• Title/Summary/Keyword: PICUS

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Current Status of Pediatric Critical Care in Korea: Results of 2015 National Survey

  • Yoon, Jong-seo;Jhang, Won Kyoung;Choi, Yu Hyeon;Lee, Bongjin;Kim, Yoon Hee;Cho, Hwa Jin;Eun, Byung Wook;Kim, Jintae;Kim, Kyung Won;Cho, Joongbum;Shin, Hong Ju;Ryu, Jeong Min;Chung, Jae Hee;Yoo, Young;Huh, June;Park, Seong Jong;Park, June Dong;Korean Society of Pediatric Critical Care Medicine
    • Journal of Korean Medical Science
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    • v.33 no.49
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    • pp.308.1-308.10
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    • 2018
  • Background: The aim of this study was to describe the structure, organization, management, and staffing of pediatric critical care (PCC) in Korea. Methods: We directed a questionnaire survey for all Upper Grade General Hospitals (n = 43) in Korea in 2015. The first questionnaire was mainly about structure, organization, and staffing and responses were obtained from 32 hospitals. The second questionnaire was mainly about patients and management. Responses to second questionnaire were obtained from 18 hospitals. Results: Twelve from 32 Upper Grade General Hospitals had pediatric intensive care units (PICUs) and 11 of them had the PICU which was exclusive for children. Total number of PICU beds in Korea was 113. The ratio of the number of PICU beds to the number of children was 1:77,460 in Korea and this ratio is lower than that of other developed countries. The mean number of beds in the PICUs was $9.4{\pm}9.3$ (range, 2-30). There were 16 medical doctors who were assigned for PCC and only 5 of them were full time pediatric intensivists. In the 18 Upper Grade General Hospitals that responded to the second questionnaire survey, there were 97 patients in the PICUs with an average number of $5.7{\pm}7.2$ (range, 0-22) on the survey day. The mean age of the patients was $3.4{\pm}5.6$ years. The mean length of hospital stay was $82{\pm}271days$. The mean Pediatric Risk of Mortality score III was $9.4{\pm}7.8$ at the time of admission to the PICUs. Conclusion: There is a considerable shortage of PICU beds compared to those in developed countries. In addition, the proportion of PICUs with PCC specialists is much lower than those in the US and European countries.

The Health Analysis of Protected Tree 'Zelkova serrata' Using an Ultrasonic Tomograph (느티나무 보호수의 내부 단층 진단을 통한 건강 분석)

  • Kang, Banghun;Cho, Seung-Jin;Son, Jinkwan;Kim, Nam-Choon;Kim, Mi-Heui
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.17 no.2
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    • pp.73-83
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    • 2014
  • This study was conducted to evaluate defects in Zelkova serrata trees using an ultrasonic tomograph (PICUS) and suggest a management plan to maintain it as a natural and cultural resource. In previous study, health information of 16 protected trees were obtained by surveying the following categories; tree appearance, crown, bark, root exposure, water and nutrition, deterioration, pest, vitality, ground status, and pollutant. The average score of health was 16.5 in 16 trees, which means that general monitor is needed for management. In this study, the evaluation result of tree's inside defects using an ultrasonic tomograph showed that 43.8% of decay rate has been found in 16 trees. In fact, some trees look to be good even though they actually have a defects causing broken by natural disaster such as strong wind. Therefore, it is urgent to put some support to the trees and come up with a protective plan. The results of this study would be useful as basic data in developing a guideline for the efficient conservation and management of big and old trees.

A Potent Anti-diabetic Agent from Kalopanax pictus

  • Park, Hee-Juhn;Kim, Dong-Hyun;Choi, Jong-Won;Park, Jong-Hee;Han, Yong-Nam
    • Archives of Pharmacal Research
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    • v.21 no.1
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    • pp.24-29
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    • 1998
  • To search for the anti-diabetic principle from the stem bark of Kalopanax pictus, seven kinds of chemical constituents including hederagenin glycosides and phenolic glycosides wre isolated. The anti-diabetic evaluation of these isoltes in the streptozotocin-induced diabetic rats exhibited that kalopanaxsaponin A has a potent anti-diabetic activity in contrast to a mild activity of hederagenin. In addition, significant hypocholesterolemic and hypolipidemic activities of kalopanaxsaponin A and hederagenin were observed. The structure-activity relationship of kalopanaxsaponin A was also investigated in the present work.

