The purpose of this study were to analyze the home care services and to evaluate the client's satisfaction with the home care services provided by home care service center in the C hospital. The data were collected by reviewing charts of 128 home care clients who were receiving home care services at C hospital from October 1997 to September 2000. The subjects for satisfaction of home care service were 20 clients from July 10 to September 30, 2000. The tool for measurement of present condition of home care service was developed by the researchers. The satisfactions of the home care services were measured by using the instrument developed by Im(997). The data were analyzed by using the SPSS/PC+. The results of this study were as followings : 1. Majority of the subjects was female(61.7%). The average of age was 63.5 years. The service has been used mostly by the elderly 60 years of age or older(71.1%). The economic level of most of subjects was in middle class(94.5%). 2. Majority of the subject had a cancer(55.4%), following stroke(25.0%). The average duration of disease for the subjects was 31 months. The average time of hospitalization for the subjects was 3.3 times. The duration of hospitalization was 10$\sim$30 days(26.6%), 30$\sim$60 days(23.4%) and above of the 210 days(9.4%). 3. Most of the subjects used his/her doctor (47.7%), as a consultant, following his/her nurse (28.1%), other patients or their family (21.9%). Most of reasons for a consultation were supportive management(Infusion or medication, 60.94%), following tube management(L-tube or T-tube, 25%), Foley catheter management (15.63%) etc. 4. 28 types of nursing diagnoses were used by the home care service. The nursing diagnosis altered nutrition: less than body requirement were used mostly by the home care service, following risk for infection, impaired skin integrity, impaired swallowing, ineffective airway clearance altered comfort: pain, impaired physical mobility. By the human-response pattern, exchanging(63.2%), moving(7.5%), feeling(10.4%), knowing(5.2%), communicating (2.6%), relating(0.5%) perceiving(0.4%) and choosing(0.3%). There were 42 nursing intervention types were performed by the home care service. By the NIC(nursing intervention classification. McCloskey. Bulech. 1996). physiologic: complex (30.3%) was the most, safety(28.3%), behavioral(20.0%), physiologic: basic(10.8%) and health system(1.7%). Observation or assessment was the most nursing intervention performed by the home care service. following IV infusion. vital sign observation. infusion management and fluid-electrolyte balance management. 5. The level of client's satisfaction with provided home care services showed considerably high(2.67/ 3).
When most middle-aged women live in a time when they have to take responsibility for their lives, they feel lonely when they realize that their experience of not expressing their feelings properly has ended up being left alone due to their own existence and loss. As the first step in conscious awareness of unconsciousness of middle-aged women through analytical psychology, we performed "Mandara" and "Nanhwa Mandara," which meet me inside. The intermediate stage can be divided into transition and work phase. The working phase, develops one's own advantages and unique strengths that meet the inner world of promoting and acting values, correctly looks at reality, corrects emotion perception and balance, and is self-contained, seed mandala, associative mandala. They performed the strong points of mandala, the free mandala, and the Western mandala. The results of the study showed that mandala art therapy was found in middle-aged women. First, Mandarin art therapy experience affects the physical, psychological and human relations aspects of middle-aged women. Second, middle-aged women's experience of individualization through mandala art therapy shows psychological reversals and affects positive thinking and self-effectiveness. This study was suitable for qualitative research that approached the essence through practical understanding and direct exploration of research participants, and it is meaningful to suggest that it is necessary to develop an art therapy program through various mediums considering the lack of art therapy research in middle-aged women and problems experienced by the physician.
