• Title/Summary/Keyword: Quality of coverage

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An Analysis of the Home Economics Education Discipline Items in the Teacher Recruitment Examination for Secondary School (중등교사 신규임용 후보자 선정 경쟁시험 가정과 교과교육학 출제 문항 분석)

  • Kim, Sung-Sook;Chae, Jung-Hyun
    • Journal of Korean Home Economics Education Association
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    • v.19 no.3
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    • pp.149-168
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    • 2007
  • The purpose of this study was to analyze the home economics education items in the teacher recruitment examination for secondary school. To achieve the purpose, all the home economics education items, which were carried out for seven times from the school year 2001 to the most recent year 2007, were compared and analyzed. The form of items was analyzed by frequency and rate. Behavioral domain of items was analyzed by content analysis. In this study, some recommendations were suggested for the quality of home economics education items through discussion of science education and society education items, which were abstracted from the school year 2001 to the most recent year 2007. The results of this study were as follows. First, the score ratio of home economics education items was fluid as 20-30% from the school year 2001 to 2004 but it fixed as 30-35% since the school year 2005. In subcategory of home economics education, curriculum items accounted for highest ratio(43%). In the next thing, items of teaching-learning method(35%), evaluation(19%) and philosophy(3%) related to home economics education were followed in order. Second, the form of home economics education items was coexistent form of single item and subordinate item from the school year 2001 to 2004. But it was changed into form of single item by 100% since the school year 2005. Third, regarding the content of home economics education items, most of the curriculum items were related to the content of the 7th National Curriculum. Teaching-learning method items were taken mostly from model of teaching-learning. Evaluation items were taken mostly from performance assessment. Philosophy items related to home economics education were taken only from Habermas's three systems of action on the school year 2005. Fourth, about behavioral domain of home economics education items, most of the curriculum items were level of 'simple knowledge or memory'. Therefore, it was suggested that behavioral domain of curriculum items had to be changed into 'complex knowledge or comprehension and application'. The behavioral domain of teaching-learning method items and education evaluation items was mostly 'complex knowledge or comprehension and application'. However, to bettering the items it was suggested that the behavioral domain of them has to be changed 'comprehension' into more 'application'. Fifth, regarding the coverage of home economics education items, curriculum items were limited only superficial content of the 7th National Curriculum. Therefore, it was suggested that coverage of curriculum items had to be extended to theoretical content, which was philosophical background and various principles of curriculum. It was suggested that coverage of teaching-learning method items had to be extended to the content including various teaching-learning theories and the practical reasoning home economics instruction proved effective as home economics instruction recently. Evaluation items were taken mostly from performance assessment. Therefore, it was suggested that coverage of evaluation items had to be extended to analysis of evaluation result, item validity and reliability, and evaluator's philosophical perspective.

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The Effect of Partially Used High Energy Photon on Intensity-modulated Radiation Therapy Plan for Head and Neck Cancer (두경부암 세기변조방사선치료 계획 시 부분적 고에너지 광자선 사용에 따른 치료계획 평가)

  • Chang, Nam Joon;Seok, Jin Yong;Won, Hui Su;Hong, Joo Wan;Choi, Ji Hun;Park, Jin Hong
    • The Journal of Korean Society for Radiation Therapy
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    • v.25 no.1
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    • pp.1-8
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    • 2013
  • Purpose: A selection of proper energy in treatment planning is very important because of having different dose distribution in body as photon energy. In generally, the low energy photon has been used in intensity-modulated radiation therapy (IMRT) for head and neck (H&N) cancer. The aim of this study was to evaluate the effect of partially used high energy photon at posterior oblique fields on IMRT plan for H&N cancer. Materials and Methods: The study was carried out on 10 patients (nasopharyngeal cancer 5, tonsilar cancer 5) treated with IMRT in Seoul National University Bundang Hospital. CT images were acquired 3 mm of thickness in the same condition and the treatment plan was performed by Eclipse (Ver.7.1, Varian, Palo Alto, USA). Two plans were generated under same planing objectives, dose volume constraints, and eight fields setting: (1) The low energy plan (LEP) created using 6 MV beam alone, (2) the partially used high energy plan (PHEP) created partially using 15 MV beam at two posterior oblique fields with deeper penetration depths, while 6 MV beam was used at the rest of fields. The plans for LEP and PHEP were compared in terms of coverage, conformity index (CI) and homogeneity index (HI) for planning target volume (PTV). For organs at risk (OARs), $D_{mean}$ and $D_{50%}$ were analyzed on both parotid glands and $D_{max}$, $D_{1%}$ for spinal cord were analyzed. Integral dose (ID) and total monitor unit (MU) were compared as addition parameters. For the comparing dose to normal tissue of posterior neck, the posterior-normal tissue volume (P-NTV) was set on the patients respectively. The $D_{mean}$, $V_{20Gy}$ and $V_{25Gy}$ for P-NTV were evaluated by using dose volume histogram (DVH). Results: The dose distributions were similar with regard to coverage, CI and HI for PTV between the LEP and PHEP. No evident difference was observed in the spinal cord. However, the $D_{mean}$, $D_{50%}$ for both parotid gland were slightly reduced by 0.6%, 0.7% in PHEP. The ID was reduced by 1.1% in PHEP, and total MU for PHEP was 1.8% lower than that for LEP. In the P-NTV, the $D_{mean}$, $V_{20Gy}$ and $V_{25Gy}$ of the PHEP were 1.6%, 1.8% and 2.9% lower than those of LEP. Conclusion: Dose to some OARs and a normal tissue, total monitor unit were reduced in IMRT plan with partially used high energy photon. Although these reduction are unclear how have a clinical benefit to patient, application of the partially used high energy photon could improve the overall plan quality of IMRT for head and neck cancer.

