• Title/Summary/Keyword: Deficiencies

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Knowledge, Attitude, and Behavior Status on Oral Health Care of Geriatric Care Workers in Long-Term Care Facilities (장기요양시설 요양보호사의 구강건강관리에 대한 지식, 태도, 행동)

  • Jeon, Hyun-Sun;Han, Sun-Young;Chung, Won-Gyun;Choi, Jong-Hoon
    • Journal of dental hygiene science
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    • v.15 no.5
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    • pp.569-576
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    • 2015
  • The aim of this study was to assess the oral health knowledge, attitude and behavior among geriatric care workers in long-term care facilities. A self-administered questionnaire was obtained from 212 geriatric care workers attending a professional education program of 2014 dementia pilot project. The questionnaire consisted of 4 parts of the training experience (2 items), knowledge (16 items), attitude (13 items), and behavior (4 items) on oral health care. Collected data were analyzed by frequency analysis, independent t-test, and one-way ANOVA using SPSS Statistics ver. 20.0. The percentage of educational experience on oral care was 27.9% and most respondents answered that they have received the education about denture cleaning (98.3%) and brushing method (91.4%). The average knowledge score was $10.88{\pm}1.70$, and respondents showed high-level agreement in 8 of the 10 items in attitude questions. They revealed difficulties in providing oral care to the elderly people because of their lack of knowledge. The deficiencies of knowledge about oral care would have a decisive effect on not only oral and general health, but also quality of life of the elderly people. Therefore, it is required to develop professional oral care training programs for geriatric care workers and support systems should be legalized.

A Study on Curriculum Development for CHPs (보건진료원 직무교육 교과과정개선을 위한 연구)

  • Kwon Myung-Soon
    • Journal of Korean Public Health Nursing
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    • v.13 no.2
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    • pp.26-44
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    • 1999
  • The study was done to improve the job training course for Community Health Practioners (CHPs) by evaluating the level of help that the training provided to the CHPs in carrying out their work and to analyze the management activities of the CHPs in order to develop a more effective CHP training program. The methodologies used in the study were a questionnaire survey. The survey results were analyzed using SPSS Windows. The study results are as follows. 1. The total average level of help from the job training(Theory. Practice and Field Practice) for carrying out the CHP work was found to be $3.04\pm.53$ (of a possible 4), which indicates a high level of help. The average for clinical practices was $3.16\pm.60$. for theory. $3.11\pm.40$ and for field practice. $2.84\pm.60$. 2. For the theory content of the job training courses. the help level was low in the area of mother and child health management/family planning with an average of $2.65\pm.62$ and in the area of health information system development with an average of $2.62\pm.83$. The reason for these deficiencies were. in order of frequency. few opportunities to apply learning. training content that was inadequate. training methodologies which were incongruent with content. improper training items and insufficient class hours. For the practice. the clinical work in rehabilitation/orthopedics departments and in ENT/Opthalmology departments had averages of $2.96\pm.86$ and $2.97\pm.80$ respectively. This low level resulted from the lack of direct experience. lack of sincerity during the practice time. lack of practice guidance. insufficient time and lack of practice equipment. in that order. For the field practice. the delivery management averaged $2.06\pm.90$ as the lowest help level. In this case 68% of respondents replied that there were no relevant reasons for this deficiency. 21% responsed that there was a lack of direct experience, 7%, a lack of practice guidance and 4.8%, insufficient time. 3. There were significant differences for several demographic variables when comparing the help level of the clinical courses (practice and Field Practice). A higher help level was reported by older nurses as compared to younger ones, experienced nurses as compared to scholarship nurses, and married over single. Also for nurses who had finished more other programs and were qualified or licensed in several areas the level was high. Although it was not statistically significant the level was higher if the work area was in a rural county, not a city, and if one had more recently completed the job training(P<,05). 4. Of the respondents 58.6% replies stated the period of job training for the CHP was adequate, but 51.7% reported that the period for theory courses was too short while an other 48.3% responded that it was sufficient. For practice locations, 50% responsed that it was good to practice in medical institutions(primary, secondary and tertiary) at the same time. While 48.3% agreed that doing theory and practice simultaneously was good, and 56.9% agreed that field practice should be done after completing theory and practice training. Hence, the development of new field practice guidelines suitable for changing environments of health management are required in place of the existing ones which were considered low in help level to the practical work of the CHPs.

