• Title/Summary/Keyword: Stages of change

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A Study on Prevalence and Nursing Intervention of Bed Sore Patients who Received Regional Home Care Services (가정간호 대상자의 욕창발생 및 간호중재에 관한 조사연구)

  • Kim Keum-Soon;Cho Nam-Ok;Park Young-Suk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.1
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    • pp.43-60
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    • 1997
  • This study was to identify the nursing intervention method in finding out the incidence, risk factor, prevention and treatment of bed sore cilents who received regional home care nursing services. The eleven home care nurse practitioners took the survey on 97 patients who received home care nursing service from Seoul City Nurses Association for one month from September 26 to October 26 1996. A modified version of Braden's bed sore assessment tool for bed sore risks and a tool for assessment of bed sore stage and measurement bed sore sizes by Bergstrom, Braden, Laguzza and Holman(1987) were as research tools for this study and a questionnare with 40 questions and 12 items on nursing activities was used to find out the prevention and treatment of bed sores. Also, two open ended questions were used on current approaches and efforts of the treatment being applied to clients. The finding of the study were summarized as following : 1. The rate of bed sore occurrence was 47.4% 2. The areas of bed sore occurrence were hip(28.9%), sacrum(18.6%), great trochanter(14.4%) and the average number of sore spots were 2.26 3. Two groups-one with bed sores and the other without-were studied to determine prediction factors for bed sore risks. Sensory function, humidity, level of activity, mobility, nutrition, skin friction and chapping and body temperature turned out to be statistically significant factors for bed sores. Also the age of clients turned out to be a individual characteristic variable significantly affecting the rate of bed sore occurrences. 4. The education for clients and family on systematic skin assessment and bed sores and practice of active/passive R.O.M. are mainly used as nursing activities for bed sore care. 5. The treatment method varied by stages of bed sores. Sometimes folk remedies like applying the powders of dried elm tree roots to sores were used. Good nutrition, frequent position change and skin care turned to be the most effective means to fast recovery of sores.

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Assembly processes of moss and lichen community with snow melting at the coastal region of the Barton Peninsula, maritime Antarctic

  • Kim, Seok Cheol;Kim, Jun Seok;Hong, Bo Ram;Hong, Soon Gyu;Kim, Ji Hee;Lee, Kyu Song
    • Journal of Ecology and Environment
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    • v.40 no.1
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    • pp.55-65
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    • 2016
  • Background: In this article, it was analyzed how snow melting affects the assembly of lichen and moss communities in a small area of the coastal region of Barton Peninsula, which is in maritime Antarctic. In the small area, even though there is a huge gap of difference of the environment between the snow-filled area and snow-melt one, the latter did not have distinctive environmental gradients. Results: Depending on the snow melting time, coverage and species diversity of lichens and mosses tend to increase remarkably. For species with significant changes depending on the snow-covered period, there are Andreaea regularis, crustose lichens, Placopsis contortuplicata, Usnea aurantiaco-atra, and snow algae. In this area, the process of vegetation assembly process has shown the directional development in the order of snow algae${\rightarrow}$crustose, lichen sub-formation${\rightarrow}$fruticose lichen, moss cushion sub-formation (Andreaea sociation)${\rightarrow}$fruticose lichen, and moss cushion sub-formation (Usnea sociation), according to the order of snow melting. These directional development stages are shown in gradual change in small area with the snow melting phenomena. However, in the snow-free area, where water is sufficiently supplied, it is expected that moss carpet sub-formation (Sanionia sociation) will be developed. Vegetation development in the small area with the snow melting phenomena, depending on differences of resistance on snow kill and moisture settled by species in according to the time of snow melting, tolerance model to form community is followed. Conclusions: The research results explain the development of vegetation in the Antarctic tundra and its spatial distribution according to the period for growth of lichens and mosses in the summer time by differences of snow melting in the small area. In the future, if research for the community development process in a large scale will be done, it will be helpful to figure out temporal and spatial dynamic of vegetation in the Antarctic tundra where snow and glaciers melt rapidly due to climatic warming.

