• Title/Summary/Keyword: Control practice

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Treatment Guidelines for Community-acquired Pneumonia in Korea: An Evidence-based Approach to Appropriate Antimicrobial Therapy (지역사회획득 폐렴의 치료지침 권고안)

  • Song, Jae-Hoon;Jung, Ki-Suck;Kang, Moon Won;Kim, Do Jin;Pai, Hyunjoo;Suh, Gee Young;Shim, Tae Sun;Ahn, Joong Hyun;Ahn, Chul Min;Woo, Jun Hee;Lee, Nam Yong;Lee, Dong-Gun;Lee, Mi Suk;Lee, Sang Moo;Lee, Yeong Seon;Lee, Hyukmin;Chung, Doo Ryeon
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.4
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    • pp.281-302
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    • 2009
  • The successful treatment of community-acquired pneumonia requires appropriate, empirical antimicrobial therapy. The etiology and antimicrobial susceptibility of major pneumonia pathogens can differ by country. Therefore, the ideal treatment guidelines for community-acquired pneumonia should be based on the studies performed in each country. We developed a treatment guideline for community-acquired pneumonia for immunocompetent adults in Korea. This guideline was developed by the joint committee of the Korean Society for Chemotherapy, the Korean Society of Infectious Diseases, and the Korean Academy of Tuberculosis and Respiratory diseases.

Self-Efficacy as a Predictor of Self-Care in Persons with Diabetes Mellitus: Meta-Analysis

  • Lee, Hyang-Yeon
    • Journal of Korean Academy of Nursing
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    • v.29 no.5
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    • pp.1087-1102
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    • 1999
  • Diabetes mellitus, a universal and prevalent chronic disease, is projected to be one of the most formidable worldwide health problems in the 21st century. For those living with diabetes, there is a need for self-care skills to manage a complex medical regimen. Self-efficacy which refers to one's belief in his/her capability to monitor and perform the daily activities required to manage diabetes has be found to be related to self-care. The concept of self-efficacy comes from social cognitive theory which maintains that cognitive mechanism mediate the performance of behavior. The literature cites several research studies which show a strong relationship between self-efficacy and self-care behavior. Meta-analysis is a technique that enables systematic review and quantitative integration of the results from multiple primary studies that are relevant to a particular research question. Therefore, this study was done using meta-analysis to quantitatively integrate the results of independent research studies to obtain numerical estimates of the overall effect of a self-efficacy with diabetic patient on self-care behaviors. The research proceeded in three stages : 1) literature search and retrieval of studies in which self-efficacy was related to self-care, 2) coding, and 3) calculation of mean effect size and data analysis. Seventeen studies which met the research criteria included study population of adults with diabetes, measures of self-care and measures of self-efficacy as a predictive variable. Computation of effect size was done on DSTAT which is a statistical computer program specifically designed for meta-analysis. To determine the effect of self-efficacy on self-care practice homogeneity tests were conducted. Pooled effect size estimates, to determine the best subvariable for composite variables, metabolic control variables and component of self-efficacy and self-care, indicated that the effect of self-efficacy composite on self-care composite was moderate to large. The weighted mean effect size of self-efficacy composite and self-care composite were +.76 and the confidence interval was from +.66 to +.86 with the number of subjects being 1,545. The total for this meta-analysis result showed that the weighted mean effect sizes ranged from +.70 to +1.81 which indicates a large effect. But since reliabilities of the instruments in the primary studies were low or not stated, caution must be applied in unconditionally accepting the results from these effect sizes. Meta-analysis is a useful took for clarifying the status of knowledge development and guiding decision making about future research and this study confirmed that there is a relationship between self-efficacy and self-care in patients with diabetes. It, thus, provides support for nurses to promote self-efficacy in their patients. While most of the studies included in this meta-analysis used social cognitive theory as a framework for the study, some studies use Fishbein & Ajzen's attitude model as a model for active self-care. Future research is needed to more fully define the concept of self-care and to determine what it is that makes patients feel competent in their self-care activities. The results of this study showed that self-efficacy can promote self-care. Future research is needed with experimental design to determine nursing interventions that will increase self-efficacy.