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Regional Structure and Locational Characteristics of Najin-Seonbong Economic and Trade Zone (나진-선봉 경제 무역 지대의 입지특성과 지역구조)

  • Lee, Ki-Suk;Lee, Ock-Hee;Choe, Han-Sung;Ahn, Jae-Seob;Nan, Ying
    • Journal of the Korean Geographical Society
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    • v.37 no.4
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    • pp.293-316
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    • 2002
  • This study aims to identify changes that have occurred in the regional structure and locational characteristics of the Najin-Seonbong Economic and Trade Zone established in North Korea in 1991. In order to analyze land use patterns as variables of change in the regional structure, an field trip data, satellite imagery and other materials about the region are examined. In terms of its location as a major regional transit hub, the Najin-seonbong Economic and Trade Zone has not been supported by the required infrastructural developments and the establishment of the export processing zones has exposed the lack of vital links with local networks and industry. Thus, despite the fact that the local government has made a lot of effort in attracting foreign investment over the past decade, little progress has been made and the region has not changed. By and large, its operational efficiency and potential for development as a major export processing zone has been relatively limited. In the long w, prospects for the region's emergence as a major economic player will depend on the North Korean Govemment's policy in tackling the various infrastructural deficiencies.

DENTAL TREATMENT OF A PEDIATRIC PATIENT WITH HOMOZYGOUS PROTEIN C DEFICIENCY: A CASE REPORT (동형접합성 단백 C 결핍 환아의 치과적 치험례)

  • Yoon, Mi;Kim, Seung-Oh;Kim, Jong-Soo;Yoo, Seung-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.2
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    • pp.207-212
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    • 2010
  • Protein C deficiency increases the risk of thrombosis due to the lack of anticoagulant factor protein C. Among the numerous congenital protein C deficiencies, homozygous protein C deficiency has an especially low protein C activity level, that it is almost undetectable. It is a rare disease with a probability of 1:250000~500000. The signs and symptoms of homozygous protein C deficiency include purpuric, necrotic dermatosis, ecchymosis, blindness, and thrombosis in central nervous system. A 4-year-old girl was brought to the clinic with a chief complaint of extensive caries. The child was under warfarin medication in order to prevent possible complications during dental treatment. We consulted the pediatric department. Without warfarin intake, serious complications may occur due to thrombosis during dental treatment. Therefore, certain warfarin dosage (INR 3~5) and fresh frozen plasma as a backup for excessive hemorrhage were recommended. This child was a severely disabled child with the loss of vision, and it was difficult to manage her behavior effectively. Thus, dental treatment was carried out under general anesthesia, where bleeding control would be also easier to achieve.This report presents the case of a 4-year-old girl with protein C deficiency, who has received dental treatment for extensive caries under general anesthesia.

DEVELOPMENT OF SAFETY-BASED LEVEL-OF-SERVICE PARAMETERS FOR TWO-WAY STOP-CONTROLLED INTERSECTIONS (무신호 교차로의 안전 -서비스 수준 측정에 관한 연구-)

  • 이수범
    • Proceedings of the KOR-KST Conference
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    • 1996.02a
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    • pp.59-86
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    • 1996
  • Current methods for evaluating unsignalized intersections, and estimating level-of-service (LOS) is determined from efficiency-based criteria such as little or no delay to very long delays. At present, similar procedures to evaluate intersections using safety-based criteria do not exist. The improvement of sight distances at intersections is the most effective way of improving intersection safety. However, a set of procedures is necessary to account for the limitations in current methodology. Such an approach would build upon such methods, but also account for: deficiencies in the current deterministic solution for the determination of intersection sight distances; opportunity for an accident and severity of an accident; and cost-effectiveness of attaining various levels of sight distances. In this research, a model that estimates the degree of safety at two-way stop-controlled intersections is described. Only crossing maneuvers are considered in this study because accidents caused by the crossing maneuvers are the dominate type among intersection accidents. Monte Carlo methods are used to estimate the hazard at an intersection as a function of roadway features and traffic conditions. Driver`s minimum gap acceptance in the crossing vehicles and headway distribution on the major road are used in the crossing vehicles and headway distribution on the major road are used in the model to simulate the real intersectional maneuvers. Other random variables addressed in the model are: traffic speeds; preception-reaction times of both drivers in the crossing vehicles and drivers in oncoming vehicles on the major road; and vehicles on the major roads. The developed model produces the total number of conflicts per year per vehicle and total potential kinetic energy per year per vehicle dissipated during conflicts as measurements of safety at intersections. Based on the results from the developed simulation model, desirable sight distances for various speeds were determined as 350 feet, 450 feet and 550 feet for 40 mph, 50 mph and 60 mph prevailing speed on the major road, respectively. These values are seven to eight percent less than those values recommended by AASHTO. A safety based level-of-service (LOS) is also developed using the results of the simulation model. When the total number of conflicts per vehicle is less than 0.05 at an intersection, the LOS of the intersection is `A' and when the total number of conflicts per vehicle is larger than 0.25 at an intersection, the LOS is `F'. Similarly, when the total hazard per vehicle is less than 350, 000 1b-ft2/sec2, the LOS is `F'. Once evaluation of the current safety at the intersection is complete, a sensitivity analysis can be done by changing one or more input parameters. This will estimate the benefit in terms of time and budget of hazard reduction based upon improving geometric and traffic characteristics at the intersection. This method will also enable traffic engineers in local governments to generate a priority list of intersection improvement projects.

