The purpose of this prospective study was to investigate whether office hysteroscopy (OH) can be used to assess the mechanisms of action of progestogen-only contraceptives (POCs), diagnose possible local causes of abnormal uterine bleeding (AUB), and support the treatment plan of symptomatic patients using POCs compared with those who do not use hormones. The study included 140 women who were divided into two groups. Group A consisted of 70 women who used POCs, whereas group B consisted of 70 women who did not use hormones. They were successively examined using transvaginal ultrasonography (TVS), OH, and endometrial sampling. The TVS results were consistent with those of OH and histopathology. The changes in endometrial thickness and vasculature, as well as fallopian tube (FT) functions, were significantly more pronounced in POC users than in non-POC users. There was a significant reduction in the peristalsis of the proximal part of the FT, as well as a reduction in the bubble flow test in group A compared with group B. In addition, the combination of peristalsis and the bubble flow test (Darwishscope test) was significantly lower in group A. It was concluded that using OH as a simple diagnostic tool in women with POCs would contribute to a better understanding of the mechanisms of endometrial and FT effects and explain some local endometrial causes of AUB. This ensures that the combination of TVS and OH would limit routine endometrial sampling in POCs users.
Journal of the Korea institute for structural maintenance and inspection
/
v.13
no.1
s.53
/
pp.205-213
/
2009
This study was planned to develop monitoring system of cable force to resolve cable force of cable-stayed bridge efficiently in a long-term plan. In the proposed monitoring system, firstly data are sampled from real-time acceleration record, secondly these sampled data are frequency analyzed by using the FFT(Fast Fourier Transform) algorism and lastly the analyzed results are averaged and generalized. For evaluating the applicability of this monitoring system, field loading test has performed in real cable-stayed bridge. In comparison with cable force by field manual calculation and cable force of monitoring system by semi-automatic calculation, the difference of calculated cable forces has within 1% error range and it is acceptable range. Additionally within negligible 5% error range of difference has occur between field manual calculation and monitoring system by automatic calculation. so monitoring system in this study has been verified to be reliable.
Recently, more focus is shift to imbalances in aggregate market supply and demand and an exhaustion of natural resources. In this situation, Electric arc furnace oxidizing slag (EAF slag) has high application possibility as aggregate for concrete due to similar property with general aggregate. However, it is inherent the problem which causes pop-out by free-CaO contained in slag In this study, we've got the plan to assure the chemical stability of EAF slag, and then experimentally tested the mechanical performance and durability for the fine aggregate used EAF slag. On this test result, we suggest the application plan. At the result of this study, it shows that EAF slag would reduce the surface defect such as pop-out due to natural aging for the fixed hour and adjustment the grain size of EAF slag. And mechanical performance and durability according to the replacement rate of concrete service, were revealed more than equal or equal compare to general aggregate. Hereafter, quality control must precede not to impede the beauty of concrete surface as assure the safety for aging and processing. And, to establish the environmental resource recycling system for by-products of steel, it should be made development of various application and guideline of quality control for the EAF slag aggregate. Moreover, it must be constantly studied all kind of engineering performance and durability for related to this study.
Objectives : This study was aimed to survey the perception of public official on public health promotion programs in Traditional Korean Medicine (PHPP-TKM). Methods : Data were collected from 129 public officials who were in charge of PHPP-TKM business in the public health centers using the structured questionnaire. Collected data were analyzed through frequency analysis and T-test using SPSS 13.0. Results : Even though stroke prevention programs are implemented most often at present, respondents hope to practice dementia prevention programs in the future. The obstructive factor was measured by 5-point Likert scale, and the most obstructive factor was that there were neither standard manuals nor methodological guidelines for the programs($3.73{\pm}0.97$). The second most obstructive factor was that TKM-PHPP duplicated other public health programs($3.67{\pm}1.07$). The plan to activate TKM-PHPP was also measured by 5-point Likert scale. The most suggested plan was to develop competitive programs ($4.20{\pm}0.88$). The second most suggested plan was that of various integration of public health programs ($4.14{\pm}0.80$). Conclusions : The result of survey questionnaire suggests to develop various integrated programs, and to draw up a standard manual to activate the TKM-PHPP in public health centers.
