• Title/Summary/Keyword: Post-Management

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Improving of Planning System for Sustainable Urban Development -Focus on Introducing Environmental and Ecological Planning- (지속가능한 도시개발사업 추진을 위한 계획시스템 개선방안 -환경생태계획 도입을 중심으로 -)

  • Choi, Hee-Sun;Kwan, Young-Hwan
    • Journal of Environmental Policy
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    • v.8 no.3
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    • pp.27-51
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    • 2009
  • This study looked for ways to carry out development projects in a sustainable manner by generating improvement plans, and focused on reviewing the status and problems associated with the environmental and ecological planning that is currently applied to new town and large-scale development projects. Improved methods were suggested based on differences between urban development and housing development projects. Based on principles set for the introduction of environmental and ecological planning, the size of the projects subject to environmental and ecological planning was set. With regard to the procedural improvements for environmental and ecological planning, nine problems were singled out from the development planning phases. Solutions were suggested by separating the problems into the site and district designation phase, development planning phase, implementation planning phase, and post-management phase based on a literature review and the opinion of experts. In consideration of improvements to the planning system, the scope of environmental and ecological planning was set after looking at information related to environmental and ecological planning, literature review, expert interviews, and the relevance of related plans. The scope of the environmental and ecological planning was divided into the overview of planning, environmental and ecological conception, conception of spatial structure and framework, and urban environment regeneration and impact reduction plans. By synthesizing the above-described results, the functions of environmental and ecological planning, development planning, and environmental assessment and their inter-relations were defined. The defined inter-relations seem likely to be developed into a form that would enable sustainable land development.

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Management of Pediatric Small Bowel Intussusception: Spontaneous Reduction vs Operation (소아의 소장 중첩증의 치료 : 자연 정복 vs 수술적 치료)

  • Kim, Eun-Young;Jung, Kyu-Whan;Park, Tae-Jin;Park, Kwi-Won;Jung, Sung-Eun;Kim, Hyun-Young
    • Advances in pediatric surgery
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    • v.16 no.2
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    • pp.117-125
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    • 2010
  • Unreduced small bowel intussusception requires operative treatment although the rate of spontaneous reduction is 60 to 70 %. The aim of this study is to compare clinical characteristics and outcome between spontaneous reduction and operation group and to analyze factors related to decisions to treat small bowel intussusceptions. The records of 25 patients with small bowel intussusceptions treated in Seoul National University Children's Hospital from January 1999 to August 2009 were reviewed respectively. Spontaneous reduction group (n=12, 48 %) had signs and symptoms of vomiting, abdominal pain, currant jelly stool, abdominal distension, fever, increased CRP but no rebound tenderness. One of them had been diagnosed with Henoch-Schonlein purpura and no one displayed pathologic leading point by image study. Operation group (n=13, 52 %) consisted of patients who had primary surgery. Their signs and symptoms were similar to spontaneous reduction group. Seven of them had underlying diseases such as Crohn' disease, ALL, Lymphoma, Peutz-Jeghers syndrome (n=3), post-transplanted state of liver and 2 of them displayed Peutz-Jeghers polyp and Meckel's diverticulum as pathologic leading point by preoperative ultrasonography. Mean relieve interval (interval between onset of symptoms and reduction/operation) was 1.78 days in spontaneous reduction group and 2.25 days in operation group (p=0.341). Seven of operation group had manual reduction and 6 out of 7 received segmental resection of the small bowel. No one of them underwent manual reduction and all of them underwent segmental resection were found to have pathologic leading points [Peutz-Jeghers polyp (n=3), Meckel's diverticulum (n=2), lymphoma (n=1)] during operation. In conclusion, 48% of small bowel intussusceptions resolved spontaneously. Patients' symptoms and relieve intervals were not related to the operative decisions. We therefore recommend significant factors for determining treatment plan such as change of clinical symptoms, underlying disease or pathologic leading point by imaging.

