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The Development and Effect of the Patient Safety Education Program Using Simulated situation (모의 상황을 활용한 환자안전 교육 프로그램 개발 및 효과)

  • Jung, Hyo-Sun;Kim, Sung hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.398-409
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    • 2019
  • As the prevention of patient safety accidents has been strengthened in the accreditation process of medical institutions, patient safety, which is the maintenance of patient safety by managing medical accidents around the patients, is considered a subject that is important as a disease cure. The purpose of this study is to develop a Patient Safety Program using simulated situations for inpatients at a general hospital ward and to understand the effects on knowledge, performance, and perception of patient safety before and after the programs. In addition, the satisfaction of patient safety education is verified after application of the program. The participants were 30 inpatients at a general hospital. Data were collected from April 15 to 30, 2019 and analyzed using IBM SPSS Version 23.0. The results of the preand post-education revealed a statistically significantly improvement of patient safety knowledge, performance, perception and educational satisfaction. The Patient Safety Education Program using simulated situation was an effective educational program for the inpatients to improve patient safety knowledge, performance, perception, and educational satisfaction. Therefore, this program demonstrated a positive effect of patient safety and it is expected that it can be used as the basis of an education program in patient safety education in a clinical setting.

Relationships among Body Image, Self-esteem and Health Promotion Behavior in Mastectomy Patients (유방절제술 환자의 신체상, 자아존중감과 건강증진행위의 관계)

  • Jeong, Kyeong-Sook;Park, Geum-Ja
    • Asian Oncology Nursing
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    • v.7 no.1
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    • pp.36-46
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    • 2007
  • Purpose: This study was designed to fine out the relationships among body image, self-esteem and health promotion behavior in mastectomy patients. Method: Data were obtained by self -reported questionnaires from 218 patients undergone mastectomy from September 1 to October 15, 2005. And data were analyzed using SPSS/PC WIN 12.0 program. For the statistical analysis of the date, frequency and percentage, mean and standard deviation, t-test, ANOVA and Scheffe test and Pearson's correlation coefficients were used. Result: The mean scores of the body image, self-esteem, and health promotion of the subjects were $41{\pm}7.40$ (range of scale : 17 to 68), $22.22{\pm}4.95$ range of scale : 10 to 40), and $130.45{\pm}23.99$ range of scale : 50 to 200), respectively. There were significant differences with the score of body image by the work type (F=4.018, p= .008), a number of child (F=3.069, p= .029), and participation with self help group program (t=68.177, p= .001). There were significant differences with the score of self-esteem by the type of religion (F=4.546, p= .002), work type (F=4.488, p= .004), post operation period (F=2.814, p= .026), and participation with self help group program (t=12.901, p= .001). There were significant differences with the score of the health promotion behavior by the type of religion (F=3.066, p= .018), economic state (F=11.765, p= .001), level of education (F=6.285, p= .001), operation site (F=.368, p=.027), family history (t=6.557, p= .011), and hope of breast reconstruction (t=7.025, p=.009). Relationship between body image and self-esteem showed moderate positive correlation (r=0.631, p= .001). The relationship between body image and health promotion behavior showed slightly positive correlation (r=0.257, p= .001). The relationship between self-esteem and health promotion behavior showed moderate positive correlation (r=0.431, p=.001). Conclusion: For the increasement of the health promotion behavior, it is needed to improve body image and self-esteem in mastectomy patients. And, It is needed to encourage to participate with self help group program in mastectomy patients.

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Optimization for the Post-Harvest Induction of trans-Resveratrol by Soaking Treatment in Raw Peanuts (침지조작에 의한 레스베라트롤 증가조건의 최적화)

