• Journal of the Korean Society of Physical Medicine
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• 제16권3호
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• pp.99-106
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• 2021

PURPOSE: This study aimed to provide supporting data for the clinical use of breathing exercise with a WBV stimulation as a sustained and safe intervention program, by examining the effect of breathing exercise with WBV stimulation on the pulmonary function, gait ability, and life quality in patients with severe chronic obstructive pulmonary disease (COPD), who have difficulty performing exercise. METHODS: For this study, after collecting the samples from 20 patients with severe COPD, they were placed randomly in an experimental group to perform breathing exercises with a WBV stimulation (n = 10) and a control group to perform breathing exercises only (n=10). Before the intervention, pulmonary function, six-minute gait distance, and health-related life quality were measured as pre-tests. After applying the intervention program to the patients for 30 minutes once a day, for four days a week, for six weeks, the post-test items were remeasured in the same way as the pre-tests, and the results were analyzed. RESULTS: In the within-group comparison, both the experimental and control groups showed significant differences in the forced expiratory volume in one second, six-minute gait distance, and health-related life quality (p < .01) (p < .05). In the intergroup comparison, there were significant differences in the forced expiratory volume in one second and the six-minute gait distance (p < .05). CONCLUSION: WBV stimulation was more effective for the patients by improving the muscular strength and muscular endurance through the reflexive contraction of muscles, and increasing the exercise tolerance. This result could serve as an alternative means to clinically improve the physical function of patients with severe COPD, who have difficulty performing breathing exercises in the future.

• Journal of Hospice and Palliative Care
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• 제14권4호
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• pp.204-211
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• 2011

Purpose: This study used a nonequivalent control group pre-post test design to analyze how a death preparation education program helps middle-aged adults deal with life and death anxiety. Methods: We studied 83 adults at the age of 40 to 65 years. An experimental group of 38 people participated in the death preparation education, and a control group of 45 people did not. The death preparation program comprising four sections was given for four hours per week, and the program ran for 11 weeks. Data were analyzed by descriptive statistics, t-test, ${\chi}^2$ test, Fisher's exact test, and ANCOVA using SPSS version 17.0. Results: The death anxiety score of the experimental group was significantly lower than that of the control group (P<0.000). The quality of life did not show significant difference between the experimental and control groups (P=0.188). Conclusion: It was confirmed that the death preparation education program is effective in alleviating death anxiety. Although the program was confirmed as a necessity for the middle-aged adults, repeated observations with a wider range of experimental group is needed to collect objective and solid data. Death preparation education for middle-aged adults is expected to be more widely provided, starting from local health facilities.

• Journal of Wetlands Research
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• 제25권2호
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• pp.99-110
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• 2023

Non-point source (NP) pollutants in an agricultural landuse are discharged from a large area compared to those in other land uses, and thus effective source control measures are needed. To develop appropriate control measures, it is necessary to quantify discharge load of each source and evaluate the degree of water quality improvement by implementing different options of the control measures. This study used Hydrological Simulation Program-FORTRAN (HSPF) to quantify pollutant discharge loads from different sources and effects of different control measures on water quality improvements, thereby supporting decision making in developing appropirate pollutant control strategies. The study area is the Gyeseong river watershed in Changnyeong county, Gyeongsangnam-do, with agricultural areas occupying the largest proportion (26.13%) of the total area except for the forest area. The main pollutant sources include chemical and liquid fertilizers for agricultural activities, and manure produced from small scale livestock facilities and applied to agriculture lands or stacked near the facilities. Source loads of chemical fertilizers, liquid fertilizers and livestock manure of small scale livestock facilities, and point sources such as municipal wastewater treatment plants (WWTPs), community WWTPs, private sewage treament plants were considered in the HSPF model setup. Especially, NITR and PHOS modules were used to simulate detailed fate and transport processes including vegitation uptake, nutrient deposition, adsorption/desorption, and loss by deep percolation. The HSPF model was calibrated and validated based on the observed data from 2015 to 2020 at the outlet of the watershed. The calibrated model showed reasonably good performance in simulating the flow and water quality. Five Pollutants control scenarios were established from three sectors: agriculture pollution management (drainge outlet control, and replacement of controlled release fertilizers), livestock pollution management (liquid fertilizer reduction, and 'manure management of small scale livestock facilities) and private STP management. Each pollutant control measure was further divided into short-term, mid-term, and long-term scenarios based on the potential achievement period. The simulation results showed that the most effective control measure is the replacement of controlled release fertilizers followed by the drainge outlet control and the manure management of small scale livestock facilities. Furthermore, the simulation showed that application of all the control measures in the entire watershed can decrease the annual TN and TP loads at the outlet by 40.6% and 41.1%, respectively, and the annual average concentrations of TN and TP at the outlet by 35.1% and 29.2%, respectively. This study supports decision makers in priotizing different pollutant control measures based on their predicted performance on the water quality improvements in an agriculturally dominated watershed.

