• Title/Summary/Keyword: Practice management

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Clinical Investigation of Women with Asthma Worsened During Pregnancy (임신 중 천식의 악화로 내원한 환자의 임상적 고찰)

  • Kwon, Young-Hwan;Kim, Kyung-Kyu;Jung, Hye-Cheol;Lee, Sung-Yong;Kim, Je-Hyeong;Lee, So-Ra;Lee, Sang-Yeub;Lee, Sin-Hyeong;Cho, Jae-Yun;Shim, Jae-Jeong;Kang, Kyung-Ho;Yoo, Se-Hwa;In, Kwang-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.4
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    • pp.548-554
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    • 1999
  • Background : Asthma is the most common respiratory crisis encountered in clinical practice, occurring in up to 4% of all pregnancies. Pregnancy often appears to alter the course of asthma. But the mechanisms responsible for variable changes in the asthma course during pregnancy remain unknown. Poor control and exacerbations of asthma during pregnancy may result in serious maternal and fetal complications. To investigate the course of asthma during pregnancy in korean women, we did a retrograde study of 27 pregnant women who had been admitted to Korea University Hospital for asthma worsened. Method: Twenty seven pregnant women who had been visited to Korea University Hospital for asthma worsened were enrolled in our retrospective study. We reviewed medical recordings and interviewed patients with asthma. Results: Twenty seven pregnant women with asthma were evaluated, and 25 patients were enrolled to our study. Two patients experienced abortions at 6 weeks and 25 weeks gestation, respectively. The period of asthma worsened was commonly during weeks 20 to 28 of gestation. And all patients wosened were improved during the last 4 weeks of pregnancy. Twenty(80%) of 25 women whose asthma worsened during pregnancy reverted toward their prepregnancy status after delivery(p<0.002). The causes of asthma worsened during pregnancy are reduction or even complete cessaton of medication due to fears about its safety(40%), worsening after upper respiratory infection (28%), and unknown(32%). There were no adverse perinatal outcomes in 25 pregnant asthma subjects. Conclusions: A major problem of therapy for asthma during pregnancy is reduction or even complete cessation of medication due to fears of fetal effects. Therefore, maternal education and optimal clinical and pharmacologic management is necessary to mitigate maternal and fetal complications.

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The effects of the direct nursing care hours with establishment of the nurse substations (Nurse Substation 운영이 직접간호시간 증가에 미치는 효과)

  • Lee, Chug-Hee;Sung, Young-Hee;Kwon, In-Gak;Lee, Soon-Kyu;Jung, Yoen-Yi;Hoe, Sung-Hee;Ryoo, Sung-Suk;Kim, Jung-Suk
    • Journal of Korean Academy of Nursing Administration
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    • v.3 no.2
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    • pp.61-80
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    • 1997
  • The purpose of this study is to measure the direct and indirect nursing care hours with establishment of nurse substations and compare the experimental nursing units with the existing nursing units For this study, two experimental nursing units: (1) a medical nursing unit and (2) a surgical nursing unit with a nurse substation were selected. And two control nursing units : (1) a medical nursing unit and (2) a surgical nursing unit without a nurse substation were selected. After a three-month experimental operation from June 1 to August 31,1996, research data were collected for three days from September 2 to 4, 1996. We investigated the effects of the direct & indirect nursing care hours with establishment of the nurse substations (improved nursing environment) without adding the staff nurses. The effect of establishment of the nurse sub-station was measured for the differences direct & indirect nursing care hours between experimental and control nursing units. An investigator measured the time for a staff nurse to practice each nursing activity and recorded it every minute. Percentage, average, standard deviation, t-test and ANOVA were used for data analysis. The results are as follows: 1. There was no significant difference between the experimental and control nursing units in staffs' working hours during their shift. 2. There were significant diffferences between the experimental and control nursing units in dierct nursing care hours (t=0.0288, p=0.0001) and indirect nursing care hours (t=0.3886, p=0.0103) per patient. 3. There was significant difference between the experimental and control nursing units in direct nursing care hours done by nurses(t=0.0012, p=0.0111) and aids(t=0.3011, p=0.0027). There was significant difference between the experimental and control nursing units in indirect nursing care hours done by head-nurses(t=0.0051, p=0.0253), nurses(t=0.0071, p=0.0024) and aids (t=0.3227, p=0.0351). There was significant difference between the experimental and control nursing units in indirect nursing care hours done by nurses(t=0.0005, p=0.0015) and aids(t=0.2400, p=0.0013) per patient. There was significant difference between the experimental and control nursing units in indirect nursing care hours done by head-nurses(t=0.0005, p=0.0379) and nurses (t=0.0035, p=0.0198) per patient. 4. Thre were significant differences between the experimental and control nursing units in direct nursing care hours (t=0.1134, p=0.0010) and indirect nursing care hours (t=0.7106, p=0.0008) per staff during the day shift. There were significant differences between the experimental and control nursing units in direct nunsing care hours during the day(t=0.0723, p=0.0003) and evening shift (t=0.0004, p=0.0285) per patient, and indirect nursing care hours during the day shift(t=0.5565, p=0.0036) per patient. 5. There were differences between the experiemental and control nursing units in dircet nursing activities including measurement and observation, medication, communication, teratment, hygiene, and nutrition, and in indirect nursing activities including confirmantion, communication, record, computer work, management of goods. But it was not statistically proven. 6. There was difference between the experimental and control nursing units in unmet-need nursing care hours per patient, but not statistically proven.