  • Lee, Seon-Sook;Seo, Sun-Jung;Lee, Boo-Yong;Lee, Hee-Bong;Lee, Junsoo
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.34 no.4
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    • pp.567-571
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    • 2005
  • In this study, the effects of varying the amount of water, soaking time at $25^{\circ}C$ and drying time after soaking at $45^{\circ}C$ on the induction of resveratrol were evaluated to optimize the soaking treatment by response surface methodology (RSM). After response surface regression (RSREG), the second-order polynomial equation was fitted to the experimental data. The analysis of variance showed that the model appeared to be adequate $(R^2=0.9547)$ with no significant lack of fit (p>0.1). From statistical analysis, amount of water and soaking time were found to be significant factors. On the other hand, drying time was not significant. Ridge analysis showed that the optimized parameters were $67.15\%$ for amount of water, 19.58 hr for soaking time, 65.56 hr for drying time. It was confirmed that resveratrol content was increased from $0.1\;{\mu}g/g$ to $4.55\;{\mu}g/g$ under the optimized conditions. In addition, the experimental values at the optimized condition agreed with values predicted by ridge analysis. The analytical method validation parameters such as accuracy, precision, and specificity were calculated to ensure the method's validity.

A Study on the Wetland User's Eco-consciousness and Preference of Amenities - Focused on Upo Marsh Users - (습지 이용자 생태의식과 시설선호도 연구 - 우포늪을 대상으로 -)

  • Jeong, Jae-Man;Oh, Jeong-Hak;Kim, Jin-Seon
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.16 no.6
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    • pp.77-91
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    • 2013
  • The researcher noted the fact that wetland users are more and more diversified while people are more conscious of their ecological importance. Wetlands tend to be very sensitive in ecological terms, and therefore, they can hardly accommodate their users' needs indefinitely. With such basic perception in mind, the purpose of this study was to survey wetland users' eco-consciousness, determine their traits, analyze the corelation between their traits and preferences of wetland amenities, and thereby, provide the data useful to planning of an effective wetland management policy. To this end, the researcher sampled nation's largest wetland, Upo Marsh located in Changnyeong for a questionnaire survey. Wetland users' eco-consciousness was measured, using Dunlap's NEP (New Ecological Paradigm) approved by many researchers. Wetland users' preferences of the wetland amenities were measured, centered around 11 amenity types observed commonly at the domestic wetlands. As a result of the survey conducted in October, 2012, a total of 228 effective samples were acquired. Wetland users' eco-consciousness was higher than normal, scoring 3.45 on the 5-point scale consisting of 5 sub-scales. In particular, users were more conscious of 'the possibility of an eco-crisis,' while being less conscious of 'ejection of exemptionalism.' As a result of classifying the users into 3 sub-groups in reference to their eco-consciousness and analyzing their preferences of amenities comparatively, significant differences were found in all 3 sub-areas. In particular, the sub-group most eco-conscious tended to prefer the learning amenities, but the least eco-conscious sub-group tended to prefer the utilities. As a result of the post-hoc test, it was found that most and normal eco-conscious sub-groups were more or less homogeneous, while the least eco-conscious sub-group was significantly different from the former 2 sub-groups in terms of eco-consciousness. As the wetland users were found to be diversified in terms of their eco-consciousness, it is necessary to plan the wetland management policies in consideration of such differences. However, it is perceived that the wetland amenities need to be built to meet the more eco-conscious users.

The Effect of Sensory Diet Home Program for Children with Autism Spectrum Disorder Who Have Sensory Defensiveness: Case Report (감각방어를 가진 자폐 범주성 장애 아동을 대상으로 한 감각식이 가정프로그램이 감각조절과 사회적 능력에 미치는 영향: 사례보고)

  • Hu, Soh Young
    • Therapeutic Science for Rehabilitation
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    • v.4 no.1
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    • pp.63-73
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    • 2015
  • Objective : The purpose of this study was to investigate the effects of sensory diet home program for children with autism spectrum disorder who have sensory defensiveness and explore how this intervention affect to sensory modulation and social interaction ability. Methods : The subject of this case study was a 12-year-old girl with autism spectrum disorder who was struggling with her sensory modulation problem. Parent interview and evaluations were conducted and subject-tailored sensory diet home program was made by the therapist. Parent education for the home program was provided to parents and everyday, 3 times, 30minutes of home program activities were conducted to the child for 23 days. Adolescent/Adult Sensory Profile and Social Maturity Scale were measured at pre and post intervention and parent wrote daily observation record about child during the intervention. Results : After the intervention, Low Registration, Sensory Sensitivity, Sensation Avoiding area of Adolescent/Adult Sensory Profile included to the normal range and the scores of the Social Maturity Scale improved. Conclusions : Child's sensory defensiveness was relieved and sensory modulation and controling emotion ability were improved. While there was significant improvement for sensory modulation and social interaction ability, this was a case study and there was only one subject. So we need to study with larger sample size to generalize this intervention's effectiveness.

