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A Study about Restraint Use in Care of Patients with Psychiatric Disorders (일 정신병원에서 발생한 강박 처치에 관한 연구)

  • An, Hyo Ja;Kim, Eun Ha;Chung, Young Hae;An, Jung Sim;Cho, Won Ae;Park, Joung Hwa
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.3
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    • pp.432-442
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    • 2013
  • Purpose: The purpose of this study was to describe restraint use in care of patients with psychiatric disorders in an attempt to avoid unnecessary restraint use and provide information for developing standards regarding restraint use as a therapeutic maneuver. Methods: For this descriptive study, discharge records from N National Mental Hospital in the year 2009 were reviewed by trained nurses during Dec. 24, 2010 and Mar. 31, 2011. There were 596 restrains applied on 232 of 1,322 discharges. Data collected include general characteristic of patients, the frequency of restraint use, time since admission when restraint was applied, time of the day when restraint was applied, duration of restraint application, place of occurrence, reasons for restraint use, and degree of damage to the patent. Work experience of nurses who applied restraints, number of workforce at the time of restraint, and season of the year was also identified. Descriptive statistics, Chi-square test, t-test, ANOVA, $Scheff{\grave{e}}$ and Jonckheere-Terpstra were applied using SPSS 14.0 to analyze the data. Results: There were 596 restraint uses among 232 patients. Restraints were applied most frequently on males in their 40s, patients diagnosed with schizophrenia, and patients repeating admissions more than 6 times. Restraints were frequently applied within first week following admission, between 16:00 and 20:00, and the average duration of restraint was 5 hours. There were significant differences according to diagnoses of patients in the season restraint occured, time, place of occurrence, reason for restraint, and duration of restraint. Patients with alcoholism received longer restraint application. Conclusion: In order to avoid unnecessary restraint use in patients with psychiatric disorders, nurses and other health care team members need to acknowledge a group of patients such as patients with schizophrenia and alcoholism who relatively frequently restrained or receiving longer restraint. Reasonable and careful decision need to be made when applying restraint in the care of patients with alcohol problem.

Analysis of the incidence of dementia in complete edentulous patients using the National Health Insurance Service-Elderly Cohort Database (NHIS-ECD) (국민건강보험공단 노인 코호트 자료를 이용한 완전 무치악 환자의 치매 발병률 분석)

  • Koo, Bonsuk;Yoo, Jin-Joo;Kim, Manyong;Lim, Hyunsun;Yoon, Joon-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.193-200
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    • 2020
  • Purpose: To investigate the relationship between dementia and complete tooth loss on both sides or one side using large demographic data. Materials and methods: A retrospective cohort study was designed using the National Health Insurance Service-Elderly Cohort Database (NHIS-ECD) which was established for people over the age of 60. The experimental group was the complete edentulous cohort, which had a history of treatment for national health insurance covered complete denture on both sides or one side from July 1, 2012 to December 31, 2013. And the control group was the dentulous cohort, which had a history of conservative dental treatment for the same period. All subjects had no history of diagnosis or treatment of dementia during this time. These cohorts were matched 1:1 by age, gender, and place of residence according to the propensity score matching method. Then the incidence of dementia was compared between these cohorts. Results: Compared with those groups, the incidence of dementia was significantly higher in the experimental group (12.13%) than in the control group (9.74%) (P<.05). No clear association between other factors has been identified. Conclusion: The analysis of large-scale demographic data shows that the incidence of dementia is high in complete edentulous patients on both sides or one side.

Characteristics of PM10, PM2.5 and CO2 Concentration in Public Transportations and Development of Control Technology (대중교통수단에서 PM10, PM2.5 및 CO2의 농도 현황과 저감기술 개발에 관한 연구)

  • Park, Duck Shin;Kwon, Soon Bark;Cho, Young Min;Jang, Seong Ki;Jeon, Jae Sik;Park, Eun Young
    • Particle and aerosol research
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    • v.6 no.1
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    • pp.9-20
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    • 2010
  • This study examined the concentration level of the major air pollutants in public transportation. The study was conducted between February 2009 and March 2008 at Suwon-Yeosu line in Korea. $PM_{10}$ concentration level was $100{\mu}g/m^3$ on average. The $PM_{2.5}$ to PM10 ratio in transport is 0.37, which was lower than the results published by other researches. The result also demonstrated that outdoor $PM_{10}$ concentration was about 56~60% level compared to that of the cabin. $CO_2$ concentration level in the cabin was 1,359ppm, which does not exceed 2,000ppm, which is the guideline concentration level according to the Ministry of Environment. $CO_2$ concentration level in the cabin was $CO_2=23.4{\times}N+460.2$, and about 23.4ppm in $CO_2$ concentration level increased every time one passenger was added on. The experiment conducted on the train demonstrated that the average $PM_{10}$ concentration level was $100{\mu}g/m^3$ in case of the reference cabin while average $PM_{10}$ concentration level of the modified vehicle was $68{\mu}g/m^3$. Likewise, effect of the particle reduction device for the reduction of $PM_{10}$ concentration level was approximately 21%. Meanwhile there was almost no difference in the concentration level between reference and modified cabin in case of $PM_{2.5}$. Using zeolite as an adsorbent was made to reduce the $CO_2$ concentration level in the cabin. Number of passengers was factored in, to calculate the effect of the adsorption device, which demonstrated that about 36% of $CO_2$ concentration level was reduced in the modified cabin effect of the $CO_2$ reduction device. This research analyzed the current status concerning the quality of air in the public transportation and technologies were developed that reduces major air pollutants.