This study attempted to investigate the effect of class satisfaction of the students majoring in the studies of security services on the efficacy of career decision. To do this, I chose 430 security services of the students majoring by the systematic stratified cluster random sampling as the subject of study. All data were analyzed the causal relationship of the collected equation. In order to do a data analysis used descriptive statistics analysis, t-test, one-way ANOVA and multiple regression analysis of SPSS. As a result, the following conclusion was drawn: First, it was found that there was not a statistically significant(learning factor, interpersonal relation, aptitude factor) difference in their major class satisfaction and career decision efficacy(goal choice, future plan, working information) according to gender. Second, it was found that there was a statistically signifiant difference in such factors as learning, interpersonal relations and aptitude, in relation to the difference in subfactor such as major class satisfaction and career decision efficacy. Third, it was found that the learning, aptitude and career factors of major class satisfaction had a statistically significant effect on the future plan. Fourth, it was found that he learning and career factors of major class satisfaction had a statistically significant effect on the resolution of the goal. Fifth, it was found that the aptitude and career factors of major class satisfaction had a statistically significant effect on job information. Sixth, it was found that the career factors of major class satisfaction had a statistically significant effect on the problem-solution. Therefore, we must first give priority to improve the class satisfaction. By doing this, we can raise the efficacy level of career decision.
'VEC 2010' is a mid-long term scheme on the development of Vocational Education for Chung-buk which is to be accomplished by 2010. On the basis of this scheme, schools adopt 3-Type curriculum considering their conditions and covert themselves into specialized high school which is associated with local industry cluster. They also establish combined high schools which run various curriculums emphasizing basic vocational abilities so that they can meet the needs of demanders The activation plan of Chung-buk province vocational education is a dualized one which is for both ongoing education for entrance into a school of higher grade and the last education for employment, which is supposed to foster the human resources required by the knowledge-based society in the 21st century. The specific contents of 'VEC 2010' is as follows. First, VEC 2010 presents 2 kinds of mid-long term management system for industrial high schools: general industrial high school, specialized high school(single type, combined type). Second, VEC 2010 arranges and run the 3-Type of curriculum of Chung-buk province industrial high schools: employment-centered type, entering higher school-centered type, inaugurating enterprise-centered type. Third, VEC 2010 divides Chung-buk province industrial high schools into 4 districts and suggests mid-long term reorganization plan of system. Fourth, VEC 2010 suggests the substantial strategies of Chung-buk province vocational education: scholarship improvement in the vocational investigation course of the government-sponsored scholastic aptitude test, education for improving basic vocational abilities, substantial management of joint laboratory, administrative and financial support of development of specialized, licensed textbooks. reenforcement of career education.
Recognition of the usefulness and the importance of the nursing diagnosis is increasing. There is a prevailing opinion that nursing diagnosis should be used to improve the quality of nursing care. Developing standardized nursing care palns based on nursing diagnoses is therefore considered one of the most essential projects for professional growth and improvement in the nursing world of Korea. Consequently, in the first stage of this research project, the ten nursing diagnses used most frequently with patients on medical and surgical wards were determined and related nursing care plans were developed, implemented and evaluated. The application of the standardized nursing care plans raised the nurses' confidence and proved to be effective in enhancing the quality of nursing care. This study was initiated as the next stage, to develop, test, and determine the validity of nursing care plans for the remaining nursing diagnoses. Nineteen medical and surgical wards were selected for the study ; the 176 staff nurses working on those wards and 1211 patients hospitalized there (603 patients during the nursing care plan use) took part in the project. The following summarizes the results of the study : 1. After listing all the nursing diagnoses up to the 20th in frequency from each ward except the ten used in the first study, 22 nursing diagnoses were selected. Two related to ‘self care deficit’, were combined into one. Standardized nursing care plans were established for these 21 nursing diagnoses. 2. The first page of each nursing care plan lists the related factors and defining characteristics as supporting data. The application rate distribution revealed that the majority were recorded less than 50% of the time. For each nursing diagnosis, only one to three related factors were recorded more than 50% of the time regardless of the number of suggested related factors, and similarly, only one to five defining characteristics were recorded more than 50% of the time regardless of the number of suggested defining characteristics. Therefore, these factors and defining characteristics were proposed as the common related factors and the typical signs and symptoms for each nursing diagnosis. 3. The application rate distribution for the expected outcomes, and the nursing orders that were the main data of each nursing care plan occurred more than 50% of the time, unlike the related factors and the characteristics that occurred less frequently. These findings supported the clinical validity. 4. In an effort to evaluate indirectly the effect of the use of the standardized nursing care plans, nurses' job satisfaction and perceptions of their ability in the use of the nursing process were measured and compared. Scores after the use of the plans were significantly higher than those before. The experience in actually using the standardized nursing care plans with patients increased the nurses' professional and emotional satisfaction and their confidence in using the nursing process. Also when the nurses who actually used the nursing care plans were asked to rate their effectiveness, the highest score was given to ‘the ease of establishing the nursing goal’, followed by ‘improved professional advice and care for patients’, ‘the efficiency and systemization of charting’, ‘the definite recognition of the nursing problem’, and ‘the selection of effective and appropriate nursing interventions’ in descending order. The results indicate the nurses were very positive about the effect of the real clinical application of standardized nursing care plans, and that the objective of this study to utilize the nursing diagnosis to strengthen the nursing process was attained.
