi}^2$ = .06 (p= .812), df=1, ${\chi}^2$(df)=.06, GFI=1.0, AGFI= 1.0, SRMR=.002, NFI= 1.0, NNFI=1.0, RMSEA=0.000, CN=266. Looking at the results of hypothesis testing suggested by the model, the variables which affected the family adaptation were family stress and parenting stress, while social support, family hardness, problem solving communication, and problem solving coping didn't affect the family adaptation. It is considered that based on the results of this study, nursing intervention which helps the family adaptation of the married immigrant women who are in a crisis situation must be done with a program which can help them have a positive view on the stress situation and reduce the stress happening in the family relationship and parenting.
The purpose of this study was to investigate the effects of 12 weeks of abdominal breathing exercises, through AB spur, on weight and BMI, % body fat, and waist-hip ratio in healthy college students. The subjects consisted of 20 obese young college students, and all of whom had no other health complications. The subjects were shown in detail the proper way to utilize the equipment and practice abdominal breathing in a laboratory setting. They were told to wear the AB spur for at least six hours a day in order to induce abdominal breathing exercise. Because the subjects were students, most of the abdominal breathing exercises took place while they were sitting in lectures at school, and they wore the equipment for 12 weeks. At 4, 8, and 12 weeks after the subjects started using the AB spur, there were significant decreases in weight, % body fat, BMI, and waist-hip ratio (p<0.05). In conclusion, the results of the stud suggest that abdominal breathing exercise may be a good weight loss method, as well as a beneficial way to decrease obesity factors, in obese college students.
Kim, Min-Kyeong;Seo, Myung-Chul;Lee, Nam-Jong;Chung, Jong-Bae;Kim, Bok-Jin
Korean Journal of Soil Science and Fertilizer
/
v.36
no.1
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pp.16-23
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2003
Soil and water quality was monitored in the Nakdong River basin to assess the impact of different agricultural practices. From five catchments, soil samples were collected at three times during 1996 to 1998, and water samples were collected at twelve times on July during 1995 to 1999. The major agricultural practices were paddy and upland farming in three areas surveyed: Youngju, Goryung, and Milyang. Apple orchards were located along in the Imgo-Cheon catchment. Intensive vegetable farming in plastic fIlm house was practiced in the Habin-Cheon catchment. Total N contents, 0.04-0.32%, of paddy soils were low in comparison with those of upland, orchard, and plastic film house soils. Available phosphate($P_2O_5$) contents, $2-421mg\;kg^{-1}$, in plastic film house soils were higher than those in paddy soils. In plastic film house and upland soils, CEC of soils were high. The N concentrations in most of the streams were higher than $1.0mg^{-1}$, the standard of agricultural irrigation water. The P concentrations were above $1.0mg^{-1}$, the standard of agricultural irrigation water and were higher than the minimum level for eutrophication, $0.01-0.05mg\;L^{-1}$ in most of the streams. In conclusion, nutrients by agricultural activity could affect water quality of streams near the agricultural fields. Good water quality in streams can be maintained by proper management of agricultural fields and by decreasing application amount of fertilizers in agricultural fields.
Rice cultivation in paddy field affects the global balance of methane ($CH_4$) as a key greenhouse gas. To evaluate a potential use of by-product gypsum fertilizer (BGF) in reducing $CH_4$ emission from paddy soil, $CH_4$ fluxes from a paddy soil applied with BGF different levels (0, 2, 4 and $8Mg\;ha^{-1}$) were investigated by closed-chamber method during rice cultivation period. $CH_4$ flux significantly decreased (p<0.05) with increasing level of BGF application. $8Mg\;ha^{-1}$ of BGF addition in soil reduced $CH_4$ flux by 60.6% compared to control. Decreased soil redox potential (Eh) resulted in increasing $CH_4$ emission through a $CO_2$ reduction reaction. The concentrations of dissolved calcium (Ca) and sulfate ion (${SO_4}^{2-}$) in soil pore water were significantly increased as the application rate of BGF increased and showed negatively correlations with $CH_4$ flux. Decreased $CH_4$ flux with BGF application implied that ${SO_4}^{2-}$ ion led to decreases in electron availability for methanogen and precipitation reaction of Ca ion with inorganic carbon including carbonate and bicarbonate as a source of $CH_4$ formation under anoxic condition. BGF application also increased rice grain yield by 16% at $8Mg\;ha^{-1}$ of BGF addition. Therefore, our results suggest that BGF application can be a good soil management practice to reduce $CH_4$ emission from paddy soil and to increase rice yield.
