• Research in Community and Public Health Nursing
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• v.30 no.4
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• pp.528-538
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• 2019

Purpose: The purpose of this study was to follow-up the frailty of the old who received home health care by Registered Nurse in Public Health Center over 8 years. Methods: We used the second wave data which was a comprehensive longitudinal data set, Public Health Information System of a public health center located in Seoul from 2010 to 2018. For statistical analysis, a mixed model of repeated measures by R program was used. Results: Frailty (range: 0~31) was getting worse significantly from 5.38 on registration to 6.54 on 4th year, 7.40 on 7th year, 7.69 on 8th year with adjustment for age, sex, economic status, the number of family, and the number diseases. The coefficient of parameters with frailty change was serviced year (β=0.29, p<.001), age (70~79 to 60~69; β=0.98, p=.018) and sex (female to male; β=2.55, p<.001). Conclusion: This study showed that the home visiting health service needs to take attention to aged 70s and over, female. The home health care of public health center need to be extended more practical and effective services in terms of 'community care'and 'ageing in place'.

• Journal of Korean Public Health Nursing
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• v.9 no.2
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• pp.1-16
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• 1995

This study was conducted to propose a model for nursing performance in group occupational health service. To achieve such a goal, the writer choose and analysed two kinds of journals which were thought to be the most suitable for that purpose and authoritative on community health nursing: The Journal of Korean Community Nursing and the Journal of Korean Academic Society of Industrial Nursing. The total number of the articles analysed in this study was 16 and in the analysis of them the writer was specially concerned with the following questions: 1) Have there been any different performances in occupational health management between staying nurses and visiting ones? 2) What are the levels of knowledge, attitude, and practice of workers and how can we, on the basis of them, develop the program that workers are able to participate positively in ? the obtained conclusions are as follows. 1) Different performances are revealed between staying nurses and visiting ones: Common symptom management frequently appeared in staying nurses. Counseling, health education and follow-up care after medical examination were more frequently revealed in visiting nurses. 2) As for the lovel of knowledge, attitude, and practice of occupational health, workers have average one respectively. The major factors influencing the level of KAP of workers were area, age, sex and status. Counseling, health education, follow-up care after medical examination, and health promotion should be reinforced as core programs in group occupational health services. And for the part of visiting nurses, it is necessary to put more emphasis on efficiency training using the method of nursing process.

• The Journal of the Korean dental association
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• v.38 no.6 s.373
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• pp.549-557
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• 2000

ㆍPurpose: This study was performed to investigate the initial conservative treatment for TMD patients using careful counselling and medication prospectively. ㆍMaterials and Methods: Careful counselling and medication were performed in 51 TMD patients and 27 patients had follow-up check 2 months or more. Diagnosis of TMD was based on medical history and, physical and radiographic examination. TMD included masticatory disorder, internal derangement, degenerative joint disease, inflammatory joint disorder. and problems resulting from extrinsic trauma. All patients had chief complaints of TMJ pain, mouth-opening limitation. joint noise, and/or referred pain. We counselled and explained to the patient about the pathogenesis, etiologic factors, diagnosis and treatment plan for abut 10 minutes. We prescribed nonsteroidal anti-inflammatorv analgesic(Somalgen) and amitriptyline 10mg per day for 2 weeks. We informed the patient of the attention sheet and taught self-exercise of jaw. The patient were assessed by answering the questionnaire of subjective evaluation of TMD & maxillofacial pain. Questionnaire of an activity limitation. Questionnaire of a jaw function, and Questionnaire for the evaluation of TMD. ㆍResults: In questionnaire for the evaluation of TMD, 88.5% of 26 patients answered that the treatment was efficacious. 71.4% of 21 patients answered no problem in everyday life. There were significant differences between pretreatment and final follow-up in the evaluation of the subjective pain in the following sections: opening widely, chewing, resting, morning, masticatory muscle, and temporal portion(SAS program, paired T-test, P = 0.05). ㆍConclusions: Considerate counselling and proper medication could be significantly effectve in the initial treatment of TMD.

• The Journal of Korean Academic Society of Nursing Education
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• v.16 no.1
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• pp.140-149
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• 2010

Purpose: This follow up study was performed to survey the problem in performing ADLs at home after surgery. Method: Twenty elderly patients were assessed 3 times; from the time of hospitalization for surgery until 3 weeks after discharge. Measuring tools are numeric rating scales (NRS) for pain and 3 questionnaires developed by the authors to measure difficulties in ambulation, performing indoor ADLs, and emotional status. Pearson correlation, variance analysis and descriptive statistics were used to analyze the data. Result: The level of pain significantly decreased after surgery, but the difference between pain at the time of discharge and that of 3 weeks after discharge were not significant. Pain showed a positive relationship with emotional difficulties. Elderly with a higher education, family caregiver, and regular exercise showed a lower level of emotional difficulties. Conclusion: Comprehensive approaches for chronic pain including physical, psychological, and social aspects should be considered when caring for the elderly with spinal surgery. In addition, home care nursing interventions should include an exercise program to promote adaptation and rehabilitation after discharge.

• Parasites, Hosts and Diseases
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• v.37 no.4
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• pp.289-292
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• 1999

BALB/c mice infected with a high virulent strain of Trypanosoma brucei gambiense IL3707 were treated intraperitoneally (ip) with either Melarsoprol （Mel-B) or PSG(+) buffer as controls. The mice were subsequently monitored regularly for parasites by direct microscopic examination of their tail blood or buffy coat and by polymerase chain reaction (PCR). Mel-B was found to be an effective drug for treatment against T.b. gambiense because at the end of the first treatment schedule, all treated mice were negative for parasites even by PCR, while all the control animals were positive. Three of the five Mel-B treated mice, while parasitologically negative, were PCR positive between 53 and 80 days post infection (DPI), indicating that they still harbored an infection. All treated mice were subsequently negative for parasites even by PCR at 88 DPI. A combination of conventional microscopic examination and PCR offers a good prediction of cure following treatment of trypanosomosis.

