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Correlation between scope of practice and clinical paramedic properties (임상 1급응급구조사의 특성과 업무범위 간의 상관관계)

  • Uhm, Tai-Hwan;Park, Sang-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.5968-5975
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    • 2012
  • The aim of this study was to reveal correlation between scope of practice and clinical paramedic properties. from April 9 to May 12, 2012, one hundred and eighty-one clinical paramedics filled out anonymously to the questionnaire which includes gender, academic background, clinical career, clinical practice and medical direction. To analyse the collected data, Pearson's r at ${\alpha}$=0.05 (two-tailed) was performed using IBM SPSS 19 (Chicago, IL, USA). One hundred and forty (77.4%) working at medical facilities, one hundred and four (57.5%) graduated from four-year colleges, seventy seven (42.5%) acquired paramedic certificate in 2010-2012, one hundred and twelve (61.9%) charted on nursing records, one hundred and sixteen (69.6%) had a good knowledge in scope of practice, one hundred and six (58.5%) thought of legal restriction & absence of direct medical direction leading to narrow clinical practice. Implementing practices and practices needed were thirty two. There were significant relationships in Likert scale 1-5 between paramedic competency and legal practice (p=0.039); implementing practice (p=0.006); practice needed (p=0.049); and overall (p=0.001). Also, between knowledge on scope of practice and implementing practice (p=0.003); overall (p=0.047); clinical career and legal practice (p=0.019); practice needed (p=0.002); and overall (p=0.002). However, these correlations were relatively low (r $$\leq_-$$ 0.238). The working condition of clinical paramedics was restricted by the Emergency Medical Services Systems Act, which requires a narrow scope of practice. This condition leads to the poor quality of emergency care, therefore the scope of practice in the act will be revised from specificism to generalism, from direct medical direction to indirect medical direction by means of quality management.

A Study on the Menu Planning Program by Food Exchange Group (식품교환군을 이용한 식단 작성 프로그램 개발에 대한 연구)

  • kang, Hyeon-Ju;Kim, Kyung-Ja;Kim, Il
    • Journal of Nutrition and Health
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    • v.31 no.7
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    • pp.1192-1205
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    • 1998
  • The purpose of this study was to develop a software system for computerized menu planning program by food exchange group. In this research, Powerbuilder 5.0 was used. This study provides food service manegers with more effective manegement system and scientific menu. Software programs developed in this study were summerized as follows : 1) Programs for outputing standard amounts of the exchange food groups fir calories. 2) Programs for inputing the cooking type code, the food code and the food amount of the menu. 3) Programs for outputing distribution of the exchange food groups of the computerized menu. 4) Programs f0r calculating the price of each food and menu. 5) Programs for calculating the nutrient contents of each food and menu. 6) Programs for calculating fatty acids of dietary intake. 7) Programs for calculating PUFA : MUFA : SEA ratio and $\omega$$_{6}$ : $\omega$$_{3}$ ratio and evaluating the status of dietary intake. 8) Programs for inputing the purchasing amount of food. 9) Programs for outputing the menu table. 10) Programs for inputing and modifing the cooking types in the cooking types file. 11) Programs for inputing and modifing the prices in the food prices file.e.

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Study on Variable Systems for Compressor and Turbine and its Control Scheme (압축기 정익, 터빈 노즐 가변 메카니즘 및 제어기법 연구)

  • Kim, Sangjo;Kim, Donghyun;Bae, Kyoungwook;Kim, Dae-il;Son, Changmin;Kim, Kuisoon;Lee, Daewoo;Go, Jeungsang;Choi, Dong-Whan;Kim, Myungho;Min, Seongki
    • Journal of the Korean Society of Propulsion Engineers
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    • v.19 no.5
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    • pp.1-14
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    • 2015
  • In case of a gas turbine engine for supersonic operation, the engine have a wide range of operating inlet mass flow rate and required high performance such as thrust and fuel consumption. Therefore, variable system and its optimal control logic are essentially needed. In this work, a method for performance prediction of a gas turbine engine with variable system compressor and its control scheme were developed. Conceptual design of compact acuation system for the operation of the variable system was also conducted. The performance of a low-bypass ratio mixed flow turbofan engine was analyzed, and it was observed that the surge margin of the engine is improved at off-design condition by applying the control scheme.

