Nursing students experience ethical conflicts that lead to moral distress and moral sensitivity in clinical practice. Most nursing students have some difficulty in speaking up when faced with morally challenging situations. Hence, increasing moral courage of these students is important to improve the quality of practice, and carry out nursing responsibilities. However, research on the moral distress, moral sensitivity, and moral courage of nursing students has not been reported in South Korea. The purposes of this study were to (a) identify the levels of moral distress, moral sensitivity, and moral courage of nursing students and (b) examine the influence of moral distress and moral sensitivity on moral courage. Data were collected through a survey using self-reported questionnaires sent to senior nursing students at two nursing colleges in Seoul and Gyeonggido. A total of 138 senior nursing students participated in the survey. The data were analyzed using the IBM SPSS Statistics 23 program by Pearson's correlation coefficients and multiple regression analysis. The mean scores of the moral distress thermometer, moral distress, moral sensitivity, and moral courage were $3.53{\pm}2.18$, $57.33{\pm}43.35$, $134.98{\pm}13.98$, and $56.33{\pm}12.75$, respectively. The significant factors influencing moral courage were the moral distress thermometer and patient-centered nursing, which was a subcomponent of moral sensitivity. The explanatory power of the model was 5%. This study confirms that nursing students, like nurses, experience moral distress. It is therefore important to create organizational environments that support the moral courage of nursing students.
In this study we investigated pesticide residues on herbs and spices disrtibuted in the Incheon Metropolitan area. A total of 112 samples were purchased from off-line and on-line markets from January to October 2020. In accordance with the implementation of the Positive List System (PLS), the proper usage of pesticides is now being enforced. It is assumed that unregistered pesticides are being used on herbs and spices due to the low number of registered pesticides in the agricultural industry. Pesticide residue levels were not detected in 99 samples but 11 kinds of pesticides in 6 samples (13 times) exceeded the MRLs. The pesticides that were used in accordance with the PLS were Diazinon, Diethofencarb and Pyridalyl. However, unregistered pesticides were on the herbs and spices. Therefore, it is necessary to educate producers of herbs and spices on the appropriate use of pesticides. It is also necessary to establish MRLs on herbs and spices.
Kim, Ju Hee;Choi, Yun Sun;Kim, Wang Bae;Park, Jin Oh;Im, Dong Joong
Journal of the Society of Cosmetic Scientists of Korea
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v.47
no.2
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pp.155-161
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2021
This study was attempted to investigate natural materials with antimicrobial activity and to apply as natural preservatives in cosmetics. The disc diffusion method was used to search for nine species of natural antibacterial material for three species of skin pathogenic bacteria (Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa) and Candida albicans. As a result of measuring the size of inhibition zone, Rhus Semialata gall (Gallnut) extract, Oak vinegar, and ε-polylysine were showed strongest antibacterial activities (> 10 mm). The Minimum Bactericidal Concentration (MBC) of gallnut and oak vinegar ranged from 10 to 20 mg/mL and from 20 to 40 mg/mL against five human skin pathogens. The MBC of ε-polylysine ranged from 0.5 to 2 mg/mL in fungus. The synergic effect of gallnut extract/oak vinegar mixture and gallnut extract/ε-polylysine mixture were evaluated by checkerboard test. Compared to when used alone, the MBC of gallnut extract/oak vinegar mixture were at 4 times lower concentration against E. coli, C. albicans, and A. brasiliensis. Also Furthermore, the MBC of gallnut extract/ε-polylysine mixture were at 4 times lower concentration against C. albicans and A. brasiliensis. It was confirmed that the combination of gallnut extract with oak vinegar or ε-polylysine resulted in synergistic antibacterial effect against three human skin pathogens. Thus, it is expected that gallnut extract and natural product mixture can not only demonstrate antibacterial synergies, but also be applied in cosmetics as a natural preservative system with a wide antibacterial spectrum.
