• Title/Summary/Keyword: Post-Management

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Effects of Intraperitoneal Administration of Bupivacaine on Relief of Pain and Change of Behavior following Ovariohysterectomy in Cats (고양이에서 난소자궁적출술 후 복강 내 Bupivacaine 투여가 통증 감소와 행동 변화에 미치는 영향)

  • Uhm, Mi-Young;Kim, Young-Ki;Lee, Scott S.;Suh, Euy-Hoon;Chang, Hong-Hee;Lee, Hee-Chun;Lee, Hyo-Jong;Yeon, Seong-Chan
    • Journal of Veterinary Clinics
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    • v.26 no.3
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    • pp.205-211
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    • 2009
  • Perioperative pain relief is essential in veterinary practice. However, the cat is one of the most poorly understood species regarding pain control management. Ovariohysterectomy(OHE) produces considerable postoperative pain in cats. Practitioners are often reluctant to administer analgesics due to lack of familiarity with available drugs, concern about side effects, or frustration with the need for record keeping of controlled substances. The purpose of this study was to determine if intraperitoneal administration of bupivacaine can provide relief of pain following OHE in cats. Twelve healthy female cats were randomly divided into two groups. OHE was performed under general inhalation anesthesia. Just prior to complete closure of the linea alba, 6 cats in SAL group received 0.88 ml/kg 0.9% saline, 6 cats in BUP group received 4.4 mg/kg 0.75% bupivacaine diluted to an equivalent volume with saline in the intraperitoneal space. Cats were scored at 0, 1, 2, 4, 8, 12 and 24 hours post-extubation by one observer. Cats were evaluated using a visual analogue scale(VAS) and composite pain scale(CPS) that included physiologic variables. There were no significant differences in body weight, anesthesia time, surgery time, and incision length between the two groups. Cats in the BUP group had significantly(p<0.05) lower VAS-pain scores than cats in the SAL group at 4, 8, 12 hours after surgery. Cats in the BUP group had significantly lower CPS scores than cats in the SAL group at 8, 12 hours after surgery. No adverse side effects were observed. These results support that the intraperitoneal administration of bupivacaine following OHE can be used for the prevention of postoperative pain and pain-induced behavioral changes in cats.

Removal Characteristics of Natural Organic Matter and Taste and Odor by Advanced Water Treatment Process around the Han River Water Supply System (한강수계 고도정수처리 공정에서의 유기물과 맛·냄새의 제거특성)

  • Jae-Lim Lim;Lee, Kyung-Hyuk;Kim, Seong-Su;Chae, Seon-Ha
    • Journal of Korean Society of Water and Wastewater
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    • v.21 no.1
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    • pp.13-25
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    • 2007
  • The water treatment plants in Seoul Metropolitan Area, which are under Korea Water Resources Corporation(KOWACO)'s management, take water from Paldang Reservoir in Han River System for drinking water supply. There are taste and odor (T&O) problems in the finished water because the conventional treatment processes do not effectively remove the T&O compounds. As part of countermeasures for taste and odor control, KOWACO is planning to introduce advanced water treatment process such as ozone and GAC in near future. This study evaluated the removal characteristics of T&O and dissolved organic matter (DOM) to find design and operation parameters of advanced water treatment processes in a pilot-scale treatment plant. The GAC adsorption capacity for DOC in the two GAC system (GAC and $O_3$-GAC) at an EBCT of 14min was mostly exhausted after 9months. The differency of the removal efficiency of DOC between $O_3$-GAC and GAC increased with increasing operation time because the bioactivity in $O_3$-GAC process was enhanced by post-ozone process. Removal by conventional treatment was unable to reach the target TON(threshold odor number) of 3 but GAC systems at an EBCT(empty bed contact time) of 14 min were able to archive the target with few exception. During the high T&O episodes, PAC as a pretreatment together with GAC could be useful option for T&O control. However, substantial TON removal continued for more than two year (> 90,000 bed volumes). At the spiking of less concentration 26 to 61 ng/L in the influent of GAC systems, GAC absorber and $O_3$-GAC processes could meet the treatment target. The better spike control after 12 and 19 months of operation compared to that after 7 months of operation is a strong indication of biological control. The results presented in this study had shown that $O_3$-GAC process was found to be more effective for T&O control than GAC process. And the main removal mechanism in GAC systems were adsorption capacity and biodegradation.