Thermodynamic Analysis of the Organic Rankine Cycle as a Waste Heat Recovery System of Marine Diesel Engine (유기 랜킨 사이클을 이용한 선박 주기관 폐열 회수 시스템의 열역학적 분석)

  • Jin, Jung-Kun;Lee, Ho-Ki;Park, Gun-Il;Choi, Jae-Woong
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.36 no.7
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    • pp.711-719
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    • 2012
  • A thermodynamic analysis and a feasibility study on the organic Rankine cycle (ORC) as a waste heat recovery system for a marine diesel engine were carried out. The ORC and its combined cycle with the engine were simulated, and its performance was estimated theoretically using R245fa. A parametric study on the performance of the ORC system was carried out under different temperature conditions of the heat transfer loop and specification of the heat exchanger. According to the thermodynamic analysis, ~10% of the thermal efficiency of the cycle was able to be realized with the low temperature heat source below $250^{\circ}C$. The electric power output of the ORC was estimated to be about 4% of the mechanical power output of the engine, considering additional pumps for cooling water and circulation of the heat transfer medium. According to the present study, the electric power generated by the ORC is about 59%-69% of the required power, and it is possible to reduce the fuel consumption under normal seagoing conditions.

The Identification and Physiological Properties of Lactobacillus plantarum JK-01 Isolated from Kimchi (김치로부터 분리한 Lactobacillus plantarum JK-01의 동정 및 생리적 특성)

  • Cho, Jin-Koo;Li, Guan-Hao;Cho, Sung-Jin;Yoon, Yoh-Chang;Hwang, Seong-Gu;Heo, Kang-Chil;Choe, Il-Shin
    • Food Science of Animal Resources
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    • v.27 no.3
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    • pp.363-370
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    • 2007
  • In order to identify probiotic microorganisms, 25 isolates of Lactobacillus sp. were selected from kimchi based on their growth rates, lactic acid production and salt tolerance. The isolate JK-01 was identified as Lactobacillus plantarum by the API kit and 16S rDNA analysis (99.9% of homology), and named as L. plantarum JK-01. The maximum number of L. plantarum JK-01 was reached at 18 hr fermentation in MRS broth and the pH gradually decreased to 4.5. L. plantarum JK-01 showed high enzyme activities for xylanase, amylase, protease, and phytase on MRS agar plates containing each substrate. L. plantarum JK-01 showed high resistance to acidic pH and bile salts, and grew well even at pH 2.0 and 1.0% bile salt. In particular, L. plantarum JK-01 showed high heat stability as shown by $3.3{\times}10^3$ CFU/mL at $60^{\circ}C$. The isolate showed remarkable antimicrobial activity against E. coli in MRS broth based on its disappearance after 18 hr and clear zone formation using a paper disk assay. These results suggest that L. plantarum JK-01 may be probiotic in nature.

Service Life Assessment and Restrain Methods of Carbonation Attack on PC Outer Wall of LNG Storage Tanks (탄산염해에 대한 LNG 저장탱크 PC 외부벽체의 수명평가 및 억제방안)

  • Lee, Seung-Rim;Song, Il-Hyun;Kim, Han Sang
    • Journal of the Korean Institute of Gas
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    • v.18 no.2
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    • pp.73-80
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    • 2014
  • The objective of this paper is to assess the service life and retrain methods of specimens, which were subjected to carbonation attack, obtained from mix proportion of Sam-cheok LNG storage tank under construction. As the results, accelerated-carbonation penetration depths of 7, 28, 56 ages indicated 4.45, 9.19, 13.37mm, and even considering for cover depths of steel of LNG storage tank under real operation, it was enough. In addition, with carbonation velocity coefficient calculated by carbonation penetration depths, the service life to design cover depth(70, 80, 90, 100mm) of PC outer tank of LNG storage tank was 779, 1017, 1287, 1589 years and 466, 609, 771, 951 years, respectively, considering the $CO_2$ concentration in air which account for the 0.03% and 0.05%. Also, the restrain methods to carbonation attack were feasible through controlling the factors affecting the changes of hydration products such as $Ca(OH)_2$, ion composition in pore solution and matter mobility of organization structures within hardened concrete.