Ocean salinity affects ocean circulation on a global scale and low salinity water around coastal areas often has an impact on aquaculture and fisheries. Microwave satellite sensors (e.g., Soil Moisture Active Passive [SMAP]) have provided sea surface salinity (SSS) based on the dielectric characteristics of water associated with SSS and sea surface temperature (SST). In this study, a Light Gradient Boosting Machine (LGBM)-based model for generating high resolution SSS from Geostationary Ocean Color Imager (GOCI) data was proposed, having machine learning-based improved SMAP SSS by Jang et al. (2022) as reference data (SMAP SSS (Jang)). Three schemes with different input variables were tested, and scheme 3 with all variables including Multi-scale Ultra-high Resolution SST yielded the best performance (coefficient of determination = 0.60, root mean square error = 0.91 psu). The proposed LGBM-based GOCI SSS had a similar spatiotemporal pattern with SMAP SSS (Jang), with much higher spatial resolution even in coastal areas, where SMAP SSS (Jang) was not available. In addition, when tested for the great flood occurred in Southern China in August 2020, GOCI SSS well simulated the spatial and temporal change of Changjiang Diluted Water. This research provided a potential that optical satellite data can be used to generate high resolution SSS associated with the improved microwave-based SSS especially in coastal areas.
Sangmi, Lee;Hyo-Jin, Koo;Hyen-Goo, Cho; Hyo-Im, Kim
Korean Journal of Mineralogy and Petrology
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v.35
no.4
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pp.409-421
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2022
Achieving a highly resolved spatial distribution of Mn-bearing minerals and elements in the natural ferromanganese nodules can provide detailed knowledge of the temporal variations of geochemical conditions affecting the formation processes of nodules. While a recent study utilizing Raman spectroscopy has reported the changes in the manganate mineral phases with growth for spherical nodules from the Arctic Sea, the distributions of minerals and elements in the nodules from the shallow Arctic Sea with non-spherical forms have not yet fully elucidated. Here, we reported the micro-laser Raman spectra with varying data acquisition points along three different profiles from the center to the outermost rim of the non-spherical ferromanganese nodules collected from the East Siberian Sea (~73 m). The elemental distributions in the nodule (such as Mn, Fe, etc.) were also investigated by energy dispersive X-ray spectroscopy (EDS) analysis to observe the internal structure and mineralogical details. Based on the microscopic observation, the internal structures of a non-spherical nodule can be divided into three different regions, which are sediment-rich core, iron-rich substrate, and Mn-Fe layers. The Raman results show that the Mn-bearing mineral phases vary with the data acquisition points in the Mn-Fe layer, suggesting the changes in the geochemical conditions during nodule formation. In addition, we also observe that the mineral composition and structural characteristics depend on the profile direction from the core to the rim. Particularly, the Raman spectra obtained along one profile show the lack of Fe-(oxy)hydroxides and the noticeably high crystallinity of Mn-bearing minerals such as birnessite and todorokite. On the other hand, the spectra obtained along the other two profiles present the presence of significant amount of amorphous or poorly-ordered Fe-bearing minerals and the low crystallinity of Mn-bearing minerals. These results suggest that the diagenetic conditions varied with the different growth directions. We also observed the presence of halite in several layers in the nodule, which can be evidence of the alteration of seawater after nodule formation. The current results can provide the opportunity to obtain detailed knowledge of the formation process and geochemical environments recorded in the natural non-spherical ferromanganese nodule.
