• Child Health Nursing Research
• /
• v.5 no.1
• /
• pp.48-58
• /
• 1999

The purpose of this study was to determine the most accurate technique measuring the apical pulse rate, using three counting duration 15, 30 and 60 seconds, and two methods start ‘0’ and start ‘1’. The instrument used in the study was the EKG monitor, stethoscope and stopwatch. Data was analyzed by utilizing SPSSWIN program. General characteristics of the subjects were analyzed by frequency, percentile, mean, SD. The subject of this research is made up of 46 children and 20 nurses. The children were infants, & under the age of 5. They were hospitalised in PICU & NICU in 2 tertiary hospitals in seoul from Jan. 1. 1998 to Sep. 10. 1998. The measurement of starting 1 & measurement of starting ‘0’ used the T-test to find out the measurement error. Apical pulse duration of 15, 30, 60 seconds were used to find out measurement error, the measurement error depend on experience of Nurse were analyzed by using ANOVA. The result of this study are as follows. 1. When comparing the starting poin of apical pulse 0&1, starting with 1 the measurement error is less, but not statiscally significant. 2. When counting the apical pulse by 15, 30,60 sec. ; 60 seconds counting duration was more accurate, but not statistically significant. 3. The mean of measure error ; Group under 100/min, is 10.33 ; from 100 re 119/min, is 8.30 ; from 120 to 139/min, is 4.76 ; from 140 to 159/min, is 6.09 ; above 160, is 17.83. The differences of these groups are statistically significant. When 60sec were counted, under 140/min the mean of measurement error is 3.4. Also when 30 seconds were counted from 140/min to 159/min the measurement error is 7.14, above 160/min the measurement error is 16.4. That measurement mean is the smallest than the other durations. During the 15 sec. count the measurement error was the largest of them all. 4. By the experience of the nurses, the apical pulse count measurement error was discovered. Under a year experience this measurement error was the largest(11.09), 1 year to under 3 years, the error is the smallest(4.86). 3 year to under 6 years the error is 8.33, 5 years above the error is 6.11 but this is not statistical significant. Under a year experience when counting 15, 30, 60 seconds the error is the largest. The group of the nurses from a year to under 3 years, the measurement error is the smallest of all the groups. The result of the study is to determine the technique measuring the apical pulse rate, Hargest (1974), starting point ‘0’ is not proved. When the pulse rate increases the 30 sec measurement rate is accurate. Under 140/min the 60 sec measurement rate is the most accurate. Depending on the nurses experiences, there is a variable difference to the apical pulse rate measurement. Especially new nurses training courses should enforce the children’s pulse rate count and the basic vital signs.

• Research in Community and Public Health Nursing
• /
• v.8 no.1
• /
• pp.74-88
• /
• 1997

The purpose of this study was to identify the relationship between perceived social support and the quality of life of cancer patients receiving gene therapy. The subjects for this study were 50 cancer patients receiving gene therapy at two general hospital in Seoul. The data were collected during the period from October 14, 1996 to November 11, 1996. The perceived social support was measured by the family support scale made by Hyun Sook Kang, by the medical support of life scale developed by Ok Soo Kim. The quality of life scale developed by Bang-Whal-Ran was used, among the questionnaire, physical factors was developed by U.S.A National Conference on Cancer Nursing. The data was analysed by the SAS statistical program. Percentile, means and standard deviations, t -test, ANOVA, Scheffe test, Pearson correlation were utilized for analysis. The results of this study were as follows. 1. The mean score of the perceived social support of the subjects was 83.66, the item score was 3.8. 1) The mean score of the perceived family support of the subjects was 44.96, the item mean score was 4.5. 2) The mean score of the perceived professional medical support of the subjects was 38.70, the item mean score was 3.2. 2. The mean score of quality of life of the subjects was 120.38, the item mean score was 3.17. For each factor in quality of life scale, the mean score was follows: for attitude toward life, 3.95, for familial relationship and financial status, 3.53, for social activity 3.24, for emotional status, 3.08, for healthy perceptive, 2.90, for physical symptom, 2.80. 3. The result of the analysis of the relationship between perceived social support and quality of life showed a positive correlation(r=.4853, p=.0004). Therefore, the higher the perceived social support of the patients, the higher the quality of life. 1) The result of the analysis of the relationship between perceived family support and quality of life showed significant correlation(r=. 3566, p=.0110). Therefore the higher the perceived family support of the patients, the higher the quality of life. 2) The result of the analysis of the relationship between perceived professional medical support and quality of life showed significant correlation (r=.4477, p=.0011). Therefore, the higher the perceived professional medical support of the patients the higher the quality of life. 4. There was a significant difference in perceived social support according to sex(F=2.1437, p= .0371), others coping non-family (F=2.4863, p=.0164) and duration of treatment (F=4.16, p=.0218). 5. There was a significant differance in quality of life according to sex(F=2.6932, p=.0097), degree of education(F=2.3610, p=.0223), others coping non-family(F=2.0502, p=.0458). In conclusion, this study revealed that social support is an important factor that associated with the quality of life in cancer patients receiving gene therapy.

