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The Development of Korean Nursing Alternative (한국적 간호중재 개발 : 대체(보완)요법)

  • 신경림
    • Journal of Korean Academy of Nursing
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    • v.29 no.6
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    • pp.1403-1418
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    • 1999
  • Nursing is a discipline that helps to understand human being, to mitigate pains in life by promoting and recovering health, and to study the basic principles in sustaining and preserving life. To understand man and thus to nurse, it is essential to take the way of life of the specific person, his/her ideas, and natural environment into consideration. This means, the temperament, geography, environment and society peculiar to Korea have formed its own culture distinguished from those of other people. Thoughts and philosophy develop as a products of the specific culture and society. Therefore, accurate understanding of the concepts of nursing in the traditional thoughts and philosophy is indispensible to define Korean nursing. Modern Korean nursing at first rooted in the westernized nursing and western nursing intervention has been applied ever since its introduction in the late 19th century under the paradigm of western natural science. However, Koreans in the past made use of alternative therapy which put its emphasis on the organic and holistic view of life as well as a means for traditional medicine and nursing. This alternative therapy has been largely ignored since the introduction of western medical science, and was considered something used only by the aged or the uneducated. Moreover, Health concerned practices and customary traditional therapy have been discarded in the clinical medicine as "unscientific" or "unsystematic". As described above, it is true that Korean nursing has developed in the quantitative aspect only adhering to western nursing intervention. Now it is the time to stop to hold ourself and to look back our past. To find and develop the originality of Korean nursing to cope with the globalization, it is necessary to rediscover nursing (alternative) therapy in Korean culture ignored so far. For this purpose, this study examines the oriental philosophy to explore alternative nursing theory now under development. Also it aims to present ways to apply alternative therapy to nursing education, research and clinical practices and ultimately to show the desirable direction of the nursing to go in the future. Yangsaeng theory of Taoism and Yin-yang, Oh-hang(five elements) and khi theory in Dongeuibogam which gave enormous influences on Korean medical culture and treatment together with Sahsang(four temperaments) emphasized in Dongeuisusebowon will be examined as conceptual framework. Concepts of nursing are categorized into views on each the universe, the human being and nursing. Views on human being is classified into subcategories of body, life, health, and disease. Also it emphasizes the necessity of including alternative therapy in nursing intervention. Views on the universe is classified into yin-yang, khi, and temperament. Nursing will be available anywhere and easily accessible with this new nursing intervention. Trying to give a new thoughts to all those traditional concepts and alternative therapy, this article suggests the necessity of developing original Korean nursing theory and nursing intervention.

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Measurement of Respiratory Motion Signals for Respiratory Gating Radiation Therapy (호흡동조 방사선치료를 위한 호흡 움직임 신호 측정)

  • Chung, Jin-Beom;Chung, Won-Kyun;Kim, Yon-Lae;Lee, Jeong-Woo;Suh, Tae-Suk
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2005.04a
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    • pp.59-63
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    • 2005
  • Respiration motion causes movement of internal structures in the thorax and abdomen, making accurate delivery of radiation therapy to tumors in those areas a challenge. Accounting for such motion during treatment, therefore, has the potential to reduce margins drawn around the clinical target volume (CTV), resulting in a lower dose to normal tissues (e.g., lung and liver) and thus a lower risk of treatment induced complications. Among the techniques that explicitly account for intrafraction motion are breath-hold, respiration gating, and 4D or tumor-tracking techniques. Respiration gating methods periodically turn the beam on when the patient's respiration signal is in a certain part of the respiratory cycle (generally end-inhale or end-exhale). These techniques require acquisition of some form of respiration motion signal (infrared reflective markers, spirometry, strain gauge, thermistor, video tracking of chest outlines and fluoroscopic tracking of implanted markers are some of the techniques employed to date), which is assumed to be correlated with internal anatomy motion. In preliminary study for the respiratory gating radiation therapy, we performed to measurement of this respiration motion signal. In order to measure the respiratory motion signals of patient, respiration measurement system (RMS) was composed with three sensor (spirometer, thermistor, and belt transducer), 4 channel data acquisition system and mobile computer. For two patients, we performed to evaluation of respiratory cycle and shape with RMS. We observed under this system that respiratory cycle is generally periodic but asymmetric, with the majority of time spent. As expected, RMS traced patient's respiration each other well and be easily handled for application.