Sedimentation and pH neutralization has been investigated as preteatment of acid contaminate water. The settling and neutralizing process derive more effective degradation efficiency as the pre-treatment process before the removal process of adsorption, volatile, biodegradation, or oxidation. Settling velocity, uniformity coefficient, coefficient of curvature, and grain size index can define in the sedimentation process for characteristics of the soil. The stainless steel sieve has been used to separate each particle size of the dry soil by assembling in order of 4, 10, 20, 40, 80, 100, and 200 mesh sizes. The soil from Gamcheon Port in Busan drops upper side of the sieve and shakes back and forth to separate each different size of the particle. The 1L of Imhoff cone and 200 mL of the mass cylinder were used as settling tanks to calculate settling velocity. Stokes' equation was used to figure out the average density of dry soil with a value from settling velocity. In the results, the average particle density and lowest settling velocity were 1.93 g/cm3 and 0.11 cm/s, respectively. These values can detect the range of settling points of sediment to prevent chemical accidents. In pH neutralization, the initial pH of 2, 3, 4, and 5 of nitric acid and sulfuric acid are used as an acid solution; 0.1, 0.01, and 0.001 M of sodium hydroxide and calcium hydroxide are used as a base solution. The main goal of this experiment is to figure out the volume percentage of the acid solution becomes pH 7. The concentration of 0.001 M of base solution exceeds all the conditions, 0.01 M exceeds partially, and 0.1 M does not exceed 5 v/v% except pH 2. Calcium hydroxide present less volume than sodium hydroxide at pH neutralization both sulfuric and nitric acid.
In line with future changes in the marine environment, Aids to Navigation has been used in various fields and their use is increasing. The term "Aids to Navigation" means an aid to navigation prescribed by Ordinance of the Ministry of Oceans and Fisheries which shows navigating ships the position and direction of the ships, position of obstacles, etc. through lights, shapes, colors, sound, radio waves, etc. Also now the use of Aids to Navigation is transforming into a means of identifying and recording the marine weather environment by mounting various sensors and cameras. However, Aids to Navigation are mainly lost due to collisions with ships, and in particular, safety accidents occur because of poor observation visibility due to sea fog. The inflow of sea fog poses risks to ports and sea transportation, and it is not easy to predict sea fog because of the large difference in the possibility of occurrence depending on time and region. In addition, it is difficult to manage individually due to the features of Aids to Navigation distributed throughout the sea. To solve this problem, this paper aims to identify the marine weather environment by estimating sea fog level approximately with images taken by cameras mounted on Aids to Navigation and to resolve safety accidents caused by weather. Instead of optical and temperature sensors that are difficult to install and expensive to measure sea fog level, sea fog level is measured through the use of general images of cameras mounted on Aids to Navigation. Furthermore, as a prior study for real-time sea fog level estimation in various seas, the sea fog level criteria are presented using the Haze Model and Dark Channel Prior. A specific threshold value is set in the image through Dark Channel Prior(DCP), and based on this, the number of pixels without sea fog is found in the entire image to estimate the sea fog level. Experimental results demonstrate the possibility of estimating the sea fog level using synthetic haze image dataset and real haze image dataset.
Tae-Han Kim;In-Ho Kim;Seung Joo Kang;Miyoung Choi;Baek-Hui Kim;Bang Wool Eom;Bum Jun Kim;Byung-Hoon Min;Chang In Choi;Cheol Min Shin;Chung Hyun Tae;Chung sik Gong;Dong Jin Kim;Arthur Eung-Hyuck Cho;Eun Jeong Gong;Geum Jong Song;Hyeon-Su Im;Hye Seong Ahn;Hyun Lim;Hyung-Don Kim;Jae-Joon Kim;Jeong Il Yu;Jeong Won Lee;Ji Yeon Park;Jwa Hoon Kim;Kyoung Doo Song;Minkyu Jung;Mi Ran Jung;Sang-Yong Son;Shin-Hoo Park;Soo Jin Kim;Sung Hak Lee;Tae-Yong Kim;Woo Kyun Bae;Woong Sub Koom;Yeseob Jee;Yoo Min Kim;Yoonjin Kwak;Young Suk Park;Hye Sook Han;Su Youn Nam;Seong-Ho Kong;The Development Working Group for the Korean Practice Guidelines for Gastric Cancer 2022 Task Force Team
Journal of Gastric Cancer
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v.23
no.1
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pp.3-106
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2023
Gastric cancer is one of the most common cancers in Korea and the world. Since 2004, this is the 4th gastric cancer guideline published in Korea which is the revised version of previous evidence-based approach in 2018. Current guideline is a collaborative work of the interdisciplinary working group including experts in the field of gastric surgery, gastroenterology, endoscopy, medical oncology, abdominal radiology, pathology, nuclear medicine, radiation oncology and guideline development methodology. Total of 33 key questions were updated or proposed after a collaborative review by the working group and 40 statements were developed according to the systematic review using the MEDLINE, Embase, Cochrane Library and KoreaMed database. The level of evidence and the grading of recommendations were categorized according to the Grading of Recommendations, Assessment, Development and Evaluation proposition. Evidence level, benefit, harm, and clinical applicability was considered as the significant factors for recommendation. The working group reviewed recommendations and discussed for consensus. In the earlier part, general consideration discusses screening, diagnosis and staging of endoscopy, pathology, radiology, and nuclear medicine. Flowchart is depicted with statements which is supported by meta-analysis and references. Since clinical trial and systematic review was not suitable for postoperative oncologic and nutritional follow-up, working group agreed to conduct a nationwide survey investigating the clinical practice of all tertiary or general hospitals in Korea. The purpose of this survey was to provide baseline information on follow up. Herein we present a multidisciplinary-evidence based gastric cancer guideline.
