• Quality Improvement in Health Care
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• v.4 no.1
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• pp.50-63
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• 1997

Background : A pressure sore was defined as any skin lesion caused by unrelieved pressure and resulting in damage to underlying tissue. The health care institutions in the United States were reported the incident rate of pressure sores ranging from 6 to 14 %. Intensive Care Unit needed highest quality of care has been found over 40% incidence rate of pressure sore. Also, Annual expenditures for the care of pressure sores in patients in the United States have been estimated to be $7.5 billion; furthermore, 50 percent more nursing time is required to care for patients with pressure sore in comparison to the time needed to implement preventive measures against pressure sore formation. However, In Korea, there were little reliable reports, or researches, about incidence rates of pressure sore in health care institution including intensive care unit and about the integrated approach like CQI action team for risk assessment, prevention and treatment of pressure ulcers. Therefore, this study was to develop pressure sore risk assessment tool and the protocol for prevention of pressure sore formation through CQI action team activities, to monitor incident rate of pressure sore and the length of sore formation for patients at high risk, and to approximately estimate nursing time for sore dressing during research period as the effect of CQI action team. Method : CQI action team in intensive care unit, launched since early 1996, reviewed the literature for the standardized risk assessment tool, developed the pressure sore assessment tool based on the Braden Scale, tested its validity, compared on statistics including incidence rate of pressure sore for patients at high risk. Throughout these activities, CQI action team was developed the protocol, called as St. Marys hospital Intensive Care Unit Pressure Sore Protocol, shifted the emphasis from wound treatment to wound prevention. After applied the protocol to patients at high risk, the incident rate and the period of prevention against pressure development were tested with those for patients who received care before implementation of protocol by Chi-square and Kaplan-Meier Method of Survival Analysis. Result : The CQI action team found that these was significant difference of in incidence rate of pressure sores between patients at high risk (control group) who received care before implementation of protocol and those (experimental group) who received it after implementation of protocol (p<.05). 25% possibility of pressure sore formation was shown for the patients with 6th hospital day in ICU in control group. In experimental group, the patients with 10th hospital day had 10% possibility of pressure sore. Therefore, there was significant difference(p<.05) in survival rate between two groups. Also, nursing time for dressing on pressure sore in experimental group was decreased as much as 50% of it in control group. Conclusion : The collaborative team effort led to reduced incidence, increased the length of prevention against pressure sore, and declined nursing care times for sore dressing. However, there have had several suggestions for future study. The preventive care system for pressure sore should be applied to patients at moderate, or low risk throughout continuous CQI team activities based on Bed Sore Indicator Fact Sheet. Hospital-wide supports, such as incentives, would be offered to participants for keeping strong commitment to CQI team. Also, Quality Information System monitoring incidents and estimating cost of poor quality, like workload (full time equivalence) or financial loss, regularly in a hospital has to be developed first for supporting CQI team activities as well as empowering hospital-wide QI implementation. Being several limitations, this study would be one of the report cards for the CQI team activities in intensive care unit of an acute hospital and a trial of quality improvement of health care in Korea.

• Journal of dental hygiene science
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• v.9 no.3
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• pp.311-317
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• 2009

The study conducted research investigating their about knowledge and attitude of toward elderly aimed at 251 students in the Department of Dental Hygiene located in some areas of Gyeongbuk and Gyeongnam. The total average score concerning knowledge about the elderly was found to be 11.78 out of a full score of 25 points, and the level of physical and physiological knowledge was the highest. As regards the total average of the attitude toward the elderly, it posted at 98.58 points out of a full score of 150 points and the attitude regarding the aspect of welfare was the most positive. About toward elderly correlation of knowledge and attitude between higher knowledge score more positive was attitude about toward elderly. From the above results, it would be necessary to reinforce not only the physical and physiological aspect of the elderly but also the education in the family and social areas during the development of educational contents for the Department of Dental Hygiene in relation to the elderly. Furthermore, it is deemed imperative to improve the relationship between the younger generations and the elder generation by having students practice in institutions related to the elderly, such as institutions for senior nursing and senior welfare centers and to develop a generational community program that will provoke positive interactions between them.

