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Factors affecting the contamination of bag urine culture in febrile children under two years (2세 미만의 열성 환아에서 소변 주머니를 이용한 소변 배양 검사의 오염률에 영향을 미치는 인자)

  • Choi, Wook Hyun;Lim, In Seok
    • Clinical and Experimental Pediatrics
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    • v.52 no.3
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    • pp.346-350
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    • 2009
  • Purpose : Since children under two years with suspected urinary tract infections (UTIs) cannot control urination, urine cultures in such children are usually performed via urine bags. This method is noninvasive but has a high contamination rate. We studied the contamination rate of bag urine culture in diagnosing UTI in infants under two years and the factors responsible for contamination. Methods : We examined patients under 2 years in whom urine culture through the urine bag method yielded over 105 colonies of a single pathogen. We defined UTI by referring to the guidelines of The Korean Society of Pediatric Nephrology, 2005. We examined the factors responsible for contamination according to sex, duration of urine collection, and whether diarrhea took place with contamination rate. Results : We examined 717 patients (412 males and 305 females). The contamination rate of one bag urine culture was 37.9%. Gender was not related to the contamination rate (P>0.05). Duration of urine collection showed an association with the contamination rate. The longer the duration of collecting urine, the higher was the contamination rate. Duration of urine collection was divided into three groups: first group, <2 hours; second group, 24 hours; and third group, ${\geq}4$ hours. Contamination rates were 30.0%, 42.2%, and 43.7% for the first, second, and third groups, respectively, with statistical significance (P=0.001). Diarrhea at admission had no impact on the contamination rate (P>0.05). Conclusion : The contamination rate of urine culture in the examined patients was 37.9%. Gender and diarrhea symptoms were not responsible for contamination. In infants with a suspected UTI, urine should be collected within 2 hours through the urine bag method. If urine collection takes >2 hours, the urine bag should be resterilized and reattached to the patient.

Comparison of the Effect of Income-Redistribution before and after the Mergence of Medical Insurance Program for Self-employeds (지역의료보험 통합전후의 계층간 보험료 이전효과 비교)

  • 박재용;박재원
    • Health Policy and Management
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    • v.11 no.2
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    • pp.85-122
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    • 2001
  • This study compared and analyzed the effect of income-redistribution, collecting data on the basis of the estimated details of insurance contribution and individual money wage lists for each one year before and after the combination of medical insurance program for industrial workers, by systematic sampling, extracting 4,160 families(14,764 people) among people applied to medical insurance program for self employees in Taegu City on the basis of Oct. 1st in 1998 with 227 associations of medical insurance program for self employees and medical insurance program for government employees and private school teachers combined, comparing the effect of income redistribution of before and after the combination of medical insurance program for self employees. The insurance contribution by household after the combination of medical insurance program for self employees showed the increase rate of average 20.9%, among them households of 68.8% increased and 31.2% decreased. The effect of income-redistribution was more positive because the degree of inequality was more deepened from 0.64 of the before-combination to 0.45 of the after-one in decile distribution ratio, from 0.26 to 0.34 in Gini -coefficient. Decile distribution ratio on the basis of insurance benefits by household was from 0.09 in the before-combination to 0.14 in the after-one, Gini-coefficient from 0.16 in the before-combination to 0.57 in the after-one was a little lowered. And decile distribution ratio of insurance benefits on the basis of insurance contribution was higher from 1.08 in the before-combination to 1.23 in the after-one, concentration index was a little lowered from 0.14 to 0.11, the effect of income-redistribution was improved in the phase of insurance benefits. The income-transfer rate of medical insurance program for self employees (the occupied rate of insurance benefits/ the occupied rate of insurance contribution) showed a lower trend in all of the before and after-combination towards upper classes, it was known that the income-transfer rate was higher from 1st degree to 7th degree in the after-combination in comparison with the before-one, but the effect of income¬redistribution was high because the income-transfer rate was lowered from 8th degree to 10th degree. The rate of medical insurance benefits (insurance benefits/ insurance contribution) increased from 0.79 in the before-combination to 1.07 in the after-one, and showed over 1.0 under 3th degree before the combination, but all of it was higher than 1.0 under 7th degree after the combination, the after-combination was more improved than the before-one in view of the rate of insurance benefits. As the result of above, on the basis of Oct. 1st in 1998 that 227 associations of medical insurance program for self employees was combined into one, we could say that the equality of imposing medical insurance contribution was more re-considered in the after-combination than in the before-one. But this study analyzed with classes divided, anyway, on the basis of insurance contribution, we have limit in explaining the correct effect of income-redistribution, because it was not analyzed according to classes of income, though it helps to analogize the effect of income-redistribution. So there must be analysis about the effect of income-redistribution, on the basis of the system, building up the system to grasp the correct income of the insureds of medical insurance program for self employees.

