• Korean Journal of Adult Nursing
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• v.15 no.4
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• pp.596-606
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• 2003

Purpose: The purposes of this study were to develope and evaluate a constipation intervention program for inpatients. Method: To develope this program, Six phases were processed including the organization of team, the analysis of medical chart, the development of tentative constipation intervention program, the test of content validity, the test of clinical validity and the determination of final constipation intervention program. To evaluate the clinical validity of this program, 10 subjects who were in the C University Hospital were selected from March, 2001 to October, 2001. Result: The clinical validity was supplied by the pilot test, showing the potential effect of the program. Based on the validity results the final algorithm and the form of nursing record for this program which consist of the 3-step assessments and the intervention protocol were presented in this study. Conclusion: The advantage of this program is being able to assess and manage constipation simultaneously and is especially effective to patients who are at risk for developing constipation during their admission. Further study needs are also necessary to evaluate the effect of this program on the self-symptom of constipation.

• Phonetics and Speech Sciences
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• v.6 no.3
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• pp.109-119
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• 2014

This article represents a first step in a large study aimed at elucidating the relationship between production and perception involved in sound change of /o/ in (Seoul) Korean. In this paper we present the results of a production study and a perception experiment. For the production study we examined vowel production data of 20 young adult speakers, measuring the first and second formants, then conducted a discriminant analysis based on those values. In terms of their F1-F2 values, the distribution of /o/ and /u/ were close, and even overlapping in some circumstances, which is consistent with the literature. This tendency was more apparent among the female speakers than the males. Moreover, with the females' distributions, /o/ was frequently categorized as /u/, suggesting that the direction of the sound change is indeed increasing from /o/ to /u/. Next, to investigate the effects of this proximity on perception, we used the production data of five randomly selected speakers from the production study as stimuli for a perception experiment in which 21 young adult native speakers of (Seoul) Korean performed a vowel identification task and provided a Goodness rating on a 5-point scale. We found that while rates of correctness were high, when these correctness scores were weighted by the Goodness rating, these "weighted correctness" scores were lower in some cases, indicating a degree of confusion in distinguishing between the two vowels.

• Korean Journal of Adult Nursing
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• v.28 no.1
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• pp.83-94
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• 2016

Purpose: The purpose of this study was to explore how knowledge management of hospital and nurses' beliefs and competences on evidence-based practice can affect evidence-based decision making. Methods: In this descriptive study, a total of 184 nurses who were working in the five general hospitals participated. The data were collected through a self-administered questionnaire in September, 2014. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and step-wise multiple regression with SPSS/WIN Statistics 21.0 program. Results: Evidence-based decision making was correlated with EBP beliefs (r=.55, p<.001), EBP competence (r=.57, p<.001), and knowledge management (r=.50, p<.001). Hierarchical regression analysis showed that EBP beliefs (${\beta}=.18$, p=.005), EBP competence (${\beta}=.37$, p<.001), organizational knowledge management (${\beta}=.27$, p<.001) explained 48.6% of evidence based decision making (p<.001). Conclusion: The study results indicated that evidence-based practice competences, organizational knowledge management, and evidence-based practice beliefs were important factors on evidence-based decision making. In order to improve evidence-based practice among nurses through organizational knowledge management, EBP beliefs and competence at individual level need to be considered and incorporated into any systemic training of EBP.

• PNF and Movement
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• v.3 no.1
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• pp.17-26
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• 2005

Objectives : The purpose of this study is to identify influence that PNF method have an effect in function restoration of the impaired patients of central nervous system. Methods : The data were collected by 15 adult stroke patients. The treatment was based on proprioceptive neuromuscular facilitation techniques. Temporal and spatial parameters of gait were analysed for using the computerized GAITRite system. Results : In the comparison of functional ambulation profile(FAP) before and after experiment, the FAP was significantly increased in the PNF method. The gait velocity, cadence and single support time asymmetry ratio was significantly increased in the PNF method. The Motor Assessment Scale was significantly increased in the PNF method. Conclusions : Based on these results, it is concluded that the forced PNF method for 6 weeks can be improve the temporal-spatial gait parameters including FAP in hemiplegic patients. Therefore, the forced PNF method is useful to improve the function restoration in hemiplegic patients. Further study should be done to analyze the effects of intervention duration of treatment, optimal time to apply the treatment in more long peried.

• Korean Journal of Adult Nursing
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• v.27 no.6
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• pp.665-672
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• 2015

Purpose: The aims of current study were to assess the inhaler competency and medication adherence, and to identify association of inhaler competency with medication adherence in patients with obstructive lung disease. Methods: We did a secondary analysis of the Hanyang Obstructive Pulmonary Evaluation data in a single institution from June 2014 to April 2015 after an approval of Institutional Review Board. A total of 150 patients with asthma or chronic obstructive lung disease participated in the study. Inhaler competency was evaluated accuracy in each step for using metered dose inhaler. Medication adherence was calculated using actually dispensed doses based on the prescribed inhaler doses. Results: Older adults (${\geq}65$) had lower competency in using inhaler (66.7 vs 83.3, z=-4.52, p<.001) and poorer medication adherence (67.7 vs 91.8, $x^2=14.06$, p<.001) than adults (<65). Inhaler competency was associated with medication adherence (p=.26, p=.001). Surprisingly, more than 50% of patients were current smokers. Conclusion: Inhaler competency and medication adherence were lower in older adults with obstructive lung disease than those in adult-age patients. Therefore, an individual education program for older patients should be developed to improve the rates of proper use of inhalers. Nursing management for obstructive lung disease should focus on developing behavioral intervention strategies for smoking cessation.