• Korean Journal of Agricultural and Forest Meteorology
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• v.16 no.4
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• pp.316-326
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• 2014

Determination of the late marginal heading date (LMHD), which would allow estimation of the late marginal seeding date and the late marginal transplanting date, would help identification of potential double cropping areas and, as a result, establishment of cropping systems. The objective of this study was to determine the LMHD at 51 sites in Korea. For these sites, weather data were obtained from 1971 to 2000 and from 1981 to 2010, which represent past and current normal climate conditions, respectively. To examine crop productivity on the LMHD, climatic yield potential (CYP) was determined to represent the potential yield under a given climate condition. The LMHD was calculated using accumulated temperature for 40 days with threshold values of $760^{\circ}C$, $800^{\circ}C$, $840^{\circ}C$ and $880^{\circ}C$. The value of CYP on a given LMHD was determined using mean temperature and sunshine duration for 40 days from the LMHD. The value of CYP on the LMHD was divided by the maximum value of CYP (CYPmax) in a season to represent the relative yield on the LMHD compared with the potential yield in the season. Our results indicated that the LMHD was delayed at most sites under current normal conditions compared with past conditions. Spatial variation of the LMHD differed by the threshold temperature. Overall, the minimum value of CYP/CYPmax was 81.8% under all of given conditions. In most cases, the value of CYP/CYPmax was >90%, which suggested that yield could be comparable to the potential yield even though heading would have occurred on the LMHD. When the LMHD could be scheduled later without considerable reduction in yield, the late marginal transplanting date could also be delayed accordingly, which would facilitate doublecropping in many areas in Korea. Yield could be affected by sudden change of temperature during a grain filling period. Yet, CYP was calculated using mean temperature and sunshine duration for 40 days after heading. Thus, the value of CYP/CYPmax may not represent actual yield potential due to change of the LMHD, which suggested that further study would be merited to take into account the effect of weather events during grain filling periods on yield using crop growth model and field experiments.

• Korean Journal of Soil Science and Fertilizer
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• v.32 no.1
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• pp.31-38
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• 1999

Rainfall factor. R, and soil factor, K were estimated to use the Revised Universal Soil Loss Equation (RUSLE) to predict the amount of soil erosion from a land on slope in Kangwon-do, Korea. The average of R factor was 405 with a range from 251 to 601. The R factor differed among regions. The R factor at Taegwalryung, in the highland region, was 409 and those at Inje and Hongchon, in the mid mountainous regions, ranged from 310 to 493. The R factors at Wonju and Chuncheon, in the plain regions, ranged from 505 to 601. The R factors at Sokcho, Kangnung and Samchok, in the east coastal region, which ranged from 251 to 368, were lowee than those in the western part of the Taebaeg Mountains. The R factor during the winter including the effect of winter freezing and thawing was 12 to 30% of the annual average value in the east coastal and highland regions, while that in the western part of Taebaeg Mountains was lower than 7%. The average of K factor in the surface soil was 0.21 with a range from 0.06 to 0.42. The K factors of Odae and Weoljeong serieses were the lowest, while that of Imog was the highest. The average of K factor in the subsoil was 0.28 with a range from 0.07 to 0.45. The K factor of the subsoil was 1.3 times higher than that of top soil. The average of K factor in he soil including the effect of the gravel covering and percolation was 0.18 with a range from 0.03 to 0.33. In contrast. the K factor excluding the effect of the gravel covering was lower than this. The average of K factor in the frozen subsoil was 0.33, which was 1.6 times higher than that of the non frozen subsoil.