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Implementation of a Realtime Wireless Remote Control and Monitoring Systems (실시간 무선 원격 제어 및 모니터링 시스템의 구현)

  • Seong, Hae-Kyung;Lee, Moon-Goo
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.47 no.6
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    • pp.93-102
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    • 2010
  • Existing web based information service system solutions show limitations in mobile information services, as well as problems such as uncertain error messages, and difficulty providing swift assistance or real time emergency support. In order to solve these deficiencies, a realtime wireless remote control system has been designed and implemented in this thesis, which is capable of managing and monitoring remote systems using mobile communication devices (Mobile Phone, PDA, Smart Phone) for realtime control. Proposed systems are applied at remote places, for instance 'office building', and a nursery school like 'kindergarten'. In the case of implemented at office building, it can be managing and controlling at real time all sorts of the sensor information that are installed at office building system environment through wire(web environment) or wireless(mobile device). In the other case at kindergarten system that are providing the real-time wireless remote control and monitoring system can be monitoring activity of kindergarten children with a mobile phone of authentication user. The security functions of proposed systems include mobile device user authentication and target system access control. The proposed systems allow real-time user authentication function and system access control function that improve the security of resource administrators and mobile device users, and provides not only uninterrupted services, but also real time mobile service environments.

Nutritional Survey for Working Females at a Factory (사업장(事業場) 근로여자(勤勞女子)의 영양실태(營養實態)에 관(關)한 연구(硏究))

  • Cho, Mi-Ja
    • Journal of Nutrition and Health
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    • v.2 no.4
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    • pp.143-153
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    • 1969
  • For the purpose of the better dietary management and to emphasize of importance in nutrition education for 949 woman workers at the dormitory of wig factory in Seoul, the nutritional survey was conducted for seven days from August 13 th to 20 th of 1969. The survey included food and nutrient intakes, physical measurement, clinical findings and biochemical measurement were conducted for the randomly sampled 44 subjects. According to the survey results, their heights was under the standard and the 82% of the total subjects was the age ranges from 16 years to 20 years old. Their daily menu was not planned properly and the concept of 5 basic food groups was not utilized in their menu planning. The balanced meal should be emphasized in this factory. Calories and protein intakes are low compared with the recommended allowance and especially animal protein intake is low. Fat intake is only 8.8 grams for capita per day. Vitamins and minerals intake are also low. Clinical and biochemical survey indicated various vitamin deficiencies and anemia which is mostly due to the iron insufficiency.

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Physiological Tolerance of Native Tree Species in Abandoned Coal Mine Spoils (탄광 폐석지내 자생 수종의 생리적 피해 및 내성)

  • 이재천;한심희;장석성;김판기;허재선;염규진
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.5 no.3
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    • pp.172-178
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    • 2003
  • This study was conducted to assess the physiological tolerance of native tree species for successful restoration and revegetation of abandoned coal-mine spoils. Study sites were two coal-mine spoils (Sododong and Ssarijae) in Taebaek, Kangwon Province, Korea. Five individuals of Betula costata and of B. schmidtii were analyzed for malondialdehyde (MDA) and hydrogen peroxide ($H_2O$$_2$) content, nitrate reductase (NR) and superoxide dismutase (SOD) activity, and for carbohydrate concentration in the leaves. Trees in the abandoned coal-mine spoils were influenced by deficiencies expressed by MDA and $H_2O$$_2$ content in the leaves of two species being higher at the coal-mine spoils than in the surrounding forest. Low NR activity indirectly represented nitrogen deficiency in the soil of the coal-mine spoils; an unmanageable SOD activity implied that tolerant functions didn't net against a certain stress of the coal-mine spoils. Decreased glucose and increased starch concentration especially showed the inhibition of the carbohydrate metabolism by inadequate factors. Consequently, low nitrogen content in the real-mine soils might increase damage in trees as a result of inhibiting the expression of tolerance mechanisms against stress. Therefore, trees in coal-mine spoils need ample nitrogen to use as a metabolic energy source in order to prevent damage and increase tolerance against stress.

