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Cost Analysis of Using a Closed-System Transfer Device (CSTD) for Antineoplastic Drug preparation in a Malaysian Government-Funded Hospital

  • Chan, Huan Keat;Lim, Yik Ming
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.4951-4957
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    • 2016
  • Background: Apart from reducing occupational exposure to cytotoxic hazards, the PhaSeal(R) closed-system transfer device (CSTD) can extend the beyond-use dates (BUDs) of unfinished vials of antineoplastic drugs for up to 168 hours (seven days). In this study, the total material cost incurred by its use in a Malaysian government-funded hospital was calculated. Methods: A list of vial stability following initial needle punctures of 29 commonly-used antineoplastic drugs was compiled. The amount of the materials used, including drugs, infusion bottles, the PhaSeal(R) CSTD and other consumables, was recorded on a daily basis for three months in 2015. The total cost was calculated based on the actual acquisition costs, and was compared with that of a hypothetical scenario, whereby conventional syringe-needle sets were used for the same amounts of preparations. Results: The use of the PhaSeal(R) CSTD incurred a cost of MYR 383,634.52 (USD 92,072.28) in three months, representing an average of MYR 170.5 (USD 40.92) per preparation or an estimated annual cost of MYR 1,534,538.08 (USD 368,289.14). Compared with conventional syringe-needle approach, it is estimated to lead to an additional spending of MYR 148,627.68 (USD 35,670.64) yearly. Conclusion: Although there was a reduction of drug wastage achieved by extending BUDs of unfinished vials using the PhaSeal(R) CSTD, cost saving was not observed, likely attributable to the wide use of lower-priced generic drugs in Malaysia. Future studies should further evaluate the possibility of cost saving, especially in health settings where branded and high-cost antineoplastic drugs are more commonly used.

Recommended immunization schedule for children and adolescents: Immunization Guideline (8th edition) released by the Korean Pediatric Society in 2015

  • Kim, Jong-Hyun;Choi, Eun Hwa;Park, Su Eun;Kim, Yae-Jean;Jo, Dae Sun;Kim, Yun-Kyung;Eun, ByungWook;Lee, Jina;Lee, Soo-Young;Lee, Hyunju;Kim, Ki Hwan;Kim, Kyung-Hyo
    • Clinical and Experimental Pediatrics
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    • v.59 no.12
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    • pp.461-465
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    • 2016
  • This report includes the recommended immunization schedule table for children and adolescents based on the 8th (2015) and revised 7th (2012) Immunization Guidelines released by the Committee on Infectious Diseases of the Korean Pediatric Society (KPS). Notable revised recommendations include: reorganization of the immunization table with a list of vaccines on the vertical axis and the corresponding age on the horizontal axis; reflecting the inclusion of Haemophilus influenzae type b vaccine, pneumococcal conjugate vaccine, and hepatitis A vaccine into the National Immunization Program since 2012; addition of general recommendations for 2 new Japanese encephalitis (JE) vaccines and their interchangeability with existing JE vaccines; addition of general recommendations for quadrivalent meningococcal conjugate vaccines and scope of the recommended targets for vaccination; and emphasizing catch-up immunization of Tdap vaccine. Detailed recommendations for each vaccine may be obtained from the full KPS 8th Immunization Guidelines.

A SD approach to the ecosystems of Korean venture business

  • Lee, Myoung-Ho;Hoon Huh
    • Proceedings of the Korea Society for Simulation Conference
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    • 2001.10a
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    • pp.50-59
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    • 2001
  • Since 1998, government-led Korean venture business boom now proceeds into the stage of market-oriented venture business growth. At such a moment, this research is to clarify the relations between the Critical Success Factors of Korean venture businesses, based on domestic and foreign literature surveys and inquiry surveys over domestic venture capitalists. This research starts from the necessity to overcome the limits of the existing researches by uni-dimensional Korean venture businesses and to manifest the multi-dimensional relations between the success factors from the various viewpoints. And this research adopts System-Dynamics methodology to manifest and utilize relations among those factors, avoiding the existing metrical approaches. This research can be called a new approach to the current ecosystems of Korean venture in which whether venture businesses in Korea succeed is considered to depend on the list on the stock market. For this, this research implemented verification analysis through the simulations of each factor at various levels to build causality map which clarifies the causality of success factors of venture businesses through the System-Dynamics methodology and to utilize it as a way of support to decision-making of venture businesses. This research will be able to suggest the reactions depending on various internal and external situations. This research tried to manifest the causality map of each factor on the basis of inquiry surveys and literature surveys to clarify Feedback among each factor by the SD methodology and simulate it. This research will be a basis to establish the chance to bolster up the still fragile probing research into success factors of substructure of venture businesses through the suggestion of possibility as an efficient analysis framework via the verification of SD methodology and the utilization of results of this research.

