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Effects of Nursing Intervention of Mutual Goal Setting on Gastrectomy Patients According to Health Locus of Control (위절제술환자의 건강통제위에 따른 상호목표설정 간호중재의 효과)

  • Jang Eun-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.5 no.1
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    • pp.107-124
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    • 1998
  • Based on King's goal attainment theory, this research deals with applying nursing intervention of mutual goal settings to gastrectomy patients. It tests the effects of nursing intervention, according to the patients' health locus of control, suggested as external boundary criteria for the theory by employing a quasi-experimental design which consists of a pretest-posttest non-equivalent control and experimental groups. The subjects of this research were 62 gastrectomy patients hospitalized at Y medical center and the experimental and control groups consisted of 31 subjects. The experimental group received nursing intervention at the mutual goal setting of 5 times from the day before the surgery to the 5th day after the surgery, while the control group received only routine nursing care. Recovery indicators of both groups were measured and compared. Measurement variables included patients' characteristics, health locus of control, forced vital capacity, forced expiratory volume in one second, peak expiratory flow, bowel movement recovery, mobility recovery, level of pain, patients' stress and patients' satisfaction. Data were analyzed using SPSS statistical package and the hypotheses were tested by ANOVA and ANCOVA. Results of the analyses are summarized as follows : 1) Internal health locus of control had higher effects of the nursing intervention of mutual goal setting than external health locus of control on pulmonary ventilatory functions of forced vital capacity, forced expiratory volume in one second, and peak expiratory flow. 2) There was no statistically significant difference in the effects of nursing intervention of mutual goal setting on the bowel movement recovery between the internal and external health locus of control. 3) There was no statistically significant difference in the effects of nursing intervention of mutual goal setting on the mobility recovery between the internal and external health locus of control. 4) There was no statistically significant difference in the effects of nursing intervention of mutual goal setting on the level of pain between the internal and external health locus of control. 5) There was no statistically significant difference in the effects of nursing intervention of mutual goal setting on the level of stress between the internal and external health locus of control. 6) There was a statistically significant difference in the effects of nursing intervention of mutual goal setting on the level of satisfaction with provision of nursing information between the internal and external health locus of control, and there was no statistically significant difference in the effects of nursing intervention of mutual goal setting on the level of satisfaction with outcome of nursing between the internal and external locus of control. On the basis of the research results, the following are recommended : 1) Repeated research on responses to health locus of control is necessary. 2) Not only the effectiveness of nursing intervention in acute recovery periods, but also the long term effects are to be investigated. 3) The development of instruments is needed to accurately measure mutual goal setting regarding postoperative deep breath, coughing, early ambulation, etc. so that the relationship among the postoperative recovery indicators may be explored. 4) It is required that an instrument be developed to measure perception which facilitates goal attainment in the interactive setting between patients and nurses.

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Development of Surface Myoelectric Sensor for Myoelectric Hand Prosthesis (근전의수용 소형 표면 근전위 센서의 개발)

  • Choi, Gi-Won;Sung, So-Young;Moon, Inhyuk
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.42 no.6
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    • pp.67-76
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    • 2005
  • This paper proposes a compact-sized surface myoelectric sensor for the myoelectric hand prosthesis. To fit the surface myoelectric sensor in the socket for the myoelectric hand prosthesis, the sensor should be a compact size. The surface myoelectric sensor is. composed of a skin interface and a single processing circuit that are mounted on a single package. The skin interface has one reference and two input electrodes, and the reference electrode is located in the center of two input electrodes. In this paper we propose two types of sensors with the circle- and bar-shaped reference electrode, but all input electrodes are the bar-shaped. The metal material of the electrodes is the stainless steel (SUS440) that endures sweat and wet conditions. Considering the conduction velocity and the median frequency of the myoelectric signal, we select the inter-electrode distance (IED) between two input electrodes as 18mm, 20mm, and 22 mm. The signal processing circuit consists of a differential amplifier with a band pass filter, a band rejection filter for rejecting 60Hz power-line noise, amplifiers, and a mean absolute value circuit. We evaluate the proposed sensor from the output characteristics according to the IED and the shape of the reference electrode. From the experimental results we show the surface myoelectric sensor with the 18mm IED and the bar-shaped reference electrode is suitable for the myoelectric hand prosthesis.