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A Proposition on Landscape Restoration of Joseon Dynasty's Palace Gardens (조선시대 궁궐정원의 원형경관 복원을 위한 제안)

  • Ahn, Gye-Bog;Lee, Won-Ho
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.32 no.3
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    • pp.10-20
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    • 2014
  • The purpose of this study is to define criteria for landscape restoration of palace gardens. The case study on Gyeongbokgung and Changdeokgung was used not only to evaluate effectiveness of the criteria, but also to propose solutions to issues of current restoration process of both palace gardens. Following three pairs of different concepts were chosen as criteria to determine on the original form: Diachrony vs. Synchrony, Originality vs. Contemporary Characteristics, and Invariance vs. Deformability. Gyeongbokgung has been restored based on its contemporary characteristics of Year 1888 and the main focus is on its architectural features rather than both architecture and landscape. However, in-depth complementary work on landscape restoration is necessary to restore its originality in Year 1395 such as analyzing photos of Gyeongbokgung taken in modern era. In case of Changdeokgung, we analyzed separately by region or landmark such as Jondeok-Pavilion(尊德亭), Yeonkyung-Hall(演慶堂), and Okryu-Stream(玉流川). Original form of Jondeok-Pavilion Area was changed in 1884. Since diachronic invariance that lasted for 240 years is more important criterion than its contemporary characteristics, it should be restored as how it was painted in Donggwoldo(東闕圖). In Yeonkyung-Hall Area, both original characteristics at the time of Hyomyung Crown Prince and contemporary characteristics of Emperor Kojong Era appear. Therefore, different solution is required for such area to be restored appropriately. Starting from era of King Injo(1636), diachrony and invariance of Okryu-Stream Area were continued throughout the era of King Sukjong and King Jeongjo(1800). It is more than 250 years before Okryu-Stream Area was altered under the rule of Emperor Kojong in 1884. In fact, alterations made to Okryu-Stream Area after 1884 doesn't hold much significance. Therefore, water landscape of Okryu-Stream Area, which was altered in the era of Emperor Kojong, needs to be restored based on Donggwoldo.

A Study on the Usefulness of Subjective Lumbar Instability Factor for Respiratory Pattern Change and Abdominal Mobility in Peoples with CLBP (만성허리통증자의 호흡 패턴과 배부 운동성 변화에 대한 주관적 허리부위 불안정성 요소의 유용성에 관한 연구)

  • Ki, Chul;Lee, Kwan-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.206-214
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    • 2020
  • This study examined the correlation between the respiratory pattern change (RPC) and abdominal mobility (AM) according to the positive result of the subjective lumbar instability factor (SLIF) in people with chronic low back pain (CLBP). Thirty-six adults with CLBP participated in this study. Twenty-eight items of the SLIFs were examined, and the subjects were divided into three groups according to the positive response numbers (PRN). After the change lists were scored, three RPC scores [costo-diaphragmatic RPC (CDRPC), breath hold change (BHC), and total RPC (TRPC)] were obtained. The abdominal mobility (AM) was measured between the maximal inspiration and exhalation at the xiphoid (AM1) and the 10th rib (AM2) level of the trunk. The results showed that the RPC score and AM were compared according to the positive response number of SLIF, and the relationship between them was analyzed. A positive correlation was observed between the SLIF positive response number and CDRPC score, BHC score, and total RPC score, and a negative correlation was observed between the SLIFs positive response number and AM1 and AM2. Based on the results of this study, the combination of SLIF positive responses can be a predictor of non-physiological respiratory pattern changes in people with CLBP. Clinically, this prediction is expected to help save time for screening and improve the efficiency of therapy.

A Financial Theory of the Demand for Insurance With Simultaneous Investment Opportunities (투자(投資)와 보험수요(保險需要)의 상관관계(相關關係)에 관한 재무경제학적(財務經濟學的) 연구(硏究))

  • Witt, Robert C.;Hong, Soon-Koo
    • The Korean Journal of Financial Management
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    • v.9 no.1
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    • pp.223-262
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    • 1992
  • This paper develops a theory of the demand for insurance. The present model incorporates insurance demand time value of insurance premium, and demand for listless and risky assets simultaneously within the expected utility framework. For a special case of CARA, an insurance decision can be made separately from other portfolio decisions. However, in general, the interactions of both decisions cannot be ignored even when insurable and speculative risks are stochastically independent. In particular, the role of risky investment in hedging insurable risk is demonstrated and it is shown that this role cannot be duplicated by an insurance contract. When the investment decision is made simultaneously with the insurance decision, some of the classic theory on insurance should be modified. As an example, the authors characterize the sufficient conditions, under which the Bernoulli criteria (without and with premium loadings) hold or are violated in terms of the net gain of risky investment, the net cost of insurance, and the stochastic relationship between insurable and speculative risks. The authors interpret the results using the Rothschild and Stiglitz's (1970) notion of 'increase in riskiness'.