Implementation of Medical Information System for Korean by Tissue Mineral Analysis (모발분석 및 처리를 위한 한국형 의료 정보 시스템 구축)

  • 조영임
    • Journal of Korea Multimedia Society
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    • v.6 no.1
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    • pp.148-160
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    • 2003
  • TMA(Tissue Mineral Analysis) is very popular method in hair mineral analysis for health care professionals in over 48 countries medical center. Assesment of nutritional minerals and toxic elements in the hair is very important not only for determining adequacy, deficiencies and unbalance, but also for assessing their relative relationships in a body. In Korea, there are some problems in TMA method. Because of not haying a medical information database which is suitable for korean to do analyze, the requested TMA has to send to TEI-USA. However, as the TMA results from TEI-USA is composed of English documents and graphic files prohibited to open, its usability is very low and a lot of dollars has to be payed. Also, it can make some problems in the reliability of the TMA results, since the TMA results are based on the database of western health and mineral standards, To solve these problems, I developed the first Medical Information System of TMA in Korea here. The system can analyze the complex tissue mineral data with multiple stage decision tree classifier. It is also constructed with multiple fuzzy database and hence analyze the TMA data by fuzzy inference methods. The effectiveness test of this systems can be shown the increased business efficiency and satisfaction rate 86% and 92% respectively.

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Occurrence of infections in schoolchildren subsequent to supplementation with vitamin D-calcium or zinc: a randomized, double-blind, placebo-controlled trial

  • Mandlik, Rubina;Mughal, Zulf;Khadilkar, Anuradha;Chiplonkar, Shashi;Ekbote, Veena;Kajale, Neha;Patwardhan, Vivek;Padidela, Raja;Khadilkar, Vaman
    • Nutrition Research and Practice
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    • v.14 no.2
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    • pp.117-126
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    • 2020
  • BACKGROUND/OBJECTIVES: Vitamin D and zinc are recognized for their roles in immune-modulation, and their deficiencies are suggested to be important risk factors for childhood infections. This study, therefore, undertook to assess the occurrence of infections in rural Indian schoolchildren, subsequent to daily supplementation with vitamin D-calcium or zinc for 6 months. SUBJECTS/METHODS: This was a randomized, double-blind, placebo-controlled trial in apparently healthy 6-12 year-old rural Indian children, recruited to 3 study arms: vitamin D arm (1,000 IU D3 - 500 mg calcium, n = 135), zinc arm (10 mg, n = 150) and placebo arm (n = 150). The infection status was assessed using a validated questionnaire, and the biochemical parameters of serum 25(OH)D and serum zinc were measured by ELISA and colorimetry, respectively. The primary outcome variable was occurrence of infections (upper respiratory and total infections). RESULTS: Serum 25(OH)D concentration in the vitamin D arm improved significantly by 34%, from 59.7 ± 10.9 nmol/L to 80 ± 23.3 nmol/L (P < 0.0001), but no improvement was observed for serum zinc concentration. While there was significant increase in the percentage of children reporting no or mild upper respiratory tract infections (URTI) and total infections (TI) in all three groups, improvements in the supplemented groups were similar to the placebo group. However, the vitamin D arm reported lower URTI and TI status in the vitamin D sufficient versus insufficient children. Also, URTI and TI status were found to be significantly (P < 0.0001) lower in children with improved 25(OH)D versus unchanged 25(OH)D. CONCLUSIONS: Vitamin D-calcium supplementation helped to improve the vitamin D status but exerts no effect on the occurrence of infections when compared to the placebo group. Improvement in the serum 25(OH)D concentrations and attainment of vitamin D sufficiency may exert a beneficial effect on the infection status and needs to be investigated further. To evaluate the efficacy of zinc supplementation, higher dosages need to be administered in future studies.