Appropriateness of Labelling Practice for Pesticides in Korea (국내 농약 제품표지 내용 및 유독성 표시의 적절성)

  • Oh Bum Jin;Roh Hyung-Keun;Kim Won;Cho Gyu Chong;Shon Yoo Dong;Kang Hui Dong;Lim Kyoung Soo
    • Journal of The Korean Society of Clinical Toxicology
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    • v.3 no.2
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    • pp.71-78
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    • 2005
  • Purpose: The morbidity of pesticides are largely related with accidental ingestion in human. The four principal ideals of clarity, completeness, conformity and consistency of label are important to make a correct usage and prevent unnecessary health risk. The aim of this study is to evaluate the appropriateness of pesticides labelling practice in Korea. Methods: The photographic label images of pesticide products were gathered through visiting thirteen manufacturers that produce pesticide products in Korea. We scored labelling practice by guidelines of Food and Agriculture Organization of the United Nations in 1995. Results: From August 2005 to November 2005, we gathered 1,296 label images of pesticide and $58.3{\%}$ (755/1,296) of images were scored by check lists for reviewing label content. The average score of four check list categories was $71.9{\pm}2.2$. Each categorical score were $91.7{\pm}0.9$ for the information appearing on the label, $31.3{\pm}0.0$ for safety precaution, $77.7{\pm}2.0$ for instructions for use, $87.0{\pm}8.7$ for general configurations. In safety precaution, the sentence of keeping locked up the product and two mandatory safety pictograms were missed in all label images. In general configurations category, there was score difference in product package types between bottle and bag container ($85.1{\pm}9.0$ vs. $90.3{\pm}7.2$, p < 0.01). Conclusion: Although there was no comparable previous data, the score of safety precaution was lowest than other categories because the two mandatory safety pictograms and locked up warning sentence were missed. In general configurations, the colour contrast was more inappropriate in the labels on bottle than bag container.

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An External Costs Assessment of the Impacts on Human Health from Nuclear Power Plants in Korea (국내원전운전(國內原電運轉)에 따른 보건영향(保健影響)의 외부비용평가(外部費用評價))

  • Kim, Kyoung-Pyo;Kang, Hee-Jung
    • Journal of Radiation Protection and Research
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    • v.33 no.2
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    • pp.67-76
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    • 2008
  • As the first comprehensive attempt at a national implementation, this study aims at assessing the external costs of major electricity generation technologies in Korea, particularly an evaluation of the impacts on human health resulting from exposures to atmospheric radiological emissions from nuclear power plants, and a monetary quantification of their damages. The methodology used for the assessment of the externalities of the selected fuel cycles has been developed by the International Atomic Energy Agency (IAEA), namely the SimPacts Model Package. The model is internationally recognized as a tool which can be applied to a wide range of fuels, different technologies and locations, for an externalities study. In this study, the relevant emissions are quantified first and then their impacts on human health are evaluated and compared. The study focused on all the nuclear power plants for the last 6 years ($2001{\sim}2006$) in Korea. With respect to nuclear power, the impact analysis only focuses on a power generation, however the front- and back-end nuclear fuel cycles are not included, namely uranium mining, conversion, enrichment, reprocessing, conditioning, etc., because these facilities are not present in Korea. The analysis results show that nuclear power in general, generates low external costs. The highest damage costs from the nuclear power plants among the 4 sites in Korea were estimated to be 3.9 mills/MWh, which is about 1/20th of the result for a similar case study conducted in the U.K., implemented through the ExternE project. This difference is largely due to the number of radionuclides included in the study and the amount of released radioactive emissions based on up-to-date information in Korea. In this study, the sensitivities of the major factors for nuclear power plants were also calculated. The analysis indicates that there was around a ${\pm}3%$ damage costs variation to a ${\pm}15%$ change of the reference population density and a ${\pm}1%$ damage cost variation to a $1{\sim}30$ meters change of the effective release height, respectively. These sensitive calculations show that there is only a minor difference when the reference costs are compared.

