A central issue in the development of nursing practice is to describe the phenomenon with which nursing is concerned. To identify the health problems which can be diagnosed and managed by the nurse is the first step to organize and ensure the development of nursing science. Therefore the academic world has been discussing the application of the nursing diagnosis in nursing practice as a means of improving quality of care. The objectives of this study were to develop a standardized nursing care plan for ten selected nursing diagnoses to form a database for computerized nursing service. The research approach used in the study was (1) the selection of the ten nursing diagnoses which occur most frequently on medical-surgical wards, (2) the development of a standardized nursing care plan for the ten selected nursing diagnoses, (3) application of the plan to hospitalize patients and evaluation of the content validity by the nurses, and (4) evaluation of the clinical effects after the use of the standardized nursing care plans. The subjects were 56 nurses and 395 hospitalized patients on two medical and two surgical unit. The results of this study were as follows ; 1) The ten selected nursing diagnoses for the development of the standardized nursing care plans were “PAIN, SLEEP DISTURBANCE, ALTERED HEALTH MAINTENANCE, ALTERATION IN NUTRITION, ANXIETY, CONSTIPATION, ALTERED PATTERNS OF URINARY ELIMINATION, DISTURBANCE IN BODY IMAGE, POTENTIAL FOR ACTIVITY INTOLERANCE AND ACTIVITY INTOLERANCE”. 2. The developed standardized nursing care plans included the nursing diagnosis, definition, defining characteristics, etiologic or related factors that contribute to the condition, recording pattern, desired outcomes and nursing orders (nursing interventions). 3. The plan was used with hospitalized patients on medical - surgical wards to test for content validity. The patient's satisfaction with the nursing care and nurses' job satisfaction were investigated to evaluate the clinical effects after the use of the standardized nursing care plans. A comparison of patient satisfaction with nursing care before and after the introduction of the standardized nursing care plans showed a statistically significant higher level of satisfaction with the standardized care plans. There was no difference in the level of job satisfaction expressed by the nursing staff before and after the standardized nursing care plans were introduced. However, when opinions about the use of the standardized nursing care plans were examined it was found that there was a positive effect on clarity in defining the nursing problems, determining nursing cost, more feasible goal setting, effective and systematic nursing records and indications for nursing research. The results of this study suggest that in order to increase the use of nursing diagnoses in the clinical area, it would be effective to select some wards as a pilot project, give the nurses training in the use of nursing diagnosis and develop and use the standardized nursing care plans. In addition to the ten diagnosis used in this study it is recommended that continual development of nursing diagnoses be done using diagnoses that are appropriate to Korea and testing them for validity through standardized care plans.
A blank test was done to calculatee the car itself's magnetic effect as noise and to eliminate it from the data set of total magnetic intensity(=magnetic flux density) exploration in a car-borne magnetic exploration system. To calculate the induced magnetic intensity(= magnetization) and the remanent magnetic intensity(= magnetization) of the car itself, we have installed the magnetometer on a fixed point and measured the magnetic intensity letting the car move around the magnetometer, and we have changed the data set into an analogous data set as if acquired in the condition that we have parked the car on the same fixed point and measured the magnetic intensity moving the magnetometer around the magnetometer. Through an inversion with the later data set as input, we have calculated the magnetic center and the magnetic moments of the induced magnetic intensity(= magnetization) and the remanent magnetic intensity(= magnetization) of the car itself with the two centers coincided because of some barriers of the inversion algorithm that we have used in this study. On the other hand, we have extracted the magnetic anomaly by reducing i. e. vectorially eliminating the induced magnetic intensity(= magnetization) and the remanent magnetic intensity(= magnetization) of the car itself calculated forwardly, from the magnetic exploration data set acquired by the car-borne magnetic exploration system.