Estimation of PM2.5 Correction Factor for Optical Particle Counter in Ambient Air (대기환경에서 광산란 미세먼지 측정기의 PM2.5 보정계수 산정)

  • Kim, Jong Bum;Kim, Danbi;Noh, Sujin;Yoon, Kwan Hoon;Park, Duckshin;Lee, Jeong Joo;Kim, Jeongho
    • Particle and aerosol research
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    • v.16 no.2
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    • pp.49-59
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    • 2020
  • Various devices have been developed to the measurement of particulate matter pollutants, and Optical Particle Counter (OPC) that can be easily and quickly measured is widely used lately. The measured value by OPC is converted to weight concentration using the correction factor (CF). The calculation of CF is very important to improve the reliability and accuracy of OPC. In this study, the CF calculation study of light scattering laser photometer (model 8533, TSI) was carried out to measure in the atmospheric environment using 2 gravimetric devices and 3 light scattering laser photometer devices. Regression analysis and Tukey tests were used to significance the test of measurement devices. Measurements were carried out twice. There was a comparative analysis of measurement data between light scattering laser photometer and gravimetric devices in 1st measurement, and then the Evaluation of PM2.5 concentration corrected by CF performed in 2nd measurement. As a result of the significance analysis between light scattering laser photometer and gravimetric devices, the correlation between the same method was high, but the correlation between different methods was low. CF was calculated as 0.4258 based on the measurement results, and it is a similar level to previous studies at home and abroad. It is expected that these results can be used as basic data in the future study for air quality measurement research using light scattering laser photometer. Also, in order to improve the accuracy of the measurement techniques and the development of technology in the atmospheric environment, CF calculation research should be conducted continuously.

Survey of radioactive contamination in imported foodstuffs (수입 식품중의 방사능 오염실태 조사)

  • Lee, Wan-No;Lee, Haeng-Pil;Chung, Kun-Ho;Kim, Hee-Reyoung;Cho, Young-Hyun;Choi, Geun-Sik;Lee, Chang-Woo;Chung, Hyung-Wook;Lee, Eun-Ju;Sho, You-Sup;Lee, Jong-Ok
    • Journal of Radiation Protection and Research
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    • v.31 no.3
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    • pp.141-148
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    • 2006
  • Surveys of radioactive contamination were performed for imported foodstuffs in 2003. The following samples among imported foodstuffs were selected from markets and Korea Food and Drug Administration(KFDA); the imported samples from country associated with the Chernobyl nuclear accident, the samples produced around the nuclear power plants or nuclear tests, the foodstuffs reported as radioacitive contamination materials in foreign country. After pretreatments such as drying and homogenization, samples were analyzed. The $^{137}Cs$ radionuclide was only measured among the regulation radionuclides($^{137}Cs,\;^{134}Cs,\;^{131}I$) of food code. All foodstuffs except Inonotus Obliquus(Chaga mushooms) are less than 17.0 Bq/kg or below the minimum detectable activity(MDA). The activity concentrations of Chaga mushrooms from Russia ranged up to 131.25 Bq/ltg which is almost 35 % of the maximum permitted level of food code. The fraction of imported foodstuffs having meaningful radioactivity is small, however, the radioactive contamination survey of imported foodstuffs is still needed.