A Study of the Attitude and Experience for Sexual Harassment in Adolescence (남녀 고등학생의 성희롱에 대한 태도 및 경험에 관한 조사연구)

  • Chung, Eui-Nam;Park, Shin-Ae
    • Research in Community and Public Health Nursing
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    • v.11 no.2
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    • pp.538-555
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    • 2000
  • The purpose of this study, in which 573 students from 2 high schools in Kang Nung city participated was to identify the attitude and experience of sexual harassment. This information will provide useful data, and promote a more systematic sexual harassment education program. The subjects of this study were 278 male students and 295 female students. The data was collected from September 25 to October 6. 2000. The data was analyzed using the statistical Computer package. SPSS to manipulate the data along with frequency, percentage, and mean t-test. The results from this study were summarized as follows. 1. The results from this comparison between two groups were significant in their attitude on sexual harassment(t=-2.26. p=0.024). Female students had higher scores than male students. 2. As a cause of sexual harassment. 'A man's misjudgement regarding a women as sexual objects(n=130: 22.7%)'. 'Patriarchal system of unequal distribution of power and status between the sexes(n=105: 18.3%)'. 'The effect of sexual stimulatives. (pornography. pornovideo. TV program ect.)(n=89: 15.5%)'. 3. As a countermeasure for prevention, 'Punishment, law and regulation of the sexual harasser(n = 151; 26.4%)', 'A preventive education of sexual harassment in adolescence (n = 125: 21.8%)'. 'Reformation of gender inequality and sex discrimination in the socio-structure(n=76; 13.3%)'. 4. Out of 573 students who participated in this study, 209(36.5%) students reported experiencing an incident of sexual harassment. For 278 males who participated in this study, 88(31.7%) had experienced an incident of sexual harassment. For the 295 females who participated in this study, 121(41.0%) had experienced an incident of sexual harassment. The type of sexual harassment is reported physical sexual harassment(n = 248: 40.5%), verbal sexual harassment(n = 226; 36.7%), and visual sexual harassment(n=139: 22.6%). 5. Their age in which they had experienced harassment was usually 'after 16 years of age(n=122: 58.4%)'. The age of harassers were mostly teenagers(n=112; 53.6%). The relationship to the with sexual harasser was a stranger (n=85; 40.7%), or a friend(n=78: 37.3%). After the incident of sexual harassment occurred, some students informed friends (n=114: 54.5%), 63(30.1%) told no one. Male students' feelings after the experienced harassment ranged from: 'be interesting', 'be pleasant'. Female students' feelings after the experienced harassment ranged from; 'be surprised', 'get a shock', 'fear', 'shame'.

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A Study on Disturbing Behaviors of Demented Elderly Staying at Home (재가 치매노인의 문제행동에 관한 연구)

