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Analysis of Hospital Services for Elderly Inpatients (노인 입원환자 병원서비스 분석)

  • Chang, Hyun Sook
    • Quality Improvement in Health Care
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    • v.7 no.1
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    • pp.18-31
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    • 2000
  • Background : This study is to identify the inappropriate hospital services for elderly inpatients over 65 years in general hospital with acute care functioning. Consequently elderly inpatient care and the management of long-term care facilities are key issues for current government health policy. Method : The survey was conducted for two months for all inpatients over 65 in 7 general hospitals, 6 work sampling days randomly selected. In each survey day, the subjective judgement by medical staff on the degree of acute care needs and by nursing unit manager on hospital services of each inpatients was also conducted. Result : The total number of cases collected are 2,541 elderly inpatients, according to subjective judgements by medical staff on inpatient condition. However 46.8% of cases are turned out to be non-acute care group. The frequency of medical services provided to non-acute group are 2~3 vital sign checks per day 78.2%, IV injection 40.1%, antibiotics medication 20.2%. Conclusion : Lots of elderly patients' who are staving in acute hospitals, at present need to be transferred to long-term care facilities. However, there was been shortage of long-term care facilities. It is expected to identify the need of elderly inpatients and therefore, to provide cost-effective, appropriate and good quality health services to elderly inpatients depending on their needs.

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Effects of Long-term Heat Exposure on Adaptive Mechanism of Blood Acid-base in Buffalo Calves

  • Korde, J.P.;Singh, G.;Varshney, V.P.;Shukla, D.C.
    • Asian-Australasian Journal of Animal Sciences
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    • v.20 no.5
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    • pp.742-747
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    • 2007
  • In order to investigate the mechanism of adaptation to long-term heat stress, six female buffalo calves of about 7 to 8 months age, were exposed to the cool-comfort environment (THI 65) for 21 days to obtain normal values of blood acid-base. An adaptive response of acid-base regulation was determined to long term (21 days) exposure of buffalo calves to hot-dry (THI 80) and hot-humid (THI 84) conditions. Higher rectal temperature and respiratory rate was recorded under hot-humid exposure compared to hot-dry. Significant reduction in the rectal temperature and respiratory rate on day 21 of hot-dry exposure indicated early thermal adaptation compared to hot-humid. Decreasing rectal temperature and respiratory rate from day 1 to 21 was associated with concurrent decrease in blood pH and pCO2. Increased plasma chloride concentration with low base excess in blood and in extracellular fluid suggested compensatory response to respiratory alkalosis. Reduced fractional excretion of sodium with increased fractional excretion of potassium and urine flow rate indicated renal adaptive response to heat stress.

Comparative study on long-term stability in mandibular sagittal split ramus osteotomy: hydroxyapatite/poly-ʟ-lactide mesh versus titanium miniplate

  • Park, Young-Wook;Kang, Hyun-Sik;Lee, Jang-Ha
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.8.1-8.6
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    • 2019
  • Background: Resorbable devices have recently been adopted in the field of orthognathic surgery with controversies about their postoperative skeletal stability. Hence, we determined the long-term skeletal stability of unsintered hydroxyapatite/poly-ʟ-lactic acid (HA/PLLA) mesh for osteofixation of mandibular sagittal split ramus osteotomy (SSRO), and compared it with that of titanium miniplate. Methods: Patients were divided into resorbable mesh and titanium miniplate fixation groups. A comparative study of the change in the mandibular position was performed with preoperative, 1-day, 6-month, and 2-year postoperative lateral cephalograms. Results: At postoperative 6 months-compared with postoperative 1 day, point B (supra-mentale) was significantly displaced anteriorly in the titanium-fixation group. Moreover, at postoperative 2 years-compared with postoperative 6 months, point B was significantly displaced inferiorly in the titanium-fixation. However, the HA/PLLA mesh-fixation group did not show any significant change with respect to point B postoperatively. Conclusions: The HA/PLLA mesh-fixation group demonstrated superior long-term skeletal stability with respect to the position of mandible, when compared with the titanium-fixation group.