• Journal of the Korean Institute of Landscape Architecture
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• v.43 no.5
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• pp.100-110
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• 2015

With the trend for the construction of barrier-free living environments in accordance with the ever-increasing external activity of the aging population, multi-culture families and socially disadvantaged, there is also a demand for the facilities improvement at parks for their convenience of use. This study analyzed the possibility of Barrier-Free Certification of an existing open space and defined its prototype renovation plan. This study is intended to help develop Borame Park into a barrier-free park by securing a barrier-free line of movement linking the major facilities sites within the park, improving park facilities lest there should be inconvenience in the use of the major facilities, and a guidance system convenient for use by physically and mentally impaired people. The significance of this study lies in the fact that it diagnosed the possibility of the BF Certification of existing urban parks and established a barrier-free park, which is easy for anyone to use. In the course of doing research on this, this study was able to discover the limitations of the BF Certification system, and its related tasks to be solved in the future as follows: The first thing this study shows is that there is a lack of understanding and awareness of the BF Certification system. Basically, there is a need for giving consideration to the development of a barrier-free living environment from the planning and design phase of a park, but in actuality, an examination of the certification is undertaken at the time of the completion of design and construction, which causes a large loss both time-wise and economically. Second, as evaluative items for the BF Certification of a park, applied are detailed evaluation items that fail to reflect the characteristics of an outdoor space whose natural constraints are large, such as geographical highs and lows and existing trees, plants, etc. Third, guidelines for establishment of a barrier-free park must be created in the light of the locational conditions of the park, followed by improvements of its BF Certification evaluation items.

• Journal of the Korean Institute of Traditional Landscape Architecture
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• v.33 no.2
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• pp.67-77
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• 2015

The purpose of this paper is to draw historic valuable resources to conserve through the analysis about the preservation status of historic urban environment in Suwon Hwaseong Fortress. As for the conservation of urban environment, it is important to protect the resources showing historical continuity and to manage the resources remaining characteristics of place, the analysis of the preservation status is focused on the perspective of preservation of physical form and land use. This paper makes progress through three phases. First, in order to understand urban environment in Hwaseong Fortress overall, it compares land registration original map in 1911 to current map in 2014 by the four items of topography, water environment, streets and sites. Next, changes of four items in urban environment have been reviewed further by the research of maps, relative literatures, field survey and interview, and are classified according to the criteria of preservation-partially preservation-disappearance. After analysing preservation status, valuable urban historic cultural resources are drawn separately by being preserved continually and by being preserved partially but remaining characteristics of place. As a result, natural factors of topography and waterway and urban factor of streets are remained considerably preserved. And even if these factors are changed, the ground environment features support to understand historic urban context. Second, as preservation of topography, water environment, streets and sites are closely related to each other, integrated conservation frameworks are needed to enhance urban historic landscape. Third, modern historic resources in Hwaseong are remained unchanged and thus it is necessary to understand urban historic environment by the layers of various times besides Joseon Dynasty period. Fourth, historic sites and streets which had been preserved through urban development process are destroyed by recent historic cultural restoration policies, therefore urban historic resources worthy of conservation should be treated prudently.

• Journal of Global Scholars of Marketing Science
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• v.19 no.1
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• pp.9-21
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• 2009