  • Kang, Young-Sil
    • Research in Community and Public Health Nursing
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    • v.11 no.2
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    • pp.453-469
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    • 2000
  • This study has a purpose to provide information to help develop nursing intervention for demented elderly staying at home. For this purpose I analysed the relationship of patients' disturbing behaviors with their demographic and social characteristics, premorbid personality, and present environmental characteristics through questionnaire survey on their family members. The survey was performed through direct interview, telephone contact. and mail in the regions of Pusan and Gyeongnam. Among family members contacted. 112 ones made an appropriate response to the survey. The statistical package SAS was utilized for descriptive statistics, correlation coefficients, stepwise multiple regression, and cluster analysis. The results of the study were as follows: 1) Demographic and social characteristics of the patients surveyed are female 81.3%, average age 81.4 years, lack of schooling 83.0%, spouse dead 73.2%, having no other disease 58.9%, average duration of dementia 3.8 years, no medical treatment for dementia 84.8%, good married life 40.2%, and primary care given by daughter-in-law 49.1%. 2) Aggressive Psychomotor Behavior(APB) was observed in a way statistically meaningful in case that primary care was given by daughter-in-law, while Nonaggressive Psychomotor Behavior(NPB) was in case of good married life and primary care given by other than daughter-in-law and spouse. Verbally aggressive behavior (VAB) was observed in groups of female, spouse dead, bad married life, and daughter-in-law's primary care. As for Passive Behavior(PB), it was observed in case that patients had educational background of not less high than middle school and that they were having medical treatment. Functionally Impaired Behavior(FIB) was observed in age group of 60-69 and more than 90, in patients' group having no other disease, and in case that the duration of dementia was not less than 5 years. 3) Premobid Neuroticism(N) showed positive correlation with APB and VAB, while Openness (O) did negative correlation with PB. Agreeableness (A) was proved to have positive correlation with PA and FIB, but to have negative correlation with APB and VAB. In addition, Conscientiousness(C) showed negative correlation with APB and VAB. 4) The worse the psychosocial environment was, the more NPB and VAB were observed. 5) APB was explained 24% by C and primary care-giver, while NPB was explained 28% by psychosocial environment, having other disease or not, and married life. VAB was explained 40% by A. sex, and married life. On the other hand PB was explained 33% by O, A. N, and having medical treatment or not. But any significant factor was not found to explain FIB. 6) A cluster analysis was performed on disturbing behaviors of demented elderly staying at home. It enabled to regroup the demented elderly in 5 patterns: high scored in NPB, high scored in FIB. high scored in NPB and VAB, moderately scored in most disturbing behaviors, and low scored in all areas. In conclusion, disturbing behaviors of demented elderly not only reflect their premorbid personality in the past, but also are affected by their present psychosocial environment. Therefore, it is necessary to encourage and respond them with understanding their disturbing behaviors in relation to their past premorbid personality. In addition, it is important to provide them better psychosocial environment in order to reduce their disturbing behaviors.

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An Analysis of the Image Factor and Combination of Xi'an Castle Park in China (중국 서안시 성곽공원의 이미지 요인 및 조화도 분석)

  • Kim, Dong-Chan;Ma, Yuan
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.28 no.4
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    • pp.105-111
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    • 2010
  • This research aims to grasp the main factors of the image of Xi'an Ming City Wall Park and the harmony level with city walls and moat based on citizen's consciousness to improve the future design, field survey and the POE method are employed to analyze the image factor and harmony level of the Xi'an Ming City Wall Park. In the literature survey, the related materials were collected to obtain the most useful information for references, POE study of the Xi'an Ming City Wall Park were conducted. The instrument for survey is a questionnaire that includes a portion of questions regarding Xi'an Ming City Wall Park and the design intention of the surroundings of city wall. Data were analyzed using the Statistical Package for the Social Science (SPSS17.0 for Windows). Multiple regression analysis, and correlation analysis were employed along with the use of general descriptive data analysis. The factor analysis of the image of Xi'an Ming City Wall Park identified three factors, "environment" factor, "convenience" factor, "cultural aesthetics" factor, and the most important factor is "environment" factor. Among 14 landscape elements, paving, garden architectures and entrance spaces were identified as important variables which significantly affect the overall level of harmony with the city wall, and the space for rest; waterscape and paving were identified as important variables which significantly affect the overall level of harmony with the moat.

A Study on the Post Occupancy Evaluation of Xi'an Castle Park in China (중국 서안시 명성곽공원의 이용실태에 관한 연구)

  • Kim, Dong-Chan;Ma, Yuan
    • Journal of the Korean Institute of Landscape Architecture
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    • v.39 no.1
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    • pp.75-83
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    • 2011
  • This research aims to grasp the use status and satisfaction level based on citizen consciousness to improve future design. This study employs a combination literature review and field survey. In the literature review, the related materials were collected to obtain the most useful information for references, and the POE study of the Xi'an Ming City Wall Park was conducted. The survey instrument is a questionnaire that includes questions regarding Xi'an Ming City Wall Park. Data were analyzed using the Statistical Package for the Social Sciences(SPSS17.0 for Windows). Through the POE analysis of the usage status and variables which significantly affect the users' degree of satisfaction with the spaces and facilities were investigated and the following problems have been found.Xi'an Ming City Wall Park requires extensive modification to meet the demands of citizens. Several shortcomings are hampering the development of the park. The rest space and the nightscape seem to be the two most problematic aspects in the park. The nightscape design should be particularly emphasized in the overall park design in the future. The results also show that the major population visiting the park is the elderly, so the characteristics of this age should be taken into consideration when improvement decisions are made, and the facilities and activities suitable to elderly people should also be increased.