The Antimicrobial Activity of Bacterial-challenged Black Soldier Fly, Hermetia illucens (세균에 의해 면역이 유도된 동애등에의 항균활성)

  • Park, Kwanho;Yun, Eun-Young;Park, Seung-Won;Goo, Tae-Won
    • Journal of Life Science
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    • v.26 no.12
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    • pp.1409-1414
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    • 2016
  • In the larvae of the black soldier fly, Hermetia illucens, innate immunity mechanisms are activated in response to various pathogens and stimulants, resulting in the expression of antimicrobial peptides (AMPs). To induce the mass production of AMPs, H. illucens fifth instar larvae were immunized with five different kinds of bacteria. We isolated from the hemolymph of the H. illucens larvae after bacterial challenge, and their antimicrobial activities against Gram-positive bacteria (Staphylococcus aureus) and Gram-negative bacteria (Escherichia coli) were measured using the inhibition zone assay. Among these five different kinds of bacteria, the hemolymph of Bacillus subtilis-challenged H. illucens larvae showed the strongest antimicrobial activity against both Gram-positive bacteria and Gram-negative bacteria. The antimicrobial activity of the hemolymph of $1{\times}10^9cfu/ml$ B. subtilis-challenged H. illucens peaks at 24 hr at 48 hr post-infection and gradually declines with time. Moreover, the immunized hemolymph also showed strong antimicrobial activity against various poultry pathogens such as S. enteritidis, S. typhimurium, and S. pullorum. These results suggest that the expression of AMP genes in B. subtilis-challenged H. illucens is up-regulated by innate immune responses, and that B. subtilis-challenged H. illucens overexpressing AMPs may be useful as a feed additive in livestock diets to reduce the need for antibiotics.

Effect of Abdominal Moxibustion on Menstrual Discomfort in University Students (복부 뜸요법이 여대생의 월경불편감에 미치는 효과)

  • Kim, Ho-Jin;Kim, Yi-Soon;Kim, Gyeong-Cheol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.2
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    • pp.554-560
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    • 2007
  • This study was aimed to identify the effect of abdominal moxibustion on premenstrual syndrome and dysmenorrhea in university students. The data were collected by using questionnaires from April 25, 2005 to June 20, 2005. The subjects were university students from in the Pusan metropolitan area who had complained of menstrual discomfort. Thirteen students were assigned to the experimental group and fourteen students to the control group. The research design of this study was a nonequivalent control group pretest-posttest design. In the research method pretest were conducted through measurement based on scores of general character, menstrual character, premenstrual syndrome and dysmenorrhea in the experimental group and the control group. Experimentation was conducted by abdominal moxibustion being applied on the kwan-won hole and Ki-hae hole for 25 minutes at a time, three times a week, form the ending of one menstrual cycle to the beginning of the next menstrual cycle were in the experimental group. After treatment was finished, post tests conducted through measurement based on scores of premenstrual syndrome and dysmenorrhea in the experimental group. The control group conducted a point of same time and same measurement with the experimental group. The instruments used in this study MDQ(Menstual Distress Questionnaire) developed by moos(1968) and the VAS(Visual Analogue Scale) developed by Cline(1992). The data were analysed by SPSS/ win 12.0 program with ${\chi}$2-test and t-test to verify identification among subjects' general characteristics and menstrual characteristics. Hypothesis verification was analysed with t-test. The results of the study are as follows: The hypothesis, 'the experimental group who received abdominal moxibustion will decrease premenstrual symptoms more than the control group', was supported (t= -2.121, p=.022). The hypothesis, 'the experimental group who received adbominal moxibustion will decrease dysmenorrhea compared to the control group', was supported (t=-4.424, p=.001). As a result of this study, abdominal moxibustion will be used as a nursing aide to improve and prevent menstrual discomfort of university students who have premenstrual syndrome and dysmenorrhea.