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Nurse의s Perception in the Homecare Needs of Cancer Patient (간호사가 지각한 암환자의 퇴원후 가정간호요구)

  • Kwon, In-Soo;Eun, Young
    • Journal of Korean Academy of Nursing
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    • v.28 no.3
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    • pp.602-615
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    • 1998
  • The purpose of this descriptive study was to identify the homecare needs of the discharged patient with cancer as perceived by nurses caring hospitalized cancer patients. At two hospitals in Gyeongnam, 74 nurses responded to an open-ended questionnaire consisting of four need categories : 1) educational & informational need, 2) physical need, 3) emotional need, 4) social need. Respondents were asked to list above ten needs of cancer patient in each category. Two researchers analyzed the data by content analysis method. The findings are summarized as follows : 1) A total of 1,417 need items were generated by nurses. The largest number of needs were in the educational & informational need category(475 items, 36.3%). Physical(414 items, 31.6%), emotional (237 items, 18.1%) need were the second, third largest, and social(184 items, 14.0%) need made up the smallest category. 2) In the educational & informational need category, there were seven subcategories of prognosis, diet & exercise, medication & pain, wound care, folk remedy, personal hygiene, comfort. The need items related to prognosis of cancer accounted for almost a half(48.2%) of the total. 3) In the physical need category, there were ten subcategories of personal hygiene, skin & tissue, nutrition, side effect on treatment, exercise, pain, elimination, equipment, comfort & safety, others. The largest number of needs were in subcategory of the personal hygiene(82 items, 19.8%). 4) In the emotional need category, there were four subcategories of emotional support related to disease, emotional support related to routine life, spiritual support, maintenance of relationship with nurse & doctor. The largest number of needs were in subcatgory of the emotional support related to disease(96 items, 40.5%). 5) In the social need category, there were five subcategories of support for social life, household management, legal support, the use of volunteer service, financial support. The largest number of needs were in support for social life subcategory(58 items, 31.5%).

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Effect of Moxibustion at the Meridian Points in Experimentally Induced Anemic Rat (경혈(經穴)의 애구생체반응(艾灸生體反應)이 실혈성빈혈(失血性貧血)에 미치는 영향(影響))

  • Lee, Eun-Hong;Park, In-Kyu;Lim, Jong-kook;Kim, Jin-Taek
    • The Journal of Dong Guk Oriental Medicine
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    • v.1
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    • pp.131-139
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    • 1992
  • In order to observe the effects of moxibustion on anemic condition as a acute loss of blood, white rats were induced loss of blood by cadiac puncture. And then morphologically variation of The Bone Marrow was observed the following points of each rat were used ; Shinsu($B_{23}$ or $VII_{23}$), Hyeon jong($GB_{39}$ or $XI_{39}$), and complex of Shinsu($B_{23}$ or $VII_{23}$) and Hyeon Jong($GB_{39}$ or $XI_{39}$) Comparing these above methods with the control group the results were as follow : 1. Moxibustion in Shinsu have an influence on activation of Normoblast and do for hematosis function of bone marrow 2. Formation ablity of R B C(Red Blood Cell) turn up order a list of Moxibustion in Shinsu($B_{23}$ or $VII_{23}$), Moxibustion in conplex of Shinsu($B_{23}$ or $VII_{23}$) and Hyeon Jong($GB_{39}$ or $XI_{39}$), moxibustion in Hyeon Jong($GB_{39}$ or $XI_{39}$) 3. Moxibustion in complex of Shinsu($B_{23}$ or $VII_{23}$) and Hyeon Jong($GB_{39}$ or $XI_{39}$) moderately increase Megakaryocyte

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The Present and Effects of Korean Social Work Ethic Education - Focused on Ethical Sensitivity - (사회복지윤리교육의 현황 및 효과에 관한 연구 - 윤리적민감성을 중심으로 -)

  • Choi, Myung-Min
    • Korean Journal of Social Welfare
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    • v.61 no.4
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    • pp.381-402
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    • 2009
  • This Study explores and describes the present status and effects of Korean social work ethic course , reflecting increasing concerns about social worker's ethics. Using the member list of the Council of Korean Social Welfare Education, this study first examines the extent to which the ethic course is established and how the course is managed. Then, for the purpose of investigating the practical effects of the enrollment in the ethic course, using the test scores designed to measure the students' sensitivity to ethical issues, this study compared test scores between students who attended the course and those who did not. This study also compared pre-post test scores of students who attended the course. The results show that enrollment in the course contributes to significant changes in the students' ethical sensitivities, in spite of social work education system that does not very yet empathize the ethics curriculum very strongly. Further, enrollment in the ethic course is proved to be a more powerful factor to ethical sensitivity than any other demographic or education related factors. These findings suggest a stronger emphasis abd serious consideration of the course, as well as more efforts to bring up professionals and invest in research in the field of social work ethic education.