VOT Derivation for Different Trip Purposes, Travel Modes and Testing of Their Significance (통행목적별 수단별 통행시간가치도출 및 유의성 검정)

  • Kim, Hyeon;Oh, Se-Chang;Choi, Gi-Ju
    • Journal of Korean Society of Transportation
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    • v.17 no.1
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    • pp.113-129
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    • 1999
  • It is widely recognized that the value of travel time (VOT) plays an important role both in choosing the transportation alternatives on an individual level, and in analyzing and evaluating transportation plans and other public policy makings on a collective level. There is, however, a great deal of difficulties to correctly estimate the VOT. In addition, although there are lots of methods to estimate the VOT so for, not many recommendations have been presented to reflect the localities associated with the VOT derivation in Korea. This study aims at deriving the VOT for different trip purposes and travel modes with their significances tested. To accomplish this purposes, a logit-based travel mode choice model based on revealed preference (RP) data has been formulated, calibrated using the discrete choice model of LIMDEP package for various trip purpose models. For each trip purpose and travel mode, the VOT has been calculated along with the significance testing of the derived VOTs. From the results given in this research, the VOTs for different purposes and modes are identified different, and they are statistically significant. The updated results here in this paper may be a yardstick in evaluating the transportation plans and policies by providing more detailed VOT information for different categories, especially in urban context.

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Application of single-step genomic evaluation using social genetic effect model for growth in pig

  • Hong, Joon Ki;Kim, Young Sin;Cho, Kyu Ho;Lee, Deuk Hwan;Min, Ye Jin;Cho, Eun Seok
    • Asian-Australasian Journal of Animal Sciences
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    • v.32 no.12
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    • pp.1836-1843
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    • 2019
  • Objective: Social genetic effects (SGE) are an important genetic component for growth, group productivity, and welfare in pigs. The present study was conducted to evaluate i) the feasibility of the single-step genomic best linear unbiased prediction (ssGBLUP) approach with the inclusion of SGE in the model in pigs, and ii) the changes in the contribution of heritable SGE to the phenotypic variance with different scaling ${\omega}$ constants for genomic relationships. Methods: The dataset included performance tested growth rate records (average daily gain) from 13,166 and 21,762 pigs Landrace (LR) and Yorkshire (YS), respectively. A total of 1,041 (LR) and 964 (YS) pigs were genotyped using the Illumina PorcineSNP60 v2 BeadChip panel. With the BLUPF90 software package, genetic parameters were estimated using a modified animal model for competitive traits. Giving a fixed weight to pedigree relationships (${\tau}:1$), several weights (${\omega}_{xx}$, 0.1 to 1.0; with a 0.1 interval) were scaled with the genomic relationship for best model fit with Akaike information criterion (AIC). Results: The genetic variances and total heritability estimates ($T^2$) were mostly higher with ssGBLUP than in the pedigree-based analysis. The model AIC value increased with any level of ${\omega}$ other than 0.6 and 0.5 in LR and YS, respectively, indicating the worse fit of those models. The theoretical accuracies of direct and social breeding value were increased by decreasing ${\omega}$ in both breeds, indicating the better accuracy of ${\omega}_{0.1}$ models. Therefore, the optimal values of ${\omega}$ to minimize AIC and to increase theoretical accuracy were 0.6 in LR and 0.5 in YS. Conclusion: In conclusion, single-step ssGBLUP model fitting SGE showed significant improvement in accuracy compared with the pedigree-based analysis method; therefore, it could be implemented in a pig population for genomic selection based on SGE, especially in South Korean populations, with appropriate further adjustment of tuning parameters for relationship matrices.