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Spinal Cord Partial Block Technique Using Dynamic MLC

  • Cho, Sam-Ju;Yi, Byong-Yong;Back, Geum-Mun;Lee, Sang wook;Ahn, Seung-Do;Kim, Jong-Hoon;Kwon, Soo-Il;Park, Eun-Kyung
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.138-140
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    • 2002
  • The spinal cord dose is the one of the limiting factor for the radiation treatment of the head & neck (H&N) or the thorax region. Due to the fact that the cord is the elongated shaped structure, it is not an easy task to maintain the cord dose within the clinically acceptable dose range. To overcome this problem, the spinal cord partial block technique (PBT) with the dynamic Multi-Leaf Collimator (dMLC) has been developed. Three dimension (3D) conformal beam directions, which minimize the coverage of the normal organs such as the lung and the parotid gland, were chosen. The PBT field shape for each field was designed to shield the spinal cord with the dMLC. The transmission factors were determined by the forward calculation method. The plan comparisons between the conventional 3D conformal therapy plan and the PTB plan were performed to evaluate the validity of this technique. The conformity index (CI) and the dose volume histogram (DVH) were used as the plan comparison indices. A series of quality assurance (QA) was performed to guarantee the reliable treatment. The QA consisted of the film dosimetry for the verification of the dose distribution and the point measurements. The PBT plan always generated better results than the conventional 3D conformal plan. The PBT was proved to be useful for the H&N and thorax region.

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Remote Cardiac Rehabilitation With Wearable Devices

  • Atsuko Nakayama;Noriko Ishii;Mami Mantani;Kazumi Samukawa;Rieko Tsuneta;Megumi Marukawa;Kayoko Ohno;Azusa Yoshida;Emiko Hasegawa;Junko Sakamoto;Kentaro Hori;Shinya Takahashi;Kaoruko Komuro;Takashi Hiruma;Ryo Abe;Togo Norimatsu;Mai Shimbo;Miyu Tajima;Mika Nagasaki;Takuya Kawahara;Mamoru Nanasato;Toshimi Ikemage;Mitsuaki Isobe
    • Korean Circulation Journal
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    • v.53 no.11
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    • pp.727-743
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    • 2023
  • Although cardiac rehabilitation (CR) has been shown to improve exercise tolerance and prognosis in patients with cardiovascular diseases, there remains low participation in outpatient CR. This may be attributed to the patients' busy schedules and difficulty in visiting the hospital due to distance, cost, avoidance of exercise, and severity of coronary disease. To overcome these challenges, many countries are exploring the possibility of remote CR. Specifically, there is increasing attention on the development of remote CR devices, which allow transmission of vital information to the hospital via a remote CR application linked to a wearable device for telemonitoring by dedicated hospital staff. In addition, remote CR programs can support return to work after hospitalization. Previous studies have demonstrated the effects of remote CR on exercise tolerance. However, the preventive effects of remote CR on cardiac events and mortality remain controversial. Thus, safe and effective remote CR requires exercise risk stratification for each patient, telenursing by skilled staff, and multidisciplinary interventions. Therefore, quality assurance of telenursing and multi-disciplinary interventions will be essential for remote CR. Remote CR may become an important part of cardiac management in the future. However, issues such as cost-effectiveness and insurance coverage still persist.

