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The Study on the Effects of Hospice Care on the Pain Management of the Terminal Cancer Patients (호스피스간호가 말기암환자의 통증에 미치는 효과에 관한 연구)

  • Yoon, Mae-Ok
    • Journal of Hospice and Palliative Care
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    • v.6 no.1
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    • pp.34-44
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    • 2003
  • Purpose : The purpose of this study was to elucidate the effects of hospice care on pain management of the terminal cancer patients. Method : The subjects of the study were 37 terminal cancer patients hospitalized in the general hospital in JeonJu with the hospice care nit. The data were collected using the questionaire with interviews from July to Nov. in 2000. The severity and interference of pain were examined with the self reported survey based on the Korean version of Brief Pain Inventory (BPI-K). The data were analyzed with the mean, SDs, paired t-test. The hospice care to provide for three weeks. Results : 1) The mean scores of the worst pain for the last 24-hours measured with the pain severity of BPI-K were pre-intervention (6.35) and post (4.76). The pain interference of BPI-K in pre-intervention was enjoy (8.22), work (7.46), walk (7.08) and activity (7.08), while post was of enjoy (6.62), work (6.43), walk (6.11) and activity (5.78), respectively. 2) In pain severity, significant difference was found between the pre-intervention and post in all of followings. - worst pain for last 24 hours (t=4.085, P=.000) - least pain for last 24 hours (t=4.020, P=.000) - average pain for last 24 hours (t=4.254, P=.000) - pain right now (t=4.017, P=.000) 3) In pain interference, significant difference was found between the pre- intervention and the post in all of followings. - activity (t=3.137, P=.003) - mood (t=6.713, P=.000) - walk (t=2.027, P=.050) - work (t=2.132, P=.040) - relate (t=4.143, P=.000) - sleep (t=4.071, P=.000) - enjoy (t=3.881, P=.000) Conclusion : The terminal cancer patients who were offered hospice care had significantly lower hospice care pain and pain interference than those without hospice care. According to these results, hospice care can be regarded as an effective modality in relief of pain in the terminal ill-patients.

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Outflow Loads of Total Nitrogen, Total Phosphorus, and COD in Mountain Stream Water (산지 계류수에서의 총질소, 총인 및 COD의 유출부하)

  • Kim, Jin-Soo;Kim, Sun-Jong;Oh, Kwang-Young;Oh, Seung-Young;Kim,Je-Su;Jeong, Young-Ho
    • Journal of Korea Water Resources Association
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    • v.36 no.5
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    • pp.787-797
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    • 2003
  • The characteristics of concentrations and loads of Total Nitrogen(T-N), Total Phosphorus(T-P), and Chemical Oxygen Demand (COD) in mountain stream water were examined from September 2000 through August 2001. The 92.5-ha study watershed in Chungbuk Province consists of 59% mixed forest and 30% coniferous forest. Streamflow was measured and water samples were collected at about 10 day intervals for dry days and at 2-6 hour intervals for a storm event at the study watershed outlet. The mean concentration of COD in streamflow for rainy days was significantly (p < 0.05) higher than for dry days. The mean concentrations of T-N and T-P in vegetation growing season (May to October) were lower than those in vegetation dormant season (November to April). Low concentrations of pollutants during vegetation growing season are likely due to the heavy demand for nutrients by the vegetation and biological activity associated with a warming of soil. The ratios of pollutants loads during storm periods to annual pollutants loads were 87% for T-N, 83% for T-p, and 87% for COD. The unit loads of pollutants for study area were estimated at 5.9 kg/ha $\cdot$ yr for T-N, 0.15 kg/ha $\cdot$ yr for T-p, and 23.9 kg/ha $\cdot$ yr for COD. The removal efficiency of pollutants in study area were 24% for T-N, 58% for T-P and 66% for COD, indicating that a study area shows water purification function.