Effects of Different Application Approaches with Diniconazole on the Inhibition of Stem Elongation and the Stimulation of Root Development of Cylindrical Paper Pot Seedling (생장조절체 처리가 원통형 종이포트묘의 도장 억제 및 근권부 발달에 미치는 영향)

  • Jang, Dong Cheol;Xu, Chan;Kim, Si Hong;Kim, Dae Hoon;Kim, Jae Kyung;Heo, Jae Yun;Vu, Ngoc Thang;Choi, Ki Young;Kim, Il Seop
    • Journal of Bio-Environment Control
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    • v.29 no.4
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    • pp.365-372
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    • 2020
  • This study was conducted to compare the effects of foliar spray and sub-irrigation of the triazole fungicide diniconazole on the regulation of stem elongation and to investigate the stimulation of root system development during the seedling stage. Comparing the two application approaches, there were significant differences in the leaf area, leaf area ratio (LAR), plant height, compactness, fresh shoot and root production, relative growth rate (RGR), and root to shoot ratio (R/S). At the same application concentration, the sub-irrigation showed a better retarding effect on growth than the foliar spray, because the PGR activity of diniconazole in root absorption was higher than that in shoot absorption. For reaching a target of 20% to 30% inhibition rate of stem length, foliar application concentration of diniconazole exceeded 10, however, only approximately 1 was required in the sub-irrigation application. The root system of tomato seedlings responded strongly to diniconazole application. Total root length, root volume, root average diameter, and the number of root tips increased when diniconazole was sub-irrigation application at 1. A reduction in fine roots (diameter range of 0 to 0.3 mm) and an increase in the roots with a diameter range of 0.3 to 0.6 mm was observed, and this may contribute to the increase in average diameter. The increase in root average diameter may be positive because root penetration increases with root diameter. Our results suggested that sub-irrigation maximized the PGR activity of diniconazole to enhance the retarding effect. And it also possible to enhance the tomato seedling root system by diniconazole stimulating with a lower concentration.

Hunters' Attitude toward Natural Environment and Motivation for Hunting Particiation (수렵인의 자연환경태도와 수렵참여 동기)

  • Choi, Yun Hwan;Kim, Seong-Il
    • Journal of Korean Society of Forest Science
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    • v.84 no.1
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    • pp.1-9
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    • 1995
  • This study investigates the collective aspects of hunting motivation and hunters' attitude toward natural environment. Data were collected from three different types of respondents : 148 hunters who purchased hunting license between November 1992 and March 1993 in Cholla Province. 120 university students and 260 Suwon residents. The 26 items out of 90 items were selected to develop an attitude scale toward natural environment. Results of ANOVA revealed that there were significant differences among five groups(hunters, urban residents and students from 3 major fields) in terms of their attitude values. Hunters' attitude value toward natural environment was the highest among five different types of respondents. Two major motives for hunting participation are 'exercise' and 'like out-of-doors'. Factor analysis presents eight motivational dimensions underlying hunter's involvement in the activities: 1)stewardship, 2)social contact, 3)show-off, 4)sportsmanship, 5)like to kill, 6)recreation/relax, 7)economic gain, and 8)being alone. The correlation between the motivational factor of 'economic gain' and the attitudinal item of 'relationship between man and nature' was negative(r=-0.28). There is a positive correlation(r=0.24) between the motivation of 'being alone' and the attitude of 'needs for natural environment'. These relationships indicate that individual's attitude value decreases when one perceives nature as economic goods, while it increases when one visits nature to relieve stress and to develop self-esteem.