Design and Development of a Single-photon Laser and Infrared Common Aperture Optical System

  • Wu, Hongbo;Zhang, Xin;Tan, Shuanglong;Liu, Mingxin;Wang, Lingjie;Yan, Lei;Liu, Yang;Shi, Guangwei
    • Current Optics and Photonics
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    • v.6 no.2
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    • pp.171-182
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    • 2022
  • A single-photon laser and mid-wave infrared (MWIR) common aperture optical system was designed and developed to detect and range a long-distance civil aviation aircraft. The secondary mirror of the Ritchey-Chretien (R-C) optical system was chosen as a dichroic lens to realize the design of a common aperture system for the laser and MWIR. Point spread function (PSF) ellipticity was introduced to evaluate the coupling efficiency of the laser receiving system. A small aperture stop and narrow filter were set in the secondary image plane and an afocal light path of the laser system, respectively, and the stray light suppression ability of the small aperture stop was verified by modeling and simulation. With high-precision manufacturing technology by single point diamond turning (SPDT) and a high-efficiency dichroic coating, the laser/MWIR common aperture optical system with a 𝜑300 mm aluminum alloy mirror obtained images of buildings at a distance of 5 km with great quality. A civil aviation aircraft detection experiment was conducted. The results show that the common aperture system could detect and track long-distance civil aviation aircraft effectively, and the coverage was more than 450 km (signal-to-noise ratio = 6.3). It satisfied the application requirements for earlier warning and ranging of long-range targets in the area of aviation, aerospace and ground detection systems.

Purification and Identification of a Natural Antioxidant Protein from Fertilized Eggs

  • Yang, Shaohua;Wang, Lulu;Wang, Ying;Ou, Xiaoqian;Shi, Zhaoyuan;Lu, Chongchong;Wang, Wei;Liu, Guoqing
    • Food Science of Animal Resources
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    • v.37 no.5
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    • pp.764-772
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    • 2017
  • Fertilized hen eggs are rich in a variety of bioactive ingredients. In this study, we aimed to obtain an antioxidant protein from fertilized eggs and the radical scavenging abilities on 1, 1-diphenyl-2-picrylhydrazyl (DPPH), hydroxyl radical (${\bullet}OH$), superoxide anion ($O^{2-}{\bullet}$) were used to evaluate the antioxidant activity of the purified protein. During 20 d of incubation, the radical scavenging ability of protein extracted from fertilized eggs exhibited significantly differences and the protein on day 16 showed higher antioxidant capacity. Based on this, the antioxidant protein of the samples on day 16 were isolated for the follow-up study. With a molecular weight 43.22 kDa, the antioxidant protein was purified by Diethylaminoethyl cellulose -52 (DEAE-52) column and Sephadex G-100. The LC-MS analysis showed that the purified protein molecular weight was 43.22 kDa, named D2-S. The sequence of amino acids was highly similar to ovalbumin and the coverage reached to 84%. The purified protein showed a radical scavenging rate of $52.34{\pm}3.27%$ on DPPH and $63.49{\pm}0.25%$ on ${\bullet}OH$, respectively. Furthermore, the C-terminal amino acid sequence was NAVLFFGRCVSP, which was consistent with the sequence of ovabumin. These results here indicated that purified protein may be a potential resource as a natural antioxidant.

Studies on the Phosphatic fertilizer Application Grassland I. Effect of phosphatic fertilizer at the establishment and management of grassland on the yield and energy value of grasses (초지에 대한 인산질비료의 시용에 관한 연구 I. 초지조성 및 관리시에 인산질비료의 시용이 목초의 수량 및 에너지축적에 미치는 영향)

  • 박근제;이필상;최기준
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.13 no.2
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    • pp.99-104
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    • 1993
  • With a purpose of finding out the effects of phosphatic fertilizer application at the grassland establishment and management on the dry matter yield and quality of grasses, a field experiment was arranged with four treatments as a randomized complcte block design and lasted from September, 19 89 to October, 1991 in hilly area near Suwon. The results obtained are summarized as follows: 1. As a early plant growth. winter hardiness. growth vigour and coverage of grasses of the plots with phosphatic fertilizer were better than those of the plots without $P_2O_5$. and the effect of application at the management was much better than that at the establishment of grassland. 2. The effect of phosphatic fertilizer on DM yield of legume was higher than of grass. Total DM yield with phosphatic fertilizer at the only establishment (5.688 kg/ha). at the only management (8.014 kg/ha) and at both the establishment and management of grassland (1 1,082 kg/ha) was much more increased by 38, 95 and 169% than that without phosphatic fertilizer (4.1 19 kg/ha), respectively. 3. The chemical component of crude protein and crude fat with phosphatic fertilizer was a little higher, on the other hand, content of NFE was lower than that without $P_2O_5$ fertilization, but the contents of crude fiber and crude ash did not tend to differentiate between treatments. 4. Production of encrgy(TDN, StE and NEL) with phosphatic fertilization at the establishment and the management of grassland was appeared to increase by 34 to 390h and 72 to 99% than that without $P_2O_5$, respectively. Production of curde protein with $P_2O_5$ tended to be similar to production of energy.