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The Development of Predictive Multiclass Dynamic Traffic Assignment Model and Algorithm (예측적 다중계층 동적배분모형의 구축 및 알고리즘 개발)

  • Kang, Jin-Gu;Park, Jin-Hee;Lee, Young-Ihn;Won, Jai-Mu;Ryu, Si-Kyun
    • Journal of Korean Society of Transportation
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    • v.22 no.5
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    • pp.123-137
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    • 2004
  • The study on traffic assignment is actively being performed which reflect networks status using time. Its background is increasing social needs to use traffic assignment models in not only hardware area of road network plan but also software area of traffic management or control. In addition, multi-class traffic assignment model is receiving study in order to fill a gap between theory and practice of traffic assignment model. This model is made up of two, one of which is multi-driver class and the other multi-vehicle class. The latter is the more realistic because it can be combined with dynamic model. On this background, this study is to build multidynamic model combining the above-mentioned two areas. This has been a theoretic pillar of ITS in which dynamic user equilibrium assignment model is now made an issue, therefore more realistic dynamic model is expected to be built by combining it with multi-class model. In case of multi-vehicle, FIFO would be violated which is necessary to build the dynamic assignment model. This means that it is impossible to build multi-vehicle dynamic model with the existing dynamic assignment modelling method built under the conditions of FIFO. This study builds dynamic network model which could relieve the FIFO conditions. At the same time, simulation method, one of the existing network loading method, is modified to be applied to this study. Also, as a solution(algorithm) area, time dependent shortest path algorithm which has been modified from existing shortest path algorithm and the existing MSA modified algorithm are built. The convergence of the algorithm is examined which is built by calculating dynamic user equilibrium solution adopting the model and algorithm and grid network.

A Study on the Enhancement of Learning Effects through Student-Oriented Teaching Methods in Engineering Education (공학교육에서 학습자 주도형 강의방법을 통한 학습효과 향상에 관한 연구)

  • Yang Han-Ju;Kim Jong-Heon
    • Journal of Engineering Education Research
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    • v.2 no.1
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    • pp.3-9
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    • 1999
  • This study investigated the improved teaching methods which can enhance the learning effects of students in engineering education and provide students with practical abilities of field works. As the results of applying student-oriented teaching methods to students who take the course of hydraulic and pneumatic control in the department of mechanical design engineering of Dongyang technical college, student-oriented teaching method Is more effective than professor-oriented teaching methods in the aspects of motivation of learning, cultivation of imagination and creativity, and ability of solving problems. In order to successfully execute student-oriented teaching method, integrated lecture of both theory and experimental practice has been carried out in the classroom equipped with experimental facilities, and after acquiring sufficient experience through experimental practices, students looked into theoretical backgrounds based on the experimental results during the process solving the subjects which a professor suggested. The subjects should be suggested with the contents for accomplishing the goal of learning, and it is very important for a professor to play the role of helping students solve the problems by themselves, which results in improving practical ability of field works. At the end of every class, a professor has students fill up the questionnaire about the level of learning achievement, questions, and teaching method, and applying the surveying results to the next class can bring out improving the extents of students' participation of classes and concerns about the course. Since the engineering education requires a practical ability of field works, imagination, and creativity in every course, it is desirable to introduce student-oriented teaching method rather than professor-oriented teaching method.

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Effects of hydrogen peroxide pretreatment and heat activation of silane on the shear bond strength of fiber-reinforced composite posts to resin cement

  • Pyun, Jung-Hoon;Shin, Tae-Bong;Lee, Joo-Hee;Ahn, Kang-Min;Kim, Tae-Hyung;Cha, Hyun-Suk
    • The Journal of Advanced Prosthodontics
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    • v.8 no.2
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    • pp.94-100
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    • 2016
  • PURPOSE. To evaluate the effects of hydrogen peroxide pretreatment and heat activation of silane on the shear bond strength of fiber-reinforced composite posts to resin cement. MATERIALS AND METHODS. The specimens were prepared to evaluate the bond strength of epoxy resin-based fiber posts (D.T. Light-Post) to dual-curing resin cement (RelyX U200). The specimens were divided into four groups (n=18) according to different surface treatments: group 1, no treatment; group 2, silanization; group 3, silanization after hydrogen peroxide etching; group 4, silanization with warm drying at $80^{\circ}C$ after hydrogen peroxide etching. After storage of the specimens in distilled water at $37^{\circ}C$ for 24 hours, the shear bond strength (in MPa) between the fiber post and resin cement was measured using a universal testing machine. The fractured surface of the fiber post was examined using scanning electron microscopy. Data were analyzed using one-way ANOVA and post-hoc analysis with Tukey's HSD test (${\alpha}=0.05$). RESULTS. Silanization of the fiber post (Group 2) significantly increased the bond strength in comparison with the non treated control (Group 1) (P<.05). Heat drying after silanization also significantly increased the bond strength (Group 3 and 4) (P<.05). However, no effect was determined for hydrogen peroxide etching before applying silane agent (Group 2 and 3) (P>.05). CONCLUSION. Fiber post silanization and subsequent heat treatment ($80^{\circ}C$) with warm air blower can be beneficial in clinical post cementation. However, hydrogen peroxide etching prior to silanization was not effective in this study.