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Effect of Fluidized Bed Powdered Activated Carbon Impregnated by Iron Oxide Nano-particles on Enhanced Operation and NOM Removal of MF Membrane System (산화철 나노입자 표면개질 분말활성탄 유동층에 의한 MF 막 분리 공정의 운전 및 NOM 제거 효율 향상)

  • Kim, Sung-Su;Seo, Gyu-Tae
    • Journal of Korean Society of Environmental Engineers
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    • v.33 no.5
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    • pp.332-339
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    • 2011
  • Effects of powdered activated carbon impregnated by iron oxide nano particle (Impregnated PAC) on the microfiltration (MF) membrane system performance in NOM removal from water were investigated in this study. A fluidized bed column was employed as a pretreatment of MF membrane process. The Impregnated PAC bed was stably maintained at an upflow rate of 63 m/d without leakage of the Impregnated PAC particles, which provided a contact time of 29 minutes. A magnetic ring at the upper part of the column could effectively hold the overflowing discrete particles. The Impregnated PAC column demonstrated a significant enhancement in the MF membrane performance in terms of fouling prevention and natural organic matter (NOM) removal. Trans-membrane pressure of the MF membrane increased to 41 kPa in 98 hours of operation, while it could be maintained at 12 kPa with the Impregnated PAC pretreatment. Removal of NOM determined by dissolved organic carbon and UV254 was also enhanced from 46% and 51% to 75% and 84%, respectively, by the pretreatment. It was found that the Impregnated PAC effectively removed a wide range of different molecular-sized organic compounds from size exclusion analysis.

Effects of Dietary Feed Additives on Meat Quality in Broiler Production (육계사료 내 사료첨가제가 계육의 육질에 미치는 영향)

  • Youn B. S.
    • Korean Journal of Poultry Science
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    • v.31 no.3
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    • pp.193-198
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    • 2004
  • This study was conducted for improvement of meat quality in broiler chcikens. Birds were fed basal diet(control), ferritin, illite, betafin, or wood vinegar counting broiler feed according as broiler growth stage. Birds fed with basal diet, which was distributed under the best environmental condition, were more weight gain than other groups reared under same environmental condition. In the mean weight gain, the ferritin-group showed the highest and the illite-group showed the lowest among the feed additive groups; therefore, the effect of feed requirement change in odor reduction in illite and methyl saving of betafin was lower than those of other feed additives along to pass rear time. Meat quality was appraised by National Livestock Research Institute of RDA. Except the control-group, that had the best feed conversion ratio, the cooking loss of the illite-group was the biggest among groups although the illite-group chickens had a good water hold capacity. Therefore, illite is not good for making merchandise by reason that group chickens get reduction carcass weight after slaughter. On the other hand, the ferritin-group got the highest point of shear stress, cooking loss, and crude fat level. That group showed the best appraise in both breast and leg of sensory test in company and also feed conversion ratio was the highest among feed additive groups. As a result, the ferritin-group might use for making new merchandise among the feed additive groups.

Effect of Amniotic Fluid Stem Cells and Amniotic Fluid Cells on the Wound Healing Process in a White Rat Model