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Nurses' Perceptions toward Parent Participation in Pediatric Intensive Care Unit: A Content Analysis (소아중환자실 부모의 돌봄참여에 대한 간호사의 인식: 내용 분석 연구)

  • Kim, Cho Hee;Chae, Sun Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.493-501
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    • 2019
  • This paper describes nurses' perceptions toward parental participation in pediatric intensive care units (PICU). Qualitative data were collected from five nurses working at two PICUs in Seoul through individual in-depth interviews. The interviews were conducted from January to February 2016 and analyzed using traditional content analysis. Five categories were found for the parent participation in PICU: needs, attributes, benefits, barriers, and facilitating strategies for parent participation in PICU. Nurses acknowledged the necessities and benefits of parent participation, particularly in PICU, considering the parents' emotional burdens due to the critical health condition of their child as well as the limited visiting policy. The major barriers were a lack of knowledge and the skills of nurses to facilitate parent participation, nurses' heavy workloads, and lack of policies and guidelines supporting parent participation within the PICUs and hospitals. The participants indicated that organizational facilitating-strategies, such as education for nurses about meaning and skills of parent participation in PICU, raising awareness for nurses as well as parents, and ensuring professional staff dedicated to promoting parent participation, to be significant factors. Further study will be needed to develop nursing interventions to integrate parent participation in PICU care.

Characteristics of Wildbirds Habitat of Artificial Green Corridor in Gangseo-gu, Seoul (서울시 강서구 조성녹지축의 야생조류 서식처 특성 연구)

  • Choi, Jin-Woo;Lee, Kyong-Jae
    • Journal of Environmental Science International
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    • v.19 no.1
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    • pp.47-59
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    • 2010
  • This study was to examine the characteristics of wirdbirds habitat for improvement plan in green corridor. The target site, Gangseo-gu artificial green corridor was set up with the structure in which small scale of core green space with Goongsan and Yeomchang neighborhood parks in urbanized city was connected with the artificial green space with Gongamnaru, Hwanggeumnae neighborhood parks with 28~42.5 m in width. Wild birds six~eleven species; Dendrocopos spp, Paradoxornis webbiana, Parus major, Phasianus colchicus, etc. were observed in core green, but wild birds of two~five species: Columba livuia, Passer montanus, Pica pica, Hypsipetes amaurotis, etc. were observed in artificial green space. Thus wild birds of artificial and generalist species only moved in artificial green space. The artificial green space where vegetation structure was consisted of single-layer with poorness chose target species laying stress on generalist species and edge species of Parus major, P. palustris, Paradoxornis webbiana etc. for short-term and interior species of Dendrocopos major, Picus canus, etc. for long-term. The result suggested enhancement methods for target species's habitat in green corridor: to secure at least a corridor 30 meters in artificial corridor, to secure ecological pond, to offer the various shelterer and environment of prey-resources through the multi-layer structure.

First Record of the Frogfishes Antennarius pictus (Antennariidae, Lophiiformes) from Korea (한국산 씬벵이과 어류 1미기록종 Antennarius pictus)

  • Kim, Byung-Yeob;Kim, Maeng-Jin;Song, Choon-Bok
    • Korean Journal of Ichthyology
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    • v.23 no.2
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    • pp.168-171
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    • 2011
  • Two specimens of Antennarius pictus, belonging to the family Antennariidae, were collected from the coastal waters of Jeju Island, Korea. They were characterized by having 7 anal fin rays, 10 pectoral fin rays, 12 dorsal fin rays, 9 caudal fin rays, and second spine of dorsal fin diminishing and curved backwards distally. Since this species has various sizes of round black spots on head, body and fins, we propose a new Korean fish name "Heuk-jum-bak-ssin-beng-i" for A. pictus.

