Purpose: The purpose of this study was to develop a feeding protocol for premature infants and to evaluate the effects of protocol. Methods: The feeding protocol was developed through a literature review and discussions of an expert group. The developed feeding protocol was tested with 85 preterm infants in one neonatal intensive care unit in B city. A non-equivalent control group non-synchronized design was used. Data were collected from January 1 to April 30, 2013 for the control group and from June 1 to September 30, 2013 for the experimental group. The experimental group (n=38) received the feeding protocol, whereas the control group (n=47) had routine feeding care. Collected data were analyzed by t-test and -test using SPSS/WIN version 18.0. Results: First feeding time (t=2.22, p=.029) and full enteral feeding time (t=2.28, p=.026) were significantly decreased in the experimental group compared to the control group. There was no difference in incidence of complications (p>.05). Also no significant differences in weight reduction rate between the two groups were observed at the 7th postnatal day (t=-1.23, p=.222). Conclusion: The results indicate that the feeding protocol for preterm infants is effective in decreasing first feeding time and full enteral feeding time.
Journal of the Korean Society of Marine Environment & Safety
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v.20
no.5
/
pp.474-485
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2014
Temporal and spatial variations of temperature and salinity around Ganjeol Point during January, April, August and November 2011 were studied using the data from CTD observations and temperature monitoring buoys deployed at 20 stations in the southeast coast of Korea. Temperature and salinity were nearly homogeneous through the whole depth by mixing of the seawater in spring and winter related to the sea surface cooling. Stratification induced by the river runoff and the bottom cold water was clear in summer. In autumn, sea water had vertical mixing initiated from surface layer and weak stratification at the middle and bottom layers. Low temperature and high salinity emerged throughout the year near Ganjeol Point, which inferred from turbulent mixing and upwelling by its topographical effect. Major periods of 1/4~1.4 day temperature fluctuations were recorded for the most part of the stations. According to the cross spectral density analysis, high coherence and small time lag for temperature fluctuation between layers were shown at Ganjeol Point. However, those features at the northen area of Hoeya river were opposed to Ganjeol Point. From analyses, thermohaline structure and its fluctuation around Ganjeol Point were characterized into those three parts, the south of Ganjeol Point, Ganjeol Point and the north of Ganjeol Point.
Even though clinical use DRE, PSA and TRUS for screening while diagnosing prostate cancer early, however, we cannot achieve to diagnose it accurately by one method. Thus, mutual supplements are strongly required in diagnosis. It means that we should identify relationship between prostate volume and serum PSA under different ages for better diagnosis. The subjects(405 men) visited the department of diagnostic radiology in a general university hospital from January 2008 to December 2008, who was going to take the prostatic evaluation by TRUS. 13 men, who did definite diagnosis of prostate cancer before through biopsy, were excluded in this study. All data were expressed as mean and standard deviations by using SPSS 14.0 package programs and were analyzed by using one-way ANOVA to evaluate the effect of different ages. And Scheffe Post hoc comparison is accomplished in order to make significant difference in prostate volume, PSA and PSAD according to ages. Pearson correlation was used for ages, prostate volume, PSA and PSAD. According to examination, the subjects' prostate volume and serum PSA level increase as person's age. We can see significant difference between group over 70 years and group from 40 and 50 years. Moreover, age, prostate volume and serum PSA have significant positive correlation. Even though we can get variations in serum PSA level by changing prostate volume according to ages, it is worthwhile to mention that more strong association for prostate volume is observed than ages in elevation of serum PSA. Therefore, it is strongly recommended to consider prostate volume weightly when it comes to evaluate for men with elevated PSA level. Finally, TRUS is an excellent extra equipment to diagnose prostate cancer because it can contribute to early diagnose and pertinent treatment of prostate cancer.