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Privilege and Immunity of Information and Data from Aviation Safety Program in Unites States (미국 항공안전데이터 프로그램의 비공개 특권과 제재 면제에 관한 연구)

  • Moon, Joon-Jo
    • The Korean Journal of Air & Space Law and Policy
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    • v.23 no.2
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    • pp.137-172
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    • 2008
  • The earliest safety data programs, the FDR and CVR, were electronic reporting systems that generate data "automatically." The FDR program, originally instituted in 1958, had no publicly available restrictions for protections against sanctions by the FAA or an airline, although there are agreements and union contracts forbidding the use of FDR data for FAA enforcement actions. This FDR program still has the least formalized protections. With the advent of the CVR program in 1966, the precursor to the current FAR 91.25 was already in place, having been promulgated in 1964. It stated that the FAA would not use CVR data for enforcement actions. In 1982, Congress began restricting the disclosure of the CVR tape and transcripts. Congress added further clarification of the availability of discovery in civil litigation in 1994. Thus, the CVR data have more definitive protections in place than do FDR data. The ASRS was the first non-automatic reporting system; and built into its original design in 1975 was a promise of limited protection from enforcement sanctions. That promise was further codified in an FAR in 1979. As with the CVR, from its inception, the ASRS had some protections built in for the person who might have had a safety problem. However, the program did not (and to this day does not) explicitly deal with issues of use by airlines, litigants, or the public media, although it appears that airlines will either take a non-punitive stance if an ASRS report is filed, or the airline may ignore the fact that it has been filed at all. The FAA worked with several U.S. airlines in the early 1990s on developing ASAP programs, and the FAA issued an Advisory Circular about the program in 1997. From its inception, the ASAP program contained some FAA enforcement protections and company discipline protections, although some protection against litigation disclosure and public disclosure was not added until 2003, when FAA Order 8000.82 was promulgated, placing the program under the protections of FAR 193, which had been added in 2001. The FOQA program, when it was first instituted through a demonstration program in 1995, did not contain protections against sanctions. Now, however, the FAA cannot take enforcement action based on FOQA safety data, and an airline is limited to "corrective action" under the program. Union contracts can exclude FOQA from the realm of disciplinary action, although airline practice may be for airlines to require retraining if there is no contract in place forbidding it. The data is protected against disclosure for litigation and public media purposes by FAA Order 8000.81, issued in 2003, which placed FOQA under the protections of FAR 193. The figure on the next page shows when each program began, and when each statute, regulation, or order became effective for that program.