• Journal of Gastric Cancer
• /
• v.9 no.4
• /
• pp.269-274
• /
• 2009

Purpose: There have been reported that preoperative chemotherapy for treating noncurative gastric cancer could increase the R0 resection rate by downstaging the gastric cancer. Yet there have been only rare reports about the effect of preoperative chemotherapy on performing surgery for noncurative gastric cancer. Our study was designed to analyze our experiences with these effects. Materials and Methods: We retrospectively analyzed 46 patients who had undergone gastrectomy after chemotherapy between December 2001 and January 2009. The patients' preoperative condition, the operative findings and the postoperative clinical coursed were analyzed. Results: Preoperative chemotherapy was performed for a mean of 4.4 cycles. Four patients showed a level of ANC below 1,500 (${\mu}/L$) and above a 10 percentile weight loss, respectively. For an operation, we found fibrosis or fixation between the tumor and the adjacent organs in 29 patients, and 4 of the 13 patients who underwent resection with another organ were documented to have invasion by tumor. Forty one patients underwent curative resection. Ten patients developed postoperative complications. There was no mortality at postoperative 60 days. Conclusion: We assumed that preoperative chemotherapy had little effect on the patient preoperatively, and it had some effect on down-staging pathologically. Preoperative chemotherapy didn't increase the postoperative complication rate.

• Journal of Korean Academy of Nursing
• /
• v.2 no.1
• /
• pp.63-72
• /
• 1971

The conclusions were obtained from the detailed survey of 1,285 students experiencing menstruation, who were chosen among 1,717 students in middle & high school girls in Seoul. The survey was conducted during July 20-July 24, 1971. 1. Age of Menarche An average age of menarche was 13.3$\pm$1.07. The earliest age of menarche was 9 and the latest age 18. Ages of menarche were between 12 and 14 in 84.3 percent of the students surveyed. a. By present age distribution, the aged students were lower, than younger students in the average age of menarche. b. By father′s educational levels, among the students whose fathers were graduated from high schools, college & ever the earliest average age of menarche was found with 13.2, and among the students whose fathers were graduated from primary schools that wag latest with 13.6. c. By father′s occupations, among the students whose fathom engaged in "workers not classifiable"the earliest age of menarche was found with 12.5$\pm$0.27, among the students whose fathers were in "service business"the second was 12.9$\pm$1.07, and among the students whose fathers were in "miners, quarrymen and related workers"that was latest with 13.8$\pm$1.14. d. By economic status, among the students of "wealthy"families the age of menarche was 13.1$\pm$0.25, the among the students of "ordinary"families the lags of menarche 13.3$\pm$1.06. and the among the students of "poor" families that was 13.8$\pm$0.31. e. By home discipline, among the students being treated "rigid" the age of menarche was 13.5$\pm$1.13, among the students being treated "moderate"the age of menarche was 13.3$\pm$0.22, and those being treated "indifferent" that was 13.0$\pm$0.26. f. By students physical condition, among the students of "good" condition the average of menarche was 13.3$\pm$0.16, and among the students "poor" that was 13.5$\pm$0.31. 2. Menstruation a. For the six months after the average of menarche 39.0 percent of the students had normal menstruations, and 61.3 percent of them had abnormal ones. Of the students with abnormal menstruation 21.7 percent had abnormal menstruation from time to time, 25.4 percent had no menstruation for one month to three months, 7.2 percent had menstruation for four to six months and 6.7 per cent had no menstruation for more than sin months. Most students became to have normal menstruations a few months later the age of menarche. b. At the time interviewed, the percentile of cycle of menstruation as following: 23 days types: 46.8 percent 30 days types: 40.6 percent others : 12.6 percent The average cycle of menstruation was every 28.9 days. c. The average duration of menstruation is 4.69 days. d. The subjective symptoms during menstruation period: Out of the total 89.7 per cent had some pains, while 10.3 percent had no symptom. Among the symptoms, abdominal pain occupied 29.9 percent, neurotic symptoms 19.0 percent and lumbago 15.1 percent. e. By attitude or Action at first physical change, "Treated it by own experience" : 30.0 percent "Don′t know what to do because of ignorance" : 20.1 percent "Asked others about it" : 43.0 percent