  • Yang, Jung Dug;Choi, Dong Sik;Cho, Young Kyoo;Kim, Taek Kyun;Lee, Jeong Woo;Choi, Kang Young;Chung, Ho Yun;Cho, Byung Chae;Byun, Jin Suk
    • Archives of Plastic Surgery
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    • v.40 no.5
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    • pp.496-504
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    • 2013
  • Background Amniotic-fluid-derived stem cells and amniocytes have recently been determined to have wound healing effects, but their mechanism is not yet clearly understood. In this study, the effects of amniotic fluid stem cells and amniocytes on wound healing were investigated through animal experiments. Methods On the back of Sprague-Dawley rats, four circular full-thickness skin wounds 2 cm in diameter were created. The wounds were classified into the following four types: a control group using Tegaderm disc wound dressings and experimental groups using collagen discs, amniotic fluid stem cell discs, and amniocyte discs. The wounds were assessed through macroscopic histological examination and immunohistochemistry over a period of time. Results The amniotic fluid stem cell and amniocyte groups showed higher wound healing rates compared with the control group; histologically, the inflammatory cell invasion disappeared more quickly in these groups, and there was more significant angiogenesis. In particular, these groups had significant promotion of epithelial cell reproduction, collagen fiber formation, and angiogenesis during the initial 10 days of the wound healing process. The potency of transforming growth factor-${\beta}$ and fibronectin in the experimental group was much greater than that in the control group in the early stage of the wound healing process. In later stages, however, no significant difference was observed. Conclusions The amniotic fluid stem cells and amniocytes were confirmed to have accelerated the inflammatory stage to contribute to an enhanced cure rate and shortened wound healing period. Therefore, they hold promise as wound treatment agents.

Numerical Analysis of Vortex Induced Vibration of Circular Cylinder in Lock-in Regime (Lock-in 영역에서 원형실린더의 와류유기진동 전산해석)

  • Lee, Sungsu;Hwang, Kyu-Kwan;Son, Hyun-A;Jung, Dong-Ho
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.29 no.1
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    • pp.9-18
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    • 2016
  • The slender structures such as high rise building or marine riser are highly susceptible to dynamic force exerted by fluid-structure interactions among which vortex-induced vibration(VIV) is the main cause of dynamic unstability of the structural system. If VIV occurs in natural frequency regime of the structure, fatigue failure likely happens by so-called lock-in phenomenon. This study presents the numerical analysis of dynamic behavior of both structure and fluid in the lock-in regimes and investigates the subjacent phenomena to hold the resonance frequency in spite of the change of flow condition. Unsteady and laminar flow was considered for a two-dimensional circular cylinder which was assumed to move freely in 1 degree of freedom in the direction orthogonal to the uniform inflow. Fluid-structure interaction was implemented by solving both unsteady flow and dynamic motion of the structure sequentially in each time step where the fluid domain was remeshed considering the movement of the body. The results show reasonable agreements with previous studies and reveal characteristic features of the lock-in phenomena. Not only the lift force but also drag force are drastically increasing during the lock-in regime, the vertical displacement of the cylinder reaches up to 20% of the diameter of the cylinder. The correlation analysis between lift and vertical displacement clearly show the dramatic change of the phase difference from in-phase to out-of-phase when the cylinder experiences lock-in. From the results, it can be postulated that the change of phase difference and flow condition is responsible for the resonating behavior of the structure during lock-in.

Investigation of the changes in texture of soybean sprout depending on the heating conditions in sous-vide and conventional hot water cooking (Sous-vide가열과 열탕가열 조건에 따른 콩나물 머리와 줄기의 조직감 변화에 관한 연구)

  • Lee, Yun Ju;Jung, Hwabin;Yoon, Won Byong
    • Journal of Applied Biological Chemistry
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    • v.61 no.3
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    • pp.219-226
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    • 2018
  • The purpose of this study was to investigate the effect of thermal treatments, such as a sous-vide and a conventional hot water cooking, on the texture changes of soybean sprout. A novel method to measure texture properties of soybean sprout have been determined because of the irregular geometry of soybean sprout. The shape of cotyledon of bean spout was accurately analyzed using an image processing and a geometry model. To minimize the effect of the contact area on the texture measurement, a blade type of probe was selected for the measurement. True stress was evaluated to reflect the shape changes during deformation, and demonstrated that the measurement accurately distinguished the effect of thermal treatment on the texture. Different heating time (i.e., 0, 10, 20, and 30 min) was applied for both sous-vide and conventional cooking. Thermal processing caused hardening of textures for both cotyledon and hypocotyl of soybean sprout. The conventional cooking method showed higher stress values than those of sous-vide cooking. Sprouts cooked by sous-vide released the moisture after thermal processing while sprout cooked by a conventional water bath method could hold the moisture content during thermal processing. The soybean sprouts treated by conventional cooking method showed a higher score in sensory evaluation.