INTERNATIONAL COLLABORATION IN ASSESSMENT OF RADIOLOGICAL IMPACTS ARISING FROM RELEASES TO THE BIOSPHERE AFTER DISPOSAL OF RADIOACTIVE WASTE INTO GEOLOGICAL REPOSITORIES

  • Smith, Graham;Kato, Tomoko
    • Nuclear Engineering and Technology
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    • v.42 no.1
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    • pp.1-8
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    • 2010
  • Geological disposal is designed to provide safe containment of radioactive waste for very long times, with the containment provided by a combination of engineered and geological barriers. In the extreme long term, after many thousands of years or longer, residual amounts of long-lived radionulides such as Cl-36, but also radionuclides in the natural decay chains, may be released into the environment normally accessed and used by humans, termed here, the biosphere. It is necessary to ensure that any such releases meet radiation protection objectives through the development of a safety case, which will include assessment of radiation doses to humans. The design of such dose calculations over such long timeframes is not straightforward, because of the range of potentially relevant assumptions which could be made, concerning environmental change and changes in human behavior. These conceptual uncertainties are additional to those that more typically arise, for example, in the assessment of present day situations, but which also have to be addressed. The issue has therefore been subject to international cooperation for many years. This paper summarizes the evolution and results of that collaboration leading up to the present day, taking account of developments in international recommendations on radiation protection objectives and the more recent greater focus on preparation of site specific safety cases.

Development of Water-Source Heat Pump System Using Riverbank Filtration Water on the Waterfront (친수지역 강변여과수 열원을 활용한 냉난방시스템 개발)

  • Cho, Yong;Kim, Dea Geun;Moon, Jong-Pil
    • 한국신재생에너지학회:학술대회논문집
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    • 2011.05a
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    • pp.201.2-201.2
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    • 2011
  • A water-source heat pump system has been developed for cooling and heating of a green house on the waterfront in Jinju. In order to supply a heat source/sink of water in alluvium aquifer to the heat pump system, the riverbank filtration facility (two pumping wells and one recharge well) for water intake and injection has been constructed. To pump and recharge water sufficiently, the geometric design such as depth and diameter for the wells have been completed, and details of the well such as slot size and length of the screen and filter pack size have been designed based on the practical and theoretical design method including D30 technique. For the investigation of the hydrogeological characteristics, step-drawdown test, long-term pumping test, and recovery test have been carried out for two developed pumping wells. Step-drawdown test has been performed on 4 step flowrates of 150, 300, 450, $600m^3$/day for 1 hour, and long-term pumping test on flowrate of $500m^3$/day for 24 hours, and recovery test for 6 hours. Since the underground water filtrated by riverbank is flowing smoothly into the well, the water level goes down slightly for the long-term test. Consequently, the stable pumping flowrate for two pumping well has been predicted at least over $1,647m^3$/day which is larger than the flowrate of $1,000m^3$/day for a 60 RT heat pump system.

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Current Status of Outsourced Food Service Operations According to the Type of Long-Term Care Institution and Plans for Improvement (장기요양기관 유형별 위탁급식 운영 실태 및 개선 방안)

  • Kwon, Jinhee;Lee, Heeseung;Jeong, Hyeonjin;Chang, Hyeja;Lee, Jungsuk
    • Journal of the Korean Dietetic Association
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    • v.28 no.2
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    • pp.67-84
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    • 2022
  • This study aimed to explore the status of food service outsourcing behavior of long-term care institutions (LTCIs) through a cross-sectional survey using a questionnaire administered between July 16th and August 7th, 2020. The survey respondents were either dietitians or facility managers, who worked at 731 nursing homes, 477 group homes, and 673 day-care centers. Approximately 25.9% of nursing homes, 11.7% of group homes, and 33.1% of day-care centers used a managed-services company to operate their food service units. The main reason for outsourcing food service by nursing homes was related to the staffing of dietitians and cooks, whereas group homes and day-care centers outsourced food services due to factors relating to meal costs and the cooking process. Almost all the LTCIs entered into private contracts for outsourced food services. Only a few food service contracts included the types of meals, nutrition standards such as protein and calories per meal, and the parameter or ratio of food cost. Of the respondents, 84.5% from nursing homes, 87.5% from group homes, and 87.1% from day-care centers agreed that the quality of outsourced food services of the LTCIs should be regulated. Meals are essential for maintaining the health and functional status of LTCI users. As more LTCIs outsource their food services, we suggest the following: (1) Increasing the minimum dietitian staffing standards for LTCIs as per the Welfare of Senior Citizens Act and requiring at least one dietitian for every nursing home, (2) Making it mandatory to use a standard food service contract template when drafting food service contract, and (3) Developing realistic standards for food service operations considering the size and operation type of the LTCIs.