The purpose of this study was to explore the problem solving strategy for Goldberg machine tasks of the gifted students in elementary science depending on the cognitive style(tendency to field-dependent and field independent). It was aimed to provide suggestions for the features and differences of the problem solving strategies of the gifted students in elementary science according to their cognitive styles. A total of 16 students, from the gifted class of P elementary school in Hwaseong were sampled for the research, cognitive styles Test was conducted to divide the students in teams, and the teams were classified according to cognitive style tendencies to five groups of field-dependent group, weak field-dependent group, mixed group, weak field-independent group and field-independent group. The Goldberg device task given was to make a Goldberg device within the angle framework of (Figure) 1, for a bead to start from the starting point and to reach the final point the last. The results are as follows: First, regarding the plan for producing the device, the stronger the field-independent tendency, they established more specific strategy-reflected plan; the stronger the field-dependent tendency, they established less specific strategy-reflected plan. Second, all cognitive style groups took a limited period of time into consideration, to fabricate the devices for the ball to arrive the last using a fine adjustment rather than many devices. Third, the field-independent group used a lot of logical reasoning; the field-dependent group used a lot of intuitive thinking. Fourth, the field independent group properly utilized strategies such as cooperation and role allocation; the field-dependent group tried to solve the task personally rather than cooperatively with poor role allocation. Fifth, the intermediate mixed group solved the problem better than the inclined groups such as field-dependent or field-independent groups.
Journal of Korean Home Economics Education Association
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v.21
no.4
/
pp.35-54
/
2009
The purpose of this study is to develop practical problem based lesson plans on youth's self management and to analyze it's effect self-leadership skill of middle school students. The contents of the middle school Home Economics Technology textbooks and new curriculum revised in 2007 were analyzed. Based on these analyses 6 practical problem based lesson plans on youth's self management were developed. The topics in the lesson plan were as follows: 'Improving Self Identity', 'Expressing Self', 'getting the Life Goals', 'Importance of Time Management', and 'Time Management Skills'. The second grade middle school students in Goyang City as an experimental group were taught by practical problem based lesson plans. After the experiment, the changes in self-leadership skills of students were analyzed using paired t-test. The significant improvements of self leadership skills such as communication skills, learning skills and group management skills were found in the experimental groups of students. Thus, the following conclusion is made that the practical problem based lesson could be one of the useful methods for students to develop self-leadership skill.
SEEMP (Ship Energy Efficiency Management Plan) guidelines for a ship's GHG reduction include a machinery modification of hull, an installation of energy efficiency enhanced attachment in hardware methods. It is also possible to bring a ship energy efficiency improvement by fuel-efficient operations or in other software methods. Hardware modification or installation on ship can bring financial burdens to a ship company compared to its improvement expectation. On the other hand, Software based energy-saving technology can be applicable on various ship types, and it is also expected high efficiency of ship energy use compared to hardware based technology in perspective of the investment costs and efficiency. In this paper, it is described that the ship handling simulator based evaluation was carried out using representative ship model of bulk, container and VLCC. Simulation environments were separated into 6 conditions according to the sea-state and weather condition, and the operation results were compared with those before and after energy saving system applied The container ship showed the largest FOC save rate after energy saving system applied although the others also showed energy save rate after using the system.
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