Analysis of major issues in the field of Maritime Autonomous Surface Ships using text mining: focusing on S.Korea news data (텍스트 마이닝을 활용한 자율운항선박 분야 주요 이슈 분석 : 국내 뉴스 데이터를 중심으로)

  • Hyeyeong Lee;Jin Sick Kim;Byung Soo Gu;Moon Ju Nam;Kook Jin Jang;Sung Won Han;Joo Yeoun Lee;Myoung Sug Chung
    • Journal of the Korean Society of Systems Engineering
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    • v.20 no.spc1
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    • pp.12-29
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    • 2024
  • The purpose of this study is to identify the social issues discussed in Korea regarding Maritime Autonomous Surface Ships (MASS), the most advanced ICT field in the shipbuilding industry, and to suggest policy implications. In recent years, it has become important to reflect social issues of public interest in the policymaking process. For this reason, an increasing number of studies use media data and social media to identify public opinion. In this study, we collected 2,843 domestic media articles related to MASS from 2017 to 2022, when MASS was officially discussed at the International Maritime Organization, and analyzed them using text mining techniques. Through term frequency-inverse document frequency (TF-IDF) analysis, major keywords such as 'shipbuilding,' 'shipping,' 'US,' and 'HD Hyundai' were derived. For LDA topic modeling, we selected eight topics with the highest coherence score (-2.2) and analyzed the main news for each topic. According to the combined analysis of five years, the topics '1. Technology integration of the shipbuilding industry' and '3. Shipping industry in the post-COVID-19 era' received the most media attention, each accounting for 16%. Conversely, the topic '5. MASS pilotage areas' received the least media attention, accounting for 8 percent. Based on the results of the study, the implications for policy, society, and international security are as follows. First, from a policy perspective, the government should consider the current situation of each industry sector and introduce MASS in stages and carefully, as they will affect the shipbuilding, port, and shipping industries, and a radical introduction may cause various adverse effects. Second, from a social perspective, while the positive aspects of MASS are often reported, there are also negative issues such as cybersecurity issues and the loss of seafarer jobs, which require institutional development and strategic commercialization timing. Third, from a security perspective, MASS are expected to change the paradigm of future maritime warfare, and South Korea is promoting the construction of a maritime unmanned system-based power, but it emphasizes the need for a clear plan and military leadership to secure and develop the technology. This study has academic and policy implications by shedding light on the multidimensional political and social issues of MASS through news data analysis, and suggesting implications from national, regional, strategic, and security perspectives beyond legal and institutional discussions.

Effect of Electron-beam Irradiation on Development and Reproduction of Bemisia tabaci, Myzus persicae, Plutella xylostella and Tetranychus urticae (전자빔 조사가 담배가루이, 복숭아혹진딧물, 배추좀나방과 점박이응애의 발육과 생식에 미치는 영향)

  • Moon, Sang-Rae;Son, Bong-Ki;Yang, Jeong-Oh;Woo, Jong-Suk;Yoon, Chang-Mann;Kim, Gil-Hah
    • Korean journal of applied entomology
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    • v.49 no.2
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    • pp.129-137
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    • 2010
  • Four major agricultural insect pests, Bemisia tabaci, Myzus persicae, Plutella xylostella and Tetranychus urticae, were irradiated with 30, 50, 70, or 100 Gy electron-beam. Longevity, egg hatching, emergence, and fecundity of the test insects were measured. Hatchability of B. tabaci, P. xylostella and T. urticae declined with increasing irradiation doses, and all B. tabaci and T. urticae eggs were dead at 100 Gy. When eggs of B. tabaci, P. xylostella and T. urticae were irradiated, hatch was inhibited. B. tabaci adults grown from 70 Gy irradiated eggs did not lay eggs. Fecundity of P. xylostella from the 100 Gy irradiated eggs decreased. When B. tabaci, P. xylostella, M. persicae and T. urticae nymphs/larvae were irradiated, the results were similar as those of the hatched eggs. When P. xylostella pupae were irradiated with 100 Gy, fecundity of emerged adults decreased and no eggs hatched. When B. tabaci, P. xylostella, M. persicae and T. urticae adults were irradiated with 70 and 100 Gy, fecundity decreased and egg hatch of B. tabaci was inhibited. However, the longevity of adults did not change and electron-beam irradiation of all developmental stages had no effect on the longevity of adults.