Eddies and surface current field in the southwestern part of the East Sea were investigated using satellite-tracked drifters, CTD, and ADCP from November 1992 to September 1993. Trajectories of surface drifters provided information for the first time on the meandering motion of the East Korean Warm Current in the Ullung Basin (referred as UB) and clearly indicated the existence of cyclonic and anticyclonic eddies of various scales. Anticyclonic eddies persisting for a relatively long period were observed in UB and the southwestern corner of the Northern (Japan) Basin (SNB), while a cyclonic eddy was found in the coastal area between Sokcho and Donghae during the summer. Analysis shows that the eddy in UB behaved as a stationary eddy at least during the observation period and the cyclonic eddy was closely related to the existence of a cold water mass. The anticyclonic eddy in SNB was larger than that in UB, but much elongated in shape. The eddy in UB is characteristic of major and minor axes of about 120 and 70 km, revolution period of 13.6 days, mean swirl velocity of about 24 cm/s, and mean eddy kinetic energy of 392 cm$\^$2//s$\^$2/. The eddy in SNB is described as follows; major and minor axes of 168 and 86 km, period of 14.9 days, mean swirl velocity of 29 cm/s and mean eddy kinetic energy of 629 cm$\^$2//s$\^$2/. The mean translational speed is about 3 cm/s for both eddies. The agreement of the surface current pattern in UB observed by ADCP with the geostrophic flow pattern may suggest that the eddy in UB was nearly in geostrophic balance. The eddy was found to be strongly bottom-controlled.
Four young swamp buffalo cows of similar age ranging in body weight (W) between 280 to 380 kg and trained for doing physical exercise were used in two consecutive experiments, each using a latin square design, to determine energy expenditure for draught. The experiments consisted of field trials using 4 levels of work load, i.e. no work as control and loads amounting 450 to 500 Newton (N) continuous traction for respectively 1, 2 and 3 h daily for 14 consecutive days for experiment 1, and no work, traction loads equaling 5, 10 and 15% of W for 3 h daily for 14 days for experiment 2. Heart rate during rest and exercise was monitored using PE-3000 HR monitor. Cows were fed only king grass (Penisetum purpuroides) ad libitum and were subjected to balance trials. Body composition was estimated in vivo by the body density method and daily energy expenditure (EE) was calculated from ME minus RE. RE was calculated from the changes in body-protein and -fat measured before and immediately after the 14 d experimental period assuming an energy equivalent of 39.32 MJ/kg fat and 20.07 MJ/kg protein. $E_{exercise}$ ($EE_{work}\;-\;EE_{resting}$), which was the energy spent for doing the traction during 1, 2 and 3 h was 7.13, 15.45 and 19.90 MJ, respectively. $EE_{work}$ for the 1 h treatment group was 39.75 MJ/d equivalent to 1.30 times $EE_{resting}$. The values for the 2 and 3 h treatment groups were 1.75 and 1.86 times resting energy requirement, respectively. Absolute efficiency of work in all exercise trials of experiment 2 was around 27.28%. The increases of daily $E_{exercise}$ values were correlated to elevation of heart rate (HR) according to the equation $E_{exercise}=(0.270HR^{0.363}\;-\;1)$ MJ, while draught force related to heart rate according to the equation DF (N)=6.66 HR - 361.62. Blood glucose and triglyceride levels were gradually elevated with time during the course of exercise. Mean values of blood glucose were 91.7, 115.0 and 116.2 mg/dl for cows after 1, 2 and 3 h pulling loads at 15% W respectively as compared to 88.2 mg/dl prior to work. In the same order and treatment, mean blood triglyceride concentrations were 13.5, 13.3 and 14.8 mg/dl, and 11.5 mg/dl for control. For blood lactate, the values were 1.68, 1.63 and 1.66 mM, and 0.80 mM for control. Glucose was used as the major source of energy during the initial phase of exercise, but for prolonged work, fat will replace carbohydrate as the main substrate. Accumulation of lactate persisted for some time at the end of the exercise trials.