• Journal of East-West Nursing Research
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• 제11권2호
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• pp.137-145
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• 2005

Purpose: This study has been attempted as one of the Quality Improvement activities in order to provide with intravenous injection control and to confirm the evaluation from the patients and their guardians, and also from nurses themselves. Method: The subject of this intravenous injection control was a control group of 239 patients and 176 nurses, a comparison group of 128 patients and 146 nurses. The tool consisted of hospitality (towards patients), explanation, and infection prevention activities. The collected data were analysed using SPSS Windows 11.0 program for percentage, $X^2$-test and t-test. Result: 1) The nurses who were instructed in standardised intravenous injection control received more satisfactory evaluation from the patients(t=-2.89, p=.004) than the nurses who were not. However, in the subdivisions, the explanation field was the only one to receive a more satisfactory evaluation(t=-1.14, p=.255). 2) The nurses who were instructed in standardised intravenous injection control showed higher performances in intravenous injection control (t=-4.21, p=.000) than the nurses who were not. In the subdivisions, hospitality, explanation, and infection prevention activities all showed effectiveness ($t=-2.35{\sim}3.90$, $p=.020{\sim}.000$). Conclusion: From the results stated above, it can be concluded that standardised intravenous injection control instruction for nurses brought out better evaluation, i.e. satisfaction, from the patients and their guardians, and the nurses who received the instruction showed better performances in intravenous injection control.

• Journal of Korean Academy of Fundamentals of Nursing
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• 제18권4호
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• pp.488-496
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• 2011

Purpose: To determine the type and degree of effect that a hot footbath has on sleep quality and fatigue level in older Korean adults. Methods: A non-equivalent control group quasi-experimental design was used. Fifty participants from a long-term care facility in Kwangju, South Korea, were randomly selected and assigned to two groups: experimental group (27 participants) and control group (23 participants). The participants in the experimental group received hot footbaths in a temperature-controlled water tub of $42^{\circ}C$. They soaked their feet up to 20cm above the ankles for 30 minutes before going to bed for 3 nights. Actigraphy was used to measure their sleep patterns. The data were analyzed using the SAS program. Results: After the intervention, the total sleep satisfaction rate of the participants increased, while sleep latency and fatigue decreased significantly in the experimental group compared to the control group. Conclusion: The study results suggest that hot footbaths are beneficial for older Korean adults in enhancing sleep quality as well as reducing fatigue. Therefore, hot footbaths are recommended as a nursing intervention to improve sleep quality and to reduce fatigue in older Korean adults.

• Analytical Science and Technology
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• 제24권6호
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• pp.414-420
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• 2011

In this study, radiation measurement system has been investigated to set up for the radioisotopes analysis in the radioactive waste samples after selecting the radiation counters of alpha beta and gamma nuclides. The counting efficiencies for alpha, beta and gamma measurement systems were calibrated. To obtain stability of the radiation detectors, quality control program has been established. Also, minimum detectable activities (MDAs) depending on the type of samples were calculated for increasing the confidence level for analytical result.