Added Value of the Sliding Sign on Right Down Decubitus CT for Determining Adjacent Organ Invasion in Patients with Advanced Gastric Cancer (진행성 위암 환자에서 인접 장기 침범을 결정하기 위한 우측와위 CT에서의 미끄러짐 징후의 추가적 가치)

  • Kyutae Jeon;Se Hyung Kim;Jeongin Yoo;Se Woo Kim
    • Journal of the Korean Society of Radiology
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    • v.83 no.6
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    • pp.1312-1326
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    • 2022
  • Purpose To investigate the added value of right down decubitus (RDD) CT when determining adjacent organ invasion in cases of advanced gastric cancer (AGC). Materials and Methods A total of 728 patients with pathologically confirmed T4a (pT4a), surgically confirmed T4b (sT4b), or pathologically confirmed T4b (pT4b) AGCs who underwent dedicated stomach-protocol CT, including imaging of the left posterior oblique (LPO) and RDD positions, were included in this study. Two radiologists scored the T stage of AGCs using a 5-point scale on LPO CT with and without RDD CT at 2-week intervals and recorded the presence of "sliding sign" in the tumors and adjacent organs and compared its incidence of appearance. Results A total of 564 patients (77.4%) were diagnosed with pT4a, whereas 65 (8.9%) and 99 (13.6%) patients were diagnosed with pT4b and sT4b, respectively. When RDD CT was performed additionally, both reviewers deemed that the area under the curve (AUC) for differentiating T4b from T4a increased (p < 0.001). According to both reviewers, the AUC for differentiating T4b with pancreatic invasion from T4a increased in the subgroup analysis (p < 0.050). Interobserver agreement improved from fair to moderate (weighted kappa value, 0.296-0.444). Conclusion RDD CT provides additional value compared to LPO CT images alone for determining adjacent organ invasion in patients with AGC due to their increased AUC values and improved interobserver agreement.

The correlation between cognition and depression of urban and rural elderly people (도시와 농촌 노인의 인지와 우울의 상관관계 연구)

  • Kim, Mijin;Han, Jinsook;Kwon, Myoungjin;Kim, Younghee
    • Journal of Digital Convergence
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    • v.11 no.2
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    • pp.341-346
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    • 2013
  • Objectives: This study was designed to provide basic data that would be helpful in planning mental health programs designed to help elderly people have a satisfying life as an elder by identifying the factors that affect cognition of urban and rural elderly people. Methods: Subjects included 160 elderly people on Daejeon and Geumsam. Structured questionnaires were used for data collection from march 2, 2011 to July 30, and descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and hierarchical regression analysis of SPSS 18.0 program were performed for data analysis. Results: A significant difference in cognition was observed between two groups(t=-2.232, p=.029). Cognition & depression didn't have correlation(urban area(r=.021, p=.860), rural area(r=.-131, p=.271)). Significant factors influencing cognition included education(t=4.069, p<.001) and age(t=-2.812, p=.001) in urban area and sex(t=-3.011, p<.001), age(t=-4.866, p<.001), education(t=3.525, p<.001) in rural area. These factors explained 26.1% and 57.2% of the variance. Conclusion: Findings of this study suggest the need for development of appropriate nursing strategies depending on the difference of the environment to increase cognitive function and to decrease the incidence of depression in elderly people.

Effect of the Feeding Belly Fat on Plasma Lipids Levels in Rats (삼겹살기름의 섭취가 흰쥐의 혈액지질 수준에 미치는 영향)

  • 박병성
    • Food Science of Animal Resources
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    • v.24 no.2
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    • pp.189-197
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    • 2004
  • This study investigated the effect of belly fat on the plasma lipid concentrations in rats. The results were obtained from the rats that had been fed the experimental purified diets containing 5% corn oil (C) as the control, 5% commercial lard (Tl), 5% belly fat (T2), 10% belly fat(T3), and those given diet(T4) by feeding either C or T3 alternately every 3 days for 30 days. The food intake and food efficiency were not show any significant difference among the treatments. The body weight gain tended to significantly increased when the feeding of added-belly fat in diets (p<0.05). The plasma triacylglycerides of T3 was higher than the other treatments, and significantly elevated as the number of feeding days of the diets with the belly fat passed when compared to diet C (p<0.05). The plasma total cholesterol of T3 showed the highest levels in the treatment groups, and was high in the order of T1, T2, T4, and there was a significant difference between the rats given the diet with belly fat and C (p<0.05). The plasma HDL-C of T2 and T3 was showed the lowest levels in the treatment groups. The plasma HDL-C of T1, T2, T3 and T4 groups were significantly decreased as the number of feeding days of the diets with the belly fat increased when compared to diet C (p<0.05). The plasma LDL-C and Al of T3 showed the highest levels in the treatment groups, and the levels were in order of T1, T2, T4. There was a significant difference between the groups of rats given the belly fat and C (p<0.05). The bleeding times significantly decreased as the number of feeding days of the belly fat diets increased, and T3 showed the lowest levels, there was a significant difference among the treatment groups (p<0.05). The whole blood clotting times of T3 showed the lowest values, and significantly decreased according to the number of days of the rats were fed the belly fat diet (p<0.05). These results showed that frequent consumption and high intake of pork belly can elevate the plasma triacylglyceride and cholesterol levels, and also accelerate red thrombus formation because belly fat contains high levels of saturated fatty acids and cholesterol.