Dissipation pattern of tebuconazole was evaluated by establishing application methods of the fungicide, paper-bagging of grape during growth and washing of grape after harvest. Application times increased from three to five resulted in high levels of residues in grape. Tebuconazole in grapes was present in different residual patterns with periods after final treatment ranging from 7 to 25 days. Significant differences in the residual patterns were also found when tebuconazole was treated during three different application periods, possibly due to meteorological condition and/or grape growth during each period. At the range from 2.5 g to 7.5 g of grape granules, residues were higher in small-sized grape than in big-sized grape and were mostly distributed on the peel of the grapes. Paper-bagging was a critical factor for reducing the fungicide residue on the peel. flesh of bagged and no-bagged grape had very low level of residues, 0.01 mg/kg and 0.05 mg/kg, respectively. Residues on grape was effectively eliminated with the washing methods suggested, a consecutive sinking-washing system Using of detergent solution during washing showed maximum residue reduction from grape. The washing methods showed effective action on the removal of lower content providing complete elimination, or almost, of the residues.
Kim, Tae-Wan;Kim, Hyun-Jung;Kim, Young-Jin;Nam, Soon-Hyeun
Journal of the korean academy of Pediatric Dentistry
/
v.30
no.2
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pp.326-333
/
2003
The appropriate treatment for eruption guide of impacted teeth necessitates the formulation of a comprehensive treatment plan, which is dependent upon a number of factors such as the condition of the deciduous teeth, dental and skeletal relationship, dental age of the patient, willingness of the patient to undergo extensive dental treatment and financial considerations. If the etiology of the eruption disturbance has been identified, the elimination of the causes and various procedures can be used for eruption guide. Particularly the transplantation is a valuable alternative to extraction of impacted teeth, where surgical exposure and subsequent orthodontic realignment are difficult or impossible. This report present three cases of autotransplantation of impacted maxillary canine. As the result in these cases, atraumatic removal of donor tooth during operation is prerequisite to an optimal clinical result. Due to a high possibility of pulp necrosis, endodontic treatment of fully developed transplanted teeth should be undertaken. In complex case, autotransplantation can save time and less expensive than orthodontic forced eruption. Recipient socket should be prepared to a size that is slightly larger than the root of the donor tooth, and can be prepared with open or close procedure depends on root size of donor tooth and buccolingual width at transplantion site.
Journal of the Korea Academia-Industrial cooperation Society
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v.21
no.10
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pp.317-324
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2020
Combined cycle power plants (CCPP) that use natural gas as fuel are easier to start and stop, and have lower pollutant emissions, so their share of domestic power generation facilities is steadily increasing. However, CCPP have a high concentration of nitrogen dioxide (NO2) emission in the initial start-up and low-load operation region, which causes yellow plume and civil complaints. As a control technology, the yellow plume reduction system was developed and operated from the mid-2000s. However, this technology was unable to control the phenomenon due to insufficient preheating of the vaporization system for 10 to 20 minutes of the initial start-up. In this study, CFD analysis and demonstration tests were performed to derive a control technology by injecting a reducing agent directly into the gas turbine exhaust duct. CFD analysis was performed by classifying into 5 cases according to the exhaust gas condition. The RMS values of all cases were less than 15%, showing a good mixing. Based on this, the installation and testing of the demonstration facilities facilitated complete control of the yellow plume phenomenon in the initial start-up.