It is important for young adults to establish good dietary behavior for healthy life. The prevalence of obesity in college students has increased gradually. The obesity is one of the most prevalent health problems in S. Korea. Moreover, obesity is closely related with the disease such as cardiovascular disease, diabetes mellitus. The purpose of this study was to evaluate health practice, serum components and nutrient intake of the college students according to Body Mass Index (BMI) level. 400 male and female freshmen students in 4 year university located near to Seoul metropolitan area were surveyed respectively through the health check-up procedure for college entrance in February. Survey was carried out for them by questionnaires, including a 24-hour dietary recall and anthropometric measurements. Blood samples were obtained while fasting. Nutrient intake was expressed by DDS(Dietary Diversity Score by 5 food groups) and DVS(Dietary Variety Score). Nutrition level was analyzed by Can-Pro (Korea Nutrition Association). And for the quantity intake, percentage ratio against daily requirement(by KDRIs) and MAR(Mean Adequacy Ratio) were calculated. Underweight group($BMI<18.5kg/m^2$), normal weight group($18.5) and overweight group($BMI<23.0 kg/m^2$) were 18.5%, 61.2% and 19.3% respectively. Nutrient intake levels and food intake status were not significantly different among three groups. The mean nutrient adequacy ratio (MAR) was not significantly different by BMI status. Nutrient intakes of calcium, iron, and riboflavin were especially low for all the students. Overweight group showed high blood pressure(120.9/79.3 mmHg) compared with the underweight group (116.4/ 75.8mmHg) but the difference was not significant. The serum triglyceride level in overweight group (94,0mg%) was higher than that in normal (70.9mg%) or underweight group(70.8mg%)(p<0.05). HDL-cholesterol level in overweight (43.8 mg%) group was not significantly different from that in underweight group (45.9mg%). BMI was positively correlated with blood pressure, hemoglobin, and the intake of total fat and cholesterol. But it was negatively correlated with HDL-cholesterol level. With these results overweight group is closely related with the cardiovascular disease risks, such as high blood pressure and high triglycerides and cholesterol. Thus, a health intervention program including weight control is required for young adults.
Determination of the cause of malignant pleural effusions is important for treatment and management, especially in cases of unknown primaries. There are limited biomarkers available for prediction of the cause of malignant pleural effusion in clinical practice. Hence, we evaluated pleural levels of five tumor biomarkers (CEA, AFP, CA125, CA153 and CA199) in predicting the cause of malignant pleural effusion in a retrospective study. Kruskal-Wallis or Mann-Whitney U tests were carried out to compare levels of tumor markers in pleural effusion among different forms of neoplasia - lung squamous cell carcinoma, adenocarcinoma, or small cell carcinoma, mesothelioma, breast cancer, lymphoma/leukemia and miscellaneous. Receiver operator characteristic analysis was performed to evaluate sensitivity and specificity of biomarkers. The Kruskal-Wallis test showed significant differences in levels of pleural effusion CEA (P<0.01), AFP (P<0.01), CA153 (P<0.01) and CA199 (P<0.01), but not CA125 (P>0.05), among the seven groups. Receiver operator characteristic analysis showed that, compared with other four tumor markers, CA153 was the best biomarker in diagnosing malignant pleural effusions of lung adenocarcinoma (area under curve (AUC): 0.838 (95%confidence interval: 0.787, 0.888); cut-off value: 10.2U/ml; sensitivity: 73.2% (64.4-80.8)%, specificity: 85.2% (77.8-90.8)%), lung squamous cell carcinoma (AUC: 0.716 (0.652, 0.780); cut-off value: 14.2U/ml; sensitivity: 57.6% (50.7-64.3)%, specificity: 91.2% (76.3-98.0)%), and small-cell lung cancer (AUC: 0.812 (0.740, 0.884); cut-off value: 9.7U/ml; sensitivity: 61.5% (55.0-67.8)%, specificity: 94.1% (71.2-99.0)%); CEA was the best biomarker in diagnosing MPEs of mesothelioma (AUC: 0.726 (0.593, 0.858); cut-off value: 1.43ng/ml; sensitivity: 83.7% (78.3-88.2)%, specificity: 61.1% (35.8-82.6)%) and lymphoma/leukemia (AUC: 0.923 (0.872, 0.974); cut-off value: 1.71ng/ml; sensitivity: 82.8% (77.4-87.3)%, specificity: 92.3% (63.9-98.7)%). Thus CA153 and CEA appear to be good biomarkers in diagnosing different causes of malignant pleural effusion. Our findings implied that the two tumor markers may improve the diagnosis and treatment for effusions of unknown primaries.