POSITIVE SOLUTIONS FOR A THREE-POINT FRACTIONAL BOUNDARY VALUE PROBLEMS FOR P-LAPLACIAN WITH A PARAMETER

  • YANG, YITAO;ZHANG, YUEJIN
    • Journal of applied mathematics & informatics
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    • v.34 no.3_4
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    • pp.269-284
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    • 2016
  • In this paper, we firstly use Krasnosel'skii fixed point theorem to investigate positive solutions for the following three-point boundary value problems for p-Laplacian with a parameter $({\phi}_P(D^{\alpha}_{0}+u(t)))^{\prime}+{\lambda}f(t, u(t))=0$, 0$D^{\alpha}_{0}+u(0)=u(0)=u{\prime}{\prime}(0)=0$, $u^{\prime}(1)={\gamma}u^{\prime}(\eta)$ where ϕp(s) = |s|p−2s, p > 1, $D^{\alpha}_{0^+}$ is the Caputo's derivative, α ∈ (2, 3], η, γ ∈ (0, 1), λ > 0 is a parameter. Then we use Leggett-Williams fixed point theorem to study the existence of three positive solutions for the fractional boundary value problem $({\phi}_P(D^{\alpha}_{0}+u(t)))^{\prime}+f(t, u(t))=0$, 0$D^{\alpha}_{0}+u(0)=u(0)=u{\prime}{\prime}(0)=0$, $u^{\prime}(1)={\gamma}u^{\prime}(\eta)$ where ϕp(s) = |s|p−2s, p > 1, $D^{\alpha}_{0^+}$ is the Caputo's derivative, α ∈ (2, 3], η, γ ∈ (0, 1).

Physicochemical Quality Characteristics of Pork Patty with Tangerine (Citrus unshiu) Peel (감귤껍질을 첨가한 돈육 patty의 이화학적 품질특성)

  • Choi, Gang-Won;Lee, Jong-Wook
    • Journal of Life Science
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    • v.27 no.2
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    • pp.123-130
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    • 2017
  • This study was conducted to investigate the physicochemical quality characteristics of pork patty added with four different amount (T0:0%, T1:0.3%, T2:0.7%, T3:1.0%) of tangerine (Citrus unshiu) peel. There was no significant difference in chemical composition, cooking yield, water holding capacity, moisture retention, fat retention, hardness, springiness, cohesiveness, gumminess, chewiness, VBN content, L-value. In taste, texture, juiciness and palatability, the addition of 0.3%~1.0% tangerine peel in pork patty showed no significant difference on sensory properties compared to the pork patty without tangerine peel. Total polyphenol content was highest in T3, and DPPH radical scavenging activity was highest in T2 and T3 (p<0.001). The TBARS contents decreased as tangerine peel become added (p<0.001). The pH was highest in T0, and was lowest in T3 (p<0.001). The external a-value of T2 and T3 were significantly higher than that of T0 (p<0.01). The external and internal b-value of T2 and T3 were higher than those of T0 (p<0.01). Flavor of T2 and T3 were higher than those of T0 and T1 (p<0.01). In conclusion, the results of this study indicate that an addition of tangerine peel could be utilized as an ingredient in pork patty in promotion of function of tangerine by-products.

Effect of Dietary Copper Sources (Cupric Sulfate and Cupric Methionate) and Concentrations on Performance and Fecal Characteristics in Growing Pigs