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Healthy Korea 2010 : Role of the Health Educator (Healthy Korea 2010추진과 보건교육 인력 활용 전략)

  • Choi, Eun-Jin
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 2004.10a
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    • pp.89-109
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    • 2004
  • The Korean Government has produced the Health Plan 2010 aimed at setting up healthy Korea objectives, policies on preventing chronic diseases, reshaping the country's health and medical infrastructure. The policy goal targets the people's healthy life expectancy at 75 by 2010, and includes healthy life practice measures including health education, health improvement services, and disease management measures, in achieving the objectives. Also, the plan provides life cycle-based health improvement and disease prevention services, as well as pushes ahead with projects with greater ripple effects in each area. To this end, the government is simultaneously pushing to operate an experts-centered health promotion committee and establishing the infrastructure including the augmentation of national health improvement funds. Through its Health Plan 20 I 0, the Korean Government will exert efforts to achieve its policy objectives as addressed in the measures by enhancing the national potential health and providing systematic disease prevention services.

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Daily Shoot Growth Measurement of Zoysiagrass (Zoysia japonica) to Determine Mowing Interval (한국잔디(Zoysia japonica)의 깎기주기 결정을 위한 지상부 생육 조사)

  • Lee, Hyo-Soon;Yang, Geun-Mo;Choi, Joon-Soo
    • Asian Journal of Turfgrass Science
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    • v.24 no.1
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    • pp.16-23
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    • 2010
  • Mowing is an important practice in golf course management. Mowing interval and height can affect net photosynthesis of turfgrass and finally shoot density, tillering, rooting and regrowth of turfgrass. The objectives of this study were to investigate the regrowth rate of zoysiagrass shoot under different mowing height for determination of proper mowing frequency. Recommended mowing interval were calculated by a rule that no more than 33% of the above ground height be removed in a single mowing. Daily shoot growth of zoysiagrass at 10 mm mowing height were 2.1~4.7 mm (July), 1.9~2.9 mm (August), 0.9~1.5 mm (September), and 0.6 mm (October). These results indicate that recommended mowing interval were 1.1~2.3 day for July, 1.7~2.4 day for August, 3.5~5.4 day for September, and 8.5 day for October, respectively. Daily shoot growth of zoysiagrass at 15 to 17 mm mowing height were 4.0~5.3 mm (July), 2.9~4.5 mm (August), 1.4~3.7 mm (September), and 1.3 mm (October). These results indicate that recommended mowing interval were 1.4~1.9 day for July, 1.7~2.5 day for August, 2.3~6.3 day for September, and 6.8 day for October, respectively. Daily shoot growth of zoysiagrass at 18 to 21 mm mowing height were 3.5~4.7 mm (July), 2.9~4.9 mm (August), and 1.5~1.8 mm (September). These results indicate that recommended mowing interval were 1.9~2.6 day for July, 1.8~3.1 day for August, and 5.9~7.0 day for September, respectively. Daily shoot growth of zoysiagrass at 50 mm mowing height were 4.6~4.9 mm (July), 5.0~6.5 mm (August), and 2.5~4.7 mm (September). These results indicate that recommended mowing interval were 5.1~5.4 day for July, 3.9~5.0 day for August, and 5.3~9.8 day for September, respectively.

Microbiological Safety Assessment of a Perilla Leaf Postharvest Facility for Application of a Good Agricultural Practices (GAP) System (농산물우수관리제도(GAP system) 적용을 위한 깻잎의 수확 후 관리시설(APC)에 대한 미생물학적 안전성 평가)