• Nuclear Engineering and Technology
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• v.41 no.4
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• pp.545-548
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• 2009

Korean utility has utilized a Periodic Safety Review (PSR) that assesses the cumulative effects of plant aging, modifications, operating experience, technical developments, and site characteristics since 2000. In particular, the assessment and management of plant aging is one of the major areas in PSR. It includes identification of critical Systems, Structures, and Components (SSCs) for aging, assessment of aging effects, and implementation of aging management programs. Since the PSR system was introduced based on the atomic energy acts and related laws, PSRs of eight sets for 12 Nuclear Power Plants (NPPs) that have been operating more than 10 years have been completed. PSRs of two sets for 4 NPPs are currently being carried out. The utility has confirmed that domestic NPPs have been operated safely through these PSRs and have implemented the follow-up corrective activities to increase the nuclear safety. In this paper, the status of PSR implementation is discussed and improvement programs to conduct PSR follow-up corrective activities efficiently for NPPs are suggested based on experiences with aging assessments.

• Nuclear Engineering and Technology
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• v.33 no.6
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• pp.566-584
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• 2001

In this paper, the progressive deformation and the creep-fatigue damage for the conceptually designed reactor internals of KALIMER(Korea Advanced Liquid MEtal Reactor) are carried out by using the elastic analysis method in the RCC-MR code for normal operating conditions including the thermal load, seismic load (OBE) and dead weight. The maximum operating temperature of this reactor is 53$0^{\circ}C$ and the total service lifetime is 30 years. Thus, the time- dependent creep and stress-rupture effects become quite important in the structural design. The effects of the thermal induced membrane stress on the creep-fatigue damage are investigated with the risk of the elastic follow-up. To calculate the thermal stress, detailed thermal analyses considering conduction, convection and radiation heat transfer mechanisms are carried out with the ANSYS program. Using the results of the elastic analysis, the progressive deformation and creep-fatigue damages are calculated step by step using the RCC-MR in detail. This paper ill be a very useful guide for an actual application of the high temperature structural design of the nuclear power plant accounting for the time-dependent creep and stress-rupture effects.

• Physical Therapy Rehabilitation Science
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• v.12 no.1
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• pp.72-79
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• 2023

Objective: Despite known associations between negative body image and health declines in chronic pain patients, few studies have examined longitudinal associations between psychological stress and perceived hand deformities. This study examined whether psychological distress was associated with hand deformities 4 years later and if rural and urban adults differed in the association. Design: A community-based cohort study. Methods: Community dwelling adults (mean age=51.97, 52.3% women) in a rural (n=2968) and urban area (n=2784) provided demographic data at baseline and, in the 4-year follow-up, responded to questionnaires about psychological distress. Perceived hand deformities were assessed at the 8-year follow-up. Linear regression was conducted to examine the effects of psychological distress on hand deformities and moderation by residential areas. Results: The perceived hand deformities were more likely among those with severe psychological stress, hand osteoarthritis, or any chronic disease condition (p<0.01) but less likely among those with younger age, higher education, or income (p<0.01). The regression results showed that psychological distress predicted more perceived hand deformities 4 years later even after adjusting for demographic and health covariates (p<0.01). The residential areas did not significantly moderate the association between distress and hand deformities. Conclusions: This study suggected that psychological distress may trigger later perception of hand deformities in both urband and rural adults. The findings indicate that stress management interventions that are customizable to regional contexts may be effective at preventing negative body image related health problems of community-dewelling adults.

• Hwankyungkyoyuk
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• v.22 no.2
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• pp.23-42
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• 2009

The purpose of this study is to investigate the influences of water environmental program using PBL on pro-environmental behavior for 4th graders in elementary school. The results of this study are as follows. First, the experimental group is more effective in promoting the pro-environmental attitude compared with the control group. Second, the experimental group is more effective in promoting the pro-environmental behavior compared with the control group. Third, the experimental group is not more effective in promoting the pro-environmental knowledge compared with the control group. Fourth, students are concerned and interested in the environment and environmental problems of the daily-life. And, they presented positive attitude and active participation toward environmental preservation. So, the process of PBL using water environmental program showed that it promotes active learning participation and various action. In conclusion, the environmental education program through PBL program has a positive effect on pro-environmental attitudes and behavior of elementary school students. It is demanded that more intensive research on this study should be done, linking with teaching and learning method, as a follow-up activity.

• Journal of Engineering Education Research
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• v.17 no.4
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• pp.21-24
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• 2014

The purpose of this study is to develop the engineering students leadership program and evaluate the pilot test. To this end, literature reviews covering various leadership programs were studied and a needs analysis survey was conducted. The needs analysis survey found that student subjects believe leadership to be an important quality, but that the current availability of leadership training programs is lacking. Furthermore, results of the study are as follows, with respective results listed in descending order. The majority of students selected on-line learning as their preferred training method, followed by blended learning and in-person learning. Students also indicated their preferred instructional method to be through on-line courses. Based on these results, a preliminary pilot program was experimentally launched for only 1 class's use. This process of the development for the Engineering Leadership Program consists of 4 stages. The first stage is a needs analysis survey, followed by the design of the program based on results from the needs analysis survey. Afterwards comes the development stage, followed by the implementation stage, comprised of two parts; the pilot test and the distribution. The final stage is the overall evaluation step. We are currently in the first step of the third stage (the pilot test) and only the overall evaluation stage remains. After the distribution, a follow-up study will be conducted to analyze the effectiveness of the implemented program.