Relationships Between Edge Formation of Burned Forests and Landscape Characteristics with Consideration on Spatial Autocorrelation (공간 자기상관성을 고려한 산불피해지 경계 형성과 경관특성변수들과의 관계)

  • Lee, Sang-Woo;Won, Myoung-Soo;Lee, Hyun-Joo
    • Journal of Korean Society of Forest Science
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    • v.102 no.1
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    • pp.113-121
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    • 2013
  • It has been known that edges of forest fire areas play significant roles in post-fire change of forest ecosystem and recovery process. The purpose of this study was to analyze the relationships between edge formation of burned forests and landscape characteristics with consideration on spatial autocorrelation. Samcheok fire site burned in 2000 was selected as the study area. Seven hundred fifty three of 500 $m^2$ grid cells were generated for measuring landscape characteristics. This study used the topographic variables including slop, elevation, topographic wetness index, solar radiation index and proportions of fuel and land use types. In delineating landscape characteristics correlation analysis with modified t-test were performed for exploring the relationships between edge formation and landscape characteristics. The results indicated that edge formation of burned forests was positively correlated with most variables including TWI, SRI, water, paddy, developed, farm, grass, bare soil, and negatively related with elevation, slope and all fuel types. Especially TWI (r=0.437) showed a strong positive correlation with edge formation. According to the results, edge of burned forests were likely formed when proportions of heterogeneous land use types were high with mild slope and low elevation.

Risks and Supervisory Challenges of Financial Conglomerates in Korea (금융그룹화와 금융위험: 실증분석 및 정책과제)

  • Hahm, Joon-Ho;Kim, Joon-Kyung
    • KDI Journal of Economic Policy
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    • v.28 no.1
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    • pp.145-191
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    • 2006
  • This paper studies implications of financial conglomeration for both financial risk of individual conglomerates and systemic risk potential in post-crisis Korea. Our analyses suggest that we cannot conclude that financial conglomerates are taking on higher risks relative to non-conglomerate independent institutions. We also find that larger financial institutions show a significantly higher profitability and lower variability in profitability operating on a superior efficient frontier. However, it turns out that the consolidation has raised systemic risk potential as direct and indirect interdependencies among large banking institutions have substantially increased. Furthermore, financial conglomerates have become more vulnerable to contagion risks from non-bank sectors and capital markets. In the face of the shifting risk structure, financial supervisory and regulatory systems must be upgraded toward a more risk-based, consolidated supervision. Prompt corrective action provision for financial conglomerates must be based upon fully consolidated group risks, and effective supervisory devices need to be introduced to avoid inadvertent extension of public safety net to cross-sectoral activities of financial conglomerates. It is also critical to strengthen internal control and risk management capacities at financial conglomerates, and to establish strong market discipline by improving information transparency and monitoring incentives in the financial market.

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Collision Analysis between FRP Fishing Boats According to Various Configurations (여러 가지 충돌 상황에 따른 FRP 어선 간의 충돌 해석)

  • Jang, In-Sik;Kim, Yong-Seop;Kim, Il-Dong
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.9 no.4
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    • pp.253-262
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    • 2006
  • In this paper, collision analysis is carried out between two FRP fishing boats. A computer simulation with finite element method is used to accomplish this objective. At first, a detailed geometric model of the boat is constructed using 3-D CAD program. The formation of a finite element from a geometric data of the boats is carried out using HYPERMESH that is the commercial software for mesh generation and post processing. Twelve collision configurations are established by combining two kinds of contact angle($90^{\circ},\;135^{\circ}$) and three different speed(5, 10, 15knot) for small and large boats. Collision analysis is accomplished using DYNA3D. Stress distribution and deformation shape are investigated for each collision condition. In general, $90^{\circ}$ collision angle generate larger stress than $135^{\circ}$ case and the collision for two moving boats showed larger maximum stress than the case that one is moving and the other is stationary. When analysis is carried out until 150ms contact parts of two boats are broken for 10 and 15knot collision speed, in which maximum stress is larger than ultimate strength of the material.

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