The Effect of Program for the Gifted based on GI-STEAM model on Leadership, Creative personality, and Learning flow of Elementary Gifted Students (GI-STEAM 모형에 기반한 영재 프로그램이 초등영재의 리더십과 창의적 인성, 학습몰입에 미치는 영향)

  • Hong, Jeong-Hee;Yoo, Mi-Hyun
    • Journal of Gifted/Talented Education
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    • v.26 no.1
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    • pp.77-99
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    • 2016
  • The purpose of this study was to examine the effect of GI-STEAM program on leadership, creative personality, and learning flow of elementary Gifted Students. GI-STEAM program was the convergence model of Group Investigation that belongs to Co-learning and STEAM framework of learning criterion. The participants were 16 gifted students in a Korean elementary school located in Gyeong-gi province. The experimental design was one group pretest-posttest design. After a pretest on leadership, creative personality, and learning flow was conducted, classes were carried out as GI-STEAM program for the gifted student and a post-test was conducted. The study results of the class that was conducted twelve times for two weeks are as follows. First, Individual area of leadership is meaningfully developed in statistics after GI-STEAM program. The sub-domains of leadership, such as the communication, organization management, society commitment and teamwork showed a statistically significant improvement. Second, the domain of creative personality didn't show meaningful difference after GI-STEAM program. However, the aesthetic in the sub-domains of the creative personality showed a statistically significant improvement. Third, learning flow was meaningfully developed in statistics after GI-STEAM program. The sub-domains of the leadership, such as the balance between challenge and ability, integration with behavior and consciousness, concrete feedback and Autotelic experience showed a statistically significant improvement. In conclusion, GI-STEAM is an effective program for improving ability of communication, aesthetic sensibility, which are core competency of 'creative-convergence' gifted students. For this reason, it is highly considered that various programs applying GI-STEAM should be developed.

Thoracic Epidural Anesthesia for Upper Abdominal Surgery and Postoperative Pain Control (상복부 수술을 위한 흉추 경막외 마취와 술후 통증관리)

  • Choi, Kyu-Taek;Cheun, Jae-Kyu
    • The Korean Journal of Pain
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    • v.2 no.1
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    • pp.66-71
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    • 1989
  • It has been standard practice in many institutions to use a combination of a light general anesthesia and an epidural block for lower abdominal and pelvic surgery. This combination of a balanced anesthesia can provide various benefits to the patient such as less bleeding in the surgical field, the use of a lower concentration of general anesthetics, less muscle relaxant, and post operative pain management. However, there are several problems associated with hemodynamics such as bradycardia and hypotension etc. In order to block the pain of the high surgical area with a lumbar epidural puncture postoperatively, a large volume of local anesthetic is required and consequently an extensive blockade of sympathetic, sensory and motor functions can occur causing motor weakness, numbness and postural hypotension. Therefore, the patient is unable to have early ambulation postoperatively. In this study, thoracic epidural catheterization was undertaken to locate the tip of the catheter exactly at the surgical level for upper abdominal surgery, and was followed by general anesthesia. Twenty-one patients scheduled for upper abdominal surgery were selected. Fifteen of them had hepatobiliary operations and the remaining 6 had gastrectomies. Thoracic epidural punctures were performed mostly at T9-T10 (57.1%) and T8-T9. Neuromuscular blocking agents were not used in half of the cases and the, mean doses of relaxant were $3.5{\pm}1.0mg$ in gastrectomies, and $2.7{\pm}0.9mg$ in cases of hepatobiliary operation. Epidural morphine was injected 1 hour before the end of the operation for postoperative pain control. Eight patients did not require additional analgesics and the mean dose of epidural morphine was $2.2{\pm}0.9mg$, and 13 cases were given 0.125% epidural bupivacaine when patients complained of pain. Their initial doses of epidural morphine were $1.9{\pm}0.4mg$ and the mean duration of bupivacaine was 6 hours 20 minutes${\pm}40$ minutes. In conclusion. thoracic epidural analgesia is valuable to reduce postoperative pain in patients with upper abdominal surgery, However, it is not easy to maintain this balanced anesthesia with high epidural analgesia-and light general anesthesia for upper abdominal surgery because of marked hemodynamic changes. Therefore, further practice will be required.