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A Study of the Importance of CPR Training and Education Status in University Students (대학생 심폐소생술 교육의 중요성 및 교육 실태에 관한 연구)

  • Lee, Yoon-Ji;Lee, Cho-Rong;Lim, Yeon-Hee;Jo, Min-Hee;Jo, Yeon-Kyeong;Jo, Jun-Hee;Jin, Ju-Sil;Kim, Jin-A;Ahn, Sung-A;Kim, Eun-Hee
    • Journal of Korean Clinical Health Science
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    • v.1 no.1
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    • pp.47-61
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    • 2013
  • Purpose. Effective health policy to raise education rate and to provide basic data to identify the college of Education degree and CPR. Purpose of this study was to inform the need for retraining of college students received CPR training. Methods. The sample consisted of 70 a series of health related university students and 70 the general college students ; total 120 in J city. The period of data collecting was from November 1st to Nov. 16th. The tools were 24 questionnaires named "CPR Survey". The collected data were analyzed to get frequency, percentage, average, and standard deviation, t-test and Person's correlation coefficients by using of SPSS for WINDOW 12.0 K program. Results. The number of CPR-trained persons was significantly higher in the health related university students than general college students. Conclusions. CPR training after the passage of time, the percentage of correct answer got lower as time goes by. The answer should be 'School formal education' was the highest. The percentage of students who recognized the necessity of CPR re-education was high.

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A study of improving filtration efficiency through SiC whisker synthesis on carbon felt by CVD VS method

  • Kim, Gwang-Ju;Choe, Du-Jin
    • Proceedings of the Korean Vacuum Society Conference
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    • 2016.02a
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    • pp.150-150
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    • 2016
  • Mankind is enjoying a great convenience of their life by the rapid growth of secondary industry since the Industrial Revolution and it is possible due to the invention of huge power such as engine. The automobile which plays the important role of industrial development and human movement is powered by the Engine Module, and especially Diesel engine is widely used because of mechanical durability and energy efficiency. The main work mechanism of the Diesel engine is composed of inhalation of the organic material (coal, oil, etc.), combustion, explosion and exhaust Cycle process then the carbon compound emissions during the last exhaust process are essential which is known as the major causes of air pollution issues in recent years. In particular, COx, called carbon oxide compound which is composed of a very small size of the particles from several ten to hundred nano meter and they exist as a suspension in the atmosphere. These Diesel particles can be accumulated at the respiratory organs and cause many serious diseases. In order to compensate for the weak point of such a Diesel Engine, the DPF(Diesel Particulate Filter) post-cleaning equipment has been used and it mainly consists of ceramic materials(SiC, Cordierite etc) because of the necessity for the engine system durability on the exposure of high temperature, high pressure and chemical harsh environmental. Ceramic Material filter, but it remains a lot of problems yet, such as limitations of collecting very small particles below micro size, high cost due to difficulties of manufacturing process and low fuel consumption efficiency due to back pressure increase by the small pore structure. This study is to test the possibility of new structure by direct infiltration of SiC Whisker on Carbon felt as the next generation filter and this new filter is expected to improve the above various problems of the Ceramic DPF currently in use and reduction of the cost simultaneously. In this experiment, non-catalytic VS CVD (Vapor-Solid Chemical Vaporized Deposition) system was adopted to keep high mechanical properties of SiC and MTS (Methyl-Trichloro-Silane) gas used as source and H2 gas used as dilute gas. From this, the suitable whisker growth for high performance filter was observed depending on each deposition conditions change (input gas ratio, temperature, mass flow rate etc.).

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Fundamental Studies for Ventilated Supercavitation Experiments in New High-speed Cavitation Tunnel (신조된 고속 캐비테이션 터널에서 환기 초공동 실험 수행을 위한 기초 연구)

  • Paik, Bu-Geun;Kim, Min-Jae;Jung, Young-Rae;Lee, Seung-Jae;Kim, Kyoung-Youl;Ahn, Jong-Woo;Seol, Han-Shin;Kim, Ki-Sup
    • Journal of the Society of Naval Architects of Korea
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    • v.55 no.4
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    • pp.330-340
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    • 2018
  • In the present works, the High-speed Cavitation Tunnel (HCT) has been designed and manufactured to have the large test section to conduct various supercavitation experiments. The large amount of air ventilated behind a cavitator produces lots of tiny bubbles, which prevent clear observation of supercavitation at the test section. To collect small bubbles effectively, a bubble collecting section of large volume is equipped upstream of the test section. HCT has the test section dimension of $0.3^H{\times}0.3^W{\times}3.0^L\;m^3$ and provides maximum flow speed of 20.4 m/s at the test section. The blockage and Froude effects on the ventilated supercavitation are investigated successfully at the test section. The basic studies such as the supercavitation evolution, drag measurements and cavity shape extraction with air flow rate are also carried out in HCT.