The Effects of Organic Manure and Chemical Fertilizer Application Levels on the Growth and Nutrient Concentrations of Yellow Poplar (Liriodendron tulipifera Lin.) Seedlings (유기질 및 화학비료 처리수준이 어린 백합나무 생장 및 양분농도에 미치는 영향)

  • Han, Si Ho;An, Ji Young;Choi, Hyung-Soon;Cho, Min Seok;Park, Byung Bae
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.18 no.5
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    • pp.37-48
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    • 2015
  • Soil nutrient management is important to maintain the constant productivity of seedling production in the nursery for successful forest restoration. This study investigated the effects of organic manure and chemical fertilizer application levels on the growth, soil properties, and nutrient concentrations of yellow poplar seedlings. One-year-old yellow poplar seedlings were treated with the combination of 3 level organic manures(0, 5 Mg/ha, 10 Mg/ha; mixture of poultry manure, cattle manure, swine manure, and sawdust) and 3 level nitrogen-phosphorus-potassium(NPK) chemical fertilizers(0, 1x(urea, $30g/m^2$; fused superphosphate, $70g/m^2$; potassium chloride, $15g/m^2$), 2x). Organic manure significantly increased the soil pH and the concentrations of nitrogen, available phosphorous, exchangeable potassium, calcium, and magnesium. In contrast, the NPK chemical fertilizer decreased the soil pH and exchangeable calcium concentration, did not affect the soil concentrations of nitrogen and magnesium, and increased the concentrations of available phosphorous and exchangeable potassium. Both organic manure and NPK chemical fertilizer treatments increased the seedling height, root collar diameter, and dry weight by 39% and 25%, respectively. The treatment with manure 5 Mg/ha and NPK 2x chemical fertilizer mostly increased seedling dry weight by 2.6 times more than that of the control. Compared to the effects of the fertilization treatments on the soil properties, the effects on nutrient concentrations in the leaves were relatively small. These findings indicate that organic manure that was derived from livestock byproducts and sawdust can be utilized with chemical fertilizer to improve seedling production as well as conserving soil quality.

Oral Toxicity Study and Skin Sensitization Test of a Cricket

  • Ryu, Hyeon Yeol;Lee, Somin;Ahn, Kyu Sup;Kim, Hye Jin;Lee, Sang Sik;Ko, Hyuk Ju;Lee, Jin Kyu;Cho, Myung-Haing;Ahn, Mi Young;Kim, Eun Mi;Lim, Jeong Ho;Song, Kyung Seuk
    • Toxicological Research
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    • v.32 no.2
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    • pp.159-173
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    • 2016
  • Crickets have been attracting considerable interest in the field of nutrition and toxicology due to the global exhaustion of food resulting from a growing population. The cricket is normally eaten in several countries after roasting, similar to the grasshopper; however, safety evaluation data on cricket powder is limited. Here, we performed general toxicity studies of cricket powder including a single, 2-week repeated dose range evaluation test, a 13-week repeated oral dose toxicity test in Sprague-Dawley rats, a single oral dose toxicity test in Beagle dogs, and a skin sensitization test in guinea pigs following the Organization for Economic Cooperation and Development test guidelines 406 and 408 in addition to Good Laboratory Practice. To investigate the NOAEL and target organs of cricket powder, Sprague-Dawley rats were allocated to 4 groups: vehicle control, 1,250 mg/kg, 2,500 mg/kg, 5,000 mg/kg dose test groups and cricket powder was administered over 13 weeks after single dose and dose range finding studies in rats based on the results of the single oral administration toxicity study in rats and Beagle dogs. The results of the study showed that the NOAEL of cricket powder was over 5,000 mg/kg for both sexes of rats without adverse effects in a 13-week repeated oral toxicity study and there was no skin hypersensitivity reaction. Therefore, our results reveal that crickets can be widely used as a new substitute food or nutrient resource.

Effect of By-Product Gypsum Fertilizer on Methane Gas Emissions and Rice Productivity in Paddy Field