Recently, the researches to explain Switching Behavior through Theory of Planned Behavior have been discovered. Many researches say that System factors of mobile telecommunication service(MTS) is positively associated with Switching Intention. But There is no difference of system factors between mobile telecommunication services because of IT technique Development. Thus, this study investigated whether switching cost and alternative's attractiveness influence switching intention concerning mobile telecommunication service by adopting Theory of Planned Behavior (TPB) as an underlying theoretical premise. The study also attempted to determine the moderating effects of personal innovativeness on switching intention. For these purposes the author has developed several hypotheses as follows: H-1. The switching cost of different MTS is associated with the attitude of MTS which is using. H-2. The switching cost of different MTS is associated with the subjective norm of MTS which is using. H-3. The switching cost of different MTS is associated with the perceived behavior control of MTS which is using. H-4. The alternative's attractiveness of different MTS is associated with the attitude of MTS which is using. H-5. The alternative's attractiveness of different MTS is associated with the subjective norm of MTS which is using. H-6. The alternative's attractiveness of different MTS is associated with the perceived behavior control of MTS which is using. H-7. The switching cost of different MTS is associated with the switching intention. H-8. The alternative's attractiveness of different MTS is associated with the switching intention. H-9. The attitude of MTS is associated with the switching intention. H-10. The subjective norm of MTS is associated with the switching intention. H-11. The perceived behavior control of MTS is associated with the switching intention. H-12. The personal innovativeness has been a moderating effects to switching intention. Data has been collected from 403 respondents for this study using a questionnaire method. The survey for the actual analysis of the research was done and analyzed with the customers who have an experience of using Mobile telecommunication service and the samples were selected among the middle and high school students who live in Seoul area, the university students who live in Seoul, Gyeonggi and Chungcheng Provinces, and the ordinary workers who are working in Seoul and Gyeonggi Province. The survey was done for 23 days from March 28, 2008 through April 12, 2008. The positive analysis was done with SPSS 12.0K statistics package and visual PLS program using the analysis techniques of frequency analysis, reliability analysis, correlation analysis and factor analysis. In addition, structural equation modeling was conducted using AMOS 5.0. The data was analyzed by frequency analysis using SPSS 12.0 and structural equation modeling using AMOS 5.0. The result of the overall model analysis is as follows: Chi-Square=378.306, d.f.=107, p-value=0.0, GFI=.904, AGFI= 0.863, IFI= 0.939, NFI= 0.917, RMSEA= 0.079, TLI= 0.922. The results of the overall model analysis were coherent. The following study results were revealed: First, switching cost was related positively to attitude, subjective norm and perceived behavior control, three components of TPB. Second, alternative's attractiveness was related negatively to subjective norm but positively to perceived behavior control. Third, switching cost and attitude was related negatively to switching intention, while perceived behavior control was related positively to switching intention. Finally, the study found the moderating effects of personal innovativeness on switching intention. Based on the results, the study offers marketing strategic implications for mobile telecommunication service industry.

• Journal of Life Science
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• v.16 no.2 s.75
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• pp.199-205
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• 2006

Peroxisome proliferator activated receptor (PPAR)-$\alpha$ of three PPAR subtypes ($-\alpha,\;-\beta/-\gamma,\;-\delta$), which are members of the nuclear hormone receptor superfamily of ligand-activated transcription factors, plays a key role in lipoprotein and glucose homeostasis. A variation in the PPAR-a gene expression has been suggested to influence the development of metabolic syndrome through alterations in lipid concentrations. The aim of our study was to investigate the association between the PPAR-a and metabolic syndrome among South Korean. A total of 542 health screen examinees were enrolled in this study who were examined in Kosin University Gospel Hospital from December, 2004 to July, 2005. The height, weight, waist circumference, and systolic and diastolic blood pressure of the subjects were examined and fasting blood glucose, total cholesterol, HDL cholesterol, LDL cholesterol, triglyceride were measured by-sampling in venous blood. The metabolic syndrome was defined as the presence of three or more of the following : waist circumference men ${\geq}90cm$, women ${\geq}80cm$, blood pressure ${\geq}130/85mmHg$, fasting glucose ${\geq}110mg/dL$, HDL cholesterol men <40 mg/dL, women <50 mg/dL, triglyceride ${\geq}150mg/dL$. The blood pressure, fasting glucose, HDL cholesterol, triglyceride were evaluated by using the criteria of NECP ATP III and waist circumference was assessed by using the criteria of WHO Asia-Western Pacific. And the author compared the frequency of the PPAR-$\alpha$ mutation of L162V ($C{\rightarrow}G$ variant in exon 5) in a sample of 542 subjects with and without the metabolic syndrome by polymerase chain reaction allele-specific oligonucleotide (PCR-ASO) method. One (0.2%) hetero-isotype among high risk of metabolic syndrome was identified. The values of waist circumference, body mass index and low density lipoprotein cholesterol of the mutant were 100 cm, 28.6 $kg/m^2$ and 120 mg/dL, respectively. Although the author failed to see significant association between the presence of the PPAR-$\alpha$ L162V polymorphism and metabolic syndrome, one PPAR-$\alpha$ L162V polymorphism in metabolic syndrome patients was found.