Various accidents and injuries are currently occurring in Korea at increasingly high rates. Good quality emergency care service is urgently needed to cope with these various forms of accidents and injuries. In order to develop a sound emergency care system, there need to be a plan to educate and train professionals specifically in emergency care. One solution for the on going problem would be to educate and train emergency clinical nurse specialists. This study on a strategy for curriculum development for emergency clinical nurse specialist was based on the following five content areas, developed from literature related to the curriculum of emergency nursing and emergency care situation : 1. Nurses working in the emergency rooms of three university hospitals were analyzed for six days to identify categories of nursing activities. 2. Two hundreds and eleven nurses working in the emergency rooms of 12 university hospitals were surveyed to identify needs for educational content that should be included in a curriculum for the clinical nurse specialist. 3. Examination of the environment in which emergency management was provided. 4. Identification of characteristics of patients in the emergency room. 5. The role of emergency clinical nurse specialist was identified through literature, recent data, and research materials. The following curriculum was formulated using the above mentioned process. 1. The philosophy of education for emergency clinical nurse specialist was established through a realistic philosophical framework. In this frame, client, environment, health, nursing, and learning have been defined. 2. The purpose of education is framed on individual development, social structure, nursing process and responsibility along with the role and function of the emergency clinical nurse specialist. 3. The central theme was based on human, environment, health and nursing. 4. The elements of structure in the curriculum content were divided to include two major threads, I, e., vertical and horizontal : The vertical thread to consist of the client, life cycle, education, research, leadership and consultation, and the horizontal thread to consist of level of nursing (prevention to rehabilitation), and health to illness based on the health care system developed by Betty Neuman system model. 5. Behavioral objectives for education were structured according to the emergency clinical nurse specialist role and function as a master degree prepared in various emergency settings. 6. The content of the curriculum consisted of three core courses(9 credits), five major courses(15 credits), six elective courses(12 credits) and six prerequisite courses (12 credits). Thus 48 credits are required. Recommendations : 1. To promote tile quality of the emergency care system, the number of emergency professionals, has to be expanded. Further the role and function of the emergency clinical nurse specialist needs to be specified in both the medical law and the Nursing Practice Act. 2. In order to upgrade the qualification of emergency clinical nurse specialists, the course should be given as part of the graduate Program. 3. Certification should be issued through the Korean Nurses Association.
Lasrado, Savita;Moras, Kuldeep;Pinto, George Jawahar Oliver;Bhat, Mahesh;Hegde, Sanath;Sathian, Brijesh;Luis, Neil Aaron
Asian Pacific Journal of Cancer Prevention
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v.15
no.10
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pp.4147-4152
/
2014
Standard therapy for advanced head and neck cancer consists of a combination of surgery and radiation. However, survival of this patient population has not improved during the past 20 years. Many different multimodality treatment schedules have been proposed, and chemotherapy is often used with the intent of organ preservation. The present study was intended to establish the efficacy of concomitant chemoradiation with a single agent carboplatin in advanced head and neck cancers.The objectives were to investigate the feasibility of concomitant administration of carboplatin, monitor acute toxicity during radiotherapy, and determine subacute side effects, such as wound healing following surgery after chemoradiotherapy. A prospective study was conducted wherein a total of 40 patients with stage III and IV squamous cell carcinomas of oral cavity, oropharynx, hypopharynx and larynx were enrolled. All patients were treated with external beam radiotherapy and weekly carboplatin area under curve (AUC of 5). Radiotherapy was given in single daily fractions of 1.8-2 grays (Gy) to a total dose of 66-72 Gy. Salvage surgery was performed for any residual or recurrent locoregional disease. Neck dissection was recommended for all patients with neck disease showing less than a complete response after chemoradiation. A total of 40 patients were enrolled of whom 32 were males and 8 were females. Highest incidence of cancer was seen in the 5th-6th decades of life with a median age of 47.7 years. Oropharyngeal tumours constituted a maximum of 21 patients followed by hypopharynx in 10, larynx in 7 and oral cavity in 2. 80% of the patients had a neck node on presentation of which 40% had N2-N3 nodal status. TNM staging revealed that 58% of patients were in stage III and 43% in stage IV. Evaluation of acute toxicity revealed that 50% had grade II mucositis, 25% grade III mucositis, 2.5% grade IV mucositis. 50% of patients had grade I skin reactions, 65% of patients had grade I thrombocytopenia, and 24% of patients had grade I anaemia. After completion of treatment 65% of patients had complete response at the primary and regional sites, and 35% of patients had a partial response of whom 23% underwent neck dissection and 5% of them underwent salvage surgery at the primary site. At the end of one year there were six deaths and four recurrences and 70% were free of disease. Concurrent chemoradiation with carboplatin provided good locoregional control for locally advanced head and neck cancers. This regimen, although toxic, is tolerable with appropriate supportive intervention. Primary site conservation is possible in many patients. Chemoradiotherapy appears to have an emerging role in the primary management of head and neck cancers.