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Bioequivalence of Hana Ondansetron Tablet to Zofran Tablet (Ondansetron 8 mg) (조프란 정(온단세트론 8 mg)에 대한 하나 온단세트론 정의 생물학적 동등성)

  • Cho, Hea-Young;Kim, Soo-Jin;Shim, Young-Sun;Lim, Dong-Koo;Oh, In-Joon;Moon, Jai-Dong;Lee, Yong-Bok
    • Journal of Pharmaceutical Investigation
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    • v.30 no.3
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    • pp.213-218
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    • 2000
  • Ondansetron is a potent, highly selective 5-hydroxytryptamine3(5-HT3) receptor- antagonist, for the management of nausea and vomiting induced by cytotoxic chemotherapy and radiography, and the treatment of post-operative nausea and vomiting. The purpose of the present study was to evaluate the bioequivalence of two ondansetron tablets, $Zofran^{TM}$, (Glaxo Wellcome Korea Ltd.) and Hana ondansetron (Hana Pharmaceutical Co., Ltd.), according to the guidelines of Korea Food and Drug Administration (KFDA). Eighteen normal male volunteers, $23.56{\pm}1.79$ year in age and $67.35{\pm}8.35\;kg$ in body weight, were divided into two groups and a randomized $2{\times}2$ cross-over study was employed. After one tablet containing 8 mg of ondansetron was orally administered, blood was taken at predetermined time intervals and the concentrations of ondansetron in serum were determined using HPLC with UV detector. Pharmacokinetic parameters such as $AUC_t,\;C_{max}\;and\;T_{max}$ were calculated and ANOVA test was utilized for the statistical analysis of the parameters. The results showed that the differences in $AUC_t,\;C_{max}\;and\;T_{max}$ between two tablets were 7.53%, -0.23% and -3.92%, respectively when calculated against the $Zofran^{TM}$, tablet. The powers $(1-{\beta})$ for $AUC_t,\;C_{max}\;and\;T_{max}$ were above 99.00%, above 99.00% and 84.99%, respectively. Minimum detectable differences $(\Delta)\;at\;{\alpha}=0.1\;and\;1-{\beta}=0.8$ were all less than 20% (e.g., 12.25%, 10.88% and 18.37% for $AUC_t,\;C_{max}\;and\;T_{max}$, respectively). The 90% confidence intervals were all within ${\pm}20%$ (e.g., $-0.70{\sim}15.76,\;-7.53{\sim}7.08\;and\;-16.27{\sim}8.42\;for\;AUC_t,\;C_{max}\;and\;T_{max}$, respectively). All of the above parameters met the criteria of KFDA for bioequivalence, indicating that Hana ondansetron tablet is bioequivalent to $Zofran^{TM}$, tablet.

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The Effects of REBT Career Group Counseling on Self-Efficacy and Career Attitude Maturity of the Career-Inturrupted Married Women in Thirties (REBT 진로 집단상담이 경력단절 30대 기혼여성의 자기효능감과 진로태도성숙에 미치는 효과)

  • Yeo, Suk-Hyun;Kim, Myung-Shig
    • Journal of Digital Convergence
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    • v.14 no.9
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    • pp.571-577
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    • 2016
  • Recently problems and issues of career-interrupted women were emerging as major social agenda in modern general and female society. This study modified and restructured REBT career group counseling and intended to testify the effects of REBT career group counseling program on self-efficacy and career attitude maturity of career discontinued married women in thirties. The subjects were career-interrupted married women in thirties living in J city, who have elementary school students as their children and applied to our study with 3 groups. 45 subjects were randomly assigned to experimental group(REBT Group), control group1(education group for vocational counselor) and control group2(general parental education group) by the number of 15. To assess effects of 3 groups, pre-test and post-test were carried out. Results showed that the participants of REBT group showed more self-efficacy, social efficacy and total self-efficacy scores than them of 2 control groups. And they had tendency to have more sense of reality, preparedness and total career attitude maturity scores. It seems that REBT career counseling program changed their irrational beliefs into rational beliefs about course and career, increasing their self-efficacy and career attitude maturity. The meaning, limitation and future tasks were discussed.

The Effect of a Group Program Designed to Resolve the Psychological Career Barriers of University Freshmen on Their Psychological Career Barriers, Self-Efficacy in Career Decision-Making, and Self-Determination (대학 신입생을 위한 심리적 진로장벽 해소 집단프로그램이 심리적 진로장벽, 진로결정 자기효능감과 자기결정성에 미치는 효과)

  • Lee, Mi-Young
    • Journal of Digital Convergence
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    • v.16 no.10
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    • pp.485-496
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    • 2018
  • This study set out to organize and apply a group program designed to resolve the psychological career barriers of university freshmen and test its effects on their psychological career barriers, self-efficacy in career decision-making, and self-determination. For this purpose, the investigator divided the subjects into a treatment group of eight and a comparison group of nine, implemented a group program designed to resolve psychological career barriers over seven sessions, and applied no treatment to the comparison group. In an effort to examine the program's effects, the investigator conducted tests on psychological career barriers, self-efficacy in career decision-making, and self-determination in the pre- and post-test both in the treatment and comparison groups and examined the differences between them. The findings were as follows: first, the treatment group made a significant decrease to its psychological career barriers scores compared to the comparison group; second, the treatment group made a significant increase to its self-efficacy in career decision-making scores compared to the comparison group; and finally, the treatment group also made a significant increase to its self-determination scores compared to the comparison group with a significant enhancement. That is, the program was effective for lowering the psychological career barriers of university freshmen and improving their self-efficacy in career decision-making and self-determination. The study also discusses the utilization of its findings and future study.