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Pain Relieving Effect of Intraoral Sucrose Replacement in Neonates (신생아의 통증완화를 위한 자당(sucrose) 경구투여 효과)

  • Yoon Hea-Bong
    • Child Health Nursing Research
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    • v.7 no.1
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    • pp.35-50
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    • 2001
  • The ability of neonates to perceive and react to pain, has been acknowledged recently. Recent researches have been shown that even short term pain can have lasting negative effects. We know that most of the anatomical pathway and neurotrans-mitter function necessary for pain perception are fully or nearly fully developed in the neonatal period. Many people are still reluctant to believe that pain felt by neonates may be as severe as that felt by older children or adults yet. The objective of the study is to assess and compare the analgesic effects of orally administered sucrose and pacifiers. And to determine the synergistic analgesic effects of sucrose and pacifiers. The tools for this study is Lawrence's NIPS (neonatal infant pain scale) with behavioural pain responses and index for pain physiological reponses as heart rate, respiratory rate and degree of SaO₂. The participants are 96 healthy infants of neonatal age 1-7days and randomised to receive heel prick before 2minutes to blood sampling and physiological test in Nursery of K Medical University Hospital on May-July, 2000. The experimental group assigned to one of three treatment groups : no treatment; a pacifier; placebo(2ml 25% sucrose). Collected data were analyzed with the SAS program using X²-test, ANOVA and Duncan's multiple range test as post hoc. The results were as follows. 1) Pain behaviour responses: The pain score of placebo group(2ml 25% sucrose) is lower than no treatment group and pacifier group significantly(P=.000). Placebo group is different from no treatment and pacifier group with Duncan's multiple range test. 2) Pain physiologic responses (1) heart rate: The heart rate of placebo group(2ml 25% sucrose) is different from that of no treatment group and pacifier group significantly(P=.000). The heart rate change of placebo group is less than the other groups. (2) respiratory rate: The respiratory rate of placebo group(2ml 25% sucrose) is different from that of no treatment group and pacifier group insignificantly (P=.2340). But, the respiratory rate of placebo group is lower than the other groups. (3) SaO₂: The SaO₂ score of placebo group(2ml 25% sucrose) is different from that of no treatment group and pacifier group insignificantly (P=.3265). But, the change of SaO₂ score of placebo group is less than the other groups. In conclusion, the sucrose placebo showed pain relief effect in behavior responses and less physiological responses. Accordingly, the sucrose placebo should be applied nursing intervention for simple pain management as heel prick.

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A Study on the Architecture Modeling of Information System using Simulation (시뮬레이션을 이용한 정보시스템 아키텍쳐 모델링에 관한 연구)

  • Park, Sang-Kook;Kim, Jong-Bae
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2013.10a
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    • pp.455-458
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    • 2013
  • The conventional design of the information system architecture based on the personal experience of information systems has been acted as a limit in progress utilizing appropriate resource allocation and performance improvements. Architecture design depending on personal experience makes differences in variance of a designer's experience, intellectual level in related tasks and surroundings, and architecture quality according to individual's propensity. After all these problems cause a waste of expensive hardware resources. At working place, post-monitoring tools are diversely developed and are running to find the bottleneck and the process problems in the information operation. However, there are no simulation tools or models that are used for expecting and counteracting the problems at early period of designing architecture. To solve these problems we will first develop a simulation model for designing information system architecture in a pilot form, and will verify validity. If an error rate is found in the permissible range, then it can be said that the simulation reflects the characteristic of information system architecture. After the model is developed in a level that can be used in various ways, more accurate performance computation will be able to do, getting out of the old way relying on calculations, and prevent the existence of idle resources and expense waste that comes from the wrong design of architecture.