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Analysis of price variance of raw herbal medicines in Korea (한약재의 연도·산지·업체별 가격변동 분석 연구)

  • Kim, Dongsu;Lim, Byungmook;Hyun, Eunhye;Lee, Eunkyung
    • Journal of Society of Preventive Korean Medicine
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    • v.23 no.2
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    • pp.43-51
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    • 2019
  • Objectives : This study aimed to analyze price variance by year, region and company of raw herbal medicines to draw payment system for herbal medicine insurances in the National Health Insurance. Methods : To analyse price variance, we used 2015-2017 data of 'Quality test results of imported herbal medicines' provided by Korea Pharmaceutical Traders Association and 'Price data of 56 raw herbal medicines' that was surveyed by the Association of Korean Medicine. We analysed gap of highest price and lowest price those were compared with average price and coefficient of variation(CV) of prices by year, region and company of raw herbal medicines. Results : In analysing 3 years data, the highest price was 23.2% higher, and the lowest price was 19.1% lower than the average price. As of 2018, the average price of domestic produced herbal medicines was 1,8 times higher than that of imported herbal medicines. By companies, the highest price was 117.5% higher, and the lowest price was 57.3% lower than the average price. Conclusions : The price of herbal medicines varied by production year, region and company. This results suggest that comprehensive payment model needs to be considered in modeling the health insurance coverage for herbal medicine decoctions.

Analysis on Residents Behavior and Determinants of Satisfaction to the Exterior Space in High-rise Apartment complex. (도시 고층아파트단지 주거민의 외부공간 이용행태 및 만족요인 분석)

  • 이현택;이철희
    • Journal of the Korean Institute of Landscape Architecture
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    • v.18 no.2
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    • pp.79-93
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    • 1990
  • The purpose of this study is to establish better residential environment in APT. complex. In this study, the actual conditions of exterior space, user behavior and degree of satisfaction are investigated and analyzed on the 5 high-rise story APT complex in Taegu city. The results of this study were as follow ; The size and arrangement of organizational elemnnt to exterior space in APT. complex have been regulated by law and regulations as the buildings coverage and floor space index, but housinghold and accessibility to the racility will be simultaneously considered to raise Quality of the residential environoment. The main user behavior to exterior space in APT. complex was practical activity and the user behavior pattern by week and among APT. complex were found similiarly. In the ratio of use to exterior space in APT. Complex, that of high-rise residents were lower than that of lowrise residents. In the degree of satisfaction by property of variables to exterior environment In APT. comples, physical of buildings, social - psychologic, managerial economical, physical property of exterior space were estimated positively, but properly of facility were estimated negatively. The degee of satisfaction to exterior environment in APT. complex was highly Influenced by green space, site size. As a result of ractor analysis, the four factors were drawn out from exterior environment in APT. complex. and the factors that have an effect on the degree of residents' satisfaction by factorscore were found in the order of importance as fallow ; managemental, physical, environmental, organizalional factor. Therefore, devilopment of APT. complex should be considered in a view of environmental psychology according to physical organization for used in the future. It is recommended that this problems should be necessitated to be more deeply studies in the future.

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Wound healing effects of paste type acellular dermal matrix subcutaneous injection

  • Lee, Jin Ho;Kim, Jae-Won;Lee, Jun-Ho;Chung, Kyu Jin;Kim, Tae Gon;Kim, Yong-Ha;Kim, Keuk-Jun
    • Archives of Plastic Surgery
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    • v.45 no.6
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    • pp.504-511
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    • 2018
  • Background Acellular dermal matrix (ADM) helps wound healing by stimulating angiogenesis, acting as a chemoattractant for endothelial cells, providing growth factors, and permitting a substrate for fibroblasts to attach. The current standard for using paste-type ADM (CG Paste) in wound healing is direct application over the wounds. The major concerns regarding this method are unpredictable separation from the wounds and absorption into negative-pressure wound therapy devices. This study aimed to investigate the effects of subcutaneous injection of paste-type ADM on wound healing in rats. Methods Full-thickness skin defects were created on the dorsal skin of rats. Eighteen rats were randomly divided into three groups and treated using different wound coverage methods: group A, with a saline dressing; group B, standard application of CG Paste; and group C, injection of CG Paste. On postoperative days 3, 5, 7, 10, and 14, the wound areas were analyzed morphologically. Histological and immunohistochemical tissue analyses were performed on postoperative days 3 and 7. Results Groups B and C had significantly less raw surface than group A on postoperative days 10 and 14. Collagen fiber deposition and microvessel density were significantly higher in group C than in groups A and B on postoperative days 3 and 7. Conclusions This study showed comparable effectiveness between subcutaneous injection and the conventional dressing method of paste-type ADM. Moreover, the injection of CG Paste led to improved wound healing quality through the accumulation of collagen fibers and an increase in microvessel density.