  • Kim, Kyeong-Yeol;Nam, Min-Ji;Lee, Hyo-Won;Shim, Won-Bo;Yoon, Yo-Han;Kim, Se-Ri;Kim, Doo-Ho;Ryu, Jae-Gee;Hong, Moo-Ki;You, Oh-Jong;Chung, Duck-Hwa
    • Korean Journal of Food Science and Technology
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    • v.41 no.4
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    • pp.392-398
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    • 2009
  • This study identified risk factors of cross-contamination of foodborne pathogens and established a good agricultural practice (GAP) system for an agricultural products processing center (APC) for perilla leaves. All samples were collected before and after a standard work shift at the APC, while perilla leaves were also collected after each step in the APC. In addition, the workers and their surroundings were sampled by swabbing. The total plate count (TPC) and coliform count in the water samples increased significantly (p<0.05) to 3.36 and 1.73 log CFU/mL after work, respectively. However, no Escherichia coli and Listeria monocytogenes were detected. The bacterial populations of the workers and their surroundings did not differ significantly (p${\geq}$0.05) before and after work. However, Staphylococcus aureus (<1.66 log CFU) was detected at a high rate (13-50%) in the basket, packing table, gloves and cloth. Although perilla leaves passed through the washing steps, the TPC and coliform bacterial populations on the final products were higher (p${\geq}$0.05) than those of unwashed perilla leaves, which indicates that the washing system was not functioning properly. Accordingly, a GAP system with a better washing system should be employed at this facility.

Effect of Waste Energy Recovery on SUDOKWON Landfill Gas Generation (폐기물 에너지화가 수도권매립지 매립가스 발생량에 미치는 영향)

  • Chun, Seung-Kyu
    • Journal of Korean Society of Environmental Engineers
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    • v.32 no.10
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    • pp.942-948
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    • 2010
  • To predict the potential reduction of $CH_4$ by recovering several types of wastes as of reusable energy sources like RDF, the $CH_4$ emission for each type of waste from Landfill Site 3 of SUDOKWON Landfill was estimated for the period of 2017 to 2024. Without any recovering effort on types of wastes being disposed of at the Landfill, there are producing a total of $526{\times}10^6\;Nm^3$ of $CH_4$; municipal waste of $337{\times}10^6\;Nm^3$, construction waste of $178{\times}10^6\;Nm^3$, and facility waste of $11{\times}10^6\;Nm^3$. It composed of 41.5% to that observed from 2002 to 2009. With properly retrieved by MT(Mechanical Treatment), it released a total of $158{\times}10^6\;Nm^3$ $CH_4$; $127{\times}10^6\;Nm^3$, $28{\times}10^6\;Nm^3$, and $4{\times}10^6\;Nm^3$, respectively. Additionally, when biologically degradable residues can be fully treated by MBT (Mechanical & Biological Treatment) system, the total amount of $CH_4$ emitted from the site will be lowered down as low as $115{\times}10^6\;Nm^3$, which is comparably lower showing only 21.8% to that for without any energy recovery practice. Futhermore, it is far less showing 9.1% to that obtained from 2002 to 2009. It can be decided that predictable amount of $CH_4$ emission reduced could be successfully accomplished and enhanced through ways of energy recovery efforts such as further scale adjustment of LFG treatment capacity in association with currently implemented practices in the landfill site.

Characteristics of Soil Water Runoff and Percolation in Sloped Land with Different Soil Textures (경사지 토양에서 강우량과 토성에 따른 물 유출 및 침투 특성)

  • Lee, Hyun-Haeng;Ha, Sang-Keon;Hur, Seung-Oh;Jung, Kang-Ho;Kim, Won-Tae;Kim, Kye-Hoon
    • Korean Journal of Soil Science and Fertilizer
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    • v.39 no.5
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    • pp.268-273
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    • 2006
  • Soil loss induced by erosion has come to be a serious problem in Korea's sloped land since more than 70% of upland fields are located on the sloped land area. The purpose of this study was to investigate the phase of water flow in differently soil textured plot soil types by rainfall amount. Lysimeters with slope of 15%, 5 m in length, 2 m in width, and 1 m in depth were prepared and filled up with three different soil textures, such as sandy loam, loam, and clay loam, then relationships between seasonal rainfall and runoff, percolation were analyzed. Runoff and percolation rate were shown to increase linearly with increasing rainfall intensity in all the soil textures, but the starting threshold and increment rate in runoff and percolation occurrence were dependent differently upon soil textures. Percolation increment rate according to the increasing rainfall amount was 0.52, 0.36, and 0.57 for sandy loam, loam and clay loam soil respectively. The threshold rainfall amounts in which percolation occurs were 5.73 mm, 6.80 mm, and 12.86 mm for sandy loam, loam and clay loam respectively. Runoff increment rates were 0.42, 0.48 and 0.46 for sandy loam, loam and clay loam soil. The threshold rainfall amount in which runoff occurs was 10.50 mm in sandy loam, 7.76 mm in loam and 17.40 mm in clay loam. These different phases of water flow by soil texture could be used to suggest guidelines for the best management practice of the farming slope land.