  • Park, Jun-Hong;Sonn, Yeon-Kyu;Kong, Myung-Suk;Zhang, Yong-Seon;Park, Sang-Jo;Won, Jong-Gun;Lee, Suk-Hee;Seo, Dong-Hwan;Park, So-Deuk;Kim, Jang-Eok
    • Korean Journal of Soil Science and Fertilizer
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    • v.49 no.1
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    • pp.30-35
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    • 2016
  • Rice cultivation in paddy field affects the global balance of methane ($CH_4$) as a key greenhouse gas. To evaluate a potential use of by-product gypsum fertilizer (BGF) in reducing $CH_4$ emission from paddy soil, $CH_4$ fluxes from a paddy soil applied with BGF different levels (0, 2, 4 and $8Mg\;ha^{-1}$) were investigated by closed-chamber method during rice cultivation period. $CH_4$ flux significantly decreased (p<0.05) with increasing level of BGF application. $8Mg\;ha^{-1}$ of BGF addition in soil reduced $CH_4$ flux by 60.6% compared to control. Decreased soil redox potential (Eh) resulted in increasing $CH_4$ emission through a $CO_2$ reduction reaction. The concentrations of dissolved calcium (Ca) and sulfate ion (${SO_4}^{2-}$) in soil pore water were significantly increased as the application rate of BGF increased and showed negatively correlations with $CH_4$ flux. Decreased $CH_4$ flux with BGF application implied that ${SO_4}^{2-}$ ion led to decreases in electron availability for methanogen and precipitation reaction of Ca ion with inorganic carbon including carbonate and bicarbonate as a source of $CH_4$ formation under anoxic condition. BGF application also increased rice grain yield by 16% at $8Mg\;ha^{-1}$ of BGF addition. Therefore, our results suggest that BGF application can be a good soil management practice to reduce $CH_4$ emission from paddy soil and to increase rice yield.

Water Saving Irrigation Point in Cucumber Cultivation under Greenhouse (시설재배 오이의 물 절약 관개시점 구명)

  • Jeon, Sang-Ho;Hur, Seung-Oh;Ha, Sang-Keun;Jun, Hyun-Jung;Han, Kyung-Hwa;Cho, Hee-Rae;Hong, Soon-Dal
    • Korean Journal of Soil Science and Fertilizer
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    • v.43 no.5
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    • pp.540-545
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    • 2010
  • This study was conducted to investigate effects of irrigation points on cucumber growth and water saving under greenhouse. Automatic irrigation system and tensiometers were installed at four plots to measure soil water tension and properties of irrigated water. Each plot was irrigated at different irrigation points; soil water tension of 15, 20, 30, and 40 kPa, respectively. Conventional irrigation plot without tensiometer was also investigated. The total yield and sugar contents of cucumber had no significant differences between plots. However, irrigated water volumes were saved most when irrigation points were 30, and 40 kPa. The two plots of 30, and 40 kPa treatments used about 60% less of irrigated water than the plot of conventional practice did. In conclusion, this research suggested that the optimum irrigation point for cucumber cultivation in greenhouse can be soil water tension of 30 kPa based on the results of overall cucumber quality, and Greenhouse water usage.

Nutritional Status and Health Habit of College Students by Body Mass Index (수도권 남녀대학신입생의 체질량지수에 따른 건강행동과 영양상태)

  • Lee, Young-Hee;Won, Hyang-Rye;Rhie, Seung-Gyo
    • The Korean Journal of Community Living Science
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    • v.18 no.1
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    • pp.161-175
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    • 2007
  • It is important for young adults to establish good dietary behavior for healthy life. The prevalence of obesity in college students has increased gradually. The obesity is one of the most prevalent health problems in S. Korea. Moreover, obesity is closely related with the disease such as cardiovascular disease, diabetes mellitus. The purpose of this study was to evaluate health practice, serum components and nutrient intake of the college students according to Body Mass Index (BMI) level. 400 male and female freshmen students in 4 year university located near to Seoul metropolitan area were surveyed respectively through the health check-up procedure for college entrance in February. Survey was carried out for them by questionnaires, including a 24-hour dietary recall and anthropometric measurements. Blood samples were obtained while fasting. Nutrient intake was expressed by DDS(Dietary Diversity Score by 5 food groups) and DVS(Dietary Variety Score). Nutrition level was analyzed by Can-Pro (Korea Nutrition Association). And for the quantity intake, percentage ratio against daily requirement(by KDRIs) and MAR(Mean Adequacy Ratio) were calculated. Underweight group($BMI<18.5kg/m^2$), normal weight group($18.5) and overweight group($BMI<23.0 kg/m^2$) were 18.5%, 61.2% and 19.3% respectively. Nutrient intake levels and food intake status were not significantly different among three groups. The mean nutrient adequacy ratio (MAR) was not significantly different by BMI status. Nutrient intakes of calcium, iron, and riboflavin were especially low for all the students. Overweight group showed high blood pressure(120.9/79.3 mmHg) compared with the underweight group (116.4/ 75.8mmHg) but the difference was not significant. The serum triglyceride level in overweight group (94,0mg%) was higher than that in normal (70.9mg%) or underweight group(70.8mg%)(p<0.05). HDL-cholesterol level in overweight (43.8 mg%) group was not significantly different from that in underweight group (45.9mg%). BMI was positively correlated with blood pressure, hemoglobin, and the intake of total fat and cholesterol. But it was negatively correlated with HDL-cholesterol level. With these results overweight group is closely related with the cardiovascular disease risks, such as high blood pressure and high triglycerides and cholesterol. Thus, a health intervention program including weight control is required for young adults.

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