Lee, Yoon-Young;Park, Ji Seon;Yoon, Hyo Hyeon;Lee, Seung Hui;Lee, Eun Hyeong;Jin, So Hui
Journal of the Korea Convergence Society
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v.8
no.9
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pp.135-142
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2017
The purpose of this study was to investigate the effect of smoking, drinking and stress on premenstrual syndrome in female college students. From January 19 to March 1, 2017, the 218 data were collected from university students in Jeonnam, who don't have any parity and uterus disease. Analyzed using Mann-Whitney U test, simple regression analysis with SPSS23. As a result, there was a statistically significant positive correlation between stress and premenstrual syndrome($R^2=.155$, ${\beta}=.393$, p<.001). But, there was no difference in PMS level according to existence of drinking(or smoking) experience. This study had a meaningful result to figure out factors influencing on female college student PMS and offered basic data for developing premenstrual syndrome care programs and nursing intervention. To manage PMS effectively, it is nessasary to develop Convergence Nursing intervention to reduce stress.
Purpose: The purpose of this study is to evaluate the effect of axial shortening metatarsal osteotomy on the treatment of advanced rheumatoid arthritis patients with severe hallux valgus and claw toe deformity of lesser toes which is used for preserving the metatarsophalangeal joint. Materials and Methods: From January 2005 to June 2009, 18 cases of axial shortening metatarsal osteotomy in advanced rheumatoid arthritis were reviewed ; all of them followed up for more than 2 years after surgical procedures and the mean follow up period was 3.4 years. We performed axial shortening Scarf osteotomy and Akin osteotomy for hallux valgus and Weil osteotomy with soft tissue release for claw toe of lesser toes, respectively. We measured preoperative and postoperative hallux valgus angle, each metatarsal shortening length and the range of motion of the metatarsophalangeal joints through radiographic and clinical examination and compared them each other. Clinical results were evaluated by American Orthopedic Foot and Ankle Society (AOFAS) score and subjective satisfaction of the patients. Results: The hallux valgus angle was reduced from the preoperative mean value of 44.8 degree to 9.0 degree postoperatively and the range of motion of the metatarsophalangeal joint of great toe and lesser toes was increased from the mean of 21.7 degree and 11.0 degree preoperatively to 38.0 degree and 32.5 degree, respectively at postoperation. Also, the mean AOFAS score was improved from 26.5 points to 67.4 points. Conclusion: Axial shortening osteotomy is a useful method to correct the deformity and preserve the metatarsophalangeal joint for severe hallux valgus and claw toe deformity in advanced rheumatoid arthritis.
In this study CALPUFF modeling was performed to predict a contribution of a separate single point pollutant source as well as of total point pollutant sources of major synthetic fiber manufacturers in Gumi national industrial complex to atmospheric trimethylamine concentration of the same area. In addition, a contribution of the separate single point pollution source to the atmospheric trimethylamine concentration of the same area was estimated relatively to the total point pollutant sources. As a result of the CALPUFF modeling, the maximum atmospheric concentration of trimethylamine in Gumi national industrial complex was appeared upon improving T company emission facility frequently in complex 3 in winter (January) and spring (April) while frequently in complex 1 in summer (July) and autumn (October). Besides, the predicted range of the maximum atmospheric concentration of trimethylamine in complex 1 was improved upon improving its emission facility. However, even though in complex 3 the upper bound of the predicted maximum atmospheric concentrations of trimethylamine was increased upon improving T company emission facility, the predicted value of their second upper bound below the upper bound was very similar to the upper bound of measured atmospheric trimethylamine concentrations in Gumi prior to improving its emission facility. Thus, the effect of improving T company emission facility was estimated huge in complex 1 while it was trivial in complex 3. These maximum concentrations of trimethylamine predicted to estimate the expected contribution of total point pollutant sources by CALPUFF modeling showed the similar values to those measured in the region of Gumi. Therefore, the expected contribution of total point pollutant sources to atmospheric trimethylamine concentration in the area of Gumi was validated.