Design and Fabrication of Doctor Blade Type Dispensers for Uniform Resin Coating during Roll to Roll Imprinting Process (롤투롤 임프린트 공정 중 균일한 레진 코팅을 위한 닥터블레이드형 디스펜서 설계 및 제작)

  • Son, Hee Chul;Kim, Seong Woo;Lee, Jihoon;Park, Cheol Woo;Kwak, Moon Kyu
    • Journal of the Korean Society for Precision Engineering
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    • v.32 no.10
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    • pp.897-902
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    • 2015
  • This study reports on a uniform resin coating method by using a doctor blade type dispenser. For high productivity, continuous imprint-lithography has been studied, and developed fabrication systems are used in several applications such as anti-reflection films, dry adhesives, and water collecting surfaces. In the continuous fabrication field, researchers have typically focused on patterning and demolding procedures. During the roll-to-roll fabrication process, however, the uniform resin coating process is also important in order to obtain a high quality product, which can be evaluated by uniform thickness, precise geometric expressions, and a thin residual layer. To achieve these, a doctor blade type dispenser was designed and fabricated. As a result, thickness of coated resin was well controlled by modulating the flow rate of the resin and blading gap. In addition, a very thin layer coating process (${\sim}10{\mu}m$) was achieved by softly contacting the blade on the substrate.

Comparing the Performance of Three Severity Scoring Systems for ICU Patients: APACHE III, SAPS II, MPM II (중환자 중증도 평가도구의 타당도 평가 - APACHE III, SAPS II, MPM II)

  • Kwon, Young-Dae;Hwang, Jeong-Hae;Kim, Eun-Kyung
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.3
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    • pp.276-282
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    • 2005
  • Objectives : To evaluate the predictive validity of three scoring systems; the acute physiology and chronic health evaluation(APACHE) III, simplified acute physiology score(SAPS) II, and mortality probability model(MPM) II systems in critically ill patients. Methods : A concurrent and retrospective study conducted by collecting data on consecutive patients admitted to the intensive care unit(ICU) including surgical, medical and coronary care unit between January 1, 2004, and March 31, 2004. Data were collected on 348 patients consecutively admitted to the ICU(aged 16 years or older, no transfer, ICU stay at least 8 hours). Three models were analyzed using logistic regression. Discrimination was assessed using receiver operating characteristic(ROC) curves, sensitivity, specificity, and correct classification rate. Calibration was assessed using the Lemeshow-Hosmer goodness of fit H-statistic. Results : For the APACHE III, SAPS II and MPM II systems, the area under the receiver operating characterist ic(ROC) curves were 0.981, 0.978, and 0.941 respectively. With a predicted risk of 0.5, the sensitivities for the APACHE III, SAPS II, and MPM II systems were 81.1, 79.2 and 71.7%, the specificities 98.3, 98.6, and 98.3%, and the correct classification rates 95.7, 95.7, and 94.3%, respectively. The SAPS II and APACHE III systems showed good calibrations(chi-squared H=2.5838 p=0.9577 for SAPS II, and chi-squared H=4.3761 p=0.8217 for APACHE III). Conclusions : The APACHE III and SAPS II systems have excellent powers of mortality prediction, and calibration, and can be useful tools for the quality assessment of intensive care units(ICUs).

A Study on the Policy Implication on the Management of Narcotics Distribution for Medical Use (의료용 마약류 유통 관리에 대한 고찰과 정책적 함의: 유통자료 및 청구자료 분석을 중심으로)