The Change and Transformation of Namsan(Mt.) Parks in Early Modern Seoul (변화와 변용으로 본 근대기 서울 남산의 공원)

  • Park, Hee-Soung
    • Journal of the Korean Institute of Landscape Architecture
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    • v.43 no.4
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    • pp.124-139
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    • 2015
  • Unlike other mountains in Korea, Seoul Namsan(南山), which is one of the landmarks that represent the country's capital city, is perceived as a city park. This article aims to study the process that Namsan became a park and the transformation of its place in Korean Emperor and Japanese colonial period. The serial changes in Namsan, in early modern era, mean that is associated with the colonial urbanization and the rule of space by Japan. The stages of Waeseongdae Park(倭城臺公園), Gyeongseong Park(京城公園) and Hanyang Park(漢陽公園) under the leadership of Japan, due to the extension of Japan's power, Namsan has became the park. Here, the park has become a strategic tool of other's occupying Hanseongbu(漢城府), a capital city. The process that Namsan became a park dose not mean making the space for recreation and rest, but is an excuse for using the land. Since then, Namsan's parks barely fulfilled its original function as park as it was transformed into a shrine, Gyeongseong Jinjya(京城神社), for Japanese warriors or was incurred upon by Joseon Singung(朝鮮神宮), which was established as a facility to govern Korea, sometimes is gradually and sometimes is mercilessly. The fact, transplantation of Japanese culture and replacement as ruler space, is another aspect of occupying and govern place. In other words, while the process that Namsan became a park is the way of establishing Japanese force, the transformation of its place show a colonial rule as an aspect of space. Meanwhile, in spite of transformation to shrine, Namsan became accepted as a park for a long time, because of the forest of Namsan. Japan managed forest as a sacred place. It is also a result of the Japanese rule of space.

Case of Service Design Process for Medical Space Focused on Users (사용자중심 의료공간을 위한 서비스디자인 프로세스의 적용사례)

  • Noh, Meekyung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.21 no.4
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    • pp.27-36
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    • 2015
  • Purpose: Of late, the focus of service design is moving toward emphasizing customer satisfaction and taking users' experience more seriously. In addition to the change in perspective in service design, scholars in this area are paying more attention to service design methodology and process, as well as its theory and real-world case studies. In the case of medical space, there have been few studies in attempting to apply service design methods useful for deriving user-focused results. The author of this paper believes, however, case study-oriented approaches are more needed in this area rather than ones focusing on theoretical aspects. The author hopes thereby to expand the horizon to practical application of spatial design beyond service design methodology. Methods: In order to incorporate the strengths of service design methodology that can reflect a variety of user opinions, this study will introduce diverse tools in the framework of double diamond process. In addition, it will present field cases that successfully brought about best results in medical space design. It will end with summarizing the ideal process of medical space design which is reasonable and comprehensive. Results: Medical service encompasses preventive medicine as well as treatment of existing medical conditions. A study in establishing the platform of medical service design consists of a wide range of trend research, followed by the summary of two-matrix design classification based on results of the trend research. The draft of design process is divided into five stages composed of basic tools for establishing spatial flow lines created by matching service design tools with each stage of space design processes. In all this, most important elements to consider are communication and empathy. When service design is actually applied to space design, one can see that output has reflected the users' needs very well. The service design process for user-oriented medical space can thus be established by interactions on the final outcome and feedback on the results. Implications: One can see that the service design with the hospital at its center produces the result that encompasses the user's needs best. If the user-focused service design process for medical space can be extended to other space designs, the author believes that it would enhance the level of satisfaction for users and minimize trials and errors.