On January 1, 2005, the Special Act on Metropolitan Air Quality Improvement, known as the Blue Sky 21 Program, entered into force. This Special Act is aimed at reducing the annual average concentrations of $PM_{10}$ and $NO_2$ to $40{\mu}g/m^3$ and 22ppb, respectively, from their current levels of $76{\mu}g/m^3$ and 36ppb, within the next 10 years. While the main focus of the Act is to reduce $PM_{10}$ and $NO_2$ emissions, the government also anticipates that these reductions would lessen high ozone occurrences and improve visibility. However, reducing local PM emissions would not decrease $PM_{10}$ concentrations as much as expected since other significant sources, such as continental inflow and/or secondary formation from photochemical reactions, exist. This is corroborated by the fact that $PM_{10}$ in the greater Seoul Metropolitan area during the ozone season is mostly in the form of $PM_{2.5}$, which is secondarily formed on a regional scale. Furthermore, many modeling results indicate so-called '$NO_x$ disbenefits,' referring to the fostering of an increase in ozone concentrations from a decrease in $NO_x$ emissions, over an extensive area. In this paper, the current status of air quality in the Seoul Metropolitan area is reviewed, and several other issues, including the effect of long-range transport, photochemical characteristics, and tasks for successful implementation of the Special Act are discussed.
Journal of Physiology & Pathology in Korean Medicine
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v.21
no.4
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pp.1034-1038
/
2007
To examine the difference of health-related quality of life (QoL) of obese patients between before and after treatment of Korean traditional medicine. This study was assessed in 18 obese-women (age 29.72${\pm}$7.38) treated by acupuncture and herbal medicine using SF-36 quality of life questionnaire between January and July 2006, a 36 item instrument yielding 8 dimensions (Social functioning, Role limitation-Physical, Role limitation-Emotion, Mental health, Vitality, Bodily pain, and General health) and a total score. Their weight was measured by Inbody 3.0 (Biospace co. Korea). QoL and body composition was assessed twice at baseline (B) and 4 weeks after treatment. Auricular acupuncture and electrical needle stimulation to abdomen, thigh, and arm fat was used twice a week and complex herb formula was prescribed according to their constitution and symptoms for 4 weeks. Herb medication was taken 2 times a day. Respective variables were analyzed with Wilcoxon signed ranks test and the level set for statistical significance was p <0.05. The mean of the body weight (P=0.000;B64,68${\pm}$6.86, 4 WKs 60.47${\pm}$5.69), fat percentage (P=0.000;B33.14${\pm}$4.86, 4 WKs 30.16${\pm}$5.34), body mass index (P=0.000;B25.18${\pm}$2.44, 4 WKs 23.46${\pm}$2.09) and fat weight (P=0.000;B21.66${\pm}$5.06, 4 WKs 18.41${\pm}$4.57) of some obese patients decreased significantly between before and after treatment for 4 weeks. Physical functioning (P=0.48;B27.06${\pm}$3.17, 4 WKs 28.00${\pm}$1.71), Mental health (P=0.01 ;B18.83${\pm}$5.25, 4 WKs 22.00${\pm}$3.73), Vitality (P=0.028;B13.89${\pm}$3.03, 4 WKs 15.44${\pm}$2.53), Bodily pain (P=.0014;B8.84${\pm}$1.75, 4 WKs 10.15${\pm}$1.78), and the total scores (P=0.001;B104.99${\pm}$12.60, 4 WKs 114.58${\pm}$11.11) of SF-36 were increased significantly after treatments. These data show some differences in QoL and BMI between before and after treatment on obesity and suggest that the treatment with acupuncture and herbal medicine have a positive impact on several domains of QoL of some obese patients. Further randomized clinical trials (RCTs) including follow-up are needed to examine whether acupuncture and herb medicine have a positive effect on QoL of treatment group compared with control group.