  • Yu, Su-Yeon;Cho, Hyunmin;Kang, Hyeun Ah;Kim, Sukyeong
    • Korean Journal of Clinical Pharmacy
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    • v.25 no.4
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    • pp.280-285
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    • 2015
  • Objectives: To suggest direction for improving policies by understanding current management of narcotics or psychotropic drugs and analyzing their distributions and usage. Method: We conducted a comparison analysis between health insurance claims and the amount supplied to health care institutions for narcotics or psychotropic drugs through health insurance claims data and drug distribution supply data from 2010 to 2012 collected from Korea Pharmaceutical Information Service Center (KPIS). Furthermore, we carried out literature investigation and online search to comprehend the current management of narcotics drugs in Korea. Results: The amount supplied to medical institutions for all drugs in 2012 was 19.4 trillion won, which increased from 19.5 trillion in 2011 by 0.54%. For narcotic drugs, the amount supplied was 318.4 billion won in 2011 and increased to 335.1 billion won by 5.3% in 2012, which exceeded the rate of increase for the amount supplied for all drugs. The proportion of amount claimed in the total amount supplied to medical institutions for all drugs was 60.5% in 2012, whereas the proportion of amount claimed for narcotic drugs was 55.6%, which showed that narcotic drugs were used relatively less within health insurance. Furthermore, management of the current domestic distribution supply data focuses on manufacturing and medical institution supply stages. Conclusion: Hereafter, the management of narcotics or psychotropic drugs needs to be improved by reinforcing active monitoring in optimal prescription and usage in patients by collecting and analyzing information on drug usage of patients.

Riparian Area Characteristics of the Middle and Lower Reaches of the Nakdong River, Korea (낙동강 중·하류 지역의 수변 특성에 관한 연구)

  • Kang, Dae-Seok;Sung, Ki-June;Yeo, Un-Sang;Chung, Yong-Hyun;Lee, Suk-Mo
    • Journal of Environmental Impact Assessment
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    • v.17 no.3
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    • pp.189-200
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    • 2008
  • As a transition zone between terrestrial and aquatic ecosystems, riparian areas of rivers and streams play significant roles in production and decomposition for river and stream systems. Understanding of the physical and ecological characteristics of riparian areas are, therefore, important for the management of river and stream systems. It is especially important to understand the characteristics of riparian areas for the Nakdong River in Korea which has a large watershed area and diverse land uses. This study aimed at collecting field data, according to stream types, which are essential for the management of riparian areas of the middle and lower reaches of the Nakdong River, Korea. Most riparian areas surveyed in this study had roads within 100 meters from river edges. Distances from water edge to banks were less than 1m for most riparian areas neighboring agricultural lands, indicating that those areas might be very vulnerable to pollutant inputs from non-point sources. Water quality data indicated that soil erosion in the riparian areas could be a major source of phosphorus input to the Nakdong River and land use patters might have a significant influence on nitrogen concentration in the river. Heavy metal concentrations in soils of the riparian areas of the river were below soil quality standards, except arsenic and chromium. Vegetation surveys showed that therophytes were the most frequently occurred riparian plants in the Nakdong River. Number of aquatic plant species increased downstream, with the most diverse aquatic plants observed in wetlands and irrigation canals of the West Nakdong River. Occurrence rate of naturalized plants and urbanization index were high in the survey sites adjacent to urban and agricultural areas.

The Effect on Dairy Industry of FTA and the Raw Milk Demand and Supply Outlook (FTA가 유가공업에 미치는 영향과 원유 수급 전망)

  • Shin, Seung-Youll;Kim, Hyun-Joong;Choi, Sei-Kyun
    • Journal of Dairy Science and Biotechnology
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    • v.22 no.2
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    • pp.131-141
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    • 2004
  • The FTA(Free Trade Agreements) are loading the world trade liberalization. Entering into FTA with Chile on 1 Apr 2004, Korea is trying to tie with Singapore and Japan in FTA. It also has a long-term plan for free-trading with China, USA, ASEAN, Canada and India. The portion of the dairy products imported from Chile, Japan and Singapore is under 1% of total dairy product imports. However, in the long run the conclusion of FTA with dairy product exporting countries such as USA, Australia, New Zealand and Netherlands will give a big impact on the dairy industry with abrupt increment in dairy product imports. Especially, whole and skim milk powder imports which are imported on the high tariff rate expect to increase. Furthermore mixed milk powder(Food preparations of goods and other whey powders) imports which domestic price is higher than world market also will dramatically increase. The milk powder stocks have increased since 2002. That made the government carry out some policies. Those include slaughtering milking cow(2002) and terminating the dairy farm enterprise and decreasing in milk production(2003). Also the case of artificial insemination by a Hanwoo fertilized egg has increased with the rise of Hanwoo farm price in 2003. By those reason, it is forecasted that the downward trend in the number of cow will be continued in 2004. It is also forecasted that the raw milk production in 2004 will decrease 4.4% compared to last year due to decreasing in the number of milking cow and raw milk collecting quota.

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