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A Qualitative Analysis on Paraspinal Muscles in Patients with Acute Low Back Pain and Chronic Low Back Pain (급성 요통환자와 만성 요통환자에서 척추주변근육의 정량적 분석)

  • Jeong, Dae-Keun
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.613-620
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    • 2013
  • This study was conducted to measure and analyze the changes in paraspinal muscles of acute and chronic low back pain patients using MRI, and to provide clinical basic data for diagnosis and treatment for low back pain. For this purpose, 20 patients with acute low back pain frome August 2012 to January 2013 which occurred within 12 weeks, and 20 patients with chronic low back pain that progressed over 12 weeks, were chosen as subjects, and their MRI measurements were compared with one another. As a result, in relation to in the fatty degeneration ratio of the left spine and right spine, there were significant differences in erector spinae and multifidus(p<.001), and in relation to the Fat Infiltration ratio between all the groups, there were significant differences in psoas major, erector spinae and multifidus between the acute low back pain patient group and the chronic low back pain patient group(p<.001). In the post-hoc test, multifidus and erector spinae in the acute low back pain group and chronic low back pain group showed the highest Fat Infiltration ratio. The serious Fat Infiltration of multifidus and erector spinae in the chronic low back pain group led to weakened strength of muscles that stabilize the spine. In conclusion, it is considered that this study would present important data and basis in making acute and chronic low back pain patients pay more attention to multifidus and psoas major during rehabilitation exercise, and selecting a rehabilitation exercise program.

The Effects of Upper and Lower Limb Coordinated Exercise in One Leg Support or non Support on Gait Ability in Chronic Stroke Patients (한 발 지지 유무에 따른 상하지 협응운동이 만성 뇌졸중 환자의 보행능력에 미치는 영향)

  • Kuk, Eun-Ju
    • Journal of Digital Convergence
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    • v.11 no.7
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    • pp.281-288
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    • 2013
  • The purpose of this study was to identify the effects of upper and lower limb coordinated exercise for gait ability in stroke patients. Upper and lower limb coordinated exercise method was conducted in two different groups; one is an one leg support group and the other is a non support group. In this study, 14 patients were participated. One leg support group was applied to 7 patients, and non support group was applied to 7 patients. Both group carried out 3 times a week for 30 minutes during 4 weeks. Data were analyzed statistically via Repeated two-way ANOVA, Mann-Whitney U test, and Friedman test. The results of the measurement analysis were summarized as follows: 1. There were significant differences in 10MWT among 2 groups after intervention(p<.05). 2. There were significant differences in F8WT, FSST among 2 groups after intervention(p<.05). According to Bonferroni test, one leg support group had significant increased from pre-intervention to post-4 week. However, there were no significant differences in nonsupport group. In conclusion, improvement of gait ability in chronic stroke patients was effect to upper and lower limb coordinated exercise.

A Study on the Systematic Integration of WASP5 Water Quality Model with a GIS (GIS와 WASP5 수질모델의 유기적 통합에 관한 연구)

  • 최성규;김계현
    • Spatial Information Research
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    • v.9 no.2
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    • pp.291-307
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    • 2001
  • In today's environmental engineering practice, many technologies such as GIS have been adopted to analyze chemical and biological process in water bodies and pollutants movements on the land surface. However, the linkage between spatially represented land surface pollutants and the in-stream processes has been relatively weak. This lack of continuity needs to develop a method in order to link the spatially-based pollutant source characterization with the water quality modeling. The objective of this thesis was to develop a two-way(forward and backward) link between ArcView GIS software and the USEPA water quality model, WASP5. This thesis includes a literature review, the determination of the point source and non-point source loadings from WASP5 modeling, and the linkage of a GIS with WASP5 model. The GIS and model linkage includes pre-processing of the input data within a GIS to provide necessary information for running a model in the forms of external input files. The model results has been post-processed and stored in the GIS database to be reviewed in a user defined form such as a chart, or a table. The interface developed from this study would provide efficient environment to support the easier decision making form water quality management.

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The Effect of Conscious Sedation on Pain and Anxiety of Implant Surgery (임플란트 수술 시 의식하진정법이 환자의 통증과 불안에 미치는 영향)