The treatment and prevention of periodontitis is focused on the reduction and the elimination of pathogenic bacteria, especially A. actinomycetemcomitans and black pigmented bacteria such as P. gingivalis. To prevent recurrent disease, the recolonization of these bacteria should be inhibited in the periodontal pocket. Since the replacement therapy was introduced in periodontics by Hillman et al, Jeong et al reported that hydrogen peroxide-producing Lactobacillus acidophilus V-20 completely inhibited P. gingivalis and A. actino - mycetemcomitans in vitro and mouth gargling with Lactobacillus acidophilus V-20 in periodontitis patients during the maintenance phase improved clinical condition and reduced the No. of P. gingivalis and A. actinomycetemcomitans at 4 weeks of treatment. Prior to replacement therapy with bacteria, dynamics of microbial colonization should be considered. This study was performed to evaluate the change in the viable cell number of Lactobacilli and P. gingivalis after oral administration of L. acidophilus V-20. In periodontal health, gargling increased the No. of Lactobacilli in saliva, buccal mucosa, supragingival plaque from the first week, which maintained for 2-3 weeks after gargling stop, and then returned to the undetectable baseline level at the ninth week. In the periodontal pocket of moderate periodontitis patients, daily irrigation for 1 week and weekly irrigation for subsequent 3 weeks decreased the viable cell number of P. gingivalis during the period of irrigation and increased the number of Lactobacilli, which was maintained from the second to the seventh week. L. acidophilus V-20 was isolated for the first 2 weeks of oral administration, and the 3 different strains of Lactobacilli were isolated continuously for remaining period and identified as L. ali - mentarius, L. casei subspecies casei and L. fructosus. The first two Lactobacilli strains completely inhibited P. gingivalis in vitro and all the isolated Lactobacilli strains reduced the artificial plaque formation by 55-63%. These results showed that mouth gargling or pocket irrigation with L. acidophilus V-20 increased the No. of intraoral Lactobacilli and caused to decrease in the No. of P. gingivalis. This suggests that the replacement therapy by these Lactobacilli might be useful in the maintenance care of periodontal patients.
Journal of Korean Society of Environmental Engineers
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v.29
no.4
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pp.460-465
/
2007
In this study, the removal characteristic of ammonia nitrogen and behavior of nitrogen was investigated using Leclercia adecarboxylata, which was derived from the culture contaminated by ammonia nitrogen of high concentration. The method of ammonia nitrogen removal was not biological nitrification and denitrification but elimination of nutrient salt with internal synthesis of microorganisms which use ammonia nitrogen as substrate. L. adecarboxylata(one of ammonia synthesis microorganisms) was highly activated and showed the most high removal efficiency in free salt condition but the removal efficiency decreased badly in salt concentration of more than 4%. About 80 mg/L of $NH_3-N$ was mostly removed within 20 hours and 500 mg/L of $NH_3-N$ showed less then removal efficiency of 50% because carbon source was not enough. However, ammonium nitrogen concentration was decreased again when the carbon source was inserted additionally thus, ammonium nitrogen removal efficiency by L. adecarboxylata, was related to amount of carbon source. pH decreased from 8.0 to 6.36 according to growth of L. adecarboxylata. Concentration of nitrite nitrogen and nitrate nitrogen did not increase and TKN concentration showed no variation while ammonia nitrogen was removed by L. adecarboxylata. In addition to, when content of protein in organic nitrogen was measured, protein was not detected at the beginning of microorganism synthesis but protein of 193.1 mg/L was detected after 48 hours. Hence, ammonium nitrogen was not decomposed as nitrate nitrogen and nitrite nitrogen but synthesized by L. adecarboxylata, which has excellent ability of nitrogen synthesis and can threat ammonia nitrogen of high concentration in wastewater.
Park, Hyung Seok;Yoon, Sung Wan;Chung, Se Woong;Hwang, Hyun Sik
Journal of Environmental Impact Assessment
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v.25
no.4
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pp.248-260
/
2016
This study was aimed to assess the effect of diverse pollutants control measures suggested in the Chuso basin and its upstream of So-oak stream watershed where are the most concerned areas on the control of algal bloom occurring in Daecheong Reservoir. The control measures were classified as watershed measures and in-reservoir measures, and their effects were simulated using a two-dimensional hydrodynamic and water quality model. The watershed measures were made up of 1) point sources control, non-point sources control, and their combinations. The in-reservoir measures were supposed to treat sediment at Chuso basin and to install a phosphorus elimination plant (PEP) at the end of So-oak stream. The results showed that the effect of each measure was influenced by the hydrological condition of the year. In wet year, as the contribution of non-point sources increased, the non-point source control measures (NPS1~NPS4) showed more effective compared to other measures, while, the PEP system to eliminate phosphorus from So-oak stream showed better performance in dry year. In particular, the scenario of NPS1, in which all livestock manures were collected and treated but only chemical fertilizers (NPS1) were used for agriculture fields, showed the best performance for the control of algal bloom in Chuso basin among the watershed measures.