Responses of Tree Growth and Fruit Production of Persimmon after Lowering Height by Heavy Pruning to Fertilization Rates (강전정에 의한 저수고 감나무의 시비량 조절에 따른 수체 생장 및 과실 생장 반응)

  • Choi, Seong-Tae;Park, Doo-Sang;An, Gwang-Hwan;Kim, Sung-Chul;Choi, Tae-Min;Rho, Chi-Woong
    • Korean Journal of Soil Science and Fertilizer
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    • v.46 no.2
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    • pp.136-141
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    • 2013
  • Lowering tree height has been a key practice for efficient management of persimmon orchards. This experiment was conducted to assess whether fertilization rates could be reduced after lowering the tree height by heavy pruning. Twelve-year-old 'Uenishiwase' persimmon trees were lowered to 2 m from over 3 m by severe dormant pruning, and then conventional fertilization rate was applied to some trees in April (N 224 g, $P_2O_5$ 172 g, and $K_2O$ 172 g per tree), June (N 112 g and $K_2O$ 99 g per tree), and October (N 112 g and $K_2O$ 99 g per tree). At the same time, 1/3 or 2/3 of the conventional rate and none were applied to other trees, respectively. Non-application decreased shoot length and reduced number of unnecessary secondary shoots by 39% compared with the conventional rate, not affecting yield and weight, color, firmness, and soluble solids of fruits. No significant difference was also found in the yield and the fruit characteristics among the trees fertilized with different rates. Concentrations of soluble sugars, starch, N, and K of dormant shoots in March of the following year were not significantly changed by the different treatments of the previous year. There was no significant difference of shoot growth and yield among the treatments the following year when the same fertilization rate was supplied to all the trees. Results indicated that fertilization rate could be reduced to less than 1/3 of conventional rate to save the cost and stabilize shoot vigor when tree height is lowered by severe pruning.

Factors Affecting Herbicidal Phytotoxicity and Efficacy of Antidote, CGA 123' 407, in Rice Nursery (못자리용(用) 제초제(除草劑)의 약해발생(藥害發生) 요인(要因)과 해독제(解毒劑) "CGA 123' 407" 효과(效果))

  • Kim, Soon-Chul;Lee, Soo-Kwan
    • Korean Journal of Weed Science
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    • v.5 no.1
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    • pp.63-72
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    • 1985
  • To establish the method of integrated weed management in rice nurserybed, phytotoxic factors of herbicide and antidote efficacy were evaluated at the Yeongnam Crop Experiment Station in 1982 and 1984. Seven hundred eighty four research items were carried out as weed control research since 1961. While 65% of these were belonged to rice research, only 6% was attributed to nurserybed among rice research. More herbicidal phytotoxicity exhibited when seedbed was pressed just after seeding than sand covered or uncovered seedbed and also this phytotoxic symptom enhanced by using intact seed compared to pregerminated seed. Rinsing practice of seedbed reduced the phytotoxic effect of butachlor and this effect was more pronounced with the number of rinsing operation increase and at the pressed plot. However, herbicidal efficacy was not significantly decreased by rinsing operation. Growth of rice seedling hardly affected where the herbicide was absorbed through root only compared to absorption from both of root and shoot for pyrazolate, butachlor and thiobencarb. Herbicide antidote `CGA 123'407' completely protected from the phytotoxic effect of pretilachlor without arising any adversal effect in weed control. However, without antidote, pretilachlor showed the most severe phytotoxic symptom among used herbicides.

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