• Journal of Navigation and Port Research
• /
• v.42 no.3
• /
• pp.201-206
• /
• 2018

The purpose of this study is to estimate a proper Domain Watch between anchored vessels in order to propose a method for the efficient management of VTS(Vessel Traffic Service) of the N-anchorage in Busan harbor, which is the largest port in Korea. For this purpose, we proposed the calculation method of Domain Watch and investigated the ship length(L), the distance between anchored vessels ($D_{ij}$), the domain radius(R), and the domain radius vs L(R/L) during the peak time of the vessels in the latest usage of anchorage. As a result of technical analysis for the surveyed data, the minimum R/L for securing the safety distance between anchored vessels was selected based on 2.85 corresponding to the 70th percentile of the total data. This result was applied to the N-anchorage of Busan and compared with the 'Guidelines of Port and Harbor Design(2014)', and we have confirmed that it is reasonable to set the Domain radius with the minimum 2.85L or more in VTS. This study considers the safety management of anchorage for VTS. This study could contribute to the safety of vessels using anchorage and the safety management plan of VTS when it is applied to other ports in operation such as it was in Busan.

• Journal of the Korean Geographical Society
• /
• v.50 no.1
• /
• pp.1-21
• /
• 2015

The present study aims to characterize the synoptic climatic patterns of winter extreme low temperature events occurred in different regions of Korea based on daily temperature data observed at 61 weather stations under the supervision of the Korea Meteorological Administation and NCEP/NCAR reanalysis I data for the recent 40 years (1973~2012) period. Analyses of daily maximum and minimum temperatures below 10th percentile thresholds show that high frequencies of winter extreme low temperature events appear across the entire regions of Korea or in either the western or eastern half region divided by major mountain ridges at the 2~7 dayintervals particularly in the first half of the winter period (before mid-January). Composite analyses of surface synoptic climatic data including sea level pressure and wind vector reveal that 13 regional types of winter extreme low temperature events in Korea are closely associated with the relative location and intensity of both the Siberian high pressure and the Aleutian low pressure systems as well as major mountain ridges. Investigations of mid-troposphere (500 hPa) synoptic climatic charts demonstrate that the blocking-like upper troposphere low pressure system advecting the cold air from the Arctic toward the Korean Peninsula may provide favorable synoptic conditions for the outbreaks of winter extreme low temperature events in Korea. These results indicate that the monitoring of synoptic scale climatic systems in East Asia including the Siberian high pressure system, the Aleutian low pressure system and upper level blocking system is critical to the improvement of the predictability of winter extreme low temperature events in Korea.

• Journal of the Institute of Electronics Engineers of Korea TC
• /
• v.47 no.7
• /
• pp.36-44
• /
• 2010

When multi-user MIMO (Multiple-Input Multiple-Output) systems utilize a sum-rate maximization (SRM) scheduler, the throughput of the systems can be enhanced. However, fairness problems may arise because users located near cell edge or experiencing poor channel conditions are less likely to be selected by the SRM scheduler. In this paper, a weighted sum-rate maximization (WSRM) scheduler is used to enhance the fairness performance of the MIMO systems. Closed-form expressions for the optimal transmit power allocation of WSRM and corresponding weighted sum-rate (WSR) are derived in the 6-sector collaborative transmission system. Using the derived results, we propose an algorithm which searches the optimal power allocation for WSRM in the 3-sector collaborative transmission system. Based on the derived closed-form expressions and the proposed algorithm, we perform computer simulations to compare performance of the WSRM scheduler and the SRM scheduler with respect to the sum-rate and the log-sum-of-average rates. We further verify that the WSRM scheduler efficiently improves fairness performance by showing the enhanced performance of average transmission rates in low percentile region.