Selecting Target Species for Urban Ecological Network Construction - Focus on Pangyo New Town - (생태네트워크 구축을 위한 목표종 선정에 관한 연구 - 판교신도시를 사례로 -)

  • Choi, Hee-Sun;Kim, Hyun-Ae;Kim, Kwi-Gon
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.11 no.5
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    • pp.12-24
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    • 2008
  • With recent emphasis on the creation of environment-friendly new towns, introduction of ecological facilities for habitation and migration of wild animal's species is requested when developing new towns. In order to introduce such facilities, building an eco-network within the site based on the connectivity of the source area and habitats is essential in new town development. Therefore, this study mainly aimed at selecting species targeted for building an eco-network in Pangyo new town, which is intended to be an environment-friendly city. Therefore, criteria for selecting target species were generated. Then, species observed within the site through field surveys and literature review was evaluated based on the selection criteria and items. By totaling the score, a list of appropriate targeted species was finalized. Among species surveyed and observed in the site, appropriate target species that may be selected for Pangyo new town's eco-network include Falco tinnunculus interstinctus, Accipiter soloensis, Picus canus, Paradoxornis webbiana, Parus palustris, Parus ater, Parus major and Passer montanus Egretta in birds, Asiatic chipmunk, Nyctereutes procyonoides in mammals. For Pangyo new town, it is essential to create living environment and build a network for major wild animal species within the site based on target species. This will play a crucial role in building a reasonable ecological network enabling harmonious co-existence between mankind and nature. In order to build an ecological network successfully, follow-up studies need to be conducted on restoration technology and methods required for creating habitats appropriate to target species.

Management Guideline and Avifauca of Odaesan area in Odaesan National Park (오대산 국립공원 오대산 지역의 야생조류상 및 관리 방안)

  • 이우신;박찬열;조기현
    • Korean Journal of Environment and Ecology
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    • v.10 no.1
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    • pp.1-13
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    • 1996
  • This study was conducted to investigate the avifauna and to suggest the management discipline for the protection of bird community in Odaesan National Park. Field survey was carried over 2 main trails by line transect method from mid June to early December in 1996. The 1st section included the area from Woljongas to Sangwonsa 7km distance. The 2nd section survey started from Sangwonsa via Bukdaesa and the summit of Odaesan to Sangwonsa 9.8 km distance. The study results were as follows ; The observed birds belonged to 9 orders 22families 52species, they also had Black Woodpecker(Dryocopus martius)designated as natural monument No. 242, Chinese Sparrow Hawk(Accipiter soloensis) and Kestrel(Falco tinnunculus) as natural munumet No. 323, Scops Owl(Out scops)and Korean Wood Owl(Strix aluco) as No. 324. These birds also were classified into 25 species for residents, 16 species for summer visitors, 8 species for passage migrants, 3 species for winter visitors, respectionely. The 2nd section showed a high species richness and individuals in every season, however, had a difference in species composition with 1st section. Nesting guild of breeding bird community used highly in order of bush, hole, and canopy as a nest resources. It is suggested that high bush-nesting guild had a deep relationship with bush layer located in the ecotone of 1st section and that located in the high elevated zone in 2nd section. Hole-nesting guild such as Black Woodpecker(Dryocopus martius), Gray-headed Woodpecker(Picus canus) and Great Spotted Woodpecker(Dendrocopos major) were surveyed only in 2nd section, so it could be attribute to the small fragmentation and the growing of high diameter at breast height(D.B.H) tree in 2nd section. It is urgent that the management of camping ground and people for the conservation of brook in 1nd section, trail protection for the prevention from trail enlargement in 2nd section for the bird protection. Artificial food in snowy winter will provide the good breeding condition with the residents and migrants. And, the endeavor to lessen the habitat fragmentation will be beneficial to the birds who have a large home range such as Black Woodpecker(Dryocopus martius) and Korean Wood Owl(Strix aluco). For the control of Domestic Dove(Columba livia) populations, it could be recommended that the elimination of their nesting resources by net.

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