The purpose of this study is to predict VO2max with body index and submaximal metabolic responses. The subjects are consisted of 250 male aging from 18 to 34 and we separated them into two groups randomly; 179 for a sample, 71 for a cross-validation group. They went through maximal exercise testing with Bruce protocol, and we measured the metabolic responses in the end of the first(3 minute) and second stage(6 minute). To predict VO2max, we applied multiple regression analysis to the sample with stepwise method. Model 1's variables are weight, 6 minute HR and 6 minute VO2(R=0.64, SEE=4.74, CV=11.7%, p<.01), and the equation is VO2max(ml/kg/min)= 72.256-0.340(Weight)-0.220(6minHR)+0.013(6minVO2). Model 2's variables are weight, 6 minute HR, 6 minute VO2, and 6 minute VCO2(R=0.67, SEE=4.59, CV=11.3%, p<.01), and the equation is VO2max(ml/kg/min)= 68.699-0.277(Weight) -0.206(6minHR)+0.020(6minVO2)-0.009(6minVCO2). And the result did not show multicolinearity for both models. Model 2 demonstrated more correlation compared to Model 1. However, when we conducted cross-validation of those models with 71 men, measured VO2max and estimated VO2 Max had statistical significance with correlation (R=0.53, 0.56, P<.01). Although both models are functional with validity considering their simplicity and utility, Model 2 has more accuracy.
This study aimed to develop biomass allometric equations and estimate carbon emission factors, such as the wood density, biomass-expansion factor, and root-to-shoot ratio, for Platanus occidentalis and Metasequoia glyptostroboides planted in urban areas. Twenty M. glyptostroboides and 25 P. occidentalis trees were harvested, and the dry weights and stem volumes of stems, branches, leaves, and roots (>5 mm) were measured. The wood densities of M. glyptostroboides and P. occidentalis were 0.293 ± 0.008 g cm-3 and 0.509 ± 0.018 g cm-3, and the biomass-expansion factors were 1.738 ± 0.031 and 1.561 ± 0.035. The root-to-shoot ratios were 0.446 ± 0.009 and 0.402 ± 0.012. The uncertainty tests (coefficient of variation, %) gave 2.8% and 3.5% values for wood density, 1.8% and 2.3% for biomass-expansion factor, and 2.1% and 2.9% for root-to-shoot ratio, respectively. Among the developed allometric equations, Model I using the diameter at breast height (DBH) was suitable. The allometric equations of M. glyptostroboides and P. occidentalis above ground were y = 1.679 (DBH)1.315 and y = 0.505 (DBH)1.896, and the allometric equations of the root and total were y = 0.746 (DBH)1.315, y = 0.301 (DBH)1.751, y = 2.422 (DBH)1.316, and y = 0.787 (DBH)1.858. If the carbon-emission factors of this study and biomass allometric equations of the three developed models are used to estimate the carbon storage and biomass of urban forests, errors caused by not considering the use of fixed factors and the environmental differences can be reduced.
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