A Study on The Changes of Linoleic Acid Concentration in Major Domestic Forage Species (국내 주요 조사료의 Linoleic acid 농도변화에 관한 연구)

  • Park, Hyung Soo;Seo, Sung;Lim, Young Chul;Choi, Ki Chun;Kim, Ji Hea;Lee, Ki Won;Kim, Jong Geun
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.33 no.4
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    • pp.263-268
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    • 2013
  • We investigated the range of linoleic acid concentrations in different forage species and harvest stages. The linoleic acid concentrations in main cultivated grasses and forage crops were analyzed at three harvesting dates in Korea. The experiment compared 19 species of main grasses and forage crops, including eight species of grasses (Perennial ryegrass, Reed canarygrass, Tall fescue, Timothy, Bromegrass, Kentucky bluegrass, Orchardgrass and Wheat grass), six legumes (White clover, Red clover, Sweet clover, Crimson clover, Alfalfa and Hairy vetch) and five forage crops (Italian ryegrass, Barley, Rye, Oat and Rape) in Korea with three cuts (8 May, 19 May and 28 May). The linoleic acid concentrations of Reed canarygrass and Timothy were the highest, and Bromegrass was the lowest among the grass species. All grass species had high concentrations of linoleic acid at the late May harvest stage but were low at the mid May harvest stage. Legumes had higher linoleic acid concentrations than those of grasses, and harvesting in mid-May resulted in the highest linoleic acid concentration. Rape had the highest linoleic acid concentration and rye showed high concentrations of linoleic acid when compared with those of forage crops. All species of grasses and forage had decreased linoleic acid concentrations by the harvest stage. We have demonstrated opportunities to change the composition of ruminant products through breeding, selection, and management of grasses for altered levels of linoleic acid as a precursor to conjugated linoleic acid.

Pea starch increases the dry matter flow at the distal ileum and reduces the amino acids digestibility in ileal digesta collected after 4 hours postprandial of pigs fed low-protein diets

  • Zhou, Junyan;Wang, Lu;Yang, Guangxin;Yang, Lijie;Zeng, Xiangfang;Qiao, Shiyan
    • Animal Bioscience
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    • v.35 no.7
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    • pp.1021-1029
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    • 2022
  • Objective: The study was aimed to investigate the rules of postprandial changes in intestine digesta dry matter (DM) flow and amino acid digestibility of growing pigs fed low-protein (LP) diets made of different starch. Methods: Eight barrows (28.8±2.1 kg) with a T-cannula at the distal ileum were randomly allotted to an 8×3 Youden square design. Treatments included: waxy corn starch LP (WLP); corn starch LP (CLP) and pea starch LP (PLP). Diets were given at 08:00 and 20:00. Digesta samples were collected in six 2-h stages from 08:00 to 20:00. Results: The Cr concentrations of ileal digesta increased and then decreased in WLP and CLP, while increased continuously in PLP as time passed after postprandial (p<0.05). Higher average Cr concentrations (0.78% and 0.84% vs 0.70%; p<0.05) and lower average DM flow (181.1 g/kg and 166.3 g/kg vs 240.3 g/kg; p<0.001) were observed in WLP and CLP, compared with PLP. The apparent ileal digestibility coefficient of most amino acids in WLP and CLP increased compared with that in PLP. No difference in lysine or methionine digestibility was observed. When digesta were collected in 2-h periods, the apparent ileal digestibility coefficient of amino acids did not change over time. When digesta was collected in 4-h periods from 16:00 to 20:00 and 6-h periods from 14:00 to 20:00 (p<0.05), WLP and CLP showed markedly higher amino acid digestibility than PLP Conclusion: High-amylose slowly digested starch can increase the DM flow at the distal ileum and reduce the apparent ileal digestibility coefficient of amino acids of pigs fed LP diets. Compared with waxy corn starch and corn starch, pea starch reduced the digestibility of amino acids in digesta collected after 4 h postprandial.