Effects of CELL curriculum participation on college students' learning flow, learning motivation, academic self-efficacy, and self-directed learning ability (CELL교육과정 참여가 대학생의 학습몰입, 학습동기, 학업적자기효능감, 자기주도학습능력에 미치는 효과)

  • Yang, Jae-Hoon;Cho, Bo-Ram;Hwang, In-Seob
    • Journal of Digital Convergence
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    • v.18 no.8
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    • pp.55-67
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    • 2020
  • The purpose of this study was to investigate the effects of CELL curriculum participation on learning flow, learning motivation, academic self-efficacy, and self-directed learning ability. To this end, in the first semester of 2020, 386 students from K University conducted a pre-post survey and analyzed using SPSS. The main research results are as follows. First, participation in the CELL curriculum showed statistically significant improvement in the student's learning flow, learning motivation, academic self-efficacy, and self-directed learning ability. Second, the analysis by gender showed significant improvement in learning flow, academic self-efficacy, and self-directed learning ability only for female students. Third, in the analysis by grade level, the sophomore showed significant improvement in learning flow and self-directed learning ability, the junior in all variables, and the senior in academic self-efficacy and self-directed learning ability. Fourth, participation impressions and improvements were summarized through interviews of participating students. This study is significant in that it examines the effectiveness of the CELL curriculum and suggests practical measures for systematic operation and support.

A Study on the Promoting Utilizing by Evaluation of the Visitor Center Functions in the National Parks, Korea -Based on McManus's Communication Theory- (국립공원 탐방안내소 기능평가를 통한 이용활성화 방안 연구 -McManus의 커뮤니케이션 이론을 중심으로-)

  • Oh, Kang-Im;Cho, Woo;Lee, Kyeong-Jae
    • Korean Journal of Environment and Ecology
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    • v.18 no.2
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    • pp.249-262
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    • 2004
  • This study was conducted to suggest alternatives for the effective use of national park visitor centers, by evaluating their functionality. Visitor centers in Naejangsan National Park and Pukhansan National Park, which are deliberately composed and managed, were investigated for this purpose. First, I clarified the concept, function and type of a visitor center through literature review, and then, analyzed visitors' post-visiting evaluation based on McManus's Communication Theory. The results of the analysis shows that visitors have not enough time to understand the contents of visitor centers, and facilities and guide sign system to support visitors are insufficient, which seem to disturb the proper communication between visitors and exhibits. Visitors' short visiting time caused by their little interest in exhibits and their low degree of understanding show the difficulties in the communication between visitors and exhibits. The following alternatives are suggested to improve these problems: first, the improvement of the guide sign system; second, the provision of exhibition rooms specialized for different visitor groups; third, the display of exhibits connected with visitors' experiences; Forth, the utilization of various media proper for each subject.

MCDM Approach for Flood Vulnerability Assessment using TOPSIS Method with α Cut Level Sets (α-cut Fuzzy TOPSIS 기법을 적용한 다기준 홍수취약성 평가)

  • Lee, Gyumin;Chung, Eun-Sung;Jun, Kyung Soo
    • Journal of Korea Water Resources Association
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    • v.46 no.10
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    • pp.977-987
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    • 2013
  • This study aims to develop a multiple criteria decision making (MCDM) approach for flood vulnerability assessment which considers uncertainty. The flood vulnerability assessment procedure consists of three steps: (1) use the Delphi process to determine the criteria and their corresponding weights-the adopted criteria represent the social, economic, and environmental circumstances related to floods, (2) construct a fuzzy data matrix for the flood vulnerability criteria using fuzzification and standardization, and (3) set priorities based on the number of assessed vulnerabilities. This study uses a modified fuzzy TOPSIS method based on ${\alpha}$-level sets which considers various uncertainties related to weight derivation and crisp data aggregation. Further, Spearman's rank correlation analysis is used to compare the rankings obtained using the proposed method with those obtained using fuzzy TOPSIS with fuzzy data, TOPSIS, and WSM methods with crisp data. The fuzzy TOPSIS method based on ${\alpha}$-cut level sets is found to have a higher correlation rate than the other methods, and thus, it can reduce the difference of the rankings which uses crisp and fuzzy data. Thus, the proposed flood vulnerability assessment method can effectively support flood management policies.