• Research in Community and Public Health Nursing
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• 제19권1호
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• pp.46-56
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• 2008

Purpose: The purpose of this study was to identify the effects of pelvic floor muscle exercise on reducing the symptoms of stress urinary incontinence and improving attitude toward exercise and quality of life. Method: The research adopted was a nonequivalent control group pretest posttest design. The subjects were 55 persons who were surveyed using a structured questionnaire, and 23 persons in the experimental group among the total sample were measured for the peak pressure and the duration of PMC and trained correct pelvic floor muscle contraction using peritron in the first week. Then, pelvic floor muscle exercise was implemented for 6 weeks. The data was analyzed by $\chi^2$-test and t-test with the SPSS 10.0 program. Results: 1) The degree of stress urinary incontinence, frequency of urination, nocturia, urgency, noctural incontinence, the frequency and quantity of incontinence, outer clothing change and incomplete emptying decreased significantly more in the experimental group than in the control group. 2) Attitude toward pelvic floor muscle exercise and the qualify of life were improved significantly more in the experimental group than in the control group. 3) The peak pressure and duration of PMC increased significantly more in the posttest. Conclusion: Based on the results above, it is judged that pelvic floor muscle exercise is an effective nursing intervention in order to care for stress urinary incontinence.

• Journal of radiological science and technology
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• 제44권4호
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• pp.351-358
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• 2021

This research project is a program promoted to seek diversification of domestic radioactive waste analysis institutions, and seeks public development, win-win cooperation, and cooperation between the entrusted institution and the entrusted institution. Accordingly, the entrusted institution established a standard analysis procedure for establishing a quality control system for radioactivity analysis, establishing a radiation control zone, obtaining KOLAS accreditation, and performing proficiency tests, which are the performance ranges requested by the entrusted institution, and intersecting the radioactive isotope waste generated at the actual site. Verification was performed to confirm the analysis quality. In addition, facilities and equipment for radioactivity analysis were supplemented and expanded, and the basic technology foundation and technical skills were secured through securing professional technicians and education/training. It is judged that the entrusted institution will contribute to securing radiation safety through the smooth execution of treatment, disposal, and transportation through value creation and analysis of radioactive waste generated by radioactive isotope-using institutions (research institutes, hospitals, industries, etc.) by succeeding in this research project do.

• The Journal of Korean society of community based occupational therapy
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• 제9권3호
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• pp.21-30
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• 2019

Objective : This study was designed to identify the effects on the time usage and quality of life of seniors with stroke by applying lifestyle redesign programs on the theoretical basis of the Occupational Balance. Method : A pretest-posttest control group design was conducted for a total of 40 stroke elderly people living in nursing homes(20 experimental and 20 control groups). Prior assessment was conducted for two weeks before the application of the lifestyle redesign program. For the next 10 weeks, the lifestyle redesign program was applied seven times a week. After that, a week of post-evaluation was conducted. The time usage for the subjects was analyzed by Life Time Survey Table of the National Statistical Office(2009) and life quality for them was analyzed by World Health Organization Quality of Life-BRIEF (WHOQOL-BRIEF). Result : The comparison of time usage before and after application of the program demonstrated that for the experimental group, rest and sleep(t=-4.89, p<.001), and leisure(t=-4.67, p<.00b1) showed significant differences. In addition, intergroup comparison results showed that there were also significant differences in rest and sleep(t=-2.24, p<.01) and leisure(t=3.57, p<.01). The comparison of life quality showed a significant difference between two groups(t=6.80, p<.001). If you look at the sub-area of quality of life, a significant difference was identified in physical health(t=6.08, p<.001), psychological health(t=5.21, p<.001), living environment area(t=3.60, p<.01). Conclusion : Lifestyle redesign program actually reduced the time usage for rest and sleep for elderly with stroke living in nursing homes, and increased the time for participating in leisure life resulting in improved quality of life.

• Journal of Korean Academy of Nursing
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• 제39권4호
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• pp.508-517
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• 2009

Purpose: Despite recent advances in the surgical and postoperative management of infants with congenital heart disease, nutritional support for this population is often suboptimal. The purpose of this study was to develop a nutritional program for the postoperative period for infants who have had cardiac surgery and to evaluate effects of the program. Methods: A quasi-experimental design with pretest and posttest measures was used. A newly developed nutritional program including a feeding protocol and feeding flow was provided to the study group (n=19) and usual feeding care to the control group (n=19). The effects of the feeding program were analyzed in terms of total feed intake, total calorie intake, gastric residual volume, and frequency of diarrhea. Results: Calorie intake and feeding amount in the study group were significantly increased compared to the control group. However, the two groups showed no significant differences in gastric residual volume and frequency of diarrhea. Conclusion: The results indicate that the nutritional program used in the study is an effective nursing intervention program in increasing feeding amount and calorie intake in infants postoperative to cardiac surgery and does not cause feeding-related complications.