Comparison of Analgesic Efficacy and Shortening of Labor Duration between $L_{1-2}$ and $L_{3-4}$ Epidural Blocks in Nulliparous Normal Vaginal Delivery (초산모에서 경막외 $L_{1-2}$$L_{3-4}$ 차단 시 제통효과와 분만기간의 비교)

  • Kang, Kyu-Sik;Lee, Sang-Yoon;Kim, Jung-Soon;Nam, Kae-Hyun;Park, Wook
    • The Korean Journal of Pain
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    • v.14 no.1
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    • pp.61-67
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    • 2001
  • Background: Usually, lumbar epidural block is performed on the $L_{3-4}$ interspace. This study was designed to evaluate the analgesic efficacy and shortening of labor duration comparing the $L_{1-2}$ and $L_{3-4}$ interspace epidural blocks in nulliparous normal vaginal deliveries and then investigates side effects following the blocks. Methods: Eighty healthy nulliparous women were divided into two groups, $L_{1-2}$ (n = 40) and $L_{3-4}$ (n = 40). Epidural blocks, lumbar epidural block were performed at the $L_{1-2}$ and $L_{3-4}$ interspace with a catheter advancing 3 cm cephalad. The initial dose of 12 ml (0.167% bupivacaine, fentanyl $50{\mu}g$ and clonidine $75{\mu}g$) was injected epidurally at 4 cm dilatation of cervix and severe pain of labor. If a visual analogue scale (VAS) score was more than 4 points, an additional dose was administered epidurally using the same volume as the above mentioned, but with the exception that the bupivacaine was diluted to 0.1 percentage. The maternal blood pressure, pulse rate, respiration rate and fetal heart rate were measured at 10 min intervals for the first 30 min, at 15 min interval for the next 30 min and at 30 min interval for the last one hour following the blocks. The duration of the first (active) and second stages of labor was counted and the neonatal Apgar score was recorded at one and five min after delivery. The degree of motor block, pruritus, nausea and vomiting were also noted. Results: The patients in group $L_{1-2}$ had lower pain scores than group $L_{3-4}$ at 5, 20, 30, 60 mins. The duration of 1st and 2nd labor stage in the $L_{3-4}$ epidural block were $272{\pm}33.5$ min, $49.2{\pm}27.4$ min respectively but those in the $L_{1-2}$ epidural block were $253.5{\pm}32.5$ min, $37.3{\pm}22.3$ min, respectively. Conclusions: We concluded the analgesic efficacy and shortening of labor duration in $L_{1-2}$ epidural block was better than those in $L_{3-4}$ epidural block. Maternal hemodynamic change, motor block. pruritus, nausea, vomiting and Apgar score showed no significant differences between the two groups.

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Design Verification Method of Offshore Separation Systems Based on System Dynamics (시스템 다이내믹스 기반 해양구조물 분리시스템의 설계검증 방법에 관한 연구)

  • Hwang, John-Kyu;Ko, Jae-Yong;Lee, Dong-Kun;Park, Bon-Yeong
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.26 no.6
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    • pp.715-722
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    • 2020
  • This paper proposes a design verification method based on system dynamics for offshore separation systems. Oil and gas separation systems are key components of offshore oil platforms; these systems determine the competitiveness of engineering, procurement, and construction (EPC) projects, especially in terms of added value. However, previous research on design verification has been limited to the process and deliverables of design. To address this, the study aims to develop a comprehensive design verification method and the associated functions from the perspective of project management, for the entire project life-cycle of offshore structures. The proposed methodology for design verification is expected to contribute toward effective and detailed designs as well as improve the competitiveness of EPC companies in constructing of shore structures during the early design stages. We first analyzed the separation system of the FPSO using the design verification method adopted by advanced countries and compared it with the system dynamics process formalized as ISO 15288. Subsequently, a tailored process for the design verification of the offshore structure was derived. It is shown that the proposed design verification method can be applied to the front-end engineering design process of of shore structures. Moreover, it can contribute toward the successful performance of offshore projects in the future and also minimize design changes and critical risks during the construction of these offshore structures.