Journal of the Korean Society of Clothing and Textiles
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v.23
no.5
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pp.726-736
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1999
The purpose of this study was to obtain the basal information for standard amount of clothing weight indoor climate and working condition with investigating seasonal changes of skin temperature and factors influencing on that in Koreans. Forty eight subjects in 5 age groups(6-11, 12-19, 20-44, 45-64, 65-76 years old) with both sexs were measured skin temperature indoor climate clothing microclimate clothing weight and skinfold thickness in neutral condition in each month throughout the year. The results obtained are summarized as follows : 1. Indoor climate koreans felt comfortable ranged 18.1-28.7$^{\circ}C$ and 51-74%RH. 2. Temperature inside the clothing ranged 30.8-32.3$^{\circ}C$ in males and 31.0-32.5$^{\circ}C$in females. There was a significant difference in temperature inside the clothing among age groups : That of 6019 age group was slightly higher than that at 45-76 age group. 3. Total clothing weight changed with season and increased in order of summer autumn spring and winter Total clothing weight of 65-76 age group was significantly greater on January and February. Breast skinfold thickness showed the smallest value in summer and the largest value in winter year. In addition to breast and abdomen skinfold thickness were larger in 45-67 age group while thigh skinfold thickness was larger in 6-19 age group. Skinfold thickness in females showed the smallest value in spring summer and the largest value in autumn and winter. In addition to triceps and suprailliac skinfold thickness were larger in 45-64 age group while thigh skinfold thickness was larger in 12-19 age goup. 5. Temperature of the lower limbs(hand, thigh. leg, and foot) showed significant correlation with the indoor temperature humidity inside clothing and total clothing weight. Temperature of the torso(breast and abdomen) showed significant correlation with the temperature inside clothing in all subjects. Abdomen skinfold thickness of all age group in male showed significant correlation with the abdomen skin temperature. triceps suprailliac and thigh skinfold thickness of 6-11 age group in female showed significant correation the upperarm abdomen and thigh skin temperature. Consequently clothing mdicroclimate total clothing weight and skinfold thickness showed significant difference in season sex and ages and had a slight effect on skin temperature.
The purpose of this study was to introduce PBL to dental hygienist education in an effort to raise a question about the inauthentic and inappropriate curriculum. PBL is one of learning methods to enhance the problem-solving ability of learners, and it's attempted to develop a PBL package focusing on dental hygienist roles to lay the foundation for producing competent and expert dental hygienists with a good problem- solving ability. The literature concerned was reviewed from November 2002 through January 2003 to determine whether or not PBL was applicable to dental-hygienist course, and that turned out to be effective for dental hygienist education. And then a PBL package was developed to train students to be knowledgeable and have a knowhow and excellent problem-solving skills. The characteristics of the PBL package could be described as follows: First, that focused on dental hygienist roles to serve the purpose of this study to remedy the current unrealistic and improper curriculum and improve the problem-solving skills of learners. Second, time factor was taken into account. In this four-week course for two credits, there are four classes a week, and it's required to take six or eight weeks to apply the PBL package, which is expected to demotivate students. Therefore, it's planned to conduct more weekly classes to make a proper progress. Third, a wide variety of teaching aids were put to use, and learner would be encouraged to be more interactive and utilize teaching aids properly, and eventually, they could have an opportunity to better express themselves. Fourth, online real-time learner discussion would be attended by this researcher. Learners would have a discussion in real time in the Internet cafe chat room, and different discussion time would be allocated to each team. This researcher would take part in each team's discussion once or more. Fifth, learners would prepare one or more journal(s) about four-hour Internet cafe learning. They have to make it twice a week at least, and it would be a good opportunity for learners to look back on themselves and their teams, and their learning effect would be greater. Specific rules were presented to help them make a successful self-examination. Sixth, there are some spaces in the lower part of objective test sheets to have students describe why they make a particular answer choice. They would be asked to depict the reason of their prior evaluation and lecture assessment especially because their responses would be important for more successful discussion and feedback. Seventh, problem-solving approach was designed to attain learning objectives, stimulate the creative thinking of learners and help them share a more systematic discussion. That would serve as a secondhand guide not to make them digress when they discuss by using information they acquire from a scenario presented in class.
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