• Journal of Internet Computing and Services
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• v.16 no.6
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• pp.89-95
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• 2015

Traditional frequent pattern mining discovers valid patterns with no smaller frequency than a user-defined minimum threshold from databases. In this framework, an enormous number of patterns may be extracted by a too low threshold, which makes result analysis difficult, and a too high one may generate no valid pattern. Setting an appropriate threshold is not an easy task since it requires the prior knowledge for its domain. Therefore, a pattern mining approach that is not based on the domain knowledge became needed due to inability of the framework to predict and control mining results precisely according to the given threshold. Top-k frequent pattern mining was proposed to solve the problem, and it mines top-k important patterns without any threshold setting. Through this method, users can find patterns from ones with the highest frequency to ones with the k-th highest frequency regardless of databases. In this paper, we provide knowledge both on frequent and top-k pattern mining. Although top-k frequent pattern mining extracts top-k significant patterns without the setting, it cannot consider both item quantities in transactions and relative importance of items in databases, and this is why the method cannot meet requirements of many real-world applications. That is, patterns with low frequency can be meaningful, and vice versa, in the applications. High utility pattern mining was proposed to reflect the characteristics of non-binary databases and requires a minimum threshold. Recently, top-k high utility pattern mining has been developed, through which users can mine the desired number of high utility patterns without the prior knowledge. In this paper, we analyze two algorithms related to top-k high utility pattern mining in detail. We also conduct various experiments for the algorithms on real datasets and study improvement point and development direction of top-k high utility pattern mining through performance analysis with respect to the experimental results.

• Journal of Mushroom
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• v.14 no.4
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• pp.220-224
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• 2016

Chronic inflammation, which results from continuous exposure to antigens, is one of major reasons for tissue damage and diseases such as rheumatoid arthritis and type 2 diabetes. In this study, we investigated the anti-inflammatory effects of extracts (hexane, $CHCl_3$, MeOH, $MeOH/H_2O$, and $H_2O$) from GW10-45, which is our new cultivar of an edible mushroom Pleurotus ferulae (ASI 2803 and ASI 2778), in RAW264.7 murine macrophages. None of the extracts showed cytotoxicity in RAW264.7 cells and the hexane, CHCl and H extracts reduced nitric oxide (NO) production, an important inflammatory marker, in lipopolysaccharide (LPS)-stimulated RAW264.7 cells. Particularly, the extract (CG45) inhibited NO production more than the other extracts did. To elucidate the effects of CG45 on molecular targets involved in pro-inflammatory responses, we performed western blot analysis. Expression of inducible nitric oxide (iNOS) significantly decreased in LPS and CG45 co-incubated cells compared to that in LPS only-treated cells. Additionally, another protein thatplays a critical role in inflammation, was down-regulated in cells treated with both LPS and CG45. In the nuclear factor $(NF)-{\kappa}B$ pathway, phosphorylation of $I{\kappa}B{\alpha}$ decreased in RAW264.7 cells treated with both LPS and CG45. Furthermore, CG45 inhibited the phosphorylation of $NF-{\kappa}B$ in LPS-stimulated RAW264.7 cells. Conclusively, CG45 could suppress pro-inflammatory responses in LPS-stimulated RAW264.7 cells by down-regulating not only the phosphorylation of $NF-{\kappa}B$ and $I{\kappa}B{\alpha}$ but also the expression of iNOS and COX-2 without any cytotoxicity.