Water quality model applicable paddy field was developed using field experiment during 1999 ${\sim}$ 2002. This model involves inputs from fertilization and sediment release as dirac delta function and continuous source function, respectively, and can simulate various processes such as ponded depth, surface drainage, total nitrogen concentration and total phosphorus concentration in a daily basis. The model was calibrated using data collected from field experiments which was irrigated with ground water and validated from field experiments which was irrigated with surface water. The nutrient concentration of surface water depended on the fertilization and dirac delta function can efficiently explain the valiance of nutrient concentration of surface water by fertilizer. As a result of calibration and validation, this model demonstrates good agreement. The model fit efficiencies ($R^2$) of ponded depth, surface concentration of TN and TP were 0.93,0.98 and 0.95, respectively for calibration, and those of TN and TP were 0.99 and 0.70, respectively for validation. We can apply lake and reservoir model to analysis paddy field considered with shallow ponded system, but it will need so many parameters and have much uncertainty. Fortunately, paddy field have a series of cultural practices yearly basis, such as irrigation-fertilization-forced drain-harvest with a similar time , so simple model may explain the mechanism for paddy field. Water quality model for paddy field developed in this study is simply, needs little parameters, but appeared high applicability to evaluate paddy filed drainage. We recommend this model to estimate nutrient loading from paddy field and establish best management practice.
Even now, 119 rescue services have dissatisfactory aspects in operation, system and equipments as discussed above, It is the most urgent subject to systemize rescue services so that they can be suitable for our status, for we will make 21C welfare state come true before long. So, this author suggest that the followings have to be raised to activate 119 rescue service. 1) Bring up experts and offer high-quality rescue service 2) Prepare more up-to-date equipments 3) Operate transfer joint organizations 4) Promote the ability to meet with a press at the time of rescue service activities 5) Adjust regulations related to rescue services 6) Make up for a countermeasure to traffic accidents of ambulances 7) Adjust regulations making it mandatory to establish heliport at the target on hospitals more than a defined scale 8) Install more rescue service teams 9) Educate and train officials belonging to briefing rooms, where the officials with long experiences are arranged 10) Minimize the time for rescue team to reach fields 11) Establish legal protection system for rescue the team Nowadays, our country operates the department of fire fighting and rescue services without great difficulty, even though the circumstances are bad - insufficient members and the inferior circumstances. All of the fire fighting officials are given heavy duties in bad circumstances, and so are the team of rescue service. The rescue service team, taking charge of some emergency medical system, do a fire fighting inspection as a non-duty service, though they are scanty of sleep due to prevention and protection services of the fire fighting service team. But, they can not engage in rescue services completely and have to deal with miscellaneous duties. So they can not offer professional emergency medical services. But now, almost every fire fighting organization, belonging to National Emergency Management Agency, are separating rescue services, which shows a lot of good results. People recognize rescue services to get better and better gradually and the demands for this rescue services increase. So, this is the best time when rescue service teams should offer qualitative services rather than quantitative services. The people will recognize this rescue service team to be an organization sacrificing and serving for them. However well institutes and operation systems should be established, the rescue service team can not come true their aim without strong wills that they will serve and sacrifice themselves for people from their hearts. In addition, it is essential for the officials in charge of policies about emergency medical services to have a concernment on and practice the policy without failure.
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