• Asian-Australasian Journal of Animal Sciences
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• v.23 no.5
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• pp.649-658
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• 2010

Myogenic satellite cells (MSCs) are adult stem cells that activate and differentiate into myotubes. These stem cells are multipotent as they transdifferentiate into adipocyte-like cells, nerve cells and osteocytes. The effects of steroid hormones ($E_2$ and testosterone) were studied as a further step toward understanding the mechanism of MSCs proliferation and differentiation. In this study, MSCs were grown continuously for 87 days, implying that there may be a group of MSCs that continue to proliferate rather than undergoing differentiation. Isolated MSCs were cultured in Dulbecco's Modified Eagle's Medium supplemented with adult male, female or castrated bovine serum to observe the effect of steroid hormones on MSC proliferation. Cell proliferation was the highest in cultures supplemented with male serum followed by female and castrated serum. The positive effect of male hormone on MSC proliferation was confirmed by the observation of testosterone-mediated increased proliferation of cells cultured in medium supplemented with castrated serum. Furthermore, steroid hormone treatment of MSCs increased lipid accumulation in myotubes. Oil-Red-O staining showed that 17${\beta}$-estradiol ($E_2$) treatment avidly increased lipid accumulation, followed by $E_2$+testosterone and testosterone alone. To our knowledge, this is the first report of lipid accumulation in myotubes due to steroids in the absence of an adipogenic environment, and the effect of steroid hormones on cell proliferation using different types of adult bovine serum, a natural hormonal system. In conclusion, we found that sex steroids affect MSCs proliferation and differentiation, and lipid accumulation in myotubes.

• The Journal of Korean Medicine
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• v.24 no.3
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• pp.155-164
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• 2003

Objective : Recently questionnaires that reflect the quality of life (QOL) in asthma patients were developed. We aimed to identify the clinical effects of Gamipaima-tang and the side effects of Gamipaimo-tang in asthmatic patients. Materials and Methods : The subjects are consisted of 34 patients with asthma who had been treated with Gamipaimo-tang for four weeks. Gamipaima-tang is an herbal decoction which has been used as a traditional therapeutic agent for asthma. Pulmonary function test (PFT) was checked before and after 4-week treatments. Quality of Life Questionnaire for Adult Korean Asthmatics (QLQAKA) was checked before and after 2 weeks and 4 weeks of treatment. Results : Treatment with Gamipaima-tang for four weeks resulted in significant increase in FVC%, $FEV_{1.0}%$, PEFR%, and QLQAKA. The total efficacy rate in the patient group was 52.9% after 4 weeks. The total efficacy rate of the step 4 group (n=18, 55.6%) classified by Global Initiative for Asthma (GINA) was higher than that of the step 3 group (n=13, 46.2%) classified by GINA. Conclusion : This study shows that Gamipaima-tang has the effects of improvement of pulmonary function and quality of life in asthmatic patients. Obviously further research concerning this is still necessary.

• Journal of the Korean Home Economics Association
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• v.46 no.1
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• pp.1-14
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• 2008

The purpose of this study was to develop and implement web-based parental education programs applicable for the parents of young children in Korea. The results of this study were as follows. First, the parents of the young children recognized the importance of parental education, but were unable to participate in face-to-face parental education programs. However, they welcomed the possibility of participating in web-based parental education programs. Second, to develop web-based parental education programs, the parents' needs should be assessed and preliminary content analysis based on the previous works and subject specialists' opinions should be conducted. In addition, results of research about web-based education programs in various fields, especially about teaching-learning methods in web-based education for adult learners, should be considered in the process of developing web-based programs for the parents of young children. Third, various types of needs and demands should be assessed during the step-by-step program application periods and at the end of the program implementation. Finally, the parents who participated and assessed the web-based parental education program in this study were generally satisfied with the content and teaching-learning methods.

• Clinics in Shoulder and Elbow
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• v.19 no.1
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• pp.43-47
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• 2016

Many types of osteotomy have been proposed for the treatment of cubitus varus deformity of the elbow, and various methods for fixation of the osteotomy site have also been described. However, no method has been perfect. We treated two cases of cubitus varus elbow deformity with step-cut osteotomy using a new fixation method with two crossing screws and an anatomically designed locking plate. Active assisted elbow range of motion (ROM) exercise was permitted at postoperative 3 days, after removal of the drainage. Preoperative and postoperative humerus-elbow-wrist angles and ranges of motion of the two patients were compared. At 3 months followup, each patient had recovered the preoperative elbow ROM, and achieved the complete bony union of the osteotomy site and proper correction of the cubitus varus deformity. In addition, the appropriate remodeling of the lateral bony protrusion was observed. Therefore, we introduce a new fixation method for achievement of stable fixation allowing immediate postoperative elbow motion after corrective osteotomy for cubitus varus deformity in young adults.

• Korean Journal of Clinical Laboratory Science
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• v.41 no.2
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• pp.76-82
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• 2009

It would be one of the most important tests that determination of semen in crime scene as a matter of significant evidences. Recently, it has been developed for the identification of semen in forensic specimens which was used simply, easily and reproductively. In this study, Prostate-Specific-Antigen (PSA) Rapid Test kit was evaluated for the forensic identification of semen and compared with one step semen inspection forensic rapid test kit. The sensitivity and specificity of the rapid PSA kit were examined in addition to the stability of PSA. The positive band of rapid PSA kit shown even with 1,000,000-fold diluted semen, which was at least 100 timed higher than qualitative one step semen inspection forensic rapid test kit. PSA was detected in urine from normal male adult, however, it was not detected in urine from young boys and female body fluids. It was shown that PSA was very stable to resist boiling for 20 minutes and the effect of bacteria. In crime scene investigation, rapid PSA kit is expected to help to identify semen easily in the evidences.