An Analysis and Study for the Math Disliking Tendency of the Australian Students -Compare to the Students of Middle School of Korea- (호주 학생들의 수학 기피성향 분석 연구 -우리나라 중학교 학생과의 비교-)

  • 박기양
    • The Mathematical Education
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    • v.42 no.3
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    • pp.295-302
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    • 2003
  • The purpose of this study is to make more reliable researches on the tendency of shirking from the mathematics by including those of the students in the other country, and there are a series of researches such as 'math-camp to raise the mathematical tendency of the students who make little progress in the study', 'establishment of factors causing the shirking tendency from the mathematics and development of the analyzing instruments for it' and 'study on the preference to each category of the school mathematics.' For this purpose, I used a test developed by the shirking tendency research team. I compared the average score and standard deviation between the Korean and the Australian students. As for the average score, that of the Australian elementary school students is about one point higher than the Korean students, and there was no remarkable difference in the deviation. Comparing the math-shirking tendency of the two groups, they show higher shirking tendency in the aspects of emotional and mathematical recognition that belong to the psychological and environmental sphere. And, as for an extent of association in difficulties according to each school grades, its degree of the Australian students is comparatively lower than that of the Korean students, therefore, the shirking tendency of the Australian students is intermediate level whereas that of the Korean students is the lowest. They show us a peculiar result in teacher factor. It is noteworthy in that the Korean students show a positive reaction in that factor, however, the Australian students show a comparatively weak reaction. It might be caused by a cultural difference. I also have compared the accumulated percentage according to each shirking tendency factors. It will not only be very efficient for teachers to establish a teaching plan but also a good data to understand the shirking tendency of each student. This will be a very good data for the planners of teaching policy to remedy the causes of shirking tendency. And, it will also be used effectively to write a new textbook. It has been uncommon that a psychological test is used in the research for the improvement of teaching and learning mathematics. In this aspect, I am sure that this study including the preceding research will be a good in studying the shirking tendency factors by using a psychological test. I believe that this research will be a help to grasp the outline of the shirking tendency and I will have to try continuously to make it be a reasonable and reliable study.

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Association of Microsatellite Marker in FABP4 Gene with Marbling Score and Live Weight in Hanwoo

  • Lee, Seung-Hwan;Cho, Yong-Min;Kim, Hyeong-Cheol;Lim, Da-Jeong;Moon, Hee-Joo;Hong, Seong-Koo;Oh, Sung-Jong;Kim, Tae-Hun;Yoon, Du-Hak;Park, Eung-Woo
    • Journal of Animal Science and Technology
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    • v.52 no.6
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    • pp.475-480
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    • 2010
  • The bovine fatty acid binding protein 4 (FABP4) plays an important role to uptake intracellular fatty acid. It has been previously reported as a positional candidate gene for marbling score in livestock. The re-sequencing of FABP4 gene detected a polymorphic AT repeated sequence in intron II of FABP4 gene. Allelic distribution for this microsatellite marker was examined in other cattle breeds. A total of 8 alleles were detected with diverse repeat units (14 to 21 AT repeat) in Hanwoo and 7 breeds. Of the 8 alleles, the predominant alleles were $[AT]_{16}$, $[AT]_{18}$ and $[AT]_{19}$ in the Hanwoo and 7 cattle breeds. The linear mixed model for genotypic effect (3237AT) on carcass traits showed a significant effect on marbling score (MAR P=0.025) and live weight (LWT; P=0.04) in the 583 Hanwoo cattle population. Live weight (LW) was highest in the homozygous $(AT)_{17}$ genotype ($557.5{\pm}6.94$) and lowest in the heterozygous $(AT)_{16/17}$ genotype ($521.7{\pm}7.70$). On the other hand, the homozygous $(AT)_{17}$ genotype ($3.0{\pm}0.15$) has the highest effect on marbling score and the lowest effect was in homozygous (AT)$_{18}$ genotype ($2.2{\pm}0.15$). The marbling score difference between both groups was 0.8 which is around two times higher than SNP genotype effect on marbling score in Limousin $\times$ Wagyu crosses.

Development and Evaluation of a Protocol for Bedside Nursing Handoff with Patient Engagement in a Tertiary Hospital in South Korea (한국형 환자참여 간호사 침상인계 프로토콜 개발 및 평가)

  • Lee, Tae Wha;Ji, Yoon Jung;Jang, Yeon Soo;Do, Hyun Ok;Oh, Kyoung Hwan;Kim, Chang Kyung;Chun, Ja Hye;Shin, Hae Kyung;Cho, Mee Young;Bae, Jung Im
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.1
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    • pp.117-130
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    • 2020
  • Purpose: This study aimed to develop a bedside nursing shift report protocol and evaluate the effect of the protocol in a tertiary hospital in South Korea. Methods: The bedside nursing handoff protocol with patient engagement was developed based on the literature review and the validation of an expert group. The effect of the protocol on clinical implication was tested in three medical-surgical units in a tertiary hospital. Outcomes were assessed by patient perception, nurse perception, and reporting time. Data collected from June to August in 2018 and analyzed with descriptive statistics and One-way ANOVA using SPSS version 25.0. Results: The bedside nursing shift report protocol with patient engagement consisted of two steps: nurse to nurse report and bedside report with patients. Nurse's perception with patient engagement was significantly increased after applying protocol (F=17.85, p<.001). Patient's perception was significantly improved in the areas of discharge plan (F=7.86, p<.001), health information privacy (F=4.46, p=.012) and identify attending nurse (F=3.19, p=.042). There were no differences in reporting time between the bedside nursing shift report and a traditional shift report (F=0.61, p=.054). Conclusion: Patient perception was significantly increased, while nurse perception was not different after applying this protocol. For the change in the perception of nurses, education may be preceded to improve nurses' competence for the bedside shift report. Furthermore, the support in enough nurse staffing should be needed for encouraging the bedside shift report. The bedside shift report may enhance patient engagement. Therefore it may improve patient safety and health outcome in clinics.