Two experiments were carried out to determine the utility of sainfoin hay, a temperate tanniferous forage legume, as a dietary supplement for grass-fed cows. The condensed tannins (CT) of sainfoin might counteract the typical metabolic ammonia load of cows in intensive grazing systems. Furthermore, the physical fibrousness of sainfoin might improve ruminal pH stability. In the preliminary experiment, the eating rate of non-lactating Holstein cows of two tanniferous hays, sainfoin and birdsfoot trefoil, was compared to that of a grass-clover hay after specific periods of time (n = 4). The eating rate of sainfoin was superior to that of the other forages. In the main experiment, designed as a replicated 3${\times}$3 Latin square, six ruminally-cannulated, lactating Red Holstein cows received grass, concentrate and either no supplementation, 3 kg/d of grass hay or 3 kg/d of sainfoin hay (n = 6). Measured intakes of the grass hay and the sainfoin hay were 2.0 and 1.5 kg DM, and two cows entirely refused to eat the sainfoin hay and had to be excluded from data analysis. Grass DMI was similar for cows supplemented with sainfoin hay and cows fed only grass whereas intake of concentrate was higher (p<0.01) for the latter treatment. Continuous measurement of ruminal pH showed that the minimum pH at night tended to be lower (p<0.10) with grass-only feeding compared to sainfoin supplementation, but pH did not decline below the threshold of subacute acidosis for a longer period of time. The slightly higher intake of nitrogen (N) for cows supplemented with sainfoin hay (413 g/d) compared to cows fed only grass (399 g/d) was accompanied by an increased (p<0.05) fecal N excretion and a tendency for an increased (p<0.10) urinary N excretion. Ruminal ammonia concentration, as well as plasma and milk urea, were not affected by sainfoin supplementation. In conclusion, the lack of positive effects typical for CT might be explained either by the limited CT content of this plant species (55 g/kg DM) or the relatively low proportion of sainfoin in the total diet or both. Moreover, due to the unexpected low grass quality, the general ammonia load might have been too low for CT to have an impact.
Jang, Se Young;Kim, Eun Kyung;Park, Jae Hyun;Oh, Mi Rae;Tang, Yu Jiao;Ding, Yu Ling;Seong, Hye Jin;Kim, Won Ho;Yun, Yeong Sik;Moon, Sang Ho
Asian-Australasian Journal of Animal Sciences
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v.30
no.10
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pp.1405-1409
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2017
Objective: This experiment was to determine proper physical traits in the diet for goats by investigating the effects of physically effective neutral detergent fiber (peNDF) content on dry matter intake (DMI), digestibility, and chewing activity in black goats fed with total mixed ration (TMR). Methods: Six growing wethers of Korean native black goats (Capra hircus coreanae) aged 8 months and weighing between 26.9 kg and 27.1 kg ($27.03{\pm}5.05kg$) were used in this experiment. Three diets of varying peNDF content were obtained by original TMR (T1), 12,000 rpm grinding (T2), and 15,500 rpm grinding (T3) of the same TMR diet. The $peNDF_{1.18}$ content of the experimental diets was 23.85%, 21.71%, and 16.22% for T1, T2, and T3, respectively. Results: Average daily gain (ADG) was higher in T2 group compared to those of the control and T3 groups, but ADG and DMI were not affected by the dietary particle size and peNDF content. Also, there was no difference between apparent nutrient digestibility of dry matter, crude fiber, ether extract, neutral detergent fiber, and acid detergent fiber. Although there was no significant difference, rumination and total chewing time were associated with decreased peNDF content. Conclusion: The feeding of peNDF-based TMR showed no impact on apparent nutrient digestibility and nitrogen balance. Further studies are required with a wider range of dietary peNDF level and particle size to better identify the effect of dietary peNDF and particle size on chewing activity and performance in goats.
The gait instability in the elderly has been associated with age-related deterioration in physical strength and reducing the potential for elderly falls requires regular exercise. In 2005, National Center for Injury Prevention and Control(NCIPC) reported that most elderly falls occur during activities in daily living(ADL). To better reveal biomechanic mechanisms underlying age-related degeneration in gait stability, and to enhance the assessment of falls risk, an accurate quantification of a person's balance maintenance during locomotion is needed. Instantaneous orientation of the line connecting COP and COM can characterize whole body position with respect to the supporting foot during gait and the angle between this line and the vertical line passing through the COP known as a good assessment to detect the elderly gait instability. Therefore the purpose of this study was to investigate a 6-month walking exercise effects in reducing elderly fall risk factors by using COP-COM inclination angles. Twenty-two community-dwelling elderly participated this study. The participants performed a walking exercise(3 times/week, 1 hour/visit) for 6 months. Laboratory kinematics during walking was assessed at months 0, 3 and 6. Significant increased in gait velocity was found among periods(p=.011, $1.25{\pm}.03$, $1.32{\pm}.03$, and $1.39{\pm}.04\;m/s$ in 0-, 3-, and 6-month, respectively). Also, significant differences in anterior and posteriror inclination angles were found among the periods(p<.05; posterior inclination angles: $12.8{\pm}2.2$, $11.0{\pm}2.9$, & $10.9{\pm}1.9$; anterior inclination angles: $13.7{\pm}1.7$, $14.6{\pm}3.2$, & $1.46{\pm}.21$ in 0month, 3month, & 6month, respectively). These findings provide evidence of significant reduced fall risk factors of community-living older adults associated with a systematic walking program.