A numerical model of three-dimensional soil water distribution for drip irrigation management under cropped conditions was developed using Richards equation in Cartesian coordinates. The model accounts for both seasonal and diurnal changes in evaporation and transpiration, and the growth of plant root and the shape of root zone. Solutions were numerically approximated using the Crank-Nicolson implicit finite difference technique on the block-centered grid system and the Gauss-Seidel elimination in tandem. The model was tested under several conditions to allow the flow rates and configurations of drip emitters vary. In general, simulation results agreed well with experimental results and were as follows. The velocity of soil-water flow decreased drastically with distance from the drip source, and the rate of expansion of the wetted zone decreased rapidly during irrigation. The wetting front of wetted zone from a surface drip emitter traveled farther in vertical direction than in horizontal direction. Under this experimental weather condition, water use efficiency of a drip-irrigated apple field was greatest for 4-drip-emitter system buried at 25 cm, resulting from 10% increase in transpiration but 20% reduction in soil evaporation compared to those for surface 1-drip emitter system. Soil moisture retention curve obtained using disk tension infiltrometer showed significant difference from the curve obtained with pressure plate extractor.
Proceedings of the Korea Technical Association of the Pulp and Paper Industry Conference
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2011.10a
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pp.39-41
/
2011
The recycling rate of recovered paper in Korea is the highest in the world, 92%, but remanufacturing yield is low due to the extremely poor quality of the paper. The poor quality, in turn, influences to the reject amount in deinking process. To increase the yield of old newspaper recycling process, hydrophobic degree of inorganic pigments of deinking stock must be reduced. To determine the hydrophobicity, Pitch Potential Deposit Tester (PDT) was newly designed and applied with respect to the SB latex property of various quality used in Korea; its hydrophobic degree according to Tg, gel content, charge and particle size of latex and optimum designing condition of SB latex. And below are the conclusions: 1. The reason of excessive reject from old newspaper deinking process for total amount of printed ink is loss of inorganic pigments. When lipase, a biochemical catalyst, was applied with the purpose of preventing inorganic pigments loss about more than 70% of total reject weight and promoting hydration of pulp for deinking, deinking process yield of pre flotation secondary stage increased remarkably without any changes of deinking efficiency. 2. Lipase improved deinking stock by cutting ester linkage on surface of hydrophobic materials to promote its hydration. From this, it reached the conclusion that hydration degree of stock exercises significant effect on flotation deinking process yield. 3. Inorganic alkali promotes hydration of deinking stock. But there have been needs for more fundamental measures other than inorganic alkali of promoting hydration for yield improvement. For this, this study intended to find out reasons of chemical properties change on surface of hydrophobic material by change of pH. 4. Pitch Deposit Test (PDT) was performed for understanding principle of why surface of coating flake from OMG is hydrophobic and why it becomes hydrophilic when pH of stock is alkaline. As a result of this test, it is determined that swelling property by change of pH of latex film, which were used as coating adhesive is the reason for hydrophobic change. 5. Hydrophilicity of coating flake increased with hydrophilic pigments. And as more of SB Latex adhesive was used and higher of calcium hardness of stock became, its hydrophilicity decreased. SB Latex adhesive film is reformed by mechanical friction. For having hydrophilicity under neutral pH, strong bruising action such as kneading is required. 6. Because swelling of adhesive film decreases as Tg of SB latex gets lower and mean diameter gets smaller, it shows hydrophobicity under neutral pH. This lowers hydrophilicity of coating flake, which leads to easy elimination with flotation reject on DIP process. Therefore, for improving future flotation yield, it is necessary to develop to use eco-friendly clean SB latex by raising Tg and increasing mean diameter for recycling, and as a result, to reduce excessive loss of coating flake as a reject from deinking process.
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