• Journal of the Institute of Electronics Engineers of Korea TC
• /
• v.47 no.2
• /
• pp.40-46
• /
• 2010

Multi-user MIMO (Multiple-Input Multiple-Output) systems require collaborative PF schedulers to improve the performance of the log sum of average transmission rates. While the performance of single cell based conventional PF schedulers has been evaluated over various channel conditions, scheduling algorithms by multiple base stations which select multiple users over a given time frame and their performance require further investigations. In this paper, we apply a collaborative PF scheduler to the distributed multi-user MIMO system, which assigns radio resources to multiple users by exchanging user channel information from base stations located in three adjacent sectors. We further evaluate its performance in terms of the log sum of average transmission rates. The performance is compared to that of the full-search collaborative PF scheduler which searches over all possible combinations of user groups, and that of a parallel PF scheduler that determines users without channel information exchange among base stations. We show the log sum of average transmission rates of the collaborative PF scheduler outperforms that of the parallel PF scheduler in low percentile region. In addition, the collaborative PF scheduler exhibits a negligible performance degradation when compared to the full-search collaborative PF scheduler while a significant reduction of the computational complexity is achievable at the same time.

• The Journal of Korean Medicine
• /
• v.35 no.1
• /
• pp.88-98
• /
• 2014

Objectives: The purpose of this study is to investigate the relationship between bone age, chronological age, anthropometric parameters, and diagnosed pulse rate on child-adolescence's growth according to sex and the revelation of secondary sexual characteristics. Methods: Growth-concerned 44 children and adolescence (from 6 to 16 years) were analyzed in retrospective study. They visited Korean Medical Clinic in Suwon, Korea from January 2012 to October 2013. Individual bone age (BA), chronological age (CA), Risser sign, anthropometric parameters, and pulse rate were measured. The correlations of each variable were done by Pearson analysis, Spearman analysis and Regression analysis. Results: 1. The female group was shown to have stronger negative correlation between pulse rate and BA, CA than the male group. In gender analysis, the female group showed negative correlation between weight and pulse rate. 2. In a further analysis according to the revelation of secondary sexual characteristics, the group of child-adolescent without secondary sexual characteristics was shown to have stronger negative correlation between pulse rate and BA, CA than the group with secondary sexual characteristics. The height percentile and pulse rate were negative correlation in secondary sexual character being. 3. The Risser sign and pulse rate were not correlated in this study. Conclusions: These findings suggested that a regular and continual measurement of pulse rate is effective in estimating potential for growth in child-adolescent group.

• Korean Journal of Biological Psychiatry
• /
• v.11 no.2
• /
• pp.94-103
• /
• 2004

Objective:There have been a kind of transmethylation theory that high homocysteine serum concentration affects schizophrenia by neurotoxic mechanism and clinical reports that some schizophrenic patients with high homocysteine were improved by high folate ingestion. This study was done to confirm previous research results and find the clinical characteristics of schizophrenia showing high serum homocysteine and low folate. Method:We compared the serum levels of homocysteine, folate and vitamin B12 level between 234 schizophrenic patients(male 99, female 135) group and 234 normal controls(male 99, female 135) group. The subjects of two groups were age and sex matched. The evaluated clinical characteristics items were sex, age, onset of disease, hereditary loading, disease course, hallucination and subtype of schizophrenia. Results:1) Homocysteine level of the schizophrenia group was significantly higher than the normal control group and folate level of the schizophrenia group was significantly lower than the normal control group. Homocysteine level was more negatively correlated with folate level in the schizophrenia group than the normal control group. 2) The percentage of high homocysteine(above 12.46umol/L;90 percentile of normal control) was 33.8% of schizophrenia patients and 51.5% of male schizophrenia. The percentage of low folate(below 3.8nM/L;bottom tertile of normal control) was 66.2% of schizophrenia. 3) In low folate group and not-low folate group, schizophrenia showed significantly higher homocysteine level than normal control. Especially, low folate schizophrenia group showed significantly higher homocysteine level than low folate normal control group. Conclusions:Some schizophrenia patients with high serum homocysteine may be genetic defector and having low folate serum level. In that case, folate ingestion could be a good management for clinical improvement.