In 2026, in ten years from now, Korea is expected to enter into a super aged society. By facing this social phenomenon, analyzing the elderlies and preparing measures are needed among society. In the transportation field, the traffic accidents which are related to the elderly pedestrians have drastically increased so that R&D projects and policy supplementations are introduced. However very few base studies on which focused on the behavior, capability, impact factors analysis of for elderly pedestrians are conducted. To determine the walking capability, this study divided the walking capability into 3 three categories - general, health and exercise. It carries out the comprehensive survey targeting 52 elderlies with the average age of 72.6 years and this survey is made up of total 12 factors in the 3 three categories. This survey also is conducted with various measuring devices and methods such as interview, National Fitness Award, SPBB, Cybex and the like for. From the 12 detailed factors, the general factors such as age, physical shape and so forth have little impact on the walking speed. However the factors that have the greatest impact on the walking speed are extensor muscle on lower limbs in the health factors and balance, coordination, and SPPB in the exercise factors. With these results, this study develops the independent walking model which can measure the walking capability of the elderly people. The developed model is expected to be utilized as the base study for elderly's walking patterns in the transportation field by examining the walking capability of the older people.
Journal of Korean Society of Coastal and Ocean Engineers
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v.13
no.1
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pp.80-87
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2001
Global robust diagnostic models are established based on MOM of GFDL to study the circulation in the world ocean. The horizontal grid sizes 1/2 degree, and the vertical water column is divided into 21 levels. The hydrographic data are taken from Levitus et al.(1994) and the wind stress from Hellerman and Rosenstein (1983). Based on the model results the horizontal volume, heat and salt transports across some representative sections are calculated. The preliminary results show that Though the cross-equator volume transports in the Atlantic, Indian and Pacific Oceans are all small, the heat transports across equator in the Atlantic are northward. This is clearly a result of the southward flow of the North Atlantic Deep Water and the northward compensating warm flow in the upper layer. The annual mean of the cross-equator heat transport in the Pacific Ocean from the present model is significantly lower than that calculated by Philander et at. (1987). This might indicate the importance of the Indonesian Throughflow in the heat transport in the Pacific Ocean. Our calculation shows that the heat transport through the Indonesian Archipelago is 0.5 PW, which is comparable with the poleward heat transport in the North Atlantic and Pacific Oceans. The difference in heat transports across the sections 5 and 6 demonstrates the important role of the Agulhas Current in the heat balance of the world ocean.
Korean Journal of Agricultural and Forest Meteorology
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v.1
no.2
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pp.119-126
/
1999
A numerical model using soil surface energy balance and soil heat flow equations to estimate mulched soil temperature was developed. The required inputs data include weather data, such as global solar radiation, air temperature, wind speed, atmospheric water vapor pressure, the optical properties of mulching material, and soil physical properties. The observed average soil temperature at 50 cm depth was used as the initial value of soil temperature at each depth. Soil temperature was simulated starting at 0 hour at an interval of 10 minutes. The model reliably described the variation of soil temperature with time progress and soil depth. The correlation between the estimated and measured temperature yielded coefficient values of 0.961, 0.966 for 5cm and 10cm depth of the bare soil, respectively, 0.969, 0.965 for the paper mulched soil, and 0.915, 0.938 for the black polyethylene film mulched soil. The percentages of absolute differences less than 2$^{\circ}$C between soil temperatures measured and simulated at 10 minute interval were 97.4% and 98.5% for 5 cm and 10cm for the bare soil, respectively, and 95.8% and 97.4% for the paper mulched soil, and 70.1% and 92.5% for the polyethylene film mulched soil. The results indicated that the model was able to predict the soil temperature fairly well under mulched condition. However, in the night time, the model performance was a little poor as compared with day time due to the difficulty of accurate determination of the atmospheric long wave radiation.
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