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A Comparative Study on Method of Nurturing During Infancy Between Mothers With and Without Occupation (직업모성과 비직업모성의 영유아 양육법에 관한 비교연구)

  • 김소인
    • Journal of Korean Academy of Nursing
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    • v.4 no.1
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    • pp.50-63
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    • 1974
  • Health at infancy and early childhood is considered an important factor for healthy life thereafter. Concept of nursing is inclusive not only of physical care but also psycho-social aspect in order to help achieve maximum state of wellness. Statistical studies reveal concept and structure of family and home tends to change towards nuclear type, ratio of female occupancy tends to increase. These tendencies will influence the method of infants and children. Purpose of this study is to investigate the characteristics of mothers and their children with and without occupation, method of nurturing and analyse data according to various variables, in arnder to give data for care for infants and children. During the period of June 12 though July 22, 1973, 98 mothers and their 224 children; 53 mothers with occupation with 110 children and 45 mothers without occupation with 114 children were Interviewed indirectly through check list. Results of the studies are as follows: 1. Hypothesis 1 ; Tendencies of finger sucking will be greater in children of occupant mothers due to lack of maternal love. Through chi-square examination significant difference is revealed by P>0.05 level, therefore Hypothesis 1 is rejected. (X²=0.24) 3. Hypothesis 2; of occupant mothers tend to have had wanted number of children through family planning. Ratio of wanted versus unwanted children were tested and significant difference is revealed by P<0.05 1eve1. Hypothesis 2 is supported. (X²=8.398). 3. Hypothesis 3: Non-occupant mothers tend to cuddle more while feeding infants. Significant difference Is revealed through Chi-square test by P〈0.05 level. Hypothesis 3 is rejected. (X²=4.34) Conclusion and recommendations: Occupant mothers' higher degree of interest and consideration compared to that of non-occupant mothers in regard to nurturing of their children have been ascertained by this study. These results fight have come up due to the differences of socioeconomic and cultural status of respondents. Further studies on each variable between mothers with and without occupation with similar socio-economic and cultural background are recommended.

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Dynamic Channel Allocation and Channel Access Mechanism of Multimedia Traffic in the UTRA TDD Systems (UTRA TDD 시스템에서 멀티미디어 트래픽의 동적 채널 할당 및 채널 액세스 매커니즘)

  • 주용원;윤찬영;오영환
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.27 no.8C
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    • pp.819-827
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    • 2002
  • Personal mobile communication has been developed up to IMT-2000 which is called the third generation mobile communication. The first generation of personal mobile communication was analog cellular, the second was digital cellular, and the 2.5 generation was PCS. Before the third generation had been developed, the personal mobile communication service was focused mainly on the voice-oriented service. But, we can expect that multimedia service after the third generation system will be the core of the subject. T In this thesis, we propose a dynamic resource allocation algorithm in the UTRA TDD systems which can support the asymmetric traffic propensity and multimedia traffic. The proposed algorithm consists two sub-algorithms. One is the dynamic channel allocation method that determines the amount of bandwidth assigned between uplink and downlink according to resource allocation status list through asymmetric traffic propensity. The other is the channel access mechanism that assigns RU to bearer service generated in a cell. By simulation, the proposed dynamic resource allocation algorithm is proved to support asymmetric propensity of traffic and shows a better throughput for multimedia traffic.

A Study on Development for Construction Management System of Private Infrastructure Project (SOC민간투자사업의 CM 운영체계 개발에 관한 연구)

  • Park Young-Min;Kim Soo-Yong;Kim Dae-Young;Cho Hun-Hee
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2004.11a
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    • pp.404-407
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    • 2004
  • This Research suggested direction of development and analyzed necessity and given condition of CM(Construction Management) operation system of SOC private infrastructure project which is judged to grow up continuously from now on, Direction of development which is suggested in this research is largely there, (1)development of SOC private infrastructure project CM work standard process guide, (2)development of SOC Private Investment project feasibility study Performance standard, (3)checklist of SOC by stages and functionally private investment projects risk. Through this development, later we judge effect not only supply of a model case to artivate CM system but heightening of efficiency in domestic construction industry.

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Policy Importance and Satisfaction in Promoting Forest Education for Adults in Daegu Metropolitan City (성인대상의 산림교육 활성화를 위한 정책 중요도와 만족도 분석 연구 - 대구광역시를 사례로 -)

  • Ryu, Yeon Su
    • Journal of Environmental Science International
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    • v.29 no.6
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    • pp.613-622
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    • 2020
  • The purpose of this study is to evaluate the importance of policy for the promotion of forest education and establish a basis that can be applied to it, which considers citizens' opinions on forest education. According to the importance analysis of forest education policy, program development topped the list with 0.368 points, followed by the application of forest education experts, which scored 0.262 points. Cooperation as well as the supplementing and improvement of facilities yielded 0.238 and 0.132 points, respectively. Concerning the attention and recognition of forest education, only 8% of the respondents had low attention and 19% low or very low recognition; 75% said forest education was very important. Regarding program satisfaction, 76.5% were satisfied with the profitability of content and 77% agreed with the purpose consistency. In terms of the appropriateness of forest education, 79.2% and 81% were content with the period and method, respectively. Finally, 82.7% were satisfied with the participation program. This study aims to share basic data and promotion plans derived from the analysis of policy importance and satisfaction with forest education focused on adults. Domestic forest education is still in the early stages, led by Korea Forest Service. In the long term, local governments must participate in forest education policy positively despite limited budgets and human resources. The results of this study can be utilized as data for forest education promotion plans. If the case studies of other local governments and preference analysis by age group are followed up, they will help ensure that forest education evolves through cooperation with people and organizations in the relevant zone.