Relationship Between Death Orientation of First Care Giver and Quality of Life of Hospice Patients (호스피스환자 주 수발자의 죽음에 대한 인식과 호스피스 환자의 삶과 질과의 관계)

  • Choe, Yeong-Sun
    • Korean Journal of Hospice Care
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    • v.6 no.2
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    • pp.55-68
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    • 2006
  • In Korea, there are constantly increasing number of cancer patients with reaching 65,000 deaths and it was 26.3% of the total number of death in 2004. Many cancer patients suffer from surgery, chemotherapy, and radiotherapy after being diagnosed as cancer. And many of them are facing fear of death because they can't be perfectly cured. Due to patients' physical, psychological, and spiritual pain, quality of life drops dramatically. Patients' families also suffer from huge medical expenses while they have to take care of patients's suffering from pain. At the same time, family's attitude can influence on the quality of patients' life. The purpose of this study is to investigate the relationship between the death orientation of first care giver and the quality of life of hospice patient. The subjects of the study were 80 hospice patients registered at ten hospice institutions with hospice team and medical practitioners in six cities including Seoul as well as their first care givers. This study used 13 questions for the hospice patients and nine questions for the first care givers to recognize general characteristic. To measure death orientation of the first care giver the tool developed by Noh, Soon-hee (2003) was used. And to measure quality of life of the hospice patients Yoo, Seung-yeon's structured tool was used. The data were collected for a month through interview method. SPSS win 12.0 was used to analyze the data by using frequency, percentage, t-test, Pearson correlation. The study result is as follows. In relationship between general characteristic of hospice patient and quality of life, the highest suffering was pain (60%) and the second suffering was anorexia (23.8%). There was no significant relationship between physical pain and general characteristics of hospice patient. In psychological aspects, religion (p=.044) showed significant difference (p<.05). In existential aspects, age (p=.035) showed significant difference (p<.05). There was no significant difference variable in support aspects. And religion (p=.000) was statistically significant variable in spiritual aspects (p<.001). Age (p=0.025) and religion (p=.050) were the variable showed significant difference according to general characteristics of first care giver's death orientation. Although the relation between death orientation of first care giver and quality of life of hospice patient was not statistically significant correlation. In conclusion, while death orientation of first care giver and hospice patient's quality of life are not statistically significant in correlation analysis.

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A Study of Inter-Korean Cooperation in Science and Technology (남북한 과학기술협력에 대한 연구: 통합적 시각에서)

  • Kwon Ki-Seok
    • Journal of Science and Technology Studies
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    • v.3 no.2 s.6
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    • pp.29-60
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    • 2003
  • Inter-Korean Cooperation in Science and Technology will contribute to building the trust between S.K and N.K as a leading factor and cut down the cost of unification by diminishing the technology lag and the gap of economic level. This study has shown that we can increase the productivity of unified Korea Innovation system if we systematically analyse the present condition of the Inter-Korean Cooperation and promote Inter-Korean Cooperation. In this study, the author analyses the present condition of the Inter-Korean Cooperation with integrated framework of three aspects to clear up the policy of Inter-Korean Cooperation. First, in the national aspect, we make use of the notion of international cooperation and multilateral mechanism of an international organization. Thereafter, we make out the alternatives in the aspects of international relationship and legal and institutional view Second, in the unification aspect, we consider the Inter-Korean Cooperation by the notion of national innovation system. Thereafter, we make out the alternative in the aspect of a phase-dependent approach. Finally, in technology aspect, we consider the Inter-Korean Cooperation by the notion of technology gap, the framework of technology transfer, and technology dependency theory. As a conclusion, through this study, the author have tried to integrate the various theoretical backgrounds. As a result, the author could analyse the present condition of ter-Korean Cooperation in Science and Technology and team a good lesson from it; Therefore, we can use it as a means of evaluation on a cooperation program and prediction for the future status of cooperation.

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