  • Huang, Y.;Zhou, T.X.;Lee, J.H.;Jang, H.D.;Park, J.C.;Kim, I.H.
    • Asian-Australasian Journal of Animal Sciences
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    • v.23 no.6
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    • pp.757-761
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    • 2010
  • This study was conducted to assess the effects of organic and inorganic copper on performance in growing pigs. A total of 100 pigs, average age 63 d and initial body weight 21.46${\pm}$1.13 kg, were assigned to five treatment groups. Dietary treatments included i) CON (basal diet, 0 ppm Cu), ii) T1 (basal diet with 67 ppm Cu as cupric sulfate, $CuSO_4$), iii) T2 (basal diet with 134 ppm Cu as $CuSO_4$), iv) T3 (basal diet with 67 ppm Cu as cupric methionate, CuMet) and v) T4 (basal diet with 134 ppm Cu as CuMet). Throughout the entire experimental period, ADG (average daily gain), ADFI (average daily feed intake) and G/F (gain: feed) ratios showed no significant differences. The dry matter digestibility was improved in the T1, T2, T3, and T4 treatments (p<0.05), as compared with CON. Nitrogen digestibility was improved in the T3 treatment group as compared with CON (p<0.05). As compared with the T1 treatment group, fecal pH values were improved in the CON, T3, and T4 treatment groups (p<0.05). Fecal Cu concentrations were significantly lower in the CON, T3, and T4 treatment groups than in T1 and T2 (p<0.05). The incidence of diarrhea was reduced when the pigs were fed on the T2, T3, and T4 diets as compared with CON. In conclusion, diets supplemented with 67 or 134 ppm Cu as CuMet may prove effective in improving nutrient digestibility and fecal pH value in growing pigs, and fecal Cu concentrations may be reduced by CuMet supplementation.

Cosmetology Major The impact of college student satisfaction on the cosmetology profession (헤어미용 전공 대학생의 전공만족도가 미용전문직관에 미치는 영향)

  • Moon, So-Hee;Kong, Cha-Sook
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.6
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    • pp.1667-1677
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    • 2021
  • In this study, we tried to investigate the relationship between the cosmetology major student's major satisfaction and the professionals by analyzing the effect of the cosmetology major student's major satisfaction on the beauty professional hall. Research Results It was found that there is a correlation (p <0.001) between the degree of satisfaction of college students in the hair beauty department and the beauty professionals (p <0.001), and the satisfaction of the department is "specialty" t = 4.625 (p =). .000),'Occupational recognition' t = 3.152 (p = .002), major value is'specialty' t = 2.330 (p = .021),'professional activity' t = 2.438 (p = .015), 'Occupation recognition' t = 4.843 (p = .000), university student activity adaptation is a subordinate factor of the cosmetology profession, "professional activity" t = 2.746 (p = .006), "occupation recognition" t = 4.303 ( Appearing as p = .000), it was found that the degree of satisfaction of college students in the hair beauty department has a significant effect on beauty professionals. For cosmetology college students, major satisfaction not only leads to satisfaction with the university and department, but also to self-satisfaction and cosmetology job confidence, allowing them to adapt to social life with a positive impact, and cosmetologists are hair With the values and attitude toward the beauty profession, you will be able to become a professional officer when you are a university student majoring in cosmetology. Through the research results, the formation of a positive professional hall for college students majoring in hair beauty and the satisfaction of the major will be enhanced, and the self-development of students, as well as professors and educational relations, will be established so that beauty professionals can be established through correct theory and practical education. Education and continued guidance on the professional ethics and values of the person is considered necessary.

Effects of Ridging Times on Agronomic Characteristics, Yield and Feed Value of Corn Hybrid for Silage in Paddy Field Cultivation (논 토양에서 사일리지용 옥수수 재배시 배토시기가 생육특성 및 영양성분에 미치는 영향)

  • Lee, Sang-Moo
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.32 no.3
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    • pp.265-274
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    • 2012
  • This study was carried out to investigate the growth characteristics, yield and chemical compositions of corn hybrids for silage according to ridging times in the paddy field cultivation. The experimental design was arranged in a randomized block design with five treatments and three replication. The ridging times of five treatments were untreated (C), 7 leaves (T1: 31 days), 8 leaves (T2: 37 days), 9 leaves (T3: 42 days) and 10 leaves stage (T4: 48 days after sowing) of silage corn. The ridging treatments (T1, T2, T3, T4) were higher (p<0.01) dry matter yield and TDN yield than the unridging treatment (C). However, there were no significant differences among T1, T2, T3 and T4 treatments. The Crude protein content of unridging treatment was decreased (p<0.01), while NDF content was increased (p<0.01) compared to ridging treatments. The contents of mineral and amino acid in ridging treatments were higher than unridging treatment (p<0.05, p<0.01). In particular, mineral and amino acid contents were the highest in T4 and T1, respectively (p<0.01). Based on the above results, ridging work is to be increased the yield quantity and nutritional value of silage corn. And the best result was obtained in T4 treatment of ridging treatments.