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Estimation of Carbon Sequestration and Its Profit Analysis with Different Application Rates of Biochar during Corn Cultivation Periods (옥수수 재배기간 동안 바이오차 시용 수준에 따른 탄소 격리량 산정 및 이익 분석)

  • Shin, JoungDu;Choi, Yong-Su;Lee, SunIl
    • Journal of the Korea Organic Resources Recycling Association
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    • v.24 no.3
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    • pp.83-90
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    • 2016
  • Despite the ability of biochar to enhance soil fertility and to mitigate greenhouse gas, its carbon sequestration and profit analysis with arable land application have been a few evaluated. This study was conducted to estimate carbon sequestration and to evaluate profit of greenhouse gas mitigation during corn cultivation periods. For the experiment, the biochar application rates were consisted of pig compost(non application), 2,600(0.2%), 13,000(1%), and 26,000(2%) kg/ha based on pig compost application. For predicting soil carbon sequestration of biochar application, it was appeared to be linear model of Y = 0.5523X - 742.57 ($r^2=0.939^{**}$). Based on this equation, soil carbon sequestration by 0.2, 1 and 2% biochar application was estimated to be 1,235, 3,978, and 14,794 kg/ha, and their mitigations of $CO_2$-eq. emissions were estimated to be 4.5, 14.6, and 54.2 ton/ha, respectively. Their profits were estimated at $14.6 for lowest and $452 for highest. In Korea Climate Exchange, it was estimated that the market price of $CO_2$ in corn cultivation periods with 0.2, 1 and 2% biochar application was $35.6, $115.3 and $428.2 per hectare, respectively. For the plant growth response, it was observed that plant height and fresh ear yield were not significantly different among the treatments. Therefore, these experimental results might be fundamental data for assuming a carbon trading mechanism exists for biochar soil application in agricultural practices.

Vanillic Acid Stimulates Anagen Signaling via the PI3K/Akt/β-Catenin Pathway in Dermal Papilla Cells

  • Kang, Jung-Il;Choi, Youn Kyung;Koh, Young-Sang;Hyun, Jin-Won;Kang, Ji-Hoon;Lee, Kwang Sik;Lee, Chun Mong;Yoo, Eun-Sook;Kang, Hee-Kyoung
    • Biomolecules & Therapeutics
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    • v.28 no.4
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    • pp.354-360
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    • 2020
  • The hair cycle (anagen, catagen, and telogen) is regulated by the interaction between mesenchymal cells and epithelial cells in the hair follicles. The proliferation of dermal papilla cells (DPCs), mesenchymal-derived fibroblasts, has emerged as a target for the regulation of the hair cycle. Here, we show that vanillic acid, a phenolic acid from wheat bran, promotes the proliferation of DPCs via a PI3K/Akt/Wnt/β-catenin dependent mechanism. Vanillic acid promoted the proliferation of DPCs, accompanied by increased levels of cell-cycle proteins cyclin D1, CDK6, and Cdc2 p34. Vanillic acid also increased the levels of phospho(ser473)-Akt, phospho(ser780)-pRB, and phospho(thr37/46)-4EBP1 in a time-dependent manner. Wortmannin, an inhibitor of the PI3K/Akt pathway, attenuated the vanillic acid-mediated proliferation of DPCs. Vanillic acid-induced progression of the cell-cycle was also suppressed by wortmannin. Moreover, vanillic acid increased the levels of Wnt/β-catenin proteins, such as phospho(ser9)-glycogen synthase kinase-3β, phospho(ser552)-β-catenin, and phospho(ser675)-β-catenin. We found that vanillic acid increased the levels of cyclin D1 and Cox-2, which are target genes of β-catenin, and these changes were inhibited by wortmannin. To investigate whether vanillic acid affects the downregulation of β-catenin by dihydrotestosterone (DHT), implicated in the development of androgenetic alopecia, DPCs were stimulated with DHT in the presence and absence of vanillic acid for 24 h. Western blotting and confocal microscopy analyses showed that the decreased level of β-catenin after the incubation with DHT was reversed by vanillic acid. These results suggest that vanillic acid could stimulate anagen and alleviate hair loss by activating the PI3K/Akt and Wnt/β-catenin pathways in DPCs.