Problems of Working Hours and Shift Work Systems, and Propsed Methods for Their Improvement (근로시간 및 교대근무편성의 문제점과 개선방향)

  • Seo, Yu-Jin;;Park, Yeong-Man;Mun, Se-Geun
    • Journal of the Ergonomics Society of Korea
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    • v.22 no.3
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    • pp.13-26
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    • 2003
  • The purpose of this study is to investigate the present conditions of the night work and shift work systems in the heavy chemical industrial complexes found in Changwon, Masan, and Chinhae. Korea. We will attempt to define and classify their problems; and to discover further ways to improve their systems. Fifty production factories were carefully selected as the subjects for this study. The shift systems were classified into five categories. The consecutive night shifts were long in almost all cases with 6 days (36 factories) and 7 days (13 factories). It was found that the night work of about] 2 hours continues for a long period in the weekly rotation full-day shift systems and the night-including non-full-day shift systems, and there was no holiday during a shift cycle in the continuous full-day shift systems. The work time in most shift systems was longer than the 44-hours/week permitted by Korean law. Considering the characteristics of these various types of shift systems, the most essential thing to reduce the shift workers' work load may be to shorten their working hours and improve the schedule of shift systems. It is highly recommended as a fundamental solution. to reduce the portal-to-portal hours from 12 to 8 in the night-including non-full-day shift systems and the weekly rotation full-day shift systems, and at least to employ a 4-team 3-shift system in the continuous full-day shift systems. In addition to this, it should from now on be taken as a goal to restructure the types of shift systems by taking such measures as avoiding continuous night work if possible, providing sufficient off-duty intervals both before and after night shift, providing increased opportunities for workers to nap during night work. and increasing the number of holidays.

The Effects of Long-Term Administration of Acanthopanax EtOH Extract on the Serum Total Cholesterol Content in Normal and Cholesterol-Administered Rabbits (오가피(五加皮) EtOH Extract의 장기투여여(長期投與與)가 가토(家兎)의 혈청중총(血淸中總) Cholesterol치(値)에 미치는 영향(影響))

  • Ko, Suk-Tai;Kim, Sung-Won;Lim, Dong-Yoon
    • Journal of Pharmaceutical Investigation
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    • v.8 no.1
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    • pp.17-26
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    • 1978
  • Effects of Acanthopanax EtOH Extract (AEE) on the serum total cholesterol content of normal and cholesterol administered rabbits were investigated as a series of studies on pharmacological action, especially blood pressure to Korean Acanthopanax. AEE was administered orally(100mg/kg/day) and subcutaneously (30mg/kg/day) in both normal and cholesterol administered rabbits for 36 days. In this experiment the results obtained by comparing with values of the corresponding control group were as follows; 1) In the normal rabbits, long-term administration of AEE for 36 days did not entirely influence the serum total cholesterol content measured at 12th, 24th and 36th day and also not affect the original blood pressure and changes of blood pressure to norepinephrine, angiotensin and acetylcholine recorded at 36th day. 2) In the cholesterol administered rabbits, hypercholesteremia was induced by oral administration of cholesterol(300mg/kg/day) with feed. The rise rate of serum total cholesterol content was not modified at 12th day, whereas significantly inhibited at 24th and 36th days after begining this examination in both groups orally and subcutaneously administered AEE. Original blood pressure was declined and depressor action of acetylcholine was weakened in only group admininstered orally AEE of cholesterol-fed groups. Changes of blood pressure to norepinephrine and angiotensin in these all cholesterol-fed groups, and to acetylcholine in subcutaneous group of these cholesterol-fed groups were not affected significantly by AEE.