  • Kim, Hye-Young;Lee, Su-Young;Cho, Young-Sik
    • Journal of dental hygiene science
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    • v.14 no.3
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    • pp.411-416
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    • 2014
  • The purpose of this study was to examine the effects of conscious sedation on pain and anxiety of patients in implant surgery. A total of 95 patients who underwent implant surgery were included in the study. In this study, the patient's anxiety and pain to evaluate the pre-operative Visual Analogue Scale (VAS), during-operative Pain Question (PQ), post-operative (Short-form McGill Pain Questionnaire [SF-MPQ], VAS) was used for tools such as questionnaires. The data were analyzed using the chi-squire, independent-samples t-test, multiple linear regression analysis. As a result, the pain reduction was significantly different between the sedative dental treatment and non-sedative dental treatment (p<0.05). The finding of the study multiple linear regression analysis showed that operation time, implant surgery experience, gender, age, operation form and Pain Catastrophizing Scale (PCS) with factors that affect the pain and anxiety (p<0.05). According to the results of the study, considered to be necessary to develop intervention strategies effective using the PCS when managing pain and anxiety of behavior management of this implant patient. Thus, it is advised to provide necessary practical guidelines and dental utilization behaviors on patients with conscious sedation.

The Effect of Mulberry Leaf Extract on Blood biochemical parameters in White Rats Exposed to 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) (상엽 물추출물이 다이옥신 유도 독성에 대한 흰쥐의 혈액 생화학지표에 미치는 영향)

  • Lee, Yoon-Bok;Bae, Soo-Jeong;Lee, Da-Kyung;Park, Swung-Jae;Park, Ji-Won;Kim, Byung-Weon;Whang, Seok-Yeon
    • Journal of Digital Convergence
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    • v.11 no.1
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    • pp.299-308
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    • 2013
  • We investigated the effect of mulberry leaf extract (MLE) on blood biochemical parameters of white rats induced TCDD toxicity. Data were analyzed by One-way ANOVA and Post-Hoc Test. The numbers of leukocyte and platelet decreased by TCDD were increased dramatically after treated MLE (p<0.01). The concentration of calcium and magnesium decreased by TT were increased by MLE and shown a statistical significance (p<0.01) but the concentration of phosphorus increased by TT was decreased by MLE. In the test of parameters related to renal function, only the concentration of uric acid in the MLE group was decreased than it in TT group and shown a statistical significance (p<0.01). Also the concentration of blood glucose and the activity of amylase and lipase increased by TT were decreased after treated MLE and shown a statistical significance (p<0.01), and MLE had an control effect for elevating blood glucose. In the test of parameters related to liver function, the acticity of AST, ALT and ALP increased by TT was decreased after treated MLE and shown a statistical significance (p<0.01), and MLE had an improving effect for liver function. In the case of total cholesterol (T,cho), triglyceride( TG), LDL-cholesterol (LDL-C) and HDL-cholesterol (HDL-C) related to lipid metabolism, the amount of T,cho, TG, LDL-C increased by TT were decreased after treated MLE and shown a statistical significance (p<0.01), and MLE had an ability of anti-hyperlipidemia. From these results, we concluded that MLE could mollified TCDD toxicity in white rats exposed to TCDD.

The Happiness Index by the Number of Teeth of Senior Citizens Residing in Dong-gu in Daejeon (대전 동구에 거주하는 노인들의 치아 수에 따른 행복지수)

  • Koong, Hwa-Soo;Song, Eun-Joo;Hwang, Soo-Jeong;Jang, Ha-Ram;Jeon, Da-Hye;Jeon, Min-Jeong;Jeong, Su-A;Kim, Hye-Jin;Kang, Kyung-Hee
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.661-667
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    • 2013
  • This paper aims to identify the relationship between the number of teeth of the elderly and their life happiness index. A face-to-face interview survey was conducted with elderly residents of Dong-gu, Daejeon from June 27 to July 25, 2012. A Tukey post hoc test and correlation analysis were implemented after a t-test and variance analysis. The results of analysis showed that satisfaction with life related to oral health was significant, but happiness in daily life had no significant difference. For the elderly, the quality of life related to oral health and happiness in daily life had no significant difference. Masticatory performance difference depending on usage of dentures also showed significant difference (p<0.001). The difference of masticatory performance depending on the number of teeth was analyzed by a correlation analysis. The present number of teeth, present anterior teeth and molars demonstrated a correlation. Quality in life related to oral health depending on the number of teeth correlated with the present number of teeth, present anterior teeth and present molars.