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Identifying long non-coding RNAs and characterizing their functional roles in swine mammary gland from colostrogenesis to lactogenesis

  • Shi, Lijun;Zhang, Longchao;Wang, Ligang;Liu, Xin;Gao, Hongmei;Hou, Xinhua;Zhao, Fuping;Yan, Hua;Cai, Wentao;Wang, Lixian
    • Animal Bioscience
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    • v.35 no.6
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    • pp.814-825
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    • 2022
  • Objective: This study was conducted to identify the functional long non-coding RNAs (lncRNAs) for swine lactation by RNA-seq data of mammary gland. Methods: According to the RNA-seq data of swine mammary gland, we screened lncRNAs, performed differential expression analysis, and confirmed the functional lncRNAs for swine lactation by validation of genome wide association study (GWAS) signals, functional annotation and weighted gene co-expression network analysis (WGCNA). Results: We totally identified 286 differentially expressed (DE) lncRNAs in mammary gland at different stages from 14 days prior to (-) parturition to day 1 after (+) parturition, and the expressions of most of lncRNAs were strongly changed from day -2 to day +1. Further, the GWAS signals of sow milk ability trait were significantly enriched in DE lncRNAs. Functional annotation revealed that these DE lncRNAs were mainly involved in mammary gland and lactation developing, milk composition metabolism and colostrum function. By performing weighted WGCNA, we identified 7 out of 12 lncRNA-mRNA modules that were highly associated with the mammary gland at day -14, day -2, and day +1, in which, 35 lncRNAs and 319 mRNAs were involved. Conclusion: This study suggested that 18 lncRNAs and their 20 target genes were promising candidates for swine parturition and colostrum occurrence processes. Our research provided new insights into lncRNA profiles and their regulating mechanisms from colostrogenesis to lactogenesis in swine.

Estrus Cycles of the Female Tscherskia triton (Mammalia: Rodentia: Cricetidae) according to the Photoperiod (광주기에 따른 비단털쥐(Mammalia: Rodentia: Cricetidae) 암컷의 발정주기 변화)

  • Park, Jun-Ho;Ahn, Keun Jae;Oh, Hong-Shik
    • Korean Journal of Environmental Biology
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    • v.35 no.2
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    • pp.160-168
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    • 2017
  • Tscherskia triton is widely distributed in Northern China, Korea, and the adjacent areas of Russia. Except its distribution, reproduction, and growth development related to life history, reproductive cycle and reproductive organs of T. triton are rarely studied in Korea. The purpose of this study was characterized the estrous cycle of T. triton captured in Jeju Island in order to provide information to a better information of captive breeding of the species when long-day (16L : 8D) and short-day (8L : 16D) photoperiod. Then, histological study of the ovaries and uterus with five females in each photoperiod was performed. The duration of the estrus cycle was 4~5 days and it showed regular cycle pattern. Results of the vaginal cytology examination showed four characteristic phase of the estrous cycle in long-day photoperiod (16L : 8D): proestrus, estrus, metestrus and diestrus. However, in short-day photoperiod, the diestrus phage of the estrus cycle was maintained from the $6^{th}$ to $12^{th}$ day. In the long-day photoperiod, females had many Graafian follicles and corpus luteums in large ovaries, and developed uterine glands in the thick endometrium. But they had some primary, secondary and tertiary follicles, and undeveloped uterine glands in the thin endometrium during short-day photoperiod. These results were identified difference of the estrus cycle and histological characteristics of reproductive tracts according to the photoperiod. These results are very important clues to the reproductive biology of T. triton, and it will be widely used as date for maintaining biodiversity.